M&M Conferences will review timeline of event (allograft loss, complications, deaths, return to OR, and unanticipated readmissions), identify area where breakdown occurred, identify root cause, review related literature if applicable, identify action items to prevent similar events in future.

Our Clinical Case Conference includes: Morbidity and Mortality Conference: interdisciplinary (nurses, APPs, physicians) and multi departmental review of a recent patient safety event to identify and address near misses and poor outcomes. Evidence in the ED: review of a recent literature in the diagnosis and management of common ED presentations to reduce variability in care of patient. Consultant Lecture Series: expert consultants review recent guidelines in the management of emergent care of p...

Seriously ill patients and family members have defined the importance of various elements related to quality End-of-Life Care. The most important elements are trust in the treating physician, avoidance of unwanted life support, sensitive effective communication, continuity of care and life completion.  Generally speaking, people who are dying need care in four areas: physical comfort, mental and emotional needs, spiritual needs, and practical tasks. Of course, the family of the dying person...

Using examples including organ transplantation and influenza, this course provides an overview of how clinicians and policymakers have approached the rationing of health care resources, as well as an ethical framework that can inform present and future rationing and resource allocation decisions. During the course, we delineate a system for ethically allocating resources based on 4 principles: Treating people equally. Favoring the worst off. Maximizing total benefits. Promoti...

Intended for both researchers and those involved in research oversight, this course provides an overview of ethical principles relevant to the design of trials involving human subjects. Learners will review foundational study designs and design tools with a focus on ethical and regulatory considerations.Topics include:Differentiating between research and quality improvement.Observational and interventional designs.Randomization, blinding, and placebos.First-in-Human, or Phase I, trials.Cluster r...

Children's Roles in Medical Decisions explores the three primary ways in which older children and teenagers can influence or control their medical care. It examines the ethics and law of emancipated and mature minors, and describes the ethical and practical challenges of children’s assent. The course will be useful to physicians, nurses, psychosocial clinicians and others who work with children in medical contexts. There was no commercial support used in the development of this educational a...

This course offers an overview of the legal and ethical issues pertaining to a therapist’s duty to warn and protect in cases where a patient may commit violence. It begins with a discussion of Tatiana Tarasoff, which established legal precedent for a duty to warn. And then, using illustrative examples and interview material, it surveys how different states implement the duty to warn and protect, provides a framework for determining when and how to intervene with a potentially violent patie...

Last Reviewed Date: April 9, 2023This activity is designed to provide evidence-based recommendations for the care of our Emergency Department patient population who are facing substance abuse issues. 

Intended for researchers and those involved in research oversight, this activity provides an overview of ethical principles of biomedical research in global settings, with a special emphasis on research in low- and middle-income countries (LMICs). We will begin with an 8-principle framework for conducting ethical research, then examine areas requiring special attention, including:Determining ethical standards of care for the control arm of trials.Adapting the informed consent process to various ...

This learning activity provides an overview of ethical and regulatory principles of research with participants perceived as vulnerable.  Learners will review definitions of vulnerability, relevant regulations in the United States, and their implications for special protections among various populations, including: Children Pregnant women and fetuses Prisoners The cognitively impaired Patients in emergency settings Content Last Reviewed: March 3, 2021