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Rationing Care


ONLINECMECNESafetyEthics/ProfessionalismConferences & SymposiaComplimentary - No FeeState Required CMEMEHP Courses

  • Overview
  • Register
  • Faculty


Date & Location
Tuesday, August 2, 2022, 3:13 PM - Friday, January 31, 2025, 4:13 PM

Course Overview
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. 
  • Promoting and rewarding social usefulness. 
Content last reviewed: January 31, 2024
Learning Objectives

After completing this activity, participants should be able to:


  1. Define rationing and resource allocation in a health care context
  2. Outline insights into resource allocation produced by the COVID-19 pandemic
  3. Identify and evaluate principles underlying health care rationing decisions
  4. Outline insights into resource allocation produced by the COVID-19 pandemic.

Registration
There is no registration fee but you are still required to register.
 
In this activity, learners will engage with the content by moving through a series of brief video lectures with links to related readings, downloadable resources, and quizzes.
 
The Structure of the Course
• Insulin (5:12)
• Penicillin (8:19)
• Dialysis (8:16)
• What is Rationing? What is Resource Allocation? (5:21)
• Distinguishing Rationing and Resource Allocation (8:50)
• Values and Principles (7:40)
• Deontological Principles (9:21)
• Utilitarian Principles (8:52)
• The Complete Lives System (12:02)
• Allocation Lessons from COVID-19 (8:48)
• Resource Allocation within Countries (10:59)
• International Allocation of Resources (11:35)
 
Each lecture includes a list of suggested readings that provide more detail about what was discussed. Links to external readings will lead you to an abstract or, if available, the full article.

Note that closed captions are available for all video segments.
 
Successful completion of this educational activity and receipt of certificate of credit includes achieving a minimum score of 90% on the post-test.

Accreditation
In support of improving patient care, Penn Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.  
 
Designation of Credit
Physicians: Penn Medicine designates this live activity for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Nurses: This program provides 2.0 NCPD hours.
 
Patient Safety Risk Management: This activity is approved for 2.0 PSRM credits

Credits
AMA PRA Category 1 Credits™ (2.00 hours), NCPD Hours (ANCC) (2.00 hours), Non-Physician Attendance / Participation (2.00 hours), Patient Safety/Risk Management PSRM (2.00 hours)

About the Instructor:


Ezekiel J. Emanuel MD, PhD is the Vice Provost for Global Initiatives and the Diane v.S. Levy and Robert M. Levy University Professor at the University of Pennsylvania.

Dr. Emanuel is an oncologist and world leader in health policy and bioethics. He is a special advisor to the Director General of the World Health Organization, Senior Fellow at the Center for American Progress, and member of the Council on Foreign Relations. He was the founding chair of the Department of Bioethics at the National Institutes of Health and held that position until August of 2011. From 2009 to 2011, he served as a special advisor on Health Policy to the director of the Office of Management and Budget and National Economic Council. In this role, he was instrumental in drafting the Affordable Care Act (ACA). Emanuel also served on the Biden-Harris Transition Covid Advisory Board.

Dr. Emanuel is the most widely cited bioethicist in history. He has over 350 publications and has authored or edited 15 books. His recent books include the books Which Country Has the World’s Best Health Care (2020), Prescription for the Future (2017), Reinventing American Health Care: How the Affordable Care Act Will Improve our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System (2014) and Brothers Emanuel (2013).

Dr. Emanuel regularly contributes to The New York Times, The Washington Post, The Wall Street Journal, The Atlantic, and often appears on BBC, NPR, CNN, MSNBC and other media outlets.

He has received numerous awards including election to the Institute of Medicine (IOM) of the National Academy of Science, the American Academy of Arts and Sciences, the Association of American Physicians, and the Royal College of Medicine (UK). He received — but refused — a Fulbright Scholarship. Most recently he became a Guggenheim Fellow.

He has been named a Dan David Prize Laureate in Bioethics and is a recipient of the AMA-Burroughs Wellcome Leadership Award, the Public Service Award from the American Society of Clinical Oncology, Lifetime Achievement Award from the American Society of Bioethics and Humanities, the Robert Wood Johnson Foundation David E. Rogers Award, President's Medal for Social Justice Roosevelt University, and the John Mendelsohn Award from the MD Anderson Cancer Center.

Dr. Emanuel has received honorary degrees from Icahn School of Medicine at Mount Sinai, Union Graduate College, the Medical College of Wisconsin, and Macalester College.

Dr. Emanuel is a graduate of Amherst College. He holds a MSc from Oxford University in Biochemistry and received his MD from Harvard Medical School and his PhD in political philosophy from Harvard University.

Disclosures
The following planning committee member has reported the following relevant financial relationships with commercial interests related to the content of this educational activity:
Ezekiel J. Emanuel, MD, PhD: Leigh Bureau, Speaker Honorarium; Oak HC/FT, Salary; Nuna, Stock Shareholder

The faculty and planning committee members listed below have disclosed that they have no relevant financial relationships with any commercial interests related to the content of this educational activity:
Steven Joffe, MD, MPH
Autumn Fiester, PhD
Dominic A. Sisti, PhD
Connie Ulrich, PhD, MSN
Amy Ashbridge, MBA
Adam Zolkover, MA
Laura C. Hart, MFA
Patricia Smith, DNP, RN, BC

The faculty reported that there will be no mention of investigational and/or off-label use of products in this presentation.
Ezekiel J. Emanuel, MD, PhD, Vice Provost for Global Initiatives
Co-Director of the Healthcare Transformation Institute at the University of Pennsylvania
University of Pennsylvania
Philadelphia, PA

Office of Continuing Medical and Interprofessional Education, Penn Medicine, JMEC, SPE, 6th Floor, 3400 Civic Center Boulevard, Building 421, Philadelphia, PA 19104-5162 
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UPenn is Joint Accredited for Interprofessional Continuing Education
In support of improving patient care, Penn Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
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