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HEALTHCARELAW & ETHICS
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October 23, 2020
EMBASSY SUITES BY HILTON
LOS ANGELES INTERNATIONAL AIRPORT NORTH
9801 AIRPORT BLVD,
LOS ANGELES, CALIFORNIA 90045
A DAY WITH THE JUDGES
Professional Ethics, Marijuana (Cannabis), and The Opioid Crisis
Healthcare Providers, Judges, Attoneys & Paralegal Personnel
National ACLM Mid-Year Conference
The American College of Legal Medicine (ACLM)
The American Board of Legal Medicine (ABLM)
The Western Institute of Legal Medicine (WILM)
Maximum 12 Hours CME; CLE Pending
Course Fee $330.00
Early Registration Fee, 10 % discount = $297.00
(As of September 23, 2020, the fee will be $330.00 per person.)
Cancellation Policy: Refund only if cancelled before September 22, 2020
Practical Medical and Legal Ethics and Professionalism
Implications of Ethics for Medicine and Law Professionals
Boundary Crossings and Violations - Nonsexual and Sexual
Prescribing Opioids and Opioid Crisis
Recommending Medicinal Marijuana (Cannabis)
Drug Courts as alternatives to traditional litigation/incarceration
Consequences of Unprofessional Conduct: Administrative,
Licensing Board, Civil and Criminal Actions
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American College of Legal Medicine and the Western Institute of Legal Medicine. The American College of Legal Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The American College of Legal Medicine designates this live and enduring materials activity for a maximum of 12.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American College of Legal Medicine, CME Office has reviewed this activity’s speaker and planner disclosures and resolved all identified conflicts of interest, if applicable.
This will be a one-day course for a maximum of 12 hours of CME, 6 of which is the pre-course supplement.
Meets ethics requirement by the Oklahoma Medical Board
At the conclusion of the course, attendees should be able to:
1. Understand the fundamental principles that distinguish ethical from unethical conduct.
2. Identify and manage the conduct that may be perceived by others as unethical.
3. Distinguish ethical from legal responsibilities of medical practice.
4. Recognize and manage factors that predispose physicians to boundary violations with patients.
5. Maintain high standards of professionalism in all medical practice-related conduct.
6. Alter current practices not previously recognized as being ethically questionable.
7:00 A.M. - Reception Desk Open, Registration, Sign in, and Continental Breakfast
&:50 A.M. - WELCOME
SESSION ONE ETHICS AND PROFESSIONALISM SPEAKERS
Moderators: The Honorable Noma Gurich, Chief Justice, Supreme Court of Oklahoma, Oklahoma City, OK, Program Co-Chair
Veling Tsai, MD, JD, FCLM, Immediate Past President, ACLM, Al Hambra, California, Program Co-Chair
8:00 - 8:45 A.M. - Crossing and Violating Ethical Boundaries Sandy Sanbar, MD, PhD, JD, Program Chair
8:45 - 9:30 A.M. - Professional Ethics - A view from the Bench The Honorable Noma Gurich
9:30 - 10:00 A.M. - Panel Discussion - Questions and Answers
10:00 A.M. - 10:15 A.M. - BREAK
SESSION TWO - MARIJUANA (CANNABIS)
Moderators: The Honorable Chief Justice Noma Gurich and Robert Bitonte, MD, JD, FCLM, Member, Board of Governor, ABLM
10:15 - 10:45 A.M. - Medical Marijuana - Public Health Concerns
10:45 - 11:15 A.M. - Marijuana and Opioid Abuse, Diversion and PMP
11:15 - 11:45 A.M. - Marijuana Abuse - A view from the bench
11:45 - 12:15 P.M. - Panel Discussion - Questions and Answers
12:15 P.M. - 1:15 P.M. - LUNCH (provided as part of registration)
SESSION THREE - OPIOID CRISES
Moderators: Chief Justice Noma Gurich and Mary J. Wall, MD, JD, ACLM, Bellevue, Ohio
1:15 - 1:45 P.M. - Opioid Abuse and the Drug Court -
1:45 - 2:15 P.M. - Licensing Board and Civil Actions
2:15 - 2:45 P.M. - Opioids - Criminal Actions
2:45 - 3:15 P.M. - Panel Discussion - Questions and Answers
3:15 P.M. ADJOURN
NOTE: In addition to the live presentations, 6 Hours CME, there is also a Supplemental Pre-Course study materials on Professional Ethics, up to 6 more Hours of CME for clinicians.
Supplemental Pre-Course Materials; Additional Six (6) hours of CME
ABOUT THESE ENDURING MATERIALS
The Supplemental Pre-Course Materials for Medical Ethics and Professionalism include Practical Medical Ethics and Professionalism.
The topics listed under the Table of Contents below depict medically ethical, medical-legal, and risk management principles that can protect patients and clinicians. The materials will be emailed to registrants two weeks before October 18, 2019.
Successful completion of this program result in earning an additional six (6) continuing medical education hours. It requires the following:
Study of the pre-course supplemental written materials.
Successful completion of a test on these written materials during attendance at the A DAY WITH THE JUDGES CONFERENCE.
Completion of the Enduring Materials page in the Accreditation Manual during attendance at the A DAY WITH THE JUDGES CONFERENCE. A written objective test will be given at the lunch break. A 70% passing grade is required for the award of the additional six continuing medical education credit hours for your study of these written materials.
Successful completion of the test is required to satisfy state licensing board mandates.
TABLE OF CONTENT
I. INTRODUCTION – Medical Ethics History and Problems
1. Medically ethical conduct defined and explained.
II. ACTIONS REQUIRING SPECIAL CARE – Process of Making Ethical Decisions
2. Utilizing placebo effect.
III. CLINICIAN-ATTORNEY INTERACTIONS – How to Handle Ethical Issues
3. Ethical conduct expected of clinicians when interacting with attorneys in legal matters involving their patients.
4. Ethical conduct expected of a medical witness or expected of a medical consultant to an attorney or the court.
IV. BUSINESS RELATIONS
5. Ethical challenges arising from business competition with other clinicians.
6. Ethical conduct in relations between clinicians and their present and former partners, employers, and employees.
7. Ethical conduct by occupational clinicians pressured by patients' employers to protect the employers' interests.
V. ECONOMICALLY MOTIVATED CONDUCT
8. Protecting a hospital's income at the patient's expense.
9. Protecting the clinician's managed care participation at the patient's expense.
10. Ethical risks of giving pharmaceutical company-sponsored lectures.
VI. INADEQUATE MEASURES
11. Failure to accommodate to differences in cultural/ethnic background, race, language, religion, or socio-economic status of patients.
12. Lack of an effective continuous quality improvement program.
13. Inadequate warnings to patients regarding drug-related risks from concomitant use of other substances.
14. Inadequate measurement of clinical findings.
15. Failure to prepare adequate printed handouts for patients.
VII. MEDICAL RECORD KEEPING
16. Delayed and anticipatory record keeping.
17. Jousting in the medical records.
18. Misleading record keeping by patient labeling.
19. Defensive record keeping.
20. Inadequate review of prior patient records.
21. Inaccurate and disparaging comments about alternative medicine.
22. Overuse of alternative medicine practitioners.
23.Patients who show general lack of confidence in clinicians or medical science.
24.Patients involved in litigation or seeking compensation who may be motivated to enhance their symptoms for secondary gain.
26.Patients who strongly or belligerently disagree with their clinician about appropriate care.
27.Patients with concurrent mental health disorders or difficult traits that interfere with care.
28.Patients with poor anger or hostility control.
30.Patients who intentionally place themselves in situations where harm is likely.
31.Patients who are a danger to others.
32.Patients for whom no long-term benefit is likely.
33.Over-assertive spouses, parents, or other family members.
IX. MEASURES TO MINIMIZE RISKSOF NEGLIGENTLY INJURING PATIENTS
35.Unethical failure to take measures to decrease the risks of negligently injuring patients.
36.Patient history measures.
37.Patient teaching measures.
38.Measures appropriate for supervisory responsibilities.
39.Medical equipment measures.
40.Measures appropriate for administered medications.
41.Measures for continuing education of the clinician.
42.Measures to reduce office systems errors.
43.Miscellaneous measures to prevent patient injuries.
X. OTHER ETHICAL MISCONDUCT
44.Criminal misconduct arising from or relating to health care practice.
45.Unprofessional use of social media or social networking.
X. NEWER ETHICAL ISSUES AFFECTING DOCTORS
The Honorable Noma Gurich, Chief Justice, Supreme Court of Oklahoma, Oklahoma City, OK, Program Co-Chair and Moderator
Veling Tsai, MD, JD, FCLM, Past President, ACLM, Program Co-Chair Al Hambra, CA (Left)
Sandy Sanbar, MD, PhD, JD, FCLM, Past President, ACLM, Program Chair, Oklahoma City, OK (Right)