End-of-Life Care Series (Module 1)
End-of-Life Module 1: Ethics and end of life
End-of-life care is fraught with ethical challenges for patients, families, and physicians. Physicians who care for patients at the end of life need to be familiar with the ethical frameworks commonly used to work through these challenges.
In this module, we describe the principle-based approach to medical ethics as well as the complementary frameworks. We also explain core ethical concepts specific to decision-making at the end of life and highlight special considerations in the care of patients from marginalized groups.
- Recognize how an inadequate understanding of the patient and family experience may cause physicians to miss important ethical obligations.
- Apply the four principles of biomedical ethics most commonly used to identify ethical obligations and help resolve ethical dilemmas in health care.
- Identify limitations of the principle-based approach to medical ethics and recognize situations in which principles alone miss some ethical obligations.
- Apply complementary methods of ethical analysis, including narrative-based, case-based, and virtue-based ethics.
- Develop strategies to empower patients and families from marginalized groups to actively participate in end of life decision-making.
Jolion McGreevy, M.D., M.B.E., M.P.H.
Department of Emergency Medicine Boston Medical Center
Winnie Suen, M.D.
Department of Medicine, Division of Geriatrics
Boston Medical Center Michael A. Grodin, M.D.
Department of Health Law, Bioethics & Human Rights, Boston University School of Public Health
Departments of Psychiatry and Family Medicine, Boston University School of Medicine
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
AMA Credit Designation Statement
The Massachusetts Medical Society designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study, including 1.0 credit in the end-of-life care.
MOC Approval Statement
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory , this activity has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:
Allergy and Immunology
Physical Medicine and Rehabilitation
Psychiatry & Neurology
National Commission on Certification of Physicians Assistant (NCCPA).
Physician Assistants may claim 1.00 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit(s)™ from organizations accredited by ACCME or a recognized state medical society.
A score of 70% or higher is required to receive AMA PRA Category 1 Credit(s)™.
- 1.00 AMA PRA Category 1 Credit™
This course is offered through the Massachusetts Medical Society.
To take this course you will be redirected to the Massachusetts Medical Society's website. You must have an account with the Massachusetts Medical Society in order to complete this activity.
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