Mayo School of Continuing Medical Education
Ethics Continuing Medical Education Course
Frequently Encountered
Clinical Ethical Dilemmas
February 9-11, 2005
Siebens Medical Education Building
Rochester, Minnesota
Presented by
Mayo Clinical Ethics Council
Mayo Clinic
Rochester, Minnesota
General Information
Course Description
This course focuses on ten practical bedside ethical dilemmas, with the goal of providing
caregivers with clinically-useful tools for resolving dilemmas and ethical disputes.
Each session will begin with a dramatic presentation to illustrate the dilemma and set the
stage for discussion and analysis. The presenter will then provide a concise, thorough and
practical overview of the issue, concluding with suggestions for addressing the dilemma in
clinical practice. There will be ample time after each presentation for questions and discussion.
Course Learning Objectives
At the conclusion of this course, participants should be able to:
• Discuss the history of Bioethics, explaining how this knowledge can be useful in assessing
and resolving current ethical dilemmas.
• Compare examples of how a good physician/patient relationship and a poor
physician/patient relationship can affect patient care.
• Identify ethical issues surrounding patients or surrogates who have uncertain decisionmaking capacity.
• Describe an ethical response to a medical mistake, showing how it could improve patient
care and safety.
• Describe the ethical issues caregivers encounter when patients ask them to withhold
information from family members, former partners, etc.
• Demonstrate communication strategies to use when family members are opposed to the
individual patient’s requests or care directives.
• Argue for two different ethical points of view regarding a decision to be made regarding
care of a neonate.
• Identify situations that may pose conflicts of interest for caregivers.
• Demonstrate communications that would be helpful when there are ethical conflicts among
patient-care team members.
• Illustrate the medical/ethical issues that can arise among patients, families and caregivers
with different cultural or religious traditions.
• Explain the ethical obligations of a practitioner to a patient who is suffering.
• Describe an ethically-defensible approach to the controversy of medical futility.
Intended Audience
This course is designed for clinicians, nurses, physician assistants, nurse practitioners,
chaplains, social workers, hospital and clinic administrators, and others involved in patient
care; ethics educators and other individuals interested in clinical ethics issues.
Credit
Mayo Foundation is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
Mayo Foundation designates this educational activity for a maximum of 18 category 1 credits
toward the AMA Physician’s Recognition Award. Each physician should claim only those
credits he/she actually spent in the activity. Also, the American Medical Association has
determined that non-U.S. licensed physicians who participate in this CME activity are eligible
for AMA PRA category 1 credit.
Mayo Nursing Continuing Education is accredited as a provider of continuing nursing
education by the American Nurses Credentialing Center’s Commission on Accreditation.
Participants attending the entire course will receive 21 contact hours.
Other health care professionals will be provided a certificate of attendance for requesting credit
in accordance with state nursing boards, specialty societies or other professional associations.
Date and Location
The Mayo Clinical Ethics Council is presenting the Intensive Ethics Education Course,
Frequently Encountered Clinical Ethical Dilemmas, February 9-11, 2005. Registration and sessions
will be located in Leighton Auditorium on the second floor of the Siebens Medical Education
Building, Mayo Clinic, 100 Second Avenue Southwest, Rochester, Minnesota. Meeting
facilities are easily accessible by pedestrian subway and skyway, which connect Mayo Clinic
to hotels, shops and restaurants.
Registration
To register, mail the attached form and a check for the registration fee. The ($400 MD/$300
Non MD) fee includes tuition, course syllabus, continental breakfasts, lunches, break
refreshments and Thursday’s dinner. As seating is limited to accommodate the interactive
nature of the sessions, early registration is strongly advised. A letter of confirmation will be
sent upon receipt of your check and completed registration form. Travel, lodging and parking
information will be included with the confirmation.
Cancellation Policy
Your registration fee will be refunded in full when written notification is received by the
course secretary by Wednesday, January 19 (Fax #: 507-284-0574). Because of advance
planning requirements, a full refund minus a $50 processing fee will be given for written
cancellations received after January 19. No refund will be given for no-shows.
Lodging
Blocks of guestrooms have been reserved with special course rates at the following downtown
Rochester hotels. To ensure accommodations and the discounted rate, make your reservations by
January 19, 2005 and identify yourself as a participant of the Ethics Continuing Education Course.
Hilton Garden Inn
225 South Broadway
800-445-8667 or 507-285-1234
$91 single/double
Rochester Marriott Hotel
101 First Avenue SW
877-623-7775 or 507-280-6000
FAX: 507-285-2775
$109 single/double
You may wish to visit the Rochester Convention and Visitors Bureau web site
(www.rochestercvb.org) for additional accommodation options.
Faculty
Course Co-Directors
C. Christopher Hook, M.D.
Past Chair, Mayo Clinical Ethics Council
Consultant, Division of Hematology
Assistant Professor of Medicine, Mayo Clinic
College of Medicine
Senior Fellow, Center for Bioethics and
Humanities
Paul S. Mueller, M.D.
Chair, Mayo Clinical Ethics Council
Consultant, Division of General Internal
Medicine
Assistant Professor of Medicine, Mayo Clinic
College of Medicine
Mayo Clinic in Rochester Faculty
James Buryska, S.T.L.
C. Christopher Hook, M.D.
Paul S. Mueller, M.D.
Kimberly K. Otte, J.D.
Jeffrey T. Rabatin, M.D.
Guest Faculty
Eric J. Cassell, M.D.
Board of Directors, The Hastings Center,
Garrison, New York
Professor of Public Health, Weill Medical
College of Cornell University, New York
Robert D. Orr, M.D.
Director of Ethics, Fletcher Allen Health
Care, Burlington, Vermont
Professor of Family Medicine, University of
Vermont College of Medicine, Burlington
Carol R. Taylor, C.S.F.N., Ph.D., R.N.
Director, Center for Clinical Bioethics
Georgetown University Medical Center,
Washington DC
Faculty Disclosure
As a provider accredited by ACCME, Mayo Foundation must ensure balance, independence,
objectivity and scientific rigor in its educational activities. All faculty participating in a Mayo
Foundation activity are required to disclose commitments to and/or relationships with
pharmaceutical companies, biomedical device manufacturers or distributors, or others whose
products or services may be considered to be related to the subject matter of the educational
activity. Faculty will also disclose any off-label and/or investigational use of
pharmaceuticals or instruments discussed in their presentation. Disclosure of these
commitments and/or relationships will be published in course materials so those
participants in the activity may formulate their own judgments regarding the presentation.
Program Schedule
Wednesday, February 9, 2005
7:30 a.m.
Registration and Continental Breakfast
8:15 a.m.
Welcome/Introduction to Audience Response System
Course Directors
8:30 a.m.
Setting the Stage – The History of Bioethics
C. Christopher Hook, M.D.
10:00 a.m.
Refreshment Break
10:30 a.m.
Conflict of Interest/Conflicts Among Team Members
Robert D. Orr, M.D.
Noon
Refreshment Break/Box Lunch
12:30 p.m
Medical Grand Rounds: “Suffering and the Goals of Medicine”
Eric J. Cassell, M.D.
1:30 p.m
Decision-Making Capacity of Patients and Surrogates
James Buryska, S.T.L.
3:00 p.m
Refreshment Break
3:30 p.m
Medical Mistakes
Jeffrey T. Rabatin, M.D. and Kimberly K. Otte, J.D.
5:00 p.m
Adjourn
Thursday, February 10, 2005
8:00 a.m.
Continental Breakfast
8:30 a.m.
Physician/Patient Relationships
Eric J. Cassell, M.D.
10:00 a.m.
Refreshment Break
10:30 a.m.
Medical Futility
C. Christopher Hook, M.D.
Noon
Luncheon
1:30 p.m
Disagreement Between Patient Wishes or
Directives and Family or Surrogate Demands
Carol R. Taylor, C.S.F.N., Ph.D., R.N.
3:00 p.m
Refreshment Break
3:30 p.m
Dilemmas of Cross-Cultural Interactions in Clinical Medicine
Robert D. Orr, M.D.
5:00 p.m
Adjourn
5:30 p.m
Dinner for Course Attendees and Faculty
Program: “A Different Kind of Ethics Consultation”
(Two of the course’s 18 credit hours are for this segment.)
C. Christopher Hook, M.D.
8:15 p.m.
Program Concludes
Friday, February 11, 2005
8:00 a.m.
Continental Breakfast
8:30 a.m.
Pediatrics/Neonatal Decision Making
Carol R. Taylor, C.S.F.N., Ph.D., R.N.
10:00 a.m.
Refreshment Break
10:30 a.m.
Confidentiality and Truth Telling
Paul S. Mueller, M.D.
Noon
Adjourn
Registration Form
Ethics Continuing Medical Education Course
Frequently Encountered Clinical
Ethical Dilemmas
Leighton Auditorium
Siebens Medical Education Building
Mayo Clinic, Rochester, Minnesota
February 9-11, 2005
The ($400 MD/$300 Non MD) fee includes tuition, course syllabus, continental breakfasts,
lunches, break refreshments and Thursday’s dinner. As seating is limited to accommodate
the interactive nature of the sessions, early registration is strongly advised. A letter of
confirmation will be sent upon receipt of your check and completed registration form.
Travel, lodging and parking information will be included with the confirmation.
Mail or FAX this completed registration form and check to:
Jan Aaker, Course Secretary
Telephone: 507-538-1511
Intensive Ethics Education Course
FAX: 507-284-0574
Mayo Clinic, MA E-11 Admin.
E-mail: aaker.janice@Mayo.edu
Rochester, MN 55905
(Please print or type all information. You may duplicate this form for multiple registrations.)
Name______________________________________________________________________________
First Name
Degree
MD
Middle Name or Initial
DO
PhD
PA
NP
Last Name
Other_________________________
Institution __________________________________________________________________________
Medical Specialty____________________________________________________________________
Address____________________________________________________________________________
City_________________State/PV________ZIP/Postal Code________Country_________________
Home Telephone (______)__________________ Business Telephone (______)_________________
FAX(______)_______________ E-mail___________________________________________________
Type of credit you are interested in receiving:
AMA/Category 1
ANCC
Please check if you have any special assistance needs or dietary restrictions.
Please indicate your needs here: _____________________________________________________
Physician Fee:
$400
$___________
Residents, nurses, physician assistants, nurse practitioners,
chaplains, social workers, administrators, other allied health staff:
$300
$___________
Dinner Guest Reservation:
Cost of the Thursday evening dinner is included in the registration fee.
However, there is a charge for a guest attending with you.
Name of guest:_________________________________________________
$30
$___________
Total Payment Enclosed: (make check payable to Mayo Foundation)
$___________
CANCELLATION POLICY – Your registration fee will be refunded in full when written
notification is received by the course secretary by Wednesday, January 19 (Fax #: 507-284-0574).
Because of advance planning requirements, a full refund minus a $50 processing fee will be given
for written cancellations received after January 19. No refund will be given for no-shows.
Non-Profit
Organization
U.S. POSTAGE PAID
Minneapolis, MN
Permit No. 3395
200 First Street SW
Rochester, Minnesota 55905
Ethics Continuing Medical Education Course
Frequently Encountered
Clinical Ethical Dilemmas
February 9-11, 2005
Siebens Medical Education Building
Rochester, Minnesota
Presented by
Mayo Clinical Ethics Council
Mayo Clinic
Rochester, Minnesota
© 2004, Mayo Press • Printed in U.S.A.
MC4077-01rev0804