Online Continuing Education

A New Kind of Bedside Manner: The Rise of Apology Policies

Original Publish Date:

June 16, 2008

Review Date(s):

June 2009, 2010, 2011

Term of Approval End Date:

June 16, 2012

Estimated Time to Complete:

1 Hour

Risk Management:

Yes

Course Format:

Text

Course Fee:

Mbrs-$10, Non Mbrs-$20

To participate in this CME activity: (1) review the information on this page which includes the learning objectives and faculty disclosures; (2) read the course pages; (3) complete the exam; (4) view/print certificate.

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Course Overview

A New Kind of Bedside Manner: The Rise of Apology Policies is jointly sponsored by the Massachusetts Medical Society and Lawyers Weekly, Inc., publishers of Massachusetts Medical Law Report.  Experience from Department of Veterans Affairs (VA) Hospital in Lexington, Kentucky, University of Michigan Health System and other similar models have shown that when apology is used in the case of an adverse outcome or medical error, communication between the physician and the patient and their families is open and honest.  Patients are not “kept in the dark” due to the advice of legal council and they have a clear understanding of the medical facts of the situation and the details of why things happened the way they did in their case. Patients also want to know and are told what is being done to prevent this from happening to other patients.  Studies not only show that this may result in a reduction malpractice claims and settlements, but more importantly, the relationship between the patient and physician can be preserved. The following CME activity includes the Massachusetts Medical Law Report article, "A New Kind of Bedside Manner: The Rise of Apology Policies" followed by The Physician's Corner with risk management strategies. 

Course Information


 


 

 

 

General Information

  • If you need to stop in the middle of a course, you may return to the course at anytime to finish.
  • When you have finished reading the course pages, close the window and click on CME Exam in the Course Sections box.
  • To begin this CME activity, read through the information on this page and then click on the Start Course button (page bottom).

Intended Audience

This course is intended for physicians and allied health professionals.

Course Objectives

  • Describe the key components of a successful apology program. 
  • Explain the impact on the physician and patient when apology is not used.
  • State the reasons why apology may reduce litigation or awards.
  • Understand why communication after an adverse event or outcome is important to the patient and their families.

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Course Credit

Deadline for completing the course is June 16, 2012.

The Massachusetts Medical Society designates this educational activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This program meets the criteria of the Massachusetts Board of Registration in Medicine for risk management study.

Participants will receive a confidential report of their examination score. You must receive a score of 70% or better to receive AMA PRA Category 1 Credit™.  A confirmation of credit will be issued at the end of the course to those who successfully complete the examination.

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 Massachusetts Medical Society and Lawyers Weekly, Inc.

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

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Course Fees

A New Kind of Bedside Manner: The Rise of Apology Policies and all associated course materials are available free of charge. An opportunity to complete an exam and receive AMA PRA Category 1 Credit™ for a nominal fee is available at the end of the course. The course fees are as follows:

Massachusetts Medical Society (MMS) Member: $10 ($10 per credit)

Non-MMS member: $20 ($20 per credit)

Disclosure/Commercial Support

The following course content developers have no financial interests or relationships to disclose.

  • Henry Tulgan, MD, FACP
  • Amy Johnson Conner, Freelancer for Lawyers Weekly
  • Reni Gertner, MPH, Editor Lawyers Weekly
  • Kathleen Bellisle, Manager of MMS Distance Learning

Off-label Disclosure:

This course does not include any discussion of an off-label use of a commercial product or an investigational use not yet approved for any purpose by the FDA.

Commercial Support

No commercial support was received for this online program.

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Content Disclaimer

The Massachusetts Medical Society does not take responsibility for the accuracy of the information in this CME program, which was provided by Lawyers Weekly, Inc. and summarized by Henry Tulgan, MD, FACP. The views expressed are not necessarily those of the Massachusetts Medical Society.

Online Course Developers

Henry Tulgan, MD, FACP
Reni Gertner, MPH, Editor Lawyers Weekly
Kathleen Bellisle, Manager of MMS Distance Learning

Bibliography

MA Medical Law Report, Governors Apology Bill Would Protect Physicians, Hospitals, May 2, 2011

Payment Reform Legislation, An Act - Improving the Quality of Healthcare and Controlling Costs, See Section 20 for Apology

 Lazare A: On Apology.  New York: Oxford University Press, 2004.

Sorry Works! Coalition, accessed on June 10, 2011, www.sorryworks.net/laws.phtml

Saying sorry, Michigan project’s response when medical procedures go awry is resulting in lower malpractice insurance costs and better communication between doctors and patients, CommonWeatlh, accessed on July 27, 2010

Leape L.: Full disclosure and apology: An idea whose time has come. Physician Exec 32:16–18, Mar.–Apr. 2006.

Joint Commission on Accreditation of Healthcare Organizations: 2006 Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission Resources, 2005.

Kraman S., Hamm G.: Risk management: Extreme honesty may be the best policy. Ann Intern Med 131:963–967, Dec. 21, 1999.

Kraman S.S., et al.: John M. Eisenberg Patient Safety Awards. Advocacy: The Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv 28:646–650, Dec. 2002.

Boothman R.: How open, honest disclosure can reduce claims, costs, and promote patient safety improvement. Lecture given at the annual meeting of the Greater New York Hospital Association, New York City, May 13, 2005.

Kowalczyk L.: Hospitals study when to apologize to patients. The Boston Globe, Jun. 24, 2005, p. A1.

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Hardware & Software Requirements

Supported Browsers
Internet Explorer v.7 or greater (for Windows)
Mozilla Firefox v.2 or greater (for Windows, Mac, Linux)

Minimum System Requirements

Windows Systems Requirements

  • A Pentium-based PC or compatible computer.
  • At least 64MB of RAM.
  • Windows 95/98/NT/ME/2000/XP/Vista system software.
  • Screen resolution of 1024 x 786 or larger recommended
  • PDF Reader: Adobe Reader 5.0 or higher, Foxit Reader 2.0 or likewise.

Mac OS System Requirements

  • A PowerPC processor-based Macintosh computer.
  • At least 64MB of RAM.
  • Mac OS 7.5 or later.
  • Screen resolution of 1024 x 786 or larger recommended.
  • PDF Reader: Adobe Reader 5.0 or higher, Foxit Reader 2.0 or likewise.

Policies

Contact Us

Contact us at continuingeducation@mms.org or (800) 322-2303, ext. 7306. Massachusetts Medical Society, 860 Winter Street, Waltham, MA 02451.

 

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