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Dealing with Difficult Patients

Original Publish Date: June 16, 2008
Review Date: NA
Term of Approval End Date: June 16, 2009
Estimated Time to Complete: 1 hour
Risk Management: Yes
Course Format: Text

Course Overview

Dealing with Difficult Patients is jointly sponsored by the Massachusetts Medical Society and Lawyers Weekly, Inc., publishers of Massachusetts Medical Law Report.  Issues dealing with noncompliant patients are one of the prevalent sources of successful malpractice suits and disciplinary actions before the state Board of Registration in Medicine. In malpractice cases with a severe patient outcome, damages can run well into the seven figures. Specific communication and risk management strategy techniques and greater patient involvement in the process of care may also enhance the relationship and address the “difficult” behaviors. The following CME activity includes the Massachusetts Medical Law Report article, "Risk managers offer tips for working with difficult patients" followed by a summary with risk management strategies. 

Instructions for Completing this Course and Exam

The following course was developed in a text format.  When you are done reading the course content pages, click Proceed to Exam in the left navigation bar.  You will be directed through the eCommerce screens.  After payment is received, the exam will display.

After completing the required reading through the Course Information below, click on Start button to begin the activity.

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Course Information

Intended Audience

This course is intended for physicians and allied health professionals.

Course Objectives

  • Identify the possible reasons for patient noncompliance.
  • Cite the importance of documenting noncompliance in all patient interactions.
  • Develop an internal system for identifying noncompliance.
  • List the steps to terminate a physician-patient relationship if deemed necessary.

Course Credit

Deadline for completing the course is June 16, 2009.

The Massachusetts Medical Society designates Dealing with Difficult Patients 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

Dealing with Difficult Patients 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)

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Course Materials

Dealing with Difficult Patients

Disclosure/Commercial Support

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

  • Henry Tulgan, MD, FACP
  • Eric Berkman, 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.

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.

 

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Online Course Developers

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

Bibliography

How Respected Family Physicians Manage Difficult Patient Encounters
Posted 01/16/2007
Nancy Elder, MD, MSPH; Rick Ricer, MD; Barbara Tobias, MD, accessed on April 30, 2008.
http://www.jabfm.org/cgi/content/abstract/19/6/533
Am Board Fam Med. 2006;19(6):533-541. ©2006 American Board of Family Medicine

Management of the Difficult Patient
Leonard J. Haas, Ph.D., Jennifer P. Leiser, M.D., Michael K. Magill, M.D.,
And Osman N. Sanyer, M.D., The University of Utah Health Sciences Center, Salt Lake City, Utah, accessed on April 30, 2008.

http://www.aafp.org/afp/20051115/2063.html

http://www.aafp.org/afp/20051115/2063.pdf

Helpful Hints

  • This course and all associated materials are available free of charge. To complete the exam and receive AMA PRA Category 1 Credits™, a nominal fee is applied at the end of the course.
  • If you need to stop in the middle of a course, you may return to the course at anytime to complete.
  • This course requires Adobe Reader
  • This course is optimized for Internet Explorer 5.1 and above, and Netscape 4 and above.
  • To read our Copyright Policy click on the left navigation bar.
  • Contact us at continuingeducation@mms.org or (800) 322-2303. Massachusetts Medical Society, 860 Winter Street, Waltham, MA 02451.

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