Capacity Assessment & Treatment Refusals - On Demand 2025
When a patient lacking capacity refuses essential care, what guides your next step? Through case-driven scenarios, you will define capacity and competence, interpret the core elements of decision-making, understand ethical and legal standards, and appreciate the tensions in refusals, then describe and apply a clear, defensible framework—so bedside choices become safer, faster, and ethically sound for hospitalized adults.
Availability
On-Demand
Expires on May 06, 2028
Credit Offered
0.75 CME Credit
0.75 ABIM-MOC Point
0.75 Participation Credit
  • Overview
  • Faculty
  • Accreditation
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Learning Objectives
After completing this activity, learners should be able to:
  1. Define capacity and competence and interpret the four elements of decision-making capacity.
  2. Understand the ethical and legal standards for medical decision-making for patients without capacity.
  3. Appreciate the core ethical issues that arise when a patient without capacity is refusing recommended treatment.
  4. Describe a framework for decision-making when incapacitated patients refuse urgent medical treatment.
Faculty
  • Krishna Chokshi

Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.

 

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

CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Credit Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75  MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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