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Staying and Treating Against Medical Advice (SAMA TrAMA): Pearls and Pitfalls - On Demand 2025
At the bedside moment when a patient insists on leaving, choices shape safety and trust. This on-demand session helps hospitalists define AMA, SAMA, and TrAMA decisions; understand social drivers and equity concerns; explore nuanced cases balancing autonomy and duty; and manage documentation, communication, and risk with poise. You’ll leave ready to navigate fraught encounters with ethical clarity and a plan that elevates care and outcomes.
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Availability
On-Demand
Expires on May 06, 2028
Credit Offered
1 CME Credit
1 ABIM-MOC Point
1 Participation Credit
  • Overview
  • Faculty
  • Accreditation
  • Recommended
Learning Objectives
After completing this activity, learners should be able to:
  1. Define and understand the implications of AMA decisions in hospital settings.
  2. Know about various social determinants of health and health equity that drive AMA decisions by patients.
  3. Explore case studies involving ethical challenges in balancing patient autonomy with professional healthcare responsibilities. Gain knowledge and skills to manage AMA situations, aimed at improving patient outcomes.
  4. Know of practical strategies, lessons learnt from various AMA scenarios and gain skills, confidence to effectively approach such complex cases in daily hospitalist practice.
Faculty
  • Raghuveer Rakasi
Faculty Disclosures (PDF)

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 1.00 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 1.00  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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