Activity ID
2482Expires
September 22, 2025Format Type
InternetCME Credit
1Fee
$50CME Provider: Louisiana Medical Mutual Insurance Company (LAMMICO)
Description of CME Course
Differences in clinical opinions regarding the interpretation of EFM data or other clinical factors between two perinatal practitioners can and will happen. Choosing not to share a clinical opinion when it is clinically indicated or refusing to take into consideration another’s opinion into a patient’s plan of care has been shown to increase malpractice risk. Researchers identified that even if there is a resolution process many practitioners fail to share their clinical opinions due to lack of administrative support to do so. Clinical differences should be anticipated and prepared for but not all facilities have nor support use of a multidisciplinary resolution process. Creating a simple, unbiased, collaborative resolution process is required by all facilities that offer care to pregnant patients. A Chain-of-Authority offers an easy solution when differences in opinion exist but creating a safety culture that supports the free expression of clinical opinions is paramount. All resolution should start with the primary nursing and medical practitioner and end when a collaborative compromise is reached. This monograph defines the Chain-of-Authority process, outlines proper procedure to invoke it through the evaluation of two case studies, and offers risk management and patient safety considerations for success.
ABMS Member Board Approvals by Type
ABMS Lifelong Learning CME Activity
Family Medicine
Commercial Support?
NoNOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
Educational Objectives
Critique two EFM Case Studies and critical thinking drills involving clinical disagreements and the use of a Chain-of-Authority (COA) Outline the steps to invoking COA in your facility; if COA policy, assist in developing one
List two risk management solutions that increase successful conflict resolution before, during, and after invoking COA
Keywords
EFM, OBGYN, electronic fetal monitoring. Obstetrics
Competencies
Medical Knowledge, Patient Care & Procedural Skills, Professionalism
CME Credit Type
AMA PRA Category 1 Credit
Practice Setting
Inpatient, Rural, Urban
