Activity ID



July 25, 2021

Format Type


CME Credit



CME Provider

Louisiana Medical Mutual Insurance Company (LAMMICO)


Every physician in medical practice has at some time seen situations of patient past medical care that seemed inappropriate. In such situations physicians are immediately placed in the position of determining the immediate requirement for continuing medical care and the ethical need of patient explanation and disclosure of perceived medical error. Professional training in such disclosures is lacking and concerns of continued professional relationships and even fears of potential liability hinder important patient and other medical provider communications. Frequently initial unsupported critical comments about other provider care, i.e. medical jousting, leads to reduced patient trust and compliance as well as increased physician liability. This presentation for practicing physicians in all specialties defines and describes the common areas of jousting now increased with modern electronic communications, e.g. Internet, SMS, and social media. The detrimental effects of jousting are described and constructive guidance is provided for more appropriate reactions to situations of perceived inappropriate medical care. Further recommendations are provided for more complex situations which may ethically and possibly legally require disclosure to third party professional entities. The end results of jousting are summarized with recommendations and discussion of other possible legal concerns. This presentation will be of value to any practicing physician or healthcare provider and will provide good guidance for improving patient care and reduction of potential professional liability.

Diplomate Engagement

Pre- and post-test with results to the learner.
Evaluation upon completion.
Post Activity Survey (3 to 4 months) asking what has been changed in practice.

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NOTE: 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

To describe jousting in the medical context.
To recognize reactive responses to and prevalent types and methods of medical jousting.
To explain the appropriate initial reaction and ethical considerations to situations of perceived past problematic medical care.


Jousting, Disclosure, Physician Communication, Professionalism, Critical Commenting, Criticism, Ethics, Medical History, Blaming


Interpersonal & Communication Skills, Patient Care & Procedural Skills, Practice-based Learning & Improvement, Professionalism

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Academic Medicine, Inpatient, Outpatient, Physician Executives, Physician Scientists, Rural, Urban, VA/Military

National Quality Strategies and/or Quadruple Aim Care Processes

Communication Skills, Patient Safety/Medical Errors, Interprofessional, Medical Ethics

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