The Verdict Is In! 2023 Q3 edition

Decisional Capacity

A score of 75% or higher on quiz will earn you 0.25 AMA PRA Category 1 Credits TM, and a score of 100% will enter you in The Mutual's quarterly raffle to win $300 in VISA gift cards. The raffle winner will be drawn and announced on September 30, 2023. The survey will remain open for CME September 2024. Enter your name/email at the end of the survey for credit and your CME cert will be uploaded into Vituity University.

Accreditation Statement
Vituity is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.
Credit Designation
Vituity designates the internet enduring activity for a maximum of 0.25 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Disclosure
No one in a position to control the content of this educational activity have any relevant financial relationships with ineligible entities to disclose.

Question Title

* 1. A 19-year-old male is transported to your emergency department after falling off the top of an RV while watching a NASCAR race. He is intoxicated, has obvious head trauma with a contusion on his forehead and 3 cm scalp laceration. He refuses your suggested work-up, imaging and sutures, and wants to leave. He is unable to express a rational explanation and potentially lacks capacity, but it’s unclear. How would you not proceed?

Have the patient sign an AMA form before he leaves.

Locate a surrogate, i.e., family, to make decisions for this patient

Do what you believe is medically necessary for the patient's safety

Request a psych or ethics consult to help determine capacity.

Question Title

* 2. Detailed discussions and objective documentation are essential to evidence your professional determination of patient medical decision-making capacity. At the bare minimum, document a capacity assessment was performed.

True

False

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* 3. True or False: Brief visits coupled with minimal documentation can hinder defense if your care is called into question.

True

False

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* 4. Contact information for CME credit and entry into the $300 raffle

Name

Primary Site

Email Address

Title