Target Audience


Southern Medical Journal (SMJ) is an interdisciplinary, multi-specialty Journal, and articles span the spectrum of medical topics, providing timely, up-to-date information for primary care physicians and specialists alike. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.  Therefore, the readers of the SMJ are an appropriate target for this article.

Goals and Objectives


Emergency clinicians face an increased risk of burnout because of the nature of their profession. They are considered to be in the medical specialty at highest risk for burnout. Health systems across the United States are incorporating trainings in an effort to decrease the prevalence of burnout among emergency clinicians. It is suggested that education programs can be useful in ameliorating burnout if adapted to a unit’s culture. Healthcare organizations should provide resources to clinicians that provide a toolkit of methods to manage and process workplace stress. The Pause is a tool that provides self-care for individuals and teams. Described as a feasible, short-term, microbreak intervention that may reduce caregiver stress, The Pause can be adapted so that it meets the cultural needs of a health system or an emergency department. At the conclusion of the session, learners should be better prepared to:

  • Understand the professional need for reflection embodied in a “Pause After Death;”
  • Consider appropriate circumstances where the “Pause After Death” would be appropriate at your institution;
  • Build a consensus among health care providers at your institution to accommodate and encourage the use of the “Pause After Death.”

Course Information


CME Release Date: September 4, 2019
Valid for credit through: September 4, 2020
Course type: CME Journal Article
Estimated time of completion: 1 hour

Credits Available


Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Southern Medical Association designates this CME Journal Article for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of .50 hours of Category I credit for completing this activity.

AANPCP: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

Healthcare Professionals

For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.  All healthcare professionals who are not MDs or DOs will receive a certificate of participation.

Instructions for Participation and Credit


This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

  • Read the goals and objectives, accreditation information, and author disclosures.
  • Login in below to access the article in order to study the educational content and references.
  • Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score of 80%.
  • Complete the activity evaluation and attestation.

Upon successful completion of the test, evaluation and attestation, your certificate will be processed and emailed from customerservice@sma.org within approximately 1 hour. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.

Click the Disclosure Tab above for Author/Faculty Information

Disclosure of Relevant Financial Relationships


As an organization accredited by the ACCME, Southern Medical Association requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner that could create a conflict of interest.

Southern Medical Association encourages Speakers/Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.

The following individuals, unless otherwise notedhave no relevant financial relationships to disclose.

Manuscript Author(s):
Tim Cunningham, DrPH, RN
Dallas M. Ducar, MSN, RN

SMJ Editor-in-Chief:
G. Richard Holt, MD, MSE, MPH, MABE, D BE

Southern Medical Association/Southern Medical Journal Editorial Staff:
Jennifer S. Price, MA, Managing Editor
Anita McCabe, Copyeditor

Course Materials

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