CME Course

Supporting Trainees by Addressing Inappropriate Behaviors by Patients

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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

The authors sought to determine the frequency of inappropriate behaviors by patients toward Internal Medicine (IM) residents, residents’ confidence to manage the behaviors, and differences among demographic characteristics, including race, sex, and level of clinical experience. The study highlights that macro- and microaggressions by patients toward IM residents are common. Curricula are needed to equip trainees with tools to appropriately respond during such encounters. At the conclusion of the session, learners should be better prepared to:

  • Recognize that inappropriate behaviors manifested by patients and/or other persons during patient encounters occur with significant frequency;
  • Recognize that many healthcare providers, especially trainees, feel underprepared to deal with inappropriate behaviors by patients and/or persons accompanying them during patient encounters;
  • Recognize that many healthcare providers are vulnerable to negative impacts when subjected to inappropriate behaviors during patient encounters;
  • Utilize this information regarding inappropriate behaviors to try to develop and implement strategies to better manage inappropriate behavior events during clinical encounters;
  • Utilize this information to support and mentor trainees and others regarding management of inappropriate behaviors during clinical encounters. 

Course Information

CME Release Date: February 3, 2021
Valid for credit through: February 2, 2022
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 Journal-based CME activity 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. 

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.

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):
Karla E. Williams, MD
Monica L. Baskin, PhD
Amanda L. Brito, MD
Sejong Bae, PhD
Lisa L. Willett, MD, MACM

SMJ Editor-in-Chief:
Steven T. Baldwin, MD

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

Course Materials

Course Content

(Click a lesson below to start the course).

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this course or view your purchase options.

Purchase this course now ($10)

Create a free account, then purchase access to this course.

Purchase a membership plan (fees vary)

Premium members can access all courses plus recieve many more benefits. View all membership plans and benefit packages.