As health care providers, we all strive to “do no harm.” What do you do when confronted with a clinical decision where all the options are associated with significant risks of different types of harm? How do we think about applying the ethical principles of beneficence, respect/autonomy, and justice to situations complicated by patient non-adherence, limited life expectancy, diminished functional potential, compromised ability to participate in medical decision making, social and economic disparities/barriers to optimal health care, off-label use of technology, and resource-intensive treatments with constrained availability? Join us to hear four clinical cases that challenge ethical boundaries in the coronary, structural, and congenital realms of interventional cardiology. Evaluate how your decision-making compares with that of our distinguished faculty and panelists.
After completing this webinar, participants should be able to:
- Discuss a case example regarding the benefit vs. risk analysis in clinical decisions involving anticipated patient non-adherence with prescribed medical therapy, social and economic barriers to effective mental health interventions, and competing risks associated with proceeding vs. not proceeding with an intervention
- Discuss a case example of clinical decisions involving off-label use of technology and recurrent clinical conditions in which patient behaviors and social determinants of health play a major role
- Discuss case examples about the use of resource-intensive therapies of constrained availability in patients with limited life expectancy or diminished functional potential
- Discuss a case example of a patient with diminished intellectual capacity and thus limited ability to participate in making decisions about their own goals of care
- Describe the ethical principles involved in the decision to continue providing care for a longstanding established patient vs. referring to a distant center of recognized experience or expertise.
Agenda and Invited Faculty
Moderator: Jeffrey J. Cavendish, MD, FSCAI
Q&A Moderator: Kalon K. L. Ho, MD, MSc, FSCAI
- Case Presentation: To Do or Not to Do – Stenting in Patients With Uncertain Adherence and Financial Limitations, Mark Kardos Tuttle, MD
- Commentary: To Do or Not to Do – Stenting in Patients With Uncertain Adherence and Financial Limitations, Donald E. Cutlip, MD
- Case Presentation: Utility vs. Futility – TTVR for Recurrent IVDU-Associated Endocarditis, Lee Eschenroeder, MD
- Commentary: Utility vs. Futility – TTVR for Recurrent IVDU-Associated Endocarditis, James Kirkpatrick, MD
- Case Presentation: When Does Cognitive Impairment or Frailty Preclude the Benefit From TAVR?, Diana Carolina Otero Mostacero, MD
- Commentary: When Does Cognitive Impairment or Frailty Preclude the Benefit From TAVR?, Megan Coylewright, MD, FSCAI
- Case Presentation: Difficult Decisions in Adults With Advanced Congenital Heart Disease?, Graham Bevan, MD
- Commentary: Difficult Decisions in Adults With Advanced Congenital Heart Disease?, Jill Steiner, MD
The Society for Cardiovascular Angiography and Interventions is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Society for Cardiovascular Angiography and Interventions designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.5 medical knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Watch the content and complete the evaluation to complete credit.
More from the Extended Webinar Series
Learning opportunities from SCAI for the interventional cardiology team: