This Is a Hospital, Not a Jail: Caring for Patients Experiencing Incarceration

Credit Available

* You will be redirected to the BCM DCPD credit management site when claiming credit and may be asked to register or log in.

In this presentation, Dr. Holand Kaplan and Dr. Marc Robinson share their insights into providing healthcare to patients experiencing incarceration. They discuss the historical background that affects the current high rates of incarceration. They also highlight the ethical principles and responsibilities that must be considered in this situation and propose strategies to improve clinical decision-making and health outcomes for these patients.
This Bioethics Grand Rounds session took place on Wednesday, March 20, 2024 at 5:00 p.m. and has been approved for CME, Ethics, and Social Work Credit.

Activity Information

How to Claim Credit

You may claim credit after watching this activity.

You will be redirected to the BCM DCPD credit management site when claiming credit and may be asked to register or log in.

Needs Statement

Ethical dilemmas can arise in the day-to-day practice of physicians, nurses, social workers, advanced practice providers, and other allied health professionals. The series aims to review classic and emerging issues in healthcare, focusing on developments in the field of clinical ethics, the practice of ethics consultation, and the role of ethics in shared clinical decision-making. The series also aims to expand the knowledge of learners, foster the skills needed to resolve ethical dilemmas in clinical practice, and enhance the quality of patient care.

Educational Objectives

At the conclusion of the session, the participants should be able to:

  • Describe how incarceration affects patients’ rights.
  • Discuss the ethical responsibilities of carceral authorities and healthcare providers with regard to caring for patients experiencing incarceration.
  • Develop strategies to help healthcare professionals facilitate shared decision-making.

Target Audience

Professional Categories

  • Physicians
  • Medical Students
  • Fellows
  • Residents
  • Nurses
  • Other Health Professionals

Specialties

  • Internal Medicine

Interest Groups

  • Equity, Diversity, and Inclusion
  • Ethics
  • Hospital Medicine
  • Primary Care

Activity Evaluation

Evaluation by questionnaire will address program content, presentation, and possible bias.

Educational Methods

  • Lectures

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity has been designated by Baylor College of Medicine for 1.0 credit of education in medical ethics and/or professional responsibility.

Social Work: The Baylor College of Medicine Division of Continuing Professional Development (License Number 7270) is an approved continuing education provider for Social Workers through the Texas State Board of Social Worker Examiners. This activity has been approved for 1 continuing education unit.

Activity Director

  1. Janet Malek Weinstein, Ph.D.

    Janet Malek Weinstein, Ph.D.

    Associate Professor
    Baylor College of Medicine

Term of Approval

March 1, 2024 through March 31, 2026. Original release date: March 1, 2024.

Disclosure Policy

Baylor College of Medicine (BCM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians. BCM is committed to sponsoring CE activities that are scientifically based, accurate, current, and objectively presented.

In accordance with the ACCME Standards for Commercial Support, BCM has implemented a mechanism requiring everyone in a position to control the content of an educational activity (i.e., directors, planning committee members, faculty) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships at the time of the activity or within 24 months prior.

In addition, BCM has requested activity faculty/presenters to disclose to participants any unlabeled use or investigational use of pharmaceutical/device products; to use scientific or generic names (not trade names) in referring to products; and, if necessary to use a trade name, to use the names of similar products or those within a class. Faculty/presenters have also been requested to adhere to the ACCME's validation of clinical content statements.

BCM does not view the existence of financial relationships with commercial interests as implying bias or decreasing the value of a presentation. It is up to participants to determine whether the relationships influence the activity faculty with regard to exposition or conclusions. If at any time during this activity you feel that there has been commercial/promotional bias, notify the Activity Director or Activity Coordinator. Please answer the questions about balance and objectivity in the activity evaluation candidly.

All of the relevant financial relationships listed for these individuals have been mitigated.

Disclosures

The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:

Presenters

  1. Holland Kaplan, M.D.

    Holland Kaplan, M.D.

    Clinical Ethics Fellow
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. Marc Robinson, M.D.

    Marc Robinson, M.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Activity Director

  1. Janet Malek Weinstein, Ph.D.

    Janet Malek Weinstein, Ph.D.

    Associate Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Planning Committee Members

  1. Stacy Auld Placeholder Image

    Stacy Auld

    Board Certified Chaplain
    Houston Methodist Hospital

    Disclosure:

    Nothing to disclose.

  2. Trevor Bibler, Ph.D.

    Trevor Bibler, Ph.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Marisa B. Buchmann, M.S.N., R.N., C.P.N. Placeholder Image

    Marisa B. Buchmann, M.S.N., R.N., C.P.N.

    Nursing Professional Development Leader
    Houston Methodist Hospital

    Disclosure:

    Nothing to disclose.

  4. Leon Budrie, M.D., M.B.A., M.S.

    Leon Budrie, M.D., M.B.A., M.S.

    Clinical Ethics Fellow
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  5. Emma Cooke, M.D. Placeholder Image

    Emma Cooke, M.D.

    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  6. Ryan J. Dougherty, Ph.D.

    Ryan J. Dougherty, Ph.D.

    Assistant Professor, Center for Medical Ethics & Health
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  7. Karen Frumovitz, J.D.

    Karen Frumovitz, J.D.

    Program Management Associate, Center for Medical Ethics and Health Policy
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  8. Donna Graves, R.N., M.S.N., CCRN-K Placeholder Image

    Donna Graves, R.N., M.S.N., CCRN-K

    Director of Patient Care
    Baylor St. Luke’s Medical Center

    Disclosure:

    Nothing to disclose.

  9. Claire Horner, J.D., M.A.

    Claire Horner, J.D., M.A.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  10. Clarise Jacobson

    Clarise Jacobson

    Senior Business Strategy and Development Associate
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  11. Holland Kaplan, M.D.

    Holland Kaplan, M.D.

    Clinical Ethics Fellow
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  12. Janet Malek Weinstein, Ph.D.

    Janet Malek Weinstein, Ph.D.

    Associate Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Presenters:

Holland Kaplan, M.D.

Holland Kaplan, M.D.

Clinical Ethics Fellow Baylor College of Medicine
Marc Robinson, M.D.

Marc Robinson, M.D.

Assistant Professor Baylor College of Medicine

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