Surgical Decision-Making When Confronting the End of Life

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, speakers Dr. Andrew Childress, Dr. Savitri Fedson, and Dr. Jorge Portuondo discuss the difficult balance of trying to relieve suffering and not causing harm to a patient during end-of-life surgical decision-making and care.
This Michael E. DeBakey Department of Surgery Grand Rounds session took place on Wednesday, May 17, 2023 at 7:00 a.m. and has been approved for CME and Ethics 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

Surgeons, advanced practice providers, fellows, residents, and medical students in various surgical specialties and subspecialties need to receive regular updates on advances in surgical care and clinical practices. Novel technologies and procedures will be examined as means to improve the diagnosis and treatment of medical conditions requiring surgical intervention. The series aims to expand the knowledge of learners, enhance surgical skills, increase surgical efficiency, disseminate surgical best practices, and improve surgical outcomes.

Educational Objectives

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

  • Define futile surgery.
  • Apply ethics to end-of-life surgical considerations.
  • Identify strategies for communicating with patients and their families about end-of-life surgery.

Target Audience

Professional Categories

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

Specialties

  • Surgery

Interest Groups

  • Ethics
  • Hospital Medicine

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 live 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 credit of education in medical ethics and/or professional responsibility.

Activity Directors

  1. Michele Loor, M.D., FACS

    Michele Loor, M.D., FACS

    Associate Professor
    Baylor College of Medicine
  2. James W. Suliburk, M.D., FACS

    James W. Suliburk, M.D., FACS

    Associate Professor and Chief, Endocrine Surgery
    Baylor College of Medicine

Term of Approval

May 1, 2023 through May 31, 2025. Original release date: May 1, 2023.

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. Andrew Childress, Ph.D.

    Andrew Childress, Ph.D.

    Assistant Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. Savitri Fedson, M.D., M.A.

    Savitri Fedson, M.D., M.A.

    Associate Professor
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Jorge Portuondo, M.D. Placeholder Image

    Jorge Portuondo, M.D.

    General Surgery Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Activity Directors

  1. Michele Loor, M.D., FACS

    Michele Loor, M.D., FACS

    Associate Professor
    Baylor College of Medicine

    Disclosure:
    • Consultancy: Vicarious Surgical
  2. James W. Suliburk, M.D., FACS

    James W. Suliburk, M.D., FACS

    Associate Professor and Chief, Endocrine Surgery
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Planning Committee Members

  1. Sukriti Bansal, M.D. Placeholder Image

    Sukriti Bansal, M.D.

    General Surgery Resident
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  2. Scott A. LeMaire, MD, FACS, FAHA, FCCP

    Scott A. LeMaire, MD, FACS, FAHA, FCCP

    Professor and Vice-Chair for Research
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  3. Michele Loor, M.D., FACS

    Michele Loor, M.D., FACS

    Associate Professor
    Baylor College of Medicine

    Disclosure:
    • Consultancy: Vicarious Surgical
  4. Todd Rosengart, M.D., F.A.C.S.

    Todd Rosengart, M.D., F.A.C.S.

    DeBakey-Bard Chair of Surgery
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

  5. James W. Suliburk, M.D., FACS

    James W. Suliburk, M.D., FACS

    Associate Professor and Chief, Endocrine Surgery
    Baylor College of Medicine

    Disclosure:

    Nothing to disclose.

Presenters:

Andrew Childress, Ph.D.

Andrew Childress, Ph.D.

Assistant Professor Baylor College of Medicine
Savitri Fedson, M.D., M.A.

Savitri Fedson, M.D., M.A.

Associate Professor Baylor College of Medicine

Jorge Portuondo, M.D.

General Surgery Resident Baylor College of Medicine

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