Assessment of Risk in Primary Care Patients: A Focus on Self Harm and Abuse

J. Jeffrey Means, MDiv, PhD
Chair of the Behavioral Medicine Department, Des Moines University

1. Define the relationship between abuse history and self-harm.
2. Explain the motivations behind self-harming behavior exhibited by patients.
3. List key components of a thorough risk assessment protocol.
4. Describe key elements in an effective intervention strategy with self-harming behavior in patients.
5. List critical factors in facilitating an effective referral to a mental health professional.

Ethical Dilemmas in Emergency Medicine and Acute Primary Care

Robert E. Suter, DO, MHA, FACOEP, FIFEM
Professor of Emergency Medicine, University of Texas at Southwestern, Dallas, TX; Uniformed Services University of the Health Sciences, Bethesda, MD; Clinical Professor, Des Moines University, College of Osteopathic Medicine, Des Moines, IA

1. List some of the top ten general ethical issues in primary clinical health care. 
2. Give an actual case scenario involving informed consent or expressed refusal, formulate an ethically based clinical decision plan. 
3. Describe some of the concerns surrounding the implementation of DNR orders.  
4. Discuss the concepts of duty, privacy, confidentiality, and truth-telling as they apply to specific case based scenarios.