Navigating Disagreements with Patients: An Ethical Approach

Ames, IA US
January 28, 2026

Purpose

Mary Greeley Medical Center Grand Rounds is a multidisciplinary clinical activity that maintains, develops, or increases a physician's knowledge, skills, professional performance, and relationships to provide services for patients, the public, or the profession.

Target Audience

Physicians, advanced practice providers, nurses, medical students (rotating), non-medical students (rotating), and healthcare administrators.

Learning Objectives

  1. Describe an ethical framework for shared decision making based on respect for persons and conscientious practice.
  2. Clarify the ethics of persuasion in shared decision making.
  3. Apply the ethical framework for shared decision-making to manage disagreements in hospital discharges that go against medical advice.
  4. Apply the ethical framework for shared decision-making to address disagreements in potentially inappropriate (or ‘futile’) treatments. 

Speaker

Lauris C. Kaldjian, MD, PhD
Director, Program in Bioethics and Humanities, Professor, Internal Medicine, University of Iowa Carver College of Medicine, and Richard M. Caplan Chair in Biomedical Ethics and Medical Humanities

  • Medical School: University of Michigan
  • Residency in Internal Medicine and Infectious Diseases: Yale University
  • Master of Divinity: Yale Divinity School
  • PhD in Christian Ethics: Yale University

Full biography.

Course summary
Available credit: 
  • 1.00 AOA Category 2­A
Course opens: 
01/28/2026
Course expires: 
01/28/2026
Event starts: 
01/28/2026 - 12:10pm CST
Event ends: 
01/28/2026 - 1:10pm CST
Cost:
$0.00
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Mary Greeley Medical Center
1111 Duff Ave.
Ames, IA 50010
United States
+1 (515) 239-2011

Accreditation Statements

  • DO: Des Moines University Medicine and Health Sciences (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this activity for a maximum of 1.0 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.

EDUCATIONAL GRANTS

No ineligible company provided financial support for this continuing education activity.

DISCLOSURES

The speaker(s) will disclose if any pharmaceuticals, medical procedures, or devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). The activity director is responsible for determining educational content and selecting speakers. 

Relevant to the content of this educational activity, the following individual(s) have no conflict(s) with ineligible companies to disclose.

  • Lauris C. Kaldjian, MD, PhD - Speaker

CME Committee

  • No Mary Greeley Medical Center CME Committee member who planned this activity has any financial relationship to disclose relating to the content. 

Gifts to the Mary Greeley Medical Center Foundation from Mary Greeley Medical Center, McFarland Clinic, and Availa Bank support this program. The content and selection of speaker(s) are the responsibility of the Mary Greeley Medical Center for Continuing Medical Education Committee, not the sponsors of this program.

DISCLAIMER

The information provided in this activity is for continuing education purposes only. It is not a substitute for a healthcare provider's independent medical judgment regarding diagnostic and treatment options for a specific patient's medical condition. 

Available Credit

  • 1.00 AOA Category 2­A

Price

Cost:
$0.00
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