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All subscribers to Pediatric UPDATE audio CDs will also have free access and ability to download the same program in MP3 format. They can also download a PDF file of the complete transcript with Pre- and Post-test Questions and a List of Supplementary Reading Materials.

Volume 38, Issue 4
Publication date: October 1, 2017
Expiration date: October 1, 2020

Pediatric Ethics: Responding to Parental Requests for Potentially Inappropriate Care
Frank Chessa, PhD (Moderator)
Director of Clinical Ethics, Maine Medical Center, Portland, Maine; Assistant Professor of Medicine, Tufts University School of Medicine, Boston, Massachusetts

Allison M. Caldwell, MD, MS
Pediatric Palliative Medicine Physician, Maine Medical Center and Barbara Bush Children’s Hospital, Portland, Maine

Thomas Q. Reynolds, DO
Assistant Professor of Pediatrics, Department of Neurology, Division of Child Neurology, Maine Medical Center and Barbara Bush Children’s Hospital, Portland, Maine

Learning Objectives
After completing this activity, the physician should be better able to:
1. Identify three clinical scenarios in which parents request potentially inappropriate care.
2. Explain the ethical framework by which physicians determine which treatments to offer to pediatric patients and their parents.
3. Explain communication techniques for discussing potentially inappropriate treatments with parents.
4. Explore the influence of financial and socioeconomic barriers to access to treatment in pediatrics.
5. Distinguish between the concepts of narrow futility and potentially inappropriate care at the end of life.


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