Release Date: June 4, 2020

Expiration Date: June 4, 2023

Amount of CME credit: 2.0 AMA PRA Category 1 Credits™

Amount of Nursing Contact Hours: 2.0 Contact Hours

Estimated Length of Time for Completion: 2 hours

Program Overview

This course provides an overview of how clinicians and policymakers have approached the rationing of health care resources, as well as an ethical framework that can inform present and future rationing and resource allocation decisions. During the course, we delineate a system for ethically allocating resources based on 4 principles: 

  • Treating people equally. 
  • Favoring the worst off. 
  • Maximizing total benefits. 
  • Promoting and rewarding social usefulness. 

We apply that system to the case of vaccine allocation during a flu pandemic. And we explore the implications of that system for more general resource allocation questions like prioritizing the provision of high-value care. 

This activity is co-provided by the Perelman School of Medicine at the University of Pennsylvania and Penn Medicine Nursing.Penn Med logo

Target Audience

Clinicians, administrators, and policymakers planning for rationing during COVID-19 and preparing for future scenarios that require the allocation of scarce resources. 

Educational Objectives

 After completing this course, you will be able to:

  • Define rationing and resource allocation in a health care context. 
  • Identify and evaluate principles underlying health care rationing decisions. 
  • Explain the Complete Lives System for making rationing and decisions. 
  • Explain how the Complete Lives System can be applied to health care policy decisions.

Successful completion of this educational activity and receipt of certificate of credit includes achieving a minimum score of 88% on the 1 quiz. 

Accreditation and Designation of Credit

Accreditation
In support of improving patient care, Penn Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

The Perelman School of Medicine at the University of Pennsylvania is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Penn Medicine designates this enduring material for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses

Penn Medicine Nursing is an approved provider of continuing nursing education by the Pennsylvania State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  Approval # 124-3-H-15.

Penn Medicine Nursing awards this activity 2.0 contact hours.

Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

PAs may receive a maximum of 2.0 Category 1 credits for completing this activity.

Meet the Faculty

Ezekiel J. Emanuel, MD, PhD

Ezekiel J. Emanuel, MD, PhD, is the vice provost for Global Initiatives, the Diane v.S. Levy and Robert M. Levy University professor, and co-director of the Healthcare Transformation Institute at the University of Pennsylvania. He is also the special advisor to the director general of the World Health Organization. He is on leave for 2019–2021 from being the chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania.

From January 2009 to January 2011, Dr. Emanuel served as a special advisor on Health Policy to the director of the Office of Management and Budget and National Economic Council. Prior to that, he was the founding chair of the Department of Bioethics at the National Institutes of Health from 1997 to August of 2011. 

Dr. Emanuel received his MD from Harvard Medical School and his PhD in political philosophy from Harvard University. He has published over 300 articles mainly on health care reform, research ethics, and end-of-life care. He has also authored or edited 13 books including Reinventing American Health Care (2014), Prescription for the Future (2018), and Which Country Has the World’s Best Health Care? (2020). Dr. Emanuel is the most widely cited bioethicist in history. 

Dr. Emanuel also serves as a venture partner at Oak HC/FT in addition to serving as a contributor for the New York Times and CNN. He is a member of the National Academy of Medicine, the Association of American Physicians, the American Academy of Arts and Sciences, and the Royal College of Medicine. He recently served on the Biden administration transition team’s COVID-19 task force. Dr. Emanuel is a 2018 recipient of the Dan David Prize in the category of Bioethics, an honor recognizing innovative and interdisciplinary research that cuts across traditional boundaries and paradigms. He received the 2020 Robert Wood Johnson Foundation David E. Rogers Award, given in partnership with the Association of American Medical Colleges, for his profound impact on research ethics, on bioethics training and institution-building, and on health care policy through his role in drafting the Affordable Care Act. He recently received the Lifetime Achievement Award from the American Society of Bioethics and Humanities, its highest honor.

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Disclosures

The planning committee members have disclosed that they have no relevant financial relationships with any commercial interests related to the content of this educational activity:

  • Holly Fernandez Lynch, JD, MBe 
  • Steven Joffe, MD, MPH 
  • Connie Ulrich, PhD, MSN 
  • Adam Zolkover, MA 
  • Laura C. Hart, MFA 

The faculty involved with this activity have reported that their presentations contain no mention of investigational and/or off-label use of products.

Acknowledgment of Commercial Support

There was no commercial support used in the development of this educational activity.

Contact

If you have questions, please contact Caitlin O'Neill, Program Manager for Online Educational Initiatives, at 215-746-3971 or MEHPonline@pennmedicine.upenn.edu.

For questions related to this educational activity, contact Penn Medicine Continuing Medical and Interprofessional Education at the Perelman School of Medicine at the University of Pennsylvania at penncme@pennmedicine.upenn.edu or at 215-898-8005.