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National Center for Ethics in Health Care


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Multimedia Ethics Education Programs


Managing Conflicts Between Clinicians and Surrogates

This presentation addresses preventing, mitigating, and managing conflicts between clinicians and surrogate decision-makers. Topics include conflicts with surrogates related to life-sustaining treatment decisions; conflicts related to surrogate requests or demands; and conflicts related to surrogate behaviors.

Audio Only (MP3)

Part 1: Conflicts Related to Life-Sustaining Treatment Decisions 9:51

Part 2: Conflicts Related to Surrogate Requests or Demands 6:49

Part 3: Conflicts Related to Surrogate Behaviors 7:02

Windows Media Video

Managing Conflicts Bewteen Clinicians and Surrogates  24:12


Related Resources

VHA Handbook 1004.01: Informed Consent for Clinical Treatments and Procedures

VHA National Ethics Committee Report: Ethical Aspects of the Relationship Between Clinicians and Surrogate Decision Makers

Prevention and Management of Disruptive Behavior Level II (This course is located on the VA Learning Management System (TMS), which is only available to employees and some contractors of the federal government. Log in to TMS and search for course by title.)

Violence Prevention in Health Care Facilities (VA website)