Boundaries

This course is multi-disciplinary and appropriate for all licensed clinicians, including but not limited to: physicians, nurses, pharmacists, dentists, veterinarians, chiropractors, physician assistants, mental health providers, physical therapists, acupuncturists, EMT’s, midwives, optometrists, and trainees/students. Additionally, this course can also be adapted for other professionals, such as attorneys.

• Addictions (Chemical, behavioral (i.e. gambling, pornography, etc.))
• Dual relationships (Inappropriate financial, business, or non-sexual social relationships, including with coworkers or trainees, prescribing to friends, family, or coworkers)
• Failure to use a chaperone when indicated or requested
• Inappropriate use of social media, text, or email with patients/significant third parties, coworkers, or students
• Lending or borrowing money, or giving gifts to coworkers, students, or patients or their significant third parties
• Practicing outside of scope
• Sexual boundary violations (Examination of sensitive body areas without gloves, sexualized language, looks, or physical contact, even if consensual, with current or former patients, coworkers, students, or patients’ significant third parties)
• Supervisory issues (Inadequate supervision/delegation, insubordination)
  *Disruptive behavior, poor conflict management, inappropriate humor, outbursts, or other communication issues are best addressed in our Elevating Civility and Communication in Health Care Course.

1. PB-24 Essential
   • Three hours of pre-course assignments
   • Three-day live course
2. PB-24 Enhanced
   • 13 hours of pre-course assignments
   • Three-day live course
3. PB-24 Extended
   • 13 hours of pre-course assignments
   • Three-day live course
   • 12 hour post-course faculty-led group conference calls (MAS-12). One hour weekly for 12 weeks.

• Express why and how healthcare professionals are held accountable for adhering to standards of practice, codes of ethics, and state statutes
• Discuss attributes and behaviors that constitute professionalism in the context of health care, and identify specific lapses in their own professionalism
• Explain how professional problems evolve, employing the model of a continuum of boundary impingements
• Express how professional lapses can adversely affect clinical judgment and cause a range of other impacts and harms
• Describe the components of the Formula© and apply them to their own violation potential and, if applicable, their infraction
• Create and implement a Personalized Protection Plan© that includes strategies, safeguards, and systems to reduce the risk of relapse and improve accountability
• Detect early warning signs of professional problems in themselves and others in order to reduce the risk of future violations

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of California, Irvine School of Medicine and Professional Boundaries, Inc. The University of California, Irvine School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of California, Irvine School of Medicine designates these live activities each for a maximum of 46 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in activity.