L082224 Clinical Ethics Case Review - Adolescent Refusal of Life-Saving Surgery

August 22, 2024

A 17-year-old presents with a three-month history of shortness of breath, hemoptysis, and fatigue. Previous visits since the onset of symptoms began were attributed to the child’s obesity. The patient also has a significant mental health history with suicidal ideation, self-injury, and hospitalizations. The patient is now diagnosed with a myxoma and is admitted to the hospital with surgery the next morning. The morning of surgery the patient refuses. The surgeon consults ethics. We will review this case, ethical considerations around adolescent assent/dissent and consent, and discuss approaches to adolescent refusals. 


Clinical Ethics Case Review will explore real cases to help clinicians understand how to identify, approach, and manage ethical issues. Every other month we will present a real case and review the ethical issues, provide ethical analysis, and discuss ways to approach these in practice. This educational opportunity will be beneficial for all clinical staff and especially for early career clinicians.

These activities will be held bi-monthly, virtual, 4th Thursday from 11:30 – 12:30 pm.

Target Audience

Children's Minnesota healthcare clinicians caring for pediatric patients and their families. 

Learning Objectives

  • Review a case to understand how to identify a clinical ethics issue
  • Discuss how to analyze ethical considerations around adolescent decision making
  • Examine how to develop approaches towards resolution of an ethical issue
Course summary
Available credit: 
  • 1.00 ACPE
  • 1.00 ACPE Pharmacy technician
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC
  • 1.00 Attendance
    • 1.00 Approved AMA PRA Category 1 Credit™
Course opens: 
Course expires: 
Event starts: 
08/22/2024 - 11:30am CDT
Event ends: 
08/22/2024 - 12:30pm CDT

Presenter: Ian Wolfe, PhD, RN


It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented.                                                                                                               

Planning committee members and presenter(s) have disclosed they have no relevant financial relationships with ineligible companies whose primary business is producing, marketing selling re-selling, or distributing healthcare products used by or on patients and have disclosed that no conflict of interest exists with the presentation/educational event.



Accreditation Statement:

In support of improving patient care, Children’s Minnesota 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.

Children’s Minnesota takes responsibility for the content, quality and scientific interest of its accredited continuing education events.

Credit Statement:


Children’s Minnesota designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent to their participation in the activity.


Children's Minnesota designates this live activity for a maximum of 1.0 ANCC nursing contact hour. Nurses should claim only the credit commensurate with the extent of their participation in the activity. 

Pharmacists and Pharmacy Techs will have their attendance reported in the CPE Monitor for ACPE credits provided they have entered their NABP-ePID and birth month and day where indicated when setting up their profile.

This program offers 1.0 contact hours of continuing education.  Most medical professional organizations accept AMA PRA Category 1 Credits™.  It is the individual’s responsibility to determine whether an education activity meets the continuing education requirements of their respective licensures and/or professional boards.  Go to your respective organization’s website for more detailed information regarding credit requirements.

Available Credit

  • 1.00 ACPE
  • 1.00 ACPE Pharmacy technician
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 ANCC
  • 1.00 Attendance
    • 1.00 Approved AMA PRA Category 1 Credit™
Please login or register to take this course.

Please make sure to click the TAKE COURSE button to complete your registration for this event.


Children's Minnesota employees only

To add this event to your calendar, please follow these steps:

  1. Open your confirmation email from this course
  2. Click the add to calendar link (this will download the .ics file to your computer) 
  3. Open your Outlook calendar
  4. Select "Add calendar" from the left pane just above My Calendars
  5. Select "Upload from file" in the Add calendar window.
  6. Select Browse, go to your Downloads folder and select the .ics file.
  7. Select the Calendar you want the appointment to show up in, typically Calendar and then select Import.

Required Hardware/software

You will need a computer or phone with either internet or Wi-Fi access.