What is PSNet Continuing Education?
PSNet Continuing Education offerings include WebM&M Spotlight Cases and Commentaries, which are certified for Continuing Medical Education/ Continuing Education Units (CME/CEU) and Maintenance of Certification (MOC) credit through the University of California, Davis (UCD) Health Office of Continuing Medical Education.
Each WebM&M Spotlight Case and Commentary is certified for the AMA PRA Category 1™ and Maintenance of Certification (MOC) through the American Board of Internal Medicine by the Office of Continuing Medical Education (OCME) at UCD, Health.
Learn more about how to earn credit from UCD
UCD's CME Security and Privacy
How does it work?
Earn CME or MOC credit and trainee certification by successfully completing quizzes based on Cases & Commentaries.
- Individuals have two attempts at each quiz to achieve a passing score of 80% or higher in order to earn credit.
- If you fail a quiz twice, the quiz will become unavailable, but the Spotlight case will be available as read-only.
- Spotlight Cases older than three years continue to be available as read-only, but their associated quizzes have been disabled.
- If you have questions specifically regarding University of California San Francisco (UCSF) CME/CEU, including registration, accreditation, or content, please email us at firstname.lastname@example.org.
New WebM&M Spotlight Cases
This Spotlight Case highlights two cases of falls in older patients in nursing homes. The commentary discusses how risk factors... Read More
This case involves a procedural sedation error in a 3-year-old patient who presented to the... Read More
An adult woman with a history of suicidal ideation was taking prescribed antidepressants, but later... Read More
A 72-year-old man was diagnosed with COVID-19 pneumonia and ileus, and admitted to a specialized COVID care... Read More
All WebM&M Spotlight Cases (38)
- Communication Improvement(25)
- Technologic Approaches(13)
- Quality Improvement Strategies(11)
- Education and Training(10)
- Human Factors Engineering(10)
- Error Reporting and Analysis(7)
- Culture of Safety(6)
- Specialization of Care(6)
- Logistical Approaches(5)
- Computerized Decision Support(4)
- Computerized Provider Order Entry (CPOE)(3)
- Legal and Policy Approaches(2)
- Policies and Operations(1)
- Discontinuities, Gaps, and Hand-Off Problems(16)
- Medication Safety(14)
- Diagnostic Errors(9)
- Psychological and Social Complications(5)
- Surgical Complications(5)
- Interruptions and distractions(4)
- Medical Complications(3)
- Nonsurgical Procedural Complications(3)
- Device-Related Complications(2)
- Identification Errors(2)
- Fatigue and Sleep Deprivation(1)
- MRI safety(1)
- Transfusion Complications(1)
This Spotlight Case describes an older man incidentally diagnosed with prostate cancer, with metastases to the bone. He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient biopsy. He showed up to the biopsy without adequate preparation and so it was rescheduled. He did not show up to the following four oncology appointments. Over the course of the following year, the patient’s son and daughter were contacted at various points to re-establish care, but he continued to miss scheduled appointments and treatments. During a hospital admission, a palliative care team determined that the patient did not have capacity to make complex medical decisions. He was discharged to a skilled nursing facility, and then to a board and care when he failed to improve. He missed two more oncology appointments before being admitted with cancer-related pain. Based on the patient’s poor functional status, he was not considered a candidate for additional therapy. After a discussion of goals of care with the patient and daughter, he was enrolled in hospice. The commentary outlines key elements for assessing patient capacity, the importance of understanding the patient’s psychosocial history, and strategies to strengthen psychosocial training for medical and nursing trainees.
A 52-year-old man complaining of intermittent left shoulder pain for several years was diagnosed with a rotator cuff injury and underwent left shoulder surgery. The patient received a routine follow-up X-ray four months later. The radiologist interpreted the film as normal but noted a soft tissue density in the chest and advised a follow-up chest X-ray for further evaluation. Although the radiologist’s report was sent to the orthopedic surgeon’s office, the surgeon independently read and interpreted the same images and did not note the soft tissue density or order any follow-up studies. Several months later, the patient’s primary care provider ordered further evaluation and lung cancer was diagnosed. The commentary discusses how miscommunication contributes to delays in diagnosis and treatment and strategies to facilitate effective communication between radiologists and referring clinicians.
A 14-year-old girl with type 1 diabetes (T1D) was admitted to the hospital after two weeks of heavy menstrual bleeding as well as blurred vision, headache and left arm numbness. MRI revealed an acute right middle cerebral artery (MCA) infarct. Further evaluation led to a diagnosis of antiphospholipid syndrome. The patient was persistently hyperglycemic despite glycemic management using her home insulin pump and continuous glucose monitor. Over the course of her hospitalization, her upper extremity symptoms worsened, and she developed upper extremity, chest, and facial paresthesia. Imaging studies revealed new right MCA territory infarcts as well as splenic and bilateral infarcts. The case describes how suboptimal inpatient management of diabetes technology contributed to persistent hyperglycemia in the setting of an acute infarction. The commentary discusses best practices for optimizing patient safety when managing hospitalized patients on home insulin pumps.
A 40-year-old man with multiple comorbidities, including severe aortic stenosis, was admitted for a pathologic pelvic fracture (secondary to osteoporosis) after a fall. During the hospitalization, efforts at mobilization led to a second fracture of the left femoral neck The case describes deviations in the plan for management of anesthesia and postoperative care which ultimately contributed to the patient’s death. The commentary discusses the importance of multidisciplinary planning for frail patients, the contributors to, and consequences of, deviating from these plans, and the use of triggers, early warning systems, and rapid response teams to identify and respond to early signs of decompensation.