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The 51st Meeting of the NH/VT Ethics Committees: Navigating Decision-Making Capacity amid Mental Illness – Eating Disorders – Part 2 of 4

Decision-making capacity can be challenging to assess in patients with mental health diagnoses. Clinicians often struggle with the balance between a desire to respect autonomy and a duty to protect. In this conference, we will discuss challenges in decision-making capacity assessment involving adult and pediatric patients with mental health diagnoses.

Activity Details

Start Date:  October 25, 2021
End Date:  October 25, 2024

You may claim CME or CNE credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click the Continue button to navigate to the Activity Material tab; then click the Link to Presentation link to view the recording. View the entire presentation.
  3. Return to this Activity page.
  4. Click the Continue button to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.


There is no fee for this activity, but to receive credit(s) you must register online and complete the online evaluation (you must register to access this form).

  • Devendra (Dev) Thakur, MD

    Devendra (Dev) Thakur, MD – Staff Physician, Department of Inpatient Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Assistant Professor of Psychiatry, Geisel School of Medicine, Hanover, New Hampshire. Dr. Thakur completed a residency in general psychiatry and a fellowship in consultation-liaison psychiatry (psychosomatic medicine), of which evaluation of capacity is an important focus. I have been directing the psychiatry consultation service here and providing consultation regarding decisional capacity for over five years.
  • John Corbett, MD

    John Corbett, MD – PGY- 3 Resident, Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire. Dr. Corbett has directly cared for a specific patient with an eating disorder while in Psychiatry consult services. Study of eating disorders as a resident.  Will provide first hand insight gained by caring for this particular unidentified patient.
Learning Outcome(s)

At the conclusion of this learning activity, (at least 75% of) participants will be able to discuss current issues related to ethical dilemmas posed by patients with mental illness who are asked to make a health care related decision.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Dartmouth-Hitchcock Nursing Continuing Education Council is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

This educational activity carries 1.0 contact hour.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education, Continuing Nursing Education (CME/CNE) activity, you must:

  • View the entire presentation
  • fill out the activity evaluation. (you must register to access).

The activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for this activity have reported NO financial relationship(s)* with ineligible companies**. 

* A “financial relationship" includes employee, researcher (named as the PI), consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and/or an ownership interest (not including stocks owned in a managed portfolio).

** An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Bibliographic Resources
  • Barstow, Craig, et al. “Evaluating Medical Decision-Making Capacity in Practice.” American Family Physician, 1 July 2018, https://www.aafp.org/afp/2018/0701/p40.html.
  • Elzakkers, Isis F.F.M., et al. “Mental Capacity to Consent to Treatment in Anorexia Nervosa: Explorative Study.” BJPsych Open, vol. 2, no. 2, 2016, pp. 147–153., https://doi.org/10.1192/bjpo.bp.115.002485.
  • Hope, Tony, et al. “Agency, Ambivalence and Authenticity: The Many Ways in Which Anorexia Nervosa Can Affect Autonomy.” International Journal of Law in Context, vol. 9, no. 1, 2013, pp. 20–36., https://doi.org/10.1017/s1744552312000456.
  • Russon, Lynne, and Dawn Alison. “Palliative Care Does Not Mean Giving Up.” Boston Medical Journal, vol. 317, 18 July 1998, pp. 196–197.
Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Director of Continuing Nursing Education, Center for Nursing Excellence
Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
1 Registered User