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When health professionals experience moral distress in clinical practice, they are challenged to maintain integrity through conscientious practice guided by ethical principles and virtues. Moral communication allows clinicians to maintain moral integrity by exercising moral agency. By facilitating moral dialogue and deliberation, moral communication helps us move toward resolution of moral distress by way of clarification, recalibration, or recusal. This resolution is a reflection of conscientious practice, which always tries to resist influences that undermine integrity and may contribute to compartmentalization, moral injury, and burnout.

List of Learning Objectives:

• Describe the standard account of moral distress and its relationship with the cynicism domain of burnout.
• Describe the interrelated concepts of conscience, integrity, and conscientious practice.
• Discuss how moral communication facilitates conscientious practice, sustains integrity, and avoids risks of compartmentalization, moral injury, and burnout.

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Accreditation: Christian Medical & Dental Associations is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Physician Credit
The Christian Medical & Dental Associations designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Nurse Practitioner
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.
NPs may receive up to 1 credits for completing this activity.

Physician Assistant
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit(s)TM. by an organization accredited by the ACCME or a recognized state medical society. PAs may receive up to 1 credits for completing this activity.

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Disclosures
Disclosures for all those in control of the content of this activity. The names of the ineligible companies (within the last 24 months) and the nature of the financial relationship(s). There is no minimum financial threshold. Disclosure of all financial relationships with ineligible companies regardless of the potential relevance of each relationship to the education.