The Advanced Practice Clinician-Patient Relationship: When Does it Begin and When Does it End?


This enduring program will assist the participant in understanding the principles which form the establishment of an APC-patient relationship, as well as the concerns which may result in the need for the APC to consider terminating the APC-patient relationship.  Additionally, the concepts of providing patient centered care will be presented for the learner’s consideration.

Course ID #: APE 221100.0 Issue Date: 6/28/2022 Expiration Date: 6/28/2025

Description of the Professional Practice Gap
Patient safety risk managers of TDC Group have identified the need for providers to review the principles of the APC-patient relationship, including APC-patient centered care concepts. 

Patient safety risk managers of TDC Group have identified the need for providers to review the principles of the APC-patient relationship, including APC-patient centered care concepts.  This need has been identified through numerous telephone calls to the risk managers.  Most questions from providers are concerning an understanding as to when there is a legal duty owed to a patient and how to end that legal duty or relationship.  Furthermore, six competencies have been identified by the American Board of Medical Specialties (ABMS) and the Accreditation Council for Graduate Medical Education (ACGME) for planning current educational activities.  Patient centered care is one of the six identified because of the need in professional education courses.

Learning Outcome

  • The learner will understand when the Patient Relationship-Advanced Practice Clinician (APC) - patient relationship is established, when it should be ended and how to end that relationship as evidenced by achieving a score of 80 percent or better on questions regarding the APC – patient relationship.

Learning Objectives

After completing this activity, learners will be able to:

  • Identify actions made in your practice that create expectations and impact patient relations.
  • Integrate communication strategies that promote trust and goodwill.
  • Employ methods to manage challenging patients.
  • Manage negative social media posts using a proactive approach.
  • Adapt communication style to improve patients’ satisfaction with the provider-patient relationship.
  • Analyze patient feedback and use it to your advantage to strengthen and improve provider patient relationships.

Course Developers

Kimberly Hathaway, MSN, RN, CPHRM, CPHQ, Director Patient Safety Healthcare Quality & Risk Management, The Doctors Company
Johanna Lackner, MPH, MSW, Senior Director, Continuing Professional Development, Department of Patient Safety and Risk Management, The Doctors Company

Accreditation and Disclosure Statements

CPE Department, TDC Group is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

TDC Group designates this activity for a maximum of 1.0 nursing contact hourLearners should claim only the credit commensurate with the extent of their participation in the activity.
No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests. No commercial support was provided for this activity. 

Disclaimer Statement
This program is being offered for informational and educational purposes only from a Patient Safety Risk Management perspective and does not constitute legal advice. Laws vary from state to state, actual clinical situations often involve subtle differences and nuances from program scenarios or recommendations, and the recommendations provided in this activity may not apply to all practice situations. In complex circumstances, which present significant potential for an adverse event or litigation, TDC and the faculty recommend you consult directly with your corporate or personal counsel for professional legal guidance. 

Complies with State Requirements
Please SEE the Registered Nurse and Licensed Practical Nurse CE Requirements by State.

Technical Requirements

The activity is best experienced using the most current browser: Firefox, Chrome, Safari, or Microsoft Edge. Internet Explorer is not supported on this platform. All activities featuring audio must have a speaker. To view graphic images and references that appear in separate "pop-up" windows, JavaScript and session cookies must be enabled on your computer. Adobe Acrobat Reader may be required for certain activities.

Contact Us

If you have questions, contact or call 800.421.2368.


Visit our Resource document for this program.