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Case Closed: Cardiology
These case studies are provided to help you improve patient safety and reduce potential liability risks that may arise when treating cardiac patients. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Plastic Surgery
Review patient presentation, physician action, allegations and risk management considerations for cases involving plastic surgery. The ultimate goal in publishing this activity is to help physicians practice safe medicine. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
The Many Faces of Physician Impairment - 2026 Reporter Q1
In this article, we will discuss the most common causes of impairment: substance use disorders, physical impairment, cognitive impairment, and mental health issues. We will also review statutory requirements for reporting impaired practitioners, as well as cover some risk management considerations when observing a potentially impaired physician colleague. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
Anatomy of a Physician’s Contract: What to Know Before You Sign
This article examines various types of contractual provisions (mostly using an employment relationship as a basis, although the discussion points can appear in a variety of agreements), with the goal of enabling you to make the best decisions in both negotiating and complying with your specific contract. Lone Star Alliance policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Understanding EHR Errors
Review patient presentation, physician action, allegations and risk management considerations for cases involving EHR errors. The ultimate goal in publishing this activity is to help physicians practice safe medicine. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Ophthalmology
The following closed claim studies are based on actual malpractice claims from Texas Medical Liability Trust. These cases illustrate how action or inaction on the part of physicians led to allegations of professional liability, and how risk management techniques may have either prevented the outcome or increased the physician’s defensibility. An attempt has been made to make the material less easy to identify. If you recognize your own case, please be assured it is presented solely to emphasize the issues described. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Delegation to Medical Assistants: Risks, rewards, and safety strategies
For physicians, there is potential liability for the actions of MAs — as with other non-physician members of the health care team. Liability may arise from allegations of vicarious liability or negligent supervision. These claims may involve allegations that the physician practice (as the employer) was responsible for acts of their employees, or that the physician should have been more active in supervision of the care provider. In both these scenarios, a medical practice’s prior implementation of appropriate delegation protocols, training, and observation of the health care team can prevent claims, mitigate liability, and increase defensibility in the event of a claim. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
The Increased Use – and Risks – of Social Media in a Health Care Setting
This article emphasizes that the increasing presence of social media and technology is the “new normal” and needs to be faced and managed. This new normal also presents an opportunity for health care professionals to proactively consider all internet-based communication and information sharing when embarking on patient care and managing a health care practice. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
Case Closed: Missed Diagnoses
This article focuses on strategies to specifically address missed diagnoses. A missed diagnosis can lead to an adverse ripple effect for a patient resulting in delayed or inappropriate treatment, worsening of the underlying condition, increased pain or suffering, psychological distress, life-threatening complications, reduced quality of life, or death.
LSA Discount
Cardiology
Case Studies/Claims Review
CME
Communication
Delegation
Documentation
EMR/EHR
Ethics
Free for Policyholders
HIPAA
Informed Consent
Legal
Medical Ethics
Patient Safety
Patient-Physician Relations
Physician Impairment
Practice Management/Practice Operations
Professional Responsibility
Risk Management
The Reporter
Featured Products
Case Closed: Cardiology
These case studies are provided to help you improve patient safety and reduce potential liability risks that may arise when treating cardiac patients. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Plastic Surgery
Review patient presentation, physician action, allegations and risk management considerations for cases involving plastic surgery. The ultimate goal in publishing this activity is to help physicians practice safe medicine. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
The Many Faces of Physician Impairment - 2026 Reporter Q1
In this article, we will discuss the most common causes of impairment: substance use disorders, physical impairment, cognitive impairment, and mental health issues. We will also review statutory requirements for reporting impaired practitioners, as well as cover some risk management considerations when observing a potentially impaired physician colleague. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
Anatomy of a Physician’s Contract: What to Know Before You Sign
This article examines various types of contractual provisions (mostly using an employment relationship as a basis, although the discussion points can appear in a variety of agreements), with the goal of enabling you to make the best decisions in both negotiating and complying with your specific contract. Lone Star Alliance policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Understanding EHR Errors
Review patient presentation, physician action, allegations and risk management considerations for cases involving EHR errors. The ultimate goal in publishing this activity is to help physicians practice safe medicine. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Ophthalmology
The following closed claim studies are based on actual malpractice claims from Texas Medical Liability Trust. These cases illustrate how action or inaction on the part of physicians led to allegations of professional liability, and how risk management techniques may have either prevented the outcome or increased the physician’s defensibility. An attempt has been made to make the material less easy to identify. If you recognize your own case, please be assured it is presented solely to emphasize the issues described. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Delegation to Medical Assistants: Risks, rewards, and safety strategies
For physicians, there is potential liability for the actions of MAs — as with other non-physician members of the health care team. Liability may arise from allegations of vicarious liability or negligent supervision. These claims may involve allegations that the physician practice (as the employer) was responsible for acts of their employees, or that the physician should have been more active in supervision of the care provider. In both these scenarios, a medical practice’s prior implementation of appropriate delegation protocols, training, and observation of the health care team can prevent claims, mitigate liability, and increase defensibility in the event of a claim. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
The Increased Use – and Risks – of Social Media in a Health Care Setting
This article emphasizes that the increasing presence of social media and technology is the “new normal” and needs to be faced and managed. This new normal also presents an opportunity for health care professionals to proactively consider all internet-based communication and information sharing when embarking on patient care and managing a health care practice. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
Case Closed: Missed Diagnoses
This article focuses on strategies to specifically address missed diagnoses. A missed diagnosis can lead to an adverse ripple effect for a patient resulting in delayed or inappropriate treatment, worsening of the underlying condition, increased pain or suffering, psychological distress, life-threatening complications, reduced quality of life, or death.
LSA Discount
Cardiology
Case Studies/Claims Review
CME
Communication
Delegation
Documentation
EMR/EHR
Ethics
Free for Policyholders
HIPAA
Informed Consent
Legal
Medical Ethics
Patient Safety
Patient-Physician Relations
Physician Impairment
Practice Management/Practice Operations
Professional Responsibility
Risk Management
The Reporter
Notice

Lone Star Alliance RRG (LSA) is a risk retention group and an affiliated company of Texas Medical Liability Trust (TMLT). TMLT, directly and through its subsidiaries, provides LSA with all essential operational support including risk management functions. All such operational support is provided according to a management services agreement.

Through TMLT’s Risk Management department, Lone Star Alliance RRG offers online CME courses to help reduce medical liability risk.

TMLT is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide CME for physicians.

Lone Star Alliance policyholders who complete a 2 hour risk management CME activity may be eligible for a 2.5% premium discount that will be applied to their next eligible policy period. Two 2-hour courses can be taken per policy period for a maximum CME discount of 5%.

Please note: multiple 1-hour courses may not be combined for the discount.

CME discount eligible courses can be found by clicking on LSA Discount under the Categories section to the left.

ACCME Commendation
Notice

Lone Star Alliance RRG (LSA) is a risk retention group and an affiliated company of Texas Medical Liability Trust (TMLT). TMLT, directly and through its subsidiaries, provides LSA with all essential operational support including risk management functions. All such operational support is provided according to a management services agreement.

Through TMLT’s Risk Management department, Lone Star Alliance RRG offers online CME courses to help reduce medical liability risk.

TMLT is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide CME for physicians.

Lone Star Alliance policyholders who complete a 2 hour risk management CME activity may be eligible for a 2.5% premium discount that will be applied to their next eligible policy period. Two 2-hour courses can be taken per policy period for a maximum CME discount of 5%.

Please note: multiple 1-hour courses may not be combined for the discount.

CME discount eligible courses can be found by clicking on LSA Discount under the Categories section to the left.

ACCME Commendation
Featured Products
Case Closed: Cardiology
These case studies are provided to help you improve patient safety and reduce potential liability risks that may arise when treating cardiac patients. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Plastic Surgery
Review patient presentation, physician action, allegations and risk management considerations for cases involving plastic surgery. The ultimate goal in publishing this activity is to help physicians practice safe medicine. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
The Many Faces of Physician Impairment - 2026 Reporter Q1
In this article, we will discuss the most common causes of impairment: substance use disorders, physical impairment, cognitive impairment, and mental health issues. We will also review statutory requirements for reporting impaired practitioners, as well as cover some risk management considerations when observing a potentially impaired physician colleague. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
Anatomy of a Physician’s Contract: What to Know Before You Sign
This article examines various types of contractual provisions (mostly using an employment relationship as a basis, although the discussion points can appear in a variety of agreements), with the goal of enabling you to make the best decisions in both negotiating and complying with your specific contract. Lone Star Alliance policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Understanding EHR Errors
Review patient presentation, physician action, allegations and risk management considerations for cases involving EHR errors. The ultimate goal in publishing this activity is to help physicians practice safe medicine. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Ophthalmology
The following closed claim studies are based on actual malpractice claims from Texas Medical Liability Trust. These cases illustrate how action or inaction on the part of physicians led to allegations of professional liability, and how risk management techniques may have either prevented the outcome or increased the physician’s defensibility. An attempt has been made to make the material less easy to identify. If you recognize your own case, please be assured it is presented solely to emphasize the issues described. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Delegation to Medical Assistants: Risks, rewards, and safety strategies
For physicians, there is potential liability for the actions of MAs — as with other non-physician members of the health care team. Liability may arise from allegations of vicarious liability or negligent supervision. These claims may involve allegations that the physician practice (as the employer) was responsible for acts of their employees, or that the physician should have been more active in supervision of the care provider. In both these scenarios, a medical practice’s prior implementation of appropriate delegation protocols, training, and observation of the health care team can prevent claims, mitigate liability, and increase defensibility in the event of a claim. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
The Increased Use – and Risks – of Social Media in a Health Care Setting
This article emphasizes that the increasing presence of social media and technology is the “new normal” and needs to be faced and managed. This new normal also presents an opportunity for health care professionals to proactively consider all internet-based communication and information sharing when embarking on patient care and managing a health care practice. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
Case Closed: Missed Diagnoses
This article focuses on strategies to specifically address missed diagnoses. A missed diagnosis can lead to an adverse ripple effect for a patient resulting in delayed or inappropriate treatment, worsening of the underlying condition, increased pain or suffering, psychological distress, life-threatening complications, reduced quality of life, or death.
LSA Discount
Cardiology
Case Studies/Claims Review
CME
Communication
Delegation
Documentation
EMR/EHR
Ethics
Free for Policyholders
HIPAA
Informed Consent
Legal
Medical Ethics
Patient Safety
Patient-Physician Relations
Physician Impairment
Practice Management/Practice Operations
Professional Responsibility
Risk Management
The Reporter
Featured Products
Case Closed: Cardiology
These case studies are provided to help you improve patient safety and reduce potential liability risks that may arise when treating cardiac patients. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Plastic Surgery
Review patient presentation, physician action, allegations and risk management considerations for cases involving plastic surgery. The ultimate goal in publishing this activity is to help physicians practice safe medicine. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
The Many Faces of Physician Impairment - 2026 Reporter Q1
In this article, we will discuss the most common causes of impairment: substance use disorders, physical impairment, cognitive impairment, and mental health issues. We will also review statutory requirements for reporting impaired practitioners, as well as cover some risk management considerations when observing a potentially impaired physician colleague. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
Anatomy of a Physician’s Contract: What to Know Before You Sign
This article examines various types of contractual provisions (mostly using an employment relationship as a basis, although the discussion points can appear in a variety of agreements), with the goal of enabling you to make the best decisions in both negotiating and complying with your specific contract. Lone Star Alliance policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Understanding EHR Errors
Review patient presentation, physician action, allegations and risk management considerations for cases involving EHR errors. The ultimate goal in publishing this activity is to help physicians practice safe medicine. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Case Closed: Ophthalmology
The following closed claim studies are based on actual malpractice claims from Texas Medical Liability Trust. These cases illustrate how action or inaction on the part of physicians led to allegations of professional liability, and how risk management techniques may have either prevented the outcome or increased the physician’s defensibility. An attempt has been made to make the material less easy to identify. If you recognize your own case, please be assured it is presented solely to emphasize the issues described. LSA policyholders who complete this program may earn a 2.5% discount that will be applied to their next eligible policy period.
Featured Products
Delegation to Medical Assistants: Risks, rewards, and safety strategies
For physicians, there is potential liability for the actions of MAs — as with other non-physician members of the health care team. Liability may arise from allegations of vicarious liability or negligent supervision. These claims may involve allegations that the physician practice (as the employer) was responsible for acts of their employees, or that the physician should have been more active in supervision of the care provider. In both these scenarios, a medical practice’s prior implementation of appropriate delegation protocols, training, and observation of the health care team can prevent claims, mitigate liability, and increase defensibility in the event of a claim. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
The Increased Use – and Risks – of Social Media in a Health Care Setting
This article emphasizes that the increasing presence of social media and technology is the “new normal” and needs to be faced and managed. This new normal also presents an opportunity for health care professionals to proactively consider all internet-based communication and information sharing when embarking on patient care and managing a health care practice. Please note that this CME activity does not meet LSA's discount criteria.
Featured Products
Case Closed: Missed Diagnoses
This article focuses on strategies to specifically address missed diagnoses. A missed diagnosis can lead to an adverse ripple effect for a patient resulting in delayed or inappropriate treatment, worsening of the underlying condition, increased pain or suffering, psychological distress, life-threatening complications, reduced quality of life, or death.
LSA Discount
Cardiology
Case Studies/Claims Review
CME
Communication
Delegation
Documentation
EMR/EHR
Ethics
Free for Policyholders
HIPAA
Informed Consent
Legal
Medical Ethics
Patient Safety
Patient-Physician Relations
Physician Impairment
Practice Management/Practice Operations
Professional Responsibility
Risk Management
The Reporter
Notice

Lone Star Alliance RRG (LSA) is a risk retention group and an affiliated company of Texas Medical Liability Trust (TMLT). TMLT, directly and through its subsidiaries, provides LSA with all essential operational support including risk management functions. All such operational support is provided according to a management services agreement.

Through TMLT’s Risk Management department, Lone Star Alliance RRG offers online CME courses to help reduce medical liability risk.

TMLT is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide CME for physicians.

Lone Star Alliance policyholders who complete a 2 hour risk management CME activity may be eligible for a 2.5% premium discount that will be applied to their next eligible policy period. Two 2-hour courses can be taken per policy period for a maximum CME discount of 5%.

Please note: multiple 1-hour courses may not be combined for the discount.

CME discount eligible courses can be found by clicking on LSA Discount under the Categories section to the left.

ACCME Commendation
Notice

Lone Star Alliance RRG (LSA) is a risk retention group and an affiliated company of Texas Medical Liability Trust (TMLT). TMLT, directly and through its subsidiaries, provides LSA with all essential operational support including risk management functions. All such operational support is provided according to a management services agreement.

Through TMLT’s Risk Management department, Lone Star Alliance RRG offers online CME courses to help reduce medical liability risk.

TMLT is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide CME for physicians.

Lone Star Alliance policyholders who complete a 2 hour risk management CME activity may be eligible for a 2.5% premium discount that will be applied to their next eligible policy period. Two 2-hour courses can be taken per policy period for a maximum CME discount of 5%.

Please note: multiple 1-hour courses may not be combined for the discount.

CME discount eligible courses can be found by clicking on LSA Discount under the Categories section to the left.

ACCME Commendation