---
title: Ethical Challenges in Small Community Practice
description: "Join us on June 2, 2023 / 8:30 am–12:45 pm at Hawthorne Inn / Winston-Salem, NC\n\nAmong the most common concerns for mental health professionals in rural areas include: confidentiality, problematic multiple relationships and competence. These and related concerns will be discussed in an effort to heighten awareness to avoid potential liability."
image: https://go.northwestahec.wakehealth.edu/hubfs/flower2.png
---
[](https://go.northwestahec.wakehealth.edu/)
- [Home](https://go.northwestahec.wakehealth.edu)
- [What's New at NWAHEC Blog](https://go.northwestahec.wakehealth.edu/blog)
- [NWAHEC Staff](https://go.northwestahec.wakehealth.edu/staff)
- [Practice Support Updates](https://go.northwestahec.wakehealth.edu/practicesupport)
# Practice Support Update Blog
## [Ethical Challenges in Small Community Practice](https://go.northwestahec.wakehealth.edu/practicesupport/ethical-challenges-in-small-community-practice)
Apr 25, 2023 9:24:00 AM / by [Brooke Kochanski](https://go.northwestahec.wakehealth.edu/practicesupport/author/brooke-kochanski)
- [Tweet](https://twitter.com/share)
**Join us on June 2, 2023 / 8:30 am–12:45 pm at Hawthorne Inn / Winston-Salem, NC**
**[Register Now](https://northwestahec.wakehealth.edu/courses-and-events/70577?utm_source=campainger&utm_campaign=de&cmp=1&utm_medium=email)**
Among the most common concerns for mental health professionals in rural areas include: confidentiality, problematic multiple relationships and competence. These and related concerns will be discussed in an effort to heighten awareness to avoid potential liability. Clinical vignettes, relevant ethical guidelines, and common practical challenges for clinicians in small communities will be reviewed. Audience examples of ethical dilemmas related to confidentiality, dual relationship or competence dilemmas will be welcomed into the discussion. Decision guidelines will be provided as useful, and a peer consultation model emphasized.
This program is offered at a reduced registration fee through support from Old Vineyard Behavioral Health Services.
Upon completion of this course, participants should be able to:
- Describe examples of confidentiality dilemmas and design appropriate practice and boundaries in rural communities.
- Describe risks, relevant ethical code and ethical decision making to negotiate Dual Relationships.
- Provide a rationale for avoiding Dual Relationships to explain with clients.
**4 Contact Hours from Northwest AHEC - Registration fee is $45, [get signed up today](https://northwestahec.wakehealth.edu/courses-and-events/70577?utm_source=campainger&utm_campaign=de&cmp=1&utm_medium=email)[!](https://northwestahec.wakehealth.edu/courses-and-events/70577?utm_source=campainger&utm_campaign=de&cmp=1&utm_medium=email)**
Tags: [Community](https://go.northwestahec.wakehealth.edu/practicesupport/topic/community), [rural health](https://go.northwestahec.wakehealth.edu/practicesupport/topic/rural-health), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management)
#### Written by [Brooke Kochanski](https://go.northwestahec.wakehealth.edu/practicesupport/author/brooke-kochanski)
Marketing & Communications Specialist at Northwest AHEC
This is a search field with an auto-suggest feature attached.
- There are no suggestions because the search field is empty.
### Practice Support Services
Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts.
To learn more about [Practice Support Click Here](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC/Practice-Support-Services)
Apply for practice support services - **[submit an email inquiry](mailto:practicesupport@ncahec.net)**
### Subscribe to Blog Updates
### Additional Resources: [](https://cta-redirect.hubspot.com/cta/redirect/7413846/3250b519-7b04-46c8-8a05-c761461c996f) [](https://cta-redirect.hubspot.com/cta/redirect/7413846/a0754bf6-f1f0-475d-bbf4-17bea63ef9c1) [](https://cta-redirect.hubspot.com/cta/redirect/7413846/84d3d6ee-36ec-4b91-9ec2-410c87e1fefc) [](https://cta-redirect.hubspot.com/cta/redirect/7413846/36614b2e-461f-444c-b2a9-08ee8a5f03c1) [](https://cta-redirect.hubspot.com/cta/redirect/7413846/d2ffefd9-3e10-48ff-95be-d9cd6d269bd2)
Connect With Us:
### Posts by Topic
- [Medicaid Managed Care (170)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicaid-managed-care)
- [Primary Care (122)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/primary-care)
- [Medicaid (97)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicaid)
- [practice management (90)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/practice-management)
- [COVID-19 (75)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/covid-19)
- [Pediatrics (38)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pediatrics)
- [NCDHHS (37)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncdhhs)
- [Social Determinants of Health (34)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-determinants-of-health)
- [medicare (33)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicare)
- [Quality Improvement (28)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/quality-improvement)
- [behavioral health (28)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/behavioral-health)
- [MIPS (26)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mips)
- [Vaccines (25)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/vaccines)
- [mental health (24)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mental-health)
- [NCAHEC (23)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncahec)
- [Tailored Plans (23)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tailored-plans)
- [Webinar (23)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/webinar)
- [family medicine (20)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/family-medicine)
- [rural health (20)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rural-health)
- [Billing (18)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/billing)
- [telehealth (18)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/telehealth)
- [CMS (15)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cms)
- [nctracks (15)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nctracks)
- [Pediatric (14)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pediatric)
- [practice support (13)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/practice-support)
- [QPP (12)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/qpp)
- [Vaccination (12)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/vaccination)
- [collaborative care (12)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/collaborative-care)
- [quality payment program (12)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/quality-payment-program)
- [advanced medical home (11)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/advanced-medical-home)
- [digital library (11)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/digital-library)
- [opioid use disorder (11)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioid-use-disorder)
- [rural health centers (11)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rural-health-centers)
- [NC Healthconnex (10)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-healthconnex)
- [Substance Use (10)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/substance-use)
- [claims (10)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/claims)
- [online learning (10)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/online-learning)
- [coding (9)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/coding)
- [diabetes (9)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/diabetes)
- [reimbursement (9)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/reimbursement)
- [health equity (8)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-equity)
- [screening (8)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/screening)
- [tailored care management (8)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tailored-care-management)
- [Nursing (7)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nursing)
- [Office of Rural Health (7)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/office-of-rural-health)
- [Preventive Care (7)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/preventive-care)
- [adl (7)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/adl)
- [food insecurity (7)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/food-insecurity)
- [health disparities (7)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-disparities)
- [immunization (7)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/immunization)
- [population health (7)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/population-health)
- [public health (7)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/public-health)
- [CoCM (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cocm)
- [Geriatric (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/geriatric)
- [OB/GYN (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ob-gyn)
- [aging (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aging)
- [alcohol use (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/alcohol-use)
- [continuing education (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/continuing-education)
- [falls (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/falls)
- [patient care (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/patient-care)
- [public health emergency (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/public-health-emergency)
- [state health plan (6)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/state-health-plan)
- [Adult health (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/adult-health)
- [Community (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/community)
- [EHR (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ehr)
- [Healthy Opportunities (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthy-opportunities)
- [MACRA (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/macra)
- [Medicare advantage (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicare-advantage)
- [Promoting Interoperability (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/promoting-interoperability)
- [adolescent (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/adolescent)
- [care planning (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/care-planning)
- [depression (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/depression)
- [hrsa (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hrsa)
- [internal medicine (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/internal-medicine)
- [medical billing (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medical-billing)
- [opioids (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioids)
- [physicians (5)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physicians)
- [Enduring (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/enduring)
- [FQHC (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fqhc)
- [Fireside Chat Webinar (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fireside-chat-webinar)
- [Grant (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/grant)
- [STIs (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stis)
- [anxiety (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/anxiety)
- [cancer (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cancer)
- [care management (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/care-management)
- [cdc (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cdc)
- [continuing education series (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/continuing-education-series)
- [health literacy (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-literacy)
- [insurance (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/insurance)
- [learning (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/learning)
- [nchiea (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nchiea)
- [prescriptions (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prescriptions)
- [resource (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/resource)
- [workforce (4)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/workforce)
- [BCBS (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/bcbs)
- [CME (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cme)
- [Contracting (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/contracting)
- [Hurricane Helene (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hurricane-helene)
- [LGBTQ (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lgbtq)
- [MOC IV (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/moc-iv)
- [Medication assisted treatment (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medication-assisted-treatment)
- [NC HIEA (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-hiea)
- [NC Tracks (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-tracks)
- [Pregnancy (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pregnancy)
- [Survey (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/survey)
- [Uninsured (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/uninsured)
- [Wake Forest School of Medicine (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/wake-forest-school-of-medicine)
- [Well-Child Care (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/well-child-care)
- [clinical corner (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/clinical-corner)
- [communication (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/communication)
- [conference (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/conference)
- [contraception (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/contraception)
- [disaster recovery (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/disaster-recovery)
- [food (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/food)
- [glidepath (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/glidepath)
- [healthy NC 2030 (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthy-nc-2030)
- [integrated care (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/integrated-care)
- [interprofessional (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/interprofessional)
- [library services (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/library-services)
- [measles (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/measles)
- [mindfulness (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mindfulness)
- [monkeypox (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/monkeypox)
- [naloxone (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/naloxone)
- [nccare360 (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nccare360)
- [overdose (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/overdose)
- [postpartum (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/postpartum)
- [psychiatry (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychiatry)
- [recovery (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/recovery)
- [suicide (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/suicide)
- [veterans (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/veterans)
- [workplace violence (3)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/workplace-violence)
- [APM (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/apm)
- [APP (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/app)
- [DEA (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/dea)
- [Dentistry (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/dentistry)
- [Final Rule (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/final-rule)
- [Hepatitis C (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hepatitis-c)
- [Laboratory Testing (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/laboratory-testing)
- [NC health department (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-department)
- [No Surprises Act (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/no-surprises-act)
- [Perinatal (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/perinatal)
- [Provider Enrollment (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/provider-enrollment)
- [Value based contracting (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/value-based-contracting)
- [Wellness (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/wellness)
- [advance care planning (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/advance-care-planning)
- [artificial intelligence (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/artificial-intelligence)
- [burnout (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/burnout)
- [chronic conditions (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-conditions)
- [crisis (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/crisis)
- [finance (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/finance)
- [financial assistance (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/financial-assistance)
- [flu season (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/flu-season)
- [foster care (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/foster-care)
- [funding (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/funding)
- [harm reduction (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/harm-reduction)
- [health careers (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-careers)
- [health professionals (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-professionals)
- [hospital (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hospital)
- [intake (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intake)
- [leadership (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/leadership)
- [management (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/management)
- [medical provider (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medical-provider)
- [memory (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/memory)
- [monoclonal antibodies (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/monoclonal-antibodies)
- [north carolina (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/north-carolina)
- [nurse practitioners (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nurse-practitioners)
- [payment (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payment)
- [podcast (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/podcast)
- [prenatal (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prenatal)
- [psychology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/psychology)
- [seniors (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/seniors)
- [sexually transmitted infections (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sexually-transmitted-infections)
- [social justice (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-justice)
- [social work (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/social-work)
- [stress (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stress)
- [students (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/students)
- [technology (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/technology)
- [women's health (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/womens-health)
- [youth (2)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/youth)
- [#syphilis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/syphilis)
- [988 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/988)
- [ACA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aca)
- [AI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ai)
- [CAP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cap)
- [CNA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cna)
- [CSRS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/csrs)
- [Case Management (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/case-management)
- [Community Health Worker (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/community-health-worker)
- [Fetal Alcohol Spectrum Disorders (FASD) (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fetal-alcohol-spectrum-disorders-fasd)
- [Free and Charitable Clinics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/free-and-charitable-clinics)
- [HEDIS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hedis)
- [HIPAA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hipaa)
- [Hardship Exception (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hardship-exception)
- [Healthcare Insights (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare-insights)
- [Heart Health Now (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health-now)
- [ICD-10 (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/icd-10)
- [Keeping Kids Well (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/keeping-kids-well)
- [MVP (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/mvp)
- [Medicine (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/medicine)
- [NCPHC (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ncphc)
- [Nc Health Choice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-health-choice)
- [Obstetrics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/obstetrics)
- [PECOS (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pecos)
- [PPE (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ppe)
- [PTSD (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/ptsd)
- [Pfizer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/pfizer)
- [RSV (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rsv)
- [Relief Fund (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/relief-fund)
- [SAMHSA (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/samhsa)
- [SOGI (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/sogi)
- [STD Update (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/std-update)
- [STUN (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/stun)
- [TPM (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tpm)
- [access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/access)
- [aggression (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/aggression)
- [antigen test (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/antigen-test)
- [atrium health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/atrium-health)
- [autism (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/autism)
- [breast cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/breast-cancer)
- [broadband access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/broadband-access)
- [care transitions (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/care-transitions)
- [carolina access (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-access)
- [carolina complete (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/carolina-complete)
- [chronic kidney disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/chronic-kidney-disease)
- [climate change (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/climate-change)
- [cognitive impairment (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cognitive-impairment)
- [colon cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/colon-cancer)
- [compliance (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/compliance)
- [conversation (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/conversation)
- [counseling (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/counseling)
- [cultural humility (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/cultural-humility)
- [culture (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/culture)
- [de-escalation (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/de-escalation)
- [demographics (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/demographics)
- [discrimination (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/discrimination)
- [diversity and inclusion (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/diversity-and-inclusion)
- [doctors day (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/doctors-day)
- [equity (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/equity)
- [exercise (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/exercise)
- [fda (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fda)
- [fraud (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/fraud)
- [government shutdown (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/government-shutdown)
- [health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health)
- [health care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-care)
- [health leadership (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/health-leadership)
- [healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/healthcare)
- [heart health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/heart-health)
- [hepatitis (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hepatitis)
- [hiring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiring)
- [hiv (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hiv)
- [home health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/home-health)
- [homeless (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/homeless)
- [hosar (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hosar)
- [housing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/housing)
- [human trafficking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/human-trafficking)
- [hypertension (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/hypertension)
- [implicit bias (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/implicit-bias)
- [infant formula (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infant-formula)
- [infection (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infection)
- [infectious disease (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/infectious-disease)
- [internet (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/internet)
- [intervention (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/intervention)
- [lantern (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lantern)
- [lock your meds (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lock-your-meds)
- [lung cancer (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/lung-cancer)
- [maternal health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/maternal-health)
- [motivational interviewing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/motivational-interviewing)
- [nc medical journal (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/nc-medical-journal)
- [oncology (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oncology)
- [opioid (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/opioid)
- [oral health (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/oral-health)
- [outcomes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/outcomes)
- [payer contracting (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/payer-contracting)
- [phishing (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/phishing)
- [physical therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physical-therapy)
- [physician assistant (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/physician-assistant)
- [prediabetes (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prediabetes)
- [prior authorizations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/prior-authorizations)
- [race (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/race)
- [referral (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/referral)
- [regulations (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/regulations)
- [remote patient monitoring (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/remote-patient-monitoring)
- [research (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/research)
- [respiratory care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/respiratory-care)
- [rn refresher (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/rn-refresher)
- [safety (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/safety)
- [scope of practice (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/scope-of-practice)
- [shelter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/shelter)
- [smoking (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/smoking)
- [support staff (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/support-staff)
- [surgery (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgery)
- [surgical services (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/surgical-services)
- [team based care (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/team-based-care)
- [therapy (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/therapy)
- [training (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/training)
- [transgender (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/transgender)
- [tricare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/tricare)
- [trillium (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/trillium)
- [united healthcare (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/united-healthcare)
- [virtual (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/virtual)
- [winston-salem (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winston-salem)
- [winter (1)](https://go.northwestahec.wakehealth.edu/practicesupport/tag/winter)
See all
### In Case You Missed It... Check Out These Recent Posts
# About Us
The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina.
[Learn More](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC)
# Links
- [Course Catalog](http://nwahec.org/)
- [Join Our Email List](https://share.hsforms.com/16F72ZaBBRBqAda7M--9l9w4ewk6)
- [About Northwest AHEC](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec)
- [Continuing Education Services](https://school.wakehealth.edu/education-and-training/continuing-professional-education/northwest-ahec/continuing-professional-development)
- [Contact Support](https://go.northwestahec.wakehealth.edu/support)
# Contact Us
[ahecmktg@wakehealth.edu](mailto:ahecmktg@wakehealth.edu)
Medical Center Boulevard
Winston-Salem, North Carolina
Copyright 2026 | Designed by [HubSpot](https://www.hubspot.com)
```json
{
"@context" : "https://schema.org",
"@type" : "BlogPosting",
"author" : {
"@type" : "Person",
"name" : "Brooke Kochanski",
"url" : "https://go.northwestahec.wakehealth.edu/practicesupport/author/brooke-kochanski"
},
"dateModified" : "2023-04-25T13:24:00.638Z",
"datePublished" : "2023-04-25T13:24:00.000Z",
"headline" : "Ethical Challenges in Small Community Practice",
"mainEntityOfPage" : {
"@id" : "https://go.northwestahec.wakehealth.edu/practicesupport/ethical-challenges-in-small-community-practice",
"@type" : "WebPage"
},
"publisher" : {
"@type" : "Organization",
"logo" : {
"@type" : "ImageObject",
"url" : "https://go.northwestahec.wakehealth.edu/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png"
},
"name" : "Northwest Area Health Education Center (NWAHEC)"
}
}
```