· United States edition: online, self-paced courses with certificate

United States · ethics & professionalism

Ethics & Professionalism Courses for Health Professionals in the United States

Choose your profession and get two courses written for it: one on ethical reasoning under your profession's code, one on the professional standards your state board enforces. Each is self-paced, assessed and documented with a certificate and a reflective account.

  • Written for US practice
  • Online, self-paced
  • Reflection template
  • 20-question assessment
  • Instant certificate
On this page

Why every profession gets two core courses

Most "ethics courses" sold to US licensees try to cover everything in one sitting: principles, the code, consent, boundaries, records and discipline. The result is broad but shallow, and it rarely matches the problems a nurse, a pharmacist or a dentist actually faces on a normal shift. We split the subject in two, and we write both halves for one profession at a time.

The ethics course: how you decide

The ethics course is about values and reasoning. It takes the code your profession uses (the AMA Code of Medical Ethics, the ANA Code of Ethics for Nurses, the APhA Code of Ethics for Pharmacists, the ADA Principles of Ethics and Code of Professional Conduct, or the AAPA Guidelines for Ethical Conduct) and applies it to dilemmas where reasonable clinicians might disagree: refusals, end-of-life requests, conscience, truthfulness, conflicts of interest, money, and what to do when a colleague is unsafe. You practice a structured way of reaching and explaining a decision.

The professionalism course: how you are held to account

The professionalism course is about conduct and standards. It explains what your practice act and board rules require in daily work: scope of practice, supervision and delegation, prescribing and dispensing standards, records, license integrity, reporting duties and what happens when a board questions your practice. Ethics asks "what is the right thing to do here?" Professionalism asks "what standard will I be measured against, and can I show I met it?"

Taking both gives you the reasoning and the rulebook. Taking one is still useful: the ethics course suits licensees who want sharper judgment on hard cases, and the professionalism course suits those who want a clear map of the standards they are expected to meet.

Choose your profession

Each profession page explains which code and standards apply, how the two core courses map to them, how they fit around your renewal requirements, and which supporting courses are most relevant. Pick yours:

  • Physicians (MD and DO): Medical Ethics for Physicians plus Professional Standards for Physicians, built on the AMA Code of Medical Ethics and the standards state medical boards apply.
  • Nurses (RN, LPN/LVN, APRN): Ethics for Nurses, worked through the ANA Code of Ethics for Nurses (2025), plus Professional Standards for Nurses under the Nurse Practice Act.
  • Pharmacists: Pharmacy Ethics built on the eight principles of the APhA Code of Ethics, plus Professional Standards for Pharmacists covering supervision, the pharmacist-in-charge and quality assurance.
  • Dentists and dental hygienists: Dental Ethics built on the five ADA principles, plus Professional Standards for Dental Professionals covering infection control, sedation, radiation and prescribing.
  • Physician assistants (PAs): A PA ethics course built on the AAPA Guidelines for Ethical Conduct, plus a PA professionalism course on collaboration, scope, certification and the license.
  • Psychologists: Ethics and professionalism courses for licensed psychologists, focused on the issues psychology boards see most.
  • Physical therapists: Ethics and professionalism courses written for PTs and the standards state physical therapy boards enforce.
  • Optometrists: Ethics and professionalism courses for optometrists, from prescribing and records to advertising and patient relationships.
  • Chiropractors: Ethics and professionalism courses for chiropractors, including consent, boundaries, billing and scope.
  • Social workers: Ethics and professionalism courses for licensed social workers, covering dual relationships, confidentiality and practice standards.

If your profession is not listed, the cross-profession courses below are written for any licensed health professional, and the full course catalog lets you filter by topic.

The cross-profession core set

Which one do I need?

CompareEthics for Licensed Health Professionals: Codes, Decisions and Board ExpectationsProfessionalism in U.S. Healthcare Practice
FocusValues, reasoning and ethical dilemmasConduct, standards, scope, records and accountability
The question it answersWhat is the right thing to do here, and why?What do my standards require, and how do I show it?
Choose it whenA decision, a dilemma or your judgement is in questionBehaviour, systems, scope of practice or records are in question

Not sure? Many concerns and most learning plans need both: take them together for a complete picture.

Some subjects matter in every licensed profession, and boards see the same patterns across them: dishonesty in records or applications, boundary violations, consent failures, privacy breaches and poorly handled adverse events. These courses are written for all US licensees and work well alongside your two profession courses.

  • Ethics for Licensed Health Professionals: principles, a decision-making model, the major codes and landmark cases such as Quinlan, Cruzan and Tarasoff.
  • Professionalism in U.S. Healthcare Practice: the grounds boards act on and the everyday behaviors that prevent them.
  • Professional Integrity and Honesty: records, attestations, billing and declarations on license and credentialing forms.
  • Professional Boundaries: crossings, violations and sexual misconduct, with NCSBN, AMA and FSMB guidance.
  • Informed Consent, HIPAA Privacy and Patient Confidentiality, Medical Record Documentation and Disclosure of Adverse Events.

Consent, privacy, records and disclosure

These four courses cover the duties that most often turn an ordinary clinical encounter into a complaint. Informed consent is an ethical duty under every professional code and a patient right under federal hospital Conditions of Participation (42 CFR 482.13). Privacy is governed by the HIPAA Privacy, Security and Breach Notification Rules and, for substance use disorder records, 42 CFR Part 2, whose updated rule required compliance by February 16, 2026. Federal hospital rules require record entries to be "legible, complete, dated, timed, and authenticated", and poor record keeping is one of the grounds for discipline listed by the Federation of State Medical Boards. Disclosure of adverse events is addressed by AMA Opinion 8.6, the AHRQ CANDOR toolkit and statutes such as Pennsylvania's MCARE Act.

How US regulation shapes what these courses can and cannot do

Licensing and discipline in the United States belong to the states. Each profession has a practice act (the Medical Practice Act, Nurse Practice Act, Pharmacy Practice Act, Dental Practice Act and so on) and a state board that enforces it. National bodies such as the Federation of State Medical Boards (FSMB), the National Council of State Boards of Nursing (NCSBN), the National Association of Boards of Pharmacy (NABP) and the American Association of Dental Boards (AADB) support the boards, publish model policy and run national systems, but they do not license anyone. The National Commission on Certification of Physician Assistants (NCCPA) certifies PAs, and most states rely on that certification.

Professional codes from associations such as the AMA, ANA, APhA, ADA and AAPA are ethical guidance rather than law. They bind members of the association, but boards and courts often refer to them when deciding what a reasonable professional should have done. That is why our ethics courses are built on the codes and our professionalism courses on the practice acts, board rules and federal requirements.

Renewal requirements are set state by state

Continuing education rules differ by state, profession and cycle. Some states require ethics specifically: Texas physicians need at least 2 formal hours of medical ethics and/or professional responsibility in each 24-month cycle, Texas nurses must complete targeted CE in Nursing Jurisprudence and Ethics, California pharmacists must complete the Board-provided ethics webinar, and New York dentists complete a one-time 3-hour course in dental jurisprudence and ethics. Those requirements are tied to accredited or board-provided courses, and our courses do not meet them. Our guide to ethics hours for license renewal explains the state rules in more detail.

How to choose the right courses

  1. Start with your profession page. The two core courses are written around your code and your board's expectations, so they are the best first purchase for almost everyone.
  2. Add courses for your real risks. A practice owner may need billing integrity; a hospital nurse may need handoffs and medication safety; a pharmacist-in-charge may need controlled substances; a dentist offering sedation may need consent and documentation.
  3. If a board has contacted you, take advice first. Talk to your attorney, malpractice insurer or professional association before enrolling, because a board order may require a particular provider. Our remediation courses hub and guide to state board discipline explain the process.
  4. Check credit before you rely on it. If you need hours for renewal, confirm with your board or employer whether courses are accepted.
  5. Use the reflective account. It is where learning becomes visible: what you changed, why, and how you will know it worked.

How online study works

Every course follows the same format, so you know exactly what you are signing up for before you enroll:

  • Immediate access after checkout, on desktop, tablet or phone.
  • 2 to 3 hours of reading and case work, split into short sections with knowledge checks so you can stop and restart between shifts.
  • A 20-question final assessment with an 80% pass mark (16 of 20); you can review the material and retake it.
  • A certificate of completion showing the course title, study time and completion date.
  • A structured reflective account that prompts you to describe what you learned and what you will do differently, without recording identifiable patient details.

US courses use US terminology and US sources throughout: state practice acts and board rules, federal regulations, and the codes of the major professional associations, checked against official sources in October 2026.

Who these courses suit

  • Licensees who want a deeper, profession-specific grounding in ethics and standards than a generic renewal module offers.
  • Clinicians moving into leadership, supervision, precepting or practice ownership, where they set standards for others.
  • Licensees moving to a new state or practicing across state lines who want a clear picture of how board expectations work.
  • Professionals returning to practice after a break.
  • Licensees who have received a complaint, a letter of concern or an employer warning and want to learn, reflect and document that learning, with advice from their attorney or insurer.

Questions

What is the difference between your ethics course and your professionalism course?

The ethics course trains your reasoning: it applies your profession's code of ethics to dilemmas such as refusals, conflicts of interest, conscience and truthfulness. The professionalism course covers conduct and standards: your practice act, board rules, scope, supervision, records, reporting duties and how boards review practice. One helps you decide well; the other shows you the standard you will be measured against.

Will a state board accept your course for a board order or consent agreement?

Only if the board or its designee approves it. Board orders often require advance approval or name specific providers, and some, such as California's Professionalism Program rule, set detailed standards for the course itself. Read your order, then ask your attorney or the board's compliance staff before enrolling. Never assume any course satisfies an order.

Which professions have their own course pages?

Ten: physicians (MD and DO), nurses, pharmacists, dentists and hygienists, physician assistants, psychologists, physical therapists, optometrists, chiropractors and social workers. Each page pairs a profession-specific ethics course with a profession-specific professionalism course and lists supporting courses. Other licensees can use the cross-profession courses written for all US health professionals.

Do I need to buy both core courses for my profession?

No. Each course stands alone with its own assessment and certificate. Most licensees find the pair works best because the ethics course explains how to reason through hard cases and the professionalism course explains the standards a board applies. If you only want one, pick ethics for judgment and dilemmas, or professionalism for scope, records and conduct.

How long does each course take to finish?

Each course is designed for 2 to 3 hours of study, including reading, case examples and knowledge checks, followed by the 20-question assessment. You can complete it in one sitting or spread it over several days. Progress is saved, so you can stop between shifts and pick up where you left off on any device.

What score do I need to pass the final assessment?

80%, which is 16 correct answers out of 20. The questions are scenario-based and test whether you can apply the material rather than recall definitions. If you do not pass first time, you can review the relevant sections and retake the assessment. Your certificate is issued once you pass and complete the reflective account.

What goes into the reflective account, and is it confidential?

You describe what you learned, how it applies to your practice and what you will change. We advise reflecting on learning rather than on identifiable patients or admissions of fact, because personal reflections are not generally protected in US litigation or board investigations. Event analysis belongs in protected organizational processes such as peer review or a Patient Safety Organization.

Are these courses written for US law or adapted from another country?

They are written for US practice. They cite state practice acts and board rules, federal regulations such as HIPAA, 42 CFR Part 2 and the Conditions of Participation, the NPDB, and the codes of the AMA, ANA, APhA, ADA and AAPA. They use US terms such as license, state board, consent order and CE, and examples from states including California, Texas, Florida and New York.

Can my employer use these courses for staff development?

Yes. Employers use them for onboarding, development plans, leadership preparation and responses to internal concerns. The certificate and reflective account give a manager something concrete to review. If the employer needs the hours to count toward a licensing or accreditation requirement, it should confirm that courses are acceptable for that purpose.

I have a board complaint. Should I start with these courses or the remediation courses?

Speak to your attorney or malpractice insurer first. Then look at our remediation courses hub, which is organized by type of concern and includes courses on responding to a complaint, insight and remediation planning. The two ethics and professionalism courses for your profession are often part of that set, but they should be chosen around the actual concern.

Does taking an ethics course help with a Texas or California ethics requirement?

Not ours. Texas physicians need formal (accredited) hours in ethics or professional responsibility, Texas nurses need an approved Nursing Jurisprudence and Ethics course, and California pharmacists must take the Board-provided ethics webinar. Those rules require accredited or board-provided courses. Our courses can deepen your learning around them, but they do not replace them.

Do the courses cover the National Practitioner Data Bank?

Yes, where relevant. The professionalism courses explain that formal adverse actions by state boards are reported to the NPDB within 30 days, including actions taken through private agreements, and that reports stay with you unless corrected or voided. Understanding this helps licensees answer future license and credentialing questions honestly.

How quickly can I start after enrolling?

Immediately. Access opens as soon as checkout is complete, with no waiting for a cohort, a live session or approval. You can begin the first section within minutes and download your certificate as soon as you pass the assessment and submit your reflective account.

Official sources

Checked October 2026. Rules and processes change, so confirm the current position with the official source. This page is general information, not legal advice.

How these courses are built

Official sources only

Every legal and regulatory point comes from primary sources: state practice acts and board rules, federal law and national professional codes of ethics. Anything we cannot confirm is left out.

Original, edition by edition

Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.

Reviewed when rules change

When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.

Page updated 18 October 2026 · 9 official sources cited

Find your two core courses

Choose your profession, enrol online and study at your own pace. Certificate of completion and reflective account the day you pass.