Physicians who are impaired or who recognize that a colleague is impaired are often reluctant to report or seek treatment due to fear of consequences and this poses a threat to patient safety.  Physicians may under appreciate their ethical obligation to not only care for their own patients but to also ensure the safety of patients under the care of a colleague who is impaired.  This interactive clinician led small group discussion for M2s in the Foundational Capstone Course focuses on the application of ethical priniciples to clinical scenarios that pose management dilemmas. Small group faciliatators who complete pre reading assignment and complete a post test following discussion are eligible to receive CME credit for sessions.