Most medical students, residents, and even attending physicians have had no formal training surrounding the often misunderstood against medical advice (AMA) hospital discharge. There are no guidelines for how to address these complex patient encounters. Background regarding the definition and what the literature notes about the characteristics of AMA discharges will be reviewed. The five most common myths surrounding the AMA hospital discharges will be discussed. A system of AMA universal precautions will be promoted to systematically address these challenging scenarios. This session will promote a formal system for educating family medicine residents on this topic.