Frequently Asked Questions – General Office Practices/Protocols

Your Teen sought advice from Dr. Ellen Rome of Cleveland Clinic on issues of patient confidentiality as it relate to teenagers. Do adolescents have legal rights regarding confidential health care? State laws govern adolescent medical confidentiality. As a physician, I need to know my legal obligations and personal ethics. In general, adolescents have the right to confidentiality concerning reproductive health services. This includes sexually transmitted infections, pregnancy, oral contraceptives, and rape evaluation. Ohio physicians working in federally funded programs may provide birth control to teenagers without parental consent. To my knowledge, no other health issues are legally confidential. Is it important for doctors to talk privately with their adolescent patients?

Secrets to a Good Doctor-Patient Relationship

Limoli, owner of the Reed Limoli Group. Think it through Unfortunately, there are some people out there who want to take advantage of you. This may seem a bit extreme, but protecting yourself and your practice should be a priority.

An ethical patient-provider relationship is based on trust, honesty, confidentiality, privacy, advocacy for patient interests, and the shared desire for quality care. 1, 2 The American College of Physicians Ethics.

I am not trying to restart whether or not people believe that particular poster was wrong or right in his decision, but instead in discussing the reasoning people use in deciding if it was ethical or not. So for anyone interested in joining this discussion – do you believe that it is ethical to start a relationship with someone you cared for as a nurse? From reading the prior thread many posters brought up vulnerabilty – that the power balance led to inequality between patient and nurse and hence it was morally wrong to exploit that inequality.

If you do believe this, do you feel that all relationships that begin with one partner in a vulnerable state should not be pursued? Or any relationship that is unequal can not work? Are all nurse patient relationship inherently unequal? Does the patient not have the right to accept or refuse any treatment, to determine for themselves how their care will proceed, to even “fire” their nurse and demand another one? Many posters seemed to indicate that the ethics changed with time many mentions of 6 months to 1 year.

What exactly has changed in 6 months that didn’t in 1 week? So have at it! Can the nurse patient relationship survive?

‘We’ve just lost everything’: Patients rally around suspended Fredericton doctor

Patients rally around suspended Fredericton doctor Petition to reinstate Dr. Jan 02, 6: Everette Hanson’s practice says it will be closed until Jan. Hanson was suspended for 18 months after admitting to having an intimate relationship with a patient.

Terminating the Physician-Patient Relationship. The relationship between a physician and patient is based on trust. This trust gives rise to the physicians’ ethical obligations to place a patient’s welfare above their own self interest and above obligations to others.

However, because of the unwieldy complexity of the legal disputations recorded in the Talmud, more manageable codifications of talmudic laws became necessary and were indeed compiled by successive generations of rabbinical scholars. Some of these have acquired great authority and are in general use. For this reasons we shall refer for the most part to such compilations and their most reputable commentaries rather than directly to the Talmud.

It is however correct to assume that the compilation referred to reproduces faithfully the meaning of the talmudic text and the additions made by later scholars on the basis of that meaning. The earliest code of talmudic law which is still of major importance is the Misbneh Tarab written by Moses Maimonides in the late 12th century. The most authoritative code, widely used to date as a handbook, is the Shulhan ‘Arukh composed by R.

Yosef Karo in the late 16th century as a popular condensation of his own much more voluminous Beys Yosef which was intended for the advanced scholar. The Shulhan ‘Arukh is much commented upon; in addition to classical commentaries dating from the 17th century, there is an important 20th century one, Mishnab Berurab. Finally, the Talmudic Encyclopedia – a modern compilation published in Israel from the s and edited by the country’s greatest Orthodox rabbinical scholars – is a good compendium of the whole talmudic literature.

Jewish religious courts and secular authorities are commanded to punish, even beyond the limits of the ordinary administration of justice, anyone guilty of murdering a Jew. A Jew who indirectly causes the death of another Jew is, however, only guilty of what talmudic law calls a sin against the ‘laws of Heaven’, to be punished by God rather than by man.

About myUHN Patient Portal

They didn’t have lumpectomies so it wasn’t so popular at that time. And I know I was recommended a book to read afterwards on breast cancer and it said if you’re told you’re going to have a mastectomy ask for a second opinion. I found that amusing as I’d already had mine when I read this. But I didn’t think of asking for any other treatment or anything. I just took it that doctor would know, or the surgeon would know best, and I never sort of knew that there were different treatments.

AMA Code of Medical Ethics Since its adoption at the founding meeting of the American Medical Association in , the AMA Code of Medical Ethics has articulated the values to which physicians commit themselves as members of the medical profession.

Case Scenario A year-old woman who was new to my clinic presented for a routine annual checkup with breast and pelvic examinations. As usual, I performed the examination with my female medical assistant present. The patient requested a prescription for an oral contraceptive and was offered testing, including blood work and mammography. She pointed to my wedding ring and said that she had not noticed it before. She then asked me if I was interested in having a relationship with her.

I told her that I had no interest in her or in any of my patients outside of the professional doctor-patient relationship. I then told her that I was uncomfortable with her personal interest in me and that I thought it would be best if she saw one of my female partners in the future. The following day, the patient sent a bouquet of flowers and a card to me at my office. I discussed the situation with the organization’s risk manager and documented it.

The MacLean Center for Clinical Medical Ethics

Advertisement Your doctor can be a Harvard-educated, Nobel Peace Prize-winning genius, but if he has lousy bedside manner, chances are, your relationship is doomed — and your health may not fare much better. Dozens of studies show that patients have better health outcomes when their physicians are effective, empathetic communicators. The Accreditation Council for Graduate Medical Education now lists communication as a core competency skill for residents, and most medical schools now instruct their students on patient communication.

The trouble is, it can be difficult for physicians to implement the skills they learn, says Catherine Lucey, MD, professor of internal medicine and vice chair for education at the Ohio State University College of Medicine in Columbus. Lucey, is a lack of time. Because of that, my disease wiped me out, I had to give up my career [as a hairdresser], many of my hobbies, and much of my social life.

Doctor-Patient Dating. Q. I have an unusual question regarding the ethics of the doctor-patient relationship. I have a friend who was seeing a psychiatrist about 10 years ago following her divorce.

Doctor Patient Relationship Dating A physician must terminate the patient-physician relationship before initiating a dating, romantic or sexual relationship with a patient. Can a Doctor Date a Patient? Doctors are expected to keep a professional boundary between themselves and patients, but romance can strike at any timewhich begs the question Is it ever appropriate for physicians to date patients? Docs themselves have mixed responses to the issue. A recent ethics survey found that the number of.

Of course just hook up xoxo jenn1 has happened, but regardless of whether the doctor or the patient initiated the relationship, the doctor is usually held responsible if things go wrong. Marika Davies considers the risks of inappropriate relationships with patients and looks at how to deal with unwanted advances by patients. Psychiatrist Nagi Ghabbours case comes as the provincial government is looking to strengthen the law around sexual abuse and physician-patient relationships in the wake of a Star investigation.

Ethics! Why is it unethical to date your doctor?

Generally, courts look to the historic Hippocratic Oath when regulating medical laws with regard to ethics. While seeking to define a clearer picture of medical laws and the legal duty of doctors to their patients, the issue of specific promises of cure is inevitably addressed by courts. Specific promises of cure refer to the contracts between doctors and patients for the legal duty of the doctor.

A specific promise of cure is when a doctor legally obligates himself or herself to cure a patient’s ailments by express or implied contract. Generally, in modern medicine, it is considered unethical by the American Medical Association medical laws to make a specific promise of cure to a patient before or during treatment.

Sep 18,  · Patient Dignity Doctor-Patient Relationships and Domestic Violence I have heard physicians and other providers respond to the fact some patients have been harmed by the healthcare system that they were not aware of ever harming their own patients.

How do I obtain copies of my lab results? Are physicians required to have a chaperone present in the room when examining patients? California law does not require physicians to have a male or female chaperone; however, if having a chaperone or assistant in the exam room makes the patient feel more comfortable and at ease, then the physician should accommodate the patient’s request if possible or allow a friend or relative to accompany the patient.

Back to Top Can a physician refuse me as a patient if I choose not to sign the doctor’s Arbitration Agreement? Yes, the physician can choose to not accept a new patient who does not want to sign the Arbitration Agreement. Back to Top Does a physician have to accept new patients? A physician has a right to determine whom to accept as a patient, just as a patient has the right to choose his or her physician.

A physician also may terminate a patient without cause as long as the termination is handled appropriately see Question ” Can a physician refuse to treat a current patient? Back to Top Does a physician have to write reports and sign documents for disability or Workers’ Compensation purposes? Does this have to be done within a specific time frame?

Can they charge for this service?

Is psychiatry a fraud?

The success of that initial seminar program demonstrated that there was great interest at the University of Chicago in creating a sustainable interdisciplinary forum to discuss health-related subjects with colleagues from across campus. Since , the MacLean Center has sponsored an annual lecture series that has examined the ethical aspects of one key health-related issue each year. Previous topics have included:

A physician-patient relationship is the professional relationship that a doctor has with his/her patient. The relationship begins when the physician first diagnoses and treats the patient, or at least participates in the patient’s diagnosis and treatment.

Your Office Practices Terminating the Physician-Patient Relationship The relationship between a physician and patient is based on trust. The AMA Code of Ethics recognizes that the physician-patient relationship works best when it is a mutually respectful alliance. In most cases, the relationship exists in that respectful environment. However, adverse events or interactions can occur which damage the physician-patient relationship beyond hope of reestablishing or maintaining a therapeutic relationship.

In those cases, a patient has the option of ending the relationship by simply walking away. The physician cannot walk away.

Reaffirming the Doctor-Patient Relationship