physician practicing requirements
•be of legal age, good moral character, graduated from approved medical school
•resident of state where practicing
•passed oral/written exams administered by state where physician is practicing.
If a physician is licensed in one state and moved to another, he/she can practice medicine in the other state if determined that the original state requirements are equal to the new state.
physician license revoked
•convicted a crime (murder, rape)
•betrayal pt-physician confidence
•inappropriate sexual conduct
•fraud when applying for license (fake diplomas)
•fraudulent claims filing (services not rendered)
•incompetent to practice mental incapacity
principals of medical ethics
In 2001, the American Medical Association updated a code of ethics which stated what is expected of a physician
uniform anatomical gift act
any person of sound mind and legal age may give any part of there body after death for research or transplant
•a document written in advance that states the pateient's wishes regarding end-of-life.
•must be witnessed by 2 people
•file copy w/family, primary physician & family attorney
a document that allows an individual to delegate to another person the legal authority to act on his or her behalf
miranda warning law
gives patient legal options for refusing or accepting treatment if they are incapacitated
an act or failure to act as a reasonable prudent physician under the same or similar circumstances
a minor that is no longer under the care, custody or supervision of parents and that can legally consent to medical care are referred to as an
needed for proposed surgery or other invasive treatments will be performed, experimental drugs, unusual procedures that may involve high risk
exceptions to express consent
•minor procedures, only need an explanation by physician
•oral consent from patient
•notes must be entered in pt medical record
has the right to accept or reject treatment, know the side effects of treatments, what the prognosis is, and treatment alternatives
withdraw of care
when a patient does not follow instructions for treatment, keep follow-up appointments or leaves the hospital against medical advice, the physician has the right to?
When a physician terminates supervision of a patient without notifying the patient in writing it is called
•unwelcome sexual advances
•requests for sexual favors
•verbal or physical conduct of a sexual nature
•affects and interferes with individual's work performance
•creates an intimidating, hostile & offensive environment
•directly inform the harasser that the conduct is unwelcome and must stop
Latin for 'let the master rule' physicians are responsible for the actions of their staff
subpoena duces tecum
ask the custodian of records (or office manager) to accept it. it is a type of subpoena that requires a witness to appear in court with records.
medical records errors
•draw a single line through incorrect material
•date and add your initials
•note reason for the change
patient bill of rights developed
•to try remedy some recurring complaints about attitudes of treatment by physicians and administrators
•can help reduce malpractice suits often resulting from misunderstandings between patient, physician or hospital
•should be stored in safe place, locked cabinet
•minimize number of pads used at any one given time
•should be written in ink or typed and be written in numerical or roman numeral format
•limit amount dispensed at one time (30,60,90 tabs)
•amount of controlled substance on premises should be
kept at a minimum to prevent missing or stollen
•pads should not be signed in advanced
seek parental approval in cases that are not sensitive or confidential
when treating minors, you should do this first
this is used when the patient and physician have agreed before treatment (proclaim agreement) that both will waive the right to a court trial in case of a dispute
make patient feel less anxious and well cared for
schedule follow-up appts, know how to reach the physician at all times, make sure the telephone is adequately covered at all times.
assumption of risk
when a patient understood the risks of a particular operation or other medical procedure and signed a document givieng informed consent, the physician can use this in their defense
these should not be left around where they could be stolen and possibly used to obtain controlled substances
you should never make critical statements about the treatment given to a patient by another physician. If you do, it is considered?
only involve an explanation by the physician and oral consent by the patient, instead of a written express consent.