Sexual relationships with patients are problematic, not only because they may be unethical and may compromise patient care, but because they may lead to civil actions for damages, criminal actions, and disciplinary proceedings by state medical boards. While concern focused originally on relationships between patients and psychiatrists, it is now generally recognized that the problem extends to non-psychiatric physicians as well. But how far does the taboo extend? Suppose a state medical board seeks to discipline a physician for having an affair with a patient, but both the patient and the physician insist that the patient consented to the relationship.
For discussion and debate about the ethics of health care organizations and the wider health system. Here’s a report from the Texas Medical Board about an action it took against Dr. Kenneth Baird, a family practitioner in Plano, Texas see here and here for information about Dr. Baird On April 3, , the Board and Dr. The action was based on Dr. Two things interested me about Dr. First, he’s not a psychiatrist!
It’s a relief not to have one more sorry example of misconduct from my own specialty. Second, the case points us to an important question – if sex between doctor and patient is seen as wrong, what makes it wrong? The common answer is that sexual involvement harms the patient. We know from individual cases that this is often true. And if we can identify or imagine situations where it is not harmful, does that make those situations ethically acceptable? In the Texas Medical Association rendered an opinion that appears to make use of emotions or insights derived from the doctor-patient relationship the key factor:
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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. But if there is a patient a staff member wants to go out with, it needs to be an open situation.
The AMA notes that the prior doctor/patient relationship may unduly influence the patient and that such a relationship is unethical if the doctor “uses or exploits trust, knowledge, emotions or influence derived from the previous professional relationship.”.
Sexual relations between a doctor and his patient is fraught with hazards to both the patient and to the doctor, one which is created by every state which grants a license to practice medicine to selected individuals. Only a select group of men and women are licensed by the state and are given the power to prescribe medications and perform surgical operations, which enables the doctor to exert enormous control on every patient.
Significant responsibilities attach to those privileges, which are sometimes abused by a minority of physicians, who become sexual predators. Such violations by the doctor are always negligent, and the physician may be liable for compensation to the innocent victim. Sexual predatory and immoral physicians are subject to disciplinary action, which may include loss of his medical license, fines, and even criminal sanctions. The following scenario is a composite of several cases upon which I represented a party, which demonstrates these points.
D was one such sexual predator with an MD degree after his name who sexually and psychologically abused his patient, Ms.
Should doctors marry doctors Here are the challenges they face.
Not every patient interaction with a physician is emotionally deep, nor is there an innate imbalance of power. A patient may well have a closer, more dependent relationship with her auto mechanic than with the dermatologist she once visited to have a plantar wart removed. Similarly, a patient may not even remember the anesthesiologist who presided over his gallbladder surgery or the emergency department doctor who once stitched his finger.
Ethicists say the distinction is valid. Some specialities by their very nature create a more intimate relationship, and one that makes the patient more vulnerable. Recognizing that, the American Psychiatric Association categorically prohibits sexual relationships with either current or former patients.
Mar 08, · Call it speed dating for doctors. Texas Health Harris Methodist Hospital, near Fort Worth, has launched a program called Doc Shop that invites prospective patients to casually meet and size up a lot of doctors in a short amount of time.
Mr Lonnie asked his surgeon for a discount. Supplied The call went to voicemail, so the pensioner chickened out and hung up. But then the surgeon rang him back. Mr Lonnie, 70, says he quickly explained that he couldn’t afford to pay for another hip replacement – the sixth one in his life stemming from a traumatic car accident in his youth. It was a relief. You will now receive updates from Breaking News Alert Breaking News Alert Get the latest news and updates emailed straight to your inbox.
My life is wonderful. I really love it. I would never wish to portray my life in a negative fashion and certainly not to wish for sympathy. My husband is now a chief resident in orthopedic surgery.
Texas Health Harris Methodist is putting potential patients in a room full of doctors giving them a chance to build a relationship with someone who could be their new doctor and answer questions they may have “rather than picking their name out of a book” and actually get .
The service will ease access to onshore medicinal cannabis products. However, doctors want more support about whether to prescribe medicinal cannabis, what specific product to prescribe and how best to prescribe it,” Mr Hazzard said in a statement. You will now receive updates from Breaking News Alert Breaking News Alert Get the latest news and updates emailed straight to your inbox.
The substances are only legally available through clinical trials or with special approval by the commonwealth and state governments. Doctors cannot be across the latest literature in the rapidly-moving field, or know the optimal regimen for the unapproved medicines, Dr Chant said. More than half the funding would go to the Australian Centre for Cannabinoid Clinical and Research Excellence , which will collect patient information, including data on adverse events and benefits to feed into further research and inform clinical decision making.
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Medical offices are professional workplaces and staff need to dress, speak, and purport themselves professionally. Patients are customers and customer service should be paramount. Give all patients the utmost respect and practice compassion, compassion, compassion.
Patients are told that a board-certified doctor is a good choice for a practitioner. Taking the time to check and verify a board membership is worth the effort and will help ensure that the doctor meets at least a minimum competency for handling your healthcare.
Hospital Stay Safety Whether you need to make a change in your primary care doctor, or if you find you need a specialist to take care of specific symptoms, you’ll want to follow these guidelines to choose the right doctor for your medical care. If so, it’s most important to find one you can trust, with whom you can communicate well and establish a long-time relationship. A specialist requires a different sort of expertise. You’ll still need to communicate well, but depending on the nature of your health problem, bedside manner and that need for a long-term relationship may be less important.
There are additional considerations for finding the right specialist, too. Sometimes the best doctor for you isn’t a doctor at all. Nurse practitioners NP and physician assistants PA are considered ” physician-extenders.
$1 million mistake: Becoming a doctor
The Doctor And The Patient: Relationship, Partnership Or Marriage? Siegel, MD I once heard a doctor say he viewed his relationship with his patients as a marriage. Separately, I heard his patients discuss their feelings of safety and their ability to maintain their power working with him. Using marriage as an example of the relationship between doctor and patient may seem strange, but a look at how we view marriage may clarify the comparison.
And I have always considered marriage to be a struggle.
Apr 23, · Harm to the patient is a probable outcome of doctor-patient sex. But harm to the profession is an inevitable outcome. Patients, the public, and physicians themselves, will lose trust in and respect for the medical profession.
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.
But I did find out, we had a talk from the breast surgeon and they sort of divided the breast up into sections and mine was right near the nipple. And apparently that area they prefer to do a mastectomy anyway rather than just a lumpectomy. So I was quite relieved about that. I thought’ “Oh well, I did have the right treatment then,” you know. And I was grateful because really it’s a case of a gift of life more than anything.
So I’d never ever think that a surgeon was giving me the wrong treatment. I think it’s difficult for people nowadays if they’re asked which sort of treatment they like because it’s quite a responsibility. And often people, although the surgeon explains, I think it’s often people feel they’d rather just be told what the surgeon would like to do.