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    Divya M
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    Forensic topic on ethics

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    3 views16 pages

    ETHICS

    Uploaded by

    Divya M
    Forensic topic on ethics

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 16

    ETHICAL ASPECTS OF

    MEDICAL PRACTICE
    MEDICAL ETHICS: Code of behaviour accepted voluntarily
    within the profession

    Doctor

    Moral
    principles,
    Patient
    Values and
    Guidelines

    State
    MEDICAL ETIQUITTE
    • Refers to conventional laws of courtesy observed between members
    of medical profession.
    • Code of Medical Practitioner:
    Earliest – Hippocratic oath
    Modern – International code of Medical Ethics
    India – MCI in 2002 devised Medical Ethics code for all the Doctors registered
    with Medical Council of India ( Now NMC)/State Medical Council.
     Not governed by any legislation
     Violation of code by any RMP is liable to Professional misconduct if proved he/she is
    temporarily or permanently debarred from practicing.
    GUIDELINES BY MCI
    • Chapter 1: Code of Medical Ethics
    • Chapter 2: Duties of Physician to their patients
    • Chapter 3: Duties of Physician in consultation
    • Chapter 4: Responsibilities of physician to each other
    • Chapter 5: Duties of Physician to the public and to para-medical
    profession
    • Chapter 6: Unethical acts
    • Chapter 7: Misconduct
    • Chapter 8: Punishment and disciplinary action
    DUTIES OF RMP TOWARDS PATIENTS
    1. Exercise reasonable degree of skill and knowledge
    2. Attend the patient and examine him
    3. Furnish or prescribe proper medication
    4. Give proper instruction
    5. Third parties (insurance claim, blue cross etc)
    6. Relation to operation
    7. Relation to poisoning cases
    8. Professional secrecy
    9. Relation to X-ray examination
    DUTIES OF RMP TOWARDS
    PROFESSIONAL COLLEAGUE
    1. Not to criticize colleague
    2. Never take fees
    3. Always help
    4. Duties with regard to consultation
    DUTIES OF RMP TOWARDS STATE
    1. NOTIFY CERTAIN DISEASES
    2. INFORM VITAL EVENTS
    3. UNDER GENEVA CONVENTION
    4. REGARDING MEDICOLEGAL CASES
    DUTIES OF PATIENTS
    1. Furnish all information
    2. Follow instructions given by doctors
    3. Pay fees to the doctor
    4. If patient wishes for second consultation/opinion, the patient
    should inform the first doctor
    5. Patient should have faith in doctor
    6. Patient should no contribute to medical negligence
    7. Should cooperate for necessary investigations for proper diagnosis
    RIGHTS AND PREVILEGES OF RMP
    1. Practice medicine
    2. Choose patient
    3. Prescribe/dispense medicine
    4. To Possess, dispense or prescribe drugs listed in the Dangerous Drug Act
    5. Add professional titles to his name
    6. To perform surgical operations
    7. To issue certificates
    8. Appointment to public hospitals
    9. To give evidence as expert witness in the court of law
    10. To claim payments of fees for professional services
    RIGHTS AND PREVILEGES OF
    PATIENTS
    1. Choose doctors
    2. Access health care facilities
    3. Treated without discrimination
    4. Privacy during consultation
    5. Confidentiality of all his information
    6. Receive full information about the management of the illness
    7. To know information about procedures, its risks, results and prognosis
    8. Seek second opinion
    9. Demand medical record
    10. Obtain compensation for medical injuries and negligence
    PROFESSIONAL SECRETS AND
    CONFIDENTIALITY
    1. Doctor comes to know in his professional capacity
    2. It should not be divulged under any circumstances except
    a) In a court of law
    b) Privileged communication to appropriate authority in the interest of the
    community or of the state
    c) Notifiable diseases
    THERAPEUTIC PREVILEGE
    1. If the patient is anxious or anxiety prone or the information may
    cause psychological harm to the patient RMP can choose not to
    disclose diagnosis or information related to the disease.
    2. Under such circumstance RMP can disclose the information to the
    family/guardian
    PROFESSIONAL MISCONDUCT
    • Professional misconduct can be defined as something done by a
    doctor in profession, which is considered as disgraceful and
    dishonorable by his or her professional brethren of good repute and
    competence, after the enquiry by the State Medical Council.
    PUNISHMENTS
    • Under disciplinary control the State/Indian Medical Council decides
    this and depending on the type of misconduct.
    • punishment can be:
    Warning
    Suspension
    Penal erasure (professional death sentence).
    MISCONDUCT AND LISTED UNDER 6
    A’S
    1. Association with unqualified persons
    2. Advertising
    3. Adultery
    4. Abortion (illegal)
    5. Addiction
    6. Alcohol

    Apart from these, the councils can also consider any other form of alleged
    infamous conduct, which is not in the above list for deciding the punishment.
    THANK YOU

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