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ETHICS IN MEDICINE DOCTOR-PATIENT RELATIONSHIP CONSUMER PROTECTION ACT Presentation by DR.VIOLET (de Sa) PINTO LECTURER,DEPARTMENT OF P.S.M. OBJECTIVES. At the end of the session the student shall have the knowledge of Doctor – patient relationship: components, role of communication
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ETHICS IN MEDICINE DOCTOR-PATIENT RELATIONSHIP CONSUMER PROTECTION ACT Presentation by DR.VIOLET (de Sa) PINTO LECTURER,DEPARTMENT OF P.S.M.
OBJECTIVES At the end of the session the student shall have the knowledge of • Doctor – patient relationship: components, role of communication • Ethics : definition, role of ethics in medicine, Act • Consumer Protection Act : coverage, rights, implementation.
ETHICS The discipline dealing with what is good and bad and with moral duty and obligations • A set of moral principles • The principles of conduct guiding an individual or a group • A guiding philosophy • A consciousness of moral importance
THE INDIAN MEDICAL COUNCIL ACT 1956 (PROFESSIONAL CONDUCT & ETHICS) & REGULATIONS , 2002
CHAPTERS DESCRIBED in ACT • Code of medical ethics • Duties of a physician * to their patients * in consultation * to the public and to paramedical profession • Responsibilities to each other • Unethical acts & Misconducts
CODE OF MEDICAL ETHICS • Qualified in modern system of medicine only. • Update knowledge and skills, CME • Maintain medical records, medical certificate register • Display details • Observance of sanitary laws and regulations
DUTIES OF A PHYSICIAN* TO THEIR PATIENTS • In case of emergency treat or refer to appropriate physician • Information revealed in confidence to be kept secret • Never exaggerate or minimize the gravity of a situation
DUTIES OF A PHYSICIAN* IN CONSULTATION • Consultation only when justifiable, interest of patient • Laboratory tests to be carried out judiciously • Punctuality • Never criticize referring physician • Communicate opinion in writing to referring physician
DUTIES OF A PHYSICIAN* TO THE PUBLIC AND TO PARAMEDICAL PROFESSION • Enlighten public regarding quarantine regulations and measures for prevention of epidemic • Notify concerned authorities in accordance with laws, regulation and rules • Recognize and promote practice of different paramedical services
RESPONSIBILITIES TO EACH OTHER • Render service to fellow physicians and their immediate family dependents • No physician or consultant shall criticize referring physician • Consideration for reputation of absent physician, while treating patient
UNETHICAL ACTS & MISCONDUCTS • Advertisement • Association • Alcoholism • Abortion • Human rights violation • False certification • Breach of confidence • Not taking appropriate consent of patient • Falsification of degrees • Violation of guidelines while conducting research • Found absent from position at place of work
COMPONENTS • General law • Decision • File complaint • Monetary limits • Rights of the patient
General law: Member of a profession is required to show a standard of care which a person of that profession is expected to possess. Decision: Within 6 months No court fee Patient can plead his own case Even ESI hospitals under ambit of CPA
File complaint: Consumer court All details of case Expert opinion or certificate from doctor of concerned specialty ( stating complaint is prima-facie true & needs further investigation) The compensation demanded
Monetary limits: District commission court : upto 20 lacs State commission: 20 lacs to 1 crore National commission: >1 crore Rights of the patient : Right to information Right to safety Right to confidentiality and privacy Right to prompt treatment in emergency Right to get copies of medical records Right to informed consent Right to refusal to participate in human experiments and research