Responses covered the entire spectrum: These are just a few of the diverse responses to an exclusive Medscape ethics survey that asked physicians of all specialties: The survey ran from August to September , and more than 10, physicians responded. Some respondents were very emphatic, stating that “having sex with a patient is the worst thing you can do to a patient. It’s totally exploitative and wrong. I learned that in first grade. Doctors took the unequal status of patient and physician very seriously. One doctor put it succinctly: The knowledge acquired by the physician during the patient-doctor relationship gives the physician an unfair advantage. Sexual or romantic interactions between physicians and patients detract from the goals of the physician-patient relationship [and] may exploit the vulnerability of the patient.
Medical Ethics. Hippocratic oath, what are medical ethics
View Blog Introduction To the besotted poet, love is intoxicating, exasperating, invigorating. To the doctor — if the would-be paramour is a patient — it’s also unethical. But physician responses to Medscape’s ethics survey clearly indicate that many physicians aren’t willing to condemn every romance. When asked, “Is it ever acceptable to become involved a romantic or sexual relationship with a patient?
New recommendations offer physicians ethical guidance for preserving trust in patient-physician relationships and the profession when using social media American College of Physicians and Federation of State Medical Boards encourage doctors to always ‘pause before posting’ and not ‘friend’ patients in new policy paper.
Are chiropractors qualified to handle a whole range of medical complaints? Dr Tony Croke We’re five years university trained, and that gives us the capacity to assess and then redirect. So, of course, if you need your tonsils taken out, I’m not your guy. If you need brain surgery, somebody else needs to help you with that. My job is to find and assess whether you need to be just with me, whether you need to be co-managed, or whether you need to be referred completely.
Dr Steve Hambleton Your first point of care in the Australia health system needs to be your family doctor, a medically-trained person, who’s comprehensively trained from cradle to grave to look at you and your family and the environment. Dr Maryanne Demasi Is this a bad reflection on medicine that more and more people are turning to alternatives?
Emeritus Professor John Dwyer I think it is. Dissatisfaction with a quickie turnover turnstile medicine approach is a factor that drives people into the misguided hands of people who are doing the patient no good at all. Dr Michael Vagg There is a lot wrong with mainstream medicine, but just because some planes crash doesn’t mean we should start using flying carpets.
So you have to have a plausible alternative if there is a problem. NARRATION What’s most disturbing about chiropractors being the first port of call in the health system is that many don’t support vaccination, which is the most basic form of public healthcare. Chiropractors are the largest number of professionals that support one of Australia’s most misleading anti-vaccination lobbies, of which Tony was a member.
Relates to State Board of Pharmacy, relates to sterile compounding, relates to permits. The bill contains the following provisions. The bill provides a definition for “compounding pharmacy” and describes sterile compounding pharmacies and non sterile compounding pharmacies. Beginning with appointments made on or after January 1, , the bill adds a physician and an advanced practice registered nurse to the Maine Board of Pharmacy, decreases the number of pharmacist members from 5 to 3.
MN H Pharmacy Regulation Pending – Carryover Changes licensing requirements for pharmacies, drug manufacturers, and wholesale drug distributors, requires all licensed pharmacies to comply with federal laws and state laws and rules related to operation of a pharmacy, requires out-of-state pharmacies dispensing drugs to residents of Minnesota to comply with federal laws related to operation of a pharmacy.
Medical and social ethics have advanced to an extent that doctors are likely to be faced with controversial issues on a regular basis. Euthanasia, information sharing and .
Aerospace medicine deals with medical problems related to flying and space travel. Addiction medicine deals with the treatment of addiction. Medical ethics deals with ethical and moral principles that apply values and judgments to the practice of medicine. Biomedical Engineering is a field dealing with the application of engineering principles to medical practice. Clinical pharmacology is concerned with how systems of therapeutics interact with patients.
Conservation medicine studies the relationship between human and animal health, and environmental conditions. Also known as ecological medicine, environmental medicine , or medical geology. Disaster medicine deals with medical aspects of emergency preparedness, disaster mitigation and management. Diving medicine or hyperbaric medicine is the prevention and treatment of diving-related problems.
Evolutionary medicine is a perspective on medicine derived through applying evolutionary theory. Forensic medicine deals with medical questions in legal context, such as determination of the time and cause of death, type of weapon used to inflict trauma, reconstruction of the facial features using remains of deceased skull thus aiding identification.
Gender-based medicine studies the biological and physiological differences between the human sexes and how that affects differences in disease.
Sexual Relationships with Patients
Toronto psychiatrist Nagi Ghabbour may become the first physician in the province to have his licence yanked for becoming romantically involved with a former patient too soon after the end of the doctor-patient relationship. She pointed out that while Bill 87 has yet to become law, the panel still has the discretion now to revoke. Ghabbour has been practising for over 20 years. Patient A as she was called due to a publication ban and Ghabbour have now been living together for over a year, and intend to marry, according to an agreed statement of facts.
The historical model for the physician-patient relationship involved patient dependence on the physician’s professional authority. Believing that the patient would benefit from the physician’s actions, a paternalistic model of care developed.
Tuesday, October 27, 5: Information on Clinical Psychology Dear Dr. Mike I am currently a student rat the university of North Carolina at Wilmington and I am doing a research paper on clinical psychology and was wonder if you could answer some questions for me about the filed of clinical psychology. I just need some basic info as to how you got into the career that you are currently in and what is required of a clinical psychologist.
If it was not too much trouble could you please just send me some basic info on your field and some personal info as to why you chose this career. Any help you can give me will be greatly appreciated. Sincerely, Hi Cameron, OK, here’s a quick perspective. I’m not sure if I’m helping with you here with a term paper or graduate school decision here, but here’s a brief overview. Clinical psychology has evolved as a specialty within psychology, which is very broad and basically covers the science of behavior and human mental experience.
Psychology spans a broad number of areas, ranging from child development thinking, language, etc. Clinical psychology has become identified with the study, in clinical settings laboratories and therapy sessions of the individual human being, in all it’s psychological manifestations– intelligence, thinking cognition and perception , socializing, and communicating, and a few other biggies in the area of clinical psychology.
Under a Creative Commons license open access An increasing number of contemporary research publications acknowledge the influence of religion and culture on sexual and reproductive behavior and health-care utilization. It is currently hypothesized that religious influences can partly explain disparities in sexual and reproductive health outcomes. In this paper, we will pay particular attention to Muslims in sexual and reproductive health care.
This review reveals that knowledge about devout Muslims’ own experience of sexual and reproductive health-care matters is limited, thus providing weak evidence for modeling of efficient practical guidelines for sexual and reproductive health care directed at Muslim patients.
In Medscape’s Ethics Survey, more than 24, physicians told what they think about becoming romantically or sexually involved with a patient. Their responses may surprise you.
July 3, at I have literally become financially bankrupt trying every kind of salve, ointment, parasite treatment, and herbal oils to stop the constant biting, burning and itching that I my body was suffering from this gross condition. Pashkit July 20, at 5: I have seen all kinds of fuzz balls, weird illuminated colored hair-like fibers and parasitic larvae looking organisms that look just like the Morgellons pictures posted on their various websites.
In the past, I had consulted several physicians about my problem and they acted as though I was a mental case, so I do not consult them anymore. Literally, I became financially bankrupted by purchasing every kind of antibiotic salves, ointment, parasite treatments laced with insecticidal poison, and herbal oils to find a remedy or cure for removing this parasitic infestation, but all attempts failed.
Most of the remedies were ineffective in stopping the constant biting, burning and itching that suffered on a daily basis. Out of desperation, I started to dangerously experiment with chemicals and herbal oil mixtures. I discovered that leaving it in a dark bottle for three months created a potent tincture that was very damaging to the skin but upon contact, it instantly killed the nasty parasites because they came out of the skin dead and in droves.
This was too toxic and caused skin damage so I stopped using the tincture. To make this story short, I resorted in trying freshly extracted limejuice. I choose the lime because it is extremely acidic and contain less fruit fructose.
This book is dedicated to the vulnerable who have been targeted for stealth euthanasia. This book is being provided free of charge in the web version as a public service of the Hospice Patients Alliance. This book contains the most-censored story in America and we cannot guarantee that this information will be available in the future. There are many who do not want you to learn what is contained in this web-book.
With several hundred references listed, it is likely the most-well-researched and astonishing book on these issues you have ever read.
Doctors do not, and should not date their patients. Of course, patients may develop a crush on their doctors, or therapists, but to date a patient, would constitute a professional boundary violation.
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?
Ancient Greece Ancient Greece was the birthplace of Western philosophical ethics. The ideas of Socrates c. The sudden flowering of philosophy during that period was rooted in the ethical thought of earlier centuries.
A majority of doctors responding to a recent ethics survey say romantic relationships with patients are off-limits.
One third to one half of patients will fail to follow a physician’s treatment recommendations. Labeling such patients “noncompliant” implicitly supports an attitude of paternalism, in which the physician knows best see: Patients filter physician instructions through their existing belief system and competing demands; they decide whether the recommended actions are possible or desirable in the context of their everyday lives. Compliance can be improved by using shared decision making.
For example, physicians can say, “I know it will be hard to stay in bed for the remainder of your pregnancy. Let’s talk about what problems it will create and try to solve them together. Would you prefer to try the medication, or to wait? Would you be willing to take this information and find out when the next support group meets?
What will make it easier for you to take this medication?