1.1 Intro To Med Juris

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Medical Jurisprudence

Intro to Med Juris – Dr. Logronio

MEDICAL JURISPRUDENCE o The relationship with your patient is not a


friendly relationship, it is a legal tie between a
• Law applied to the medical profession patient and us – in fact it is a contract
o When you say “medical jurisprudence,” it’s a o When you say contract, may batas tayo tungkol
study of law as applied to medical profession sa kontrata. If you violate this contract there
o Study laws, rules, cases decided by the will be sanctions - either matanggalan ka ng
supreme court, regulations and everything that lisensya, magbayad ka or makulong ka – and
is a parameter as doctors that will guide you in we do not want that to happen
the practice of medical profession o There are corresponding sanctions to your
o Law, regulations, policies and the likes - mistake or your negligence
coverage of medical jurisprudence ▪ Negligent -> violation to your
• In comparison with legal medicine contract with the patient -> sanctions
o Legal medicine as provided by the law: either you
▪ a branch of medicine that is applied lose your license, pay money or you
to law go to prison (civil, administrative and
▪ reverse of medical jurisprudence (law criminal sanctions/liabilities)
applied to medical profession) o The three-fold liabilities: civil, administrative
• In this subject, we will focus in the relationship between and criminal
the doctor or the physician and the patient o It’s difficult to become a physician, but it is
o The contractual relationship easier to lose your license, much worse you go
o What are the laws, rules, regulations that will to prison and worst you lose your savings
define the relationship because of your negligence or because of you
• But before that, may mga preliminaries including medical not knowing the parameters of the practice of
education which tackles how you are going to enter med the medical profession.
school and how you would enter to the practice of o Ignorance of the law is not an excuse
medicine • Medical Jurisprudence is a board-exam subject along
• Literally, when you say “jurisprudence,” this commonly with the clinical subject levels (finals)
understood as court decisions • Why are we studying Medical Jurisprudence?
o To a law student or lawyer, jurisprudence are o Because it is mandated by law
decisions of the court – specifically decisions of ▪ The Medical Act of 1959 requires
the Supreme Court Medical Jurisprudence to be included
o Supreme Court – highest court in the country in the curriculum
o Why are these decisions important? ▪ The Medical Act tells us that it should
▪ Because they have the force and be included in the board
effect of law (parang batas din yan) examinations
▪ The decisions of the court will ▪ Medical and Law students study this
interpret what does the law mean so they would know how to handle
▪ Kung anong sinabi ng Korte Suprema, cases
that is how we are supposed to
interpret the law and it stays until -------------------------------End of Lecture-------------------------------------
baguhin ulit nila (Stare decisis)
MEDICAL JURISPRUDENCE
▪ Stare decisis – if the court decides
Definition
this way and if the same set of facts
• Jurisprudence
comes back again, the court will have
o philosophy of law; the science which treats of
to decide that way also, applying
the principles of positive law and legal relations
what has been laid out in the
o science of law that science which has for its
previous decision made by the court
function to ascertain principles of which legal
• Literally, “Medical Jurisprudence” means decisions of the
rules are based, to classify those rules in
court related to the practice of medicine (lawyer/ law
proper order and show their relation to one
student)
another and settle the manner under
• For med students, we are studying law as applied to
appropriate rules
medical professions, incorporated na jan ang decisions
• It comprises all laws, rules, doctrines and principles, legal
by the court, rules, regulations, laws enacted by
opinions and decisions competent authority regarding
congress, issuances by Malacañang, the executive, and
governance and regulation of the practice of medicine
so on and so forth
• Emphasizes the duties of a physician to his patients and
• Importance:
the regulations for the practice of medicine and the
o If you’re a doctor, your activities/ authorities as
relation of law to medical practice
a physician have to be in the bounce of law

1
Medical Jurisprudence
Intro to Med Juris – Dr. Logronio

• Denotes knowledge of law in relation to the practice of • In 1990, the Board conducted its first fully-computerized
medicine licensure examinations
• Branch of law that deals with the application of law to • Board of Medical Examiners is now called the Board of
medicine Medicine and not one of the professional regulatory
• Primarily concerned with legal rights and responsibilities boards of the Professional Regulation Commission of the
of medical practitioners especially in relation to the Philippines
doctor-patient relationship
Place of law in medical profession
• Means legal aspects of practice of medicine

Legal Medicine vs. Medical Jurisprudence • Ignorantia legis non excusal (L.) meaning Ignorance of
the law excuses no one
• Legal medicine • The practice of the medical profession is not a natural
o Concerned with the application of medical and right but a privilege bestowed by the state on those who
paramedical scientific knowledge to certain show that they possess, and continue to possess the
branches of law, both civil and criminal qualifications required
o Aims to aid the administration of justice by • To be a physician is a privilege burdened with conditions
correlating such knowledge and applying it to • A doctor may be suspended or his license revoked or
the purpose of law suspended by any misconduct showing any fault or
• Medical Jurisprudence deficiency in moral character, honesty, probity or good
o Denotes knowledge of law in relation to demeanor.
medical practice • Recognizing that the practice of medicine is a privilege
o Deals with those relations which are generally and not a natural right is necessary as a matter of policy
recognized as having legal consequences in the interest of public health, safety and welfare to
o Primarily concerned with legal rights and provide laws and provisions covering the granting of that
responsibilities of physician arising from the privilege
doctor-patient relationship o It provides regulations to the ed that the public
health shall be protected against
Medical Law unprofessional, improper, unauthorized and
• Concerns the right and duties of the medical profession unqualified practice of medicine and from
and the rights of the patient unprofessional conduct by persons licensed to
practice
• Three main areas within medical law:
o The law on confidentiality Functions of the law in medicine
o Negligence and other torts in relation to
medical treatment • It provides framework for establishing what medical
o Criminal law in relation to medical practice and actions in the care of patients are legal
treatment • It delineates the physician’s responsibilities from those of
• Issues concerning ethics and medical practice are other health practitioners
increasing • It helps to establish the boundaries of independent
medical action
History of Philippine Medical Law
• It assists in maintaining a standard of medica practice by
• Board of Medical Examiners making physicians accountable under the law
o Created on December 4, 1901 by virtue of • It must be “fit in” with age of rapid technological and
Public Act No. 310 different moral standards
o It regulated not only the medical profession
Sources of the Law
but also the practice of midwifery
o Under the Department of Interiors but the • Statutory Law
members were appointed by the o Laws passed by the congress
Commissioner of Public Health upon the advice o These laws cover the rules for our relationships
and consent of the Board of Health with each other
o 1932 – placed under the Department of Public o Ex. Medica Act of 1959
Instruction with the enactment of Public Act • Constitutional Law
No. 4007 o Refers to rights, privileges and responsibilities
• Medical Act of 1959 (RA2382) that are stated in or are inferred from the
o Republic Act No. 2382 was enacted in June 20, Philippine Constitution
1959 o There can be no law that is contrary to the
o Lead to the creation of separate board for constitution
midwives on June 18, 1960 o All law must be consistent to the constitution
o Amended by RA 4224 on June 29, 1959 and by o Ex. The right to privacy
RA5946 on June 21, 1969

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Medical Jurisprudence
Intro to Med Juris – Dr. Logronio

• Administrative Law • Rules we follow in legal


o Refers to rules and rulings made by proceedings/ procedures we
administrative agencies that have been follow in court
granted the authority by statute (legislatively • Covers qualifications of expert
passed laws) to act in this manner witnesses, rules in DNA
o Make administrative issuances in the form of evidences, etc.
the administrative order
o Public Law
o Ex. Rules and regulations passed by the Board
▪ Concerns the state in general in its
of Medicine to control medical practice
political or sovereign capacity
• Common Law
▪ Laws meant to be in place to ensure
o Refers to the decisions made by judges in court
peace and order
cases or established by rules of custom and
tradition Public Law
o The first law, or case law, is the result of legal Criminal Law • Defines what is a crime and
principle, stare decisis, which means that once
what is the corresponding
an issue has been decided all other cases
penalty
concerning the same issue should be decided
• Governs violation of the law
the same way
that are punished as offenses
Decisions of Competent Principles against the state or
government
• Decisions of courts • Involves the welfare and safety
o Interpretation of the law (Judicial branch) of the public as a whole
o Put into writing in the form of decisions • People of the Philippines VS
• Also has the same force and effect of law such that if the Juan dela Cruz
same issue arises again, courts can go back to their
previous decision and ask how they resolve a previous International • Governs relationship with
issue Law other nation
• Public international law – body
Branches of the Law of rules which controls the
conduct of independent states
• Divine Law
in their relation with each
o Comes from religion other
o Depending on the laws of a specific religion to • Private International Law –
follow and the state will not interfere with that determines whether, in
o Constitution says that there will be separation dealing with a legal situation,
between the state and religion the law of some other state
o Not enforced by state/man/government will be recognized, given
• Human Law effect, or applied
o Enacted by man and comes from legislative, Political Law • Branch or jurisprudence which
executive and judiciary treats the science of politics or
o Private Law the organization of the
▪ Does not concern the state in general government
▪ Privet entities
• Family code
• Civil code (Dr-px)

Private Law
Sources:
Civil Law • Concerned with relations
between individuals (Dr-Px ➢ Dr. Lagronio’s live lecture
relationship) ➢ Revenger’s Trans
➢ Basis of Philippine Medical Jurisprudence and Ethics
Commercial • Rights of property and relations
2010
Law of person’s engagement to
commerce

Remedial • Prescribes method of enforcing


Law rights or obtaining redress for
their invasion

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