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Item 3 Negligence 97
Item 3 Negligence 97
Item 3 Negligence 97
Palash Bose
MBBS, DFM,MCPS
Associate Professor
Dept of Forensic Medicine
Types of physician-patient relationship
Relationship between physician and patient is based on trust
and respect to each other. The physician will give his full
effort to cure the patient without any delay with empathy by
taking consent.
Similarly the patient will have to follow the instruction as
given by the doctor.
Therapeutic relationship
Formal relationship
THERAPEUTIC
RELATIONSHIP
A doctor is free to accept or refuse to treat a patient
subject to constraint of his professional obligations
When/where a doctor may refuse to treat a patient:
Types:
Implied consent
Express consent
a)Oral
b) Written
Implied Consent :
Oral consent:
This consent is valid in case of relatively minor
examinations/therapeutic procedures with the
presence of a disinterested third party.
Oral consent, where properly witnessed, is as valid as
written consent
Written consent :
Alternative procedure
And finally knowing all the facts the patient has the
Doctrine of emergency
Example:
A school teacher/Headmaster/Hostel Super
can give consent for operation if needed
While the child is away from parents
Consent and age
12 years: Minimum age for giving valid
consent for medical examination
18 years: can give valid consent for
By a patient/patient’s relative
When a patient or in the event of his death, his
relatives, sue a doctor in a civil court for
compensation for the injury or death of the
patient due to negligence of the doctor
By a doctor
িচিকৎসেকর অবেহলায় সাংবািদক মৃত র িতবােদ সমােবশ বৃহ িতবার, ১৮ অে াবর২০১২, The Janaknatha
Dr Palash Bose
িচিকৎসেকর অবেহলায় িশ মৃত র অিভেযাগ
বার, ১৯ অে াবর ২০১২ Daily Shokaler Khobor
অিভেযাগ:
িশ কন া সুমাইয়া (৫) পািনেত ডেব যায়। হাসপাতােল ডা ার না থাকায় িবনা
িচিকত্ সায় ওই িশ র মৃত হয়।
অিভযু ডা ার বেলন:
অিভযু ডা ার বেলন, আিম দুপেু রর খাবার খেত বাইের িগেয়িছলাম। এ সময় সহকারী
িচিকত্ সা কমকতা র হাসপাতােল দািয় পালন করার কথা িছল। িক িতিন না আসায় এ
ঘটনা ঘেটেছ।
Dr Palash Bose
Professional Secrecy
It is an implied term of contract between a
doctor & a patient where the doctor is obliged to
keep secrets all that he comes to know
concerning the patient in course of his
professional works and disclosure of which will
be failure of trust & confidence.
Medicolegal importance
The patient can sue the doctor for damages if
disclosure is voluntary
has resulted in harm &
of no public interest.
EXAMPLES:
SELF INTEREST:
When patient brings civil or criminal action against
doctor,evidence about the pts condition may be given
without any hesitation
SERVANTS & EMPLOYEES:
An engine driver or a bus driver or ship’s
officer suffering from epilepsy, drug addiction
or colour blindness should be persuaded to
leave the job, if he denies disclosure should be
done
COURTS OF LAW: