code of medical ethics

8/10/2019 Code of Medical Ethics

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CODE OF MEDICAL ETHICS

DR. PRIYANKA DEVGUN

ASSOCIATE PROFESSOR,DEPARTMENT OF COMMUNITY MEDICINE.


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INDIAN MEDICAL COUNCIL(PROFESSIONALCONDUCT,ETIQUETTE AND ETHICS) REGULATIONS

2002

AMENDMENT IN 2003

NOTIFICATION ON 26.05.2004


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PROFESSIONAL CONDUCT

A charter of conventional principles andexpectations that are considered binding to anypersonnel who is a member of the medicalfraternity.


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MEDICAL ETHICS

The branch of ethics that examines the questionsof moral right and wrong in the context ofpractice of medicine.

Highly individualistic. Compassionate andhumane decisions have to be taken taking intoconsideration each situations merit while

honoring laws of the land.


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MEDICAL ETIQUETTE

Befitting

bedside manner- attentive

language- comprehensible in soft tone

Grooming- tasteful in keeping with local customs

Demeanor - courteous and empathic

Dealing with the colleagues.


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NEED FOR ADHERENCE TO CODE OF MEDICALETHICS

Modern day practice in medicine has becomedefensive and full of uncertainties.

Mutual faith has been replaced by mutualsuspicion.


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T S

I PP I

S T


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DECLARATION

1. I solemnly pledge to consecrate my life to the service of humanity.

2. even under threat, I shallnot use my knowledge contrary to the laws ofhumanity.

3. I will maintain the utmost respect for human life from the time ofconception.

4. I will not permit the considerations of religion, nationality, race, party,

politics or social standing to intervene between my duty and mypatient.

5. I will practise with conscience and dignity.

6. The health of my patient will be my first consideration.

7. I will respect the secrets confided in me.

8. I will give my teachers the respect and gratitude which is their due.

9. I will maintain, by all means in my power, the honour and nobletraditions of medical profession.

10. I will treat my colleagues with respect and dignity.

11. I shall abide by the code of medical ethics as enunciated in the IndianMedical Council (professional conduct, etiquette and ethics) regulations.


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(1)DUTIES AND RESPONSIBILITIES OF THE

PHYSICIAN IN GENERAL

CHARACTER OF THE PHYSICIAN

Upright bearing

Instructed in the art of healing

Diligent in caring for the sick.

Modest, sober and patient. Prompt in discharging his duties without anxiety.

Conduct himself with propriety.


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MAINTAINING GOOD MEDICAL PRACTICE

The manner of practice should be such that thedignity of both those serving and those beingserved is maintained.

Evidence based medicine should be the basis ofpractice.

Pursuit for excellence in the chosen field shouldbe a priority of every physician.

The physician should always strive to be worthyof the faith reposed in him.


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MEMBERSHIP OF MEDICAL SOCIETY

Every physician should affiliate himself with

associations and societies of allopathic medicineand involve himself actively in their activities.

Participate in CMEs for at least 30 hours in 5years or as guided by the state medical council.


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MAINTAINANCE OF MEDICAL RECORDS

Ensure good quality recordkeeping whilemaintaining confidentiality.

Should be made available on competent requestwithin 72 hours while also documenting therequest.

Duration of record keeping Outdoor registers 2 years

Indoor records 3 years

Medico legal records 30 years.


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REASONS FOR POOR RECORDKEEPING

Considered costly and time consuming

Restaurant type medical services

Doctor shopping patient

GOOD RECRDKEEPING IS REFLECTIVE OFQUALITY CARE AND AVOIDS PURPOSELESS

LITIGATION


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Maintain a separate register for certificates issuedwith full details and the identification of those towhom the certificates are issued.

Language used in the records should be crisp and

unambiguous.


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A FEW ACTUAL GEMS OF RECORD KEEPING.

Discharge status- alive but without mypermission (LAMA)

The pupils are non reacting and fixed. Probablediagnosis is death.

The patient has been depressed since she beganseeing me in 1993.

The surgery was an unqualified success.However, the patient did not regainconsciousness.

The patient refused autopsy.


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DISPLAY OF THE REGISTRATION NUMBER.

Should be on broad display on all prescriptionslips, certificates issued, money receipts apartfrom in his consultation chambers.

Only those degrees, diplomas, memberships,honors should be suffixed which conferprofessional knowledge or exemplaryachievements.


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USE OF GENERIC NAMES OF DRUGS.

The prescription should be rationale and with

generic names of the drugs.


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HIGHEST QUALITY ASSURANCE IN PATIENT CARE

Should not employ or seek employment under

personnel unauthorized to practice allopathicmedicine.

Should bring to light incompetent, corrupt,dishonest, unethical conduct on the part ofmembers of the profession.


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(2)DUTIES OF PHYSICIANS TO THEIR PATIENTS.

Rights of the patients

Right to safety

Right to be informed

Right to choose

Right to be heard

Right to seek redressal


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Privileged information should be keptconfidential.

Utmost patience, delicacy and secrecy should be

observed in consultation and examination of thepatient.

Having once undertaken a patient, the physicianshould not arbitrarily withdraw without givingnotice and stating reason for the same.


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Result of the consultation should be discussedwith the patient or his relatives humanely andcandidly.


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(4)DUTIES OF THE PHYSICIANS TO EACH OTHER.

The physician should consider it a pleasure andprivilege to serve his colleague or his immediatefamily.

If called for consultation by a colleague, there

should be no room for rivalry, jealousy or envy.(at least, it should not be publically aired.)

The called specialist should not solicit the samecase and should confine himself to doing what he

was called for. Any change in the treatment modality should be

made with the consent of the original physician.


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Temporary leave of absence should be taken onlyafter arranging for a suitable substitute for thepatients. Likewise, professional courtesydemands that no such request to substitute be

turned down. Fee splitting or charging extra for such a service

is deplorable.


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There are 3 kinds of physicians

One, who make wonders happen

Second, who see wonders happen

And

Third, who keep wondering what the hellhappened!

LETS STRIVE FOR THE FIRST, ENSURE THAT WEARE IN THE SECOND AND AVOID THE THIRD!


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