Medical Jurisprudence/Medical Ethics David Eckstein Goldman, JD, DO, FCLM Physician/Psychiatrist/Attorney At Law Diplomate, American College of Forensic.

Medical Jurisprudence/Medical Ethics

David Eckstein Goldman, JD, DO, FCLMPhysician/Psychiatrist/Attorney At Law

Diplomate, American College of Forensic MedicineDiplomate, American College of Forensic Examiners

Fellow, American College of Legal MedicineAssistant Professor ATSU/Kirksville College of

Osteopathic MedicineAssistant Clinical Professor, SIU School of Medicine

Medical Director, The Goldman Group, LLC

©Copyright 2012 David Eckstein Goldman All Rights Reserved

Lecture Presentation #1 Medical Jurisprudence/Medical Ethics

Presented by David Eckstein Goldman, JD, DO, FCLM

Introduction to The American Legal and Judicial System

American Legal/Judicial System Informed Consent Bioethics Malingering Burden of Proof Malpractice Competency & Capacity Medical Records Courtroom Testimony Privacy & Confidentiality HIPAA Risk Management




Review American JurisprudenceAdversarial System (Friendly): DiscoveryJudicial SystemCivil ProceedingsCriminal ProceedingsIncarceration: Jail/PrisonForms of Discovery: A– DepositionsB- Written InterrogatoriesCourtroom Testimony




Bioethics Autonomy Beneficence Non-maleficence JusticeAdvance Directives Living Wills Durable Powers of AttorneyMedical Malpractice: the four D’s Duty Dereliction of Duty Direct Causation Damages




Malpractice/Negligence: the four D’s *Establishing the patient/physician relationshipDetrimental relianceInformed ConsentDue Care/Standard of careScope of ExpertiseError: Omission versus Commission Error in Fact Error in JudgmentReview of Medical Records Concept of TortGratuitous CareEthical Breach




Medical Malpractice Insurance Occurrence Policy Claims made Policy Reporting endorsementOff-Label prescribing and treating




Reporting Abuse“YNT letters” (“You Need To”)/Letters to PatientsPrivilege of ConfidentialityWaiver of ConfidentialityPatient Access to ChartsObtaining Informed ConsentPatient/Physician Relationship: rapportLearned IntermediaryRes Ipsa Loquitor




Disengaging from a patientNon-Negligent Medical Malpractice Tort Actions:•abandonment of your patient•battery•breach of confidentiality•breach of contract (or warranty to cure)•defamation•failure to obtain informed consent•failure to report•failure to warn and control•false imprisonment•negligent referrals•strict liability for drugs and medical devices•vicarious liabilityFailure to WarnFalse ImprisonmentNegligent ReferralsStrict liabilityVicarious liability




Vicarious liabilityInformed Consent: Landmark Cases Natanson v Klein Canterbury v Spence Truman v Thomas Cruzan v Missouri, Dept of HealthFour exceptions to need for material disclosureThe Medical Chart: Ownership Documentation Access




QUESTIONS & ANSWERS


Medical Jurisprudence/Medical Ethics David Eckstein Goldman, JD, DO, FCLM Physician/Psychiatrist/Attorney At Law Diplomate, American College of Forensic.

Documents

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