Medical Law & Ethics Mid Term
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| Define Ethics | Set of moral standards not laws
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| Define Bioethics | Moral issues that arise as a result of science & technology
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| Define Law | Rule enforced by a governing authority
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| Define professional courtesy / manners / etquette | Customs and courtesies shown to other profes-sionals, involves discounts or waiver of fee
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| Example of professional courtesy | Placing a Dr. on hold & getting your Dr. to the phone
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| Hippocrates wrote what | Oath of Hippocrates,
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| Nickname for Hippocrates | considered the 'Father of Medicine'
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| Who wrote the first official code of ethics for physicians | English physician Thomas Percival
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| Who wrote the Principles of Medical Ethics | American Medical Assication in 1847, it has four sections
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| What is the Principles of Medical Ethics about | Morels not laws / ethical guidelines for physicians
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| What does the ethical problem ethical distress mean | Course of action is indicated but something stops action. (wear gloves to handle blood)
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| Ethical problem - Ethical dilemma (Can be called caught between rock & hard place) | Two choices are acceptable/correct but doing one stops the other - something will be lost
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| What does the ethical problem Dilemmas of Justice mean | Choices about who receives benefits / Organ donation & distribution of scarce meds
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| What does ethical problem - Locus of Authority issues mean | Two authority figures have own ideas but only 1 will prevail/ 1 says surgery 1 Dr. no
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| What is step one of ethical decision making | Gather relevant information
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| What is step two of ethical decision making | Identify the type of ethical problem
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| What is step three of ethical decision making | Determine the ethics approach to use
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| What is step four of ethical decision making | Explore the practical alternatives
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| What is step five of ethical decision making | Completing the action
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| What is Euthanasia | Removing life support when there is no evidence of biologic life with the support
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| Who cannot make the decision to 'pull the plug' | The doctor
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| What kind of ethical problem is euthanasia | Ethical dilemmas
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| What does Durable Power of Attorney in Health care mean | Instructions of health care prior to becoming incapacitated
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| Who does Federal law require get Durable Power of Attorney information | Medicare / Medicaid patients
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| What must a Dr. follow about a Clinical Study & investigation | Due concern for welfare, safety, & comfort of the patient whether they do test or refer
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| What is AMA opinion of Clinical Study & investigation | They recognizes the value of Clinical trials & investigations
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| What does the participant get paid for a Clinical Study | Nothing - Voluntary; written consent required
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| What does interprofessional relationships mean | Dr. is free to choose who they want to treat / can refuse anyone
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| What is step one to drop an established patient | Letter of withdrawl
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| What is step two to drop an established patient | Physician considers patient's illness
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| What is step three to drop an established patient | Consides availability of another physician
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| What can happen if a doctor does not follow proper termination steps | He / she can be charged with abandoment
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| What is something a doctor should consider before refering a patient | Will that person receive competent treatment
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| What is 'News in the public domain' | Information considered public record
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| Who in the medical can release information considered public knowledge or record | Only the Physician
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| What are some examples of public domain | births, deaths, accidents and police cases
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| Examples of personal information included in 'Public Domain' | Name, address, age, sex, merital status, boss, job, next of kin, names of parents
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| Examples of other information considered 'Public Domain' | Nature of accident, Diagnosis, prognosis, Patient's general condition
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| What information is NOT considered 'Public Domain' | Test results, x-ray findings, lab, autopsy reports
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| What fees and charges are allowed | missed appointment if patient knows below and it is posted
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| What is another fee and charges that are allowed | Requiring payment at time of service
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| What fee is unethical | Charge for admitting patient to hospital
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| What is fee splitting | A doctor accepts payment from another doctor for referral of a patient/ lab/ drug co.
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| What is the main requirement of medical advertising | Must be factual information and not misleading
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| What is not allowed concerning advertising | Testimonials or statements regarding quality of care/ subjective considered misleading
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| What is Ghost surgery | Substitution of another physician without patient consent
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| Who owns a patients record | The physician or site where record is generated such as a hospital or clinic
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| Medical records are considered confidential | Must have permission to release info unless required by law
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| What is it called if a patients record is released without permission | breach of confidentiality or invasion of privacy
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| What are some examples of what must be reported to the State by law | Communicable diseases, animal bites, drug/child abuse, violent wounds, fugitive
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| What happens to a patients record if doctor dies, retires or moves | Patient must give consent for record to be transfered
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| If patient can not be reached for consent to transfer record what happens to record | Cannot be thrown away, must stored or destroyed
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| How long must records for patients covered by medicaid or medicare be kept | 5 years
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| What is the Scope of practice | Guidelines that designate the limits of your practice
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| What is part one of the AAMA Code of Ethics | Render service with full respect for the dignity of humanity
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| What is part two of the AAMA Code of ethics | respect confidential information
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| What is part three of the AAMA Code of Ethics | Uphold honor, high principles of the profession & accept its disciplines
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| What is part four of the AAMA Code of Ethics | Continue to improve the knowledge & skills of MA for benefit of pt & colleagues
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| What is part five of the AAMA Code of Ethics | Help with community activies aimed at health and well-being
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| What is part one of the AAMA creed | Believe in the principles & purposes of the profession of Medical assisting
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| What is part two of the AAMA creed | Endeavor to be more effective
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| What is part three of the AAMA creed | Aspire to render greater service
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| What is part four of the AAMA creed | Protect the confidence entrusted to me
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| What is part five of the AAMA creed | Dedicated to the care & well-being of all people
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| What is part six of the AAMA creed | Loyal to my employer
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| What is part seven of the AAMA creed | True to the ethics of my profession
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| What is part eight of the AAMA creed | Strengthened by compassion, courage & faith
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