Doctor Accepting Gift from Patient - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 10-09-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 404
Threads: 108
Thanked 71 Times in 48 Posts
Reputation: 80
Medicolegal and Ethics Doctor Accepting Gift from Patient

hey guys!

I am doing USMLE World now and I got 2 questions about physician accepting gifts from patients...in one of the question they say that if the gift is not of high value it should be expected in order not to affect the doc - patient relationship negatively..
in the other question they say gifts should not be accepted....

what is the correct answer to these type of questions...??!!!it seems uworld has contradictory answers...!!!
Reply With Quote Quick reply to this message



  #2  
Old 10-09-2011
USMLE Forums Scout
 
Steps History: ---
Posts: 76
Threads: 9
Thanked 87 Times in 25 Posts
Reputation: 97
Default ....

If the patient offers the physician something small like cookies, that is acceptable, but money or any other big items (e.g., watch) is NOT acceptable.
Reply With Quote Quick reply to this message
  #3  
Old 10-09-2011
Hope2Pass's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,684
Threads: 213
Thanked 1,590 Times in 660 Posts
Reputation: 1600
Default

If the Gift is not causing any financial trouble to the patient or is of reasonable value then it is acceptable. Normally, cash or gifts to gain secondary gain or preferential treatment is not to be accepted.
Reply With Quote Quick reply to this message
  #4  
Old 10-09-2011
USMLE Forums Guru
 
Steps History: Step 1 Only
Posts: 342
Threads: 50
Thanked 197 Times in 103 Posts
Reputation: 207
Default

If the gift is of less than 100$ value you can accept it. . .if more than that you can politely refuse it. . .according to Cornard Fischer 100 cases of ethics. . .
how to apply this rule on question,i don't know/ . . .but i hope it may help you. . .
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (10-11-2011)
  #5  
Old 10-09-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 404
Threads: 108
Thanked 71 Times in 48 Posts
Reputation: 80
Default

Quote:
Originally Posted by Hope2Pass View Post
If the Gift is not causing any financial trouble to the patient or is of reasonable value then it is acceptable. Normally, cash or gifts to gain secondary gain or preferential treatment is not to be accepted.

all this so that it does not negativly affect doc-patient relationship..................... exactly!..... in the first question this was the explanation they gave..but in the last question i did, the patient gifted a game ticket that he got free and gets it free every game as he works there,(that implies its not causin him any financial trouble)they explained that we should not accept any gifts!(now what about doc-patient relationship?)


except a COOKIE....now that is hilarious!

and how do we know if its worth 10$ or not??...as AMA has guidelines that roughly 10$ should be the cutoff!
Reply With Quote Quick reply to this message
  #6  
Old 10-09-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 404
Threads: 108
Thanked 71 Times in 48 Posts
Reputation: 80
Default

Quote:
Originally Posted by zohaib View Post
If the gift is of less than 100$ value you can accept it. . .if more than that you can politely refuse it. . .according to Cornard Fischer 100 cases of ethics. . .
how to apply this rule on question,i don't know/ . . .but i hope it may help you. . .

exactly.... and how do we make that price assumption if its not given in the question????(which was not)

its not guess the price game show!
Reply With Quote Quick reply to this message
  #7  
Old 10-09-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 404
Threads: 108
Thanked 71 Times in 48 Posts
Reputation: 80
Default

Quote:
Originally Posted by rahul View Post
If the patient offers the physician something small like cookies, that is acceptable, but money or any other big items (e.g., watch) is NOT acceptable.


there!..hahahha... in one of the questions the doc accepts the watch!
Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (10-09-2011)
  #8  
Old 10-09-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 70
Threads: 5
Thanked 13 Times in 10 Posts
Reputation: 23
Default

Quote:
Originally Posted by heman466s View Post
there!..hahahha... in one of the questions the doc accepts the watch!

Smart doc!
Reply With Quote Quick reply to this message
The above post was thanked by:
aknz (10-09-2011), heman466s (10-09-2011)
  #9  
Old 10-09-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 404
Threads: 108
Thanked 71 Times in 48 Posts
Reputation: 80
Default

does no have any explanation to this??
Reply With Quote Quick reply to this message
  #10  
Old 10-09-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 71
Threads: 18
Thanked 14 Times in 14 Posts
Reputation: 24
Default

Hey Heman...i did'nt do U World till now but what i got from Kaplan BS video is dat a doc can't accept any kind of gift from the patient...
Reply With Quote Quick reply to this message
  #11  
Old 10-09-2011
USMLE Forums Newbie
 
Steps History: 1 + CK
Posts: 8
Threads: 2
Thanked 1 Time in 1 Post
Reputation: 11
Default Screw Ethics Q

This is the first time, Im gonna voice my opinion here. And I say, Ethics questions should be ELIMINATED fr USMLE exams!!!!! I mean, cmon, these are questions, that honestly, really dont have an exact answer! You can ask any clinician in the whole country, and I bet you, you will have varied answers! So it would be very unfair for one to miss on 2 or 3 questions, just because he doesn't have the exact same opinion as the one who made the question. Coz that is all there is, a highly opinionated answer! It could be the difference of getting a score of 74 instead of 76. I know those scores are subject to discussions, but say a 78 instread of 80? Isn't that a significant difference? So if it was me, I would eliminate those "debatable" ethics Q! Now who's with me? Petition USMLE?????
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (10-11-2011)
  #12  
Old 10-09-2011
USMLE Forums Scout
 
Steps History: Not yet
Posts: 70
Threads: 5
Thanked 13 Times in 10 Posts
Reputation: 23
Default

Quote:
Originally Posted by Oldtimes13 View Post
This is the first time, Im gonna voice my opinion here. And I say, Ethics questions should be ELIMINATED fr USMLE exams!!!!! I mean, cmon, these are questions, that honestly, really dont have an exact answer! You can ask any clinician in the whole country, and I bet you, you will have varied answers! So it would be very unfair for one to miss on 2 or 3 questions, just because he doesn't have the exact same opinion as the one who made the question. Coz that is all there is, a highly opinionated answer! It could be the difference of getting a score of 74 instead of 76. I know those scores are subject to discussions, but say a 78 instread of 80? Isn't that a significant difference? So if it was me, I would eliminate those "debatable" ethics Q! Now who's with me? Petition USMLE?????

I am with you. But it seems they expect we say I CAN'T ACCEPT A GIFT FROM A PATIENT. Look at the CS test. They expect many things that hardly ever happen.
Reply With Quote Quick reply to this message
  #13  
Old 10-10-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 404
Threads: 108
Thanked 71 Times in 48 Posts
Reputation: 80
Default

Quote:
Originally Posted by Oldtimes13 View Post
This is the first time, Im gonna voice my opinion here. And I say, Ethics questions should be ELIMINATED fr USMLE exams!!!!! I mean, cmon, these are questions, that honestly, really dont have an exact answer! You can ask any clinician in the whole country, and I bet you, you will have varied answers! So it would be very unfair for one to miss on 2 or 3 questions, just because he doesn't have the exact same opinion as the one who made the question. Coz that is all there is, a highly opinionated answer! It could be the difference of getting a score of 74 instead of 76. I know those scores are subject to discussions, but say a 78 instread of 80? Isn't that a significant difference? So if it was me, I would eliminate those "debatable" ethics Q! Now who's with me? Petition USMLE?????


thats a noble thought oldtimes!...but i got my exam in 7 weeks now...petitioning usmle will really not answer my question!
Reply With Quote Quick reply to this message
The above post was thanked by:
abeer (10-11-2011)
  #14  
Old 10-20-2011
USMLE Forums Guru
 
Steps History: Not yet
Posts: 404
Threads: 108
Thanked 71 Times in 48 Posts
Reputation: 80
Default

Ok. The updated uworld says that this question was outdated and docs cannot accept gifts from patients..!!!

Good that i happen to see the updated question and its answer by chance ...how can we check all the questions have been updated in uworld!!??any clue anybody??
Reply With Quote Quick reply to this message
  #15  
Old 12-06-2011
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 90
Threads: 2
Thanked 68 Times in 30 Posts
Reputation: 78
Default

From UWorld which I took last month:

There are varying opinions about the ethics of receiving gifts from patients, but the consensus and
professional standard is that it is unethical to accept individual gifts from patients, particularly those of
significant value. Many companies/hospitals implement a "no gift rule" to keep things simple. Other
companies implement a dollar amount rule (i.e., all gifts must be valued at $10 or less). While the American
Medical Association (AMA) does not offer a clear-cut answer, they do recommend that careful consideration
be made because accepting or rejecting a gift from a patient can have a positive or negative impact on the
patient-doctor relationship. For example, in some cultures it is customary to express gratitude by giving a
gift. Therefore. denying the patient the right to express such gratitude would be insulting and could harm the
patient-doctor relationship. Some general recommendations given by the AMA include the following:
• Cash gifts (including gift certificates) should never be accepted.
• A gift should never influence treatment or provide the patient with superior treatment or even the
notion that they will be treated any different from other patients.
• No specific dollar value is given by the AMA. However, a general rule is that the gift should not be
above the patient's or the physician's financial means and should not be excessive.
• A psychiatrist must be especially careful even when accepting small gifts (i.e .. holiday cookies. etc.)
from a patient. The patient's motivation and underlying psychological needs must always be carefully
evaluated.
• It is important to maintain consistency among all patients. Otherwise. it may appear that a patient is
being treated preferentially. For example, if the office has a •no gifts" policy, then no gifts should be
accepted from any patient, regardless of the value.
• If the physician would be embarrassed or uncomfortable if his colleagues found out about the gift that
was accepted, he/she should not take the gift.
Reply With Quote Quick reply to this message






Reply

Tags
MedicoLegal-Ethics

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Ethics; Romantic Doctor-Patient Relationship sona USMLE Step 1 Forum 31 11-27-2015 11:38 PM
Accepting a $10,000 gift from a patient! prion.pk USMLE Step 1 Forum 5 02-27-2011 11:16 AM
States accepting IMG applicants hibiscusnur USMLE Step 3 Forum 1 01-24-2011 04:21 PM
Fa 2010 your gift for working hard MDCRUZ USMLE Step 1 Forum 1 05-24-2010 03:06 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)