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  #1  
Old 02-17-2012
tyagee's Avatar
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Medicolegal and Ethics ethics...conflict of interests..interesting!

After years of hard work, a cardiologist and re-
searcher creates a new, more fl exible coronary
artery stent that is easier to manipulate during
cardiac catheterization. The initial response to
this invention is so positive that he decides to
take a business partner. He begins a small com-
pany that manufactures and sells these stents.
The physician knows that the interventional
cardiologists at hospital A purchase and use his
stents, while those at the hospital downtown,
Hospital B, do not use his stents. He also knows
that outcomes at the two hospitals are similar,
although no data have yet emerged about
which stent is better. What is the most appro-
priate way for this physician to approach car-
diac catheterization for his private patients?
(A) He may refer patients to either hospital
and does not need to disclose his eco-
nomic interests in hospital A; the patients
can ultimately decide to which hospital
they want to go
(B) He may refer patients to either hospital but
must inform them of his economic inter-
ests in hospital A
(C) He should refer patients only to hospital A
so they may benefi t from his superior tech-
nology
(D) He should refer patients only to hospital B
so as not to take advantage of patients for
his own economic benefi t
(E) The physician should not be involved in
commercial interests as long as he is in-
volved in patient care in the same medical
fi eld
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  #2  
Old 02-17-2012
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B)..............????????
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  #3  
Old 02-17-2012
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My guess is e
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  #4  
Old 02-17-2012
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(B) He may refer patients to either hospital but
must inform them of his economic inter-
ests in hospital. For sure.
i guess there is something like this question somewhere in UW.
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  #5  
Old 02-17-2012
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ya its B.

you need to tell everything to the patient even your financial interests.
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Old 02-17-2012
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@ sam and gargabhi
may i know why you guys chose B ?
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  #7  
Old 02-17-2012
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Is the answer B?
Patients should be informed of his financial interests and yet give them choice. But this may be intimidating for the patient.....
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Old 02-17-2012
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@ tyagee,
i had the same question concept while i was solving either kaplan bank or UW i really don't remember which one was it.. but the question was like you are a doctor and you own some stocks at a pharmaceutical company and they did produce a new meds that seems to be working good, so the question was, can you prescribe it to your patients ?
the answer is yes you can, but only after you tell them that you own stocks at that company.
so the same situation here with your question. in both cases it sounds logical to me.
Best Regards,
Sam
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Old 02-17-2012
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i havent read this anywhere till now... i saw a presentation by an american physician in which he began his ppt by disclosing his financial
interests in a pharmaceutical company..... so i guess the same applies while prescribing anything to the patient too.....
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