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Old 07-17-2010
Addunga88's Avatar
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Unhappy Patient's Confentiality!

I am doing USMLEWorld and there's a question in which the boss of a patient is asking you on the telephone about the patient who's still in the hospital.

The correct answer they said is that you should take written consent from the patient to release the information even though the patient did tell you verbally it's OK.

While Conrad Fischer in his ethics book, he said that it's OK to take verbal consent and written consent is not mandatory.

There's was another option in that question which I ticked and then they said it's wrong, that option said that verbal consent is enough!

Can anybody help me

These ethics and legal questions are killing me and I never seem to answer them at all
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Old 07-17-2010
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Arrow Written is always preferred

A written consent is preferable over verbal consent.

When it's not possible for you to take a written consent (such as the patient is on the phone) then it might be enough to take his verbal consent provided that you have a witness (such as a nurse listening to the telephone conversation).

In that UW question, the patient is not on the phone, it's his boss. Therefore, you can tell the boss to call later after you ask the patient to sign a written consent.
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Addunga88 (07-17-2010), aungnaingmyo (07-22-2010), prachu85_v (07-20-2010)
Old 07-24-2010
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Yep, always written unless it is clear it may be verbal, also a Husband or wife or child cannot give permission for a person, it must always come from that person unless it is stated it cannot.

If you have not read HIPPA laws for the US, you must, I have had extensive HIPPA training and the boards are now reflecting it in questions. HIPPA is not in the Kaplan materials, yet..........
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