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Old 05-01-2013
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Medicolegal and Ethics Verbal versus Written Consent

Q) you have a pt. with certain illness and he's off from his job due to illness...one day the pt along with his employer comes to your office and pt. agrees to discuss his illness with his employer....what is the most appropriate statement to this request..?

A) agree with the pt. wishes and discuss his illness with his boss.
B) refuse to reveal the information with his boss.
c) refuse to reveal information unless pt. signs a legal consent document.


i dont know the answer .....it's the doubt i got and i wanted to confirm from you guys..

thanks
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Old 05-01-2013
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option a.. makes sense. the patient has verbally consented, and that holds.
doesnt it?

unless theres an option d- reveal the necessary details, but not whatever you may be in doubt about.,

and option e - establish with your patient beforehand, about what details can be divulged to a 3rd person..and what not to. (eg-family member, cousin, colleague..employer)
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Old 05-01-2013
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i think i would also go with option a
if the patient and the boss is in phone call and the patient agrees to tell his condition in the phone what will you do....
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Old 05-01-2013
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Default C

This is a question from UWorld. The answer is C as per HIPAA guidelines. Verbal consent isn't good enough.
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thank you all for your valid answers....
@shingami--i think your answer is correct.
@dr.rookie---i provided only 3 options coz due to the confusion i have in them..thanks(@rupesh as well)

ya this question was based on uworld question----->
but as pt. consented himself to reveal his illness , so i thought revealing is a good option...
but after 2nd reading came to know that verbal consent isn't enough to break the confidentiality ,documentation is also required.......

1 more doubt --- should the same statement goes with pt. wife and children too(when pt. verbally consented to reveal)..?


thanks
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Quote:
Originally Posted by venky2600 View Post
1 more doubt --- should the same statement goes with pt. wife and children too(when pt. verbally consented to reveal)..?
Yeah. It holds for all third parties in my opinion, unless their health is directly put at risk due to the patient's illness, wherein you wouldn't need the patient's consent anyway.
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Quote:
Originally Posted by shinigami View Post
Yeah. It holds for all third parties in my opinion, unless their health is directly put at risk due to the patient's illness, wherein you wouldn't need the patient's consent anyway.
thanks ..... but is this the way it works really..?

sorry for my silly question....... but in House M.D (TV show) ----i saw in one episode revealing to pt. family with his verbal consent itself(it follows like--->when pt. and his wife are in the room and doc comes to reveal his test results---then pt. tells "never matter she's my wife ,you can reveal to her" )
i know it's just a TV show...but just making sure....

thanks
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Quote:
Originally Posted by venky2600 View Post
thanks ..... but is this the way it works really..?

sorry for my silly question....... but in House M.D (TV show) ----i saw in one episode revealing to pt. family with his verbal consent itself(it follows like--->when pt. and his wife are in the room and doc comes to reveal his test results---then pt. tells "never matter she's my wife ,you can reveal to her" )
i know it's just a TV show...but just making sure....

thanks
Well, I based my answer on UWorld's explanation. I presume the family come under 'third party' since the patient and yourself are the first and second anyway..

I would be skeptical about learning how to manage ethical quandaries from House M.D, the same way as I would be skeptical about learning about vacuum deliveries from 3 Idiots and forming an opinion about a football player based on his stats on the addictive PC game Football Manager :P

However, with this reply I have opened the door to the proverbial egg on my face if I'm wrong.

Last edited by shinigami; 05-01-2013 at 05:09 AM. Reason: grammatical error
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Quote:
Originally Posted by shinigami View Post
Well, I based my answer on UWorld's explanation. I presume the family come under 'third party' since the patient and yourself are the first and second anyway..

I would be skeptical about learning how to manage ethical quandaries from House M.D, the same way as I would be skeptical about learning about vacuum deliveries from 3 Idiots and forming an opinion about a football player based on his stats on the addictive PC game Football Manager :P

However, with this reply I have opened the door to the proverbial egg on my face if I'm wrong.
haha.....no buddy....i think you're right, it's better to follow uworld for exam.
and yeah you were right regarding TV shows and movies ( i know we cant justify many ethical issues if we follow them too.)
i just wanna make sure as i dont have any experience in USCE,so thought someone who did it might know the facts
thanks for replying......goodluck

Last edited by venky2600; 05-01-2013 at 05:24 AM.
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Quote:
Originally Posted by venky2600 View Post
haha.....no buddy....i think you're right, it's better to follow uworld for exam.
and yeah you were right regarding TV shows and movies ( i know we cant justify many ethical issues if we follow them too.)
thanks for replying......goodluck
Always a pleasure. All the best to you as well.

PS - If anyone feels the explanation is incorrect, please provide supporting evidence with your answer. The egg on face is more tolerable when it comes backed by a journal article
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