medical jurisprudence/medical ethics david eckstein goldman, jd, do, fclm...
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Medical Jurisprudence/Medical Ethics
David Eckstein Goldman, JD, DO, FCLMPhysician/Psychiatrist/Attorney At Law
Diplomate, American College of Forensic MedicineDiplomate, American College of Forensic Examiners
Fellow, American College of Legal MedicineAssistant Professor ATSU/Kirksville College of
Osteopathic MedicineAssistant Clinical Professor, SIU School of Medicine
Medical Director, The Goldman Group, LLC
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #1 Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Introduction to The American Legal and Judicial System
American Legal/Judicial System Informed Consent Bioethics Malingering Burden of Proof Malpractice Competency & Capacity Medical Records Courtroom Testimony Privacy & Confidentiality HIPAA Risk Management
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #2 Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Review American JurisprudenceAdversarial System (Friendly): DiscoveryJudicial SystemCivil ProceedingsCriminal ProceedingsIncarceration: Jail/PrisonForms of Discovery: A– DepositionsB- Written InterrogatoriesCourtroom Testimony
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #3 Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Bioethics Autonomy Beneficence Non-maleficence JusticeAdvance Directives Living Wills Durable Powers of AttorneyMedical Malpractice: the four D’s Duty Dereliction of Duty Direct Causation Damages
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #4 Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Malpractice/Negligence: the four D’s *Establishing the patient/physician relationshipDetrimental relianceInformed ConsentDue Care/Standard of careScope of ExpertiseError: Omission versus Commission Error in Fact Error in JudgmentReview of Medical Records Concept of TortGratuitous CareEthical Breach
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #5 Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Medical Malpractice Insurance Occurrence Policy Claims made Policy Reporting endorsementOff-Label prescribing and treating
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #6 Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Reporting Abuse“YNT letters” (“You Need To”)/Letters to PatientsPrivilege of ConfidentialityWaiver of ConfidentialityPatient Access to ChartsObtaining Informed ConsentPatient/Physician Relationship: rapportLearned IntermediaryRes Ipsa Loquitor
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #7 Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Disengaging from a patientNon-Negligent Medical Malpractice Tort Actions:•abandonment of your patient•battery•breach of confidentiality•breach of contract (or warranty to cure)•defamation•failure to obtain informed consent•failure to report•failure to warn and control•false imprisonment•negligent referrals•strict liability for drugs and medical devices•vicarious liabilityFailure to WarnFalse ImprisonmentNegligent ReferralsStrict liabilityVicarious liability
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #8 Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Vicarious liabilityInformed Consent: Landmark Cases Natanson v Klein Canterbury v Spence Truman v Thomas Cruzan v Missouri, Dept of HealthFour exceptions to need for material disclosureThe Medical Chart: Ownership Documentation Access
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #9 Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
QUESTIONS & ANSWERS
©Copyright 2012 David Eckstein Goldman All Rights Reserved