Doctor-Patient Relationship Flashcards
Lection v. Dyll
Facts:
-ER DR. SYED CONSULTS OVER PHONE W/ DR. DYLL
-factual dispute- DID LECTION LEAVE HOSPITAL DURING OR
AFTER PHONE CONFERENCE
-Dyll first argues that Lection left the hospital before he spoke to the emergency physician.
-However, Lection likely did not leave until after the emergency physician spoke with Dyll via telephone and told Lection to go home
Issue:
WAS THERE DR-PATIENT RELATIONSHIP B/W DYLL & LECTION?
Holding:
-On-call physicians may create physician-patient relationships through their contractual obligations or by taking affirmative acts to evaluate and treat their patients.
-Physician not required to deal directly with/make physical contact with patient to form a physician-patient relationship (implied contract)
-On-call physician assumes a duty to a patient if the physician takes some affirmative act to treat the patient’s conditions. On-call physicians may provide medical services via telephone by evaluating a patient’s information and making medical decisions
Dr. Has 15-minute telemedicine appt w/ patient and instructs her to visit office for thorough exam. Has doctor/patient relationship been formed?
Yes
RICKS V. BUDGE (1937)
Rule:
A physician may terminate a relationship with a patient only when:
(1) the medical condition giving rise to the relationship ends;
(2) upon discharge of the physician by the patient; or
(3) by the physician giving sufficient notice to the patient that he is withdrawing from the case and allowing the patient sufficient time to secure other medical treatment.
Facts:
-DR. IN HOSPITAL REFUSES TO TREAT PATIENT UNTIL HE PAYS $$ OWED
-CT: PHYSICIAN-PATIENT RELATIONSHIP
EXISTED B/W R & B
Issue:
Holding:
-DR. CAN WITHDRAW F/ CARE BUT 1ST MUST GIVE PATIENT ENOUGH NOTICE TO FIND ALTERNATIVE CARE.
A physician may terminate a relationship with a patient only when:
(1) the medical condition giving rise to the relationship ends;
(2) upon discharge of the physician by the patient; or
(3) by the physician giving sufficient notice to the patient that he is withdrawing from the case and allowing the patient sufficient time to secure other medical treatment.
Do doctors have to accept every patient that seeks their care?
Nope
ESQUIVEL V. WATERS
Facts:
-P sought to determine gender of baby by going to a medical center and being examined by a technician
-P signed waiver/consent form which stated the sole purpose of the exam was to determine gender of baby
-Technician found medical abnormality during sonogram, sent images to radiologist
-Radiologist refused to examine the images since the sole purpose of exam was to determine gender of baby
-Technician did not inform P of medical abnormality
-Baby died
Issue:
WAS THERE A PATIENT-HEALTHCARE PROVIDER
RELATIONSHIP BETWEEN MICHELLE ESQUIVEL & SCKRMC?
Holding:
-NO, TREATMENT IS “MEDICAL APPLICATION OF REMEDIES TO EFFECT A CURE”.
-The facility did not offer to advise or treat Michelle for any medical condition.
FIDUCIARY RELATIONSHIP
-ONE PERSON HOLDS A LEGAL OR
ETHICAL RELATIONSHIP OF TRUST WITH ANOTHER PARTY OR PARTIES
-PHYSICIAN IS COMMITTED TO REMAINING MEDICALLY
COMPETENT, ACTS PRIMARILY TO PROTECT & PROMOTE INTERESTS OF PATIENT & KEEPS SELF-INTEREST SECONDARY
Fiduciary-physician has all of the following duties:
- ~Provide~ care consistent with standard of care
- Obtain ~informed consent~ to treatment
- Maintain confidentiality
- Not abandon the patient
P
I
M
N
Poopers
Involuntarily
Might
Nut