Medical Jurisprudence Flashcards

1
Q

Laws not enforced by State

A

Moral - conscience
Laws of Nature
Divine Law
Cultural law

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2
Q

Laws enforced by State

A

Statutory laws - came from congress, legislative body

Substantial law - rights and obligations
Remedial law - Procedural law

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3
Q

Rights and obligations

Ex. Civil laws between individuals
Criminal laws - gives definition of crime and penalty

A

Substantial law

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4
Q

Talks about procedure in court on how we do litigation

Procedural Law
Adjective Law
Rules of court

A

Remedial Law

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5
Q

RA 2382

A

Medical Act of 1959

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6
Q

RA 7875

A

Philhealth Law

National Health Insurance Law

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7
Q

PD 169

A

Reporting of Physical Injuries, Mandatory

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8
Q

RA 1080

A

Civil Service Law

Passing the boards and bar equals first degree service elligibility

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9
Q

Board of Medicine (1973, PRC) previously referred to as

A

Board of Medical Examiners in 1959

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10
Q

Board or Medicine

A

1 Chairman
5 Members

6 Members

No cochairmain

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11
Q

BOM term of office

A

3 years without immediate reappointment

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12
Q

Powers of BOM

A

Investigate and decide cases
Issue subpoena
Hear and decide administrative cases
Issue contempt order

Reprimand
Suspend
Revoke COR
No authority to put doctor in prison and no authority to impose damage

Reinstate physician back to practice after 2 years

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13
Q

Subpoena

A

Duces tecum - go to court and bring document
Testificandum - testify
Duces tecum and testificandum - go to court, bring document and testify

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14
Q

Ordinary subpoena

A

Subpoena testificandum

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15
Q

Administrative liabilities

A

Inmorality

Dishonorable conduct

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16
Q

Two types of contempt

Discourteous act

A

Direct - near the court, shouting at court, creating noise outside the court “disturbing”

Indirect - far from the court, disregarding a subpoena

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17
Q

Justifiable non-attendance to subpoena

A

Sick/indispose

50km -> 100km residence away from court hearing

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18
Q

Board exam

A

Ave of 75
No grade less than 50

2 groups
Preliminary exam: Ana, Physio, Biochem, Micro

Final exam: all others

Two complete exams = includes both preliminary and final

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19
Q

Minimum requirement to take preliminary examination

A

At least second year college of medicine

At least 19 years old

20
Q

A member of board of medicine can prepare a maximum of

A

4 subjects

21
Q

Requirement to become BOM

A
Natutal born Filipino citizen
At least 10 years one decade of practice
Registered physician
No need to become specialist
Good moral character
22
Q

Practice of Medicine

A

Privilege
Right
License
Franchise

subject to police power of state

23
Q

Police power of state

A

Authority to regulate the practice

24
Q

Practice of Medicine

A

PE + Diagnose, Treat, Operate, Practice
Undertake DTOP
Falsely using title MD

Not included
Response to an emergency
Governed by own license (dentist, optometrist, prosthetics)
Household remedies

Illegal practice of medicine (not a ground to revoke a license) it is a crime
Fine: 1,000 - 10,000 and/or imprisonment of 1-5 years

25
Requirements to practice medicine
Age of 21 Passed the boards Certificate of Registration
26
Limited practice of medicine
Medicine without certificate of registration USAF medical person Foreign physicians for consultation only and specific patient or hospital Completed 4th year college of medicine, graduates of COM and registered nurses when national emergencies and national epidemics, no doctor around
27
Who should declare a state of national epidemic
Secretary of Health | Minister of Health
28
Rights of Physicians
Inherent | Incidental
29
Inherent rights of Physicians
Right to choose patient except in emergency however, if threat to a life of doctor, doctor’s safety first Right to limit practice Right to avail hospital services Right to determine management of procedure
30
Rights of Patients
Consent - informed, implied (from acts of parties), expressed (writing, oral) Religious belief - right to belief, absolute protected by constitution Acting on ones belief - subject to police power of state, control and regulation Privacy - right to unwanted publication except: child of tender age giving birth (12 years) is a matter of public interest, exception to right of privacy, order by the court (motion to inspect the hymen); does not survive the death of patient; no right of privacy to dead body; biopic no violation Disclosure - patient has the right to a full and frank disclosure of information; legible writing of physician; hypodermic needle inside patient not mentioned, sponge left inside exceptions: safe or publicly known to be safe, transfusion (need not disclose that he may suffer hepatitis because blood transfusion is publicly known to be safe procedure) If it will cause anxiety, patient with thyroid problem is physician justified not to disclose damage to recurrent laryngeal, YES in cases of thyroid operation Confidential information, privelege communication - if patient dies, confident information stays; only applicable to civil cases not criminal cases; information that will destroy or blacken reputation of patient (STD, psychiatric disorder) extends to intern, clerk, nurses, co-managed physicians except if nurses are not in their official capacity
31
Order of consent and charge
Patient Spouse Descendants (children of legal age, grandchildren) Ascendants (parents, grandparents) Brother, sister Special Parental Authority - guardian, teacher, professors, heads of orphanages, trade directors, children houses in behalf of minor Consent not necessary in case of emergency of minor If the emergency involved adult, get consent of adult Otherwise if you want to save patient, go to court
32
Crime committed if physician goes on without securing consent
Battery | Physical injury
33
Damage that can be secured if surgeon went on without consent from patient if there is no injury damaged to patient
Nominal damage
34
Civil liabilities of physician
Breach of contract - elements of valid contract: consent, object/subject, consideration Quasi delict - torts or medical negligence, malpractice
35
Administrative liability Revoke license of physician Filed before the BOM
Personal disqualification- revoke license of physician ex: gross immorality, dishonorable conduct (fee-splitting), insanity (court declared), gross negligence, addiction to habit forming drugs and alcoholism; simulated lab exam for syphilis so he can treat a patient, he left his family for another woman Criminal act - conviction of crime involving moral tupitude (abortion, physician acting as dummy of unqualified person - allowed chemist to remove tattoo) subject to both administrative and criminal case Unprofessional conduct - violation of code of ethics, advetisement extravagant, rumors derogatory against physician
36
Criminal acts
False medical certificate Abortion (must be fetal death, no crime if negative pregnancy and h mole) Failure to report cases of physical inury PD 169 Need to report: less serious and serious No need to report: slight physical injury How soon report: immediately to nearest PC; child and youth welfare code (maltreated child) required to report within 48 hours Sale of samples - what law is violated? Pharmacy Law not revised Penal Code Falsification of document - Penalty: Priccion correcional with fine of 5k Defamation - slander (verbal); libel (written)
37
Civil liability | Types of Damages
Actual - computed, loss of earning capacity, unable to earn income, death of person Actual damages for death of victim: 50,000 Need for support (napatay so support family for 5 years), need to hire for private assistant Moral damage - cannot be quantified, pain, reputation, sleepless nights, humiliation Exemplary damage - example Nominal damage
38
Doctrine of Vicarious Liability
Vicarious liability - one is held liable for act of another (hospital is liable for negligent act of employees) Captain of Ship - primary surgeon is liable for acts of team Ostensible agent - patho, radio, anesthesiologist Borrowed servant - surgeon is liable for servant he borrowed from hospital
39
Res Ipsa Loquitur
foreign body ``` Not included: mistake in diagnosis honest errors of judgement (wrong silk) bad result (facial paralysis) contributory negligence of patient ```
40
Doctrine of Continuing Negligence
You know there is foreign object left did not remedy Did not remedy cast applied Did not remedy falsely aligned bone Did not change medication
41
Doctrine of Foreseeability
Failure to admit psych patient about to kill | Admission of psych patient to a room not secured
42
Doctrine of last clear chance
If physician found out to have the last chance to avoid asphyxia from pseudomembrane, then he is held liable
43
Doderlein bacilli
Menstruation
44
Clostridium welchii | C perfringens
Putrefaction
45
Hospital
Liabilities: Make sure perimeter, building, equipment is safe Trespaser: not invited Licensee: no business but tolerated (med rep) Invitee: doctors, nurses, interns, volunteers (candy striper), blood donors, private nurses
46
How many days will result of board exam come out
10 days
47
RA 7719
Voluntary blood donation law