Page 31 Flashcards
What is the physician rule for informed consent?
Liability is based on the doctor’s nondisclosure of the risk, so the plaintiff must show that the customary practice of doctors in good standing in that community is to disclose the risk
The standard of care for the physician rule is set by what and proved by what?
Set by custom and proved by expert testimony
If there is a 5% risk of loss of hearing that the doctor doesn’t tell a patient about, what does the patient have to prove under the physician rule for informed consent?
That the professional custom would be to divulge that risk
What is the patient rule under informed consent?
Doctors must disclose all material risks involved in a procedure/treatment and divulge anything that a reasonable patient would want to know in making the decision to have a procedure
How do you determine materiality for the patient rule for informed consent?
Look at the gravity and probability of potential harm
What is an example of a material risk under the patient rule?
Any real risk of death
What is an example of a risk that is not material under the patient rule?
Risk of infection
For informed consent, a doctor must divulge what?
- risks of the treatment
- available alternatives and their risks
- risks of not having the medical procedure
If you choose not to have a pap smear, because the doctor didn’t tell you about the risks of not having it, what do you have to prove for an informed consent breach?
That you would’ve had the procedure if you had known the risks of not having it
Can you claim negligence if a doctor doesn’t refer you to a specialist?
Yes, so long as you can prove a referral was required and it would’ve led to a reasonably better outcome or improved patient chance
Can laypeople determine what is material for an informed consent situation?
Yes generally
What do you have to discuss for an informed consent breach on an essay?
- that the doctor didn’t disclose a material risk
- that if you had been informed, you wouldn’t have had the procedure
- a reasonable person in your situation also wouldn’t have had it
- adverse consequences occurred
What are exceptions to informed consent breach?
- emergency
- therapeutic privilege
- lack of experience
How is emergency an exception to informed consent breach?
Can justify the nondisclosure, especially if the treatment was required to protect the plaintiff’s health, it was impossible to get consent, and the doctor had no reason to believe the plaintiff wouldn’t consent
How can therapeutic privilege be an exception to an informed consent breach?
If the doctor thinks that disclosure would be detrimental to the plaintiff’s well-being, he doesn’t have to disclose it
How can lack of experience be an exception to informed consent breach?
An inexperienced doctor doesn’t have to tell the patient that he has never performed the procedure before
When would expert testimony not be required in a medical malpractice situation?
If the doctor’s conduct is so egregious and obvious that a layperson can identify the breach of duty
If respectable medical opinions differ about the best technique to use, what must the doctor do?
He can follow either view