Physician dating former patient
However, there is also the question of whether this type of power would be accentuated further in a fee-for-service situation, as exists in general practice in Australasia, as opposed to free public hospital treatment.) This differential is exacerbated further by any imbalances arising from the other three sources of power.Usually a patient also has less Aesculapian power even if well versed in medical knowledge (unless the patient is themselves a doctor, as in this case, or an unusual situation exists such as the parents in the film ‘Lorenzo's Oil').To explain why this is always the case, even with former patients, it is useful to consider the sources of medical power in light of a framework suggested by family practitioner and ethicist, Howard Brody. Simply by the sheer nature of taking on the role of patient, regardless of any other type of power, there is an unequal power differential between the doctor and patient.
This suggests that the overwhelming outcome for most, if not all, patients is negative. the specific impact of a particular boundary crossing can only be assessed by careful attention to clinical context”., the analysis has to examine other factors.This is recognized within professional codes, for example by the New Zealand Medical Council which states that “the ethical doctor– patient relationship depends upon the doctor creating an environment of mutual respect and trust in which the patient can have confidence and safety”. It is an underlying principle of the concept of boundaries and it has been argued that it is the doctor's breach of fiduciary trust, not the patient's consent, which is the central issue regarding sexual misconduct. After 6 weeks in hospital, on the day of his planned discharge, he was accidentally given another patient's medication.To create the necessary conditions of a safe, therapeutic haven for a patient, a strong fiduciary relationship has to be built. the personality characteristics of the physician independent of the disciplinary knowledge and skill that give rise to Aesculapian power”. Instead of receiving his azathioprine and corticosteroids, he was given a high dose of frusemide and captopril.Many boundaries exist in the doctor–patient relationship.
These include boundaries of role, time, place and space, money, gifts and services, clothing, language and physical contact.
Two years after the zero tolerance policy was adopted, the New Zealand Medical Council released a further policy statement in which it stated that whilst complaints regarding sexual relations with former patients will be considered individually, it will be presumed to be unethical if the “doctor–patient relationship involved psychotherapy, or long-term counselling and support; the patient suffered a disorder likely to impair judgement or hinder decision-making; the doctor knew that the patient had been sexually abused in the past; [or] the patient was under the age of 20 when the doctor–patient relationship ended”.