Medical Legality: Doctor & Patient Liability

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Discussion Overview

The discussion revolves around the legal and ethical implications of a doctor performing an unorthodox procedure on a patient, particularly focusing on the liability of the doctor and the validity of consent forms signed by the patient. It touches on aspects of medical negligence, informed consent, and the responsibilities of both doctors and patients within the legal framework.

Discussion Character

  • Debate/contested
  • Technical explanation
  • Conceptual clarification

Main Points Raised

  • Some participants question whether a doctor could still face legal repercussions or lose their license even if a procedure is legal and consent forms are signed by the patient.
  • Others suggest that legal protections for the doctor depend on whether the patient fully understands the risks involved and if the procedure is the best option available.
  • A participant emphasizes the importance of informed consent, noting that if the patient does not fully understand what they are signing or if the doctor fails to provide adequate information, this could impact the legality of the consent.
  • One participant outlines the criteria for proving medical negligence in the UK, highlighting the necessity to demonstrate a breach of duty and causation of harm, which complicates claims against consent to treatment.
  • There is a suggestion that winning claims related to consent is particularly challenging for competent patients who have signed documents acknowledging their understanding of the treatment risks.

Areas of Agreement / Disagreement

Participants express differing views on the legal implications of consent and the responsibilities of doctors, indicating that multiple competing perspectives remain unresolved regarding the extent of liability and the conditions under which consent is considered valid.

Contextual Notes

The discussion highlights limitations related to the definitions of informed consent and medical negligence, as well as the complexities involved in proving negligence in legal contexts. The nuances of patient understanding and the standard of care are also noted as critical factors that influence the discussion.

bioquest
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If a doctor does an unorthodox procedue on a patient but the patient and the doctor sign documents that basically say, the doctor is not legally responsible for any negative effects of the procedure, could the doctor still lose his license/get in trouble, if the procedure is legal?
 
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This might be something more suited to the medical sciences forum, but anyway there's probably some law out there that would prevent one from doing that.
 
I'm actually moving this into General Discussion, because the question is more about law and ethics than about medicine or biology.

If the procedure is legal, and the best option available to the patient, and the patient fully understands the risks that they are accepting in the document they sign, then the doctor is fairly well covered. If any of those don't hold up, then the outcome would likely depend on the lawsuit findings and those of the medical board. For example, if there is a much safer procedure that should be tried first, and is the usual standard of care, and the doctor doesn't tell the patient about that option before urging them into something risky, that's a problem. Or, if the patient doesn't fully understand what they are signing (it's not just "consent" but "informed consent" that is required), either because the doctor rushes them into it (often medical decisions need to be made quickly, and you don't have time to consult a lawyer before signing something to receive treatment...it's not quite the same as signing a loan agreement without taking time to think it over) or doesn't adequately answer their questions, or misleads them about what it says, or doesn't explain medical terminology the patient doesn't understand, then all of those things could raise questions about whether the consent given was "informed."
 
In order to win a claim of medical negligence against a doctor in the UK you need to...

1) Show that there was a duty of care between doc and patient
2) Show that this duty of care was breached
3) Show that this breach of duty caused harm

Therefore, if you had complications due to this operation you must prove that this was due to the surgeon's negligence... i.e. you must be able to prove that he did something wrong in the operation and that this error caused you to have complications that aren't listed in the complications for the operation (since your surgeon could argue that the error causes no harm as the complications were standard ones of the operation)...

btw moonbear what you are talking about consent to medical treatment - not medical negligence... trust me, it is almost impossible to win these claims against consent to medical treatment as you have signed documents claiming that you have consented to the treatment and understand all its risks... it is only an issue in borderline competence/non-competent but with competent patients it's impossible...
 

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