Law and Ethics

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MODULE 2 – CHAPTER 3 REVIEW & CASE STUDIES

Answer the following questions, utilizing a red font.

1. What is the purpose of medical practice acts?
List 4 specific purposes.
a.
b.
c.
d.

2. List four requirements that must be met before a physician can be granted a license to practice medicine. a.
b.
c.
d.

3. List four instances in which a physician might not need a license. a.
b.
c.
d.

4. Name three circumstances under which a physician's license may be revoked. a.
b.
c.

5. Who has the authority to revoke a physician's license?

6. Give one advantage and one disadvantage for each of the following practice management systems:
a. Sole Proprietorship
Advantage:
Disadvantage:

b. Partnership
Advantage:
Disadvantage:

c. Corporation
Advantage:
Disadvantage:

7. List two types of managed care health care plans.
a.
b.
8. Name the "whistleblower" statute that deals with fraud and abuse in health care.

9. Define managed care plan.

10. Distinguish among the terms telemedicine, cybermedicine, and e-health.
a. telemedicine –
b. cybermedicine –
c. e-health -

11. What telemedicine issues must state laws address?

12. What is the sole authority granted the federal government concerning the licensing of physicians?

Use your critical-thinking skills to answer the questions that follow the case studies. A patient complained to the state medical board that her health care plan physician turned her away from a scheduled office visit because she did not have her checkbook with her and thus could not make the required $20 advance co-payment. She complained that, because she was ill, it was unfeeling and unrealistic of the physician to expect her to go home and get her checkbook. She pointed out that the physician's office had a record of her insurance coverage and her payment record was good. The physician refused to make an exception to the "co-payment in advance" rule, and the woman went home without seeing him.

13. In your opinion, should the physician have made an exception to his co-payment rule? Why or why not?

Physician assistants (PAs) are employed in physicians' offices throughout the United States. Although the PA provides direct patient care, he or she is always under the supervision of a licensed physician. Duties include taking patients' medical histories, performing physical examinations, ordering diagnostic and therapeutic procedures, providing follow-up care, and teaching and counseling patients. In most states PAs may write prescriptions. The PA may be the only health care practitioner a patient sees during his or her visit to the physician's office. Therefore, patients often refer to a PA as "the doctor." Ned, a physician assistant for five years, says the patients he sees often address him as "Dr."

Similarly, Marie, a long-time employee of a physician in private practice, is often called "the doctor's nurse". Although Marie has never had the training necessary to become a certified medical assistant or a registered nurse, she sometimes refers to herself as the "office nurse.

14. What legal and ethical considerations are evident in these situations?

15. Should Ned allow his patients to call him "doctor"? Explain your answer.

16. Should Marie use the title "nurse" or allow others to call her the doctor's nurse? Explain.

17. What would you do in either Ned’s or Marie’s situations?

Note: A health care practitioner is held to the standard of care practiced by a reasonably competent person of the same profession. A physician assistant using the title "Dr." and a medical assistant using the title "nurse" may be held to the standard of care of a physician and a nurse, respectively, and may be accused of practicing without the appropriate license.

A new source of potential problems for health care...
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