Ala. Admin. Code r. 540-X-9-.07 - Position Statement Of The Alabama Board Of Medical Examiners Concerning The Physician-Patient Relationship
(1) The Alabama Board of Medical Examiners
recognizes the movement toward the restructure of the delivery of health care
and the significant needs that motivate that movement. The resulting changes
are providing a wider range and variety of health care delivery options to the
public. Notwithstanding these developments in health care delivery, the duty of
the physician remains the same: to provide competent, compassionate, and
economically prudent care to all his or her patients. Whatever the health care
setting, the Board holds that the physician's fundamental relationship is
always with the patient, just the as Board's relationship is always with the
individual physician. Having assumed care of a patient, the physician may not
neglect that patient nor fail for any reason to prescribe the full care that
patient requires in accord with the standards of acceptable medical practice.
Further, it is the Board's position that it is unethical and unprofessional for
a physician to allow financial incentives or contractual ties of any kind to
adversely affect his or her medical judgment or practice care.
(2) Therefore, it is the position of the
Alabama Board of Medical Examiners that any act by a physician that violates or
may violate the trust a patient places in the physician places the relationship
between physician and patient at risk. This is true whether such an act is
entirely self-determined or the result of the physician's contractual
association with a health care entity. The Board believes the interests and
health of the people of Alabama are best served when the physician-patient
relationship remains inviolate. The physician who puts the physician-patient
relationship at risk also puts his or her relationship with the Board in
jeopardy.
(3) The Alabama Board of
Medical Examiners is involved in the process of licensing physicians as a part
of regulating the practice of medicine in this state. A license to practice
medicine grants the physician privileges and imposes great responsibilities.
The people of Alabama expect a licensed physician to be competent and worthy of
their trust. As patients, they come to the physician in a vulnerable condition,
believing the physician has knowledge and skill that will be used for their
benefit.
(4) Patient trust is
fundamental to the relationship thus established. It requires the following:
(a) that there be adequate communication
between the physician and the patient;
(b) that there be no conflict of interest
between the patient and the physician or third parties;
(c) that intimate details of the patient's
life shared with the physician be held in confidence;
(d) that the physician maintain professional
knowledge and skills;
(e) that
there be respect for the patient's autonomy;
(f) that the physician be
compassionate;
(g) that the
physician be an advocate for needed medical care, even at the expense of the
physician's personal interests; and
(h) that the physician provide neither more
nor less than the medical problem requires.
(5) The Board believes the interests and
health of the people of Alabama are best served when the physician-patient
relationship, founded on patient trust, is considered sacred, and when the
elements crucial to that relationship and to that trust--communication, patient
privacy, confidentially, competence, patient autonomy, compassion,
selflessness, and appropriate care--are foremost in the hearts, minds, and
actions of the physician licensed by the Board.
(6) This same fundamental physician-patient
relationship also applies to physician assistants.
Author: Patricia E. Shaner, Attorney for the Alabama Board of Medical Examiners
Notes
Statutory Authority: Code of Ala. 1975, ยงยง 10-12-45, 34-24-53.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.