Attending Physician and physician in training.pptx

Role of attending physician and physician in training and ethics consideration related to each one

1. ATTENDING PHYSICIAN AND PHYSICIAN IN TRAINING GROUPE 16 Dr. BARASIMA TSHILUNGU GUELORD Dr. SAKARIYA MOHAMUD MOHAMED Dr. KAMBALE KASONGO REAGAN 14/03/2024 1

2. CONTENTS INTRODUCTION Attending physicians P hysicians in training Legal Responsibilities Ethical Obligations Professionalism in Practice Dilemma for discussion Conclusion 14/03/2024 2

3. Attending physicians : A medical doctor who is responsible for the overall care of a patient in a hospital or clinic setting. An attending physician may also supervise and teach medical students, interns, and residents involved in the patient’s care. An attending physician is considered an expert in their field of medicine or surgery. 14/03/2024 3

4. P hysicians in training: A  medical resident  is a doctor in training. Becoming a medical resident means you’ve graduated med school and are training with licensed physicians in your specialization. For example, a medical resident who wants to become a pediatrician would complete their residency at a pediatric clinic. 14/03/2024 4

5. 14/03/2024 5

6. Attending Provides direct care to patients without supervision No limits on services they are able to deliver Holds all responsibility for care given by them or subordinates Resident Can provide direct care to patients with supervision and guidance of an attending Allowed to do more as they gain experience Does not hold ultimate responsibility for care provided 14/03/2024 6

7. Legal Responsibilities Attending physicians have the dual responsibility of patient care and supervision/teaching of medical students and less experienced physicians. They must be familiar with each patient under their care and ensure the quality of care delivered by any resident. Physicians in training are held to a substantial legal standard and must deliver safe and appropriate care to patients. Legal breaches by physicians can result in serious consequences, including being liable for damages such as lost revenue, costs of recruitment, and signing bonuses. Breaches of doctor-patient confidentiality can lead to lawsuits with compensatory damages for emotional suffering and damage to reputation. 14/03/2024 7

8. Physicians in training, like all medical professionals, have a set of legal responsibilities that typically include: Adhering to accepted medical practices. Obtaining informed consent from patients. Disclosing relevant information to patients. Proposing alternative treatments when applicable. Maintaining confidentiality and a professional relationship with patients. These responsibilities can vary based on local laws and regulations. 14/03/2024 8

9. Ethical obligation Attending physicians have several ethical obligations, including: Providing compassionate and professional care. Conducting examinations in a modest, caring, and gender-sensitive manner. Ensuring informed consent and preserving patient dignity and anonymity. Providing care in medical emergencies. Not discriminating against patients based on non-clinically relevant characteristics. Respecting the patient’s right to refuse treatment. Communicating honestly about diagnosis, prognosis, and treatment options. These obligations are designed to maintain trust and respect between physicians and patients 14/03/2024 9

10. Ethical obligations Physicians in training have several ethical obligations, including: Lifelong learning : They must be committed to continuously updating their medical knowledge. Competent care : Providing holistic and compassionate medical care is crucial. Professional and ethical standards : Upholding the highest professional and ethical standards is a fundamental responsibility. Respect for human dignity : Treating patients with respect and dignity is essential. Advocacy : Acting in and advocating for patients’ best interests is a core obligation. Confidentiality and informed consent : Ensuring privacy, confidentiality, and obtaining informed consent are key ethical considerations, especially when treating peers or fellow professionals. These principles are outlined in various codes of ethics, such as those by the  Philippine Medical Association  and the  American Medical Association (AMA) 14/03/2024 10

11. Professionalism in practice Professionalism in medicine involves a commitment to ethical behavior , lifelong learning, and respect for patients. Here’s a brief outline of how professionalism helps balance legal and ethical considerations: Attending Physician: Upholds ethical standards and acts with integrity. Is accountable for actions and decisions. Balances employer interests with public service and patient care. Physician in Training: Develops an understanding of professional values. Learns to navigate ethical dilemmas through reflective practice. Is aware of responsibilities related to patient safety, privacy, and autonomy. Both roles require a deep understanding of the legal framework they operate within while maintaining a commitment to ethical practice 14/03/2024 11

12. Ethical dilemma for discussion Informed Consent : An attending physician is performing a complex surgery that has potential risks. The patient is anxious and has difficulty understanding the implications of the surgery. The physician in training observes that the attending might not have fully explained all potential risks in a way the patient can understand. Ethically and legally, patients must give informed consent, which means they understand and agree to the procedure’s risks and benefits. 14/03/2024 12

13. End-of-Life Care : A patient with a terminal illness has expressed a desire not to be resuscitated, which is documented in an advance directive. However, during a critical situation, the family insists on aggressive treatment. The attending physician must balance the legal respect for the patient’s autonomy and wishes with the ethical consideration of the family’s emotional state and desire for care. 14/03/2024 13

14. Resource Allocation : In a resource-limited setting, the attending physician must decide which of two patients receives a life-saving treatment. The physician in training struggles with the ethical implications of this decision, feeling that it is unfair to choose one life over another. 14/03/2024 14

15. Professional Boundaries : The attending physician develops a close personal relationship with a patient, which may affect clinical judgment. The physician in training notices this and feels it is compromising the care provided but is unsure whether to report it due to hierarchical concerns. 14/03/2024 15

16. Disclosure of Medical Error : A mistake is made during a procedure that results in harm to the patient. The attending physician prefers not to disclose the error, fearing legal repercussions. However, the physician in training feels that honesty and transparency are crucial for patient trust and professional integrity. These scenarios highlight the complexity of medical ethics and the challenges that can arise when balancing professional duties with legal responsibilities and personal values. 14/03/2024 16

17. reference https://www.cancer.gov/publications/dictionaries/cancer-terms/def/attending-physician https://www.verywellhealth.com/types-of-doctors-residents-interns-and-fellows-3157293 Patient-Physician Relationships | AMA-Code (ama-assn.org) 14/03/2024 17