Module-5 Roles and Responsibilities of Medical Expert.pptx

Roles and responsibilities of medical expert module-5

1. Module 5 Roles and Responsibilities of Medical Expert.

2. Induction Training: Module 2 11 March 2024 Training of Experts by EMRB, NMC 2

3. Module 2: The Mandate 11 March 2024 Training of Experts by EMRB, NMC 3

4. What are the rights and duties as an expert? 11 March 2024 Training of Experts by EMRB, NMC 4

5. Rights of Medical Expert 11 March 2024 Training of Experts by EMRB, NMC 5 Rights and Duties of Doctors - Part 2 By Dr. Ghazala Shaikh. Available from: https:// www.slideshare.net/HELPLibrary/rights-and-duties-of-doctors-part-2-by-dr-ghazala-shaikh. Retrieved 21-06- 2023

6. Attributes 11 March 2024 Training of Experts by EMRB, NMC 6 Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 (Published in Part III, Section 4 of the Gazette of India, dated 6th April, 2002) MEDICAL COUNCIL OF INDIA NOTIFICATION New Delhi, dated 11th March, 2002

7. Roles and responsibility 11 March 2024 Training of Experts by EMRB, NMC 7

8. Information to be made available before an expert accepts responsibilities The responsibility of the experts should be defined before accepting the role of an expert. The timeline and commitment defining the possibility of an expert working on that particular case should be spelt out. The expert should be prompt, and adhering to the timeline is necessary once the assignment has been accepted. The expert should sign a confidentiality agreement and Conflict of Interest declaration upon accepting the role and when a particular case is assigned to them. 11 March 2024 Training of Experts by EMRB, NMC 8

9. Liability 11 March 2024 Training of Experts by EMRB, NMC 9

10. Regarding the Travel, Sitting fees 11 March 2024 Training of Experts by EMRB, NMC 10

11. Understand Bias and reflect it 11 March 2024 Training of Experts by EMRB, NMC 11 Bias is the systematic and ofte n unconscious prejudices or stereotypes tha t influence medical decision- making, treatment, and outcomes. Bias exists in all of us. It cannot be removed unless we reflect.

12. Conflict of Interest ( CoI ) 11 March 2024 Training of Experts by EMRB, NMC 12

13. Cont’d… 11 March 2024 Training of Experts by EMRB, NMC 13

14. Case 1 A 50- year- old obese woman visits her primary care physician complaining of chest pain and shortness of breath. Despite her symptoms aligning with potential signs of a heart condition, the doctor dismisses her concerns, attributing the discomfort to anxiety, stress, and obesity. Over the next few months, her symptoms persist and her husband seeks a second opinion. During the angiography and other investigations, the cardiologist suggests a bypass since he found more than 90% block in three coronary arteries. When asked why the patient was not subjected to angiography since the symptoms were from nearly one and a half years ago. The husband said the primary care physician did not take his wife seriously and blamed the symptoms on her obesity. What is bias? Types of bias How bias can impact health care delivery and health. Experts should be aware of the bias in health care so that the same can be avoided. 11 March 2024 Training of Experts by EMRB, NMC 14

15. Case 2 In a popular University, a clinical trial was conducted aimed to test a gene therapy treatment for a rare metabolic disorder. AB was a young man who tragically lost his life during a clinical trial for gene therapy. At the time, he was 18 years old and suffering from OTC deficiency, which affects the liver’s ability to process ammonia. AB volunteered for the clinical trial at the University hoping that the experimental treatment would help him and others with the same condition. Dr CD, who was one of the Principal Investigators held shares in the biotechnology company that owned the rights to the gene therapy technology being tested. He also had consulting agreements and stood to gain financially if the therapy received regulatory approval. 11 March 2024 Training of Experts by EMRB, NMC 15

16. Contd … The researchers involved did not fully disclose all the potential risks associated with the treatment to AB or his family. AB’s condition was not as severe as initially portrayed. The researchers failed to obtain proper informed consent from AB and made procedural errors during the administration of the gene therapy. During the trial, AB experienced a severe immune response to the vector, and multiple organ failures, leading to his death just a few days after receiving the experimental gene therapy. 11 March 2024 Training of Experts by EMRB, NMC 16

17. 11 March 2024 Training of Experts by EMRB, NMC 17 THANK YOU

18. References Baron RJ, Coleman CH. Protecting the legitimacy of medical expertise. New England Journal of Medicine. 2023 Feb 23;388(8):676- 8. Shankar V. Rights of Medical Practitioners. Unbiased Perspectives in Just 5 Minutes [Internet]. 2021 Dec 24; Available from: https://eitherview.com/rights- of-medical-practitioners/. Retrieved 21-06- 2023 Rights and Duties of Doctors - Part 2 By Dr. Ghazala Shaikh. Available from: http s://www.slideshare.net/HELPLibrary/rights- and- duties-of- doctors- part-2- by- dr-ghazala- shaikh. Retrieved 21-06- 2023 Rikers RM, Schmidt HG, Boshuizen H, Linssen G, Wesseling G, Paas FG. The robustness of medical expertise: clinical case processing by medical experts and subexperts . The American Journal of Psychology. 2002. Abraham J, Lewis G. Citizenship, medical expertise and the capitalist regulatory state in Europe. Sociology. 2002 Feb;36(1):67- 88. Grüneberg AL. Maternity, paternity, and parental rights of doctors in the UK. BMJ. 1988 Nov 26;297(6660):1387- 9. doi : 10.1136/bmj.297.6660.1387. PMID: 3146375; PMCID: PMC1835075. Rogers A. UK doctors breached patient's human rights, court rules. Lancet. 2004 Mar 20;363(9413):956. doi : 10.1016/S0140- 6736(04)15830- 3. PMID: 15046119. Khalid H, David TJ, Ellson S. Extreme medical misconduct: 49 UK-registered doctors involved in child pornography, dealt with by the General Medical Council 2012–2020. Medico- Legal Journal. 2023:00258172231159765. Haghighi AS. Biases in healthcare: An overview [Internet]. 2021. Available from: https:// www.medicalnewstoday.com/articles/biases- in- healthcare. Retrieved 21- 06-2023 11 March 2024 Training of Experts by EMRB, NMC 18

19. Thank You