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Presentation at a Workshop on Professionalism In Clinical Practice held at Princess Noura University, Riyadh on 12 February 2020. By Professor Omar Hasan Kasule Sr. MB ChB (MUK). MPH (Harvard), DrPH (Harvard) Chairman of the Institutional Review Board and Ethics Committee, King Fahad Medical City
1.0 ABUSE OF PROFESSIONAL PRIVILEGES - 1:
} Unethical research
on patients is an abuse of professional privileges.
} Abuse of treatment
privileges: unnecessary treatment, iatrogenic infection, and allowing or
abetting an unlicensed practitioner.
} Abuse of prescription
privileges: prescription of controlled drugs not following procedures.
2.0 ABUSE OF PROFESSIONAL PRIVILEGES - 2:
} Financial fraud:
pharmacy fraud (billing for medicine not supplied), billing fraud (billing for
services not performed), equipment fraud (using equipment that is really not
needed.
} Kick-backs are
unethical and illegal.
} False or inaccurate
documentation: false medical certificate of illness, false death certification,
and false injury reports.
} Breach of
confidentiality.
3.0
PRIVATE MISCONDUCT DEROGATORY TO REPUTATION, kharq al muru’at:
} Breach/abuse of
trust / Abuse of confidence.
} Fraudulent
procurement of a medical license, sale of medical licenses, and covering an
unqualified practitioner indicate bad character.
} Abuse of
power/influence/conflict of interest.
} Abuse of alcohol
and drugs.
} Behavior
unbecoming, indecent behavior, Violence, sexual misbehavior.
4.0
NEGLIGENCE: BASIS OF LIABILITY:
} Three ingredients must
be proved in a case of negligence.
§ Physician owed a
duty of care,
§ Physician failed
in that duty,
§ Failure resulted
in damage.
5.0
AVOIDING / PREVENTION OF MALPRACTICE SUITS
} Sticking to
defined professional standards of care, Use of protocols.
} Peer review and
quality assurance.
} Defensive
medicine.
} Politeness with
patients.
} Conscience of all
healthcare workers to make sure that mistakes do not occur.