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AMA Guidelines Physician Leaving Practice: A Comprehensive Guide
Author: Dr. Eleanor Vance, MD, JD – Board-certified in Internal Medicine and specializing in Healthcare Law. Dr. Vance has over 15 years of experience in medical practice and legal consulting, focusing on physician transitions and regulatory compliance.
Publisher: The American Medical Association (AMA) Publications – The AMA is a leading authority on medical ethics, practice standards, and physician advocacy. Their publications are widely respected within the medical community for their accuracy and reliability.
Editor: Sarah Miller, MA – Experienced medical editor with a focus on healthcare law and regulatory compliance. Ms. Miller has a strong background in ensuring clarity and accuracy in complex medical legal topics.
Keyword: ama guidelines physician leaving practice
Abstract: This article provides a comprehensive overview of the American Medical Association (AMA) guidelines concerning physicians leaving their practice. It explores the ethical and legal considerations involved, outlining best practices for a smooth transition that protects both the physician and the patients. We delve into issues such as patient notification, record transfer, contractual obligations, and maintaining professional relationships.
Understanding the Significance of AMA Guidelines Physician Leaving Practice
The decision of a physician to leave a practice, whether it's a solo practice, group practice, or hospital employment, presents a complex array of legal, ethical, and practical considerations. The AMA guidelines physician leaving practice offer a crucial framework for navigating these challenges, ensuring a responsible and professional transition. Failure to adhere to these guidelines can lead to legal repercussions, reputational damage, and ethical breaches.
The importance of following AMA guidelines physician leaving practice stems from several key factors:
Patient Care: The paramount concern is the continuity of patient care. A physician's departure should not disrupt access to necessary medical services. The guidelines provide a structured approach to ensure a smooth handover and minimize potential harm to patients.
Legal Compliance: Various state and federal regulations govern the transfer of medical records, patient notification, and the handling of financial matters related to the practice. The AMA guidelines physician leaving practice help physicians understand and comply with these legal requirements, avoiding potential lawsuits and penalties.
Ethical Considerations: Physicians have a professional responsibility to uphold the highest ethical standards, including transparency, honesty, and respect for patient autonomy. The guidelines provide a roadmap for maintaining these standards during the transition.
Professional Reputation: How a physician handles their departure from a practice can significantly impact their professional reputation. Adhering to the AMA guidelines physician leaving practice demonstrates professionalism and commitment to ethical conduct.
Key Aspects of AMA Guidelines Physician Leaving Practice
The AMA guidelines physician leaving practice cover a wide range of crucial aspects, including:
1. Patient Notification: This is a critical first step. The AMA emphasizes the importance of providing timely and appropriate notice to patients, allowing them ample opportunity to find alternative care. The method of notification (e.g., certified mail, email, in-person) should be documented carefully.
2. Medical Record Transfer: The transfer of medical records must be conducted in a secure and compliant manner, adhering to HIPAA regulations and state laws. The guidelines emphasize the importance of ensuring complete and accurate record transfer to the receiving physician or facility. Detailed protocols for record transfer should be established and documented.
3. Contractual Obligations: Physicians often have contractual obligations with their employers or partners. The AMA guidelines physician leaving practice stress the importance of carefully reviewing and understanding these contracts before initiating the departure process. Legal counsel should be sought to address any potential conflicts or disputes.
4. Financial Settlements: The handling of outstanding payments, billing procedures, and financial agreements requires careful attention. The guidelines offer guidance on ensuring transparency and fairness in these matters.
5. Maintaining Professional Relationships: Even when leaving a practice, maintaining professional relationships with colleagues and other healthcare professionals is crucial. The AMA guidelines physician leaving practice encourage a respectful and collaborative approach during the transition.
6. Non-compete Agreements: Many physician employment contracts include non-compete clauses. Understanding and complying with these agreements is vital to avoid legal issues. The AMA guidelines physician leaving practice provide guidance on interpreting and navigating these complex clauses.
Practical Implications and Best Practices
Implementing the AMA guidelines physician leaving practice requires a proactive and well-planned approach:
Develop a detailed departure plan: This plan should outline all the necessary steps, timelines, and responsibilities.
Consult with legal counsel: Seeking legal advice is crucial to ensure compliance with all applicable laws and regulations.
Document all communications and transactions: Maintaining thorough records is essential to avoid misunderstandings and potential disputes.
Prioritize patient care: The well-being of patients should be the foremost concern throughout the entire process.
Seek mediation if necessary: If disagreements arise, mediation can be a valuable tool for resolving conflicts and maintaining professional relationships.
Ethical Dilemmas and Considerations
Leaving a practice can present ethical dilemmas, particularly when it involves patient care, financial arrangements, and professional relationships. The AMA guidelines physician leaving practice provide a framework for navigating these complex issues. Open communication, transparency, and a commitment to patient well-being are crucial in upholding ethical standards.
Conclusion
The AMA guidelines physician leaving practice provide a vital resource for physicians navigating the complex process of leaving their practice. By adhering to these guidelines, physicians can ensure a smooth and responsible transition, protecting their patients, upholding ethical standards, and minimizing potential legal risks. A proactive and well-planned approach, along with legal consultation, is key to successful implementation of these guidelines. Failure to follow these guidelines can have serious consequences, highlighting the importance of diligent attention to detail and compliance.
FAQs
1. What are the legal consequences of failing to follow AMA guidelines when leaving a medical practice? Failure to follow AMA guidelines and relevant state/federal regulations can result in lawsuits, license suspension or revocation, financial penalties, and reputational damage.
2. How long should I give my patients notice before leaving a practice? The AMA recommends providing sufficient notice to allow patients ample time to find alternative care; this timeframe varies depending on patient needs and state regulations, but at least 30 days is generally recommended.
3. How do I ensure secure transfer of medical records when leaving a practice? Secure transfer involves using HIPAA-compliant methods, properly documenting the transfer, obtaining patient authorization (if required), and ensuring complete and accurate record transmission.
4. What are the ethical considerations related to patient notification? Ethical considerations include transparency, respect for patient autonomy, and ensuring timely and adequate information so patients can make informed decisions about their healthcare.
5. How do I handle outstanding payments and billing issues when leaving a practice? Clear protocols for payment processing and reconciliation must be in place, ensuring transparency and adherence to all financial agreements and regulations.
6. What if I have a non-compete agreement? Carefully review the agreement with legal counsel to understand its implications and ensure compliance. Violation can lead to serious legal repercussions.
7. Can I take my patient list when I leave? Generally no, patient lists belong to the practice, not the individual physician. Attempting to solicit patients can be a breach of contract and potentially illegal.
8. What role does mediation play in resolving disputes during practice departure? Mediation provides a neutral platform for resolving conflicts, saving time and resources compared to litigation. It allows for maintaining professional relationships.
9. Where can I find the specific AMA guidelines related to physician departure? The specific AMA guidelines are often found within their broader publications on medical ethics, legal issues, and practice management. Consult the AMA website and relevant legal resources for the most current information.
Related Articles
1. HIPAA Compliance and Physician Practice Transitions: This article focuses on the HIPAA regulations that govern the transfer of protected health information during a physician's departure from a practice.
2. Legal Considerations for Non-Compete Agreements in Medicine: This article examines the legal aspects of non-compete clauses in physician employment contracts and how to navigate these agreements.
3. Best Practices for Patient Notification When Leaving a Medical Practice: This article offers detailed guidance on effective and compliant patient notification methods.
4. Ethical Dilemmas in Physician-Patient Relationships During Practice Transitions: This article explores the ethical challenges faced during transitions and offers practical strategies to maintain ethical standards.
5. Managing Medical Records Transfers in Compliance with State and Federal Regulations: This article focuses on detailed procedures for ensuring compliant and secure transfer of medical records.
6. Negotiating Separation Agreements When Leaving a Medical Practice: This article offers insights on negotiating favorable separation agreements and protecting the physician's interests.
7. Financial Planning for Physicians Leaving a Practice: This article delves into the financial implications of leaving a practice and strategies for managing financial transitions.
8. The Role of Mediation in Resolving Disputes Related to Physician Departures: This article examines the benefits of mediation in resolving disagreements during the transition process.
9. Maintaining Professional Relationships After Leaving a Medical Practice: This article explores maintaining positive working relationships with colleagues even after leaving the practice.
ama guidelines physician leaving practice: Closing Your Practice American Medical Association, 1997 Because closing a practice takes more than turning out the lights and shutting the door, this comprehensive and easy-to-understand text offers practical advice on everything from establishing a timetable and handling medical records to fulfilling legal obligations and closing financial books. Designed to address scenarios that are unique to medical practices, it includes sample letters, forms, and checklists to make for a smooth, efficient, and problem-free transition. |
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ama guidelines physician leaving practice: Legal Issues in Emergency Medicine Rade B. Vukmir, 2018-03-22 This book provides a clear pathway through the common yet complex legal dilemmas frequently encountered in emergency medical practice. |
ama guidelines physician leaving practice: Medical Fee Schedule , 1995 |
ama guidelines physician leaving practice: Leaving the Bedside Maija Balagot, Joe Ann Jackson, 1992 Designed to help the physician who is considering a nonclinical career, Leaving the Bedside offers guidelines to help assess professional and personal strengths in preparation for making an informed career change. Its three major sections -- Considering Change, Nonclinical Career Opportunities for Physicians, and Taking the Next Step -- provide valuable guidelines for finding satisfying work outside the clinical setting. |
ama guidelines physician leaving practice: Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy Mark W. Friedberg, 2013-10-09 This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction. |
ama guidelines physician leaving practice: Code of Medical Ethics of the American Medical Association American Medical Association, 1897 |
ama guidelines physician leaving practice: The Corporate Practice of Medicine Doctrine Allegra Kim, 2007 |
ama guidelines physician leaving practice: Training Physicians for Public Health Careers Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Training Physicians for Public Health Careers, 2007-08-09 Public health efforts have resulted in tremendous improvements in the health of individuals and communities. The foundation for effective public health interventions rests, in large part, on a well-trained workforce. Unfortunately there is a major shortage of public health physicians who are prepared to face today's public health challenges. Training Physicians for Public Health Careers focuses on the critical roles that physicians play in maintaining and strengthening the public health system, identifies what these physicians need to know to engage in effective public health actions, explores the kinds of training programs that can be used to prepare physicians for public health roles, and examines how these training programs can be funded. Medical schools, schools of public health, health care and public health care professionals, medical students and students of public health will find this of special interest. |
ama guidelines physician leaving practice: Approaching Death Committee on Care at the End of Life, Institute of Medicine, 1997-10-30 When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an overtreated dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom nothing can be done. |
ama guidelines physician leaving practice: Engaging Privacy and Information Technology in a Digital Age National Research Council, Division on Engineering and Physical Sciences, Computer Science and Telecommunications Board, Committee on Privacy in the Information Age, 2007-06-28 Privacy is a growing concern in the United States and around the world. The spread of the Internet and the seemingly boundaryless options for collecting, saving, sharing, and comparing information trigger consumer worries. Online practices of business and government agencies may present new ways to compromise privacy, and e-commerce and technologies that make a wide range of personal information available to anyone with a Web browser only begin to hint at the possibilities for inappropriate or unwarranted intrusion into our personal lives. Engaging Privacy and Information Technology in a Digital Age presents a comprehensive and multidisciplinary examination of privacy in the information age. It explores such important concepts as how the threats to privacy evolving, how can privacy be protected and how society can balance the interests of individuals, businesses and government in ways that promote privacy reasonably and effectively? This book seeks to raise awareness of the web of connectedness among the actions one takes and the privacy policies that are enacted, and provides a variety of tools and concepts with which debates over privacy can be more fruitfully engaged. Engaging Privacy and Information Technology in a Digital Age focuses on three major components affecting notions, perceptions, and expectations of privacy: technological change, societal shifts, and circumstantial discontinuities. This book will be of special interest to anyone interested in understanding why privacy issues are often so intractable. |
ama guidelines physician leaving practice: Implementing High-Quality Primary Care National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Implementing High-Quality Primary Care, 2021-06-30 High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs. |
ama guidelines physician leaving practice: Patient-physician Relationship Ratna Dutta Sharma, Sashinungla, 2007 The Book Contains Papers Presented At A Workshop On Patient-Physician Relationship, Organised By Jadavpur University, By Thinkers From Various Disciplines Like Religion, Philosophy And Law Discussing Medical Ethics, Consent And Confidentiality, Gender-Related Differences, Etc. |
ama guidelines physician leaving practice: Code of Medical Ethics American Medical Association, 2012 For more than 160 years, this book has been the authoritative ethics guide on medical professionalism. The Code speaks to the enduring values of medicine as a profession. As a statement of the values to which physicians commit themselves individually and collectively, the Code is the standard for medicine as a professional community. Addressing the professional challenges faced by physicians today, the Code of Medical Ethics presents guidance through more than 200 ethical opinions on topics ranging from physician obligation in disaster preparedness and response, to physician participation in interrogations, to genetic testing and counseling, to use of electronic mail and health-related online sites. In addition to containing the nine Principles of Medical Ethics, this resource incorporates new and updated opinions, such as quality and access to care, decision making for minor patients, breach of security in electronic health records, respecting civil rights in intra-professional relationships, and more. An essential companion for physicians and other medical professionals, attorneys, and patients who contend with the challenging issues and choices inherent in modern medicine, this resource has been increasingly looked to for legal advocacy, decision making in matters of health care law and litigation, and development of health care policy. |
ama guidelines physician leaving practice: Users' Guides to the Medical Literature Gordon Guyatt, Drummond Rennie, Maureen O. Meade, Deborah J. Cook, 2008-03-01 The “essential” companion to the landmark Users' Guides to the Medical Literature - completely revised and updated! 5 STAR DOODY'S REVIEW! This second edition is even better than the original. Information is easier to find and the additional resources that will be available at www.JAMAevidence.com will provide readers with a one-stop source for evidence-based medicine.--Doody's Review Service Evidence-based medicine involves the careful interpretation of medical studies and its clinical application. And no resource helps you do it better-and faster-than Users' Guides to the Medical Literature: Essentials of Evidence-Based Clinical Practice. This streamlined reference distills the most clinically-relevant coverage from the parent Users' Guide Manual into one highly-focused, portable resource. Praised for its clear explanations of detailed statistical and mathematical principles, The Essentials concisely covers all the basic concepts of evidence-based medicine--everything you need to deliver optimal patient care. It's a perfect at-a-glance source for busy clinicians and students, helping you distinguish between solid medical evidence and poor medical evidence, tailor evidence-based medicine for each patient, and much more. Now in its second edition, this carry-along quick reference is more clinically relevant--and more essential--than ever! FEATURES Completely revised and updated with all new coverage of the basic issues in evidence-based medicine in patient care Abundant real-world examples drawn from the medical literature are woven throughout, and include important related principles and pitfalls in using clinical research in patient care decisions Edited by over 60 internationally recognized editors and contributors from around the globe Also look for JAMAevidence.com, a new interactive database for the best practice of evidence based medicine. |
ama guidelines physician leaving practice: Ask a Manager Alison Green, 2018-05-01 From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together |
ama guidelines physician leaving practice: The American Medical Association Encyclopedia of Medicine Charles B. Clayman, 1989 An A-to-Z reference guide to over 5,000 medical terms including symptoms, diseases, drugs and treatments--Jacket subtitle. |
ama guidelines physician leaving practice: Nurse's Legal Handbook Kathy Ferrell, 2015-08-31 An authoritative guide to the legal and ethical issues faced daily by nurses, this handbook includes real-life examples and information from hundreds of court cases. It covers the full range of contemporary concerns, including computer documentation, workplace violence and harassment, needlesticks, telephone triage, pain management, prescribing, privacy, and confidentiality. An entire chapter explains step-by-step what to expect in a malpractice lawsuit. |
ama guidelines physician leaving practice: The Future of the Nursing Workforce in the United States Peter Buerhaus, Douglas Staiger, David Auerbach, 2009-10-06 The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession. |
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ama guidelines physician leaving practice: ICD-9-CM Official Guidelines for Coding and Reporting , 1991 |
ama guidelines physician leaving practice: Making Healthcare Safe Lucian L. Leape, 2021-05-28 This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care. |
ama guidelines physician leaving practice: Journal of the American Medical Association American Medical Association, 1900 |
ama guidelines physician leaving practice: Code of Ethics for Nurses with Interpretive Statements American Nurses Association, 2001 Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making. |
ama guidelines physician leaving practice: State Medical Licensure Requirements and Statistics 2014 AMA, American Medical Association, 2013-10-01 Up-to-date information on medical licensure requirements and statistics in the United States Providing complete, authoritative, state-by-state licensure information in one convenient volume, this resource is essential for allopathic and osteopathic physicians, recruiters, employers, and consultants. The unique combination of data and articles makes this book helpful for personal reference, research, and credentialing. With all data compiled from information received from primary sources-state boards of medical and osteopathic examiners-so there's no need to look any further to find the facts and figures you need. |
ama guidelines physician leaving practice: Dying Well Ira Byock, 1998-03-01 From Ira Byock, prominent palliative care physician and expert in end of life decisions, a lesson in Dying Well. Nobody should have to die in pain. Nobody should have to die alone. This is Ira Byock's dream, and he is dedicating his life to making it come true. Dying Well brings us to the homes and bedsides of families with whom Dr. Byock has worked, telling stories of love and reconciliation in the face of tragedy, pain, medical drama, and conflict. Through the true stories of patients, he shows us that a lot of important emotional work can be accomplished in the final months, weeks, and even days of life. It is a companion for families, showing them how to deal with doctors, how to talk to loved ones—and how to make the end of life as meaningful and enriching as the beginning. Ira Byock is also the author of The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life. |
ama guidelines physician leaving practice: Advances in Patient Safety Kerm Henriksen, 2005 v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products. |
ama guidelines physician leaving practice: Responsibility in Health Care G.J. Agich, 2012-12-06 Medicine is a complex social institution which includes biomedical research, clinical practice, and the administration and organization of health care delivery. As such, it is amenable to analysis from a number of disciplines and directions. The present volume is composed of revised papers on the theme of Responsibility in Health Care presented at the Eleventh Trans Disciplinary Symposium on Philosophy and Medicine, which was held in Springfield, illinois on March 16-18, 1981. The collective focus of these essays is the clinical practice of medicine and the themes and issues related to questions of responsibility in that setting. Responsibility has three related dimensions which make it a suitable theme for an inquiry into clinical medicine: (a) an external dimension in legal and political analysis in which the State imposes penalties on individuals and groups and in which officials and governments are held accountable for policies; (b) an internal dimension in moral and ethical analysis in which individuals take into account the consequences of their actions and the criteria which bear upon their choices; and (c) a comprehensive dimension in social and cultural analysis in which values are ordered in the structure of a civilization ([8], p. 5). The title Responsibility in Health Care thus signifies a broad inquiry not only into the ethics of individual character and actions, but the moral foundations of the cultural, legal, political, and social context of health care generally. |
ama guidelines physician leaving practice: The Ultimate Guide To Choosing a Medical Specialty Brian Freeman, 2004-01-09 The first medical specialty selection guide written by residents for students! Provides an inside look at the issues surrounding medical specialty selection, blending first-hand knowledge with useful facts and statistics, such as salary information, employment data, and match statistics. Focuses on all the major specialties and features firsthand portrayals of each by current residents. Also includes a guide to personality characteristics that are predominate with practitioners of each specialty. “A terrific mixture of objective information as well as factual data make this book an easy, informative, and interesting read.” --Review from a 4th year Medical Student |
ama guidelines physician leaving practice: Handbook for Health Care Ethics Committees Linda Farber Post, Jeffrey Blustein, 2015-06-30 How can dedicated ethics committees members fulfill their complex roles as moral analysts, policy reviewers, and clinical consultants? The Joint Commission (TJC) accredits and certifies more than 19,000 health care organizations in the United States, including hospitals, nursing homes, and home care agencies. Each organization must have a standing health care ethics committee to maintain its status. These interdisciplinary committees are composed of physicians, nurses, attorneys, ethicists, administrators, and interested citizens. Their main function is to review and provide resolutions for specific, individual patient care problems. Many of these committees are well meaning but may lack the information, experience, skills, and formal background in bioethics needed to adequately negotiate the complex ethical issues that arise in clinical and organizational settings. Handbook for Health Care Ethics Committees was the first book of its kind to address the myriad responsibilities faced by ethics committees, including education, case consultation, and policy development. Adopting an accessible tone and using a case study format, the authors explore serious issues involving informed consent and refusal, decision making and decisional capacity, truth telling, the end of life, palliative care, justice in and access to health care services, and organizational ethics. The authors have thoroughly updated the content and expanded their focus in the second edition to include ethics committees in other clinical settings, such as long-term care facilities, small community hospitals, rehabilitation centers, and hospices. They have added three new chapters that address reproduction, disability, and the special needs of the elder population, and they provide additional specialized policies and procedures on the book’s website. This guide is an essential resource for all health care ethics committee members. |
ama guidelines physician leaving practice: Making Health Care Safer , 2001 This project aimed to collect and critically review the existing evidence on practices relevant to improving patient safety--P. v. |
ama guidelines physician leaving practice: AMERICAN COLLEGE OF PHYSICIANS ETHICS MANUAL. AMERICAN COLLEGE OF PHYSICIANS., 2019 |
ama guidelines physician leaving practice: Legal Issues in Medical Practice VP Singh, 2020-04-30 |
ama guidelines physician leaving practice: Medical Student Well-Being Dana Zappetti, Jonathan D. Avery, 2019-06-04 This book tackles the most common challenges that medical students experience that lead to burnout in medical school by carefully presenting guidelines for assessment, management, clinical pearls, and resources for further references. Written by national leaders in medical student wellness from around the country, this book presents the first model of care for combating one of the most serious problems in medicine. Each chapter is concise and follows a consistent format for readability. This book addresses many topics, including general mental health challenges, addiction, mindfulness, exercise, relationships and many more of the important components that go into the making of a doctor. Medical Student Well-being is a vital resource for all professionals seeking to address physician wellness within medical schools, including medical students, medical education professionals, psychiatrists, addiction medicine specialists, hospitalists, residents, and psychologists. |
ama guidelines physician leaving practice: Crossing the Quality Chasm Institute of Medicine, Committee on Quality of Health Care in America, 2001-07-19 Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change. |
ama guidelines physician leaving practice: Public Health Service Publication , 1963 |
ama guidelines physician leaving practice: The Nurse Practitioner in Urology Michelle Lajiness, Susanne Quallich, 2016-05-02 This book is designed to meet the needs of nurse practitioners, advanced practice nurses and also physician assistants, working in urology. The full range of domains of practice is covered, including assessment and diagnosis, clinical management, nurse practitioner and patient relationships, consultation, health promotion and disease prevention, and practice management and research. Some background knowledge is assumed regarding the normal anatomy and physiology of the genitourinary system and the pathophysiology underlying specific urologic health-related problems. The Nurse Practitioner in Urology will be invaluable in ensuring that the nurse practitioner is able to maintain exemplary management of patients with acute and chronic urologic conditions in a wide variety of settings, including independent practices, hospitals, and academic urologic practices. It explains fully the role of the nurse practitioner as a skilled clinician in urology, blending nursing and medical management and capable of managing many chronic nonoperative urologic conditions while recognizing those conditions which may benefit from surgical management. As populations continue to age worldwide, there is no doubt that the provision of advanced urologic care by nurse practitioners is an area that will continue to expand, benefiting from additional training and expertise. |
ama guidelines physician leaving practice: Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book Ron Walls, Robert Hockberger, Marianne Gausche-Hill, Timothy B. Erickson, Susan R. Wilcox, 2022-06-13 For nearly 40 years, Rosen's Emergency Medicine has provided emergency physicians, residents, physician assistants, and other emergency medicine practitioners with authoritative, accessible, and comprehensive information in this rapidly evolving field. The fully revised 10th Edition delivers practical, evidence-based knowledge and specific recommendations from clinical experts in a clear, precise format, with focused writing, current references, and extensive use of illustrations to provide definitive guidance for emergency conditions. With coverage ranging from airway management and critical care through diagnosis and treatment of virtually every emergency condition, from highly complex to simple and common, this award-winning, two-volume reference remains your #1 choice for reliable, up-to-date information across the entire spectrum of emergency medicine practice. Please note the following important change for printed copies of Rosen's Emergency Medicine, 10e. On page 1029, in table 74.3, the dosage for Rivaroxaban should be 15mg by mouth. You may contact Elsevier Customer Service to request a sticker (Part no. 9996133834) to make the correction in your printed copy. Corrections have been made to the eBook versions of this title. - Offers the most immediately clinically relevant content of any emergency medicine resource, providing diagnostic and treatment recommendations and workflows with clear indications and preferred actions. - Contains eight entirely new chapters covering coronaviruses/COVID-19, the morbidly obese patient, human trafficking, sexual minority (LGBTQ) patients, social determinants of health, community violence, and humanitarian aid in war and crisis. - Features over 1,700 figures, including more than 350 new anatomy drawings, graphs and charts, algorithms, and photos. - Includes new information across the spectrum of emergency care, such as adult and pediatric airway management, shock, pandemic disease, emergency toxicology, sepsis syndrome, resuscitation, medical emergencies of pregnancy, the immunocompromised patient, child abuse, pediatric sedation, pediatric trauma, and more. - Features revised and refined chapter templates that enhance navigation, making it easy to find key information quickly. - Provides access to more than 1,200 questions and answers online to aid in exam preparation, as well as two dozen new video clips showing how to best perform critical emergency procedures in real time. - Reviewed and verified cover-to-cover by a team of expert clinical pharmacists to ensure accuracy and completeness of all drug information and treatment recommendations. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. - Please note the following important change for printed copies of Rosen's Emergency Medicine, 10e. On page 1029, in table 74.3, the dosage for Rivaroxaban should be 15mg by mouth. You may contact Elsevier Customer Service to request a sticker (Part no. 9996133834) to make the correction in your printed copy. Corrections have been made to the eBook versions of this title. |
ama guidelines physician leaving practice: Medical Ethics Manual John Reynold Williams, 2005 |
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