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The cookies contain no personally identifiable information and have no effect once you leave the Medscape site.The subject of physician-patient boundaries illustrates how well-intentioned policy can be written in a way that is simply too shallow to serve the goals of ethics.(d) To maintain appropriate professional boundaries physicians should consider separating personal and professional content online.(e) When physicians see content posted by colleagues that appears unprofessional they have a responsibility to bring that content to the attention of the individual, so that he or she can remove it and/or take other appropriate actions.If you've sat on a credentials committee, disciplinary panel, or medical-licensing board, you surely reviewed cases of physician-patient sexual involvement.Our contemporary attitude toward such encounters is to label them, categorically, as "unprofessional conduct." Given that there is no surveillance of this behavior, physician-patient sex comes to the attention of regulatory agencies only when the patient complains. The nominal standard establishes a rule of "no overlap": a physician-patient relationship must not coexist with a romantic-sexual relationship.Dozens of states have enacted so-called Megan's Laws requiring that the public be notified when released sex offenders move in nearby, but people complain that it doesn't help much to know that your neighbor is a pedophile if you can't do anything about it.More states are turning to doctors to solve the problem for them.

Dr Surendra Kumar, a GP who practises in Widnes, Cheshire, said: ‘Consider the powers of the doctor.

Sexual or romantic relationships between a physician and a former patient may be unduly influenced by the previous physician-patient relationship.

Sexual or romantic relationships with former patients are unethical if the physician uses or exploits trust, knowledge, emotions, or influence derived from the previous professional relationship." Note that this last statement leaves open the possibility that such relations might not be unethical if the physician doesn't exploit aspects of the former relationship.

If the behavior significantly violates professional norms and the individual does not take appropriate action to resolve the situation, the physician should report the matter to appropriate authorities.

The guidance, issued yesterday, tells doctors they cannot initiate ‘sexual’ or ‘improper’ relationships with current patients.




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