Code of Medical Ethics

GUJARAT MEDICAL COUNCIL CODE OF MEDICAL ETHICS

1. In taking up Medical Profession you selected as one which is universally considered as noblest, as its primary object is the alleviation of human suffering irrespective of gain.

2. It is your duty to do best your patients.you are not bound to treat each and every one who seeks your help unless on other medical practitioner is avalable in the neighbourhood . You have the right choos the patient and to lay down the limits of your service . But once you accept the charge it is your responsibility to exercise due care diligence in the diagnosis and treatment ,using the best means and opinions available to you . You cannot discontinue treating the patient except for very valid reasons.The discovery that the malady is incurable is not excuse.Undertaking the care of a patient does not imply that you shall be blamed for not curing him No blame will be attached if you have employed that skill and professional knowledge which your other colleagues with a like qualification do in the community. Naturally more is expected of one who claims to be a specialist.

3. Your demenour towards the patient should be courteous,sympethetic friendly and helpful.

4. Wile keeping the interst of your patient uppermost,you are not permitted to perform illegal operation or execute an illegal document or issue a false certificate.

5. Knowledge of patient gained in the course of examination and treatment is privileged and should not be disclosedwithout the consent of the patient an order from a presiding judge in a court of Law.

6. To other member of profession you own a duty as a colleague.You should never do anything which you would not like them to do to you.Do not do or say anything that many make the position of your colleague who has been perviously treating the patient ackward.

7. every Registered Medical Practioner is expeted by the concil to attend in emergencies.

WORNING NOTICE

The Gujarat Medical Council desires to bring to the notice of Medical Practitioners whose names are enteredin their Registerif after due enquiry the Council finds them guilty of the following and similar unethical practices they are liable to be warned or have their names erased from their Register.The Council is in no way pracluded form considering and dealing although it may not appear to come within the scope of precise wording of any of the categories mentioned below :-

PART I

Note—Any-one found guilty of offences in this Part liable to have his name erased from the Register without any further warnig.

1. Immorality involving abuse of professinal relatinship.

2. Conviction by a court of Law for an offence involving moral tupitude.

3. Issuing in connection with various Government and Municipal Acts,sick benefit,insurance and kindred societies,passport,matter relating to armed forces,attendance in court of Justice in the public services or in ordinary employment a certificate or report which is untrue misleading or improper.

Note 1-- The record of cases where in the practitioner has an occasion to issue a madical certificate should be preserved by the practioner for a period of one year form the date of issue of such certificate.

Note 2--A practitioner who has treated the deceased in his last illness is expected to give a death certificate mentioning the cause of death.The practitioner is emtitled to charge a reasonable fee for such certificate except when the certificate is required for purpose of registering the death by Municipal or Local authorites.The practitioner is not bound to get his signature on certificate attested.

4. Withholding from the Heath Authorities information of the Notificable Diseases.

5. Performing or enabling an unqualified person to perform an abortion or any illegal operation for which there is no medical surgical or psychological indication.

6. performing or enabling an unqualified person to attend treat or perform operations on patient is respect of matters requiring professional discreation or skill or to issue certificates.

7. Contravening the provisions of the Drugs Act and Regulations made under it.

8. Selling scheduled poisions to thhe public under cover of his own qualifications.except his patients.

9. Disclosing the secrets of a patient that have been learnt in the exercise of his profession.Those disclosed only in court of law under orders from Presiding Judge.

10. Soliciting private either by spliting fees or paying commissions to those who bring patients to him or by advertising by means of laudatory or other notices in the press or by playcards or by handbills.

11. Receiving commisions from surgeons consultants or from anyone to whom patients are referred to be it a medical practitioner manufacturer or of a treder in drugs or appliances or a Chemist or a dentist or an oculist.

12. Advertising himself directly or such as though price lists or publicity materials or manfactures or traders with which he may be connected in any capacity though it will be permissible for him to publish his name in connection with the prospectus or direcors or technical experts reports. 12 A "A physician should not hold personal ownership for any drug, apparatus, instruments or appliance used in Medicine and Surgery."

PART II

12. Asociating in professional matters with person who are neither registered nor enlisted or exempted from registration under the Medical Acts in forse oe who have been struck off the repective Register or lists for unethical practices.

13. Joining the teaching staff and/or participation in teaching,examinations or grant of certifticates in any professional subject in an institution which is not recognised for teaching Medicine by the State Government nor is not affilited to a recognised Licencing Body or a Statutory University.

This section does not apply so to restrict the teaching of pre-medical subjects such as Anatomy and Physiology by registered Medical Practitioners in non-medical but recognised teahing institutions.

15. Keeping an open shop for the sale of medicines at the place of his practice.

16. Publishing on his own in the lay press,reports of cases treated or operated on by him or sanctioning the publication in the lay or medical press of any certifticates for drugs,foods,appliances,sanatoria used by him or of any laudatory statement about himself.

When a doctor opens his practice or changes his resumed his prectice after long intervals the notice regarsing his address and telephone number should not appar more then twice not in more then two papers.

17. It shall be open for him to write to the lay press under his own name on matter of public heath interest and general articles which will promote hygienic living or deliver public lectures with the same purpose.It shall open to medical associations,hospitals and other bodies to publish the name of the lecturer and his subiect in non-medical press.

18. Attending on his own a patient who has been seen by him before in the capacitty of a consultant during the same illness.

19. Removing the patient in the absencce of the attending physician to a hospitaal or nurshing homeor trasferring him to the care of his assistants by a consulting practioner.

20. Examining and reporting on employes at instructing of the employer without previously intimating the regular medacal attendant of the employer of his commission and giving him the option present.

21. Using an unusually large sing board and writing on it any thing else other then his name qualifications obtained from a university or a statuory body.titles conferred by Government and the name of speciality he practices.The same should be the contents of his prescription paper.which many in addition contian telephone numbers.Appointment held now or before should not be mentioned either on the board or prescription paper.

22. Refusing to attend on a patient who has been under his care unless :-

(1) he finds the patient and his relatives are un-co-operative;or

(2) his fees are not paid,or

(3) anotherpractitioner is consulted without his knowledge.

Note:- The foregoing do not apply so as to restrict the proper training and instructions of bona find stdents or legitimate employment of dressers,indiwives,dispensers,surgeryattendets and skilled mechanics under the immeddiatepersonal supervision of a registered medical practitioner.

SUGGESTIONS

Do not undertake to treat a patient who you know is being trated by another Physician.

Do not talk disparaginngly of your colleague who attendant of the case before you or with you at consultation. Most of the suits for malpractices arise out of such remarks.Always respect opinions and differences of opinions.

2. In case of emergencies if the regular medical attended the patient is not avilable it iss your duty to attend such a call atleast for the first time.You may deny to do so in case of own illness preventing you from doing so.

3. You should strive to maintain your medical knowledge at a high level by regular reading by attending refresher courese whenever available and by attending and taking an active interest in the meetings of your local medical society and Conferences.Add ypur knowledge and experience to the common pool and thus contribute to advancement of medicine.

4. Never forget that doctor by virtue of his profession is given a high place in society.Study and assist in solving the civic and political.problems of your Society but not by neglecting your patients and profession.Do nothing to forfeit the esteem and the confidence of your fellowmen In though,word and deed be a gentlemen.

5. In serious illness,in doubtful conditions,in operations of a multilating or destructive nature upon an unborn child,in operations which may vitally affect the intelectual or generative function of the patient always ask for a consultation.

6. At the consulation there should be a free exchange of opinion.These discussions should statement or otherwise should be communicated to them by the attending physician.

7. Before performing an operation in writing the consent from the hudband or wife,parent or guarding in the case of a minor or the patient himself as the consent of both husband and wife is any way.

8. In practising your profession use methods of fair competition.It is unethical to advertise yourself or solicit practice in any way.

9. Do not undertake more work then you can conveniently manage.If you are runninga dispensary practice aviod overcrowing by not calling patients twice or every day.unless,it isessntial to doso. To many medicines may be given for three days.Charge you fees every time you examine the patient.If you agree to attend the woman in her confinement you must do so.Where it is impossible to do due to valid reason it is your duty to provide alternative arrangement.

10. Though your fees may very according to the means of your patients do not attend patient free of charge they are poor.There are hospital for the poor.

11. If your patient need invastigation and technical assistance which is beyond you the limits of purse of patients do not delay in referring him to a public institutution.

12. Do not claim to be a specilist unless you have put in a good few year of study and experience or have a special qualification in that branch .Once you say you are one.do not undertake word outside your speciality even for your friends.Live and let live.

13. If you are running an institution purpose such as a menteal home,a sanatorium,a house for cripples,blinds etc.you mayadvertise in it the lay and medical prees.The advertisemant should not contain anything the following information :-

Name of the institution,the address and apporsh,the types of patients admitted,facilities offered and the residential fees.The name of the superintendent may appear in the Medical Prees.It is the advertisementto celebrate the annual function of your institution and invite your friends to it.

14. While it is scintific to offer a good prognosis,if one`s findings lead to it,it is unwise to guarantee a cure.

15. When issuing a medical certificate always enter the identification marks of the patient and keep a copy of the certificate.

16. Do not publish photographs or case reports of your patient in any medical or other journal in a manner by which their indently could be made out without their permission.should the indently be not disclosed his consent is not needed.

17. If you are running a nursing home if you employ to help you,the untimate responsibility rests on you.

18. Do not accept appointment ,whether honorary or salaried in institution where the practice is to "splite fees"for visit and injunction between the practioner and the insititution.

19. Medical practitioners seeking service abroad are advised in their own interest to consult the Government of India before they enter into any contract for service abroad with the agents of a foreign Governmernt.