Medical Jurisprudence/Medical Ethics
David Eckstein Goldman, JD, DO, FCLM
Physician/Psychiatrist/Attorney At Law
Diplomate, American College of Forensic Medicine
Diplomate, American College of Forensic Examiners
Fellow, American College of Legal Medicine
Assistant Professor ATSU/Kirksville College of
Osteopathic Medicine
Assistant Clinical Professor, SIU School of Medicine
Medical Director, The Goldman Group, LLC
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #1 Medical Jurisprudence/Medical
Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Introduction to The American Legal and Judicial
System
American Legal/Judicial System
Bioethics
Burden of Proof
Competency & Capacity
Courtroom Testimony
HIPAA
Informed Consent
Malingering
Malpractice
Medical Records
Privacy & Confidentiality
Risk Management
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #2 Medical
Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO,
FCLM
Review American Jurisprudence
Adversarial System (Friendly): Discovery
Judicial System
Civil Proceedings
Criminal Proceedings
Incarceration: Jail/Prison
Forms of Discovery:
A– Depositions
B- Written Interrogatories
Courtroom Testimony
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #3 Medical
Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO,
FCLM
Bioethics
Autonomy
Beneficence
Non-maleficence
Justice
Advance Directives
Living Wills
Durable Powers of Attorney
Medical Malpractice: the four D’s
Duty
Dereliction of Duty
Direct Causation
Damages
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #4 Medical
Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Malpractice/Negligence: the four D’s
*Establishing the patient/physician relationship
Detrimental reliance
Informed Consent
Due Care/Standard of care
Scope of Expertise
Error: Omission versus Commission
Error in Fact
Error in Judgment
Review of Medical Records
Concept of Tort
Gratuitous Care
Ethical Breach
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #5 Medical
Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO,
FCLM
Medical Malpractice Insurance
Occurrence Policy
Claims made Policy
Reporting endorsement
Off-Label prescribing and treating
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #6 Medical
Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO,
FCLM
Reporting Abuse
“YNT letters” (“You Need To”)/Letters to Patients
Privilege of Confidentiality
Waiver of Confidentiality
Patient Access to Charts
Obtaining Informed Consent
Patient/Physician Relationship: rapport
Learned Intermediary
Res Ipsa Loquitor
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #7 Medical
Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO, FCLM
Disengaging from a patient
Non-Negligent Medical Malpractice Tort Actions:
•abandonment of your patient
•battery
•breach of confidentiality
•breach of contract (or warranty to cure)
•defamation
•failure to obtain informed consent
•failure to report
•failure to warn and control
•false imprisonment
•negligent referrals
•strict liability for drugs and medical devices
•vicarious liability
Failure to Warn
False Imprisonment
Negligent Referrals
Strict liability
Vicarious liability
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #8
Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO,
FCLM
Vicarious liability
Informed Consent: Landmark Cases
Natanson v Klein
Canterbury v Spence
Truman v Thomas
Cruzan v Missouri, Dept of Health
Four exceptions to need for material disclosure
The Medical Chart:
Ownership
Documentation
Access
©Copyright 2012 David Eckstein Goldman All Rights Reserved
Lecture Presentation #9
Medical Jurisprudence/Medical Ethics
Presented by David Eckstein Goldman, JD, DO,
FCLM
QUESTIONS & ANSWERS
©Copyright 2012 David Eckstein Goldman All Rights Reserved