Ethics

Question 1

You must assess for ______________ when evaluating for living organ donation.

Answer 1

potential coercion or bribery

Question 2

A 2008 law prohibited employers from doing what?

Answer 2

Requesting or requiring genetic information from employees

Question 3

According to the USMLE, under what circumstances can a physician date a patient?

Answer 3

Never

They say that some people/societies say it is ok if the professional relationship is terminated, but on Step 3 this is not the answer.

Question 4

Explain the criteria that protects medical providers under good samaritan laws.

Answer 4

• Must be an emergency problem
• The person must consent to care when possible
• You cannot be paid for the services
• You must provide care that is overall good – not gross negligence or neglect
• You must stay until a comparable provider (which includes EMS) arrives to take over

Question 5

EMTALA was enacted in _____.

Answer 5

1986

Question 6

EMTALA violations for physicians can cost up to _________.

Answer 6

$50,000 per violation

Question 7

True or false: if you are working at a regional hospital and a trauma comes to your helipad to be flown to a different hospital, you must evaluate them to not trigger EMTALA.

Answer 7

It depends.

If EMS requests that you assess that patient then you do need to see the patient and do what you can. If they do not request that you see them then you do not need to assess them.

Question 8

If you suspect another physician has a substance problem, what are the general recommendations for reporting?

Answer 8

• Do not approach the physician yourself. This should happen by professionals who can take the next steps.
• Avoid things that may be punitive at first, such as calling the licensing board. This can inflame the situation before the physician has a chance to get help.
• Report to the state physicians’ health board so they can investigate and care for the physician.