<p>As to MDs protecting themselves from lawsuits, one will probably get a lot of different answers as the MD’s state of residency’s will tend to govern. I and a lot of professionals I know use corporations or limited liability company’s (LLC) to try to protect assets. </p>
<p>Are we moving to the extremes of the OP?? Should a new thread be created for post residency posts??</p>
<p>Dare I mention that D1 already has her criminal defense attorney lined up?</p>
<p>This is in case a patient ever confesses a crime to her. Since any utterance that occurs within the doctor-patient relationship is confidential, she is ethically required to keep silent. Even if it’s a confession of murder. She was instructed that if a patient should ever make such a utterance, her only recourse is to retain an attorney and let the attorney decide what her legal duty is.</p>
<p>“Dare I mention that D1 already has her criminal defense attorney lined up?”</p>
<p>As to doctor-patient confidentiality: there can be many exceptions to it depending on what law applies (probably state of residency, maybe federal). I agree that if in doubt on MD’s part talking to attorney is probably a good idea. But I’ve practiced in the health care field for over 25 years and know and have talked to countless others and I have to tell you this is not a day to day issue.</p>
<p>S took an elective overview about law and medicine while in med school. (I do think, if offered, med students should take such a course). The subject of doctor-patient confidentiality was briefly discussed and is probably all the info a student/soon to be MD needed to know about an issue which in all likelihood will never come up.</p>
<p>I think some parents/students could infer from above quote that an MD needs to have a criminal defense attorney on retainer from the get go, which is certainly not the case. And I think quote kind of falls into the same ballpark as an earlier post regarding na</p>
<p>I Know it’s not a day-to-day issue, but the one the state’s top criminal defense attorneys is the older sister of one of D1’s very close friends. She’s been to the attorney’s house many times and has jokingly retained her as counsel. Just in case……</p>
<p>wowmom: As to my thinking too much, my first reaction to your post was that it must be some kind of joke, but I deleted that thought from actually posting. Thanks for clarifying.</p>
<p>On bad thing about your kid doing a sub-I in ortho is after she breaks an ankle and tries to explain to you what’s wrong and why she needs corrective surgery in 6-8 weeks—you have no idea what she just said.</p>
<p>Seriously, she lost me right after “I fractured my ankle last night. Can I borrow your crutches?”</p>
<p>That is just bad luck piling on wowmom. D1 seems to have too much happening to her.</p>
<p>She does seem be spending too much time in the ER as patient lately. (Acute appendicitis this summer and now broken ankle.)</p>
<p>The bad part (as far she was concerned) is that she’d arranged to do her FM rotation in March at a clinic in a well known ski resort town. Now—no skiing/snowboarding for at least 6 months.</p>
<p>My friend got a little med student syndrome and thought he had somehow gotten testicular torsion from a collision in flag football so he went to his med school’s hospital’s ED and had to be examined by a class mate.</p>
<p>At least broken ankle and appendicitis require less invasive physicals.</p>
<p>wowmom–</p>
<p>wow! A lot of good news and a lot of bad news. I hope your D heals quickly.</p>
<p>wowmom, Hope yoy D1 will be fine soon.</p>
<p>iwbb, In the first year, DS said many students in his group were not comfortable when they need to practice their physical exam techniques on each other. It ended up the male students practiced on the male students, and the female students practiced on the female students. I wonder if this is norm or not, or he happened to be in a group which is like that.</p>
<p>Did your S’s school not use standardized patients?</p>
<p>But I have a friend who talks about male students being sent to one room and female student sent to another back in the day (early 70s maybe?) to practice doing prostate/pelvic exams on one another.</p>
<p>
My school did the same, then 2nd year you were in co-ed groups. They switched the policy and went co-ed for 1st years but I believe the feedback was so negative that they switched back to 1st year single sex, 2nd year co-ed the year after and it will stay that way.</p>
<p>
Yep, this is how it used to be done, or you never practiced it before doing it on patients. Now of course schools hire people whose job is to train medical students to do these exams. We had one day where we had to come in for an all day session to learn breast, pelvic/GU, and prostate exams. It’s definitely an interesting type of person who earns their living having people poke and prod their genitals and breasts all day, but god bless them.</p>
<p>“to practice their physical exam techniques on each other.”
-D. has never mentioned such events. I do not think that they did at her school.</p>
<p>She may not have mentioned it, but pretty much 0% chance they didn’t practice their physical exam skills on each other. Obviously not the GU/prostate/breast ones, but the cardio, plum, abdominal, neuro, HEENT, and MSK for sure. There’s no better way to learn than to practice on someone who can critique you meaningfully and for med students that usually means other med students.</p>
<p>It might as well be, but we are talking frequently and pretty openly, more frequently than when she was in UG. Anyway, she is rotations, doing it with or without previous practices. She actually has only 5 more months before she start doing her elective rotations. Time is going crazy fast.</p>
<p>What exam is my son talking about?</p>
<p>He’s a MS1. His SOM had the MS1’s take some national exam in Dec. From what I understand, this isn’t a req’d exam for THESE students, and it seems that it was taken as kind of an evaluation exam (like maybe an early STEP 1??). </p>
<p>It sounds like it is a req’d exam for med students at some point, but not for mid-year MS1 students. The SOM had to pay a lot of money to implement this exam to these MS1 students. The students were given their “results” about a week ago. Their results were just given in Quartiles for their SOM. They weren’t given an actual score. They were just told, by email from the school, that they had placed in a particular quartile.</p>
<p>What is this? Anyone know?</p>
<p>I don’t know if this is typical, but everything these kids do is based on quartiles. After each test they take, they’re told what quartile they are. Staying in the top quartile has been son’s goal, and so far, he’s there.</p>
<p>I got nothing.</p>
<p>
</p>
<p>The only thing I think of that it could be is an NBME shelf exam, which is a subject-specific standardized exam that many med schools use to evaluate their students. I didn’t take any until my second year (although my school started using them for the first years the year after me). It’s just another test - one of what seems like millions.</p>
<p>This is in case a patient ever confesses a crime to her. Since any utterance that occurs within the doctor-patient relationship is confidential, she is ethically required to keep silent. E</p>
<p>I don’t believe that this is true IF the crime is ongoing…such as the patient has kidnapped a person and you have been told where that person is being kept. Or if the patient admits to abusing a child and it’s on-going.</p>
<p>Even a person’s defense atty is NOT allowed to keep an ongoing crime silent nor would he be allowed to withhold info as to where a kidnapped person is being held.</p>