Document Detail


The treating physician as expert witness: ethical and pragmatic considerations.
MedLine Citation:
PMID:  17014608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this analysis is to apprise pain physicians of the ethical concerns and practical considerations that arise when a treating physician is called upon to testify as an expert witness in a legal proceeding involving his or her own patient. The provision of expert testimony in medico-legal proceedings has come under heightened scrutiny in recent years. When a physician testifies as an expert witness, such testimony is considered to be the practice of medicine, and hence subject to the same ethical and professional obligations as patient care. Increasingly, medical professional organizations have promulgated guidelines for such activities, and even implemented oversight mechanisms to review complaints concerning expert testimony by their members. Additional issues are raised when the expert witness is also the treating physician for the patient who is a party to the legal proceeding in which the expert testimony is offered. CONCLUSIONS: While it is not categorically unethical or inadvisable for a physician to testify as an expert witness in a medico-legal proceeding involving his or her own patient, such activity raises special issues and concerns. Prospective expert witnesses in such situations should be cognizant of these issues and insure that they have been adequately addressed before and during the testimony.
Authors:
Ben A Rich
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pain medicine (Malden, Mass.)     Volume:  7     ISSN:  1526-2375     ISO Abbreviation:  Pain Med     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-10-03     Completed Date:  2006-12-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100894201     Medline TA:  Pain Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  460-3     Citation Subset:  IM    
Affiliation:
University of California, Davis School of Medicine, Sacramento, California, USA.
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MeSH Terms
Descriptor/Qualifier:
Bias (Epidemiology)
Conflict of Interest / economics
Ethics, Medical*
Expert Testimony / ethics*,  standards*,  trends
Humans
Informed Consent / standards
Malpractice / legislation & jurisprudence,  trends*
Neurology / ethics*,  standards*,  trends
Peer Review, Health Care / ethics,  standards,  trends
Physician-Patient Relations / ethics
Societies, Medical / ethics,  standards,  trends

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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