Medical Ethics: Real-World Application
By Afshin Nasseri

You may have acquired this book as a result of conflicts with peers, administrators, patients, or State Medical Boards, where the outcomes of those interactions have left you wondering, “…what if I had done things differently?"

Medical Ethics: Real-World Application By Afshin Nasseri

You may have acquired this book as a result of conflicts with peers, administrators, patients, or State Medical Boards, where the outcomes of those interactions have left you wondering, “…what if I had done things differently?”

In that case, I hope that this book answers some of your questions and guides you with regards to any future quandaries you may encounter.

If you are a healthcare worker seeking to understand the subject of medical ethics, then I hope this book helps you acquire the clarity you seek.
If you are an individual simply curious about medical ethics, then I raise my hat to you for your pursuit of knowledge.

Meet Afshin Nasseri

Dr. Nasseri has dedicated most of his adult life to Internal Medicine. He spent 20 years as the sole physician in his large primary care practice, focusing on a variety of patient issues such as hypertension, hypercholesterolemia, thyroid disorders, men’s health, diabetes, arthritis, and mental health issues encompassing anxiety, depression, and stress management. He also created primary care facilities at two different hospitals lacking primary care infrastructure and was responsible for establishing standards of management and practice for the facilities. Dr. Nasseri also assisted in ICU and CCU infrastructure development for one of these facilities, by establishing protocols for care in a high-growth environment.

Over his extensive professional career and experience, he came to the realization that there must be a better way to improve patient compliance, lifestyle, and behaviors, and became a certified Health Coach and Life Coach in order to improve the lives of his patients.

Early in his medical career, he was recognized as an accredited teacher to Brown and Boston University medical students and interns. Dr. Nasseri is an active leader at GRACECares, Inc. a nonprofit organization aimed at community development through mindful empowerment and works with the Lucknow Project and a variety of local organizations to provide free healthcare and medicines to rural villages in Uttar Pradesh, India.

He is an accomplished member of the American College of Physicians, the Harvard Institute of Coaching, the American Society of Laser Medicine, the Obesity Medicine Association (OMA), the Mindfulness-Based Stress Reduction Program (MBSR) at Brown University, and is certified by both the Fowler Institute of Coaching and the Beck Institute in Cognitive Behavioral Therapy.

He is fluent in English, Spanish, French, and Farsi (Persian). He has lived and worked professionally in a variety of countries and has rich cultural background and understanding which allows him to connect with clients and patients from across the world.

State Medical Boards

The medical board’s duty is to protect the public, not the physician. State medical boards today focus on licensed physicians who violate professional ethics, and their mandate has significantly evolved to focus on disciplining physicians.

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Boundary Violation

Boundaries create a therapeutic distance between physician and patient and clarify their respective roles and expectations. Boundaries define limits of the therapeutic relationship.

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Risk Avoidance

Clinicians are not required either ethically or legally, to treat every patient that presents for treatment.
There are times when the clinician-patient relationship should be terminated for the benefit of the patient as well as the clinician.

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Medical Malpractice and Professional Liability

Treatments and procedures are conducted with the best intentions, and unfortunately, despite best efforts, the outcomes do not always turn out as expected. Sadly, we live in a litigious society, and in the case of medical incidents, patients and families need to hold someone responsible. Healthcare professionals are responsible not only for their actions, but those of their staff as well. Everyone associated with negligence is liable for damages.

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Medicine and the Law

Risk management is used to minimize the incidence of problematic behavior that might result in injury to patients and employees, and to decrease liability for the physician or the facility. The key element in risk management is identifying problem behaviors and practices in an organization such as a hospital or medical office.

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Managed Care

The term “managed care is” used in the United States to describe activities intended to reduce the cost of providing for-profit healthcare and provide health insurance while improving the quality of that care. Managed care plans are a type of health insurance, which include contracts with healthcare providers, medical facilities, and physicians to provide care for their members at reduced costs. These providers make up the plan’s network, and how much of the care provided is paid for by the plan, depends on the network’s rules.

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Social Media

Social media is a serious challenge for physicians. As both doctors and patients exchange thoughts and stories on Facebook, Instagram, and other social media platforms, this opens a portal to risky consequences

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Telemedicine and Telecommunicating with Patient

Telemedicine is defined as medical diagnosis and patient care through electronic media where the patient and the provider are in different locations. The technology’s potential to enhance value-based care has contributed to the widespread adoption of telemedicine. A licensed physician in one state cannot treat a patient across state lines, unless said physician also holds a license for the state where the patient resides. Otherwise, practicing in a state without a medical license has serious legal implications.

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Prescribing Opiates, or Not

A physician must be able to justify prescribing decisions with documentary evidence of a patient’s initial assessment and reassessments as required, including when accepting the transfer of care of a patient from another healthcare provider.

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