Excerpt From Medical Ethics: Real-World Application By Afshin Nasser

Impaired Drivers

All states require patients to report seizure disorders or visual acuity changes. Nationally, there is no consensus amongst states in regard to reporting practices. The Department of Motor Vehicles (DMV) is the only authority which can suspend or revoke driving privileges. Drivers should take it upon themselves to report any relevant impairments to the DMV, and physicians should encourage all impaired drivers to limit their driving. Physicians cannot suspend driving privileges.

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All states require patients to report seizure disorders or visual acuity changes. Nationally, there is no consensus amongst states in regard to reporting practices. The Department of Motor Vehicles (DMV) is the only authority which can suspend or revoke driving privileges. Drivers should take it upon themselves to report any relevant impairments to the DMV, and physicians should encourage all impaired drivers to limit their driving. Physicians cannot suspend driving privileges.

Q32 An 88-year-old male patient presents to the office in a follow-up minor MVA where he hit the left side of his head. He renewed his driver’s license two years ago and his only restriction is wearing glasses. You have concerns about patient safety if he continues to drive. What should be done?
A –neurological examination and evaluation
B – imaging of the brain
C- revoke patient’s license to driveD- discussed the matter with the family to prevent him from driving
E-discussed the matter with the patient and encourage him to stop driving since this may put him and others in danger, remind him that there are always other means of transportation.

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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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Medical Ethics: Real-World Application By Afshin Nasser

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.