1. Medical Jurisprudence/Medical Ethics David Eckstein Goldman, JD, DO, FCLM Physician/Psychiatrist/Attorney At Law Diplomate, American College of Forensic Medicine Diplomate, American College of Forensic Examiners Fellow, American College of Legal Medicine Assistant Professor ATSU/Kirksville College of Osteopathic Medicine Assistant Clinical Professor, SIU School of Medicine Medical Director, The Goldman Group, LLC ©Copyright 2012 David Eckstein Goldman All Rights Reserved

2. Lecture Presentation #1 Medical Jurisprudence/Medical Ethics Presented by David Eckstein Goldman, JD, DO, FCLM Introduction to The American Legal and Judicial System American Legal/Judicial System Informed Consent Bioethics Malingering Burden of Proof Malpractice Competency & Capacity Medical Records Courtroom Testimony Privacy & Confidentiality HIPAA Risk Management ©Copyright 2012 David Eckstein Goldman All Rights Reserved

3. Lecture Presentation #2 Medical Jurisprudence/Medical Ethics Presented by David Eckstein Goldman, JD, DO, FCLM Review American Jurisprudence Adversarial System (Friendly): Discovery Judicial System Civil Proceedings Criminal Proceedings Incarceration: Jail/Prison Forms of Discovery: A– Depositions B- Written Interrogatories Courtroom Testimony ©Copyright 2012 David Eckstein Goldman All Rights Reserved

4. Lecture Presentation #3 Medical Jurisprudence/Medical Ethics Presented by David Eckstein Goldman, JD, DO, FCLM Bioethics Autonomy Beneficence Non-maleficence Justice Advance Directives Living Wills Durable Powers of Attorney Medical Malpractice: the four D’s Duty Dereliction of Duty Direct Causation Damages ©Copyright 2012 David Eckstein Goldman All Rights Reserved

5. Lecture Presentation #4 Medical Jurisprudence/Medical Ethics Presented by David Eckstein Goldman, JD, DO, FCLM Malpractice/Negligence: the four D’s *Establishing the patient/physician relationship Detrimental reliance Informed Consent Due Care/Standard of care Scope of Expertise Error: Omission versus Commission Error in Fact Error in Judgment Review of Medical Records Concept of Tort Gratuitous Care Ethical Breach ©Copyright 2012 David Eckstein Goldman All Rights Reserved

6. Lecture Presentation #5 Medical Jurisprudence/Medical Ethics Presented by David Eckstein Goldman, JD, DO, FCLM Medical Malpractice Insurance Occurrence Policy Claims made Policy Reporting endorsement Off-Label prescribing and treating ©Copyright 2012 David Eckstein Goldman All Rights Reserved

7. Lecture Presentation #6 Medical Jurisprudence/Medical Ethics Presented by David Eckstein Goldman, JD, DO, FCLM Reporting Abuse “YNT letters” (“You Need To”)/Letters to Patients Privilege of Confidentiality Waiver of Confidentiality Patient Access to Charts Obtaining Informed Consent Patient/Physician Relationship: rapport Learned Intermediary Res Ipsa Loquitor ©Copyright 2012 David Eckstein Goldman All Rights Reserved

8. Lecture Presentation #7 Medical Jurisprudence/Medical Ethics Presented by David Eckstein Goldman, JD, DO, FCLM Disengaging from a patient Non-Negligent Medical Malpractice Tort Actions: abandonment of your patient battery breach of confidentiality breach of contract (or warranty to cure) defamation failure to obtain informed consent failure to report failure to warn and control false imprisonment negligent referrals strict liability for drugs and medical devices vicarious liability Failure to Warn False Imprisonment Negligent Referrals Strict liability Vicarious liability ©Copyright 2012 David Eckstein Goldman All Rights Reserved

9. Lecture Presentation #8 Medical Jurisprudence/Medical Ethics Presented by David Eckstein Goldman, JD, DO, FCLM Vicarious liability Informed Consent: Landmark Cases Natanson v Klein Canterbury v Spence Truman v Thomas Cruzan v Missouri, Dept of Health Four exceptions to need for material disclosure The Medical Chart: Ownership Documentation Access ©Copyright 2012 David Eckstein Goldman All Rights Reserved

10. Lecture Presentation #9 Medical Jurisprudence/Medical Ethics Presented by David Eckstein Goldman, JD, DO, FCLM QUESTIONS & ANSWERS ©Copyright 2012 David Eckstein Goldman All Rights Reserved