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When a patient has not been in contact with a practice for an extended period of time (for example, several years), some physicians may assume that the patient has sought care elsewhere, and seek to remove the patient from the practice.Before formally ending the physician-patient relationship, physicians must make a good-faith effort to determine whether the patient would prefer to maintain the relationship.

Female sex chat buddy - Doctor dating a patient ethics

As each practice and patient population is unique, physicians must exercise their own professional judgment, consistent with this policy, in selecting which patients to remove from their practice.

Whatever method a physician uses, it must be fair, transparent, and compassionate, and take into account the medical needs of each patient.

This policy sets expectations for physicians when ending the physician-patient relationship.

These expectations reflect both the fiduciary nature of the physician’s role, as well as the inherent vulnerability of patients when faced with the discontinuation of care.

In the course of providing care, physicians may sometimes charge patients for services that are not covered by the Ontario Health Insurance Plan (OHIP).

These uninsured services may include sick notes for work, copies of medical records, and some uninsured medical procedures.

In these cases, it may not be possible or safe to attempt to resolve the conflict with the patient directly, and physicians are under no obligation to engage with the patient prior to ending the physician-patient relationship.

While all physicians are expected to act first and foremost in the best interests of their patients, there may be times when physicians’ ethical and professional obligation to provide care to an individual patient is in conflict with their other important duties or obligations, such as those owed to their other patients, colleagues, or themselves.

These factors may include, as examples: the stage of the physician’s career, the status of the physician’s health or well-being, or the physician’s career goals.

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