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The dilemma that our medical practitioners face today

b_9904b_9904 The one and only PExer
The news that the House has given the green signal for stiffer penalty for medical malpractice was met with varied reactions from medical practitioners, patients and the general public. House Bill 6538, now Senate Bill 3137 and pending for second reading provides that any physician who practices in a field of medical specialization which is not within the scope of his or her specialization may face life imprisonment under the provisions of the proposed Physicians Act of 2012. A fine ranging from P500,000 to P2 million and a maximum penalty of life imprisonment will be imposed if the death of a patient occurs as a result of the practice of a field of medical specialty outside the field of the doctor involved.


Source


Link to the Senate Bill.

IMHO, they should think long and hard before passing this law.
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Comments

  • BaldozerBaldozer Member PExer
    What? Field of specialization? naisip ba nila na lahat ng nasa field of medicine ay galing sa general field mga yan? Di ba mas maganda kung pondo para sa health ang tataasan nila hindi ng kuna anu ano.
  • b_9904b_9904 The one and only PExer
    Baldozer wrote: »
    What? Field of specialization? naisip ba nila na lahat ng nasa field of medicine ay galing sa general field mga yan? Di ba mas maganda kung pondo para sa health ang tataasan nila hindi ng kuna anu ano.

    Hindi lang yun. Check out the punishment!

    Parang kasing level lang ng Drug Trafficking and whatnot.

    ITS A FREAKING HEINOUS CRIME! :lol:
  • stepehenyan@12[email protected] haremnojutsu ✭✭
    bago ka magkapa specialize kailangan mo muna mag residency sa isang ospital na nag offer ng residency program. bago pa dun syempre kailangan pasado ka sa medical board. ngayon pag di ka kumuha ng residency general practice ka lang alam ko yan dahil kapatid ko doctor diplomate na sya natapos na nya residency nakapasa na sya sa exam.

    walang masama sa batas na yan bukod pa dun di mo kailangan ng budget para magpasa ng batas na me karampatan parusa .:lol:
  • nikkilovenikkilove Member ✭✭✭
    :rotflmao:.

    pagkatapos magaral ng ilang taon, magbayad ng P100,000/sem, magpakapuyat as intern,

    magsisilbi ka as doktor na mababang sweldo sa isang pampblikong ospital,

    ikaw pa makukulong. :rotflmao:

    what a joke!
  • despisePappusdespisePappus A Jounin ✭✭✭
    What if it is an emergency?

    What if there's no specialist around, or the nearest specialist is about 8 to 12 hours from the patient's location?

    There are many what ifs here.

    I hope that they study this bill more.
  • cuchcuch do i make you horny, baby? ✭✭✭
    Baldozer wrote: »
    What? Field of specialization? naisip ba nila na lahat ng nasa field of medicine ay galing sa general field mga yan? Di ba mas maganda kung pondo para sa health ang tataasan nila hindi ng kuna anu ano.

    field of spec.- surgery,ob-gyn, pediatrics and internal medicine, bawat isa may sub specialty like neuro surgery, cardiology, ophthalmology, ent-hns, orthopedics etc. then there is general practice or gp, usually mga gp pang ubo-sipon-lbm lang yan, mga common ailments. from what the bill says it will be illegal for a doctor to practice in a field of spec that is not his field of spec. ex. if you are a trained pediatrician hindi ka pwedeng pumapel na ob-gyne kung hindi ka nagtraining sa ob-gyne. in a non emergency setting, hindi ka pwedeng mag paanak kung hindi ka ob-gyne.
  • nikkilovenikkilove Member ✭✭✭
    :hiya:

    pag kritikal or agaw buhay na ang pasyente, wala ng kukuhang doktor dahil baka malasin at matuluyan, makulong pa sya. :glee:

    we are not the US.


    we have no universal healthcare. sa america, pwedeng umorder ang doktor ng xray, mri, ct scan, when they're in doubt of condition, just like ordering through a drivethru,

    sa pilipinas wala tayong universal health care na pwedeng mag shoulder sa medical na gastusin ng mga pasyente,

    so ano? papasa na rin ang universal healthcare, para sa million million na pinoy na di kayang mag MRI,

    good luck.

    grabe tong mga mambabatas natin, san ba napunta mga utak ng mga ito.

    we deserve who we vote.
  • cuchcuch do i make you horny, baby? ✭✭✭
    What if it is an emergency?

    What if there's no specialist around, or the nearest specialist is about 8 to 12 hours from the patient's location?

    There are many what ifs here.

    I hope that they study this bill more.

    i guess this is for non emergency setting only, pero kailangan talaga ng dedicated medical transport system in cases where great distance separate the patient and health care provider ex. med-evac choppers, emt ambulances, hospital-ships. maraming doctor ang may gusto ng ganito,other countries have this kind of set up already, kaso with caliber of politicians we have this is just another long shot
  • despisePappusdespisePappus A Jounin ✭✭✭
    I think that the intention of the law is good.

    But there are many what ifs that remain to be answered.

    A safety net for medical practitioners who must not be punished if they performed their duty well.

    Not all deaths are caused by malpractices. Hence, it doesn't follow that an Internist caused the death of someone who is suffering from cancer. We need to know the whole story.
  • despisePappusdespisePappus A Jounin ✭✭✭
    cuch wrote: »
    i guess this is for non emergency setting only, pero kailangan talaga ng dedicated medical transport system in cases where great distance separate the patient and health care provider ex. med-evac choppers, emt ambulances, hospital-ships. maraming doctor ang may gusto ng ganito,other countries have this kind of set up already, kaso with caliber of politicians we have this is just another long shot

    If so, the law should be very clear on this one. This gray area will put a lot of doctors in trouble.
  • nikkilovenikkilove Member ✭✭✭
    I do get the point on restricting medical specialists to their field,

    but it's still vague, I mean the law, dahil specialists are also doctors.

    what if may manganak sa eroplano, so an eent wont be able to help, dahil di sya ob-gyne.

    kasi the instances that this law should be applicable, is nearly nil to happen,

    why? first hospitals wont permit it.

    may hospital bang papayag na ang EENT ang mag oopera sa puso, pagagamit ba nila yung operating room at mga surgical equipments sa EENT?

    or yung opthalmologist, mag sa suction ng nasal drainage ng pasyente.

    in what way magiging applicable ang law nato?
  • cuchcuch do i make you horny, baby? ✭✭✭
    If so, the law should be very clear on this one. This gray area will put a lot of doctors in trouble.

    marami din kasing doc na naturuan lang gumawa ng isang procedure ng kapwa doctor e feeling nila qualified na sila gumawa ng ganoon. ex. general surgeons doing breast augmentation, nose lift etc. only board certified cosmetic surgeons are allowed to do this, coz aside from general surgery training, cosmetic surgeons undergo additional training and certification in cosmetic surgery
  • b_9904b_9904 The one and only PExer
    Lets look on the bright side kids.

    This will really look good sa mga MASA who doesn't think and let the media think for them. :rotflmao:

    Anyways, maganda na din ito. Yung mga walang kamaganak or asawa or kapatid or whatever na doctor will surely suffer when they start yelling: IS THERE A DOCTOR HERE!

    I :love: this law!
  • ligkrammdligkrammd Member PExer
    Ang gobyerno ay nagbigay ng lisensya sa isang doctor na magpractice ng medicine. Sa ngayon walang definition o hangganan ang ibig sabihin ng practice of medicine. Kahit ang mga general practitioner ay pwedeng gumawa ng caesarian section, appendectomy at kung ano pa man dahil nga walang batas na nagbabawal sa kanilang gumawa ng ganoon. Ang mga titulong surgeon, OB-GYN, pedia ay pawang mga titulong binibigay ng mga non governmental medical society at hindi ng gobyerno. OO pwedeng maganda ang layunin ng batas dahil mabibigyan ng definition kung ano ang pwede lamang gawin ng isang General Practitioner, Surgeon o kung ano pa man. Ngunit nakakatakot ang parusa nito. Sa aking opinion inihahalintulad na ang mga doktor na "nagkamali" sa isang mamamatay tao. Marami ring gray areas ang batas. Hindi rin naaangkop ang batas na ito sa sitwasyon ng Pilipinas kung saan napakaraming lugar ang kulang na kulang sa doktor mapa general practitioner man o specialist. Maraming lugar sa Pilipinas kung saan ang isang doctor ay nanggagamot na lagpas na sa kanilang specialist. Walang mali duon dahil ipinapalagay na ang general practitioner ay may alam sa lahat ng aspeto ng medisina kaya nga siya nabigyan ng lisensya at alam nya ang kanyang sariling hangganan. Isa pa, ang pageespesyalista ay pagdadalubhasa lamang sa isang field ng medisina hindi ibig sabihin ay kinakalimutan na nya ang ibang aspeto ng medisina. Sa aking palagay sapat na ang mga batas natin para proteksyunan ang pasyente mula sa pagkakamaling nagawa ng isang doktor.
  • dikonaalamdikonaalam the prince of nursing PExer
    improve the health care system: pay decent wages, ensure health care accessibility and affordability, build more fully-equipped hospitals, ensure adequate staff-patient ratio, then maybe they can consider this law. The intention is good, though. But they just have to make sure that they consider all the aspects, carefully defining the practice and consider exemptions, like for emergency cases and the principle of good samaritan.

    I worked in a small town, rural hospital in the US, and technically, we are not licensed to deliver babies because we don't have that specialty. Meaning, we don't do it on a daily basis (very rare actually). But because of a certain law, we are required to do all within our means to attend to the delivery if one presents in our emergency room. But other measures should also take place, like making sure emergency transport is called once we do our part so the patient can be transferred to the more appropriate facility. In some extreme emergency cases, patient is out of our ER within 15 minutes, via plane or helicopter, to the nearest trauma center. That's what I would like to see first in the Philippines, the efficiency of the practice.

    But the Philippines is not the US. We don't have all the resources.
  • ligkrammdligkrammd Member PExer
    There is only license to practice medicine. There is no such thing as license to practice surgery, pediatrics, ob-gyn, cardiology. Specialty is given by non-governmental medical organization. Technically, license to practice medicine encompasses all aspects of medicine. Practice of medicine is self-regulating, meaning, the doctor limits his or her action based on his or her knowledge and capabilities and based on "first-do-no-harm" ideology.

    The real problem of this law is how it will define a certain doctor's limitations. If a doctor is an Ob-Gyn, what are his limitations? What are the things that he cannot do?

    Another problem is what is License to practice medicine? What does practice of medicine mean -its limitation and scope according to one's knowledge and experience? For example how many vaginal delivery should a general physician have done to have "license to do vaginal delivery" if there is such a thing. Again this law has so many gray areas and will put both the doctor and patient in uncomfortable situation.

    Also, Emergency Medicine is a specialty. If you are not board certified by Philippine College of Emergency Medicine, and you attended an emergency case and the patient dies, will you get jailed beause you are not board certified by PCEM and that your knowledge and experience with Emergency Medicine might be lacking hence the death of the patient?
  • b_9904b_9904 The one and only PExer
    ^Actually, I am reading an article about this. It has something to do with the AMA.

    http://libertadfilipinas.wordpress.com/2003/06/25/bring-back-the-guild-system/

    If we go the way of the US AMA then mayhap we will face the same problems discussed sa link ko which echoes the Opinion of Soliven.
  • f1f2f3f1f2f3 Member PExer
    bump. does anyone know more about this issue? I'm also looking for the position papers of organizations against this bill, such as the PAMS but the link in their site doesn't work.
  • ftwcp955ftwcp955 Member PExer
    b_9904 wrote: »
    Hindi lang yun. Check out the punishment!

    Parang kasing level lang ng Drug Trafficking and whatnot.

    ITS A FREAKING HEINOUS CRIME! :lol:

    Cause we are trusting them with our lives. With that kind of job, mistake is a big NO. The reason why we are paying them more. Life for life, If you ruin the life of other then you deserve the same faith.
  • blue_tracerblue_tracer soundscapes ✭✭✭
    napaka harsh naman ng punishment. malpractice ng doctors? eh yung 'malpractice' ng mga opisyal, 'panu? ah oo nga pala, may pumipigil pa sa FOI. :rotflmao:

    siyempre, abroad na ang puntirya ng mga doctors natin niyan. practical at logical lang.
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