Dos and Don'ts for Doctors

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Don'ts for Doctors
  • Donít prescribe without examining the patient, even if he is a close friend or relative (Telephone advice is an exception).

  • Never examine a female patient without presence of female nurse/ attendant, especially during genital and breast examinations.
  • Donít insist on the patient to tell the history of illness or be examined in presence of others. He has right to privacy and confidentiality.
  • Do not permit considerations of religion, nationality, race, party, politics or social standing to intervene between you and your patient.
  • It may not be reasonable for a doctor to assume what the patient is saying is truthful where what the patient/ attendant says is clearly contradicted by the symptoms.
  • Donít smoke while examining a patient.
  • Donít examine a patient when you are sick, exhausted, or under influence of alcohol or any intoxicated substance.
  • Donít be overconfident. Donít look overconfident.
  • Donítí prescribe a drug or indulge in a procedure of you cannot justify its indication.
  • Donít prescribe a drug or indulge in a procedure of you cannot justify its indication.
  • Donít prescribe/ administer a drug which is banned, e.g. Analgin.
  • Donít over-prescribe/ administer: too much of the drug, too large a dose, for too long.
  • Donít under-prescribe: not prescribing the needed drug, dose is too small, length of treatment is too short.
  • Donít prescribe multiple drugs. Such prescription may be due to inability to form a correct diagnosis or other causes. Possibilities of drug interactions increase with polypharmacy.
  • Donít write instructions on a separate slip. Donít allow substitutions.
  • Donít adopt experimental method in treatment. If there is some rationale do it only after informed consent.
  • Donít do anything beyond your level of competence. Competence is defined by your qualification, training and experience.
  • Donít give a drug parenterally if it can be given orally. There may be some exceptions.
  • When you are not sure what and why to do. Consult your senior/ specialist/ colleague.
  • Donít refuse if the patient/ attendants want to leave against medical advice. It is their right. Document this properly.
  • Never avoid a cal for help from a nurse on duty at night. In all probability a genuine emergency may be there.
  • Never order an investigation unless the result is likely to help you direct the treatment or make a difference in what you tell a patient.
  • Donít allow modern diagnostics tests to substitute your clinical judgment. At best, they can only supplement t. Always analyze the cost-benefit ratio before rushing to get these tests done. In case a particular test had high false positive or false negative results, explain this to the patient before getting it done.
  • Never label any condition as ďfunctionalĒ until you are as certain as possible of the accuracy.

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