Journal of General Internal Medicine

, Volume 24, Issue 12, pp 1333–1335 | Cite as

When Relatives and Friends Ask Physicians for Medical Advice: Ethical, Legal, and Practical Considerations

Perspectives

Abstract

Physicians often are asked for advice about medical matters by relatives and friends. These range from requests for simple information to requests for medical opinion and judgment and more substantial involvement by the physician. I comment on the motivations and expectations of the requester and the physician, and the legal, ethical, and practical considerations related to such requests. I recommend: (1) Be clear about the expectations of the requester and yourself, including whether you are being asked for simple factual information, your medical judgment and opinion, or more substantial involvement in the situation. (2) Treat your interactions with relatives or friends with the same professional expertise and judgment as you would any patient. (3) Be aware that a physical examination and especially charging a fee strengthen the establishment of a legal relationship with the requester as your patient. (4) Respect the requester’s autonomy and confidentiality and conform to HIPAA requirements where applicable. (5) Be aware of the potential conflict between your roles as a relative or friend and as a physician.

KEY WORDS

medical advice ethics law 

References

  1. 1.
    La Puma J, Stocking CB, LaVoie D, Darling CA. When physicians treat members of their own families: practices in a community hospital. N Engl J Med. 1991;325:1290–4.PubMedCrossRefGoogle Scholar
  2. 2.
    La Puma J, Priest ER. Is there a doctor in the house? An analysis of the practice of physicians' treating their own families. JAMA. 1992;267:1810–12.CrossRefPubMedGoogle Scholar
  3. 3.
    Schneck SA. “Doctoring” doctors and their families. JAMA. 1998;280:2039–42.CrossRefPubMedGoogle Scholar
  4. 4.
    Aboff BM, Collier VU, Farber NJ, Ehrenthal DB. Residents’ prescription writing for nonpatients. JAMA. 2002;288:381–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Johnson LJ. Should you give informal medical advice? Med Econ. 2007;84:36.PubMedGoogle Scholar
  6. 6.
    Olick RS, Bergus GR. Malpractice liability for informal consultations. Fam Med. 2003;35:476–81.PubMedGoogle Scholar

Copyright information

© Society of General Internal Medicine 2009

Authors and Affiliations

  1. 1.Center for Bioethics and HumanitiesState University of New York Upstate Medical UniversitySyracuseUSA

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