The purpose of this book is to provide genetic counselors with varying levels of experience and expertise. It is the first book to specifically address genetic counseling, as opposed to general healthcare risk management.
No one wants to be sued. A lawsuit is an assault on one's self-image, reputation, and livelihood. It is physically, mentally, and financially draining. The purpose of this book is (1) to provide genetic counselors with varying levels of experience and expertise with heightened awareness of the sources and processes of the law as it can affect their practice; (2) to offer them strategies for minimizing the potential for their being named in a lawsuit; and (3) to provide guidance for the management of current and emerging situations. This is the first book specifically addressing genetic counseling, as opposed to general healthcare risk management.
Sources of Liability.- Duty as an Element of a Lawsuit:.- Duty as an Element of a Lawsuit:.- Duty as an Element of a Lawsuit:.- Breach, Causation and Damages as Elements of a Lawsuit.- Defenses to a Lawsuit.- Communication.- Conclusions: Lessons Learned.
From the reviews:
"Schmerler, a genetic counselor with a law degree in risk management, has written a clear, thorough guide to the bracing reality of legal issues for genetic counselors. Sources of liability are broken down into the different types of legal complaints, legal initiatives, private practice issues, technology, research, and trainees. ... Appendices round out the volume with definitions of genetic counseling from 1975 and 2006, scope of practice, the code of ethics, a bibliography, and glossary." (www.booknews.com, April, 2008)
"Susan Schmerler has developed an invaluable resource for genetic counselors at all levels of experience. ... The book is well referenced and is written in a very clear, understandable language, with minimal use of "legalese" ... [and] is a must read for genetic counselors and genetic counseling students." (Nancy Callanan, University of North Carolina at Greensboro, MS Genetic Counseling Program, J Genet Counsel. 2008)
1 Introduction.- 2 Sources of Liability.- 2.1 Forms of Legal Complaints.- 2.1.1 Tort Law.- 2.1.2 Fraud.- 2.1.3 Contract Law.- 2.2 Legal Initiatives.- 2.2.1 Federal Regulations.- 2.2.2 State Regulations.- 2.2.3 Criminal Complaints.- 2.2.4 Organizational Requirements.- 2.3 Private Practice.- 2.3.1 Partnerships.- 2.3.2 Billing.- 2.4 Industry/Technology.- 2.5 Reproductive Technology.- 2.6 Research.- 2.6.1 Human Subjects.- 2.6.2 Gene Transfer.- 2.6.3 Clinical Testing on Research Samples.- 2.6.4 Institutional Review Boards.- 2.6.5 Epidemiology.- 2.7 Trainees.- 3 Duty as an Element of a Lawsuit:.- 3.1 Duty Element.- 3.2 Establishing a Professional Relationship.- 3.2.1 Abandonment.- 3.3 Obligations and Duties.- 3.3.1 Standard of Care.- 3.3.2 Specialty Practitioners.- 3.3.3 Good Practice.- 3.3.4 Nongeneticists Providing Genetic Services.- 4 Duty as an Element of a Lawsuit: .- 4.1 Test for a Standard.- 4.2 Sources for Standards .- 4.2.1 Scope of Practice:.- 4.2.2 Code of Ethics.- 4.2.3 Professional Organizations.- 4.2.4 Professional Literature.- 4.2.5 Professional Guidelines.- 4.2.6 Credentials.- 4.2.7 Expert testimony.- 5 Duty as an Element of a Lawsuit:.- 5.1 Medical Records.- 5.1.1 Chart Contents.- 5.1.2 Ownership.- 5.1.3 Storage of Medical Records.- 5.1.4 Shadow Charts.- 5.2 Failure to FollowPolicies and Procedures.- 5.2.1 Informed Consent.- 5.2.2 Confidentiality.- 5.3 Improper Techniques.- 5.3.1 Nondirective.- 5.3.2 Nonjudgmental/Value Neutral.- 5.3.3 Transcultural Competency.- 5.3.4 Defenses for the Duty Element.- 6 Breach, Causation and Damages as Elements of a Lawsuit.- 6.1 Breach .- 6.1.1 Decision Makers.- 6.1.2 Defense to Breach Element.- 6.2 Causation.- 6.2.1 Remote Causation.- 6.2.2 Proximate Cause.- 6.2.3 Informed Consent Cases.- 6.2.4 Defense to the Causation Element.- 6.3 Damages.- 6.3.1 General Damages.- 6.3.2 Compensatory Damages.- 6.3.3 Noneconomic Damages.- 6.3.4 Punitive Damages.- 6.3.5 Assessing Damages.- 6.3.6 Defense to the Damage Element.- 7 Defenses to a Lawsuit.- 7.1 Helping Yourself .- 7.2 Affirmative Defenses to Malpractice Lawsuits.- 7.2.1 Statute of Limitations.- 7.2.2 Contributory Negligence.- 7.2.3 Comparative Negligence.- 7.2.4 Assumption of the Risks.- 7.2.5 Good Samaritan Statute.- 7.2.6 Indemnity or Release.- 7.3 Countersuits.- 7.3.1 Malicious Prosecution.- 7.3.2 Abuse of Process.- 7.3.3 Defamation.- 7.3.4 Negligence.- 7.3.5 Intentional Torts.- 8 Communication.- 8.1 Face-to-Face.- 8.2 Electronic Communication.- 8.2.1 Internet.- 8.3 Privacy.- 8.3.1 Transmission of Information.- 8.4 Managing Your Malpractice Exposure in Cyberspace.- 9 Conclusions: Lessons Learned .- 9.1 Defensive Practice.- 9.2 Advice from Experience.- Appendix.- A.1 Definition of Genetic Counseling.- A.1.1 1975.- A.1.2 2006.- A.2 Scope of Practice.- A.3 The Code of Ethics of the National Society of Genetic Counselors.- A.4 Suggested Readings.- Notes.- Index .-