Clinical case of special legal liability which is the result of a doctor when combination of specialties
- Authors: Spiridonov VA1,2, Alexandrova LG1, Anisimov AA1,3, Latfullina RR3,4, Kulakova EV1
-
Affiliations:
- Kazan State Medical University
- Forensic Expert Center of the Investigative Committee of the Russian Federation
- Kazan Federal University
- First Moscow State Medical University named after I.M. Sechenov
- Issue: Vol 102, No 4 (2021)
- Pages: 557-562
- Section: Clinical experiences
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/77254
- DOI: https://doi.org/10.17816/KMJ2021-557
- ID: 77254
Cite item
Open Access
Access granted
Abstract
We analyzed a forensic case related to an unfavorable outcome of medical care by a pediatrician. One of the reasons for the unfavorable outcome of medical care was the combination of pediatric and pediatric neurology specialties by the doctor, which, according to experts, contributed to an incorrect assessment of the severity of the child’s condition and incorrect assessment of general cerebral symptoms and neurological disorders, without proper differentiation. As a result, the diagnostic was not fully provided, and more serious diseases at the time were not excluded. We determined the objective and subjective aspects of liability for combination several specialties. A medical-legal and forensic assessment of a specific unfavorable outcome of medical practice is given. It is concluded that any combination of different specialties by a doctor not only requires additional professional duties but, at the same time, creates additional legal risks in term of criminal law, which should be taken into account by each specialist who has assumed additional obligations.
Full Text
About the authors
V A Spiridonov
Kazan State Medical University; Forensic Expert Center of the Investigative Committee of the Russian Federation
Email: lilya-aleksandrova@yandex.ru
Russian Federation, Kazan, Russia; Moscow, Russia
L G Alexandrova
Kazan State Medical University
Author for correspondence.
Email: lilya-aleksandrova@yandex.ru
Russian Federation, Kazan, Russia
A A Anisimov
Kazan State Medical University; Kazan Federal University
Email: lilya-aleksandrova@yandex.ru
Russian Federation, Kazan, Russia; Kazan, Russia
R R Latfullina
Kazan Federal University; First Moscow State Medical University named after I.M. Sechenov
Email: lilya-aleksandrova@yandex.ru
Russian Federation, Kazan, Russia; Moscow, Russia
E V Kulakova
Kazan State Medical University
Email: lilya-aleksandrova@yandex.ru
Russian Federation, Kazan, Russia
References
- Order of the Ministry of Health of Russia dated 20.12.2012 No. 1183n “On approval of the nomenclature of positions of medical workers and pharmaceutical workers”. http://base.garant.ru/70344038/ (access date: 17.01.2021). (In Russ.)
- Zudin A.B. The problems of personnel support as an actual tendency in development of national health systems. Problemy sotsialnoy gigieny, zdravookhraneniya i istorii meditsiny. 2017; 25 (3): 172–174. (In Russ.) doi: 10.18821/0869-866X-2017-25-3-172-174.
- Ulumbekova G.E. Healthcare of Russia: 2018-2024. What to do? Healthcare management: news, views, education. Bulletin of VSHOUZ. 2018; (1): 9–16. (In Russ.)
- Labor Code of the Russian Federation from 30.12.2001 No. 197-FZ (with the Amendments and Additions of 29.12.2020). http://www.consultant.ru/document/cons_doc_LAW_34683/ (access date: 17.01.2021). (In Russ.)
- Romanov S.V., Abaeva O.P., Khazov M.V. Current issues of statutory regulation of multiple employment of medical workers. Meditsinskoe pravo. 2017; (1): 46–49. (In Russ.)
- Khazov M.V., Romanov S.V., Abaeva O.P., Murigina M.M. The motivation of medical personnel of multifield hospital to working over standards of one position. Problemy sotsialnoy gigieny, zdravookhraneniya i istorii meditsiny. 2015; (2): 35–37. (In Russ.)
- Приказ Минздрава России от 08.10.2015 №707н «Об утверждении квалификационных требований к медицинским и фармацевтическим работникам с высшим образованием по направлению подготовки “Здравоохранение и медицинские науки”». http://base.garant.ru/71231064/ (дата обращения: 17.01.2021). [Order of the Ministry of Health of Russia dated 08.10.2015 No. 707n “On approval of Qualification Requirements for Medical and Pharmaceutical Workers with Higher Education in the Field of Training “Healthcare and Medical Sciences”. http://base.garant.ru/71231064/ (access date: 17.01.2021). (In Russ.)]
- The order of the Ministry of Health of the Russian Federation of 04.09.2020 No. 940n “About modification of Qualification requirements to health and pharmaceutical workers with the higher education on a direction of training “Health care and medical sciences”. https://www.garant.ru/products/ipo/prime/doc/74610258/ (access date: 17.01.2021). (In Russ.)
- Petrosyan A.A., Danilov A.N., Eliseyev Yu.Yu. Influence of level of labour office on the quality of life in rural doctors of different specialties. Zdorov'e naseleniya i sreda obitaniya. 2017; (9): 45–47. (In Russ.)
- Petrov A.Ya. Dual jobholding and secondary employment: labor law aspect. Aktual'nye problemy rossiyskogo prava. 2015; (3): 190–194. (In Russ.)
- Cherkashina M.I. Features of legal regulation of labor of medical workers. Voprosy rossiyskoy yustitsii. 2020; (7): 402–432. (In Russ.)
- Criminal Code of the Russian Federation from 13.06.1996 No. 63-ФЗ (with Amendments and Additions of 27.10.2020). http://base.garant.ru/10108000/ (access date: 17.01.2021). (In Russ.)
- Radov V.V. Chain of causation: omission committed by the obligor. Vestnik Kemerovskogo gosudarstvennogo universiteta. Seriya: Gumanitarnye i obshchestvennye nauki. 2020; 4 (3): 278–286. (In Russ.) doi: 10.21603/2542-1840-2020-4-3-278-286.
Supplementary files
