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(D) A physician's dismissal of a patient from a medical practice other than in accordance with the provisions of this rule, as determined by the state medical board of Ohio, shall constitute "a departure from, or failure to conform to, minimal standards of care of similar practitioners under the same or similar circumstances, whether or not actual injury to a patient is established," as that clause is used in division (B)(6) of section 4731.22 of the Revised Code. 119.032 review dates: 12/31/2018Promulgated Under: 119.03 Statutory Authority: 4731.05 Rule Amplifies: 4731.22 Prior Effective Dates: 9/30/2006 (A) When pursuant to section 4731.228 of the Revised Code a health care entity provides to patients a notice of the termination of a physician's employment, the notice shall be provided in one of the following ways:(1) A letter sent via regular mail to the last address for the patient on record, with the date of mailing of the letter documented; (2) An electronic message sent via a HIPAA compliant electronic medical record system or HIPAA compliant electronic health record system that provides a means of electronic communication between the health care entity and the patient and is capable of sending the patient a notification that a message has been received and is in the patient's portal.(E) Nothing in this rule shall limit the board's authority to investigate and take action under section 4731.22 of the Revised Code. (B) When pursuant to section 4731.228 of the Revised Code a health care entity provides the physician whose employment has been terminated for any reason with a list of patients treated and the patient contact information, the physician shall provide the notice required by section 4731.228 of the Revised Code by one of the ways authorized by paragraph (A)(1) or (A)(2) of this rule.Policy Number:#2-17 Policy Category: Practice Under Review: No Approved by Council: February 2000 Publication Date: Dialogue, Issue 2, 2017 Reviewed and Updated: June 2008, May 2017 College Contact: Physician Advisory Service Downloadable Version(s): Ending the Physician-Patient Relationship An effective physician-patient relationship is essential for the provision of quality medical care, and it forms the foundation of the practice of medicine.It is also a partnership which benefits from the mutual trust and respect of both the physician and the patient.Writing about your feelings for the patient may also help.For example, by keeping a journal, one doctor noticed that her attraction for a certain patient was stronger on days when she saw many chronically ill geriatric patients.While this relationship is of central importance to the practice of medicine, circumstances may sometimes arise which lead either the physician or the patient to end the physician-patient relationship.

But defining who their patients are is another matter. Burk because “the State does not require, and the [medical] licensee does not engage, that he will practice at all or on other terms than he may choose to accept” [1]. Budge told the patient to go to a nearby hospital [2].

These expectations reflect both the fiduciary nature of the physician’s role, as well as the inherent vulnerability of patients when faced with the discontinuation of care.

The key values of professionalism articulated in the College’s Practice Guide – compassion, service, altruism and trustworthiness – form the basis of the expectations set out in this policy.

As used in section 4731.228 of the Revised Code and this chapter:(A) "Health care entity" has the same meaning as in section 4731.228 of the Revised Code.

(B) "Termination" has the same meaning as in section 4731.228 of the Revised Code.

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Who counts as a patient is a complex legal question that has major implications for determining when a physician has a duty to treat, when a physician can be sued for malpractice, when a physician has “abandoned” a patient, and other serious matters. The court distinguished doctors from innkeepers who are required to serve anyone who comes to their door. The hospital physician immediately operated, but the hand was eventually amputated [2].

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