Risk Management
<< Back |
Before You Say Goodbye
See Terminating the Physician-Patient Relationship for our current recommendations and sample forms.
Digest, Spring, 1992
Although the decision to terminate a doctor-patient relationship should never be taken lightly, unresolvable noncompliance, patient conduct or financial reasons may make a continued relationship impossible. Should you decide that it is in your and the patient’s best interest to end the relationship, OMIC suggests you take the following steps recommended in a publication by the American Medical Association’s Specialty Society Medical
Liability Project. 1
• Notify the patient in writing, preferably by return receipt mail;
• Provide the patient with a reason for the termination;
• Agree to continue as the patient’s treating physician for a reasonable period of time, such as 30 days, while the patient makes arrangements for the services of another physician;
• State clearly the date on which the termination will become effective;
• Provide information about resources, such as the medical society or local medical center, that can aid the patient in identifying other physicians of like specialty; normally, the terminating physician should also offer to recommend other physicians from whom the patient may choose;
• Offer to transfer records to the new physician upon receipt of a signed authorization to do so;
• Offer to see the patient in cases of emergency within a stated period of time after termination;
• Include the above-referenced items in the letter notifying the patient of termination;
• Finally, check with your personal legal counsel regarding specific requirements in your state or jurisdiction for terminating a doctor-patient relationship.
Notes:
1. Risk Management Principles & Commentaries for the Medical Office. American Medical Association/Specialty Society Medical Liability Project, Chicago. 1990: 14-15.
Please refer to OMIC's Copyright and Disclaimer regarding the contents on this website