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Dr. Carlos Chacon

Overview of Medical Consultation Principles

Updated: Oct 27, 2022

A successful medical consultation is built on effective communication. Regarding the nature of the issue, the patient and the consultant should agree. It's crucial to let the consulting doctor know if the patient's condition changes significantly. The consulting doctor must be informed and participate in decision-making if the patient is getting treatment or having surgery.


The use of consultants in surgical treatment is every day, and many doctors think it improves patient outcomes even though there is no evidence to support this. The consultation goals are to confirm the findings of the physical examination, testing, and diagnosis, as well as develop a plan for the patient's treatment. Therefore, the consultation should be brief and to the point and cover any potential difficulties before surgery. Additionally, the talk should be conducted with subtlety and professionalism.


The interactions between doctors from various medical specializations have mostly gone unstudied. In one study, 323 doctors from three academic medical facilities responded to a questionnaire about the ideal working arrangement between doctors and consultants. Using logistic regression, analysis of variance, and Scheffe post-hoc analysis, the replies were compared to see if there were any differences between doctors from different disciplines.


The function of a doctor during a consultation often differs depending on the speciality. Those who practice family medicine or general internal medicine typically adhere to more conventional referral patterns. In these situations, the consultant offers guidance on a particular, focused issue, and the referring physician considers the advice and implements the recommendations accordingly.


Medical professionals should treat one another with integrity and respect, regardless of speciality. Together, they should cooperate to ensure high-quality patient care. For example, a referring doctor and a specialist should have a good working relationship built on mutual respect for the best possible patient care. There is no requirement to organize doctors into a rigid hierarchy.


The ability to express preferences and delegate decision-making should be provided to patients. The diagnosis should be disclosed, and the doctor should determine the patient's preferred action. The doctor should ultimately decide, depending on what is best for the patient. It takes skill to strike the right balance between independence and accountability. For this reason, patients must be thoroughly aware of their alternatives before starting treatment. A doctor shouldn't try to persuade patients to get a procedure they don't want.


A doctor is required by the beneficence principle to behave in the patients' best interests. Many moral laws lend support to this idea. Additionally, it promotes the right to protect others, including the right to prevent damage and eliminate circumstances that might do so. It also offers a moral justification for helping the defenceless or in need.


Depending on the patient's condition, a doctor might prefer one treatment approach to another. Additionally, a doctor may decide to use a more expensive drug than a cheaper one. Therefore, understanding the context and weighing values are crucial. The doctor may also refer to pertinent ethics literature and seek professional advice to make a wise choice. Finding the optimum strategy for a patient can be done in this way.


Patients have a right to complete disclosure of all relevant medical information. Medical professionals must be open and refrain from hiding information concerning serious illnesses or diseases. The patient's trust in the doctor can be harmed by lying. In certain cultures, doctors are hesitant to tell patients bad news since it could diminish their hope for a successful outcome.


Maintaining good standards of professional behavior is another responsibility of doctors. In their professional dealings, doctors must be truthful and open and report any instances of moral, intellectual, or ethical failing. They must also maintain the patient's confidentiality and privacy. Finally, they must also maintain their commitment to advancing scientific knowledge and medical education.

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