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25 - Medico-legal examinations and reports, court procedures and expert evidence

Kerry J. Breen
Affiliation:
National Health and Medical Research Council
Stephen M. Cordner
Affiliation:
Monash University, Victoria
Colin J. H. Thomson
Affiliation:
University of Wollongong, New South Wales
Vernon D. Plueckhahn
Affiliation:
Monash University, Victoria
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Summary

This chapter is designed to assist doctors in conducting medico-legal examinations and preparing medico-legal reports, and to advise doctors about appearing in court as ordinary or as expert witnesses. Problems that may arise at medico-legal examinations are first identified and advice is provided about the content and scope of medico-legal reports. After briefly describing the adversarial system used in Australian courts, the chapter is then structured around the usual sequence by which a doctor becomes aware that he or she may be required in court. Lastly, the matter of jury duty for doctors is touched upon.

MEDICO-LEGAL REPORTS

Treating doctors' reports

For doctors who are primarily in clinical practice, the most common involvement with the legal system will come via a request for a medico-legal report about a current or past patient, most often in the context of an insurance or workers compensation claim. The request should be accompanied by an original signed authority from the patient to release the medical information and by a letter from the solicitor describing what is requested.

In preparing medico-legal reports in regard to the diagnosis, care and treatment of a patient, doctors should take care to answer the questions asked of them and should strive to make the report factual, objective, complete and to the point. Material in the patient's records that is irrelevant to the request should not be included in the report.

Type
Chapter
Information
Good Medical Practice
Professionalism, Ethics and Law
, pp. 367 - 385
Publisher: Cambridge University Press
Print publication year: 2010

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References

Guidelines for Medico-Legal Reports. Medical Board of Queensland, 2000. http://www.medicalboard.qld.gov.au/pdfs/guidelines-for-medico-legal-reports.pdf
,Medical Practitioner Board of Victoria. Medico-Legal Guidelines, 2006. http://www.medicalboardvic.org.au/pdf/Medico_Legal_Guidelines.pdf
Guidelines for Doctors Acting as Expert Medical Witnesses – 1997. Australian Medical Association. http://www.ama.com.au/web.nsf/doc/SHED-5FTUTX
Independent Medical Assessments on Behalf of Parties other than the Patient – 1998. Australian Medical Association. Revised 2002. http://www.ama.com.au/node/510
,County Court. Rules of Procedure in Civil Proceedings 1999. SR No. 20/1999 Reprint No. 3 as at 25 January 2006, p. 435, Form 44A, Rule 44.01.
R v Peel 1860 2 F&F 21.
,Medical Defence Association of Victoria. Medicine and the Law: A Practical Guide for Doctors. Medical Defence Association of Victoria, Carlton, Vic, 2006.Google Scholar
Phillips, JH, Bowen, JK. Forensic Science and Expert Witness. Revised edn. Law Book Co. Ltd, Sydney, 1989.Google Scholar
,Royal Australasian College of Surgeons. Guidelines: Register for Expert Witnesses for Medical Negligence Cases. http://www.surgeons.org/Content/ContentFolders/Policies/FES_PST_2013_P_Guidelines_Register_for_Expert_Witness.pdf
Jury, Duty. Medical Observer; 8 December 2006: 45–6.
,Australian Medical Association (Vic Branch) and the Law Institute of Victoria. Guidelines for Co-operation Between Doctors and Lawyers. Australian Medical Association (Vic Branch) and the Law Institute of Victoria, 2008.Google Scholar
Freckleton, I, Selby, H (eds). Expert Evidence. Law Book Co. Ltd, Sydney, 2001.

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