Code of Ethics
General Priciples:
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All physicians practicing
the subspecialty of nephrology must be certified as nephrologists by the Philippine
Society of Nephrology and as internists/pediatrician by the Philippine College of
Physicians/ Philippine Pediatric Society.
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The Golden Rule
and Primum Non Nocere shall be the guiding principles and should be upheld by the
nephrologists at all times.
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Service to humanity
is the primary objective of the practice of nephrology; regardless of race, creed,
political affiliations, religious belief and financial gains.
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Nephrologists have
the duty to constantly update his/her scientific knowledge in the field of nephrology
and share it with colleagues, students, allied professionals and the community.
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The general ethical
principles governing a group of nephrologists, clinics and dialysis centers are
exactly the same as it applies to the individual nephrology practitioner.
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The Nephrologists
professional conduct in private and public shall always be in keeping with the honorable
traditions of the medical profession s embodied in the Hippocratic Oath, the International
Code of Ethics, the Codes of Ethics of the Philippine Medical Association, and the
Philippine College of Physicians/ Philippine Pediatric Society.
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This Code of Ethics
will serve as a guideline for the things nephrologists think, say and do while serving
the patients, as well as a guideline for his/ her relationship towards colleagues,
allied professionals and community.
Duties To Patients:
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The Nephrologist
should see to it that the best interests of the patients are served, bearing in
mind that their relationship is an implied contract of trust and confidence, thus
the rules of privileged communication shall not be violated except when required
by law or for the greater interest of the public.
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The Nephrologist
is under no obligation to accept a patient especially if the case is not within
the scope of his/her expertise, except in case of emergency. The patient has the
right to choose his/her nephrologists.
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The Nephrologist
shall take into consideration the wishes of the patient as to the method of diagnostic
procedures and the treatment to be done, after explaining the risks and benefits,
possible consequences if refused by the patient, as well as the immediate and long
term financial costs. The nephrologists shall secure free and informed consent for
the proposed management agreed upon.
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The Nephrologist
shall inform the patient of the nature of his/her illness and the prognosis thereof
if possible.
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Referral or consultations
to other specialists should always be sought with the consent of the patient in
difficult and problematic cases with the purpose of giving the best service.
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The Nephrologist
shall not engage in, nor encourage the selling and purchase of human organs for
transplant purposes. Organs from live donors shall be secured only with free informed
consent.
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The Nephrologist
shall not prescribe, dispense, manufacture or provide secret remedies for use in
any manner and/or boast of radical cure or exhibit testimonial successes in their
use without good scientific basis.
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Professional fees
or honoraria of nephrologists shall be commensurate with the services rendered as
well as the ability of the patient to pay, with due consideration to the difficulty/seriousness
of the case, the experience and expertise of the nephrologists, and the prevailing
fees in the community/hospital.
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The Code of Ethics
of the Philippine College of Physicians/ Philippine Pediatric Society, the Nuremberg/
Helsinki Codes, and good clinical practice must be adhered to in all researches
using human subjects.
Duties To Colleagues:
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The Golden Rule
should always be the guiding principle and should be upheld at all times. Relationships
among colleagues should always be of mutual respect and cooperation with the end
goal, which is, the patients welfare.
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The Nephrologist
should assist a colleague in the management of a patient when assistance is called
for or solicited, in the interests of the patient’s welfare, for opinion, co-management
and for transfer of service.
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Nephrologists should
willingly give free medical service to active medical practitioners as well as his
immediate dependents.
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It
is unethical to indulge in fee splitting, to receive commissions, referral fees
and rebate or whatever term it may be called, to solicit patients and professional
services given by diagnostic clinics and dialysis centers.
Duties To The Community:
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Nephrologists shall
assist the judicial authorities when called upon for the administration of justice,
as long as the rule on privileged communication is not violated.
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The Nephrologist
should not advertise nor employ propaganda schemes with the purpose of enticing
patients.
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The Nephrologist
should warn the public of false pretensions, frauds, and quacks, for these practices
will cause injury to the health of the patients.
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The Nephrologist
may participate in civic actions or mercy missions anytime if the need arises.
Industry:Relationship With Paramedical, Pharmaceutical And Technical
Industry:
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The Nephrologist should cooperate with and safeguard the interests, reputation and dignity of individuals in the paramedical fields as long as they do not violate their respective ethics.
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The Nephrologist
shall not allow technical and pharmaceutical industries to use his/her name in the
promotion of equipment, drugs and other medical products for commercial purposes
except in scientifically approved journals supported by scientific studies or researches.
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The Nephrologist
should not receive nor solicit monetary/ financial support or any personal services
for self-serving ends.
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The Nephrologists practice pattern should not be influenced by his/her relationship
with the pharmaceutical industry.
Group Practice:
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The Nephrologist
can and may join a group practice with other medical specialists as long as the
professional ethics of each subspecialty is observed at all time.
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Professional fees
may be collected as a group or individually, depending upon the agreement of both
parties and patients.
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Patients
should be fully informed about the capabilities and expertise of the members of
the group, the clinics or the dialysis center.
Implementing Provisions And
Sanctions:
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This Code of Ethics shall be published in the nephrology journal or distributed to each member of the Philippine Society of Nephrology upon approval by the board of directors of the society.
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Violation of any
provisions of the code shall constitute unethical practice and shall be held as
ground for sanctions from the association (namely: to reprimand, suspend or expel).
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The Code of Medical
Ethics of the Philippine Medical Association, Philippine College of Physicians and
the Philippine Pediatric Society will cover events or provisions not included in
this Code.
- This
Code of Medical Ethics can be amended anytime by the Board of Directors of the Philippine
Society of Nephrology on the recommendation of the Committee on Ethics.
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