Having an operation is often one of the most critical healthcare choices that someone might make. People normally will not opt for a particular facility due to its infrastructure alone but instead due to a particular doctor who may be experienced and knowledgeable. Older doctors are generally favored since there will always be the belief that the more years of experience and knowledge that someone has, the less risky and more successful the operation will be. In many cases, individuals are even prepared to incur extra costs just to be treated by a particular senior doctor.
Unfortunately, there have been instances where patients found out that the surgery that was supposed to be conducted by a senior doctor was done by a junior doctor.
The presence of a junior doctor in an operation does not necessarily make it an illegitimate act. Medical facilities have a team approach to medical treatment, whereby various healthcare providers work together in the provision of services to patients. Experienced surgeons could have junior doctors as assistants during medical procedures. This applies more to teaching hospitals, where practical experience is one of the most essential components of medical learning.
It is common practice for medical practitioners to work together during surgeries, whereby a junior doctor could be assisting or doing some things under the direction of a senior surgeon. It means that the presence of a junior doctor does not in itself constitute negligence. The legitimacy of the matter lies in what the patient had been informed prior to the operation.
The concept of informed consent is critical in the relationship between the doctor and the patient. It is essential for the patient to get full and accurate information prior to consenting to the procedure. This encompasses knowing the details of the surgery, its risks, possible alternatives, and the identity of the medical practitioners involved in the procedure.
If the patient had actually chosen and paid for the senior surgeon, the natural expectation would probably be that he will conduct the surgery. If he was substituted without the knowledge of the patient, there might arise legal and ethical issues as the choice might have been based on the expertise of that doctor.
This problem becomes even more complicated if the patient has been assured that a particular senior surgeon will perform the surgery and it is discovered that it is not true. Here, the point at issue is neither whether the surgery was successful nor whether any complication arose during the procedure. What may come under scrutiny from a legal perspective is whether there was any deception by the hospital and whether the patient was deprived of making an informed choice about his treatment.
There may be legal consequences if the patient has paid for the service of a particular senior surgeon and a different doctor carried out the surgery to a large extent without informing the patient.
It is vital that the medical records be kept intact in case there are any doubts about the person who operated on the patient not being the surgeon named previously. The documents provided by the hospital can serve as an essential source of information about the personnel who participated in the operation.
The consent forms can show the doctor who was allowed to carry out the operation, while operative notes can list the surgeon and the surgical team. In addition, the hospital bills and discharge forms can assist in verifying the facts of what was stated prior to the treatment.
In cases where there is evidence of medical negligence or medical misconduct, Indian law does give a chance for the patient to file for compensation. The amount of compensation will depend on the nature of the case at hand, which may range from compensation for further medical bills, loss of income, mental anguish, pain and suffering, and more.
This means that every individual case needs to be considered individually, hence the importance of getting legal help and medical history.
Trust is the cornerstone of the relationship between the doctor and the patient. Patients usually entrust their lives, safety, and overall health into the hands of carefully chosen medical personnel. Involving junior doctors during the surgical operation might be the part of the regular medical practice, but replacing the doctor without notifying the patient can create serious legal and ethical problems.
Patients need to keep in mind that they have a number of rights and can exercise them. It will help them protect their interests.
Written by PRATIXA SHARMA ,
Legal Intern at Sandhu Law Offices,
SANSKRITI UNIVERSITY , MATHURA, 1st YEAR.