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The Practice of Medicine
As a ShadowNurse, will I be practicing medicine?
Hi there,
In this installment of The Experience we are focusing on the nuance of “The Practice of Medicine” and putting some frame of reference around how, with your training as a ShadowNurse, you will be able to determine what actions and communications you can perform to, with, and for patients while maintaining a safe, compliant and effective relationship.
As always, you can access previous posts using the archive button below, including our latest post on “Lost Information” 🩺
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Premium members: In this issue, you’ll find a Premium breakdown of The Practice of Medicine with an example vignette and in-context explanation of what does and does not constitute the practice of medicine. Plus, we are releasing the date and time for the next exclusive fireside chat 🔥
ShadowQuiz 🎓️
Let’s start with a knowledge test (for fun 🙃)
Mr. Jones is having a post-medical visit follow-up with his ShadowNurse Jessie. Which of the following actions would be considered inappropriate due to it constituting the practice of medicine?(make a single choice) |
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What is “The Practice of Medicine”?
Let’s start with the basics…
"The practice of medicine" is generally defined as the professional activities and responsibilities carried out by licensed medical professionals, such as physicians, surgeons, and other healthcare providers, in diagnosing, treating, and caring for patients' medical conditions and overall health. And as you well know, these activities require a deep understanding of medical science, specialized training, and adherence to ethical and legal standards.
Okay. But what does that look like in real life?
Examples of activities that typically fall under "practicing medicine" include:
Diagnosing Medical Conditions: Clinicians are trained to assess a patient's symptoms, perform medical tests and examinations, and make diagnoses based on their medical knowledge and expertise.
Prescribing Medications: Healthcare professionals, like doctors and nurse practitioners, have the authority to prescribe medications, determining the appropriate drugs, dosages, and treatment plans.
Performing Medical Procedures and Surgeries: Surgeons and other medical specialists are trained to perform surgical procedures, such as heart surgeries, organ transplants, or orthopedic surgeries.
Ordering and Interpreting Diagnostic Tests: Medical professionals can order and interpret various medical tests, such as blood tests, X-rays, MRIs, and CT scans, to aid in diagnosis and treatment decisions.
Providing Medical Advice: Offering professional advice regarding a patient's health, treatment options, and preventive measures falls within the scope of medical practice.
Managing Chronic Conditions: Healthcare providers are responsible for managing chronic illnesses like diabetes, hypertension, or asthma, including ongoing monitoring and adjustments to treatment plans.
Referring to Specialists: Clinicians often refer patients to specialists when necessary, indicating that a particular medical issue requires specialized care.
The common thread among these activities is the direct involvement in diagnosing, treating, and managing patients' medical conditions. This requires a thorough understanding of medical science, specialized training, and the legal authority to make clinical decisions. These tasks are critical for ensuring accurate diagnoses, effective treatments, and comprehensive patient care. Licensed medical professionals utilize their expertise to address complex health issues, make informed medical judgments, and provide appropriate interventions. This level of responsibility and expertise defines the practice of medicine.
A closer look at the non-”practice of medicine”
On the other hand, activities that generally do not constitute "practicing medicine" include:
General Health Information: Sharing general health information or educational materials without making specific diagnoses or treatment recommendations is not practicing medicine.
Personal Fitness Training: Providing guidance on physical fitness, exercise routines, and nutrition does not typically fall under the practice of medicine unless it involves diagnosing or treating specific medical conditions.
Holistic and Alternative Therapies: Many holistic and alternative therapies, such as acupuncture, chiropractic care, or massage therapy, may not be considered practicing medicine unless they involve making medical diagnoses or prescribing medications.
Mental Health Coaching: Offering support and coaching for mental health or personal development purposes may not be practicing medicine unless it includes diagnosing or treating mental health disorders.
Nutritional Advice: Providing dietary advice and nutrition plans for general health or wellness is not practicing medicine unless it involves treating specific medical conditions like obesity or malnutrition.
Key Takeaway: The common thread among activities that do not constitute the practice of medicine is the absence of direct medical diagnosis, treatment, or management of specific medical conditions.
These activities focus on general health support, education, and wellness rather than clinical intervention. They do not require the specialized medical training and legal authority needed to make medical decisions or provide clinical care. Instead, they emphasize promoting overall health, providing guidance, and supporting well-being without entering the realm of medical practice. This distinction ensures that only licensed medical professionals engage in activities that directly impact medical diagnoses and treatments.
Additional activities that can fall outside of the scope of “The Practice of Medicine” include:
Transportation Logistics: Assisting patients in arranging transportation to and from medical appointments and procedures without making medical decisions.
Health Insurance and Billing Review/Advice: Helping patients understand their health insurance benefits, review bills, and navigate the claims process without making medical decisions.
Family and Caregiver Alignment Meetings/Communications: Facilitating communication and meetings between patients, their families, and caregivers to ensure everyone is informed and aligned on care plans.
Medication Reminders: Providing reminders and organizational support for patients to take their medications as prescribed by their healthcare providers without making any changes to the prescriptions.
Appointment Scheduling: Assisting patients in scheduling and managing their medical appointments without making clinical decisions.
Resource Navigation: Helping patients find and access community resources, support groups, and additional services that can aid in their overall well-being.
Post-Visit Follow-Up Calls: Conducting follow-up calls with patients after medical appointments to ensure they understand their care instructions and to provide support without making clinical judgments.
Patient Advocacy: Acting as a liaison between patients and healthcare providers to ensure patients' needs and concerns are communicated effectively without making medical decisions.
This list can go on and on, and we will discuss a more robust list of ShadowNurse-specific activities in an upcoming newsletter very soon. We will also unveil how our proprietary technology will help you perform these activities like a super hero⭐️
Just to be thorough, it's good to note that the definition and scope of practicing medicine can vary by jurisdiction and may be subject to legal and regulatory frameworks specific to each region. Therefore, the exact activities that constitute practicing medicine can differ in different countries or states/provinces.
Review of a realistic patient/provider vignette with a breakdown of what does and does not constitute “The Practice of Medicine”
Date & Time released for the next Fireside Chat with Olivia
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