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Ownership and maintenance of dental records.

The maintenance of good dental records is essential for the defense of a professional liability claim. If a dentist must give records and radiographs to a patient, insurance carrier, or succeeding practitioner, he should always give copies and maintain the originals. As a professional liability claim can often be filed long after treatment ceases, the dentist should retain his records permanently. The right of a patient to gain access to his medical or dental records has been granted by recent court decisions as well as by laws and regulations enacted in some states. The court decisions granting a patient access to his records are law in the jurisdictions in which the cases were decided. However, those decisions would present persuasive authority in a stage having no case law or statute regarding access by the patient to medical or dental records. The dentist should consult his attorney to determine the local law before allowing a patient access to his records and radiographs.

Dental Records

Doctors must review referral and business relationships.

Ten safe harbors describe referral relationships and other business arrangements exempt from prosecution under federal anti-kickback law. As the statute's prohibitions are broad and the safe harbors narrow, physicians should review--carefully--their practice relationships.

Commerce

How laetrile laws affect MDs.

A variety of problems exist in the 17 states that have passed laetrile laws. The precise legal relationship of these statutes to state food and drug laws and state medical practice acts is not well defined. The variability of the laws, state to state, is great and substances other than laetril are sometimes involved. The passage of substance-specific legislation confers "pseudo-approval" status on that substance in the public's mind. This results in a shifting of the drug approval process away from normal health regulatory channels into the political arena. Physicians should become familiar with the legal, medical, and social implications of such laws in their own states. More importantly, they need to articulate clearly to legislators the inherent problems and dangers in passing such legislation.

Amygdalin

Abortion today.

Explore the source record for details and available documents.

Abortion, Illegal

The use of paramedics in family planning services in Iran.

In the Family Planning Department of Farah Maternity Hospital, from 1968 to 1976, paramedics were trained to administer all reversible methods of family planning and pregnancy termination up to ten weeks and to perform a limited number of abdominal and vaginal tubectomies (1). From 1974 to 1976, all the above methods, except tubal ligation, were performed satisfactorily on 460 417 acceptors at a clinic not located in the hospital. The complication rate of 1%-5% was the same whether the procedures were performed by paramedics or by physicians. The project has been economical. It has been accepted by both patients and paramedics and has freed doctors to carry out other work.

Abortion, Induced