KNMG directives for doctors who perform alternative and complementary treatments and also alternative and additional resources for writing.
KNMG yesterday, april 1, 2008, official has written to all registered doctors in Netherlands and the rules of conduct as regards applying alternative and complementary treatments and resources strengthened. Here the official rules of conduct.
Rule Of Conduct KNMG
The doctor and non-mainstream treatments
General considerations
• Non-mainstream treatments are indicated in different ways and
defined. Prevalent notions such as ' alternative ' and ' complementary '
medicine. Both concepts can however give rise to misunderstanding.
Also terms like ' medicine ' or ' cures ' can call confusion. The
KNMG is therefore of the opinion that should be spoken of ' regular ' and ' nietreguliere '
' treatments '.
• With regular treatments, this position referring to methods of
Diagnostics, prevention and treatment which are based on the knowledge,
skills and experience needed for the doctors to obtain and retain title,
that is generally accepted by the profession and form part of the
professional standard. Non-mainstream treatments are methods of
Diagnostics and treatment that fall outside this definition.
• It is inherent in the development of medical science that experimental
treatments take place whose scientific study or
they have returned. The KNMG considers such experimental
treatments only if regular treatments if they are based on
recognised scientific paradigms and are applied within the legal
review framework and the norms and principles of medical scientific
research.
Specific standards for doctors
In line with the General rules of conduct of the KNMG, in particular the
rules of conduct listed below 1.2, 1.3 and 1.7, some doctors include specific
standards.
• Doctors are taken care of, and a rescuer to behave well to
Act respecting the professional standard. This general standard
in the rules of conduct, inter alia, the KNMG spelled out. In the
context of applying non-mainstream treatments are in particular the
following rules of conduct:
-Code of conduct line 1.2: "to anyone who turned to him wendt in his capacity as
arts grants the necessary treatment, guidance, advice and
reviews in accordance with the requirements, who made him on grounds of his profession and
expertise may be asked. ";
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-Behavioral rule 1.3: "the aid must be of good quality by the doctor to
his (…). The doctor keeps his medical knowledge and skills of that part of
the medicine that he practices where possible on levels and delivers to the
development of a contribution. Training or retraining are necessity. ";
-Code of conduct line 1.7: "it is not permitted to apply medicine doctor with
ignore methods for diagnosis and treatment which in General
medical world accepted. "
• Doctors are constantly aware that the Diagnostics, treatments and
opinions that they offer are surrounded with the authority of the training to
doctor/specialist and the doctors-specialists or title.
• A must for every medical treatment according to the professional standard
asked (provisional) medical diagnosis to the starting point.
• Doctors focus in their diagnosis and treatment to the best available
scientific evidence, combined with their clinical expertise and account
taking into account the needs, expectations and experiences of the patient.
• Doctors should inform the patient about the effectiveness, nature, duration and
(side) effects of a treatment. If the doctor (co-) a non-regular
considering treatment, the physician to the patient makes a clear
distinction between regular and non-regular treatments.
• If the State of scientific knowledge on the basis of no rulings
be on the effectiveness, duration and (side) effects of a by the doctor
proposed or requested by the patient, then informs the doctor the treatment
patient about this.
• The responsibility of the physician is not limited to the provision of
curative treatments. To the professional standard of the regular
medicine belongs also the eye have for the broader wellbeing of the patient,
guiding the patient to existential questions who are summoned by the
disease, empathy, palliative care, terminal care and the provision of solace.
• A patient who rejects indiced regular treatments and non-formal
considering treatments, the doctor pointed out the potential dangers
for his State of health or tweaking it out-regular
treatments. The patient in spite of persisting in the rejection of regular
There are no regular treatments, or treatments available (more), then
the doctor offers no treatments that could damage the patient
harm. Damage must be interpreted broadly in this context. Besides direct physical
damage that is inherent in the treatment, damage also means the
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providing false hope of cure or improvement of the complaints; giving
incorrect or incomplete information on the efficacy of a treatment; the
not or not timely-bets, or discouraging methods of diagnostics and treatment
those within the profession generally accepted; the deny or negate
of on a regular basis in established medical findings concerning the
patient (such as a formal diagnosis). It remains at all times until the
responsibility of the arts belong to the patient to stress the importance of
regular treatments and it continued to refer to.
• Doctors shall ensure that in the file of the patient for careful manner
Note is taken of facts and considerations relating to the
aspects which have been mentioned.
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