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    It may be unethical for a psychiatrist to engage in a romantic relationship with a current or former patient. Thus, a "curbside consultation" with another physician does not create a physician-patient relationship and, therefore, imposes no duty on the physician who informally shares his or her expertise with a colleague. When appropriate, the physician should encourage the patient to seek care from a qualified physician, and if requested, provide reasonable help in securing follow-up care. Specialist is asked to give a second opinion regarding the appropriateness of performing a specific procedure on Patient. 613 (1999) (on-call physician who was out of town did not have the requisite physician-patient relationship to give rise to liability for medical malpractice.) EMTALA Section 489.24(j) Number 14. The probability of her getting cervical cancer is low. Have her sign a statement that she refused to get a pap smear. Terminate the relationship because she is a noncompliant patient. In other words, the patient's refusal must be informed. Note: The doctor in this case claimed he had told her of the risks of not getting a pap smear, but the medical record didn't support his claim. The attending physician asks the nurse to obtain the patient's informed consent.

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