Dr. Adam Marshall, a prominent surgeon from Uptown General Hospital, became infected with HIV while volunteering in Zambia. During a sightseeing break, he became ill from heat and dehydration. A local woman helped him but had lacerated hands that were oozing. The following week, the same woman was treated for AIDS. Though no official report was filed, Dr. Marshall tested positive for HIV. A year later, he experienced lightheadedness and surgical mishaps at work. Per AMA policies, an HIV-positive healthcare worker can practice if there is no significant risk of transmission and no impairment of abilities, but patients should be notified of any potential exposure.

2. Prominent
well known physician
*DR. Marshall excellent, respectful , well known surgeon
from Uptown General Hospital.
*Travels to Zambia with a group of physicians twice a year.
*They treat patient who have AIDS.

3. DR. ADAM MARSHALL
BECOMES INFECTED
Took a break went sight seeing.
became ill due to heat, and dehydration.
Local woman helped Dr. Marshall.
he was so concerned about himself, that he
didn't pay attention to the woman's
lacerated hands that were oozing

4. FINDING OUT THE TRUTH
The following week a woman was treated
for AIDS (same woman who helped
doctor Marshall when he got sick.
•
No Official Report Was Done!
•
He was tested positive for HIV (AIDS)
•
Not reported because:
•
outside USA
•
friends /gentlemen agreement was
done

5. LOYALTY TO FRIEND OR TO THE PATIENT?
The following year Dr. Marshall:
was experiencing lightheadedness
he had surgical mishaps during an
operation.
Dr. Marshall was taken to rest,
and clients were re-scheduled.
• Should the patients be told about their exposure to HIV?
• Could doctor have received appropriate medical help?
• Dr. was entitled to Confidentiality as well !

6. AMERICAN MEDICAL ASSOCIATION POLICIES
.
H-20.912 Guidance for HIV-Infected Physicians and other Health Care Workers
(1) General Considerations. a) A health care worker who performs invasive
procedures and has
reasonable cause to believe he/she is infected with HIV should determine his/her
serostatus or act as if
that serostatus is positive; and b) As a general rule or until there is scientific
information to the
contrary, the HIV- infected health care worker should be permitted to provide
health care services as
long as there is no significant risk of patient infection and no compromise in
physical or mental ability
of the health care worker to perform the health care procedures. (AMA,2011)

7. WORK CITE
http://www.ama-assn.org/resources/doc/physician-health/policiesphysicain-health.pdf
9781133822981, Ethics Case Studies for Health Information
Management, Leah A. Grebner - © Cengage Learning
http://www.ama-assn.org/ama/pub/physician-resources/medicalethics.page