Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 128 www.fsem.ac.uk | Excellence in Musculoskeletal Medicine, Exercise Medicine and Team Care Excellence in Musculoskeletal Medicine, Exercise Medicine and Team Care | www.fsem.ac.uk 9 FSEM - PROFESSIONAL CODE FSEM - PROFESSIONAL CODE 3. Communication, partnership and teamwork You must: 3.1. Where ever possible explain to the patient their problem in a language and method that they will understand. This should include their full treatment options, prognosis, recovery time and future potential complications. This can be challenging, and where you are speculating on issues, you should make this clear to the patient. 3.2. When asked to do so and with the patient’s permission explain the medical problem to coaches, management, parents and guardians. In many instances patients medical management can be enhanced by appropriate information exchange with these groups and this should be explained to the patient. 3.3. Not allow access to patient’s records by third parties without the consent of the patient. 3.4. When providing a second opinion, do so in an honest manner, without unprofessional criticism of other colleagues. 3.5. Remember that the patient’s General Practitioner is key to documenting and understanding the full spectrum of your patient’s healthcare. To ensure that the General Practitioner is kept updated you should facilitate that all suitable medical information is exchanged on your patient at suitable intervals to maintain their medical continuity of healthcare. In private practice you should inform the patient’s general Practitioner after each clinic visit. 3.6. When asked to communicate with the media, provide information that is factually correct, balanced and acknowledges uncertainty when appropriate. Consent must be obtained beforehand if named patient data is to be used and if necessary seek guidance from your professional indemnity organisation on the form of words you should use in any media releases. 3.7. Not be party to any medical media information release which is untruthful with the intention of gaining a sporting competitive advantage. 3.8. If working in a high profile sport undergo media training appropriate to your role within the sport. 3.9. When working in a team physician capacity overseas, a member or fellow may find himself/ herself in the role of a primary care physician. You will be expected to have the necessary knowledge and skills of a primary care physician. If you have doubt on the correct course of medical management, explain this to the patient and where possible seek appropriate medical advice. You should: 3.10. Work collaboratively with all members of the MDT. 3.11. Provide care for other colleagues’ patients when asked to do so if they are absent or unavailable. 3.12. Make arrangements for the patient’s General Practitioner to be informed of treatment, particularly on cessation of an episode of care. 3.13. When appropriate educate coaches, management and sporting bodies on the grounds of maintaining confidentiality between the patient and doctor. 4. Maintaining trust You must: 4.1. Make the patient your primary concern. Contracts with their employers (ie professional sport, National Governing Body) does not override your primary duty to the health and wellbeing of the patient. 4.2. Not bring the Faculty of Sport and Exercise medicine (UK) into disrepute. 4.3. Respect and co-operate with the Faculty of Sport and Exercise Medicine (UK) Articles and disciplinary proceedings. 4.4. Be aware of legal and professional requirements in obtaining consent from minors and those with mental impairment. Refer to the GMC 0-18 year: guidance for all doctors and Protecting children and young people 4.5. Be aware of the effects of sport on children in general and those with concurrent health issues. 4.6. Be aware of your statutory responsibilities to children and vulnerable adults around safeguarding. 4.7. Make it clear to the patient what role you are playing in the consultation – for instance in an assessment of fitness to compete or an inter professional team transfer medical the patient must be fully informed that this is an assessment-only role. In this instance the Member or Fellow must act in good faith with the organisation that he/she represents and should explain to the patient that he/she may not be acting in the patient’s best interest.