ROLE OF JUDICIARY IN MEDICAL PROFESSION

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    Role of Judiciary in Medical

    Profession

    Introduction

     There are many ways to conceptualize health law. The Health Law

    & Justice Program views health law as encompassing not only the

    law of health care delivery and nancing but all areas of study

    that focus on the intersection between law and health from the

    ethics of embryonic stem cell research! to the role of government

    in preventing child maltreatment! to occupational health and

    safety regulations! to the laws governing elder care and death.

    "e have grouped our health law courses into four overlapping but

    distinct areas of study health care law! public and population

    health law! bioethics! and global health law. #lthough these are

    not the only categories into which health law may be divided! we

    thin$ these groupings provide a helpful lens for understanding the

    eld%s multifaceted nature.

    roadly dened! health law includes the law of public health!

    health care generally! and medical care specically. Preserving

    public health is a primary duty of the state. Health regulations

    and laws are therefore almost all administered at the state level.

    'any states delegate authority to subordinate governmental

    agencies such as boards of health. These boards are created by

    legislative acts.

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    Role of Judiciary in Medical Profession

     Judicial Interpretation of Medical Negligence under 

    Consumer Protection

    'edical profession is one of the most oldest professions of the

    world and is the most humanitarian one. There is no betterservice than to serve the su(ering! wounded and the sic$. #ryans

    embodied the rule that! )idyo narayano harihi *which means

    doctors are e+uivalent to Lord )ishnu,. -ince long the medical

    profession is highly respected! but today a decline in the standard

    of the medical profession can be attributed to increasing number

    of litigations against doctors for being negligent narrowing down

    to medical negligence/. Hospital managements are increasingly

    facing complaints regarding the facilities! standards of professional competence! and the appropriateness of their

    therapeutic and diagnostic methods.

    0egligence is a breach of duty caused by omission to do

    something which a reasonable man guided by those

    considerations which ordinarily regulate the contract of human

    a(airs would do which a prudent and reasonable man would not

    do.

    #ccording to 1harles worth & Percy 0egligence has three

    meaning

    • # state of mind! in which it is opposed to intention

    • 1areless conduct

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    •  The breach of duty to ta$e care that is imposed by either

    common or statute law.

    'edical negligence is dened as the failure to e2ercise rational

    caution and capability during diagnosis and treatment over apatient in accordance to the prevailing standards in force at that

    point of time/.

    3n Bolam v. Friern hospital management committee1! the

    test for establishing medical negligence was set. The doctor is

    re+uired to e2ercise the ordinary s$ill of a competent doctor in his

    eld. He must e2ercise this s$ill in accordance with a reasonable

    body of medical opinion s$illed in the area of medicine./

    3n Dr.Kunal Saha v. Dr. Sukumar Mukherjee and Ors2! the

    0ational 1onsumer 1ommission summarized the medical

    negligence law as follows

    Real test for determining deciency in service

    • "hether there was e2ercise of reasonable degree of care4

    •  The degree of standard or reasonable care varies in each

    case depending upon e2pertise of medical man and the

    circumstances of each case.

    'edical profession has been brought under the -ection 5*6, *o, of 

    1P#! 6789. 3n a signicant ruling in Vasantha . !air v Smt.

    V..!air I3! the national commission held a patient is a

    :consumer% and a medical assistance was a :service%. # doctor is6 67;<

    5 6st June! 5==9

    > 6776

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    held liable for only his acts *other than cases of vicarious

    liability,. )icarious liability arise in case of government hospital

    though doctor responsible but hospital has to pay the

    compensation.

    3t is well $nown that a doctor owes a duty of care to his patient. #

    doctor can be held liable for negligence only if one can prove that

    she? he is guilty of a failure that no doctor with ordinary s$ills

    would be guilty of if acting with reasonable care.

      3n armanand Kataria v "nion o# $ndia %! -upreme 1ourt

    ma$e it obligatory that every doctor! at the governmental

    hospital or elsewhere! has a professional obligation to e2tend his

    services with due e2pertise for protecting life/.

    3ncidence of medical negligence/ can also decide by medical

    council of i3dia. 'edical council of 3ndia is a statutory body deal

    with high standards of medical education and recognition of 

    medical +ualications in 3ndia. 3t registers doctors to practice in

    3ndia and promote the health and safety of the public. 3n many

    cases national commission accept the credibility of council%s

    verdict in medical negligence.'edical council of 3ndia guided by

    the 'edical 1ouncil #ct 67;9.

    Extended ambit of medical negligence

     The 0ational 1ommission as well as the #pe2 1ourt in catena of 

    decisions has held that the doctor is not liable for negligence

    because of someone else of better s$ill or $nowledge would have

    prescribed a di(erent treatment or operated in a di(erent way.He is not guilty of negligence if he has acted in accordance with

    the practice accepted as proper by a reasonable body of medical

    professionals.

    @

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    3n -upreme 1ourt land mar$ decision $ndian Medical 

     &ssociation v V.. Shantha and Others $$$'  1.P.J laid down

    certain guideline for medical negligence and dene eAciency of 

    consumer protection. 3t has held certain e2ception li$e

    • -ervice rendered to patient in *free of cost or charity, by a

    medical professional would not fall under the denition of 

    :service% under consumer protection act6789.

    • -ervice rendered by a doctor under contract of personal

    service was not covered in consumer protection act 6789.

    #lso held that there are three tiers of disputes redressal forum

    they are at the lowest level are the Bistrict 1onsumer Bisputes

    Cedressal Dorum! which entertain compensation claims up toCs.5= La$h. #t the ne2t level are the -tate 1onsumer Bisputes

    Cedressal Dorums *one in each state,! where compensation

    claims between Cs.5= La$h and Cs. l 1rore are made. #t the

    0ational Dorum! claim of over Cs. 6 1rore are lodged. Those

    dissatised with the Eudgment of the lower forum can appeal to a

    higher forum. The nal court of appeal is the -upreme 1ourt.

    Essential Components of Medical Negligence

    Fn basis of various Eudicial pronouncements essentials of G'edical 0egligenceG as are discernible! in brief and in so far as

    it is relatable to the medical profession! are as under

    *i, The Boctor must owe a duty of care to the patient.

    ; 677;

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    *ii, The Boctor must have made a breach of that duty.*iii, The patient must have su(ered damages due to the said

    breach.

     The -upreme 1ourt in the case of Minu B. Mehta v. B.(.!a)ar * has held that the right to receive compensation can

    only be against a person who is bound to compensate due to his

    failure to perform a legal obligation. 3n many cases doctors have

    been held liable for negligent acts! such as removal of a wrong

    eye or a $idney! based on pecuniary interest or where minimum

    facilities were available.#bsence of any of these re+uirements can result into endanger

    to the patient%s life. Fn #pril 7! 678;! the eneral #ssembly of 

    the Inited 0ations adopted the guidelines to provide framewor$

    for overnments! particularly those of developing countries. The

    legitimate needs which the guidelines are intended to meet

    include the protection of consumers from hazards to their health

    and safety and availability of e(ective consumer redress were

    rst set up in 6789.

     What is an accepted medical practice?

    3t is also called as scientic medical practice. 3t is a practice

    which is mentioned in standard te2t boo$s or various issues of 

    leading medical Eournals or recognized by responsible body of 

    medical profession.3n cases of medical negligence the outcome of the treatment is

    of secondary importance! but the method adopted is of primary

    and much greater importance.3n case if doctor fails to follow one of the accepted methods &

    instead departs from the conventional course of treatment! the

    burden of proof lies upon the doctor to show that whether he

    had ta$en all proper care into account before deciding the

    9 67

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    depart & he had informed the patient and ta$en his consent or

    not. There may be one or more perfectly proper standards! and if he

    conformed to one of these proper standards! he will not be

    considered negligent.

    3n case of State o# +ar)ana v. Santra, the court has decided

    that in absence of gross mismanagement! liability of gross

    negligence will not be succeeded.#ny reasonable man entering into a profession which re+uires a

    particular level of learning to be called a professional of that

    branch! impliedly assures the person dealing with him that the

    s$ill which he professes to possess shall be e2ercised and

    e2ercised with reasonable degree of care and caution. He does

    not assure his client of the result. # lawyer does not tell his

    client that the client shall win the case in all circumstances. #

    physician would not assure the patient of full recovery in every

    case. # surgeon cannot and does not guarantee that the result

    of surgery would invariably be benecial! much less to the

    e2tent of 6== for the person operated on. The only assurance

    which such a professional can give or can be understood to

    have given by implication is that he is possessed! of the

    re+uisite s$ill in that branch of profession which he is practicing

    and while underta$ing the performance of the tas$ entrusted to

    him he would be e2ercising his s$ill with reasonable

    competence. This is what the entire person approaching the

    professional can e2pect. Judged by this standard! a Professional

    may be held liable for negligence on one of two ndings either

    he was not possessed of the re+uisite s$ill which he professed

    to have possessed! or! he did not e2ercise! with reasonablecompetence in the given case! the s$ill which he did

    possess.The standard to be applied for Eudging. "hether the

    person charged has been negligent or not! would be that of an

    < 5=== *>, -11 ;5=

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    ordinary competent person e2ercising ordinary s$ill in that

    profession.

    3n S)ad &k-ar v. State o# Karnataka the -upreme 1ourt has

    dealt with and pointed out with reasons the distinction betweennegligence in civil law and in criminal law. Their Lordships have

    opined that there is a mar$ed di(erence as to the e(ect of 

    evidence! viz. the proof! in civil and criminal proceedings. 3n civil

    proceedings! a mere preponderance of probability is suAcient!

    and the defendant is not necessarily entitled to the benet of 

    every reasonable doubtK but in criminal proceedings! the

    persuasion of guilt must amount to such a moral certainty as

    convinces the mind of the 1ourt! as a reasonable man! beyondall reasonable doubt. "here negligence is an essential

    ingredient of the o(ence! the negligence to be established by

    the prosecution must be culpable or gross and not the

    negligence merely based upon an error of Eudgment.

    Res Ipsa louitur The doctrine of res ipsa lo+uitur means! that the accident

    spea$s for itself or tells its own story. The normal rule is that it is

    for the plainti( to prove negligence! but! in some cases!

    considerable hardship is caused to the plainti(! as the true

    cause of the accident is not $nown to him! but is solely within

    the $nowledge of the defendant who caused it. The plainti( can

    prove the accident but cannot prove how it happened *so as, to

    establish negligence on the part of the defendant.

    Dor the applicability of the principle should fulll three essential

    conditions•  The opposite party must have been in control of things.

    •  1ommon $nowledge?accepted norms suggesting that the

    inEury?damage?loss! in itself cannot occur without

    negligence.

    8 *678=, 6 -11 >=

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    •   The cause of incident?inEury must be un$nown or

    unascertainable.

    -ome of the common instances! where this principle can be

    invo$ed! are operation on a wrong patient or a wrong part of thebody! transfusion of improper blood! leaving some foreign

    material in the body! performing an abortion or any other

    operation or surgery which is prohibited in law! etc.

    Medical Professionals in Criminal !a"

     The criminal law has invariably placed the medical professionals

    on a pedestal di(erent from ordinary mortals. The 3ndian Penal

    1ode #ct 689=! -ection 88 in the 1hapter on eneral 2ceptions

    provides e2emption for acts not intended to cause death! doneby consent in good faith for person%s benet. -ection 75

    provides for e2emption for acts done in good faith for the

    benet of a person without his consent though the acts cause

    harm to a. person and that person has not consented to su(er

    such harm. There are four e2ceptions listed in the -ection!

    which is not necessary in this conte2t to deal with. -ection 7>

    saves from criminality certain communications made in good

    faith.

     The following statement of law on criminal negligence by

    reference to surgeons! doctors etc. and uns$illful treatment

    contained in Coscoe%s Law of vidence *Difteenth :dition, is

    classic

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    "here a person! acting as a medical man & c whether licensed

    or unlicensed! is so negligent in his treatment of a patient that

    death results! it is manslaughter if the negligence was so great

    as to K! amount to a crime! and whether or not there was such a

    degree of negligence is a +uestion in each case for the Eury. 3ne2plaining to Euries the test which they should apply to

    determine whether the negligence in the particular case

    amounted or did not amount to a crime! Eudges have used many

    epithets! such as :culpable!% :criminal%! :gross%! :wic$ed%! :clear%!

    :complete.% ut whatever epithet be used and whether an

    epithet be used or not! in order to establish criminal liability the

    facts must be such that! in the opinion of the! Eury! the

    negligence of the accused went beyond a mere matter of compensation% between r subEects and showed such disregard

    for the life and safety of others as to amount to a crime against

    the -tate and conduct deserving punishment./

    3n Kur-an +ussein Mohamed &li (anga/alla v. State o# 

    Maharashtra0dealing with -ection >=@# of 3P1!To impose criminal liability under -ection >=@M#! 3ndian Penal

    1ode! it is necessary that the death should have been the direct

    result of a rash and negligent act of the accused! and that act

    must be the pro2imate and eAcient cause without the

    intervention of another%s negligence. 3t must be the causa

    causansK it is not enough that it may have been the causa sine

    +ua non./

     The same view has been reiterated in Kishan hand &nr. v.

    3he State o# +ar)ana14 

    7 *679;, 5 -1C 955

    6= *67 -11 7=@

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    3n  5uggankhan v. 3he State o# Madh)a radesh11! the

    accused! a registered Homoeopath! administered 5@ drops of 

    stramonium and a leaf of dhatura to the patient su(ering from

    guinea worm. The accused had no $nowledge of the e(ect of such substance being administered and yet he did so. 3n this

    bac$ground! the inference of the accused being guilty of rash

    and negligent act was drawn against him.-o! the principle which emerges is that a doctor who

    administers medicine $nown to or used in a particular branch of 

    medical profession impliedly declares that he has $nowledge of 

    that branch of science and if he does not! in fact! possess that

    $nowledge! he is prima facie acting with rashness ornegligence.

    3n Dr. 6a7man Balkrishna 5oshi v. Dr.3rim-ak Bapu

    8od-ole and &nother 12! the 1ourt held that a person who

    holds himself out ready to give medical advice and treatment

    impliedly underta$es that he is possessed of s$ill and

    $nowledge for that purpose. -uch a person when consulted by a

    patient owes him certain duties! viz.! a duty of care in deciding

    whether to underta$e the case! a duty of care in deciding what

    treatment to be given or a duty of care in the administration of 

    that treatment. # breach of any of those duties gives a right of 

    action for negligence to the patient.3n $ndian Medical &ssociation v. V.. Shantha and Ors.19 a

    threeMJudge ench decision. The principal issue which arose for

    decision by the 1ourt was whether a medical practitioner

    renders :service% and can be proceeded against for :deciency

    in service% before a forum under the 1onsumer Protection #ct!66 *679;, 6 -1C 6@

    65 *6797, 6 -1C 5=9

    6> *677;, 9 -11 9;6

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    6789. The court held that professional men should possess a

    certain minimum degree of competence and that they should

    e2ercise reasonable care in the discharge of their duties. 3n

    general! a professional man owes to his client a duty in tort as

    well as in contract to e2ercise reasonable care in giving adviceor performing services.

    3n oonam Verma v. &sh/in atel and Ors1%  a doctor

    registered as medical practitioner and entitled to practice in

    Homoeopathy only! prescribed an allopathic medicine to the

    patient. The patient died. The doctor was held to be negligent

    and liable to compensate the wife of the deceased! since he

    trespassed into a prohibited eld and prescribed the allopathicmedicine to the patient causing the death! his conduct

    amounted to negligence per se actionable in civil law.

    3n  &chutrao +ari-hau Khod/a and Ors. v. State o# 

    Maharashtra and Ors1'! the 1ourt noticed that in the very

    nature of medical profession! s$ills di(ers from doctor to doctor

    and more than one alternative course of treatment are

    available! all admissible

    3n State o# +arvana and Ors. v. Smt. Santra1* ! olam%s test

    has been approved. This case too refers to liability for

    compensation under civil law for failure of sterilization operation

    performed by a surgeon.

    6@ *6779, @ -11 >>5

    6; *6779, 5 -11 9>@

    69 *5===, ; -11 685

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    3n  5aco- Mathe/ v. State o# unja- and &nr 1,! it was not

    the case of the complainant that the accused was not a doctor

    +ualied to treat the patient whom he agreed to treat. 3t is a

    case of nonMavailability of o2ygen cylinder either because of the

    hospital having failed to $eep available a gas cylinder orbecause of the gas cylinder being found empty. Then! probably

    the hospital may be liable in civil law but the accused cannot be

    proceeded against under -ection >=@# 3P1 on the parameters of 

    olamGs test.

    #pinion of $upreme Court in context of 

    Constitution

     The Eudgment of the -upreme 1ourt in !il-ati Behra State o# 

    Orissa1 : case holds that in view of the fundamental right to life

    *#rticle 56 of the 1onstitution, the overnment cannot claim

    Nsovereign immunityN for liability for the negligence of its

    employees.

     The right to health and health care is protected under #rticle 56

    of the 1onstitution of 3ndia! as a right to life and reach of which

    can move the -upreme 1ourt on High 1ourt through writ

    petition. Practice of medicine is capable of rendering great

    service to the society provided due care! sincerity! eAciency

    and s$ill are observed by doctors. "hen doctors performed

    their duties towards the patient negligently in a overnment

    hospital! the servants of the state violated the fundamental

    right of the patient! guaranteed under #rticle 56 of the

    1onstitution.

    'edical profession has its own ethical parameters and code of 

    conduct. G-ervicesG of medical establishments are more of 

    6< #3C 5==; -1 >68=

    68 #3C 677> -1 679=

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    purchasable commodities and the GbusinessG altitude have given

    an impetus to more and more malpractices and instances of 

    neglect. ut the +uestion is! whether! on the whole! branding

    the entire medical community as a delin+uent community would

    serve any purpose or will it cause damage to the patients. Theanswer is! no doubt! the later. 3t is not that measures to chec$

    such dereliction are absent. )ictims of medical negligence!

    considering action against an erring doctor! have three options.

    • 1ompensatory mode M -ee$ nancial compensation before

    the 1onsumer Bisputes Cedressal Dorum or before 1ivil

    1ourts.

    •   Punitive?Beterrent mode M Lodge a criminal complaint

    against the doctor.• 1orrective? Beterrent mode M 1omplaint to the -tate

    'edical 1ouncil demanding that the doctorGs license be

    revo$ed.

    Medical negligence in India

    'an is the only animal who believes in $eeping order in hisworld. This was one of the reasons that he invented the

    concept of law. Law helped every man who su(ered from an

    inEury due to the acts committed by others! to see$ remedy by

    means of compensation or punishment to the person

    committing that act. 3t was in this time that the eld of 

    medicine was developing. -ince no man is perfect in this world!

    it is evident that a person who is s$illed and has $nowledge

    over a particular subEect can also commit mista$es during his

    practice. -uch mista$es in the medical profession may lead to

    minor inEuries or some serious $inds of inEuries and sometimes

    these $inds of mista$es may even cause death. 3n such

    situations there arises a need for a remedy to the inEured

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    people so that Eustice is upheld and this gave rise to the

    concept of medical negligence.

    Professional negligence! more specically! medical negligence

    is! as the term suggests! relates to the medical profession andis the result of some irregular conduct on the part of any

    member of the profession or related service in discharge of 

    professional duties. ut rst of all it is essential for us to

    analyze what the terms remedy! legal right! legal duty and

    most importantly negligence mean.

    0egligence is the breach of a legal duty to care. Thus legal duty

    of a person means the duty the law gives to every person to

    respect the legal rights of the other. Therefore the legal right of 

    a person can be dened as the provisions provided by law to

    protect the interests of its citizen. "e must remember then that

    where there is a legal right! there is a legal remedy for it. This is

    inferred from the ma2im ubi Eus ibi remedium/.

    'edical negligence can be seen in various elds li$e when

    reasonable care is not ta$en during operations! during the

    diagnosis! during delivery of the child! with issues dealing with

    anesthesia etc. -ince this eld is very vast we will limit

    ourselves in understanding the basic concepts which are

    essential for the negligence to be committed. "e shall also loo$

    into the remedies that the law provides to these patients andon whom the burden of proof lies and when this burden of proof 

    shifts to the other party. "e would also be discussing in the

    following pages the defenses used by doctors to rescue

    themselves from the liability and also compare all these things

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    with the nglish law and also loo$ into the similarities that the

    3ndian law and nglish law share.

    Component of medical negligence

    "ineld stated that a negligent act comprises of three main

    components. They are

    • 2istence of legal duty.

    • reach of legal duty.

    • Bamage caused by the breach

    3n order to understand the correct meaning of medical negligenceit is essential that we carefully analyze these components

    because only after we analyze these components will we be able

    to understand the remedies that the law provides us.

    • ;7istence o# legal duty  "henever a person approaches

    another trusting him to possess certain s$ill! or special

    $nowledge on a given problem the second party is under an

    implied legal duty to e2ercise due diligence as is e2pected to

    act at least in such a manner as is e2pected in the ordinary

    course from his contemporaries. -o it is not that the legal

    duty can only be contractual and not otherwise. Dailure on

    the part of such a person to do something which was

    incumbent so! that which would be Eust and reasonable

    tantamount to negligence. very time a patient visits a

    doctor for his ailments he does not enter into any written

    contract but there is a contract by implication and any lac$

    of proper care can ma$e the erring doctor liable for breach of professional duty.

    • Breach o# legal dut)  There is a certainly a breach of legal

    duty if the person e2ercising the s$ill does something which

    an ordinary man would not have done or fails to do that

    which an ordinary prudent man would have done in a similar

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    situation. The standards are not supposed to be of very high

    degree or otherwise! but Eust the relative $ind! that is

    e2pected from man in the ordinary course of treatment.

    • Damages caused -) the -reach The wrong! the inEury

    occasioned by such negligence is liable to be compensated 3n terms of money and the courts apply the well settled

    principles for determination of the e2act li+uidated amount.

    "e must remember that no hard and fast rule can be laid

    down for universal application. "hile awarding

    compensation! the consumer forum has to ta$e into account

    all relevant factors and assess compensation on the basis of 

    accepted legal principles on moderation. 3t is for the

    consumer forum to decide whether the compensationawarded is reasonable! fair and proper according to the facts

    and circumstances of the case.

     The liability of the person committing the wrong can be of three

    types depending on the harm caused by him to the inEured

    person! they are

    • ivil lia-ilit) : #s mentioned before! the person who

    possesses special $nowledge and s$ill in a eld and uses this$nowledge to treat the other person then he owes a duty of 

    acre to the other person. 3f a wrong is committed by him in

    this period! then he is liable to pay damages in the form of 

    compensation to him. 3n some situation senior doctors or the

    hospital authorities can also be vicariously held liable for the

    wrongs committed by Eunior doctors.

    •   riminal lia-ilit)  There may be an occasion when the

    patient has died after the treatment and criminal case is ledunder section >=@# of the 3P1 of allegedly causing death by

    rash or negligent act. The commencement or pendency of 

    criminal trial would not act as bar to parallel civil

    proceedings for recovery of money or a consumer complaint

    nor can the same be stayed.

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    ut there are large numbers of cases where criminal law and civil

    laws can run side by side. The two remedies are not mutually

    e2clusive but clearly coMe2tensive and essentially di(er in their

    conte2t and conse+uence. The obEect of the criminal law is to

    punish an o(ender who committed the negligence but in civil lawthe obEective is not to punish but to get compensation from the

    other person.

    $tandard of care reuired in India

     There was considerable ambiguity on the standard of care

    re+uired to be e2ercised by medical practitioners in order todischarge possible criminal liability arising out of their acts or

    omissions. -ection >=@M# of the 3ndian Penal 1ode! 689= O3P1

    prescribes punishment for death due to rash or negligent conduct

    of a person. 3t is under this section that doctors or other medical

    practitioners have generally been proceeded against under

    criminal law. ven though there is protection given to accidents

    caused during performance of lawful acts O-ection 8=! 3P1 and

    acts not intended to cause death and done for the person%sbenet by his consent and in good faith O-ection 88! 3P1! the fear

    of criminal liability has been lingering while performance of their

    duty even today.

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    %est used in India3n determining the test for medical negligence and prosecution of 

    medical practitioners! the -upreme 1ourt of 3ndia has also issued

    certain guidelines. "hat goes to the basis of these guidelines is

    that once a criminal investigation begins against a doctor! the

    loss of reputation is nearly irreversible. 3t has also been ta$en

    into account that since the nature of wor$ that doctors perform is

    one involving public service! it is even more necessary that

    certain guidelines be issued in this regard.

    • overnment of 3ndia along with the 'edical 1ouncil of 

    3ndia should formulate certain rules?regulations etc to

    regulate aspects of negligence in medical practice. "hile

    this e2ercise is pending! the following guidelines must be

    $ept in mind while prosecuting medical practitioners.

    •  To ma$e a case against a doctor! a private complainant

    has to submit evidence of a prima facie case before the

    authority ta$ing cognizance of the act. -uch authority

    must also include credible opinion given by another

    competent doctor to support his case.

    •  The investigating oAcer must also! independently! obtain

    an impartial ad unbiased opinion of a doctor who practices

    in the same eld in the same regard.

    •  The doctor concerned should not be arrested li$e in a

    regular prosecution. He may be arrested if there is a fear

    that the doctor will not ma$e he himself available forinvestigation.

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    Conclusion

    3n 3ndia almost every day there is a case of medical negligence

    which is seen. 3t is seen in the big as well as in the small

    hospitals! clinics! dispensaries etc. Bue to this a number of 

    people are su(ering in our country. The most common type of 

    medical negligence is seen in operations and during the

    delivery of the child etc. a number o cases has been led

    against doctors who negligently leave their surgical

    instruments in the body of the patient etc. still a number of 

    doctors leave their instruments in the stomach of the patient

    which could be fatal. 3n 3ndia doctors are treated as gods!

    hence when some $ind of negligent acts are carried out by

    them! they thin$ that it was the wish of god and don%t ma$e the

    doctor responsible for this. 3lliteracy is another big factor that isnot letting our people to $now what $inds of wrongs are being

    committed in our country. Fur country is facing a terrible time

    today as the doctors also are ta$ing advantage of poor people

    and are ma$ing their service sector! a prot oriented sector and

    changing their vision from providing good health to gaining

    prots from innocent people by as$ing them to undergo 6===

    tests before treating them for a common cold. The environment

    in the hospitals li$e the cleanliness etc is also not maintainedby most of the hospitals not only in the rural region but also in

    the urban region which results in the spread of communicable

    diseases faster and easier.

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     The rela2ed behavior by the people! by the hospital authorities

    and the government oAcers who chec$ these places has

    resulted in the rela2ed behavior of the doctors! which is the

    main reason that the number of cases of medical negligence is

    increasing. 3n my opinion if the common people with thesupport of the government impose rules on these hospitals and

    also see to it that these rules are implemented then there is a

    chance that the standards of our hospitals would improve and

    automatically the s$ill and $nowledge of specialized and

    authorized doctors would be used to the fullest. "e must also

    spread awareness in the rural areas so that poor people don%t

    get e2ploited and ght for their rights and as$ for the re+uired

    remedy from the medical practitioner causing them the harm.

    C#N%EN%

    3ntroduction

     Judicial 3nterpretation of 'edical 0egligence under 1onsumer

    Protection

    2tended ambit of medical negligence ssential 1omponents of 'edical 0egligence

    "hat is an accepted medical practice4

    Ces 3psa lo+uitur

    'edical Professionals in 1riminal Law

    Fpinion of -upreme 1ourt in conte2t of 1onstitution

    'edical negligence in 3ndia

    1omponent of medical negligence

    • 2istence of legal duty.

    • reach of legal duty.• Bamage caused by the breach

    -tandard of care re+uired in 3ndia

     Test used in 3ndia

    1onclusion

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    &C'N#W!E()EMEN%

    3 would li$e to e2press my gratitude and appreciation to all those

    who gave me the possibility to complete this proEect. # special

    than$s to my teacher! 'iss ! whose help!

    stimulating suggestions and encouragement! helped me to

    coordinate my proEect especially in writing this report.

    3 would li$e to e2press my gratitude towards my parents for their

    $ind coMoperation and encouragement which help me in

    completion of this proEect.

    'y than$s and appreciations also go to my colleague in

    developing the proEect and people who have willingly helped me

    out with their abilities.

     Qasmin Rhanam

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    *I*!I#)R&P+, 

    Catanlal and BhiraElal! Laws of Torts! 5@th edition! 5==5!edited by Justice .P.-ingh

     The 1onsumer Protection #ct! 6789.

    Law of tort! by P.-.# Pillai! astern boo$ company.

    Law and medical ethics! by 'ason and 'c 1all -mith! o2ford

    university press www.lehalserviceindia

    www.indian$anoon!com

    www.Eestor.com

    http://www.lehalserviceindia/http://var/www/apps/conversion/tmp/scratch_4/http:%2F%2Fwww.indiankanoon,comhttp://www.jestor.com/http://www.jestor.com/http://var/www/apps/conversion/tmp/scratch_4/http:%2F%2Fwww.indiankanoon,comhttp://www.lehalserviceindia/

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    Pro-ect#n

    Role of Judiciary in MedicalProfession

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    -ubmitted to 'iss-ubmitted by Qasmin Rhanam

      #.LL. *Hons,  3) Qear *8th sem,  -ection #