1. Medicolegal aspects of practice
Dr. Nikhil Datar.
MD.DNB.FCPS.FICOG.LLB.DGO.DHA
GYNAECOLOGIST & MEDICO LEGAL CONSULTANT
Assistant Honorary: Dr R N Cooper Hospital
Consultant Gynaecologist: Nanavati Hospital. Mumbai
Director. Datar Nursing Home. Malad Mumbai
Medico legal Consultant : Kaylegal (Law firm)
Vice president: Association of Medical Consultants
Past President: Association of Fellow Gynaecologists

2. Why are we at “gun point?”
Society can not decide whether we are service,industry, buisness, vocation,profession…
Society does not recognise anybody else other than a doctor in health care
Health infrastructure is least important in country
Dr Nikhil D. Datar

3. Society does not have good redressal mechanism as councils are defunct
Excessive thrust on diagnostics and no importance to preventive health care
We lack standardization so we can’t prove standards
Dr Nikhil D. Datar

4. Most important areas: Death certificate and death related
Emergency care
Police procedures & criminal negligence
Crosspathy practice
MTP Act and PNDT Act
Medical council regulations.
Dr Nikhil D. Datar

5. Dr Nikhil D. Datar

6. Death Certificate: To Be (given) Or Not To Be (given)!!
Dr Nikhil D. Datar

7. Death certificate Give it… may be sensed as “hush-hush” in the matter
Not give it… sensed as “ended life but harassment unending ”
Dr Nikhil D. Datar

8. If he knows the cause of death
A doctor can give DC:
If he knows the cause of death
And
not otherwise
Dr Nikhil D. Datar

9. Inform the police: When cause of death is not known
When cause of death is known but………….
Dr Nikhil D. Datar

10. When to inform police Death linked with abortion
Death on operation table or post op 24 hours
Death related to medical procedure
Dr Nikhil D. Datar

11. When to inform police: Death related to accidents or violence
All deaths related to tubal sterilizations (PM mandatory)
When there is allegation of medical mis management
(source:J.K.Mason .Edition III)
Dr Nikhil D. Datar

12. Section 304 A: Whoever causes the death of any person by doing any rash or negligent act not amounting to culpable homicide shall be punished with imprisonment for two years , or with fine or with both.
Dr Nikhil D. Datar

13. Interaction with the Police
Informing the police
Police “Panchnama”
Handing over the papers
Dr Nikhil D. Datar

14. Arrest of a doctor PM report Opinion of police surgeon
Discretion of the IO
Dr Nikhil D. Datar

15. Emergency care Paramanand Katara Parwatkumar Dr Nikhil D. Datar
“Consideration can wait ….”
- National commission
Dr Nikhil D. Datar

16. Problems: Poor infrastructure Lack of multispeciality
Poor transport services
Poor support from public and police
Dr Nikhil D. Datar

17. Cross pathy:
Dr Nikhil D. Datar

18. MTP Act & PCPNDT Act
Dr Nikhil D. Datar

19. Dr Nikhil D. Datar
Every right has a corresponding duty.. This is so true …. For doctors … but not for the patients!

20. Dr Nikhil D. Datar
Thank You