Legal Medicine Course Outline Arellano University School of Law 2"! semester 2016-2017 530 - 7:30 pm Tuesday A. Introduction Mandatory subject in law school (Rules of Court 138 sec. 5) Definitions/Concept: Medical Jurisprudence Forensic Medicine Legal Medicine Cases: 1. Carillo v. People of the Philippines G.R. No. 86890, January 21, 1994 2. Batiquin v. CA GR. No. 18231, July 5, 1996 3. Garcia-Rueda v, Pascasio G.R. No. niga, Septeraber 5, 1997 4 Cruz v, CA GR. No. 122445, November 18, 1997 5. Ramos v. CA GR. No. 124354, December 29, 1999 6. Reyes v. Sisters of Mercy Hospital G.R. No. 130547, October 3, 2000 7. Ramos v. CA G.R. No, 124354, April u, 2002 8. Rutz Jr. v. Dr. Jurado, A.M. No, 2005-08-SC, December 9, 2005 9. Nogales v. Capitol Medical Center GR. No. 142625, December 19, 2006 10. PSI v. Agana G.R. No. 126297, January 31, 2007 1 Cantre v. ps. Go G.R. No. 160889, April 27, 2007 12, llao-Oreta v. Ss. Ronquillo G.R. No. 172406, October n, 2007 13, Sps. Flores v, Sps. Pineda, et.al, G.R. No. 158996, November 2008 1g, Lasam v. Sps. Ramolete, G.R. No. 59132, December 18, 2008 15, Peter Paul Lucas, et.al. v. Dr. Tuaiio, G.R. No. 178763, April 21, 2009 26, PSI v. Agana GR. No. 126297, February 2, 2010 17. Dr. Liv. Sps. Soliman, G.R. No. 165279, June 07, 201 38. Atienza v. Board of Medicine, G.R. No. 177407 February 9, 201 19, Dr. Jarcia and Bastan v. PP, G.R. No. 187926, February 15, 202 20. Dr. Aquino v. Calayag, G.R. No. 158461, August 22, 2012 2a. Dr. Cereno and Dr. Zafe v. Court of Appeals, G.R. No. 167366, September 26, 2012 22, Dr, Lumantas v. Calapiz, G.R. No. 163753, January 15, 2014 23, Solidum v. PP, G.R. No. 192123, March 10, 2014 24. Dr. Cabugao v. PP, GAR. No. 163879, July 30, 2014 25, Dela Torre v. Dr. Imbuido, et. a., G.R. No. 192973, September 29, 2014 26. Casumpang, etal. v. Cortejo, G.R. No. ¥7u27, March 2, 2015 27. Dr. Cruzv. Dr. Agas, Jr, G.R. No. 204095, June 5, 2015 28. Rosit v. D. D. H & Dr. Gestuvo, GR. No. 210445, Dee. 07, 2015, 29. Borromeo v. Family Care Hospital - G.R. No, 191038 - Jan. 25, 2016 B. State Regulation of Hospital Operation Definition: Licensure / Accreditation / Certification Hospital operation: RA 4226 Hospital Regulation and Licensing Act FO 2ga ttle IX sec. 3, 14, 15 Revised Administrative Code RA 9439 An Act Prohibiting the Detention Of Patients in Hospitals and Clinics RA 8344 Prohibiting Demand of Deposits RA 6615 Refusal to Extend Medical Assistance Case: Manila Doctors Hospital v. Chua and Ty G.R. No. 150355, July 31, 2006 State Regulation of Practice of Medicine Practice of medicine: RA 2382 Medical Act of 1959 as amended RA 8981 PRC Modernization Act RA 65u: An Act to Standardized the Examination and Registration Fees PD 541 Allowing Former Filipino Nationals to Practice in the Philippines Constitution Art. x2 par. 14 Cases: Dent v. West Virginia 129 U.S. 14 (1889) Marquez v. Board of Medical Examiners G.R. No. L-24ng August 8, 1925 PMA v. Board of Medical Examiners GR L-25135 September 21, 1968, Tablarin v. Guitierez GR 78164 July 31,1987 ilBoard of Medical Education vs. Alfonso GR No. 88259 August 10, 1989 DECS v. San Diego GR 89572 December 21, 1989 PRC v. De Guzman et. al. GR 144681 June 21, 2004 Board of Medicine v. Y. Ota GR no. 166097 July 14, 2008 D. RPC/Special Laws applicable to Physicians I * RPC Article 174: False medical certificates RPC Article 259: Abortion Practiced by a Physician RPC Article 347: Simulation of Births RPC Article 365: Quasi-delict Case: Villareal v. PP, G.R. No. 151258, February o1, 2012 RPC Article 353, 358: Libel & Slander Case: People vs. Chavez OG 8886 vol. 53 n0. 24 RA 9165: Dangerous Drug Act RA 5921: Pharmacy Law PD 169 as amended: Reporting of Physical Injuries PD 603: Child and Youth Welfare Act RA 6675; Genevie Act RA 8504: AIDS Prevention and Control Act ‘Act 3753: Issuance of Birth and Death Certificate ‘Act 3573: Law on Reporting of Communicable Disease RA 9257: Expanded Senior Citizens Act RA 7170: Organ Donation Act of 1991 RA 7885: Act to Advance Corneal Transplantation Case : Dr, Alano v. Magud-Lugmao, G.R. No. 175540 April 7, 2014 PD 651 as amended by PD 766: Requiring the Registration of Births and Deaths in the Philippines Cases: Baldos v. Court of Appeals, G.R. No. 170645 July 09, 2010 Silverio v. Republic, G.R. No. 174689, October 22, 2007 Republic v. Cagandahan, G.R. No, 166676, September 12, 2008 E, Nature of Medical Practice Effect of certificate of registration Case: Hurley v, Eddingfield 59 NE 1058 (Ind. 1901) Duty of physicians to treat patients Duty of hospitals to treat and admit patients Doctrine of reasonable reliance Good Samaritan act Contract between patient and physician Contract between hospital and physician Independent contractor Contract between patient and hospital Patient-Physician confidentiality/privilege communication Cases: Krohn v. Court of Appeals, G.R, No. 108854, June 14,1994 Lim v. Court of Appeals, G.R. No. 914, September 35, 1992 Carson, et.al. v. Fine, et.al, 867 P.2d 610 (i994) Christensen v. Munsen, 867 Pad 626 (1094) Steinberg, et. al. v. Jenssen, et. al, 534 N.W.ad 361 (1995) Chan v. Chan, G.R. No. 179786, july 24, 2013, Revised Rules of Court 128 section 24(¢) Patient-litigant waiver General consent Informed consent/assumption of isk Case: Dr. Liv. Sps. Soliman, G.R. No. 165279, June 07, 200 ical Malpractice Medical malpractice legal practice of Medicine Elements of Medical Negligence Standard of care — locality rule, modified locality rule, national standard Customary eare Case: Helling v. Carey, et. al, 519 P.ad 981 (1974) Reasonable care F. Mefact - “but for “test v. “substantial factor” test Legal cause (proximate cause) Case: Urbano v. IAC GR 72964 January 7, 1988 Phoenix Construction v. IAC GR. No. L-65295 March 10, 1987 Lyons v. Midnight Sun Transportation 928 P.2d 1202 (1996) Perkins v. Texas and New Orleans Railroad Co. 147 So.ad 646 (1962) Elements of reckless Imprudence/simple imprudence Degree of diligence required Applicable laws Defenses in medical malpractice, see RRC 130 section 27 Prescription Cases: Sps. Santos v. Pizardo, G.R. No. 151452 July 29, 2000 Casupanan v. Laroya, G.R. No. 145301 August 26, 2002 Cancio, Jr v. lip, G.R. No. 133978 November 12, 2002, Article 46 NCC Discovery rule/continuous treatment rule Liability of hospitals: vicarious and direct liabilities Cases: Ramos v. CA GR. No. 124354, December 29, 1999, Ramos v. CA G.R. No. 124354, April, 2002 Nogales v. Capitol Medical Center G.R. No. 442625, December 19, 2006 PSI v, Agana GR. No. 126297, January 31, 2007 PSI v. Agana GR. No. 126297, February 2, 2010 HIMSI-MCM v. HMSI-MCM EA-AFW, G.R. No. 176287 Jan. 31, 201 Res ipsa loquitor|common knowledge ‘Contemporaneous negligence Borrowed servant doctrine Captain of the ship doctrine G. Expert Witness ‘Who can be an expert witness Net Opinion Rule Hypothetical questions Direct examination/Cross examination Use of learned treatise, books and journals H, Medical Negligence Cases Discussion (o1-09 Supreme Court cases, supra) I. Medical Negligence Cases Discussion (10-19 Supreme Court cases, supra) J. Medical Negligence Cases Discussion (20-28 Supreme Court cases, supra) K. Physical Injuries (Revised Penal Code Art. 262-266) Cases: People v. Buling GR L-13315, April 27, 1960 People v. Yorae GR L-29270 November 23, 1971 People v. Adil and Fama Jr. GR L-41863 April 22, 1977 Enrile and Enrile v. Hon. Judge Manalastas, et. al., G.R. No. 166414, October 22, 2014 PP v. Mapalo, G.R. No. 172608, February 06, 2007 Jun Mupas and Gil Mupas v. PP, G.R. No. 172834, February 06, 2008 “Aguirre v. Secretary of the Department of Justice, G.R. no. 170723, March 3, 2008 Engr. Pentecostes v. PP, G.R. No. 167766, April 07, 2010 PP v. Hon, Ocaya, G.R. No. L-47448, May 17, 1978 oe Physical Injuries and Child Abuse: Bongalon v. PP, G.R. No. 169533, Maren 20, 2015 PD 603 Art. 59(8) L. Medical Certificate/Medical Records as evidence Final grade: 30% class standing (attendance) + 30% midterm exam + 40% final exam. Midterm and Final examinations shall start exactly 5:30pm Failure due to absences: absent 4 times Dress code: no wearing of shorts or sleeveless clothes Students must choose a permanent seat forthe entire duration of the semester