Ethics, Safety, and Patient Management in Cosmetic Surgery Flashcards
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A surgeon operates in their own accredited office-based surgical suite. Which organization's standards are most commonly used for accreditation of office-based facilities in the US?
Answer: AAAHC, JCAHO, or AAAASF
AAAHC, The Joint Commission (JCAHO), and AAAASF are the primary accrediting bodies for office-based surgical facilities in the United States.
A cosmetic surgeon learns that a colleague is performing procedures outside their scope of training. The ethical obligation is to:
Answer: Inform the state medical board or appropriate authority
Professional ethics and patient safety obligations require reporting credible evidence of incompetent or unethical practice to the appropriate authority.
Which element is NOT required for a valid informed consent in cosmetic surgery?
Answer: Guarantee of a specific aesthetic outcome
Outcomes cannot be guaranteed in cosmetic surgery; promising a specific result is unethical and legally problematic.
A patient requests liposuction but has a BMI of 38 and poorly controlled type 2 diabetes. The most ethical approach is to:
Answer: Decline surgery and counsel the patient on risk reduction before reconsidering
Obesity combined with poorly controlled diabetes substantially elevates surgical and wound-healing risk; deferring surgery until optimization is the safest and most ethical course.
A cosmetic surgeon abandons a patient postoperatively by refusing follow-up after a complication. This violates which ethical duty?
Answer: Non-abandonment
Non-abandonment requires surgeons to continue providing necessary care until the patient is appropriately transferred or the therapeutic relationship is properly terminated.
In the context of cosmetic surgery, 'justice' as a bioethical principle primarily refers to:
Answer: Fair distribution of healthcare resources and equitable treatment of patients
Justice in bioethics concerns fairness, equitable access to care, and avoiding discrimination in the delivery of medical services.
What is the recommended minimum fasting time for clear liquids before elective cosmetic surgery requiring general anesthesia, per ASA guidelines?
Answer: 2 hours
ASA NPO guidelines recommend at least 2 hours of fasting for clear liquids before elective procedures requiring general or regional anesthesia.