In a recent clarification, the National Medical Commission (NMC) has confirmed that doctors cannot sign Pathology and Radiology reports via remote authentication without their physical presence and supervision. This clarification comes in response to a Right to Information (RTI) application filed by Dr. Rohit Jain, aiming to address confusion regarding the Telemedicine Practice Guidelines 2020.
The Telemedicine Guidelines 2020 allow doctors to consult remotely, but they do not permit remote authentication of diagnostic reports. This means doctors must be physically present to supervise and sign reports to ensure accuracy and patient safety.
Why Physical Presence is Necessary
- Ensures Accurate Diagnosis: Doctors can personally verify test results, reducing errors.
- Prevents Signature Misuse: Remote signing increases the risk of misuse of scanned signatures and unethical practices.
- Maintains Ethical Standards: Physically supervising tests helps uphold professional integrity and ensures that reports are genuine and verified.
Concerns with Remote Authentication
Technological advancements have made it easier for doctors to authenticate reports digitally. However, this convenience has led to misuse, with cases of “signature lending” and report authentication without verification. In one incident, a pathologist was found lending his name and signature to over 200 labs without supervising the tests—an act that was deemed unethical by the Maharashtra Medical Council (MMC).
What the NMC Guidelines Say
- Telemedicine Practice Guidelines do not allow the use of telemedicine for remote authentication of lab reports.
- Physical presence is necessary for doctors to verify and sign reports.
- The guidelines permit consultation between doctors but not remote validation of diagnostic reports.
Ensuring Patient Safety and Professional Integrity
This clarification by the NMC emphasizes the importance of maintaining ethical practices in diagnostic services. Remote authentication can compromise patient safety and lead to misdiagnosis if test results are not thoroughly verified.
For doctors and healthcare providers, it’s crucial to follow the NMC guidelines and prioritize patient safety. Ensure that all diagnostic reports are signed under direct supervision. Stay updated on the latest regulations and contribute to maintaining high standards of medical practice.
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