来看医美医生的是病人或顾客？

没有病的病人？
有人说来要求医美治疗的人有些是健康无病的，所以称呼他们为病患／病人或许并不是那么恰当，但是若称呼他们为客户或消费者，来接受医生的“服务”感觉又有些怪怪的，让人的感觉这仿佛变成了一门生意，而生意本质上只要服从客户消费的要求就好，但这是不对的。

病人或顾客？
当你来咨询医美疗程的时候，你觉得你是一个病患？一个病人？一个顾客／客户？或一个消费者？
你觉得你的医生应该用哪一个称呼对待你？

病患和病人也有明显的差别意思。
病患让人感觉比较多注重于所患的疾病，病人呢就是一个生病的人，让人感觉注重于人本身多过疾病，会是比较人文，医生在医病的同时，也关心生病的人，而可以成为一个医病和医心的良医，这很重要，很多时会有医生在忙碌中逐渐忘记生病的是一个人，而只是专注于解决疾病而已。

病人和顾客？
我的看法是：只要你来看医生，你就是病人，就存在医生与患者的“医患关系”( Doctor Patient Relationship)。如果要称呼你为顾客或客户，那么我是不是应该自称为服务员，售货员，然后诊所改为商店是不是更合适？(一笑)

医学美容的定义是什么呢？

根据指南，它的定义如下： 它是医学领域里的一种医疗实践，涵盖不同医学学科的模式与方式，通过科学证据为基础的无创，微创和侵入性疗程，创造一个和谐的生理与心理平衡。这些方式专注于皮肤的结构与生理方式，及皮下组织的构成，更改它们（非病理）“正常”的外观以达到患者的需求与目标，而这些疗程必须由已经向卫生部注册的合格在职医生执行。

这是我们国家卫生部对于医学美容的官方定义。

医生与病人的关系
医美医生和病人的关系跟其他领域的医生和病人的关系都是一样的。
我们根据病人的需要，进行问诊检查，得到结果后与病人分析讨论，再提供解决的治疗方案，解释治疗的风险与预期的效果，和任何医生与病人的关系都是一样的。

当你来找医美医生，认为你有接受疗程的需要，其实你就是一个病人。医美医生就是提供治疗方案来解决你的问题。

我想世界上医美医生应该很少会称呼来寻求咨询治疗的人为客户／顾客吧！如果有的话那么该医生的心态已经偏离一个医生的职业操守了。你会不会对你的顾客说你提供的产品或服务会有医疗风险吗？当你着重于推销“产品”，是不是会淡化产品的副作用后遗症而优化产品的功能效果以取得顾客的消费而达到你的销售业绩呢？

金钱会腐化人心，一不小心也会让你偏离你当医生的初心。

求靓者？
我也听过有些医生说，其实应该把他们称为“求靓者”，因为健康的他们只是在追求美丽；但这样说的医生都不是从事于医美这一个领域，不了解医学美容的本质，这个也是美容行业于医学美容的差别。美容行业的是顾客，医学美容的是病人。医美医生根据病人的需要诊断和治疗，跟其他医生看诊病人都是一样的。



很多时候都认真的提醒着自己，绝不忘记自己的初心。

如果你来诊所看我咨询接受疗程，你就是我的病人，别把自己当顾客，我可不是你的销售员。


Original post from: https://drwilliamaestheticmedicinenotes.blogspot.my/2017/07/blog-post.html

GUIDELINES ON THE ETHICAL ASPECTS OF AESTHETIC MEDICAL PRACTICE by MMC

1. Introduction

Aesthetic medical practice is rooted in the belief that the well-being of an individual is about being satisfied with one’s health, job and the environment he or she lives in. The goal is the creation of a harmonious physical and psychological balance as desired by clients, by administering medical treatment modalities.

Although aesthetic medicine is not being recognized as a medical specialty in Malaysia, aesthetic medical practice is on the rise and is gaining popular demand from all sectors of the population. A large number of registered medical practitioners are engaged in such practice, both in family physician (or general practitioner) and specialist healthcare facilities.

Aesthetic medical practice is recognised to be scientific in its approach and practice. In this respect, it is acknowledged that the established specialties of dermatology and plastic surgery have provided the sound scientific and medical basis for current aesthetic medical practice. The scientific concepts underpinning aesthetic medical practice have resulted from much work done and published in dermatology and plastic surgical literature and is taught within the core curriculum of these two specialties.

Aesthetic medical practice may be through non-invasive, minimally invasive and invasive modalities.

2. Definition

Aesthetic Medical Practice is defined as: “An area of medical practice which embraces multidisciplinary modalities dedicated to create a harmonious physical and psychological balance through non-invasive and minimally invasive treatment modalities which is evidence-based. These modalities focus on the anatomy and physiology of the skin and physical appearance to satisfy the normal (non-pathological) aesthetic desires and goals of the client and are carried out by registered medical practitioners.”

3.Requirements of the Practitioner in Aesthetic Medical Practice

The registered medical practitioner in aesthetic medicine practice:

1. shall be a general (family) practitioner or a specialist in any recognized field of specialty;
   
2. shall possess experience through recognized practical training courses conducted by bona fide professional bodies specialising in aesthetic medical practice as recognised by the Main Credentialling and Privileging Committee for Aesthetic Medical Practice of the Medical Practice Division of the Ministry of Health;
   
3. shall provide documentary evidence of having undergone such training and practical/written examination in a bona fide professional body, to be processed by the Main Credentialling and Privileging Committee for Aesthetic Medical Practice, as prescribed in the Guidelines on Aesthetic Medical Practice for Registered Medical Practitioners issued by the Medical Practice Division of the Ministry of Health;
   
4. shall exercise strict patient selection criteria, obtain informed consent and generally observe all aspects of the Code of Professional Conduct of the Malaysian Medical Council and other relevant guidelines of the Malaysian Medical Council and directives of the Ministry of Health;
   
5. shall pay particular attention to exclude, through proper physical examination and relevant investigations, any pathological or clinically morbid conditions causing physical deformity or cosmetic blemish, before embarking on a procedure to correct such deformity or blemish; in the event that such conditions be suspected or identified, no aesthetic procedures must be undertaken and the client referred to a relevant specialist for further management;
   
6. shall place client/patient safety as the primary concern and should provide aesthetic medicine services in an approved healthcare facility as required by the Private Healthcare Facilities and Services Act 1998 and Regulations 2006, or in any government hospital with adequate facilities for surgery;
   
7. is subject to all relevant parts of the Amended Medical Act 2012, and the Regulations when adopted and is subject to the Code of Professional Conduct, Good Medical Practice and Confidentiality and any other Guidelines of the Malaysian Medical Council;

h. shall be aware that Complaints lodged by members of the public or any enforcement units, on the Aesthetic Medical Practice carried out by him, may lead to a disciplinary inquiry by the Malaysian Medical Council.

4. Training & Certification in Aesthetic Procedures
   
   
   
   The Malaysian Medical Council is not directly involved in the training and certification of registered medical practitioners, but is primarily concerned with the standard of practice as laid down in the Code of Professional Conduct and in Good Medical Practice and Confidentiality, and other guidelines adopted by the Council.
   The Main Credentialling and Privileging Committee for Aesthetic Medical Practice is directly responsible for all aspects of credentialing and privileging of practitioners involved in aesthetic medical practice.
   The composition of The Main Credentialling and Privileging Committee for Aesthetic Medical Practice and Terms of Reference are in Annexure A.
   A foreign medical practitioner, intending to pursue a course on aesthetic medical practice or participate in training workshops in Malaysia will be required to apply for Registration and/or Temporary Practicing Certificate (TPC), and such other details and requirements as lay down by the Evaluation Committee of the Malaysian Medical Council. Such application shall be vetted by the Main Credentialing and Privileging Committee for Aesthetic Medical Practice of the Medicla Practice Division of the Ministry of Health, and if found suitable may be submitted in the required form and format to the Evaluation Committee for consideration.
   The Main Credentialling and Privileging Committee for Aesthetic Medical Practice may place the name of such foreign medical practitioner in the National Registry of Aesthetic Medical Practitioners as may be deemed appropriate, after approval by the Evaluation Committee of the Malaysian Medical Council, and subjected to conditions as applicable for Malaysian citizens. (vide section 5 below)
   
   
5. National Registry of Registered Medical Practitioners Practising Aesthetic Medical Practice
   

a. The Medical Practice Division of the Ministry of Health shall maintain the National Registry of Registered Medical Practitioners Practicing Aesthetic Medical Practice, as prescribed in the Guidelines on Aesthetic Medical Practice for Registered Medical Practitioners.

2. Entry into the Register will be according to requirements laid down by the Director General of Health Malaysia, as indicated in section 3(c) above. Only medical practitioners so registered may offer aesthetic medical practice services.
   
3. Should any practitioner practising aesthetic medical practice be found guilty of any offence after due process of disciplinary inquiry according to the Amended Medical Act 2012 and Regulations when adopted and punished by his name being removed from the Register of Medical Practitioners, such practitioner shall also be consequently removed from the National Registry of Registered Medical Practitioners Practising Aesthetic Medical Practice.
   

6. A registered medical practitioner engaged in aesthetic medical practice is not considered a specialist, as such practice is not registrable as a specialty or ‘sub-specialty’ in the National Specialist Register.
   
   
7. Types of Aesthetic Medical Practice
   
   
   
   Aesthetic medical practice may be classified as non-invasive, minimally invasive or invasive. While it is accepted that a registered medical practitioner who is holding a specialty qualification may conduct procedures within their core area of practice; it is a requirement that those practising invasive procedures must possess a recognised higher surgical degree.
   The three categories have been defined by the Medical Practice Division of the Ministry of Health.
   The three categories will be defined and periodically revised.
   
   
8. Place of Practice
   
   
   
   Aesthetic medical practice may be conducted by registered medical practitioners in private clinics, ambulatory care centres and hospitals, as defined and described in the Private Healthcare Facilities & Services Act 1998 and Regulations 2006, and in government hospitals.
   The nature of the aesthetic procedure may be classified, based on the complexity of the procedure, as non-invasive, minimally invasive or invasive; and the place where each of these is conducted have been defined by the Medical Practice Division of the Ministry of Health.

Generally, major invasive procedures will be carried out in healthcare facilities with provisions for in-patient, operation theatre, anaesthetic and surgical interventions.
Non-invasive, minimally invasive, and selectively invasive procedures may be carried out in Clinics and in Ambulatory Care Centres, which have facilities for such practice.
The decision on the types of cases and the location in the healthcare facility for performing such procedures will primarily be made by the medical practitioner, and approved by the Medical Practice Division of the Ministry of Health.
In all such matters, the medical practitioner is required to ensure satisfactory standard of care during all phases of management as described in the Code of Professional Conduct of the Malaysian Medical Council.

9. Assistants
The registered medical practitioner in private aesthetic medicine practice may employ non-medical, unregistered persons, (like beauticians, cosmetic therapists and others) to assist in his practice, who will be termed “assistants” for purposes of this Guideline, but should not be associated with such persons as business or professional partners or as an employee.
The practitioner shall not provide cover of any description or nature for the independent aesthetic or cosmetic practice of such unregistered persons in his place of practice or elsewhere.
The registered medical practitioner shall be vicariously and totally liable for all untoward professional occurrences or adverse events that may become the subject of a complaint and subsequent disciplinary inquiry in relation to such assistants under his employment.

10. Sign Boards and Announcements
The external sign boards of a healthcare facility in which a registered medical practitioner conducts aesthetic medical practice, shall not carry the words ‘aesthetic medicine practitioner’ or details of aesthetic medical practices, in that or in any other connotative form implying aesthetic medical practice.
However, such information may be displayed within the premises. 

However, the availability of aesthetic medical practices and the scope of services provided by a medical practitioner may be carried in any announcements or information about clinics or healthcare facilities in the print or electronic media as at present allowed by the Malaysian Medical Council, the Medical Practice Division of the Ministry of Health, and the Medicines Advertising Board (Lembaga Iklan Ubat) of the Pharmaceutical Division of the Ministry of Health.
Prior approval must be obtained from the Medicines Advertising Board (Lembaga Iklan Ubat) and/or other relevant authorities of the Ministry of Health with regards the details and format of the announcements.

11. Ambit of this Guideline

Other Acts or any amendments to any existing Act, when coming into force, may eventually address some aspects of Aesthetic Medical Practice and other related treatment modalities, in which case this Ethics Guideline may be appropriately amended by the Malaysian Medical Council as and when required.

12. Annexures:
AnnexureA : The Main Credentialing and Privileging Committee for Aesthetic Medical Practice, Medical Practice Division, Ministry of Health
Malaysia

ANNEXURE A

The Main Credentialing and Privileging Committee for Aesthetic Medical Practice, Medical Practice Division, Ministry of Health Malaysia

The Main Credentialing and Privileging Committee for Aesthetic Medical Practice, appointed by the Director General of Health, consists of members from the Ministry of Health, Academy of Medicine, the Aesthetic Medical Practice Societies and Universities.
Terms of reference for the Main Credentialing and Privileging Committee for Aesthetic Medical Practice – please refer to the Guidelines on Aesthetic Medical Practice for Registered Medical Practitioners.

The Malaysian Medical Council’s 2015 revised Guideline on the Ethical Aspects of Aesthetic Medical Practice was drafted by the Ethics Committee, Malaysian Medical Council.
This revised Guidelines on the Ethical Aspects of Aesthetic Medical Practice was adopted by the Malaysian Medical Council on the 21 April 2015

农历新年快乐

预祝各位农历新年快乐

Happy New Year 2017