Terminating the physician-patient relationship

BACKGROUND. This continues our series of articles addressing the many medicolegal aspects that impact the practice of dermatology. Because the physician-patient relationship is the cornerstone of every medical malpractice action, the proper termination of that relationship is very important. METHODS. A format of an initial discussion of legal concepts followed by hypotheticals and a review of actual cases was chosen to enhance interactive learning. The subject matter is based on a review of medico- legal literature and actual recorded case law. RESULTS. Once a physician- patient relationship has been established, improper termination of that relationship may constitute abandonment. CONCLUSION. Any termination of the physician-patient relationship must be reasonable in view of the patients' access to alternate medical care and medical problems and should be properly communicated to the patient.