PINS Well Being Center

PREAMBLE

Health care in the modern era is beset with unprecedented challenges to virtually all cultures and societies. These challenges occur on increasing disparities among the legitimate needs of client/patients, the available resources to meet those needs, the increasing dependence of market forces to transform health care systems, and the temptation for physicians to forsake their traditional commitment to the primacy of client/patients’ interests. To maintain the fidelity of medicine’s social contract during this turbulent time, physicians must reaffirm their active dedication to the principles of professionalism, which entails not only their personal commitment to the welfare of society. Essential to this contract is public trust in medical practitioners, which depends on the integrity of both individual practitioners and the whole profession.

At present, an explosion of technology, changing market forces, problems in health care delivery, bio-terrorism and globalization confronts the medical profession. As a result, medical practitioners find it increasingly difficult to meet their responsibilities to client/patients and society. In these circumstances, reaffirming the fundamental and universal principles and values of the medical profession, which remain ideals to be pursued by all medical practitioners, becomes all the more important.

In consideration of the preceding conditions while pursuing and upholding the right to health of the people, the Philippine Institute of Traditional and Traditional Health Care (PITAHC) contributes to an integrated and comprehensive approach to health development through the promotion and utilization of complementary, alternative, traditional and indigenous health care systems. These are directed towards the delivery of services and the undertaking of activities relating to health promotion, disease prevention and health education and planning.

The mission of PITAHC is to foster high standards of ethical and professional practice in the delivery of complementary, alternative, traditional and indigenous health care services through a recognized credible credentialing program that assures the competency of medical practitioners in various health care systems. Common themes emerge and form the basis of this code in the form of three fundamental principles of primacy of client/patient’s/ welfare, client/patient’s autonomy and social justice, as well as a set of definitive professional responsibilities.

The PITAHC developed the Code of Ethics of Medical Naturopaths to ensure that physicians who had attained the credentials are aware of the existence of high standards of practice for the profession and are committed in upholding those standards. Also, the Code is meant to assist members of the general public, including consumers, health care professionals, other health care workers and government regulatory agencies or boards in understanding the duties and responsibilities of certified medical naturopath.

PITAHC developed and adopted the Code to provide the medical naturopath with a clear statement of the expectations of professional conduct and level of practice accorded the public in, among other things, the following areas: Professionalism, the Medical Naturopath, Relationship between and among Naturopaths, the Naturopath and the Client/Patients Confidentiality, Treatment, Referral, Advocacy, Legal and Ethical Requirements, Roles and Boundaries and Prevention of Sexual Misconduct.

ARTICLE 1: GENERAL PRINCIPLES

The Code of Ethics of Medical Naturopath provide ethical standards that allow for the proper discharge of their responsibilities to those served, that protect the integrity of the profession, and that safeguard the interest of individual client/patients. It is a summary statement of the standards by which medical naturopaths agree to conduct their practices and is a declaration of the general principles of acceptable, ethical, professional behavior. It includes the guiding principles by which medical naturopaths conduct their day-to-day responsibilities within their scope of practice. These principles assure that all professional behaviors are conducted in the most ethical, compassionate, and responsible manner.

Through the Code, PITAHC seeks to establish and uphold the highest standards, traditions, and principles of the practices that constitute the line of work of naturopathy. The Code consists of statements of enforceable guidelines for the professional conduct. These are stated in observable and measurable terms and are intended as a minimum level of practice to which each medical homeopath is held accountable. Upon submission of the application for the National Certification Examination, each applicant must agree to uphold and abide the Code of Ethics of Medical Naturopaths and other applicable policies. The medical naturopath’s failure to comply as provided herein constitutes professional misconduct and may result in sanctions, or other appropriate disciplinary actions, including the suspension or termination of certification.

PITAHC certified medical naturopaths are obligated to report unethical behavior and violations of the Code that are performed by other PITAHC certified, to the PITAHC and other appropriate professional associations and regulatory bodies governing naturopathy.

The Code of Ethics and Standards of Practice for Medical Naturopaths reflect the PITAHC’s clear commitment to assuring that the PITAHC certified practitioner provide an optimal level of service and strive for excellence in their practice. This includes remaining in good professional standing, making a commitment without limitation, to continued personal and professional growth through self-assessment and continuing education, seeking support from peers and experienced professionals to provide optimal service to themselves and others, serving as a mentor, and understanding and accepting that personal and professional actions reflect on the integrity of naturopathy and the PITAHC.

Each medical naturopath is responsible for showing and maintaining professional compliance. As the medical naturopathy profession evolves, so, too, will the Code of Ethics of Medical Naturopaths. This is therefore, a live and dynamic document and subject to revision in keeping with the changing demands and expectations of the naturopathy profession.

If alteration is proposed, all PITAHC certified naturopaths will be given an opportunity to comment upon it and all observations will be given sincere consideration. The members of the National Certification Committee for Naturopathy will make their decision based on best practices and inform all members if the alteration will take place.

This Code seeks to address ethical practice in general and it is understood that practitioners of the various individual disciplines will be guided by best practices appropriate to their individual method of treatment and does not seek to prescribe a set of instructions for the individual disciplines because that would possibly lead to confusion. The purpose of this Code is to establish and maintain standards in complementary medicine no matter what the individual discipline is. All medical naturopaths regardless of membership category are required to abide by this code of best practice.

The Code of Ethics of Medical Naturopaths will practice the art, science and spirit of the profession to the best of his/her ability and judgment following these principles of naturopathic medicine: The Medical Naturopath shall:

• Endeavor to first, do no harm: to provide the most effective health care available with the least risk to his/her patients at all times.
• Recognize, respect and promote the self-healing power of nature inherent in each individual human being.
• Strive to identify and remove the causes of illness, rather than to eliminate or suppress symptoms.
• Educate his/her patients, inspire rational hope and encourage self-responsibility for health. (Physician as Teacher)
• Treat each person by considering all individual health factors and influences. (Treat the Whole Person)
• Emphasize the condition of health to promote well-being and to prevent illness for the individual, each community and the world. (Health Promotion, the Best Prevention)

Corollary to this, Medical Naturopaths upholds the following fundamental principles:

• Principle of Primacy of Client/patient’s Welfare - This principle is based on a dedication to serving the interest of the client/patient. Altruism contributes to the trust that is central to the physician-client/patient relationship. Market forces, societal pressures, and administrative exigencies must not compromise this principle.

• Principle of Client/patient’s Autonomy - Medical naturopaths must have respect for client/patient’s autonomy. They must be honest with their clients/patients and empower them to make informed decisions about their treatment. Clients/patients’ decision about their care, must be paramount, as long as those decisions are in keeping with ethical practice and do not lead to demands for inappropriate care.

• Principle of Social Justice - Medical naturopaths must promote justice in the health care system, including fair distribution of health care resources. They should work actively to eliminate discrimination in health care, whether based on race, gender, socioeconomic status, ethnicity, religion, or any other social category.

Hence, client/patient will understand that when they are being treated by a certified medical naturopath, this practitioner is qualified and adheres to a strict disciplinary procedure should they fail to act in accordance with the code of ethics and standards of practice laid out herein. It is suggested that the medical naturopath allows client/patients access to this information so that they can become familiar with the manner in which a certified medical naturopath works and the Code he/she subscribes to.

ARTICLE 2: MEDICAL NATUROPATH DUTIES TO THE PROFESSION
Section 1. Shall maintain the highest standards of professional conduct, providing services in an ethical and professional manner in relation to client/patients, business associates, health care professionals, and the general public.
Section 2. Shall respect the rights of all ethical practitioners and will cooperate with all health care professionals in a friendly and professional manner.

Section 3. Shall request the opinion of an appropriate practitioner acceptable to the patient when treatment is difficult or when the patient requests for it.

Section 4. Shall after having requested the opinion of a colleague, make available all relevant information and providing the patient consents indicate clearly if the consultant is to continue with the care of the patient.

Section 5. Shall refrain from the use of any mind-altering drugs, alcohol or intoxicants prior to or during professional sessions.

Section 6. Shall always dress in a professional manner, proper dress defined as attire suitable and consistent with accepted business and professional practice.

Section 7. In his/her professional role the medical naturopath shall:

a. adhere to the PITAHC Code of Ethics of Medical Naturopaths, policies and procedures
b. comply with the peer review process conducted by the PITAHC Ethics and Standards Committee regarding any alleged violations against the PITAHC Code of Ethics of Medical Naturopaths
c. conduct themselves in a manner in all settings meriting the respect of the public and other professionals
d. treat each client/patient with respect, dignity and worth
e. use professional verbal, nonverbal and written communications
f. provide an environment that is safe and comfortable for the client/patient and which, at a minimum, meets all legal requirements for health and safety
g. use standard precautions to ensure professional hygienic practices and maintain a level of personal hygiene appropriate for medical naturopaths in the therapeutic setting
h. wear clothing that is clean, modest and professional.

Section 8. The medical naturopath must provide optimal levels of professional naturopathy services and demonstrate excellence in practice by promoting healing and well-being through responsible, compassionate and respectful services.

Section 9. Medical professionalism demands that the objective of all health care systems be the availability of uniform and adequate standard of care. Medical naturopaths must individually and collectively strive to reduce barriers to equitable health care. Within each system, the physician should work to eliminate barriers to access, based on education, laws, finances, geography and social discrimination.

ARTICLE 3 : DUTY OF MEDICAL NATUROPATH

The Medical Naturopath shall:

Section 1. Have a sincere commitment to provide the highest quality of care to those who seek their professional service.

1.1 Recognize and promote the self-healing power of nature inherent in every person.
1.2 Treat the whole person and encourage healing on all levels, including the physical, emotional, mental and spiritual. The Naturopathic Doctor & Practitioner treats each person by considering all individual health factors and influence.
1.3 Strive to resolve the underlying causes of illness, rather than suppress
symptoms.
1.4 The interests of the client/patient should be paramount in all professional acts undertaken by the naturopath and in the promotion of naturopathy.
1.5 Educate his/her client/patients about the role naturopathy can play regarding their health as well as in preventing further ill health.
1.6 Encourage client/patients to actively participate in their health care and adopt a preventive approach to health and wellness.

Section 2. Perform only those services for which they are qualified and represent their education, certifications, professional affiliations, and other qualifications honestly.

Section 3. Acknowledge the inherent worth and individuality of each person and, therefore, do not unjustly discriminate against client/patients or colleagues and work to eliminate prejudices in the profession.

Section 4. Be committed to lifelong learning and be responsible for maintaining the medical knowledge and clinical and team skills necessary for the provision of quality care through regular assessment of personal strengths, limitations and effectiveness and by continued education and training.

Section 5. Actively support the profession through participation in local, national, and international organizations, which promote high standards of naturopathy practice.

Section 6. Acknowledge the confidential nature of the professional relationship with a client/patient and respect each client/patient’s right to privacy.

Section 7. Respect all ethical health care practitioners and work together amicably to promote health and natural healing.

Section 8. Conduct their professional activities with honesty and integrity and project a professional image in all aspects of their practices.

Section 9. Accept the responsibility to self, client/patients, and associates to maintain physical, mental and emotional well-being.

Section 10. Be knowledgeable of their scope of practice and practice only within their limitations.

Section 11. Represent their qualifications honestly, including their educational achievements and professional affiliations, and will provide only those services they are qualified to perform.

Section 12. Be conscious of the intent of the services that he/she is providing, and shall be aware of and practice good judgment regarding the application of naturopathy techniques.

Section 13. Be thoroughly educated and understand the physiological effects of the specific naturopathy techniques utilized in order to determine whether such application is contraindicated and/or to determine the most beneficial techniques to an individual.

Section 14. Upholds and promote appropriate research to create new knowledge and to ensure its apt use.

Section 15. Honor the naturopathic profession and its tradition.

15.1 The naturopath will recognize that the profession demands integrity and dedication from all its members.
15.2 The naturopath will behave in a way beyond reproach.
15.3 The naturopath will only offer to a colleague a business contract, which has terms and conditions equitable to both parties. The naturopath must exercise his/her profession according to the highest principles.
15.4 The naturopath will recognize that self-discipline of the profession is a privilege and that each practitioner has a continuing responsibility to merit the retention of that privilege.
15.5 The naturopath will enter into a contract with an organization only if it will allow maintenance of professional integrity
15.6 The naturopath will ensure, before initiating clinical research involving humans, that proper recognized ethical protocol is followed.
15.7 The naturopath will recognize a responsibility to give the generally opinions of the profession when interpreting knowledge of a scientific nature to the public.
15.8 The naturopath shall act, at all times, in his/her professional capacity in a manner, which shall not compromise the reputation or dignity of the profession.
15.9 The naturopath shall not practice while judgment is impaired.
15.10 The naturopath shall not abuse his/her position of trust.
15.11 Avoid any interests, activities or influences which might conflict with their obligation to act in the best interest of the clients and the profession
15.12 The naturopath shall decline any gifts, benefits or service that might be perceived to bias their professional judgment and compromise client/patient care.
15.13 Sexual contact between naturopath and patient is prohibited.
15.14 Should the naturopath become aware of a conflict of interest he/she will disclose this to the patient and when appropriate refer to another practitioner.
15.15 The naturopath will strive to participate in professional activities at the local, national, and international level in order to advance the standards of care, the body of knowledge and the public awareness of naturopathy.
15.16 The naturopath will indicate when he/she professes an opinion, which is contrary to the generally held opinion of the profession, and will avoid any attempt to enhance his/her own professional reputation through the statement of a differing opinion.
15.17 The naturopath will build a professional reputation based on ability and integrity and will only advertise professional services or make professional announcements as permitted by law.

ARTICLE 4: DUTY BETWEEN AND AMONG NATUROPATHS

Section 1. Medical naturopaths should not speak disrespectfully of other health care providers in public, to client/patients or to students.

Section 2. The naturopath will seek to maintain good rapport with other naturopaths.

Section 3. Respect the traditions and practices of other professionals, therapists and traditional healers, and foster mutual and respectful relationships.

Section 4. The naturopath will provide naturopathic advice whenever a colleague seeks it.


Section 5. A medical naturopath should willingly render gratuitous service to a colleague, to her husband/his wife and minor children or even to his father or mother provided the latter are aged and are being supported by the colleague. She/He should, however be furnished the necessary traveling expenses and compensated for all medicines and supplies necessary in the treatment of the client/patient.

Section 6. As members of a profession, medical naturopaths are expected to work collaboratively to maximize client/patients’ care, and be respectful of one another.

Section 7. Medical naturopaths are committed to working with other physicians, health care professionals/ therapist, hospitals and health insurance entity to develop guidelines for cost-effective care for their client/patients.

Section 8. Medical naturopaths must strive to see that all its members are competent and must ensure that appropriate mechanisms are available for medical naturopaths to accomplish this goal.

Section 9. Medical naturopaths have both the individual and collective obligations to participate in processes involving the educational and standard-setting process.

Section 10. Participate in the processes of self-regulation, including engaging in internal assessment and accepting peer review of all aspects of their professional performance, as well as remediation and discipline of members who have failed to meet professional standards.


ARTICLE 5 : DUTY TO CLIENT/PATIENT

Section 1. Shall endeavor to serve the best interests of client/patients at all times and to provide the highest quality service possible.

Section 2. To do no harm to other client/patient nor to terminate a pregnancy or attempt to do so, by any means whatsoever.

Section 3. Shall not make false claims regarding the potential benefits of the naturopathy techniques rendered.

Section 4. Must ensure that client/patients are completely and honestly informed before the client/patient consented to the treatment and after treatment has occurred so that client/patients are empowered on the course of therapy.

The naturopath will endeavor to communicate clearly and compassionately with the patient (or patient advocate) regarding the analysis of state of health, advice, recommendations and naturopathic prescriptions, and will confirm that such is fully understood.

4.1 The naturopath will clearly state the nature, purpose and limits of naturopathy, specifically avoiding any promise to cure.
4.2 The possibility of aggravation and/or healing crisis should be disclosed to client/patient.
4.3 Will strive to educate the public in health standards and promote health and safety in the community at large.

Section 5. Given the inherent vulnerability and dependency of client/patients, medical naturopaths must never exploit client/patients for any sexual advantage, personal financial gain, or other private purpose.

Section 6. The client/patient’s ideals, values, customs, and spiritual beliefs must be respected at all times.

Section 7. The medical naturopath shall refrain from using naturopathy to terminate life of a client/patient, whether with consent or otherwise.

Section 8. Medical naturopaths should also acknowledge that in health care, medical errors that injure client/patients do sometimes occur. Whenever client/patients are injured as a result of medical care, client/patients should be informed promptly because failure to do so seriously compromises client/patients’ and societal trust. Reporting and analyzing medical mistakes provides the basis for appropriate prevention and improvement strategies and for appropriate compensation to injured parties.

Section 9. While meeting the needs of individual client/patients, medical naturopaths are required to provide health care that is based on the wise and cost-effective management of limited clinical resources. Scrupulous avoidance of superfluous tests and procedures and the provision of unnecessary services not only expose client/patients to avoidable harm but also diminish the resources for others.

Section 10. The naturopath will endeavor to communicate clearly and compassionately with the patient (or patient advocate) regarding the analysis of state of health, advice, recommendations and naturopathic prescriptions, and will confirm that such is fully understood.

Section 11. The naturopath will clearly state the nature, purpose and limits of naturopathy, specifically avoiding any promise to cure.

Section 12. Will strive to educate the public in health standards and promote health and safety in the community at large.

ARTICLE 6: CONFIDENTIALITY

Section 1. Information given by patients is guarded by the strictest confidence, and can be subsequently divulged only when supported by a specific release signed by the patient or unless required by law.

Section 2. The naturopath will avoid any and all indiscretion regarding patient information.

Section 3. The naturopath will not make use of confidential patient information in a manner harmful to the patient.

Section 4. The naturopath will not make use of confidential patient information with the intent of obtaining any benefit directly or indirectly.

Section 5. Information derived from patients may be utilized for research, scientific articles and other educational purposes only in a manner that ensures the anonymity of the patient.


Section 6. The medical naturopath shall respect the confidentiality of client/patient information and safeguard all records. In his/her professional role the medical homeopath shall:

a. protect the client/patient’s identity in social conversations, all advertisements,
and any and all other manners unless requested by the client/patient in writing,
medically necessary, or required by law

b. protect the interest of client/patients who are minors or who are unable to give voluntary consent by securing permission from an appropriate third party or guardian

c. solicit only information that is relevant to the professional client/patient/naturopath relationship

d. share pertinent information about the client/patient with third parties when required by law


Note: Record Keeping


ARTICLE 7. FEES FOR SERVICES

Section 1. The naturopath will provide clear information regarding fee structures for naturopathic consultations and will respond in full to any questions in this regard, or as required by law.

Section 2 The naturopath will consider, in determining professional fees, both the nature of the service provided and the ability of the patient to pay, and will be prepared to discuss the fee with the patient

Section 3. The naturopath may require a reasonable payment for services with regard for fee structures in the profession as a whole, and with due consideration to the varying business costs locally, and the value of experience in the field.

Section 4. The naturopath may offer service free-of-charge.

Section 5. The naturopath shall not profit unduly or unreasonably from the sale of remedies prescribed to patients.

Section 6. Collection procedures on overdue accounts must be taken with tact and restraint, and only after duly advising the patient of the arrears. Any interest charged on overdue accounts must be reasonable, and levied only after notice of failure of payments has been given.

ARTICLE 8: TREATMENT

Section 1. Before Treatment

a) Respect the client/patient’s right to treatment with informed and voluntary consent. The medical naturopath will obtain and record the informed consent of the client/patient, or client/patient’s advocate, before providing treatment. This consent may be written and/or verbal.
b) If it could be necessary that the client/patient disrobe in order for the medical naturopath to carry out their treatment or examination then the client/patient must be informed prior to the consultation.
c) Accurately inform client/patients, other health care practitioners, and the public of the scope and limitations of their discipline.
d) If applicable, conduct an accurate needs assessment, develop a plan of care with the client/patient, and update the plan as needed

Section 2. Treatment Proper

a) Physical examinations of client/patients under the age of 21 must only be made in the presence of a parent/guardian or other responsible adult.
b) Respect the client/patient’s right to refuse, modify, or terminate treatment regardless of prior consent given.
c) Provide appropriate draping and treatment technique in a way that ensures the safety, comfort and privacy of the client/patient.
d) Exercise the right to refuse to treat any person or part of the body for just and reasonable cause.
e) Refrain, under all circumstances, from initiating or engaging in any sexual conduct, sexual activities, involving a client/patient, even if the client/patient attempts to initiate the sexual act.
f) Avoid any interest, activity or influence that might be in conflict with the medical naturopath’s obligation to act in the best interest of the client/patient or the profession.
g) The medical naturopath should respect the client/patient’s autonomy.

Section 3. Post Treatment Proper

The medical naturopath must inform the client/patient regarding the continuance of their care if necessary.


ARTICLE 9: REFERRAL


Section 1. The naturopath will endeavor to work in cooperation with other health-care providers involved in any individual case (such dialogue to be conducted only with the patient’s written consent) and shall not require as a condition of treatment that a patient forego other treatments he/she is undergoing or intending to undergo.

Section 2. The naturopath will seek to maintain cordial relations with other health-care providers without in any way compromising professional independence. The naturopath should generally respect the therapeutic value of techniques practiced by other such providers, recognizing that this care may be in the best interest of the patient. Should the naturopath believe that alternative care might be of benefit to the patient, an appropriate recommendation and referral will be made.

2.1 The naturopath will, having requested the opinion of a colleague, make available all relevant information and, providing the patient consents, indicate clearly if the consultant is to continue with the care of the patient.

2.2 The naturopath will, with permission from the patient, cooperate with those individuals who in the opinion of the naturopathic practitioner may assist in the care of the patient.

Section 3. The naturopath will be mindful of the limits of his/her knowledge and will not undertake treatments for which he/she has neither sufficient training nor experience. Client/patients should be referred to other health practitioners if the condition is beyond his/her capacity

Section 4. In case of emergency, in a clinical or a public situation in which critical care is required, appropriate first aid assistance should be administered. The client/patient is then referred to a more qualified and competent medical practitioner if the case does not fall within her/his particular line.

Section 5. Appropriate action must be taken when a client/patient presents a notifiable disease. If the medical naturopath suspects that a client/patient has a notifiable disease, the medical naturopath must encourage the client/patient to see their specialist as soon as possible.

ARTICLE 10: ADVOCACY

Section 1. Shall actively participate in educating the public regarding the actual benefits of naturopathy.

Section 2. Shall practice honesty in advertising, promote his/her services ethically and in good taste, and practice and/or advertise only techniques for which he/she had received adequate training and/or certification.

Section 3. Shall submit all advertisements to the Certification Committee for review and approval.

Section 4. A commitment to equity entails the promotion of public health and preventive medicine, as well as public advocacy on the part of each medical naturopath, without concern for the self-interest of the medical naturopath or the profession.

ARTICLE 11: LEGAL AND ETHICAL REQUIREMENTS

Section 1. Obey all applicable local and national laws

Section 2. Refrain from any behavior that results in illegal discriminatory or unethical actions

Section 3. Use the PITAHC assigned initials to designate his/her professional ability and competency to practice naturopathy only

Section 4. Remain in good standing with and maintain PITAHC certification

Section 5. Understand that the PITAHC certificate shall be displayed prominently in the medical naturopath’s principal place of practice

Section 6. When using the PITAHC logo and certification number on business cards, brochures, advertisements, and stationery, do so only in a manner that is within established PITAHC guidelines

PROFESSIONAL STATIONERY

No person’s name is to appear on the professional stationery of a practitioner unless such a person holds a current Practicing Certificate (from the relevant authority) and is:

a. a sole practitioner;
b. a partner in the firm;
c. a consultant (as set out below); or
d. an associate

The name of a practitioner who is a consultant may be included in the professional stationery of a practitioner provided that his status as such is indicated thereon;

The professional stationery or business card of a practitioner should contain only factual information, such as details of registration, with a professional board or association, educational qualifications; contact details; and services provided.

OTHER STATIONERY

A practitioner’s name may appear other than a practitioner’s professional stationery provided that the practitioner is not described thereon as a naturopath or in any other way advertises the practitioner’s practice.

SHARING OF PREMISES

Where a practitioner is involve in a joint tenancy arrangement with practitioners who are not naturopaths, exceptional care should be taken in regard to the signage and stationery provisions in order to ensure that the good name and standing of the Naturopathy profession is maintained and that the impression is not given to the public that any unregistered practitioner in the joint tenancy is the holder of a practicing certificate.

Section 7. Not duplicate the PITAHC certificate for purpose other than verification of the practitioner’s credentials

Section 8. Immediately return the certificate to PITAHC if it is revoked or suspended.

Section 9. The medical naturopath must comply with all the legal requirements in applicable jurisdiction regulating the profession of naturopathy.

Section 10. Report to the proper authorities any alleged violations of the law by other medical naturopaths.

Section 11. Maintain accurate and truthful records.

Section 12. Report to the PITAHC any criminal convictions regarding him/her and other medical naturopath.

Section 13. Report to PITAHC any pending litigation and resulting resolution related to his/her professional practice and the professional practice of other medical naturopath

Section 14. Respect existing publishing rights and copyright laws.

Section 15. Medical naturopaths have an obligation to recognize, disclose to the public and deal with conflicts of interest that arise in the course of their professional duties and activities. Such compromises are especially threatening in the pursuit of personal or organizational interactions with profit industries, including medical equipment manufacturers, insurance companies and pharmaceutical firms. Relationship between industry and opinion leaders should be disclosed, especially when the latter determine the criteria for conducting and reporting clinical trials, writing editorials or therapeutics guidelines, or serving as editors of scientific journals.

Section 16. Research activities shall be ethically defensible, socially responsible, and scientifically valid. Any remuneration should be reasonable and should not constitute enticement.


ARTICLE 12: ROLES AND BOUNDARIES

Section 1. A naturopath shares with other citizens the responsibility for initiating and supporting action to meet the health and social needs of the public.

Section 2. Humanity requires every naturopath to render her/his services gratuitously to poor and indigent client/patients who are in need of her/his services.

Section 3. Solicitation of client/patients, directly or indirectly, through solicitors or agents, is unethical.

Section 4. Modes of advertising may be allowed through professional cards, classified advertising, directories or signboards. In all these advertisements only the name, title or profession, office hours, office and residence address, and contact numbers should appear. Advertising and publishing personal superiority, possession of special certificates or diplomas, postgraduate training abroad, specific methods of treatment or operative techniques or advertising former connection with hospitals or clinics are likewise unethical.

4.1 A practitioner must place in legible form, on any letterhead of the practitioner’s practice, the name under which the practitioner practices; the address of the practitioner’s principal place of practice; the practitioner’s telephone number and, if appropriate, any facsimile transmission center, any web address and any email address.

4.2 A practitioner must, in any written communications with client/patients or other parties, identify the author by name.

4.3 A practitioner must not conduct the practitioner’s practice solely, or in association with another service provider, under a business name which might reasonably be expected to mislead or deceive a person seeking the provision of naturopathic or associated services as to the nature and identity of the provider or as to the nature and quality of the services offered.

4.4 A practitioner must not, in connection with the practitioner’s practice, display on the premises where the practice is conducted, or in any stationery hereof, the material distributed by the practitioner to client/patients or potential client/patients, a business name title or description of the practitioner’s practice which includes the name of an unqualified person.

Section 5. The medical naturopath shall adhere to ethical boundaries and perform the professional roles designed to protect the client/patient, the practitioner, and safeguard the therapeutic value of the relationship. In his/her professional role the medical naturopath shall:

a) recognize his/her personal limitations and practice only within these limitations
b) recognize his/her influential position with the client/patient and shall not exploit relationship for personal or other gain
c) recognize and limit the impact of transference and counter-transference between the client/patient and the therapist
d) avoid dual or multi-dimensional relationships that could impair professional judgment or result in exploitation of the client/patient or employees and/or co-workers not engage in any sexual activity with a client/patient
e) not guaranteeing or warranting treatments
f) acknowledge and respect the client/patient’s freedom of choice in the therapeutic session
g) respect the client/patient’s right to refuse the therapeutic session
h) refrain from practicing under the influence of alcohol, drugs, or any illegal substances (with the exception of prescribed dosage of prescription medication which does not significantly impair the medical naturopath)
i) have the right to refuse and/or terminate to a client/patient who is abusive or under the influence of alcohol, drugs, or any illegal substance.

Section 6. A naturopath must not overcharge, mislead or continue to treat client/patients for prolonged treatment courses without beneficial treatment results.

Section 7. Continuous improvement in the quality of health care entails not only maintaining clinical competence but also working collaboratively with other professionals to reduce medical error, increase client/patient’s safety, minimize overuse of health care resources, and optimize the outcomes of care.

Section 8. Medical naturopaths should respect the integrity of other forms of health care and other medical traditions, including Filipino indigenous/traditional medicine and seek to develop collaborative relationships to achieve the highest quality of care for individual client/patients.

Section 9. Individually and through their professional associations, medical naturopaths must take responsibility for assisting in the creation and implementation of mechanisms designed to encourage continuous improvement in the quality of care and the application of quality measures.

ARTICLE 13: PREVENTION OF SEXUAL MISCONDUCT

Section 1. The medical naturopath shall refrain from any behavior that sexualizes, or appears to sexualize, the client/patient/therapist relationship. The medical naturopath recognizes that the intimacy of the therapeutic relationship may activate practitioner and/or client/patient needs and/or desires that weaken objectivity and may lead to sexualizing the therapeutic relationship. In his/her professional role the medical naturopath shall:

a) refrain from participating in sexual relationship or sexual conduct with the client/patient, whether consensual or otherwise, from the beginning of the client/patient/naturopath relationship and for a minimum of six months after the termination of the client/patient/naturopath relationship;
b) in the event that the client/patient initiates sexual behavior, clarify the purpose of the therapeutic session, and if such conduct does not cease, terminate or refuse the session;
c) recognize that sexual activity with client/patients, students, trainees is prohibited even if consensual.

Reference:

1. Code of Ethics of the National Certification Board for Therapeutic Massage and Bodywork (NTCBTMB), September 15, 2000.
2. Charter on Medical Professionalism, Lancet February 2002, Vol. 359:520-522.
3. Code of Ethics and Standards of Practice of Medical Acupuncturists, Philippine Academy of Medical Acupuncturists, Inc. (PAMAI), 1999
4. The Australian Register of Homeopaths Standards of Practice Regulations, 1 March 2009



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