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Forensic issues in pain: review of current practice
R J Kulich1, P G Kreis, S M Fishman
1Pain Center, Department of Anesthesia, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Abstract:
Forensic activity in pain practice is reviewed with reference to the differing roles of the pain clinician and the independent expert. Ethical guidelines and recommendations for assessment, documentation, record review, and court testimony are discussed. Specific issues include the assessment of disability and impairment, malingering, and application of the Daubert standard in forensic pain practice. Examples of case law are reviewed for civil liability and CRPS, malpractice with opioid prescribing, and practice issues in a correctional setting.
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