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MML Articles
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CHALLENGES OF MANAGING THE INJURED WORKER IN A COMPENSATION SCHEME - A PSYCHIATRIC PERSPECTIVE BY DR JUSTIN LEWIS
[2017] PrecedentAULA 5; (2017) 138 Precedent 14 The management of the injured worker in a compensation scheme can pose unique challenges to the treatment provider. Unlike the traditionally exclusive doctor-patient relationship, working in a compensation setting includes the addition of a third party (the insurer) into the clinical mix. As a consequence, the traditional doctor-patient dyad is challenged, with the potential to impact upon important clinical domains including: r

Dr Justin Lewis
6 days ago9 min read


The Language of Pain: Towards Objective Reporting in Orthopaedic Medicolegal Assessments
In the highly scrutinised world of medicolegal assessments, the language used by orthopaedic surgeons matters profoundly. Our reports guide legal outcomes, compensation decisions, and appropriate care pathways. At times I read subjective or potentially stigmatising language in orthopaedic reports, for example: "His entire presentation is related to a psychiatric phenomenon far more likely to be a conversion disorder rather than any physical explanation." "There is likely to b

Dr Ash Moaveni
Jun 103 min read


The Compass Changes - But the Empathy Doesn't
Most orthopaedic surgeons are trained to treat patients. IME work requires a different mindset. What I wish I could tell new IMEs I practise orthopaedics in two different settings: as a treating surgeon and as an Independent Medical Examiner. The training is the same. The mindset is different. As a treating orthopaedic surgeon Your starting point is simple: How do I help this person get better? You take a history, perform an examination, and order investigations. In orthopaed

Dr Ash Moaveni
Jun 92 min read
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