Legal Accountability and ethics in Dermatology: An Indian Perspective based on Metropolitan Cities in Maharashtra

Abstract

The evolving landscape of dermatological practice in India presents unique challenges in legal accountability and ethical considerations, particularly in metropolitan areas. Objectives - To assess legal awareness, ethical practices, and challenges faced by dermatologists in Maharashtra's metropolitan cities, while evaluating correlations between practice experience and medicolegal comprehension. Methods - A cross-sectional study involving 150 dermatologists was conducted using a structured 30-item questionnaire across four domains. Statistical analysis included descriptive statistics, chi-square tests, and correlation analyses. Results - With an 82% response rate (n=123), the study revealed significant correlations between years of practice and legal awareness (r=0.68, p<0.001). 72.3% maintained complete medical records, while 85.4% obtained informed consent. Major challenges included documentation burden (78%) and managing patient expectations (65%). Conclusion - The study identifies critical gaps in legal and ethical awareness, suggesting the need for structured training programs and standardized protocols in dermatological practice.