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Would you — acting on behalf of the state board — take action against this doctor's license for the offense of providing an antibiotic sample to a current lover? As this example demonstrates, the "no overlap" rule can be unworkably blunt, even in traditional settings.Managed care may compound the difficulty, when a limited panel of physicians presents a patient with an "ineligible" doctor as the only covered choice.

The AMA Code of Ethics can be viewed on the AMA website at AMA Code of Ethics.Our contemporary attitude toward such encounters is to label them, categorically, as "unprofessional conduct." Given that there is no surveillance of this behavior, physician-patient sex comes to the attention of regulatory agencies only when the patient complains. The nominal standard establishes a rule of "no overlap": a physician-patient relationship must not coexist with a romantic-sexual relationship.The AMA says: "Sexual contact that occurs concurrent with the physician-patient relationship constitutes sexual misconduct.So if our doctor starts "seeing" a local woman or man, he or she risks running afoul of the "no overlap" rule.So, our doctor has the option of dating only residents of the next county or ordering a bride or groom by mail.