By-Laws and Informed Consent
Current or past practices, whether done independently, via preceptorship, externship, internship or other, have adequately demonstrated that there is no further educational or workshop requirements needed for our naturopathic physician members, other than the standard CE credits required for our profession, in order to practice in fields ranging from but not limited to: Allergy and Immunology, Anesthesiology, Cardiology, Dermatology, Emergency Medicine, Endocrinology, Family Medicine, Gastroenterology, Internal Medicine, Neurology, Obstetrics and Gynecology, Oncology, Ophthalmology, Orthopedics, Otorhinolaryngology, Pediatrics, Psychiatry, Pulmonology, Radiology, Surgery and Urology. The purpose of these organizations is not to restrict the practices of the members but rather to affirm and uphold all therapies that offer more potential benefits to patients than risk, as well as encouraging and educating patients in their options, so that they are able to make the best decisions they can. Any restriction made by the organizations to members’ practices should be rare, only if necessary and only if adopted by unanimous consent of all members, excluding a person whose research is being voted on, and that person must recuse him/herself from the vote.
Methods and substances to be used in our members’ practices, and considered to be under the review of our IRB when used by them, include but are not limited to the following. Use must be consistent with naturopathic principles, and when in question, are subject to approval by this IRB. It is not possible to list every substance or type of substance, but this is not an exclusive list:
1. Organic and bio-inorganic, sterile, liquid substances delivered by IV, IM, SQ intra-arterial, intra-tumoral and other routes of delivery as necessary for optimal treatment as determined by the physician in consultation with the patient, and/or
2. Non-sterile solid, liquid and/or aerosolized substances delivered PO, topically/ transdermal or by nebulizer to the lungs and other routes of delivery as necessary for optimal treatments as determined by the physician in consultation with the patient.
This First By-Law was unanimously approved and became effective as a By-Law of both organizations as of 5/7/2010. It was amended on 11/14/2014.
ANRI and NORI shall establish a comprehensive primary care naturopathic medical residency program for post-doctorate Naturopathic Medical Doctors. Each residency shall be comprised of rotations among the clinics and offices of various supervising naturopathic physicians who are members of ANRI and NORI and who are willing to participate in the program. Ideal candidates should demonstrate the desire to practice primary care Naturopathic Medicine based on the stated principles of ANRI and NORI. These principles include but are not limited to: 1) First do no harm; 2) Healing occurs by way of nature; 3) Treat the whole person; 4) Treat the cause; 5) Prevent disease; 6) The doctor is a teacher. Funding for the residency program(s) will be determined, but may include pro-rated wages paid by the clinics at which a resident consults with patients.
This Second By-Law was unanimously approved and became effective as a By-Law of both organizations as of 5/7/2010.
Regarding fees, for preview approval feeds, and private naturopathic physicians and practices seeking IRB approval for their work in their clinic, there’s no fee. On the other hand, corporations, hospitals or similar entities seeking approvals pay $1,000 to $2000, depending on the complexity of the approval.
There may or may not be any other special fees to cover other expenses, or for other reasons as determined by the IRB, depending on the circumstances.
This Third By-Law was unanimously approved and became effective as a By-Law of both organizations as of 11/14/2014.
[Informed Consent – approved by membership on February 18, 2011]
INFORMED CONSENT FOR NATUROPATHIC MEDICAL TREATMENT
I hereby authorize and direct Dr. __________________, who is a naturopathic physician licensed in the State of Arizona, to do the following:
1) to consult with me about my health concerns, and
2) to run laboratory tests and perform physical exams that we discuss and agree on, and
3) to treat me with naturopathic medicine and/or conventional medicine, as my health condition requires, and as we discuss and agree on over time on a case-by-case basis.
I understand that there may be risks and consequences to my medical treatment, some of which may have never yet been discovered, and that the practice of medicine involves many variables, some of which would be impossible to account for in every situation. There is no medical procedure in which no complication has ever been reported. I understand that it is impossible to guarantee the outcome of any medical procedure, and that I have been given no guarantee as to the results that may be obtained. I understand that the FDA does not necessarily approve of any of these treatments. I further understand that the conventional treatments for cancer are chemotherapy, radiation and surgery. Although my doctor(s) and I will together choose the best treatments for my health condition and goals, I understand that the results and data therefrom will be used anonymously in reporting naturopathic research, as in a case review.
I further understand that Dr. ____________ honors the following Patient Bill of Rights. The following list of my rights includes but is not limited to the rights below:
1) I have the right to seek consultation with any physician(s) of my choice, or refuse the same.
2) I have the right to medical treatments from my physician(s) on mutually agreeable terms.
3) I have the right to be treated confidentially, with access to my records limited to those involved in my care or designated by me.
4) I have the right to use my own resources to purchase the care of my choice.
5) I have the right to refuse medical treatment, even if it is recommended by my physician or any other physician, hospital or clinic.
6) I have the right to be informed about my medical condition, and the risks and benefits of treatment and appropriate alternatives.
7) I have the right to refuse third-party interference in my medical care.
Signature of Patient________________________________ Date: ____________
Patient’s printed name ______________________________