Ministry of Health to Regulate Telemedicine MCs

Recently, concerns have been raised regarding the issuance of medical certificates (MCs) through telemedicine providers without proper clinical assessments. The Ministry of Health (MOH) is contemplating stricter regulations, such as mandating the inclusion of the issuing medical practitioner's name and registration number on every MC. This move comes after discussions with the Singapore Medical Council (SMC) emphasizing the professional and legal implications of MCs as medico-legal documents.

An investigation is currently ongoing into Medstar Medical Clinic & Surgery for providing MCs without conducting audio or video consultations through their telemedicine service, PocketCare. This incident has sparked renewed conversations about the importance of MCs in the workplace, especially in the post-COVID-19 era. Some companies are even reconsidering their MC policies, allowing employees to take sick leave without the need for a doctor's note.

The Ministry of Manpower (MOM) has advised against requesting MCs from employees who test positive for COVID-19 using self-administered test kits. MCs are crucial certifications by medical professionals indicating a patient's illness or unfitness for certain activities, in accordance with the SMC's Ethical Code and Ethical Guidelines.

MCs not only record absences from work or school but also carry legal significance. In criminal cases involving hurt-based offenses, the duration specified in an MC can impact the charges and sentencing. It is essential to understand the legal difference between 'hurt' and 'grievous hurt.' 'Hurt' refers to bodily pain or infirmity, while 'grievous hurt' includes severe injuries like fractures or permanent disabilities that impede normal activities for an extended period.

As the issuance of MCs through telemedicine services comes under scrutiny, the importance of proper clinical assessments and adherence to regulatory guidelines is paramount. Employers and individuals alike should be aware of the legal implications of MCs and the significance they hold in various contexts. By ensuring that MCs are issued responsibly and in line with professional standards, the integrity of these medical documents can be upheld, benefiting both patients and the broader community.