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Like the AMA, Colorado doesn't specify how long after a romantic relationship ceases a medical one might begin, stating only that they must not be "concurrent." Other states address — or do not address — this issue with varying degrees of explicitness.
Mental health professionals set even stricter standards.
Stating that pursuing a sexual relationship would "usually" be inappropriate might be capable of deliberate misinterpretation by the disreputable, said one respondent. Others suggested a precise waiting or cooling-off period could be recommended in the guideline to ensure a suitable gap between the end of the professional relationship and the beginning of a personal relationship.
Good faith The Royal College of General Practitioners said some practical interpretation might be needed.
The new draft maintains that doctors should not use their professional position to pursue relationships, but acknowledges that there might times when dating an ex-patient is permissible - something not covered by the 2001 guidelines.