Judiciarisation of the caution principle and the relationship between the doctors and patients in case of severe diseases with incertain outcome someproposals

The application to medicine of the caution principle goes with increasing l egal problems between patients and doctors. In the field of severe diseases with incertain outcome are analyzed below some possible ways of remedying a situation which could induce from doctors a reluctance to take some neces sary risks. These ways could consist on one part to include a special train ing and perhaps selection of the practitionners involved in order to insure that all the needs of their patients psychologic, spirituals, culturals, e thicals will be met with. On another part ii is proposed that decision theo ry should be fully studied in medical school in order to allow physicians t o explicitly include in medical records the evaluation of risks and the rat ionale for choosing a given strategy with regards to what is known objectiv ely and scientific as well as ethic criteria considered in a given situatio n of uncertainty.