What should a QME do if unexpected medical findings arise during an examination?

When unexpected medical findings arise during an examination, the appropriate response for a Qualified Medical Evaluator (QME) is to investigate further, document the findings, and consider them in their assessment and reporting. This approach reflects the core responsibilities of a QME, which include conducting thorough evaluations and providing comprehensive reports that accurately represent the findings.

By investigating further, the QME ensures that they fully understand the implications of the unexpected findings. This may involve conducting additional tests or seeking more information to clarify the significance of the findings. Documentation is critical as it provides a clear record of what was discovered, which can be necessary for both legal and medical purposes.

Additionally, incorporating these findings into the assessment means that the QME's report will be more accurate and reflective of the patient's true medical condition. Ignoring unexpected findings or only reporting those that fit preconceived notions would undermine the integrity of the evaluation process and could have serious implications for the patient's treatment and legal situation. Thus, the emphasis on thorough investigation and inclusive reporting is essential for maintaining the objectivity and credibility of the QME's work.