Which of the "four d's of negligence" refers to the physician-client relationship

The 4 D’s of negligence are duty, derelict, direct cause and damages. The D that states to the physician-client relationship is the duty.  In duty the patient must show that the physician patient relationship existed in which the physician owed the patient a duty. The doctor is expected to follow certain rules and meet certain expectations of competence. Amongst those are patient privacy which handling the patient with respect and listening to the patient carefully. The doctor should help with the utmost capability but if the doctor do not have the ability to help then that’s the time to refer the patient to another specialist or physician who can handle the issue of the patient.

Afew buddies come over to your house to hang out. they notice you're struggling in school, perhaps you have to rely on to pass your class, but you can't absorb the knowledge. they could positively reinforce getting a tutor and working with you, dedicating more time to the areas of struggle and less on hanging out to better yourself.secondly, say you're the victim of bullying. you're afraid to tell an adult because of possible repercussions from the bully himself. your friends encouraging you and pushing you towards telling an adult for your safety is another example. 

Sorry man that a really hard one you got there