Parents advised doctor not to report sexual abused case.

Report it.
Family shame be damned. These behaviors show up in quite a variety of families.
Not reporting it only lets this stuff go on and on and on.

Report the case. If the law and also your medical registration body require it, you must do this. "Shame on the family" is a backward idea that has no place in your consideration.

In my lifetime, the shame on the family thing has gotten a lot thinner, but I do remember it, luckily not from my own immediate small family - except maybe the Boston cousins, somewhat older than me... with a lot of set ways. Not that they were bad people, I don't mean that, but the primary cousin I talked to was pretty set on the roles of men and women re who was family important. Me, even back then I was off course on all that stuff.

You report it and let the family scream at you. That is in the best interests of the child, full stop.

Anyway, DJhay, let us know how it goes if you want to. We are an anonymous bunch of readers here.

Thanks all. This is one of our case studies in a medical ethics class (MBBS) so I thought I could get a couple of opinions from you guys. Appreciate your comments though. Please expect a few more of my posts in this regard.

"Primum non nocere"

It seems that everyone is taking the same side, which means I feel I really should take the other side. Sadly, on this case, I can not. The doctor should report (I am sorry if I let anyone down).

There's no dilemma, a criminal is abusing a child, they need to be punished and the child needs to be protected. Personally I'd have the kid taken away from the parents until it can be proven that they're not doing it.

In the UK the GMC says they must notify appropriate agencies.

Too damn right.