Pub Date : 2022-03-01DOI: 10.30770/2572-1852-108.1.29
Jean Fisher Brinkley, Brian Blankenship, Deborah Aldridge, Michael Shuping
{"title":"The Challenge of Moving Towards Data-Driven Regulation: One State Medical Board’s Experience","authors":"Jean Fisher Brinkley, Brian Blankenship, Deborah Aldridge, Michael Shuping","doi":"10.30770/2572-1852-108.1.29","DOIUrl":"https://doi.org/10.30770/2572-1852-108.1.29","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48950906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-01DOI: 10.30770/2572-1852-108.4.5
H. Chaudhry
{"title":"Supporting our State Medical Boards to Ensure the Safety of the Public","authors":"H. Chaudhry","doi":"10.30770/2572-1852-108.4.5","DOIUrl":"https://doi.org/10.30770/2572-1852-108.4.5","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43491351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.30770/2572-1852-107.4.17
Ai-Leng Foong-Reichert, Ariane Fung, C. Carter, K. Grindrod, S. Houle
What research has been done to characterize the outcomes of disciplinary action or fitness-to-practice cases for regulated health professionals? To answer this research question, relevant publications were identified in PubMed, Ovid EMBASE, CINAHL via EBSCOhost, and Scopus. Included papers focused on reviews of regulatory body disciplinary action for regulated health professionals. Of 108 papers that were included, 84 studied reasons for discipline, 68 studied penalties applied, and 89 studied characteristics/predictors of discipline. Most were observational studies that used administrative data such as regulatory body discipline cases. Studies were published between 1990–2020, with two-thirds published from 2010–2020. Most research has focused on physicians (64%), nurses (10%), multiple health professionals (8.3%), dentists (6.5%) and pharmacists (5.5%). Most research has originated from the United States (53%), United Kingdom (16%), Australia (9.2%), and Canada (6.5%). Characteristics that were reviewed included: gender, age, years in practice, practice specialty, license type/profession, previous disciplinary action, board certification, and performance on licensing examinations. As most research has focused on physicians and has originated from the United States, more research on other professions and jurisdictions is needed. Lack of standardization in disciplinary processes and definitions used to categorize reasons for discipline is a barrier to comparison across jurisdictions and professions. Future research on characteristics and predictors should be used to improve equity, support practitioners, and decrease disciplinary action.
已经做了哪些研究来描述受监管的卫生专业人员的纪律处分或适合执业案例的结果？为了回答这一研究问题，相关出版物已在PubMed、Ovid EMBASE、CINAHL via EBSCOhost和Scopus上发表。收录的论文侧重于审查监管机构对受监管卫生专业人员的纪律处分。在纳入的108篇论文中，84篇研究了纪律的原因，68篇研究了适用的惩罚，89篇研究了学科的特征/预测因素。大多数是使用管理数据的观察性研究，如监管机构纪律案例。研究发表于1990年至2020年间，其中三分之二的研究发表于2010年至2020年。大多数研究集中在医生（64%）、护士（10%）、多名卫生专业人员（8.3%）、牙医（6.5%）和药剂师（5.5%）。大多数研究来自美国（53%）、英国（16%）、澳大利亚（9.2%）和加拿大（6.5%）。审查的特征包括：性别、年龄、执业年限、执业专业、执照类型/专业，以前的纪律处分、董事会认证和执照考试成绩。由于大多数研究都集中在医生身上，而且起源于美国，因此需要对其他职业和司法管辖区进行更多的研究。纪律程序和用于对纪律原因进行分类的定义缺乏标准化，这是跨司法管辖区和专业进行比较的障碍。未来对特征和预测因素的研究应用于提高公平性，支持从业者，减少纪律处分。
{"title":"Characteristics, Predictors and Reasons for Regulatory Body Disciplinary Action in Health Care: A Scoping Review","authors":"Ai-Leng Foong-Reichert, Ariane Fung, C. Carter, K. Grindrod, S. Houle","doi":"10.30770/2572-1852-107.4.17","DOIUrl":"https://doi.org/10.30770/2572-1852-107.4.17","url":null,"abstract":"\u0000 What research has been done to characterize the outcomes of disciplinary action or fitness-to-practice cases for regulated health professionals?\u0000 To answer this research question, relevant publications were identified in PubMed, Ovid EMBASE, CINAHL via EBSCOhost, and Scopus. Included papers focused on reviews of regulatory body disciplinary action for regulated health professionals.\u0000 Of 108 papers that were included, 84 studied reasons for discipline, 68 studied penalties applied, and 89 studied characteristics/predictors of discipline. Most were observational studies that used administrative data such as regulatory body discipline cases. Studies were published between 1990–2020, with two-thirds published from 2010–2020. Most research has focused on physicians (64%), nurses (10%), multiple health professionals (8.3%), dentists (6.5%) and pharmacists (5.5%). Most research has originated from the United States (53%), United Kingdom (16%), Australia (9.2%), and Canada (6.5%). Characteristics that were reviewed included: gender, age, years in practice, practice specialty, license type/profession, previous disciplinary action, board certification, and performance on licensing examinations.\u0000 As most research has focused on physicians and has originated from the United States, more research on other professions and jurisdictions is needed. Lack of standardization in disciplinary processes and definitions used to categorize reasons for discipline is a barrier to comparison across jurisdictions and professions. Future research on characteristics and predictors should be used to improve equity, support practitioners, and decrease disciplinary action.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44170626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.30770/2572-1852-107.4.33
David Johnson, Andrea Anderson
{"title":"How Diverse are State Medical Boards?","authors":"David Johnson, Andrea Anderson","doi":"10.30770/2572-1852-107.4.33","DOIUrl":"https://doi.org/10.30770/2572-1852-107.4.33","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42026674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.30770/2572-1852-107.4.4
{"title":"News & Notes","authors":"","doi":"10.30770/2572-1852-107.4.4","DOIUrl":"https://doi.org/10.30770/2572-1852-107.4.4","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46640292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.30770/2572-1852-107.4.5
H. Chaudhry
{"title":"Rising Above Pandemic Challenges to Ensure the Safety of the Public","authors":"H. Chaudhry","doi":"10.30770/2572-1852-107.4.5","DOIUrl":"https://doi.org/10.30770/2572-1852-107.4.5","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46939073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.30770/2572-1852-107.4.32
H. M. Koenig
{"title":"Editor's Note: Diversity, Equity and Inclusion in Medical Regulation","authors":"H. M. Koenig","doi":"10.30770/2572-1852-107.4.32","DOIUrl":"https://doi.org/10.30770/2572-1852-107.4.32","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43484475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.30770/2572-1852-107.4.7
C. Gallagher, Jeta Thaci, Georgina Saadalla, Nasteha A Mohamed, Murwo M. Ismail, Thelma Gossel, Melissa Attopley
The regulation of health care professionals in the United Kingdom (UK) falls under the authority of one of nine General Councils, each of which has a statutory duty to ensure the fitness to practice of a subdivision of these professionals. Among the matters that may call fitness to practice into question are deviations from published standards of behavior, which include the maintenance of appropriate sexual boundaries by practitioners. The aim of this article is to examine how the common fitness-to-practice process utilized by General Councils deals with registered health care professionals who have exceeded these boundaries. Deductive thematic analysis was carried out on cases involving academic misconduct among registrants of the General Medical Council, General Dental Council, General Pharmaceutical Council, and Nursing and Midwifery Council, using themes derived from each council’s standards for registrants and guidance for disciplinary panel members. While each of these four cases involved some form of sexually motivated misconduct, the facts in each case were significantly different; however, not only was the outcome the same, but the rationale was similar in each instance. While the protection of the health, safety and well-being of the public may be considered in cases involving sexual misconduct, the need to maintain public and professional confidence in their respective professions is sufficient grounds alone to end the careers of health professionals who engage in sexual misconduct.
{"title":"Disciplinary Action Against UK Health Professionals for Sexual Misconduct: A Matter of Reputational Damage or Public Safety?","authors":"C. Gallagher, Jeta Thaci, Georgina Saadalla, Nasteha A Mohamed, Murwo M. Ismail, Thelma Gossel, Melissa Attopley","doi":"10.30770/2572-1852-107.4.7","DOIUrl":"https://doi.org/10.30770/2572-1852-107.4.7","url":null,"abstract":"\u0000 The regulation of health care professionals in the United Kingdom (UK) falls under the authority of one of nine General Councils, each of which has a statutory duty to ensure the fitness to practice of a subdivision of these professionals. Among the matters that may call fitness to practice into question are deviations from published standards of behavior, which include the maintenance of appropriate sexual boundaries by practitioners. The aim of this article is to examine how the common fitness-to-practice process utilized by General Councils deals with registered health care professionals who have exceeded these boundaries.\u0000 Deductive thematic analysis was carried out on cases involving academic misconduct among registrants of the General Medical Council, General Dental Council, General Pharmaceutical Council, and Nursing and Midwifery Council, using themes derived from each council’s standards for registrants and guidance for disciplinary panel members.\u0000 While each of these four cases involved some form of sexually motivated misconduct, the facts in each case were significantly different; however, not only was the outcome the same, but the rationale was similar in each instance. While the protection of the health, safety and well-being of the public may be considered in cases involving sexual misconduct, the need to maintain public and professional confidence in their respective professions is sufficient grounds alone to end the careers of health professionals who engage in sexual misconduct.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43871940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.30770/2572-1852-107.4.41
Frances E. Cain
{"title":"The Doctors Blackwell","authors":"Frances E. Cain","doi":"10.30770/2572-1852-107.4.41","DOIUrl":"https://doi.org/10.30770/2572-1852-107.4.41","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42191914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01DOI: 10.30770/2572-1852-107.4.37
Jerica Stewart, Michael Schottenstein
{"title":"State Medical Board of Ohio Reinforces Duty to Report for its Licensees","authors":"Jerica Stewart, Michael Schottenstein","doi":"10.30770/2572-1852-107.4.37","DOIUrl":"https://doi.org/10.30770/2572-1852-107.4.37","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48490583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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