Pub Date : 2021-10-01DOI: 10.30770/2572-1852-107.3.35
O. Lage, D. Tran, Amal Bhullar, Troy A. Stefano
idea to existing reality occurs only by means of professional activities, situation-specific Thus, professionalism in medicine can apply to clinicians at any phase of training (learner, residents, fellows, physicians, and other health care professionals) across diverse contexts. abstract concept to engaging in concrete professional activities a simultaneous movement toward defining a professional identity. Here professional identity and identification
{"title":"Reflections on State Medical Board Visits as a Tool for Multi-Level Teaching of Professionalism in Medical Education","authors":"O. Lage, D. Tran, Amal Bhullar, Troy A. Stefano","doi":"10.30770/2572-1852-107.3.35","DOIUrl":"https://doi.org/10.30770/2572-1852-107.3.35","url":null,"abstract":"idea to existing reality occurs only by means of professional activities, situation-specific Thus, professionalism in medicine can apply to clinicians at any phase of training (learner, residents, fellows, physicians, and other health care professionals) across diverse contexts. abstract concept to engaging in concrete professional activities a simultaneous movement toward defining a professional identity. Here professional identity and identification","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43474458","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 : 2021-10-01DOI: 10.30770/2572-1852-107.3.5
Tristan J. McIntosh, Elizabeth Pendo, Heidi A Walsh, Kari A. Baldwin, J. DuBois
There is wide variability in the frequency and severity of disciplinary actions imposed by state medical boards (SMBs) against physicians who engage in egregious wrongdoing. We sought to identify cutting-edge and particularly effective practices, resources, and statutory provisions that SMBs can adopt to better protect patients from harmful physicians. Using a modified Delphi panel, expert consensus was reached for 51 recommendations that were rated as highly important for SMBs. Panelists included physicians, executive members, legal counsel, and public members from approximately 50% of the 71 SMBs that serve the United States and its territories. The expert-informed list of recommendations can help support more effective and transparent actions and processes by SMBs when addressing suspected egregious wrongdoing. While some SMBs may be limited in what policies and provisions they can adopt without approval or assistance from state government, many of these recommendations can be autonomously adopted by SMBs without external support.
{"title":"Protecting Patients from Egregious Wrongdoing by Physicians: Consensus Recommendations from State Medical Board Members and Staff","authors":"Tristan J. McIntosh, Elizabeth Pendo, Heidi A Walsh, Kari A. Baldwin, J. DuBois","doi":"10.30770/2572-1852-107.3.5","DOIUrl":"https://doi.org/10.30770/2572-1852-107.3.5","url":null,"abstract":"\u0000 \u0000 \u0000 There is wide variability in the frequency and severity of disciplinary actions imposed by state medical boards (SMBs) against physicians who engage in egregious wrongdoing. We sought to identify cutting-edge and particularly effective practices, resources, and statutory provisions that SMBs can adopt to better protect patients from harmful physicians.\u0000 \u0000 \u0000 \u0000 Using a modified Delphi panel, expert consensus was reached for 51 recommendations that were rated as highly important for SMBs. Panelists included physicians, executive members, legal counsel, and public members from approximately 50% of the 71 SMBs that serve the United States and its territories.\u0000 \u0000 \u0000 \u0000 The expert-informed list of recommendations can help support more effective and transparent actions and processes by SMBs when addressing suspected egregious wrongdoing. While some SMBs may be limited in what policies and provisions they can adopt without approval or assistance from state government, many of these recommendations can be autonomously adopted by SMBs without external support.\u0000","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48086864","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 : 2021-10-01DOI: 10.30770/2572-1852-107.3.34
H. M. Koenig
{"title":"State Medical Board Visitation Programs","authors":"H. M. Koenig","doi":"10.30770/2572-1852-107.3.34","DOIUrl":"https://doi.org/10.30770/2572-1852-107.3.34","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44726526","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 : 2021-10-01DOI: 10.30770/2572-1852-107.3.19
Ai-Leng Foong-Reichert, K. Grindrod, S. Houle
Health professional criminal behavior and clinical incompetence are distinct concepts that both endanger the public. In this paper, we compare and contrast these concepts using the case of convicted Canadian health care serial killer Elizabeth Wettlaufer, who also exhibited a pattern of clinical incompetence throughout her career. As one Canadian province is proposing changes to self-regulation to become more like the United Kingdom, we highlight four ways to improve protection of the public in a self-regulating system. These include meta-regulation, standardized hiring practices, increased transparency by regulatory bodies and improved communication across regulators and other agencies.
{"title":"Exploring Health Professional Criminality and Competence Using the Case of Canadian Health Care Serial Killer Elizabeth Wettlaufer","authors":"Ai-Leng Foong-Reichert, K. Grindrod, S. Houle","doi":"10.30770/2572-1852-107.3.19","DOIUrl":"https://doi.org/10.30770/2572-1852-107.3.19","url":null,"abstract":"\u0000 Health professional criminal behavior and clinical incompetence are distinct concepts that both endanger the public. In this paper, we compare and contrast these concepts using the case of convicted Canadian health care serial killer Elizabeth Wettlaufer, who also exhibited a pattern of clinical incompetence throughout her career. As one Canadian province is proposing changes to self-regulation to become more like the United Kingdom, we highlight four ways to improve protection of the public in a self-regulating system. These include meta-regulation, standardized hiring practices, increased transparency by regulatory bodies and improved communication across regulators and other agencies.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47262298","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 : 2021-10-01DOI: 10.30770/2572-1852-107.3.39
A. Anderson
{"title":"Student Visitation to State Medical Board Meetings: One Board’s Experience","authors":"A. Anderson","doi":"10.30770/2572-1852-107.3.39","DOIUrl":"https://doi.org/10.30770/2572-1852-107.3.39","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"51 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41294267","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 : 2021-10-01DOI: 10.30770/2572-1852-107.3.46
D. Nyberg
{"title":"The Inevitable: Dispatches on the Right to Die","authors":"D. Nyberg","doi":"10.30770/2572-1852-107.3.46","DOIUrl":"https://doi.org/10.30770/2572-1852-107.3.46","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43623618","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 : 2021-10-01DOI: 10.30770/2572-1852-107.3.28
Alison Reid, I. Leistikow, M. Paniagua, P. Udekwu, Kgosi Letlape
{"title":"Expecting the Unexpected: How Regulators Can Prepare for Serious Events","authors":"Alison Reid, I. Leistikow, M. Paniagua, P. Udekwu, Kgosi Letlape","doi":"10.30770/2572-1852-107.3.28","DOIUrl":"https://doi.org/10.30770/2572-1852-107.3.28","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48629683","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 : 2021-10-01DOI: 10.30770/2572-1852-107.3.44
{"title":"Assessment Briefs","authors":"","doi":"10.30770/2572-1852-107.3.44","DOIUrl":"https://doi.org/10.30770/2572-1852-107.3.44","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69601261","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 : 2021-10-01DOI: 10.30770/2572-1852-107.3.42
Justin Bohall
{"title":"The Arizona Board and Osteopathic Medical School Collaboration Program: Fostering Medical Student Education","authors":"Justin Bohall","doi":"10.30770/2572-1852-107.3.42","DOIUrl":"https://doi.org/10.30770/2572-1852-107.3.42","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47088985","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 : 2021-07-01DOI: 10.30770/2572-1852-107.2.25
Christine Gee, A. Tonkin, Sharon Gaby, Veronika Urh, S. Anderson, M. Hardy, Martin Fletcher
A sexual boundary violation by a health practitioner has an immense impact on a patient, and the trust and confidence in the health care system and the health care regulator are negatively affected. The Australian Health Practitioner Regulation Agency (Ahpra) and the Medical Board of Australia (MBA) in 2017 commissioned an independent review in response to a specific high-profile case of multiple physician-patient* sexual boundary violations. In response to recommendations for process improvement, Ahpra and the MBA worked to transform the regulatory management of sexual boundary notifications.The purpose of this paper is to explore the structural and cultural changes that have been made to manage sexual boundary violation notifications and lessons learned through the process. Three factors — specialized decision-making, training for investigators and policy and cultural changes — were identified as key elements of the change process. Since the changes in 2017, the rate of immediate regulatory action taken in response to sexual boundary notifications has increased substantially, with a higher proportion of decisions resulting in suspension of a physician’s registration. Further work on the experience of those who are part of the notification process and supporting people to share their stories and experiences through the notification and tribunal process is ongoing.
{"title":"Responding to Sexual Boundary Notifications: The Evolving Regulatory Approach in Australia","authors":"Christine Gee, A. Tonkin, Sharon Gaby, Veronika Urh, S. Anderson, M. Hardy, Martin Fletcher","doi":"10.30770/2572-1852-107.2.25","DOIUrl":"https://doi.org/10.30770/2572-1852-107.2.25","url":null,"abstract":"\u0000 A sexual boundary violation by a health practitioner has an immense impact on a patient, and the trust and confidence in the health care system and the health care regulator are negatively affected. The Australian Health Practitioner Regulation Agency (Ahpra) and the Medical Board of Australia (MBA) in 2017 commissioned an independent review in response to a specific high-profile case of multiple physician-patient* sexual boundary violations. In response to recommendations for process improvement, Ahpra and the MBA worked to transform the regulatory management of sexual boundary notifications.The purpose of this paper is to explore the structural and cultural changes that have been made to manage sexual boundary violation notifications and lessons learned through the process. Three factors — specialized decision-making, training for investigators and policy and cultural changes — were identified as key elements of the change process. Since the changes in 2017, the rate of immediate regulatory action taken in response to sexual boundary notifications has increased substantially, with a higher proportion of decisions resulting in suspension of a physician’s registration. Further work on the experience of those who are part of the notification process and supporting people to share their stories and experiences through the notification and tribunal process is ongoing.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47499886","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：