Journal of medical regulation最新文献

{"title":"Assessment Briefs","authors":"","doi":"10.30770/2572-1852-110.1.33","DOIUrl":"https://doi.org/10.30770/2572-1852-110.1.33","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"124 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141002963","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}

{"title":"American Board of Ophthalmology Certifying Examination Performance and Opioid Prescription Patterns","authors":"Matthew R. Starr, Sarah Schnabel, George B. Bartley","doi":"10.30770/2572-1852-109.3.12","DOIUrl":"https://doi.org/10.30770/2572-1852-109.3.12","url":null,"abstract":"To compare opioid prescription patterns of ophthalmologists based on performance on the American Board of Ophthalmology (ABO) written qualifying examination (WQE) and oral certifying examinations (OE). All ophthalmologists within the Medicare Prescriber Part D Database from 2013 – 2018 who attempted the ABO, WQE, or OE were included. Opioid prescription data were analyzed based on ABO certification status: certified on first attempt, failed but then certified, and never certified. There were 6822 ophthalmologists with 32258 records in the Medicare database during the study period with ABO data available. The point estimate for total opioid prescriptions per year was 7.3, standard error (SE) 0.3 for ophthalmologists who were certified on the first attempt (reference). The estimate for those who failed one or both qualifying examinations, but then became board certified (BC) was −1.7, SE 0.6 (p = 0.0031); and the estimate for those ophthalmologists who never became BC was +0.8, SE 1.5 (p = 0.5318). The point estimate for cost of opioids prescribed per year was $55.17, SE 4.4 for ophthalmologists who were certified on the first attempt, with the estimate for those who failed one or both qualifying examinations, but then became BC being $−12.29, SE 8.7 (p = 0.1581); and for those ophthalmologists who never became BC being +$69.54, SE 21.7 (p = 0.0014). Diplomates who initially failed one or both qualifying exams, but who ultimately became certified, prescribed less opioids, less costly opioids, and less supply of opioids within the Medicare Part D database compared to non-BC ophthalmologists.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139305311","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}

{"title":"Regulation of Wicked Problems: Opportunities, Responsibilities, and Threats","authors":"Zubin Austin, Aly Háji","doi":"10.30770/2572-1852-109.3.6","DOIUrl":"https://doi.org/10.30770/2572-1852-109.3.6","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139303055","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}

{"title":"Mississippi State Board of Medical Licensure Embraces Attestation Model","authors":"Michelle Y. Owens, Camille Scales Young, J.W. Ledbetter","doi":"10.30770/2572-1852-109.3.20","DOIUrl":"https://doi.org/10.30770/2572-1852-109.3.20","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"244 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139303981","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}

{"title":"Diabetes: A History of Race and Disease","authors":"Oliver Kim","doi":"10.30770/2572-1852-109.3.23","DOIUrl":"https://doi.org/10.30770/2572-1852-109.3.23","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139292335","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}

{"title":"Tele-Psychiatry for College Students: Challenges, Opportunities, and Lessons Learned from the Pandemic","authors":"Ludmila de Faria, B. Kring, H. Keable, Meera Menon, Francesco Peluso, M. Notman, A. Ackerman","doi":"10.30770/2572-1852-109.2.21","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.21","url":null,"abstract":"\u0000 College students are the human capital of a nation, and their college education lays the foundation for their success as future leaders of society. However, their ability to advance is often impeded by stress. Changes in lifestyle, increased academic workload, student debt, forming interpersonal relationships, and coping with new adult responsibilities may result in clinically significant anxiety and depression that require medical attention. Left untreated, these illnesses hinder academic progress and decrease graduation rates. College students constitute a highly mobile population frequently traveling for breaks and school-related activities and, as such, at increased risk of interruption and/or discontinuation of care.\u0000 The COVID-19 pandemic challenged our ability to offer consistent mental health care for students and forced us to implement public health measures that were long overdue. Temporary governmental policy changes allowing for the provision of remote care across state lines at the same reimbursement rate as in-person services were vital to student mental health recovery, retention in school, and graduation rates. The time-limited loosening of state-based medical licensure restrictions clearly demonstrated the feasibility, benefits, and dire need for widespread implementation of telehealth. These are important lessons that should inform future policies for student health.\u0000 In this paper, we advocate therefore, that the temporary loosening of the licensure restrictions and equitable reimbursement rates be codified into law. The current licensing regulations have not kept pace with the lived experience of college students or modern society in general. Given more mobile lifestyles, these restrictions result in frequent inevitable transitions of care which are highly undesirable. Even if providers outside metropolitan areas were readily available,1,2 these transitions of care are fraught with considerable risk for medical error. We also advocate for a national standardization of tele-psychiatry policy and procedures, including access to electronic health care records for providers taking care of matriculated students. To date, student mental health services are a patchwork of organizational models of varying funding and efficacy.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47325547","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}

{"title":"From the Editor","authors":"Heidi M. Koenig","doi":"10.30770/2572-1852-109.2.3","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.3","url":null,"abstract":"IN THIS, THE FINAL ISSUE OF JMR THAT I WILL OVERSEE we present content that raises important questions that boards must consider.The “FSMB Census of Licensed Physicians in the US, 2022” reports that there are now more than one million licensed physicians. Possibly one-half of the physicians polled are suffering burnout and nearly 60% would not pursue medicine again if asked. Of concern is the growing number of young women who are particularly vulnerable to burnout with family, childbearing, and practice responsibilities. Are the absolute numbers or the number of high functioning physicians who practice good self-care most important? In state medical boards' role to protect the public, should higher priority be given to supporting physicians so they can effectively climb out of burnout and happily practice at their best?In ”Tele-Psychiatry for College Students: Challenges, Opportunities, and Lessons Learned from the Pandemic,” de Faria and colleagues demonstrate some of the benefits and challenges of tele-psychiatry often across state lines for college students. College is stressful at some point for most students and readily accessible counselling is important to keep them in school and to learn how to deal with a more independent life than most ever had before. Acceptance to a college of their choice was a highlight, but then they were faced with huge tuition payments often with loans, then suddenly they were back home isolating, and pivoting to remote learning. The emotional impact and stress have been huge. Some students have benefitted from distance learning, and I think it is here to stay. Should those students be deprived of confidential psychiatric care offered to those on campus? Now that the pandemic is over, the temporary laws allowing long distance tele-psychiatry are being retracted. The very first telemedicine was successful tele-psychiatry in the early 1960s. Should at least some of these practices be continued?In JMR issue 108:3, Giddings and colleagues published “Do Medical Licensing Questions on Health Conditions Pose a Barrier to Physicians Seeking Treatment?” which was a review of current literature on the impact of medical licensure questions on physician health-seeking behavior as well as patient care. In this issue of JMR, we offer a Letter to the Editor from Barrett and colleagues in support of the Giddings article, a Response from Giddings and colleagues, and a Commentary from Ronald Harter highlighting progress, but ongoing need for optimizations to application questions. Rewriting widely variable practices among jurisdictions may allow physicians to safely report they are getting adequate treatment and able to safely practice medicine. Many medical students get psychiatric care and report it on a license application, only to be hit with immense stigma and sometimes license limitations. Should physicians have to live in fear of medical boards acting on their license because they took care of themselves?It has been an hono","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136350989","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}

{"title":"State Medical Board Licensing Questions Regarding Mental Health: Mission Not Yet Accomplished","authors":"R. Harter","doi":"10.30770/2572-1852-109.2.11","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.11","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44909620","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}

{"title":"FSMB Census of Licensed Physicians in the United States, 2022","authors":"Aaron Young, Xiaomei Pei, Katie Arnhart, Jeffrey D. Carter, Humayun J. Chaudhry","doi":"10.30770/2572-1852-109.2.13","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.13","url":null,"abstract":"ABSTRACT There are 1,044,734 licensed physicians in the United States and District of Columbia, a physician workforce 23% larger than in 2010, based on data supplied by the nation's state medical and osteopathic boards. Despite an impending shortage of physicians nationwide, the licensed physician population has grown relative to the nation's total population, and since the last census in 2020 there have been significant increases in the number of new licenses issued by state medical boards—a trend driven predominantly by the use of telehealth services at levels significantly higher than prior to the COVID-19 pandemic. Nearly one-quarter (24%), or 247,424, of the nation's physicians hold two or more active licenses, up from 23% in 2020, and state medical boards issued a record high of 129,427 new licenses in 2022, an increase of 27% from 2020. A demographic transition towards an older population in the United States is increasing as the demand for healthcare services continues to raise concerns about physician shortages. The physician population is aging alongside the general population, with the number of licensed physicians aged 60 years and older increasing by 54% since our 2010 census. The pandemic exacerbated the strains of an aging population on the entire healthcare system and physician workforce.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136350778","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}

{"title":"International Briefs","authors":"","doi":"10.30770/2572-1852-109.2.33","DOIUrl":"https://doi.org/10.30770/2572-1852-109.2.33","url":null,"abstract":"","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136350993","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}