Journal of medical regulation最新文献_第5页

The Oregon Wellness Program: Serving Healthcare Professionals in Distress from Burnout and COVID-19 俄勒冈州健康计划：为因精疲力竭和新冠肺炎而陷入困境的医疗保健专业人员提供服务

Journal of medical regulation Pub Date : 2022-10-01 DOI: 10.30770/2572-1852-108.3.27

D. Girard, D. Nardone

{"title":"The Oregon Wellness Program: Serving Healthcare Professionals in Distress from Burnout and COVID-19","authors":"D. Girard, D. Nardone","doi":"10.30770/2572-1852-108.3.27","DOIUrl":"https://doi.org/10.30770/2572-1852-108.3.27","url":null,"abstract":"\u0000 Clinicians are reluctant to seek mental health services. They fear loss of livelihood and disciplinary action. The Oregon Wellness Program (OWP) is a state-wide consolidated mental health initiative formally established in 2018 as a physician, physician assistant, acupuncturist, and podiatrist program. OWP is self-referral, not-mandated, strictly confidential, and free. Reporting to oversight bodies is forbidden. Utilization increased from 228 clients to 349 clients (a 53% increase) and 405 visits to 625 visits (a 54% increase) from 2019 to 2020 respectively, coinciding with the first COVID-19 pandemic surge. Between April 2019 and the end of August 2020, 41 of 433 (9.5%) individuals who were provided mental health services returned 77 program evaluation surveys, indicating satisfaction with the program (96%), its helpfulness to them personally (99%), and changes made in their personal lives (80%). The burnout response rate fell with increased visits and reallocation of activities within their practices increased (39%). A survey of mental health professionals corroborated positive results of their clients. The OWP can serve as a model for healthcare professional support programs. Collaboration among healthcare organizations, professional, and oversight bodies is essential. Increasing sustainable funding to pay for expanding services for dentists and nurses, assuring access for rural clinicians, and developing research tools to capture a more robust sample of responses remain priorities.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42276412","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}

引用次数: 2

Facing Challenges while Creating a Stronger Community of Medical Regulators 在创建更强大的医疗监管机构社区的同时直面挑战

Journal of medical regulation Pub Date : 2022-10-01 DOI: 10.30770/2572-1852-108.3.7

Stephen T. Lawless

引用次数: 0

Facilitating the Path to Licensure and Practice: International Medical Graduates in Canada 促进执照和执业之路：加拿大的国际医学毕业生

Journal of medical regulation Pub Date : 2022-10-01 DOI: 10.30770/2572-1852-108.3.18

Ilona Bartman, C. Touchie, M. Topps, John R. Boulet

{"title":"Facilitating the Path to Licensure and Practice: International Medical Graduates in Canada","authors":"Ilona Bartman, C. Touchie, M. Topps, John R. Boulet","doi":"10.30770/2572-1852-108.3.18","DOIUrl":"https://doi.org/10.30770/2572-1852-108.3.18","url":null,"abstract":"\u0000 Canada relies heavily on foreign-trained physicians. As a Federation, with health care being a Provincial jurisdiction, this often translates into varied processes that international medical graduates (IMGs) must undertake to obtain a Canadian medical license. Two decades ago, several government officials and representatives of many physician organizations, including regulatory bodies, met and proposed 6 recommendations to make the processes standardized, simpler, and more transparent to aid internationally trained physicians in their pursuit of Canadian medical licenses.\u0000 The Medical Council of Canada (MCC) was one of the organizations at the 2002 meeting in Calgary, Alberta. As an organization responsible for the assessment of physicians’ knowledge and skills and the issuant of the Licentiate of the MCC (LMCC), a prerequisite for Canadian medical license, the MCC was one of the institutions tasked with implementation of the recommendations.\u0000 The purpose of this manuscript is to evaluate how well the recommendations were met. To do this, we explored whether the IMGs’ journey to obtain Canadian medical licenses in 2022 is more challenging or less challenging than in 2002. The MCC’s role in helping to effect changes in the licensing process was highlighted.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49305686","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}

引用次数: 0

Searching for the Family Doctor 寻找家庭医生

Journal of medical regulation Pub Date : 2022-10-01 DOI: 10.30770/2572-1852-108.3.41

U. Shah, Punam Patel

引用次数: 0

Do Medical Licensing Questions on Health Conditions Pose a Barrier to Physicians Seeking Treatment? A Literature Review 关于健康状况的医疗许可证问题是否对医生寻求治疗构成障碍？文献综述

Journal of medical regulation Pub Date : 2022-10-01 DOI: 10.30770/2572-1852-108.3.35

Fisayo Aruleba, J. Beach, Gordon Giddings

{"title":"Do Medical Licensing Questions on Health Conditions Pose a Barrier to Physicians Seeking Treatment? A Literature Review","authors":"Fisayo Aruleba, J. Beach, Gordon Giddings","doi":"10.30770/2572-1852-108.3.35","DOIUrl":"https://doi.org/10.30770/2572-1852-108.3.35","url":null,"abstract":"\u0000 Physician health is strongly connected to patient health outcomes such that barriers to seeking help and medical care for impaired physicians may compromise patient safety and quality of care. It is important to understand and identify barriers that may reduce the likelihood of physicians seeking help. Using medical licensure questions that necessitate self-reporting of health conditions is one of the ways regulatory bodies such as the College of Physicians and Surgeons of Alberta (CPSA) seeks to protect the public and ensure physician competency. The objective of this paper is to review the current body of literature on the impact of these medical licensure questions on physician health-seeking behavior as well as patient care. Five online databases (Scopus, APA PsychINFO, Web of Science, PubMed, and MEDLINE) were searched using combined key terms to identify relevant articles. Based on the inclusion and exclusion criteria, nine primary quantitative studies were selected. Results suggest that licensure applications with questions on previous impairments and mental health condition acts as both a barrier to reporting and to seeking care. These findings highlight the need for further research in examining the utility of health licensure questions in identifying impaired physicians and their impact on the quality of patient care.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46184660","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}

引用次数: 6

Ohio Physicians’ Retrospective Pre-Post COVID-19 Pandemic Reports of Burnout and Well-Being 俄亥俄州医生回顾性新冠肺炎疫情爆发前和健康报告

Journal of medical regulation Pub Date : 2022-10-01 DOI: 10.30770/2572-1852-108.3.8

Rebecca J. McCloskey, Gretchen Clark Hammond, Kathleen Gallant, Robert M. Santucci, Justin Koralewski, Michael Kochinski

{"title":"Ohio Physicians’ Retrospective Pre-Post COVID-19 Pandemic Reports of Burnout and Well-Being","authors":"Rebecca J. McCloskey, Gretchen Clark Hammond, Kathleen Gallant, Robert M. Santucci, Justin Koralewski, Michael Kochinski","doi":"10.30770/2572-1852-108.3.8","DOIUrl":"https://doi.org/10.30770/2572-1852-108.3.8","url":null,"abstract":"\u0000 This cross-sectional, retrospective, pre-post repeated measures study aimed to describe Ohio physicians’ burnout and mental health experiences as perceived prior to and during the COVID-19 pandemic. A one-time online survey was completed by 1,613 physicians registered with the State Medical Board of Ohio (SMBO). Wilcoxon signed-rank tests were used to assess differences between physicians’ self-reports of burnout and mental health prior to and during the pandemic. Mann-Whitney U tests examined response differences between physicians and residents. Data revealed statistically significant differences between physicians’ pre-pandemic and pandemic experiences for all measures of burnout and mental health (p < 0.001) with moderate effect sizes for feeling emotionally drained from work (Z = −16.71, r = 0.43); feeling down, depressed, or hopeless (Z = −18.09, r = 0.46); feeling less accomplished (Z = −11.03, r = 0.29); and caring less about what happens to patients (Z = −12.04, r = 0.31). Small effect sizes were found for thoughts of suicide and concerns about one’s substance use. Additionally, resident physicians were more likely than physicians to report many burnout and mental health concerns prior to and during the pandemic, although these effect sizes were small. These findings can inform stakeholders’ efforts toward the prevention and reduction of physician burnout and improvement of well-being.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44776517","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}

引用次数: 1

Supporting Health Equity through a Focus on Diversity, Equity, and Inclusion in Medical Regulation: The FSMB’s Initial Steps on a Critical Journey 通过关注医疗监管的多样性、公平性和包容性来支持健康公平：FSMB在关键旅程中的初步步骤

Journal of medical regulation Pub Date : 2022-07-01 DOI: 10.30770/2572-1852-108.2.29

J. Carter

引用次数: 0

Physicians and Cognitive Decline: A Challenge for State Medical Boards 医生与认知能力下降：国家医学委员会面临的挑战

Journal of medical regulation Pub Date : 2022-07-01 DOI: 10.30770/2572-1852-108.2.19

S. Hoffman

{"title":"Physicians and Cognitive Decline: A Challenge for State Medical Boards","authors":"S. Hoffman","doi":"10.30770/2572-1852-108.2.19","DOIUrl":"https://doi.org/10.30770/2572-1852-108.2.19","url":null,"abstract":"\u0000 Older physicians benefit from their many years of experience and the skills they have developed over decades of practice. At the same time, they may be at risk of cognitive decline, which raises concerns about job performance deficits. The question that this article addresses is whether state medical boards have a role to play in identifying clinicians with cognitive decline. It discusses what state medical boards currently do in this regard and analyzes whether they should do more. It also discusses relevant legal constraints and ethical obligations. The article ultimately concludes that state medical boards would be wise to adopt late career screening programs that are carefully designed to balance the interest of clinicians and patient safety. Such programs could be implemented only after experts determine which preliminary tests and more comprehensive follow-up tests can best identify job-related cognitive impairment and at what age the testing program should commence. Any testing program would have to include due process protections, efforts to provide reasonable accommodations to facilitate job performance, and a public relations campaign to build support among clinicians and professional organizations. Although the article focuses on state medical boards, its analysis and recommendation are relevant to all state licensing boards that oversee health care providers.","PeriodicalId":91752,"journal":{"name":"Journal of medical regulation","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47305043","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}

引用次数: 2

Medical Board of California Adapts to an Ever-Changing Remote Environment 加州医学委员会适应不断变化的偏远环境

Journal of medical regulation Pub Date : 2022-07-01 DOI: 10.30770/2572-1852-108.2.32

Emmalee Ross

引用次数: 0

Facing Challenges while Creating a Stronger Community of Medical Regulators 在创建更强大的医疗监管机构社区的同时直面挑战

Journal of medical regulation Pub Date : 2022-07-01 DOI: 10.30770/2572-1852-108.2.5

S. TerKonda

引用次数: 0