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The Doctor Who Fooled the World: Science, Deception, and the War on Vaccines 《愚弄世界的医生:科学、欺骗和疫苗之战
Journal of medical regulation Pub Date : 2022-07-01 DOI: 10.30770/2572-1852-108.2.34
D. Nyberg
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引用次数: 6
Quoted | Note from Editor 引用|编者注
Journal of medical regulation Pub Date : 2022-07-01 DOI: 10.30770/2572-1852-108.2.3
H. M. Koenig
{"title":"Quoted | Note from Editor","authors":"H. M. Koenig","doi":"10.30770/2572-1852-108.2.3","DOIUrl":"https://doi.org/10.30770/2572-1852-108.2.3","url":null,"abstract":"","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":"47697383","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
Navigating a High-Stakes Assessment in Medical School: Students’ Lived Experiences During a Stressful Period of Preparation 在医学院进行高风险评估：学生在紧张准备期的生活体验
Journal of medical regulation Pub Date : 2022-07-01 DOI: 10.30770/2572-1852-108.2.7
K. Templeton, Patricia Vanston, Ulana A Luciw-Dubas, K. Hauer, Madeline DelVescovo, L. Dyrbye, Miguel Paniagua
{"title":"Navigating a High-Stakes Assessment in Medical School: Students’ Lived Experiences During a Stressful Period of Preparation","authors":"K. Templeton, Patricia Vanston, Ulana A Luciw-Dubas, K. Hauer, Madeline DelVescovo, L. Dyrbye, Miguel Paniagua","doi":"10.30770/2572-1852-108.2.7","DOIUrl":"https://doi.org/10.30770/2572-1852-108.2.7","url":null,"abstract":"\u0000 Students who aim to become practicing physicians in the United States are required to demonstrate their competence with a variety of assessments during medical school, including those required to obtain a license to practice medicine. The specific challenges and stressors associated with the preparation for successful completion of licensure assessments is not well understood. To better understand students’ experiences in preparation for United States Medical Licensing Examination (USMLE) Step 1, as part of the Re-examining Exams: NBME Effort on Wellness (RENEW) research initiative, a series of eight focus groups were conducted with 33 medical school students who took the exam and received their score. The results provide a retrospective understanding of the lived experiences of aspiring medical professionals and their perceptions of the impact of a high-stakes licensure examination.","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":"44284610","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
Addressing Recidivism: A Challenge for Medical Regulation 解决累犯：医疗监管面临的挑战
Journal of medical regulation Pub Date : 2022-03-01 DOI: 10.30770/2572-1852-108.1.6
H. M. Koenig
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引用次数: 0
Denying to the Grave: Why We Ignore the Facts That Will Save Us 到死也不承认:为什么我们忽视了可以拯救我们的事实
Journal of medical regulation Pub Date : 2022-03-01 DOI: 10.30770/2572-1852-108.1.45
U. Shah
{"title":"Denying to the Grave: Why We Ignore the Facts That Will Save Us","authors":"U. Shah","doi":"10.30770/2572-1852-108.1.45","DOIUrl":"https://doi.org/10.30770/2572-1852-108.1.45","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":"42837331","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
Letters to the Editor 给编辑的信
Journal of medical regulation Pub Date : 2022-03-01 DOI: 10.30770/2572-1852-108.1.4
B. Schneidman
{"title":"Letters to the Editor","authors":"B. Schneidman","doi":"10.30770/2572-1852-108.1.4","DOIUrl":"https://doi.org/10.30770/2572-1852-108.1.4","url":null,"abstract":"plausible film fragments imaged by electron microscopy, questions about the significance of the findings and even about the true fixability of surfactant films by the usual fixatives glutaraldehyde (GA), osmium tetroxide (OsO 4 ), and uranyl acetate (UA) have not been settled. We exposed functioning natural surfactant films to fixatives within a captive bubble surfactometer and analyzed the effect of fixatives on surfactant function. The capacity of surfactant to reach near-zero minimum surface tension on film compression was barely impaired after exposure to GA or OsO 4 . Although neither GA nor OsO 4 prevented the surfactant from forming a surface active film, GA increased the equilibrium surface tension to above 30 mN/m, and both GA and OsO 4 decreased film stability as seen in the slowly rising minimum surface tension from 1 to (cid:1) 5 mN/m in 10 min. In contrast, the effect of UA seriously impaired surface activity in that both adsorption and minimum surface tension were substantially increased. In conclusion, the fixatives tested in this study are not suitable to fix, i.e., to solidify, surfactant films. Evidently, however, OsO 4 and UA may serve as staining agents.","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":"42864627","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
The Role of Regulatory Boards in Combating Racism and Promoting Diversity 监管委员会在打击种族主义和促进多样性方面的作用
Journal of medical regulation Pub Date : 2022-03-01 DOI: 10.30770/2572-1852-108.1.32
Norman T. Reynolds
{"title":"The Role of Regulatory Boards in Combating Racism and Promoting Diversity","authors":"Norman T. Reynolds","doi":"10.30770/2572-1852-108.1.32","DOIUrl":"https://doi.org/10.30770/2572-1852-108.1.32","url":null,"abstract":"\u0000 In order to create a more just and equitable medical culture for racial and ethnic minorities, all stakeholders in the medical system must acknowledge and learn lessons from past and ongoing mistakes toward minorities. The Federation of State Medical Boards (FSMB), in its leadership position, can influence state medical boards to recognize systemic racism and take steps to combat racism and promote racial diversity. This article reviews current and historical examples of medical racism toward Black or African Americans that are largely invisible to the white community; offers ethical guidelines to ensure fairness; provides guidelines for medical boards to reduce implicit bias in disciplinary proceedings; and suggests educational approaches to increase understanding and empathy for the experience of Black physicians and Black patients in the medical system. Eight fundamental questions, outlined in this article, provide a road map for the FSMB and medical boards to increase racial diversity and reduce inequity","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":"49161899","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
Why Quantifying Recidivism After Remediation Is So Difficult: The Experience of an Education Provider 为什么量化补救后的累犯如此困难:一个教育提供者的经验
Journal of medical regulation Pub Date : 2022-03-01 DOI: 10.30770/2572-1852-108.1.21
C. Caldicott
{"title":"Why Quantifying Recidivism After Remediation Is So Difficult: The Experience of an Education Provider","authors":"C. Caldicott","doi":"10.30770/2572-1852-108.1.21","DOIUrl":"https://doi.org/10.30770/2572-1852-108.1.21","url":null,"abstract":"\u0000 Regulator-ordered sanctions for professional offenses committed by clinicians often include remedial coursework to address ethics, boundary or professionalism lapses. The purpose of requiring remedial coursework is to protect the public by reducing clinicians’ likelihood of reoffending, thereby avoiding recidivism. Although there are ways of assessing remedial course effectiveness, accurately quantifying their effectiveness at reducing recidivism is fraught with challenges. This article describes one course provider’s follow-up of a subset of licensees who attended remedial courses in ethics, professionalism and/or boundaries for a period of six to 11 years after course graduation. The article presents descriptive statistics from a review of members of this cohort who had post-course encounters with their regulator. The process of tracking this cohort for subsequent allegations or board actions uncovered many reasons why accurately quantifying recidivism after remediation is so difficult. By illuminating obstacles to the accurate tracking of professional conduct post-discipline, this review contributes to a more nuanced understanding of ways in which future studies of recidivism might be improved. It concludes by identifying factors that can facilitate such future studies and generating recommendations for consideration by regulators and professional organizations.","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":"45052165","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
Competence Assessment and Structured Educational Remediation: Long-Term Impact on the Quality of Care Provided by Disciplined Physicians 能力评估和结构化教育补救:对专业医生提供的护理质量的长期影响
Journal of medical regulation Pub Date : 2022-03-01 DOI: 10.30770/2572-1852-108.1.7
Elizabeth J. Korinek, Alisa R. Johnson, Sindy Michelle Paul, E. S. Grace, William T. O’Neill, Meredith I. Borine
{"title":"Competence Assessment and Structured Educational Remediation: Long-Term Impact on the Quality of Care Provided by Disciplined Physicians","authors":"Elizabeth J. Korinek, Alisa R. Johnson, Sindy Michelle Paul, E. S. Grace, William T. O’Neill, Meredith I. Borine","doi":"10.30770/2572-1852-108.1.7","DOIUrl":"https://doi.org/10.30770/2572-1852-108.1.7","url":null,"abstract":"\u0000 Medical licensing boards use competence assessment and educational intervention programs as tools in disciplinary actions. Few studies measure the impact of these remedial interventions on the quality of care provided by participants after such interventions. CPEP, the Center for Personalized Education for Professionals, provides clinical competence assessment/educational intervention services and practice monitoring, primarily for physicians complying with board orders due to substandard care. Depending on the board requirements, some physicians complete an assessment/educational intervention and, after completion, subsequently undergo practice monitoring (Intervention Group). Others participate in the practice monitoring without first completing an assessment/educational intervention (Non-Intervention Group). CPEP conducted a retrospective study of chart reviews (n=2073) performed as part of each group’s participation in the Practice Monitoring Program. When compared to the charts from the Intervention Group, charts from the Non-Intervention Group were more than five times more likely to demonstrate care below standard (P < 0.0001) and almost four times more likely to have documentation issues that prohibited the monitor’s ability to determine the quality of care (P < 0.0001). This study suggests that completion of a competence assessment/education intervention program is an effective means of achieving acceptable quality of care that is sustained over time (average 18 months) after completion of the intervention.","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":"44542356","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
An Evaluation of Clinicians with Subsequent Disciplinary Actions: Washington Medical Commission 对临床医生后续纪律处分的评估：华盛顿医学委员会
Journal of medical regulation Pub Date : 2022-03-01 DOI: 10.30770/2572-1852-108.1.16
J. Bush, Sarah Chenvert
{"title":"An Evaluation of Clinicians with Subsequent Disciplinary Actions: Washington Medical Commission","authors":"J. Bush, Sarah Chenvert","doi":"10.30770/2572-1852-108.1.16","DOIUrl":"https://doi.org/10.30770/2572-1852-108.1.16","url":null,"abstract":"\u0000 In an effort to better understand levels of recidivism among physicians and physician assistants in the state of Washington, the Washington Medical Commission (WMC) assessed 12 years of disciplinary information, drawing on sanctions delivered in the state during the period 2008–2020. The WMC identified the frequency and severity of disciplinary actions, the offenses leading to actions and the degree to which sanctioned physicians were subsequently sanctioned again. The most significant finding of the study is that there are common timelines and complaint instances among recidivist providers in Washington. This finding suggests that proactive interventions by medical boards, aimed at reducing the incidence of recidivism, may merit further study and consideration.","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":"44828107","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
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