The good, the bad and the dishonest doctor: the General Medical Council and the ‘redemption model’ of fitness to practise

Legal Studies ◽  
2011 ◽  
Vol 31 (4) ◽  
pp. 591-614 ◽  
Author(s):  
Paula Case
Keyword(s):  
Decision Making ◽  
Patient Population ◽  
General Medical Council ◽  
Medical Council ◽  
Professional Integrity ◽  
Professional Discipline ◽  
Elusive Concept

The ‘elusive’ concept of ‘impairment’ was introduced into the General Medical Council's Fitness to Practise Procedures in 2002. Its function was ostensibly to bring all forms of fitness to practise allegations against doctors under a unifying concept and thereby reduce procedural complexity. This paper strives to illuminate the application of ‘impairment’ of fitness to practise with reference to a year of fitness to practise decision making by the General Medical Council (GMC). It concludes that impairment has brought with it a redemptive style of resolving matters of professional discipline which brings significant benefits to doctors, the patient population and society as a whole, but which can also encourage a contrived exchange of remorse, insight and remediation with further implications for professional integrity and truth.

Updated GMC guidance on decision-making and consent: implications for urologists

2020 ◽  
pp. 205141582094553
Author(s):  
Siobhan Duffy ◽  
Catriona Barlow ◽  
Mark Underwood ◽  
Elizabeth Day
Keyword(s):  
Decision Making ◽  
General Medical Council ◽  
Medical Council ◽  
Level Of Evidence ◽  
Consent Forms ◽  
One Stop

We summarise the updated General Medical Council guidance on consent and decision-making. We explore the emphasis on enabling supported decision-making and the implications this has in day to day urological practice. In particular, we address some of the issues encountered in one-stop clinics, on pooled elective lists and with pre-written consent forms. The new guidance will emphasise the importance of sharing information relevant to your patient in light of the Montgomery ruling. Every decision is unique. We must appreciate the importance of the process of decision-making and understand our role as the clinician. Here we suggest some practical considerations to address the updated General Medical Council guidance. Level of evidence: Not applicable.

scholarly journals The strikethrough: an approach to regulatory writing and professional discipline

Legal Studies ◽  
2017 ◽  
Vol 37 (1) ◽  
pp. 137-161 ◽  
Author(s):  
Marie-Andrée Jacob
Keyword(s):  
Research Misconduct ◽  
General Medical Council ◽  
Medical Council ◽  
Professional Discipline ◽  
Writing Practices ◽  
Research Activities ◽  
Regulatory Writing

This paper attends to writing practices by way of examining how a professional regulator engages with research activities conducted by doctors. In order to explore regulatory responses to alleged research misconduct, I use a specific calligraphic practice shared by researchers and regulators. The paper shows that taking this calligraphic practice as an analytical focus can offer surprising dividends to the study of regulation across fields. Via the practice of strikethrough, the General Medical Council effectuates three gestures as it engages with research activities: display, authentication and isolation. Understanding them requires asking what literal and metaphorical meanings travel in the strikethrough.

Permission without Direction: Gross Negligence Manslaughter and Erasure following Bawa-Garba

2019 ◽  
Vol 26 (3) ◽  
pp. 183-203
Author(s):  
Nathan Hodson
Keyword(s):  
Decision Making ◽  
General Medical Council ◽  
Medical Council ◽  
Medical Practitioners ◽  
High Court ◽  
Harm To Others ◽  
Court Of Appeal

Abstract This article explores when a doctor convicted of gross negligence manslaughter would be erased from the medical register. The General Medical Council (GMC) sanctions guidance avoids directing the Medical Practitioners Tribunal (MPT) about erasure following gross negligence manslaughter and rulings at the High Court and Court of Appeal argue against any presumption of erasure after a doctor is convicted of gross negligence manslaughter. The Court of Appeal in Bawa-Garba ruled that the sanctions guidance should not be taken to guide the MPT towards erasure after “serious harm to others either deliberately or through incompetence”, but merely permits erasure in those circumstances. This approach is consistent with the rest of the sanctions guidance which allows the MPT wide discretion and defends that MPT’s case-by- case approach. This promotes decision-making behind closed doors, diminishes the Sanctions Guidance, and makes it difficult to predict when a doctor will be erased after gross negligence manslaughter.

scholarly journals Cystic fibrosis newborn screening

2007 ◽  
Vol 5 (6) ◽  
pp. 158-161
Author(s):  
Emma Farrar
Keyword(s):  
Cystic Fibrosis ◽  
Decision Making ◽  
Ethical Issues ◽  
General Medical Council ◽  
Service Development ◽  
Medical Council ◽  
Local Service ◽  
North West ◽  
The North ◽  
The Right

CYSTIC FIBROSIS - Ethical issues at two extremes Emma Farrar and Jemma Smith worked as medical students with consultant paediatrician Clare Peckham at a time when services for cystic fibrosis were undergoing a transformation. Clare herself is leading the local service development. Neonatal screening for cystic fibrosis started in the North West on 1 October 2007. The right of a child to be involved in decision making concerning his or her future has recently been affirmed by the General Medical Council. These events provide the backdrop to two timely articles on the ethical issues involved in the management of a difficult illness.

The Duties of Doctors In Medical Education: A Letter To The Editor (Preprint)

2019 ◽  
Author(s):  
Sneha Barai
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Role Models ◽  
Role Model ◽  
General Medical Council ◽  
Future Generations ◽  
Medical Council ◽  
Positive Role ◽  
The Uk ◽  
And Training

UNSTRUCTURED The UK General Medical Council (GMC) explicitly states doctors have a duty to ‘contribute to teaching and training…by acting as a positive role model’. However, recent studies suggest some are not fulfilling this, which is impacting medical students' experiences and attitudes during their training. As such, doctors have a duty to act as role models and teachers, as specified by the GMC, which it seems are not currently being fulfilled. This would improve the medical students’ learning experiences and demonstrate good professional values for them to emulate. Therefore, these duties should be as important as patient care, since this will influence future generations.

Business of the General Medical Council

BMJ ◽  
1898 ◽  
Vol 1 (1941) ◽  
pp. 729-729 ◽  
Author(s):  
H. Hall
Keyword(s):  
General Medical Council ◽  
Medical Council
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