scholarly journals Prescribing unapproved medical devices? The case of DIY artificial pancreas systems

2021 ◽  
pp. 096853322199751
Author(s):  
Joseph TF Roberts ◽  
Victoria Moore ◽  
Muireann Quigley
Keyword(s):  
Medical Devices ◽  
Artificial Pancreas ◽  
General Medical Council ◽  
Medical Council ◽  
The United Kingdom ◽  
Slow Progress ◽  
Do It Yourself ◽  
The Uk ◽  
Professional Guidance

In response to slow progress regarding technological innovations to manage type 1 diabetes, some patients have created unregulated do-it-yourself artificial pancreas systems (DIY APS). Yet both in the United Kingdom (UK) and internationally, there is an almost complete lack of specific guidance – legal, regulatory, or ethical – for clinicians caring for DIY APS users. Uncertainty regarding their professional obligations has led to them being cautious about discussing DIY APS with patients, let alone recommending or prescribing them. In this article, we argue that this approach threatens to undermine trust and transparency. Analysing the professional guidance from the UK regulator – the General Medical Council – we demonstrate that nothing within it ought to be interpreted as precluding clinicians from initiating discussions about DIY APS. Moreover, in some circumstances, it may require that clinicians do so. We also argue that the guidance does not preclude clinicians from prescribing such unapproved medical devices.

scholarly journals Prospects and challenges for an Indian dermatologist in the United Kingdom

2020 ◽  
Vol 2 ◽  
pp. 75-78
Author(s):  
Sheerja Bali ◽  
Asha Rajeev
Keyword(s):  
Professional Development ◽  
United Kingdom ◽  
Continuing Professional Development ◽  
General Medical Council ◽  
Medical Council ◽  
The United Kingdom ◽  
The Uk ◽  
Career Options ◽  
The Cost

The United Kingdom is a sought-after destination to gain overseas experience and long-term employment for doctors trained in India. However, for many the path is unclear. This article aims to explain the various opportunities and the steps involved in securing a job in the National Health Service (NHS) for an Indian dermatologist. The steps to obtain the General Medical Council license to practice include demonstrating competency in English and passing the Professional and Linguistic Assessments Board examinations. Once the doctor is eligible to practice, career options are working as Core Medical trainee, Staff grade and Associate Specialists and Specialty doctors (SAS) or a locum consultant. One can become a consultant in the UK without retraining in dermatology through Certificate of Eligibility for Specialist Registration. In the NHS, a dermatologist typically works for 8 h a day on the weekdays. Time is allotted for professional development through the Continuing Professional Development sessions. Doctors earn well in the UK although the cost of living is high.

Legal aspects of consent to treatment and the nature of malpractice claims in the United Kingdom

2021 ◽  
pp. 1597-1604
Author(s):  
Mark Ashley
Keyword(s):  
General Medical Council ◽  
Case Law ◽  
Legal Aspects ◽  
Medical Council ◽  
Medical Practitioners ◽  
The United Kingdom ◽  
Malpractice Claims ◽  
Consent To Treatment ◽  
Consent To Medical Treatment ◽  
The Uk

The UK law on consent to medical treatment is derived from statutes (acts of parliament and their subordinate statutory instruments) and case law which develops as individual cases are decided by the courts. Regard must also be had to guidance published by the General Medical Council, which all UK-registered medical practitioners are expected to follow. Further detailed guidance on consent is provided by the Royal College of Surgeons.

scholarly journals What do neurosurgical trainees think about neuro-interventional training and service provision in the United Kingdom?

2020 ◽  
Vol 11 ◽  
pp. 369
Author(s):  
Jay Kotecha ◽  
Milo Hollingworth ◽  
Hiren C. Patel ◽  
Robert Lenthall
Keyword(s):  
Service Provision ◽  
Online Survey ◽  
Significant Proportion ◽  
General Medical Council ◽  
Medical Council ◽  
Training Curriculum ◽  
Out Of Hours ◽  
The United Kingdom ◽  
Mandatory Requirement ◽  
The Uk

Background: There is a disparity between the number of interventional neuroradiologists (INRs) in the UK and the number needed to provide a comprehensive 24/7 interventional neurovascular service. It is recognized that trainees from other specialties such as neurosurgery may be able to provide INR services after appropriate training. At present gaining skills in INR is not a mandatory requirement of the neurosurgical training curriculum in the UK. The views on this issue of current neurosurgical trainees are unknown. We aimed to address this knowledge gap. Methods: We performed an anonymized online survey to gauge the opinion of neurosurgical trainees about their attitudes to INR training and service provision. Results: 90/265 (34%) UK neurosurgical trainees responded to the survey. About 56% of respondents reported they were likely or very likely to pursue interventional training if a curriculum was approved by the general medical council. About 80% thought training should take up to 2 years. About 90% of those very likely or likely to pursue INR wanted a hybrid neurosurgical practice and 92% were willing to provide endovascular services out of hours. Conclusion: The responses described suggest that a significant proportion of neurosurgical trainees would pursue INR training and have realistic expectation regarding out of hours commitment and length of training.

scholarly journals The Faculty of Pharmaceutical Medicine – Foundation, function and future

2017 ◽  
Vol 3 (1) ◽  
pp. 193 ◽  
Author(s):  
Alan Boyd ◽  
Peter Stonier ◽  
Konrad Obiora ◽  
Ben Cottam
Keyword(s):  
Pharmaceutical Medicine ◽  
General Medical Council ◽  
Medical Specialty ◽  
Professional Standards ◽  
Medical Council ◽  
The United Kingdom ◽  
Standards Of Practice ◽  
History Of ◽  
Certification Programme ◽  
The Uk

The Faculty of Pharmaceutical Medicine was established in the United Kingdom (UK) in 1989 to develop and maintain competence, ethics and the highest professional standards of practice in the discipline. This article charts the founding principles and history of the Faculty, details its composition and membership, and outlines the major functions and achievements of the organisation in the context of the development of the discipline of pharmaceutical medicine. The recognition of pharmaceutical medicine as a medical specialty in the UK is described together with the associated certification programme Pharmaceutical Medicine Specialty Training, which enables pharmaceutical physicians to become certified practitioners in the specialty with the UK General Medical Council (UK GMC).

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.

scholarly journals Medical Students’ Experience of Mindfulness Training in the UK: Well-Being, Coping Reserve, and Professional Development

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Alice Malpass ◽  
Kate Binnie ◽  
Lauren Robson
Keyword(s):  
Medical Education ◽  
Mental Health Problems ◽  
Qualitative Interviews ◽  
General Medical Council ◽  
Well Being ◽  
Mindfulness Training ◽  
The Body ◽  
Free Text ◽  
Medical Council ◽  
The Uk

Medical school can be a stressful experience for students, resulting in stress-related mental health problems. Policy recommendations from the General Medical Council (GMC), the body responsible for improving medical education in the UK, recommend the use of mindfulness training to increase well-being and resilience to stress. Students participating in an eight-week mindfulness training between Autumn 2011 and Spring 2015 were invited to complete a free text survey at the end of their mindfulness course. In addition, six qualitative interviews were conducted lasting between 60 and 90 minutes. Interviews used a topic guide and were recorded and transcribed verbatim. We used the framework approach to analyse the data. Students reported a new relationship to their thoughts and feelings which gave a greater sense of control and resiliency, an ability to manage their workload better, and more acceptance of their limitations as learners. The small group context was important. Students described improved empathy and communication skills through building inner awareness of thoughts and feelings, noticing judgments, and developing attentive observation. The findings show how resiliency and coping reserve can be developed within medical education and the role of mindfulness in this process. We present a conceptual model of a learnt cycle of specific vulnerability and describe how MBCT intercepts at various junctures in this self-reinforcing cycle through the development of new coping strategies that embrace an “allowed vulnerability.”

scholarly journals Mandating doctors to attend counter-terrorism workshops is medically unethical

2016 ◽  
Vol 40 (2) ◽  
pp. 87-88 ◽  
Author(s):  
Derek Summerfield
Keyword(s):  
Medical Association ◽  
Ethical Leadership ◽  
Ethical Issues ◽  
Civil Liberties ◽  
General Medical Council ◽  
British Medical Association ◽  
Medical Council ◽  
Counter Terrorism ◽  
Mandatory Training ◽  
The Uk

SummaryThis is a brief exploration of the ethical issues raised for psychiatrists, and for universities, schools and wider society, by the demand that they attend mandatory training as part of the UK government's Prevent counter-terrorism strategy. The silence on this matter to date on the part of the General Medical Council, medical Royal Colleges, and the British Medical Association is a failure of ethical leadership. There is also a civil liberties issue, reminiscent of the McCarthyism of 1950s USA. We should refuse to attend.

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