State Medical Board Disciplinary Hearings as Tools for Teaching Professionalism in Medical Education

2011 ◽  
Vol 97 (3) ◽  
pp. 8-12
Author(s):  
Onelia G. Lage ◽  
Sydney F. Pomenti ◽  
Edwin Hayes ◽  
Kristen Barrie ◽  
Nancy Baker
Keyword(s):  
Medical Students ◽  
Ethics Education ◽  
Faculty Members ◽  
Specific Method ◽  
Pilot Studies ◽  
Medical Board ◽  
Medical Institutions ◽  
State Medical Boards ◽  
State Medical Board ◽  
The Impact

ABSTRACT This article proposes a partnership of state medical boards with medical schools to supplement professionalism and ethics education for medical students, residents, physicians and faculty members of medical institutions. The importance of professionalism has been recognized by several studies, but a specific method of teaching and developing professionalism has yet to emerge. Studies suggest that there is an association between a lack of professionalism in medical school and future disciplinary actions by medical boards. However, there has been little collaboration between these institutions in addressing unprofessional behaviors. One collaborative concept that holds promise, however, is the idea of inviting medical students to attend physician disciplinary hearings. Students and physicians alike report that watching a hearing can significantly impact attitudes about professionalism as a part of medical practice. While formal research is scarce, the positive response of individual students who experience disciplinary hearings firsthand suggests that further pilot studies may be useful. Presented in this paper are the perspectives of three individuals — a medical student, a faculty member and a medical board chair — who discuss the impact and potential of attending disciplinary hearings in developing professionalism and ethics. Also included is a review of the current literature.

Characteristics of Physicians Referred for a Competence Assessment: A Comparison of State Medical Board and Hospital Referred Physicians

2010 ◽  
Vol 96 (3) ◽  
pp. 8-15 ◽  
Author(s):  
Elizabeth S. Grace ◽  
Elizabeth J. Korinek ◽  
Zung V. Tran
Keyword(s):  
Clinical Competence ◽  
Competence Assessment ◽  
Average Performance ◽  
Medical Board ◽  
Key Characteristics ◽  
Different Types ◽  
Specialty Board ◽  
And Performance ◽  
State Medical Boards ◽  
State Medical Board

ABSTRACT This study compares key characteristics and performance of physicians referred to a clinical competence assessment and education program by state medical boards (boards) and hospitals. Physicians referred by boards (400) and by hospitals (102) completed a CPEP clinical competence assessment between July 2002 and June 2010. Key characteristics, self-reported specialty, and average performance rating for each group are reported and compared. Results show that, compared with hospital-referred physicians, board-referred physicians were more likely to be male (75.5% versus 88.3%), older (average age 54.1 versus 50.3 years), and less likely to be currently specialty board certified (80.4% versus 61.8%). On a scale of 1 (best) to 4 (worst), average performance was 2.62 for board referrals and 2.36 for hospital referrals. There were no significant differences between board and hospital referrals in the percentage of physicians who graduated from U.S. and Canadian medical schools. The most common specialties referred differed for boards and hospitals. Conclusion: Characteristics of physicians referred to a clinical competence program by boards and hospitals differ in important respects. The authors consider the potential reasons for these differences and whether boards and hospitals are dealing with different subsets of physicians with different types of performance problems. Further study is warranted.

State Medical Board Exposure to Threats of Violence

2013 ◽  
Vol 99 (3) ◽  
pp. 11-17
Author(s):  
Kelly C. Alfred ◽  
Timothy Turner ◽  
Aaron Young
Keyword(s):  
Threat Assessment ◽  
The State ◽  
Board Members ◽  
Security Level ◽  
Stressful Situation ◽  
Medical Board ◽  
Local Law Enforcement ◽  
Training Resources ◽  
State Medical Boards ◽  
State Medical Board

ABSTRACT Between 2010 and 2012, the Federation of State Medical Boards Research and Education Foundation (FSMB Foundation) conducted a survey of state medical boards in an effort to ascertain the extent to which state medical board members and staff have experienced threats of violence and the actions taken by state boards in response to such threats. The survey also assessed current and anticipated levels of security being provided by state boards. Of the 70 boards queried, 37 responded, with 73% (n=27) of these boards reporting that their board members and/or staff had experienced either explicit or implied threats of violence. These threats targeted board members (85%), board staff (78%) and others (15%). Many of the threats directed at board members occurred after board meetings and/or hearings and were made by either a physician or a family member of a physician. Most of the threats directed at board members, staff and others were verbal, including threats of death. Most boards provide a security presence at board meetings, ranging from local law enforcement agencies to private security firms, but less than half of the respondents in the survey expressed satisfaction with their present security level. The results of the survey suggest that the state medical board community should be aware of the potential for violence against board members and staff, and should formulate prevention and threat-assessment policies as a precaution. Educational and training resources may be needed at the state board level. This could include the development of educational modules to train state public officials in conflict management, the prevention and handling of acts of violence, and how to identify and assess the seriousness of a potentially violent or stressful situation.

In Search of a New Ethic for Treating Patients with Chronic Pain: What Can Medical Boards Do?

1998 ◽  
Vol 26 (4) ◽  
pp. 332-349 ◽  
Author(s):  
Ann M. Martino
Keyword(s):  
Chronic Pain ◽  
Opioid Analgesics ◽  
Conventional Wisdom ◽  
High Profile ◽  
Medical Board ◽  
Medical Establishment ◽  
The Press ◽  
Substantial Risk ◽  
State Medical Boards ◽  
State Medical Board

A decade ago, conventional wisdom in the medical establishment was that physicians treating chronic pain with opioid analgesics were at a substantial risk of being sanctioned for overprescribing by state medical regulatory boards. Dozens of articles written since have alluded to this risk as an obstacle to effective pain re1ief. In the early 1990s, a number of high profile cases in which physicians were disciplined by regulatory boards for overprescribing to patients with chronic pain were reported in the press. Although the board actions in many of these cases were eventually overturned by state judiciaries, the publicity heightened practitioners’. sensitivity to the regulatory risks associated with prescribing opioids.A review of the available data on state medical board actions nationwide for the period from 1990 to 1996 reveals that the perception of regulatory risk far exceeds the reality. Indeed, relatively few (less than 5 percent) of the disciplinary actions taken for overprescribing by state medical boards in any given year directly concern the treatment of chronic pain—malignant or nonmalignant—in patients.

scholarly journals The Effect of State Medical Board Action on ABMS Specialty Board Certification

2019 ◽  
Vol 105 (2) ◽  
pp. 33-41
Author(s):  
Michael L. Farrell
Keyword(s):  
Quality Of Care ◽  
Board Certification ◽  
Medical Board ◽  
Specialty Board ◽  
State Medical Boards ◽  
State Medical Board ◽  
Board Action

ABSTRACT State medical board action that is deemed a restriction by an ABMS specialty board can result in a loss of board certification, impacting a physician's ability to practice, and frustrating a medical board's efforts to rehabilitate the physician and improve the quality of care provided to patients. State medical boards have difficulty predicting what types of actions constitute a restriction by a specialty board and imposing appropriate discipline because specialty boards use varying criteria to evaluate state medical board action. ABMS specialty boards experience frustration of their own when attempting to interpret actions from 70 separate state medical boards, each governed by its own laws and using its own nomenclature. This article summarizes the inconsistency of both specialty boards and state medical boards, describes the efforts to resolve this issue, and proposes a series of steps that will bring a higher degree of predictability to this process and meet the needs of all stakeholders.

Multiple Mini-interviews for Medical Students’ Admissions: Students and Faculty Perceptions on Acceptability and Feasibility

2021 ◽  
Vol 15 (12) ◽  
pp. 3294-3298
Author(s):  
Gulfreen Waheed ◽  
Sadia Zia ◽  
Yasir Ali Bhatti ◽  
Mavrah Zafar ◽  
Muhammad Saad Aziz
Keyword(s):  
Medical Students ◽  
Assessment Tool ◽  
Faculty Perceptions ◽  
Faculty Members ◽  
Future Research ◽  
Cross Sectional ◽  
Admission Process ◽  
Medical College ◽  
Medical Institutions ◽  
Selection Of

Aim: To evaluate the acceptability and feasibility of the multiple mini interviews for selecting medical students for admission in a medical institution. Methods: The current cross-sectional descriptive study is a 12-item questionnaire-based survey with a four-point Likert scale to record the anonymous responses of the candidate students’ and the interviewer faculty perceptions. Descriptive statistics were used to analyze the data quantitatively with IBM SPSS Version 25. The study evaluated the acceptability and feasibility of the utility of multiple mini-interviews (MMIs) as an assessment tool for the medical students’ selection in the admission process at Avicenna Medical College, Lahore, Pakistan. Results: A total of 438 candidate students and 42 interviewer/assessor faculty members participated in the study. Most of the candidate students (92.2%) of candidates and 97.6% of interviewer faculty regarded MMIs better than the traditional interviews for the selection of medical students. Further, 99.4% of candidate students and 97.6% of interviewer faculty were satisfied with the MMI process’s general arrangements. Finally, a hundred percent interviewer faculty and 96.8% of candidate students perceived MMIs as a feasible assessment tool for the admission process of the medical institutions. Conclusion: The overall positive responses of the candidate students and the interviewer faculty for the acceptability and feasibility of the MMI process as an assessment tool in the admission process to select medical students provide evidence for future research on the use of MMIs. In addition, other medical institutions can adapt or modify the MMI process per the available finances and resources within their local settings. Keywords: Multiple mini-interviews, Medical college admission process, acceptability, feasibility.

Improving Pain Management through Policy Making and Education for Medical Regulators

1996 ◽  
Vol 24 (4) ◽  
pp. 344-347 ◽  
Author(s):  
David E. Joranson ◽  
Aaron M. Gilson
Keyword(s):  
Pain Management ◽  
Board Members ◽  
Substantial Impact ◽  
Medical Board ◽  
Appropriate Prescribing ◽  
Regulatory Scrutiny ◽  
Regulatory Barriers ◽  
Effective Pain Relief ◽  
State Medical Boards ◽  
State Medical Board

Physician concern about regulatory scrutiny as a barrier to appropriate prescribing for pain management has been identified and studied. A 1991 Pain Research Group survey demonstrated a need to provide updated information about opioids and pain management to state medical board members. Indeed, a national survey even showed a need to provide more education about pain management to oncology Physicians. Two approaches for responding to these concerns have been undertaken in several states by the state medical boards and the pain management community: the development and adoption of administrative policies designed to bring disciplinary standards in line with clinical practice; and the creation of education programs for state medical board members and staffs. Each can have a substantial impact on removing real and perceived regulatory barriers to effective pain relief.

Expert Psychiatric Evidence in Sexual Misconduct Cases Before State Medical Boards

1992 ◽  
Vol 18 (3) ◽  
pp. 171-201
Author(s):  
Andrew L. Hyams
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Expert Testimony ◽  
Sexual Misconduct ◽  
The Public ◽  
Medical Board ◽  
Current State ◽  
Rules Of Evidence ◽  
State Medical Boards ◽  
State Medical Board

The growing problem of physician sexual misconduct has captured the attention not only of the medical and legal communities, but of the public as well. State medical boards, administrative agencies with generous rules of evidence and varying levels of expertise, face the difficult task of responding to patients’ allegations of physician sexual abuse. This Article, based in large part on the author's survey of current state medical board practice, reveals an increasing reliance on expert psychiatric testimony to explain the behavior of complainants and accused physicians. Drawing analogies from the use of psychiatric evidence in child sexual abuse cases, the author examines the factors that boards must consider in determining the admissibility of expert testimony in physician sexual misconduct cases, and calls upon states to establish clear evidentiary rules to govern the use of such testimony in administrative hearings.

scholarly journals Impact of online learning; experiences and attitudes of faculty and students from two medical colleges

2020 ◽  
Vol 3 (2) ◽  
pp. 93-98
Author(s):  
Safina Ahmed ◽  
Mahwish Niaz ◽  
Zara Seemab ◽  
Rifat Nadeem
Keyword(s):  
Medical Education ◽  
Online Learning ◽  
New Technology ◽  
Faculty Members ◽  
Online Curriculum ◽  
Model Combining ◽  
Medical Institutions ◽  
E Learning ◽  
The Impact ◽  
Medical Colleges

Introduction: In this changing paradigm of flipped classrooms, online learning is becoming center of focus. The spread of CoVID-19 pandemic has prompted medical institutions to quickly adopt online curriculum delivery to avoid any breaks. This transition seems to adequately serve the needs of medical education. As this new technology is rapidly being implemented, the students’ and teachers’ perspectives need to be evaluated to assess the outcome of these changes and to design effective strategies. Objectives: To assess the impact of online learning by recording experiences and attitudes of faculty members and students from two medical institutions. Materials & Methods: The study was conducted at SCM and FUMC, Islamabad. 275 3rd year MBBS students from both medical colleges along with 40 faculty members were enrolled after taking consent. Their perspectives were taken by a questionnaire. They were asked about familiarity of e-learning, its advantages, disadvantages, credibility of online assessments and whether e-learning should be part of future medical education. The data was analyzed using SPSS23. Results: 34 faculty members and 214 students from both institutes completed the questionnaire. Majority of the faculty members and students believed that e-learning can only serve as complementary role to traditional teaching. Conclusion: E-learning provided us the needed mode to continue delivering the course in the need of the hour. Both faculty and students deemed that online learning is not as proficient as face-to-face teaching however, hybrid model combining both modalities can achieve better results.

Effects of the COVID-19 epidemic on the employment intention of medical students in China：A cross-sectional online questionnaire survey (Preprint)

2020 ◽  
Author(s):  
Changhui Wang ◽  
Long Xuan ◽  
Jie Zhang ◽  
Aihong Mei ◽  
Wanwan Yi ◽  
...  
Keyword(s):  
Medical Students ◽  
Graduate Students ◽  
Ethics Education ◽  
Educational Status ◽  
Willingness To Participate ◽  
Academic Degree ◽  
College Graduate ◽  
Chinese Medical Students ◽  
The Impact ◽  
Willingness To Engage

BACKGROUND As a serious public health event, the coronavirus disease 2019(COVID-19) pandemic is raging around the world. Whether it has an effect on medical students' employment intention is unknown. OBJECTIVE To explore the impact of COVID-19 on the employment intention of Chinese medical students and its associated factors. METHODS An electronic questionnaire was designed to conduct an anonymous online convenient sampling survey for medical students in China. 1163 medical students from thirty-one different provinces of different academic degrees, current educational status, and regions were surveyed. The questionnaire investigated the overall impression of the impact of the COVID-19 epidemic on medical students’ employment intentions, the willingness to engage in clinical or basic research after graduation, the willingness to engage in epidemic-related specialties after graduation, and the willingness to participate in epidemic-related work. RESULTS The medical students' employment intention was correlated with academic degree (ρ=0.09, P=.003), current educational status (ρ=0.10, P=.001), and geographical region (ρ=-0.07, P=.03). For choosing clinical work or scientific research, statistical significance was observed in gender (21=7.0, P=.008), degree (22=8.6, P=.01), and current educational status (22=65.0, P<.001); degree and current educational status were the key factor affecting the selection(all P<0.001). Statistically significant correlation was observed between the willingness to engage in epidemic specialties and educational status (ρ=0.10, P=0.001), degree (ρ=0.18, P<0.001) and region (ρ=-0.07, P=.03). Clinical interns (22=75.9, P<.001), college graduate students (Z=-4.4, P<.001) and postgraduate students (Z=-5.3, P<.001), and medical students from regions with severe epidemic or high risk (Z=-2.2, P=.03) were less willing to engage in epidemic related specialties. Medical students with postgraduate’s degree was less willing to participate in epidemic related work than college graduate students (Z=-3.2, P=.001), and students from severe epidemic regions were less willing to participate in epidemic related work (Z=-3.2, P=.001). Spearman rank correlation analysis showed that there were statistically significant correlation between the willingness to participate in epidemic related work and region (ρ=-0.10, P=.001). CONCLUSIONS The COVID-19 pandemic has a significant influence on the employment intention of Chinese medical students from different degrees, educational status and regions. More professional ethics education, preferential policies, and encouragement should be supplied to medical students.

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