occupational licensing that licensing increases costs and fails to improve quality,
patient deaths
the number of disciplinary actions made by state medical boards may not be a precise indicator of quality
for providing excellent patient care
wrongfully disciplined physicians for reporting their colleagues
State medical boards have increased the number of disciplinary actions against physicians since the 1980s.[10] However, the number of disciplinary actions made by state medical boards may not be a precise indicator of quality as some have wrongfully disciplined physicians for reporting their colleagues as well as for providing excellent patient care
Medical license from wikipedia - this article reviews the requirement of a medical license to practice medicine, compares medical regulation in several different countries, and discusses criticisms of state medical boards.
According to Leonard et al. “effective communication and teamwork is essential for the delivery of high quality, safe patient care.
Legislators and health care reform activists may be interested in encouraging policies and laws that ensure the SMBs are composed of those that can communicate and work in teams effectively.
MEDICAL BOARD COMMITTED FRAUD
THE DISRUPTIVE REGULATOR
The quality and accuracy of medical regulation is an understudied topic
those interested in health care policy, quality, and regulation might identify this largely unstudied area as an untapped resource with rich potential for future discovery
QUESTIONS ABOUT THE EXTENT OF MEDICAL BOARD MISCONDUCT
Future studies are needed to evaluate the quality of medical regulation
THE MEDICAL BOARD LACKED KNOWLEDGE
Are State Medical Boards in Need of Reform?
There may be conflicts of interest involving the SMB attorneys who are paid hourly and rewarded instead of punished for filing false claims in court
The findings on State Medical Board misconduct are concerning. Effective communication within these boards is crucial for patient safety. I think legislators and healthcare advocates should push for reforms to ensure boards comprise professionals capable of teamwork. Also, it is worth exploring various technology-driven solutions that transform the patient experience and financial performance of healthcare providers. I suggest addressing r1 rcm customer service https://www.pissedconsumer.com/company/r1-rcm/customer-service.html for this purpose.
This study about medical regulation in Missouri details the numerous errors in evaluating the care provided by Dr. Antoine Adem. The state medical board tried to discipline the cardiologist's medical license for allegedly providing negligent and unsafe patient care. Unfortunately, what this article highlights, is that it was not Dr. Adem who failed ot use his skills and knowledge in the duties of the profession, but it was the members of the Missouri Board of Registration for the Healing Arts who failed to demonstrate competent medical knowledge and sufficient skills to properly evaluate the medical care provided by their licensees. If a physician on the medical board is unable to evaluate the care provided by a licensee, then they may pose a danger to the public due to their incompetence and, at the very least, should be second-guessed.
his report, from Missouri, describes the repeated failure of the State Board of Registration for the Healing Arts (SBRHA) in distinguishing safe and effective coronary artery stenting from unnecessary stenting.
state medical boards (SMBs
d to ensure that only competent physicians are practicing medicine and that those physicians act in a professional manner
According to Chaudhry et al., physicians are given due process by SMBs [1,9]. However, this report of fraudulent or fraud-like regulation by the SBRHA demonstrates that licensees are not always afforded the “luxury” of due process.
This report describes the numerous efforts to discipline interventional cardiologist, Antoine Adem, MD, by the Missouri (MO) State Board of Registration for the Healing Arts (SBRHA)
The SBRHA cited no peer-reviewed literature or scholarly work in support of their claims of negligent patient care.
legislatively establish
filed blatantly dishonest
ried to conceal the exculpatory deposition of Dr. Tobis
The SBRHA
scientifically unmeritorious claims alleging unsafe patient care in court
ntentionally mischaracterized the medical records reviewed by Dr. Kern
“to punish or penalize in order to train and control
definition of discipline
is it concerning that none of the eight doctors on the SBRHA demonstrated sufficient medical knowledge to either know that Dr. Adem’s provision of care was appropriate or to learn that it was appropriate
The physicians of the MO SBRHA have repeatedly demonstrated
misrepresentation
ignoranc
attempted concealme
regulatory miscondu
fraud
ineffective communication
gross negligence
Further investigation and study of regulatory misconduct by SMBs is critical to determine its extent and impact.
This article provides novel insight into the quality of medical regulation by the Missouri Board of Registration for the Healing Arts. This article raises critical questions about the efficacy and integrity of a state medical board and suggests that further study is needed to evaluate the extend of regulatory misconduct.
"What is particularly egregious about SBR's [SBRHA’s] 'offer of proof ' [made during the July 2013 trial] is that it is completely inconsistent with Dr. Kern's April 18, 2013 deposition testimony. This Commission need not look any further than the first patient case, patient E.O., to determine that the offer of proof is grossly inaccurate at best and a fraudulent misrepresentation to this Commission at worst.
Missouri (MO) State Board of Registration for the Healing Arts (SBRHA)
physician professionalism.
Brett Snodgrass, MD
physicians is overseen by state medical boards (SMBs)
“unfathomable and deeply disturbing [sic],”
“wholly unworthy of a state agency [sic],”
Commissioner Dandamudi’s 2013 proposed report
misconduct by the SBRHA.
severity
Dr. Adem’s
Morton Kern, MD,
Commissioner Dandamudi
SBRHA may have committed fraud
Dr. Jonathan Tobis
State Board of Registration (SBR)
The SBRHA tried to frame Dr. Adem several times
Fifth, if a single act of misrepresentation or fraud is a threat to the public, should consideration be given to the need to discipline the members of the SBRHA for their deceptive regulatory conduct
The SBRHA’s disruption of the practice of medicine was profound, and investigation and research into the causes of the unacceptable regulatory conduct are needed
a longtime military contractor, acting after a string of Army medical students testified that Dr. John Hagmann had subjected them to dangerous experiments and sexual exploitation.
Thousands of doctors are being disciplined by state medical boards for serious wrongdoing. But finding out who those doctors are can be difficult
The takeaway - doctors on the state medical board engage in conduct far more unethical than many of the physicians they discipline... Harming patients is okay, if they do it. However, reporting patient harm and unsafe patient care is unethical - at least according to the Missouri medical board.
Consumer Reports' investigation shows how hard it can be to find out whether your doctor has been cited for substandard medical care or other issues.
The North Carolina medical board staff are kind and courteous and occasionally would reply to me, but the executive director and the staff of the Missouri Board of Registration for the Healing Arts acts contemptuously towards others that ask them to not file blatant lies in court about months of unsafe breast cancer testing.
Freeman also appeals to novelty, writing that our licensing laws are old and relates this to the idea of general practitioners. However, the USMLE Step 3 was specifically designed to assess the ability of physicians to work unsupervised in an ambulatory care setting
Although there is more information than ever before, there is no evidence to assert that physicians are unable to look it up online, use team-based care, telemedicine, and to refer a patient that the provider is not comfortable in treating [1].