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.
"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
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.
Mishler's original complaint alleged the malicious deprivation of his constitutionally-protected property right to obtain official verification of the existence of his license
licensing tribunal must be impartial and cannot act on the basis of personal bias.
It took 10 years of litigation to address the corruption and dishonesty of the state medical board. The state medical board members used the state's authority to pursue strictly personal agendas and they maliciously deprived Alan J. Mishler, MD, the good neurosurgeon of his constitutional rights.
The 2011 UMKC Pathology Breast Cancer Scandal was a cover-up of the prolonged, unsafe, ischemic times provided to women with breast cancer in the UMKC-TMC Pathology Department. Reports of unsafe patient care went neglected by the pathology chair, an attending, the residents, the DIO. I reported this to the ACGME in 2011 and in 2014 I discovered that the UMKC-Graduate Medical Education office lied to the ACGME about months of breast cancer care.
wrongfully disciplined physicians for reporting their colleagues
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
occupational licensing that licensing increases costs and fails to improve quality,
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.
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].