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Substance Use Disorder (SUD) affects thousands of physicians, nurses, pharmacists and other healthcare providers across the country. Healthcare providers who suffer from SUD are different from those in the general population who suffer from SUD, because the healthcare provider must be able to think and act appropriately to perform the duties of their respective jobs. Healthcare providers who misuse substances present not only a risk to their own health, but may also threaten the health, safety, and welfare of the patients in their care. The potential for patient harm is the cause for licensure discipline, as licensing jurisdictions seek to protect their healthcare consumers. Licensure discipline, however, may deter the provider from seeking appropriate treatment, causing them to continue practicing, while trying to avoid detection. This places patients at risk for harm. The purpose of this secondary data analysis is to compare the licensure discipline of nurses, physicians, and pharmacists with substance use disorder. Chi-square tests are used to compare disciplinary action from each profession reported to the National Practitioner Data Bank from 2007-2017 in 24 states. Eight different disciplinary outcomes are compared among the three professions based on eight grounds for discipline related to substance use disorder. Keywords: Licensure discipline, healthcare professionals, substance use disorder.
How do we know when physicians practice medicine safely? Can we trust doctors to discipline their own? What is a proper role of experts in a democracy? In the Public Interest raises these provocative questions, using medical licensing and discipline to advocate for a needed overhaul of how we decide public good in a society dominated by private interest groups. Throughout the twentieth century, American physicians built a powerful profession, but their drive toward professional autonomy has made outside observers increasingly concerned about physicians’ ability to separate their own interests from those of the general public. Ruth Horowitz traces the history of medical licensure and the mechanisms that democratic societies have developed to certify doctors to deliver critical services. Combining her skills as a public member of medical licensing boards and as an ethnographer, Horowitz illuminates the workings of the crucial public institutions charged with maintaining public safety. She demonstrates the complex agendas different actors bring to board deliberations, the variations in the board authority across the country, the unevenly distributed institutional resources available to board members, and the difficulties non-physician members face as they struggle to balance interests of the parties involved. In the Public Interest suggests new procedures, resource allocation, and educational initiatives to increase physician oversight. Horowitz makes the case for regulations modeled after deliberative democracy that promise to open debates to the general public and allow public members to take a more active part in the decision-making process that affects vital community interests.
Winner of the Irish Law Awards Book of the Year 2023 Various disciplinary and regulatory bodies have different rules, powers and procedures, even while sharing a basic legal framework. This book allows a legal practitioner who is appearing before such a body to prepare their case by setting out what powers the body has, what evidence it can hear, the form the procedure will take, whether they can call witnesses, and what sanctions it can impose. This book is the first title to consider the specific question of the regulation of statutory professions in Ireland including architects, surveyors, teachers, pharmacists, health and social care professionals and accountants. Part I deals with general principles and practice, covering such areas as complaints, fair procedures and sanctions. Part II examines each of the relevant professions in turn. Covers the following developments, legislation and case law: The difference of between professional misconduct conduct and poor professional performance Teaching Council (Amendment) Act 2015 Healthcare (Miscellaneous Provisions) Bill 2017 Regulated Professions (Health and Social Care) (Amendment) Act 2020 Corbally v Medical Council & Others Medical Council v Lohan-Mannion Doocey v Law Society TM v Medical Council This title is included in Bloomsbury Professional's Irish Employment Law online service.
The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.
The California Board of Registered Nursing is tasked with protecting the health and safety of Californians by licensing and regulating the practice of nursing in the state. One way it does this is by using voluntarily provided reports of alleged violations of the Nursing Practice Act. This report, as required by Senate Bill 799 (Hill, 2017), reviews the different forms of reporting systems used in California and other states, the barriers to reporting alleged violations that can occur, and provides policy options for the state to consider. In addition to voluntary reports, 32 other states require mandatory reporting in certain situations, such as when an employer fires or suspends a registered nurse. Information from other states and literature on the topic are mixed, however, and demonstrate challenges with both the voluntary and mandatory reporting systems.
This book explores the pressing issue of regulating & certifying a healthcare provider's qualifications & skills. It examines the issues & challenges in professional regulation today as a result of managed care, cost containment, & outcomes measurement. The impact of emerging healthcare markets & increased consumer empowerment on the future role of professional regulation is also discussed. "[This book] distills the relevant & interesting aspects of professional regulation into [a] remarkably readable & informative text. It reduces the confusing aspects of administrative law into understandable terms for the non-attorney."-The Journal of Medical Licensure & Discipline.