How about: get government out of medicine gatekeeping, entirely; other than graduation from med school and residency -- both of which should be certificates that auto-grant permanent licensure. STOP THE STUPID STATE-SPECIFIC LICENSURE AND THE HOSPITAL-SPECIFIC "CREDENTIALLING". If a doc is worth de-licensing in one state, he shouldn't work at all; that bar should be HIGH (it isn't now), given the fabulous amount of personal effort and personal-and-govt-guaranteed expense outlayed, in advance...
How does medicine SOC change across a state line? it doesn't; or in a different hospital? it shouldn't. So license onceat graduation from med school; Credential once versus your residency logs and versus a Standard Of Care, at graduation from residency (or before, even).
<dismounts soapbox>
More seriously -- cuz I don't think the gatekeepers will let go -- legislators should AT LEAST stay out of practicing medicine. They don't have the training. Even the docs in that legislative role, no longer practice medicine...
So license once at graduation from med school; Credential once versus your residency logs and versus a Standard Of Care, at graduation from residency (or before, even).
I would like to see some level of continuing education requirement. But not the kind that currently exists, that becomes a week long party, with no requirement to actually attend the sessions.
It would be better for them to be required to read and respond in a professional manner to research in their field. Doctors should be well trained enough to conduct self learning, the push should be to be looking at new ideas and writing proposals about how their organization can use them (or rejections of the idea stating why the data isn’t good enough to support changes in the standards of care.
Sounds reasonable. Just some way to ,ensure they keep up with current approaches. Self learning is a reasonable approach, but so much harder to measure. Org proposals could be one way, but there would have to be others.
This would be a step in the right direction. Can confirm the on-boarding and credentialing process is absolutely insane. The more government/insurance/hospital bureaucracy is involved in medicine, the less it becomes about healing and helping patients.
I don’t have a problem with continuing education but GOOD doctors are always learning and reading. They don’t need the government or governing medical bodies to tell them to do it. This would be evidenced in the marketplace with people having a choice as to who they go to and who they don’t go to.
Ahem. <mounts soap box>
How about: get government out of medicine gatekeeping, entirely; other than graduation from med school and residency -- both of which should be certificates that auto-grant permanent licensure. STOP THE STUPID STATE-SPECIFIC LICENSURE AND THE HOSPITAL-SPECIFIC "CREDENTIALLING". If a doc is worth de-licensing in one state, he shouldn't work at all; that bar should be HIGH (it isn't now), given the fabulous amount of personal effort and personal-and-govt-guaranteed expense outlayed, in advance...
How does medicine SOC change across a state line? it doesn't; or in a different hospital? it shouldn't. So license once at graduation from med school; Credential once versus your residency logs and versus a Standard Of Care, at graduation from residency (or before, even).
<dismounts soapbox>
More seriously -- cuz I don't think the gatekeepers will let go -- legislators should AT LEAST stay out of practicing medicine. They don't have the training. Even the docs in that legislative role, no longer practice medicine...
40+ governors have been practicing medicine without a license, and killed 135,000 +
I would like to see some level of continuing education requirement. But not the kind that currently exists, that becomes a week long party, with no requirement to actually attend the sessions.
It would be better for them to be required to read and respond in a professional manner to research in their field. Doctors should be well trained enough to conduct self learning, the push should be to be looking at new ideas and writing proposals about how their organization can use them (or rejections of the idea stating why the data isn’t good enough to support changes in the standards of care.
Sounds reasonable. Just some way to ,ensure they keep up with current approaches. Self learning is a reasonable approach, but so much harder to measure. Org proposals could be one way, but there would have to be others.
This would be a step in the right direction. Can confirm the on-boarding and credentialing process is absolutely insane. The more government/insurance/hospital bureaucracy is involved in medicine, the less it becomes about healing and helping patients.
I don’t have a problem with continuing education but GOOD doctors are always learning and reading. They don’t need the government or governing medical bodies to tell them to do it. This would be evidenced in the marketplace with people having a choice as to who they go to and who they don’t go to.