Ethics Remediation, Rehabilitation, and Recommitment to Medical Professionalism: A Programmatic Approach

Caldicott, Catherine V.; d'Oronzio, Joseph C.

doi:10.1080/10508422.2014.930687

Cited by 8 publications

(29 citation statements)

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“…By contrast, an approach that regards the errant practitioner as "ethically impaired" could follow the model of physician health programs to treat and rehabilitate rather than punish the "impairment." 17 • Revise the language of consent decrees or Medical Practice Acts: Many professional missteps represent inherent ethical lapses in addition to the more obvious clinical or legal lapses.…”

Section: Example: the Use Of Electronic And Social Media Part Onementioning

confidence: 99%

A ‘Period of Maladjustment’:

Caldicott¹

2017

Journal of Medical Regulation

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Rapid changes in the medical practice environment pose novel ethical challenges for clinicians. As during any time of great innovation, unanticipated conflicts, problems, or ethical questions may arise, creating a “period of maladjustment” between the introduction of the innovation or technological advancement and the point at which society achieves consensus on the appropriate use of that innovation or advancement. This article reports examples of physicians and physician assistants who exercised poor judgment — often in the absence of systems or structural supports — when faced with novel ethical dilemmas involving advancements such as electronic health records, social media, medical marijuana certification, and access to an international marketplace for drugs and devices. It suggests areas for intervention for licensing boards, educators, and other oversight entities that may better equip licensees to address these novel ethical dilemmas. Finally, because the primacy of patient welfare cannot be the responsibility of individual providers alone, this article supports a call to action for organizations to develop structures to support a culture of professionalism dedicated to safeguarding patients, clinicians, and the profession of medicine itself in this new medical environment.

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Section: Example: the Use Of Electronic And Social Media Part Onementioning

confidence: 99%

A ‘Period of Maladjustment’:

Caldicott¹

2017

Journal of Medical Regulation

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“…In 1992, at the request of the New Jersey Board of Medical Examiners, three colleagues and I developed such a program for state medical licensing boards and their physician licensees. We named it the ProBE Program, an acronym for "Professional Problem-Based Ethics," and it became a resource to which a board might refer errant physicians for a kind of ethical rehabilitation as part of a disciplinary order [2]. ProBE was groundbreaking and is unique in its focus on professional ethics and the specific infraction for which an individual is referred.…”

Section: Education Remediation and The Cultivation Of Judgmentmentioning

confidence: 99%

“…Thus, it is not surprising that boundaries are the most common topic about which we educate physicians. Between 1992 and 2013, 11.4 percent of ProBE participants were referred for sexual misconduct, included within a total of 38 percent referred for boundary violation more generally [2].…”

Section: Education Remediation and The Cultivation Of Judgmentmentioning

confidence: 99%

“…The sources for such information come from state-specific disciplinary records in which sex-related offenses are more clearly identified than other general boundary violations. The formal classification of what counts as other boundary violations differs from jurisdiction to jurisdiction and is often generalized as "unprofessional" or "unethical" conduct, and thus is difficult to specifically quantify [2]. Moreover, the actual extent of sexual violations and perhaps other boundary violations is difficult to determine.…”

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confidence: 99%

“…Some medical specialties and practice settings are at greater "risk" of sexual or other boundary violations. Psychiatry is often identified as a specialty with a higher-thanaverage percentage of membership cited for sexual misconduct [4,7,8], and various reports and analyses have also pointed to high incidence in the primary care specialties [2,[9][10][11]. The ambulatory or office-based setting is thus the most common venue for boundary-violating behavior [12], perhaps due to there being less scrutiny in this domain where the physician is the sole authority [2].…”

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confidence: 99%

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Professional Codes, Public Regulations, and the Rebuilding of Judgment Following Physicians' Boundary Violations

d'Oronzio¹

2015

AMA Journal of Ethics

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In every house where I come I will enter only for the good of my patients, keeping myself far from all intentional ill doing and all seduction, and especially from the pleasures of love with women or with men." Hippocratic Oath [1] The phrase "physician-patient boundary violation" conjures up the image of a physician taking sexual advantage of a patient-the physician with wandering hands who improperly touches a patient or who makes suggestive entrées of a sexual natureactions repulsive and demeaning to the patient and fundamentally inconsistent with the role of the clinician. The physician has simultaneously overridden the normal requirements of ethical interpersonal behavior and undermined the integrity of his or her profession.

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Boundary Violations

Martinez

Friedman

2022

Malpractice and Liability in Psychiatry

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Ethics Remediation, Rehabilitation, and Recommitment to Medical Professionalism: A Programmatic Approach

Cited by 8 publications

References 6 publications

A ‘Period of Maladjustment’:

A ‘Period of Maladjustment’:

Professional Codes, Public Regulations, and the Rebuilding of Judgment Following Physicians' Boundary Violations

Boundary Violations

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