Maintenance of Professional Competence  

Oleh:

Breen, Kerry J. ; Cordner, Stephen M. ; Thomson, Colin J. H. ; Plueckhahn, Vernon D.

Jenis: Article from Books - E-Book
Dalam koleksi: Good Medical Practice Professionalism, Ethics and Law, page 184-194.
Topik: Maintaining Professional Competence; Evaluation/Audit Programs; Quality Assurance
Fulltext: Maintenance of Professional Competence.pdf (153.37KB)

Isi artikel

No doctor will deny an ethical obligation to provide competent clinical care to patients, but many have been reluctant to embrace compulsory continuing medical education (CME) or compulsory recerti?cation of their professional competence. Such reluctance in regard to making this obligation compulsory relates to factors including scepticism that recerti?cation will necessarily improve standards of patient care or prevent the problems created by incompetent members of the profession; awareness that the medical profession is generally very committed to CME, and to evaluation of care through clinical research and its dissemination and publication; and, lastly, sensitivity by many doctors to the accountability already required of them by the courts, health complaints mechanisms and medical boards. There has, however, emerged a more positive approach to the need to document maintenance of professional competence in the profession with formal initiatives taken by all the medical colleges. These initiatives, while eschewing examinations, are designed to re?ect the realities of everyday professional life and are consistent with education and learning theory, itself still evolving. A small proportion of doctors still resent this perceived bureaucratic intrusion, but the bene?ts for the medical profession and the community outweigh any additional effort involved in documenting what most doctors already do. Apart from the ethical dimension there are other in?uences at work in the move to document the maintenance of professional learning and competence of doctors. At the institutional level, voluntary accreditation of hospitals via a process attesting to the meeting of predetermined standards began when the Australian Council on Healthcare (initially ‘Hospital’) Standards (ACHS) was established in 1974. The ?rst medical college to introduce mandatory recerti?cation of competence was the Royal Australian College of Obstetrics and Gynaecology when it was established in 1978. The federal government has also been interested in this subject, dating back to an ultimatum, given to the medical profession in 1976 by the federal Minister of Health, that unless the profession established a system of peer review and audit within 3 years, the government would institute such a system.

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