Journal of Medical Regulation

ABSTRACT: Purpose: To identify risk and protective factors associated with physician performance in practice; to use this information to create a risk assessment scale; and, to test use of the risk assessment scale with a new population of assessed physicians. Design: Physician assessments that were completed by community-based physicians between March 2016 and February 2022 (n =2708) were gathered to determine what professional characteristics and practice context factors were associated with poor peer practice assessment (PPA). The predictive capacity of the resulting model was then tested against a new sample of physician assessments completed between March 2022 and February 2023 (n =320). Results: N=2401 physicians were eligible for inclusion in a logistic regression analysis, which resulted in an empirical model containing 11 variables that was able to account for 21.6% of the variance in the likelihood of receiving a poor PPA generated by the College of Physicians and Surgeons of British Columbia. The resulting model, when tested against 320 new cases, was able to predict good versus poor PPA performance with a sensitivity of 0.79 and specificity of 0.75. Not having undertaken peer review (OR=1.47) created a risk like that arising from a full decade passing since completion of medical school (OR=1.50). Conclusion: In addition to being the largest known study of its type, this work builds on similar studies by demonstrating the capacity to use regulator-mandated peer review to empirically identify physicians who are at risk of substandard performance using factors that are safe from claims of violating Human Rights Codes; that emphasize modifiable aspects of practice; and that can be readily updated to account for change over time.

Sherylyn Arabsky

Nadya Castro

Michael Murray

Kevin W. Eva

Risk Based Regulation in Quality Assurance: Selection of (and Benefits Experienced by) Registrants Undertaking Regulator-mandated Peer Review

基于风险的质量保证监管：接受监管机构强制同行评审的注册者选择及经验收益

Udayan K. Shah

Fatal Jump: Tracking the Origin of Pandemics

致命跳跃：追踪大流行病的起源

ABSTRACT: Purpose: To present the first 14 years’ data from 1 academic institution using the American Foundation for Suicide Prevention's online Interactive Screening Program (ISP). The ISP probes suicide risk factors in healthcare workers, utilization of mental health services, levels of engagement, and seeks to reduce barriers to help-seeking. Design: Data from all healthcare system students, medical trainees, physicians, nurses, and staff who completed the ISP's online Stress and Depression Questionnaire between May 1, 2009, and April 30, 2023, were tabulated and analyzed for features related to burnout, depression, suicide risk, treatment, and engagement with program counselors. Results: 5368 individuals engaged in ISP screening. Findings included 39.9% experiencing depression symptoms, 53.9% symptoms of burnout, and 10% suicidal ideation. In this self-selecting group, medical students reported depression symptoms less than physicians in practice, nurses almost 3 times more than physicians, and females more than males. Suicide risk was indicated by multiple domains of distress, with 49.4% in the highest risk tier. At the time of completing the questionnaire, 13.1% were receiving counseling/therapy. After receiving feedback, more than one-quarter of all participants (27.6%) engaged with the program counselors, with an additional 941 individuals who were not already receiving counseling or therapy accepting referrals to mental health providers. Conclusion: The unattended high distress levels throughout the healthcare training and workforce demonstrated the need for safe screening and referral, while the level of engagement and referrals generated by the ISP attested to its effectiveness.

Sidney Zisook

Neal Doran

Christine Moutier

Desiree Shapiro

Nancy Downs

Courtney Sanchez

Rachael Accardi

Judy Davidson

Supporting Healthcare Workers Well-Being and Suicide Prevention: The HEAR Program May 2009 – April 2023

支持医疗工作者福祉与预防自杀：HEAR计划（2009年5月-2023年4月）

Mark A. Bechtel

From the Editor

来自编辑

ABSTRACT: The World Health Organization has released its first comprehensive Guidance document on health practitioner regulation, addressing a critical gap in global health policy. This Commentary provides an overview of the Guidance, which aims to support countries in strengthening their regulatory systems for health practitioners. The Guidance, developed through a rigorous process involving a literature review and expert consultation, covers a broad range of health practitioners and focuses on optimizing their utilization to meet population health needs. Key highlights include the description of the global regulatory landscape, identification of regulatory challenges in all societies, and policy considerations to realize dynamic, effective, and agile regulation. The COVID-19 pandemic is cited as an important example of a catalyst for regulatory reforms that enhanced workforce availability and access. This paper, co-authored by members of the World Health Organization Technical Expert Group, emphasizes the importance of aligning regulatory systems with broader health workforce and system priorities, adopting a risk-based approach, and addressing implementation gaps. It encourages policymakers, regulators, and researchers to use the Guidance to assess and update their regulatory systems and to generate more robust evidence on the impact of health practitioner regulation on health outcomes.

Elsheikh Badr

Ruth Nigatu Bealchew

David Benton

Antonia Carzaniga

Jishnu Das

Mark Dexter

Martin Fletcher

André Gariépy

Morris Kleiner

Elizabeth Oywer

Michele Rumsey

Mike Saks

Natéwindé Sawadogo

Joan Simeon

Francis Wafula

World Health Organization <i>Guidance</i> on Health Practitioner Regulation: An Overview

世界卫生组织《健康从业者监管指南》概述

ISSN	2572-1801, 2572-1852
h-index	13

出版信息	出版商: Federation of State Medical Boards，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2014，原创研究文献占比: ，自引率:， Gold OA占比:

Journal of Medical Regulation

期刊引文格式

有 1 位以上作者的期刊

有 2 位作者的期刊

有 3 位作者的期刊

有 5 位以上作者的期刊

书籍引用格式

学位论文引用格式

网页引用格式

专利引用格式

手工熬夜修改参考文献？研飞自动匹配期刊，一键轻松成稿，支持 Word/WPS

投稿经验分享

Risk Based Regulation in Quality Assurance: Selection of (and Benefits Experienced by) Registrants Undertaking Regulator-mandated Peer Review

Fatal Jump: Tracking the Origin of Pandemics

Supporting Healthcare Workers Well-Being and Suicide Prevention: The HEAR Program May 2009 – April 2023

From the Editor

World Health Organization Guidance on Health Practitioner Regulation: An Overview

Risk Based Regulation in Quality Assurance: Selection of (and Benefits Experienced by) Registrants Undertaking Regulator-mandated Peer Review

Fatal Jump: Tracking the Origin of Pandemics

Supporting Healthcare Workers Well-Being and Suicide Prevention: The HEAR Program May 2009 – April 2023

From the Editor

World Health Organization Guidance on Health Practitioner Regulation: An Overview