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39 Comments
- jenny867, on 12/05/2007, -0/+31a 20$ incentive check? to doctors?
- coltrane68, on 12/05/2007, -0/+14The study may have been interesting, but this article is much too shallow. It is so superficial that any interpretation is impossible.
- NinjaBoy, on 12/05/2007, -0/+13As a man working in the public opinion research industry dealing mainly with health care...it works.
- Frecklefoot, on 12/05/2007, -0/+10They need it to pay for medical school.
- goldfenix, on 12/05/2007, -0/+8"A third of surveyed doctors said they would order an unnecessary and expensive MRI scan just to get rid of a complaining patient."
What, you wouldn't? - guerj, on 12/05/2007, -0/+8I saw my doctor with a 'Stop Snitchin' T-Shirts the other day. I guess that's how he roll.
- Matt2k, on 12/05/2007, -0/+6Absolutely not, it's professional suicide. But it goes deeper than that. A good doctor is concerned only with the patient. In the complex social mesh that is the medical world, if they start bad-mouthing every half-competent physician, it makes their job treating THEIR patients that much more difficult. Of course if something exceptionally egregious were to happen, they would get called out by their colleagues, but medical mistakes don't have to be flagrant to be harmful. It's a thin line.
All doctors I've dealt with have never spoken ill of other doctors, although they very carefully hint towards their true feelings. If you're perceptive, you can pick up on it.
I did deal with one doctor who was actively pursuing a complaint against the inadequacy of some medical team I had personal experience with. I gave him some narratives of my experiences with them in a taped interview that he was presenting to a committie. But it was an uphill battle and his career has since suffered. - jololli, on 12/05/2007, -0/+5How about not being a dick psychology wizard, and spending two minutes to fill out a survey for $20. There is no "trick" to this scenario.
- BOFH2, on 12/05/2007, -0/+5Not in my experience. 3 orthopedics and 2 GPs found negligence in previous experiences(documented on my charts and they told me that I should just be glad that I was now ok
- asdfrewq, on 12/05/2007, -0/+4Yep. Let's put more pressure on people in high stress situations. Good idea.
- bloodguard, on 12/06/2007, -0/+4The sort of do. When I was getting MOHs surgery and my GP found out who was going to preform it she quietly suggested that I ask for someone else.
- Bronstone, on 12/05/2007, -0/+3Most regulatory colleges (boards) have public members to help with transparency and to make the profession does have the publics best interest at heart. I think this could be improved by having a member of a different profession be part of the regulatory colleges as well to make sure that covers ups aren't happening. For example, the medical board could have a physio be part of the regulatory college, etc. Far too many of the health professions colleges are secretive which in no way benefits the public whatsoever.
- Ascus, on 12/05/2007, -0/+3Sadly, not to rat out your co-workers ingrained from day one. "No one likes a tattle-tale", so why should doctors be any different.
- jololli, on 12/05/2007, -0/+3Misleading title/description, doctors are not being paid $20 in exchange for ratting someone out as some here seem to believe.
- Aesculapius, on 12/06/2007, -0/+3There is an underlying assumption here: If doctors don't rat on bad doctors, then they cannot self regulate.
But the process does not work like that. What this is really talking about is a process known as peer review.
Many institutions, such as hospitals, state boards and clinics have a vested interest in making sure that their doctors are providing competent and safe medical care. It is absolutely wrong to let it happen, but it also poses a liability risk and a PR risk for those institutions to allow it to happen.
For this reason, a peer review process is in place at all of these institutions. In the case of hospitals, the process is spelled out in their bylaws.
Now, peer review can be a reactionary process. A complaint is brought forward not just by another doctor, but possibly by a nurse, family member, patient, tech, whoever. This complaint is then reviewed by a team of people which include doctors, lawyers and administrators. Anonymity is guaranteed by most state laws to keep the process honest. Based on the findings of that panel, a recommendation will be sent to the hospitals medical executive council (a panel of elected physicians) who can take action that can include reprimand, suspension of hospital privileges, or notification to the state board for licensure review.
The process can also be a proactive one, where physicians performance is reviewed on a regular basis.
I am currently the chief of staff at a hospital in Minnesota and we dedicate a LARGE amount of time making sure that our physicians are practicing safe, appropriate medicine.
Keeping physicians on their game (just like any other profession) does not depend on the honesty of 1 individual but of an efficient responsive system such as peer review. - inactive, on 12/05/2007, -2/+4sure they do just like cops, lawyers and transit employees do.
- nanded, on 12/06/2007, -0/+2I'm graduating from medical school this spring. When you calculate the average intern year salary divided by hours worked, it comes out to about $10 an hour, not to mention the 100K - 200K in debt that comes with medical education for which payments have to begin 6 months after graduation. (The alternative is the defer payments and let the interest anally violate you for several years).
- Frumbler, on 12/05/2007, -1/+3All you programmers out there, how often do you rat out your ***** peers? I suspect not often. To dangerous to ones career.
- sonicdevo, on 12/06/2007, -0/+2I work in health care, and let me tell you... some patients/families are just *****. You'd do damn near anything to not have to listen to their whining or screaming.
- limoo, on 12/05/2007, -0/+1If it's just a bearer check, it's quite likely that their secretary/receptionist who actually opens the mail took it him/herself. Besides, it's 21 out of more than 3000. That's less than 1%.
- 89992, on 12/05/2007, -2/+3I can tell you the answer without even reading the article. NO.
- chaosium, on 12/05/2007, -1/+2Not enough, but the ethics are far more developed than pseudoscience-ridden subjects such as Chiropracty and CAM.
- scbysnx, on 12/05/2007, -0/+1I kept reading premed as one word I could NOT figure out what it meant
- inactive, on 12/05/2007, -3/+4I don't think doctors would rate any higher in honesty than any other portion of the population. Every profession has it's portion of dishonest people. Even law enforcement is full of crooks.
- inhaler, on 12/05/2007, -2/+3My sister is in premed right now at BW, and a student broke into her Gross Anatomy prof's office and stole one of the tests. Doctors (and soon to be doctors) are people, and are subject to the same flaws we all possess: they're just better at memorizing lots of information.
- Celeron, on 12/05/2007, -4/+4$20 to us is like $2 to them.
- derek20cali, on 12/05/2007, -3/+3Ugh. Here come the diggbots. Thanks.
- theoreticalk, on 12/05/2007, -1/+1Personal experience: No.
Especially in Texas. It's a Good Ol' Boys band of brothers. - chadarizona, on 12/05/2007, -1/+1Is the statement "Even law enforcement is full of crooks" supposed to be surprising?
- ronaldinho, on 12/05/2007, -2/+2"And that $20 check? Twenty-one doctors who didn't answer the survey cashed it anyway"
I'm betting they are also the ones who lie to their patients, being willing to stoop so low for just $20. They are doctors for crying out loud, it's not like they are working on minimum wage - lolo2007, on 03/09/2008, -0/+0Most regulatory colleges (boards) have public members to help with transparency and to make the profession does have the publics best interest at heart. I think this could be improved by having a member of a different profession be part of the regulatory colleges as well to make sure that covers ups aren't happening. For example, the medical board could have a physio be part of the regulatory college, etc. Far too many of the health professions colleges are secretive which in no way benefits the public whatsoever.
http://download.paramegsoft.com/
http://game.paramegsoft.com - RedHerringHack, on 12/05/2007, -2/+2Short Answer: No.
- atomicafro, on 12/05/2007, -1/+0You guys act as though you've never seen House.
- JS9000, on 12/05/2007, -2/+1What do you call the guy who graduates dead last in his medical class?
- gkiltz, on 12/06/2007, -1/+0Why would doctors be any different from other professionals?
I personally know Lawyers, Pharmacists,and Engineers, who will only do that in the most extreme cases, where thy either have real questions about the person's license, where thy believe the danger to the public is "immediate" or where the incompetence is so flaming that there is real danger to the public. Even then, the regulatory bodies are reluctant to pull a license, and will give benefit of the doubt where there is any doubt! - MoistVonLipwig, on 12/05/2007, -2/+1If they don't they should. Incompetence should have 0 tolerance in "life dealing" professionals like doctors firemen etc.
- dbldee, on 12/05/2007, -1/+0It appears that it may be asking too much of too many associations ,to self regulate.
How can you trust any association to regulate themselves?
You know the reputation of lawyers...
Others?? - Hypermarkalan, on 12/05/2007, -5/+1I'm sure it does work quite well, unless you've read Cialdini's book or know anything about the act of reciprocation and commitment as they apply to influence. Then you just cash the damn check and buy a few extra drinks. I feel quite sure that many physicians are familiar with social psychology, at least enough to not get tricked by a twenty dollar check.
- mactrix, on 12/05/2007, -8/+1It's called the "hipocritical oath"!
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