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Re: One-Hour Fetus PhotoFrom: Terry J DuBose (tjdubose@juno.com)Sun Sep 8 11:07:34 2002
This message is in MIME format. Since your mail reader does not understand this format, some or all of this message may not be legible. ----__JNP_000_0f5b.48f5.2f32 Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Dr. Joe, now this is very helpful in understanding the current debate... thank you very much. With your permission I would like to forward this to those who will be involved in the discussion at the SDMS BoD meeting later this month. Thanks. Terry On Sun, 8 Sep 2002 09:48:08 -0500 DoctorJoe@aol.com writes: In a message dated 9/7/02 11:27:37, tjdubose@juno.com writes: Skilled Sonographers are quite frustrated by the position we find ourselves. Ethically and professionally we have believed that sonography should always be kept in the mainstream medical hospital/clinic setting. Now we see these folks... many church ladies in the Bible Belt... grabbing the transducer... including many physicians and nurses who can't even recognize when they are scanning twins much less evaluate a fetal heart. At the same time the medical community is saying "Because you know what you are doing, you will be held to a higher standard and liable for wrong or missed diagnoses."; yet these other folks get away with "murder" because they are ignorant! There is something wrong with this picture. You have encapsulated, in this paragraph, the history of the rise of medical malpractice activity in the U.S. There was a nice article in JAMA several years ago (I can probably find it, if anyone's interested) written by a history. It detailed the advent and rise of "medical malpractice" as a legal action in the U.S. The source of the "problem"? Doctors (with credentials) trying to keep the snake oil salesmen at bay. The legal action was secondary to the proliferation of "license' and "credentials" and "diploma" conferral, which were aimed at keeping the standards in the profession up. Basically, a European-educated surgeon had to have some legitimacy over a back-woods sawbones who never got any formal medical education. Therefore, doctors made up standards, so the patients could tell who was a "real doctor" and who wasn't. However, once you make up a "standard," then anyone who falls below the standard, even if they were educated at the best schools in Europe, then becomes liable for any injury caused by his substandard care (i.e. medical malpractice). So the "problem" of medical malpractice was born of the medical establishment making standards up for itself. A double edged sword that is ever so sharp on both sides. Joe P. ----__JNP_000_0f5b.48f5.2f32 Content-Type: text/html; charset=us-ascii Content-Transfer-Encoding: quoted-printable <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> Dr. Joe, now this is very helpful in understanding the current debate...
thank you very much. With your permission I would like to forward this to
those who will be involved in the discussion at the SDMS BoD meeting later this
month. Thanks. Terry
On Sun, 8 Sep 2002 09:48:08 -0500 DoctorJoe@aol.com writes:
Skilled Sonographers are quite frustrated by the position we find ourselves. Ethically and professionally we have believed that sonography should always be kept in the mainstream medical hospital/clinic setting. Now we see these folks... many church ladies in the Bible Belt... grabbing the transducer... including many physicians and nurses who can't even recognize when they are scanning twins much less evaluate a fetal heart. At the same time the medical community is saying "Because you know what you are doing, you will be held to a higher standard and liable for wrong or missed diagnoses."; yet these other folks get away with "murder" because they are ignorant! There is something wrong with this picture. You have encapsulated, in this paragraph, the history of the rise of medical malpractice activity in the U.S. There was a nice article in JAMA several years ago (I can probably find it, if anyone's interested) written by a history. It detailed the advent and rise of "medical malpractice" as a legal action in the U.S. The source of the "problem"? Doctors (with credentials) trying to keep the snake oil salesmen at bay. The legal action was secondary to the proliferation of "license' and "credentials" and "diploma" conferral, which were aimed at keeping the standards in the profession up. Basically, a European-educated surgeon had to have some legitimacy over a back-woods sawbones who never got any formal medical education. Therefore, doctors made up standards, so the patients could tell who was a "real doctor" and who wasn't. However, once you make up a "standard," then anyone who falls below the standard, even if they were educated at the best schools in Europe, then becomes liable for any injury caused by his substandard care (i.e. medical malpractice). So the "problem" of medical malpractice was born of the medical establishment making standards up for itself. A double edged sword that is ever so sharp on both sides. Joe P.
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