The Medical Bill 2014 A Summary

The Medical Bill 2014A Summary Dr. Franklin W. Walkine MB.BS., CCFP Family Physician

Medical Bill 2014 Question 1 What are the qualifications to be registered as a Medical Practitioner? True or False (a) Holds a medical degree from any ( ) ( ) medical school (b) Has successfully completed internship ( ) ( ) in a hospital approved by the Council (c) Has completed two years of supervised ( ) ( ) rotational medical practice approved by the Council (d) Can read, write, speak and understand ( ) ( ) the English Language (e) Is a fit and proper person to practice ( ) ( ) medicine in The Bahamas

Medical Bill 2014 Question 2 What is the meaning of Professional Misconduct? True or False (a) Conduct falling short of the standards ( ) ( ) expected among registered medical practitioners (b) Conduct involving dishonesty or moral ( ) ( ) turpitude (c) Conduct regarded as disgraceful, ( ) ( ) dishonorable or unethical (d) any form of advertising, canvassing, ( ) ( ) promotion, either directly or indirectly for the purpose of obtaining professional advantage

Medical Bill 2014 Question 3 What are the requirements for Good Medical Practice? True or False (a) Knowledge, skill and performance ( ) ( ) consistent with professionalism (b) Trust and respect for patients, colleagues, ( ) ( ) honesty and integrity (c) Effective communication with colleagues ( ) ( ) and teamwork (d) Popularity in the print and social media ( ) ( )

MEDICAL BILL 2014 1. The Goals are to help provide:- ● Quality health care with an expanded offering ●Modernization of the health care delivery system by a focus change, from service to academic orientation ●Using best practices in medical education, to produce a work force to meet the needs of The Bahamas over the next 40 years, led by the University of the West Indies Faculty of Medicine ●Maximum utilization and value for dollars spent, in the entire health care sectors

Medical Bill 2014 2. The new Medical Bill sets the legal framework for the following:- ●Registration and Licencingof Physicians ●The Standards of Professional Conduct ●The Standards of the Practice of Medicine ●Mechanisms for the Administration of the aforementioned

Medical Bill 2014 3. Qualifications and Procedures for Registration ●Must have a Medical Degree from an institution of learning recognized by the Council as a body for such ●Must have completed an internship in a satisfactory manner ●Must have completed a minimum of two (2) years of supervised rotational medical practice post internship ●Can read, write, speak and understand the English Language ●Is a fit and proper person to practice medicine in the Bahamas

Medical Bill 2014 4. Types of Registration ● Provisional ● Temporary ● Specially Registered ● Special Purpose ● Medical Practitioner ● Medical Specialist

Medical Bill 2014 5. Licence ● Licencedunder the category of their registration with or without restrictions or conditions as the Council may determine. ● All licencesshall take effect on the date specified in the licenceand shall be valid for the year in which it is issued and shall expire on the 31st day of December of that year unless the licence has been cancelled.

Medical Bill 2014 Licence cont’d ● Licences will not be issued to any person who is not a public officer, a citizen of The Bahamas, a permanent resident with the rights to work, without the concurrence of the Minister responsible for Immigration. ● The Council shall cause to be published annually in the gazette after the 31st day of January, a list of all Medical Practitioners licencedunder this Act.

Medical Bill 2014 6. Standard of Professional Conduct The Code of Conduct/Principles In general, a doctor is expected to: 1. Be dedicated to providing competent, compassionate and appropriate medical ace to patients. 2. Be and advocate for patients’ care and well being and endeavor to ensure that patients suffers no harm.

Medical Bill 2014 Code of Conduct/Principles cont’d 3. Provide access to treat patients without prejudice of race, religion, creed, social standing, disability or financial status. A doctor shall also be prepared to treat patients on an emergency or humanitarian basis when circumstances prevail. 4. Abide by all laws and regulations governing medical practice and abide by the Code of Ethics of the profession. 5. Maintain the highest standards of moral integrity and intellectual honesty.

Medical Bill 2014 Code of Conduct/Principles cont’d 6. Maintain a professional relationship with patients and their relatives and not abuse this relationship through inappropriate personal relationship or for personal gain. 7. Keep confidential all medical information about patients. 8. Maintain professionalism in informing the public about his/her service ensuring that information projected is purely factual and devoid of any attempt at self aggrardisnent.

Medical Bill 2014 Code of Conduct/Principles cont’d 9. Keep abreast of medical knowledge relevant to practice and ensure that clinical and technical skills are maintained. 10. Participate in activities contributing to the good of the community including public health education. 11. Endeavour to abide by the Ethical Code when making use of modern or new technology in treatment modulation, communication means or information handling.

Medical Bill 2014 7. Standards for Practice of Medicine ● Principles ofGood Medical Practice 1. Knowledge, Skill and Performance ▪ Develop and maintain your professional performance ▪ Apply knowledge and experience to practice ▪ Record your work clearly, accurately and legibly 2. Safety and Quality ▪Contribute to and comply with systems that protect Patients and colleagues ▪ Respond to risks to safety

Medical Bill 2014 Standards for Practice of Medicine 3. Communication, Partnership and Team work ▪ Communicate effectively ▪ Collaborate with colleagues to maintain or improve patients care 4. Maintaining Trust ▪ Show respect for patients ▪ treat patients and colleagues fairly and without discrimination ▪ Act with honesty and integrity

Medical Bill 2014 8. Mechanism of Administration of The New Medical Bill The Bill calls for the establishment and appointment of four committees of the Council. 1. The Assessment Committee ▪ Examine application for registration and licencing from their qualification perspective and advice council ▪ Assess CME compliance for Licence Renewal ▪ Assess Physician re-entry, requirements and compliance for licence renewal ▪ Set standards for CME (Credits)

Medical Bill 2014 Mechanism of Administration of The New Medical Bill cont’d 2. The Complaints Committee ▪ Investigate the ability of a medical practitioner to discharge competently, his professional responsibilities ▪ Investigate the professional misconduct of a medical practitioner ▪ Investigate any complaints relating to the practice of a medical practitioner. The Fourth Schedule sets out the procedure for the Complaints Committee

Medical Bill 2014 Mechanism of Administration of the New Medical Bill cont’d 3. The Disciplinary Committee ▪ Hear and determine allegations of professional misconduct or incompetence made in relation to a medical practitioner. ▪ Hear and determine other matters refer to it by the Council. ▪ Conducts themselves as set out in the Fifth Schedule.

Medical Bill 2014 Mechanism of Administration of the New Medical Bill cont’d 4. Special Review Committee ▪ Investigate reference from council of physician competence ▪ Direct activity to remedy the problem ▪ Report

Medical Bill 2014 9. Seventh Schedule - Fees 1. Registration ▪ Temporary $ 50.00 ▪ Provisional $200.00 ▪ Medical Practitioner $100.00 ▪ Specialist $200.00 ▪ Special Purpose $300.00

Medical Bill 2014 Seventh Schedule - Fees 2. Licence ▪ Provisional $ 100.00 ▪ Temporary $ 400.00 ▪ Medical Practitioner $ 400.00 ▪ Specialist $ 800.00 ▪ Special Purpose $1,200.00

Medical Bill 2014 Seventh Schedule - Fees 3. Administrative ▪ Application$ 25.00 ▪ Certificate of Good Standing$ 100.00 ▪ Restoration to Register$ 500.00 ▪ Copy of Licence (lost, destroyed i.e.)$ 100.00 ▪ Renewal of Certificate of Registration $ 100.00 ▪ Examination $1,200.00

Medical Bill 2014 • Question 1 What are the qualifications to be registered as a Medical Practitioner? True or False (a) Holds a medical degree from any ( ) ( ) medical school (b) Has successfully completed internship ( ) ( ) in a hospital approved by the Council (c) Has completed two years of supervised ( ) ( ) rotational medical practice approved by the Council (d) Can read, write, speak and understand ( ) ( ) the English Language (e) Is a fit and proper person to practice ( ) ( ) medicine in The Bahamas

Medical Bill 2014 • Question 2 2. What is the meaning of Professional Misconduct? True or False (a) Conduct falling short of the standards ( ) ( ) expected among registered medical practitioners (b) Conduct involving dishonesty or moral ( ) ( ) turpitude (c) Conduct regarded as disgraceful, ( ) ( ) dishonorable or unethical (d) any form of advertising, canvassing, ( ) ( ) promotion, either directly or indirectly for the purpose of obtaining professional advantage

Medical Bill 2014 • Question 3 What are the requirements for Good Medical Practice? True or False (a) Knowledge, skill and performance ( ) ( ) consistent with professionalism (b) Trust and respect for patients, colleagues, ( ) ( ) honesty and integrity (c) Effective communication with colleagues ( ) ( ) and teamwork (d) Popularity in the print and social media ( ) ( )

The Medical Bill 2014 A Summary