Archive for October, 2009

Financial Boundaries with Patients

Society in general holds physicians in a unique position.  Their opinions are generally well respected and placed in a position of trust.  There are times when patients approach physicians with business opportunities, either to invest funds in a project, in trade for services, or as a side-business.  Such a financial relationship is not a per [...]

Provisional Licenses From the Texas Medical Board

Effective January 1, 2010, the Texas Medical Board will be issuing Provisional Licenses for applicants for a full license.  However, there are specific requirements to obtain the provision license:
            1.         Must practice in a federally or state designated medically underserved area.
            2.         Must meet licensing exam attempt requirements.
            3.         Must pass a criminal background check, [...]

FACTORS OUTSIDE MEDICINE THAT AFFECT YOUR ABILITY TO PRACTICE

If you are a physician, are you expected to be a perfect citizen, a perfect person everyday for as long as you hold a medical license? Many people believe that is your professional obligation. Some profess that doctors hold a special place in our society, and must be above reproach. Some believe that who are [...]

PHP May Effect People Under Investigation

The following is a question that I have received lots of e-mails and phone calls on regarding the Physicians Health Program (PHP) that is set to be operational in January 2010.
What is the TMB doing with rehab cases that either have not yet had an ISC or do not have an Order which [...]

Hallway Consultants: Beware!

Hallway Consultants are a colleague, employee, friend or family to approaches a physician in their professional capacity seeking advise, diagnosis and/or treatment. The common practice is the individual approaches a physician and states “Have had this problem, and my doctor provided me a prescription. I’m out of refills and he can’t see me [...]

New blog to have a look at

Here is a new site to have a look at www.themusern.com
The site is run by Lynda Cook Sawyer. She describes herself as “a wife, mother, Registered Nurse, nursing educator, nursing leader, speaker and author. She has spent 25 years working as an RN in acute care facilities and thinks of nurses as the [...]

Online dangers

There is a need for caution and consideration when posting information and photos online.  I just spoke to an undergraduate that is considering medical/nursing/PA school.  He told me about friends that post on social networking sites photos of them drinking or using illegal substances and they brag about drinking to excess or partying constantly.  Once [...]

Change is Coming

Very soon the Texas Medical Board is going to turn over doctors and Physician Assistants in recovery over to a new State wide Physician Health Program (PHP). The PHP is indirectly associated with the Board. The Board president names the Board of Governors who are like the Board members for the PHP. [...]

Texas BON and the National Practioner’s DataBank

From the July 2009 BON meeting minutes, “Mary Beth Thomas reported that Texas continues to lead the nation in the numbers of cases submitted to the national data base. “    This reflects the Board’s continued increase in activity and yet another repercussion of a Board action.

8th GRADE MATH

More and more I am seeing both TMB experts and Board members and staff arguing that a doctor’s medical records are deficit because the records fail to provide expressed justification or rationale for medical treatments, labs, consults and testing.
TMB is demanding that doctors justify what you are doing.  Your medicine may be right, but if [...]