I read the article by Freeman with interest.1 Although the aim of more requirements for licensure appears to be
noble, there is no empirical data to support his feelings. However, there are numerous examples in which the
feelings of state medical board members are inaccurate.2
noble, there is no empirical data to support his feelings. However, there are numerous examples in which the
feelings of state medical board members are inaccurate.2
Next, an unrestricted license is required for many prestigious
clinical fellowships that help trainees match into a competitive specialty such
as dermatology. The author appeals to the fear of a failure to act and claims
that doctors are practicing outside of their area of competency, but asserts
that mid-level providers are more competent as they are specifically trained for this. Although the scope of practice
of mid-level providers is defined, it is not necessarily narrow, and the
author provides no evidence to support his claim that it is. Freeman
also appeals to novelty, writing that our
licensing laws are old and relates this
to the idea of general practitioners. However, the USMLE Step 3 was specifically
designed to assess the ability of physicians to work unsupervised in an ambulatory
care setting. Although there is more information than ever before, there is no
evidence to assert that physicians are unable to look it up online, use team-based
care, telemedicine, and to refer a patient that the provider is not comfortable
in treating.
clinical fellowships that help trainees match into a competitive specialty such
as dermatology. The author appeals to the fear of a failure to act and claims
that doctors are practicing outside of their area of competency, but asserts
that mid-level providers are more competent as they are specifically trained for this. Although the scope of practice
of mid-level providers is defined, it is not necessarily narrow, and the
author provides no evidence to support his claim that it is. Freeman
also appeals to novelty, writing that our
licensing laws are old and relates this
to the idea of general practitioners. However, the USMLE Step 3 was specifically
designed to assess the ability of physicians to work unsupervised in an ambulatory
care setting. Although there is more information than ever before, there is no
evidence to assert that physicians are unable to look it up online, use team-based
care, telemedicine, and to refer a patient that the provider is not comfortable
in treating.
Further study is probably needed to provide empirical data to
support the feelings of Dr. Freeman before there is a national movement to
equate the postgraduate training requirements for licensure with those of
specialty certification by the American Board of Medical Specialties.
support the feelings of Dr. Freeman before there is a national movement to
equate the postgraduate training requirements for licensure with those of
specialty certification by the American Board of Medical Specialties.
Conflicts of Interest: No financial conflict of interest. Dr.
Snodgrass would like to report that he was denied a medical license by the
Missouri Board of Registration for the Healing
Arts on November 20, 2013. It was his surprise at the matter that
prompted him to review their past cases. The study
led to the production of the cited reference and other ongoing scholarly
writings.
Snodgrass would like to report that he was denied a medical license by the
Missouri Board of Registration for the Healing
Arts on November 20, 2013. It was his surprise at the matter that
prompted him to review their past cases. The study
led to the production of the cited reference and other ongoing scholarly
writings.
1. Freeman
BD. Is It Time to Rethink Postgraduate Training Requirements for Licensure? Acad Med. 2016;91(1):20-22.
BD. Is It Time to Rethink Postgraduate Training Requirements for Licensure? Acad Med. 2016;91(1):20-22.
2. Snodgrass B. Novel insight into the
quality of assessment of physicians. Health
Care: Current Reviews. 2016;3(153):1-4.
quality of assessment of physicians. Health
Care: Current Reviews. 2016;3(153):1-4.
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