Table 1

Revised functions of national medical Boards in a market-based regulatory system
Ongoing responsibilities of national regulatory Boards within a market-based system Terminated powers of national regulatory Boards within a market-based system
Recognition of the validity of training or experience represented by degrees or qualifications conferred locally or elsewhere Prevention of well-qualified candidates accepting job offers agreeable to informed local medical employers and insurers
Maintaining a national register of qualified practitioners, who pay a nominal initial fee (only) for that service Charging practitioners high annual fees solely in return for official permission to continue practising
Investigation of complaints involving professional misconduct, with the power to suspend or disqualify a practitioner from registered status if guilt is proven beyond reasonable doubt Blocking registration for well-qualified practitioners with no track record of proven misconduct, for no reason other than that a filed complaint has not yet been evaluated by another Board
Developing mechanisms to ensure that practitioners do not over-service the patient community to an extent that is cost-ineffective, e.g. by making unfounded claims or otherwise creating excess demand Making continued professional practice contingent upon costly and time-consuming compliance with prescribed educational activities of assumed but unproven relation to medical competence or public safety
Building transparent bridges with international regulatory partners by developing accessible online databases of complaints and disciplinary procedural outcomes Invoking notions of privacy and confidentiality, in any setting, as a means of maintaining opacity and non-accountability, whether to the profession itself or to the public

Epstein and Epstein

Epstein and Epstein BMC Medical Ethics 2012 13:26   doi:10.1186/1472-6939-13-26

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