Download presentation
Presentation is loading. Please wait.
1
Pierre Champagne, M.D., FACEP
ADMINISTRATIVE FOLLOW-UP PROGRAM (Physicians monitoring program) Pierre Champagne, M.D., FACEP
2
I work for and am compensated by the Collège des médecins du Québec
DISCLOSURE I work for and am compensated by the Collège des médecins du Québec
3
Collège des médecins du Québec
4
Equivalent to a State Board in U.S. Governed by peers
Physicians University medical schools Public His mission Protect the public
5
Province of Québec 19 451 physicians 48% = general practitionners
52% = specialists
6
Functions Create policies Adopt regulations
Check competence and aptitude to practice Improve deficiencies Review complaints made against physicians
7
ORGANIZATION CHART OF THE COLLÈGE DES MÉDECINS DU QUÉBEC
Board of directors Executive Committee President and chief executive officer Secretary Assistant executive officer and assistant to the secretary Assistant secretaries Inquiries Legal Services Medical Studies Practice Enhancement Public Affairs and Communications Administrative Services
8
Practice Enhancement Division
Mandate To ensure the protection of the public Surveillance Performance enhancement
9
Practice Enhancement Division
Practice surveillance Duty to monitor all physicians « including those with personal conditions that may affect their medical practice » …..so, this is the Administrative Follow- up Program of the CMQ
10
ADMINISTRATIVE FOLLOW-UP PROGRAM (Physicians monitoring program)
11
Origin Administrative Follow-up Program Pathologist with brain tumor
Medical errors reported to CMQ Follow-up by the Inquiry division M.D. had surgery then, followed by his physician without any feedback to the CMQ
12
Origin Administrative Follow-up Program
After the surgery, the follow-up was stopped by the Inquiry division of the Collège The doctor went back to practice, had disease progression over a period of months, and made hundreds of medical errors
13
Administrative Follow-up Program
Reflection Human Rights Commission Public protection Lack of control The program is within the mandate of the Collège Benefits
14
Mandate Administrative Follow-up Program
The mandate is to effectively follow physicians with physical health, mental health or substance abuse problems on a mid-term or a long-term basis
15
Administrative Follow-up Program
Objective Professional reintegration
16
Administrative Follow-up Program
How the program works Confidentiality Voluntary participation The process Interview with the physician (Fact-gathering) Risk Assessment Request periodic reports from the treating physician Limitations or conditions Remediation
17
ADMINISTRATIVE FOLLOW-UP PROGRAM
Division of Inquiries Executive Committee Division of Medical Studies Practice Enhancement Division Impaired physicians program (2 years or 5 years) + CME + Inspection Residual Difficulties Success Emergency Prolongation End of program
18
AGREEMENT By way of administrative monitoring of physicians presenting with physical or psychological health problems that may compromise the quality of their professional practice, the Collège des médecins du Québec fulfills its mandate to protect the public The Practice Enhancement Division assumes this task through its supervision and improvement of the medical practice of physicians. commit myself for a period of years to the following: I _____John Smith______ authorize the physician responsible for monitoring at the Collège des médecins du Québec to obtain from my therapist, _____Mary Johnson_____, periodic reports on my state of health and fitness to practice. I also authorize such physician to communicate with my therapist should clarification on his or her part be necessary. I commit myself to following the recommendations of my attending physician.
19
AGREEMENT I understand that the limitations or restrictions required by my state of health are public (Follow-up administrative program) and that the Collège may, in responding to a request, divulge these, while indicating the voluntary nature of my agreement to them. I agree to report, as soon as possible, any change of therapist to the person responsible for the administrative monitoring at the Collège des médecins du Québec. I accept that the results of random screening tests, to which I have consented, if need be, be sent to the physician responsible for monitoring. I agree to attend all meetings requested by the physician responsible, meetings warranted because of monitoring difficulties, or necessitated before the monitoring comes to an end. At all times, during these meetings, I may be accompanied by a lawyer if I deem it pertinent. I myself may request a meeting, should I wish to discuss any problem related to my monitoring program.
20
AGREEMENT In the event, during the monitoring process, of a deterioration in my condition compromising the quality of my practice, or of my withdrawal from the monitoring program, notification of such may be sent to the Syndic. All of the documents in the file of the physician responsible for monitoring shall be kept by the Practice Enhancement Division for a ten-year period following the end of the monitoring program. I accept that the data collected in the context of this program may possibly be used in the context of any study, research project, or publication issued by the Practice Enhancement Division (PED) in exercising its mandate. I am also assured that these data will be confidential and used in conjunction with data collected from other program participants, so as to ensure respect for the confidentiality of my file within the program. This agreement is subject to section 122 of the Code of Ethics of Physicians. In the event that further monitoring is advisable, after the authorized period, a new agreement shall be requested. SIGNATURE _______________________________________________ LICENCE NUMBER__________________________________________ DATE _____________________________________________________ Follow-up administrative program representative___________________________
21
REPORT FOLLOW-UP PROGRAM
Patient's name ________John Smith_________Licence number ____________ Diagnosis _Bipolar Disorder_____ Medication ____________________________________________________________________ Is it a recurrence: Yes_____ No_____ The doctor complies with recommendations Yes No Other professional involved in treatment Yes No Name and profession: ________________ __________________ _________________ _________________ Name Profession / Specialty Name Profession / Specialty _________________ __________________ ___________________ _______________ Name Profession / Specialty Name Profession / Specialty I consider this doctor fit to practice Yes No Is there any limitation or restriction practice Yes No Specify : ______________________________________________________________________ The doctor is presently working Yes No Specify all locations _______________________________________________________________________ The doctor was hospitalized since my last report Yes No
22
The doctor is on sick leave Yes No
The doctor has given up treatment against medical advice Yes No The doctor has received his medical discharge Yes No SPECIFIC MENTIONS Treatment modification since last report Yes No Reason : Intolerance Allergy Addition Suppression Current treatment ____________________________________________________________________Drug screening Yes No Group therapy Yes No Type and frequence ____________________________________________________________________ Others ______________________________________________________________ Date _______________________ Signature ___________________ Accepted Translated
23
ADMINISTRATIVE FOLLOW-UP PROGRAM
Division of Inquiries Executive Committee Division of Medical Studies Practice Enhancement Division Impaired physicians program (2 years or 5 years) + CME + Inspection Residual Difficulties Well Emergency Prolongation End of program
24
Administrative Follow-up Program
The program does not provide medical services It is a « risk management program »
25
Administrative Follow-up Program
Clientele (85 Physicians) Alcoholism Drug abuse Benzo, Opioids, etc. Illegal substances Mental Health problems Bipolar disorders Depression
26
DISTRIBUTION PER YEARS OF PRACTICE
Administrative Follow-up Program CLIENTELE DISTRIBUTION PER YEARS OF PRACTICE < 10 years 18.2% 10-20 years 24.2% 21-30 years 30.3% > 31 years 27.3%
27
The future of the program
Risk indicators Inappropriate behaviors Aging physicians
28
CONCLUSION The Follow-up Administrative Program does not provide medical services of any kind. It is a risk management program.
29
CONCLUSION 2. Although it is a young program, it is a rapidly expanding program at the Collège.
30
CONCLUSION 3. The goal of the program is to help the doctors to return to an effective and professional level of medical practice.
31
Thank You
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.