Whenever a White UK Doctor does Something Unique , he is Institutionally Labelled a Genius , a Sage and a Saint.
On the Other Hand , whenever a Black UK Doctor does Something Unique , he is Institutionally Labelled a Quack , a Fantasist , a Lunatic and an Imbecile ; irrespective of any Overwhelming Evidence to the Contrary.
Place of medical qualification and outcomes of UK General Medical Council “fitness to practise” process: cohort study.
Charlotte Humphrey, professor of health care evaluation (*1), Shaista Hickman, research associate (*1), Martin C Gulliford, professor of public health (*2)
+ Author Affiliations
(*1). Florence Nightingale School of Nursing and Midwifery, King’s College London, London SE1 8WA, UK (*2). Department of Primary Care and Public Health Sciences, King’s College London, London SE1 3QD
Correspondence To : C Humphrey
charlotte.humphrey@kcl.ac.uk
Accepted on : 01 February 2011
Abstract
Objectives : To evaluate whether country of medical qualification is associated with “higher impact” decisions at different stages of the UK General Medical Council’s (GMC’s) “fitness to practise” process after allowing for other characteristics of doctors and inquiries.
Design : Retrospective cohort study.
Setting : Medical practice in the United Kingdom.
Participants : 7526 inquiries to the GMC concerning 6954 doctors.
Main Outcome Measures : Proportion of inquiries referred for further investigation at initial triage by the GMC, proportion of inquiries investigated that were subsequently referred for adjudication, and proportion of inquiries resulting in doctors being erased or suspended from the medical register; relative odds of higher impact decisions, by country of qualification, adjusted for doctors’ sex, years since primary medical qualification, medical specialty, source and type of inquiry, and nature of allegations.
Results : Of 7526 inquiries, 4702 concerned doctors who qualified in the UK, 624 concerned doctors who qualified elsewhere in the European Union (EU), and 2190 concerned doctors who qualified outside the EU. At the initial triage, 30% (n=1398) of inquiries concerning doctors who qualified in the UK had a high impact decision, compared with 43% (267) for doctors who qualified elsewhere in the EU and 46% (998) for those who qualified outside the EU. The adjusted relative odds of an inquiry being referred for further investigation were 1.67 (95% confidence interval 1.28 to 2.17) for doctors who qualified elsewhere in the EU and 1.61 (1.38 to 1.88) for those who qualified outside the EU, compared with doctors who qualified in the UK. At the investigation stage, 5% (228) of inquiries received concerning UK qualified doctors were referred for adjudication, compared with 10% for EU (63) or non-EU (221) qualified doctors. The adjusted relative odds of referral for adjudication were 2.14 (1.46 to 3.16) for doctors who qualified elsewhere in the EU and 1.68 (1.31 to 2.16) for those who qualified outside the EU. At the adjudication stage, 1% (69) of inquiries received concerning UK qualified doctors led to erasure or suspension, compared with 4% (24) for doctors who qualified elsewhere in the EU and 3% (71) for non-EU qualified doctors. The adjusted relative odds of erasure or suspension were 2.16 (1.22 to 3.80) for doctors who qualified elsewhere in the EU and 1.48 (1.00 to 2.19) for those who qualified outside the EU.
Conclusions : Inquiries to the GMC concerning doctors qualified outside the UK are more likely to be associated with higher impact decisions at each stage of the fitness to practice process. These associations were not explained by measured inquiry related and doctor related characteristics, but residual confounding cannot be excluded.
Professor Joseph Chikelue Obi | Meet The Future (United Kingdom) Prime Minister | Boris Johnson
Professor Joseph Chikelue Obi | Meet The Future (United Kingdom) Prime Minister | Boris Johnson | Before Christmas 2020 | Minority (or Majority) Government.
For those of you who are eternally wondering why a Familiar Cheeky Face has suddenly started to appear all over the (Spiritual & Terrestrial) QuackoSphere , please be duly reassured that Doctor Joseph Chikelue Obi equally remains exceedingly baffled (himself) as to why his Alternative Medicine Campaign is Still Rated Number 1 on both Bing & Yahoo.
What started out as his Private Linguistic Project ,to ethically redefine 3 Commonly Abused Terms ( Quack , Quackery and Quack Medicine), has now metamorphosized into a Massive Global Movement in it's very own right.
Apparently , being called Quack has now become Exceedingly Fashionable indeed ; most especially if you are Cool Enough to indulge in certain Titlillating Little Aspects of Pompous Royal Quackery.
As the Chief Advocate for Medical Regulatory Fairness and (Concurrent) Leader of Opposition against the General Medical Council , Joseph Chikelue Obi firmly believes that there is still a whole lot of work which seriously needs to be done by all parties concerned ; most especially by the present GMC Leadership.
Our Next Great Step in the Roadmap to Medical Regulation will be to Scientifically Test the True Independence of such a (GMC-Funded) Tribunal , starting with the (Highly Publicized , Never-Ending) Medical Manslaughter Quagmire of Graeme Robertson Dawson Catto - a Former Executive President (Chairman) of the General Medical Council (who has been consistently aided and abetted , of course , by an Utterly Shameless Racist Network of Equally Culpable Senior GMC Medical Members , many of whom are still holding GMC Practising Licenses to date - and should therefore also be comprehensively probed accordingly).
Afterall ,(Global Economic Recession Notwithstanding), the General Medical Council (GMC) is most certainly NOT above the Law ; and must therefore never ever be indefinitely allowed to Totalitarianly Act as (Ardent) Medical School Inspector , (Pinnacle) Medical Curriculum Enforcer, Exclusive PLAB Examiner , Statutory Medical Registrar , Internal Registration Appellate Body , Eternal Performance Appraiser , In-House Performance Appellate Body , Unquestionable Chief Revalidator, Ultimate Discrete Inquiries Commissioner , Evangelically Eager Witch-Hunter , Part-Time Criminal Investigator , On-Demand Professional Policeman , Wannabe Qasi-Crown Prosecutor , Unlicensed Supreme Court Judge , Infallible Clinical Misconduct Jury , Bountiful Tribunal Paymaster , (Blood-Thirstily) Inept Political Executioner andBottomless Xenophobic Graveyard ; all in the very same Obtuse Regulatory Litter.
* There is No Such Thing as Science Based Medicine in any Basic Statutory Definition of Orthodox Clinical Medicine ; anywhere in the World .
* Orthodox Clinical Medicine is Predominantly an Art , Not a Science.
* Over 75% of Orthodox Clinical Medicine is Not Evidence Based.
* Over 99% of Orthodox Clinical Medicine is Not Science Based.
* If Science Based Medicine is currently being given such Undue Eminence ; then it is only right and proper that Art Based Medicine should equally be given Appropriate Prominence too.
At the Time when he (initially) designed it , Doctor Obi was ruthlessly harassed by the General Medical Council and it's Associated Allies of Regulatory Institutional Racism (Worldwide).
It can either be Applied for Permanently (as per 50 Years) ; or on a Temporary (Pay As You Go) Basis , for a Minimum Period of 30 Days.
Every Government has the Right to Issue It's Own Medical Licenses ; and the Government of Biafra will not be Lectured by any Foreign Entity as to How to Independently Conduct it's Affairs.
To This Effect , We Will Not Tolerate Any Form of External Aggression from Any Quarters Whatsoever ; most especially from Certain (Highly Developed) Countries which are Currently Selling their National Passports (and National Honours) to the Highest Financial Bidders.
* Qualified Medical School Graduates who wish to Temporarily Register as Fully Licensed Medical Doctors (and TeleHealth Consultants) with the International Health Service of the Government of Biafra ; for a Minimum Period of 30 Consecutive Days per Year.
* Qualified Medical School Graduates who wish to Temporarily Issue Online Prescriptions via Accredited Pharmacies of the Government of Biafra ; for a Minimum Period of 30 Consecutive Days per Year.
* Qualified Medical School Graduates who Temporarily wish to Work as an Marine Physicians on Cruise Ships in International Waters; for a Minimum Period of 30 Consecutive Days per Year.
* Qualified Medical School Graduates who Temporarily wish to Work as Aeromedical Physicians in International Airspace ; for a Minimum Period of 30 Consecutive Days per Year.
* Qualified Medical School Graduates who wish to Temporarily Issue Perform Minor Surgeries via Accredited Medical Centres of the Government of Biafra ;for a Minimum Period of 30 Consecutive Days per Year.
* Qualified Medical School Graduates who Temporarily wish to Work as an War Zone Physicians in Battleground Areas ; for a Minimum Period of 30 Consecutive Days per Year.
* Qualified Medical School Graduates who Temporarily wish to Work as Charitable Physicians in Areas of Conflict and Disaster ; for a Minimum Period of 30 Consecutive Days per Year.
I sincerely hope that this Exceedingly Blunt Statement fundamentally clarifies this issue.
