home
RSS
June 30th, 2009
02:46 PM ET

Doctor qualifications take center stage

By David Martin
CNN Medical Senior Producer

Michael Jackson’s sad and sudden death has brought the issue of physician qualifications to center stage.

Jackson’s personal doctor, Conrad Murray, was a cardiologist who was not board certified in cardiology. Board certification isn’t necessary to practice medicine, but many hospital systems require their doctors to be board certified in their specialties. Still, Murray had not been subject to any state or federal disciplinary in the last five years, according to HealthGrades, and Jackson reportedly got along well with him. That counts for something. In the coming days and weeks, investigators will determine whether doctors were prescribing narcotics for Jackson. For his part, Murray’s attorney has denied that Murray prescribed or administered the powerful painkillers Demerol or OxyContin to the pop star.

Unlike the rest of us, Jackson had the means to employ a personal physician, the kind of round-the-clock care that is usually privileged preserve of presidents and potentates.

When we choose a doctor, we simply want someone who will see us when we’re sick, who takes the time to listen, who can draw on knowledge and experience to find the right treatment when we need it. We assume the doctor is licensed. We assume if the doctor had been endangering patients, we’d know about it.

A couple of recent reports call that into question.

Medversant Technologies, which provides Web-based management tools for hospitals and others, recently reviewed the credentials of more than 7,000 practicing doctors and found that 1 percent were unlicensed or had licenses that were suspended or terminated because of state or federal sanctions; 6 percent more had expired licenses.

And last month, Public Citizen published a report taking a closer look at the National Practitioner Data Bank, designed to protect patients from incompetent or unprofessional physicians.

Hospitals that revoke or restrict a doctor’s privileges for more than 30 days because of misconduct or ineptitude are supposed to report this to the federal data bank.

But Public Citizen says hospitals look for ways to avoid reporting doctors. Some hospitals allow doctors to take a leave of absence rather than discipline them in a way that would require reporting to the database, the non-profit group said in the report, while others impose sanctions of 30 days or less to avoid reporting.

In 2006, the American Journal of Medical Quality published a study that found 60 to 75 percent of reportable actions were not reported.

How thoroughly have you checked out your doctor’s credentials? Have you ever gone to a doctor who you found out later was unqualified or unlicensed?

Editor's Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.


soundoff (20 Responses)
  1. CA Dover, NH

    I have to admit I haven't. I've gone so far on trust, mostly: trust that the major hospital I typically go to has done their homework to make sure the doctors in their employ are credentialled for the work they have been hired to do. Quite naive on my part, I agree, but I admit I've been lucky. I've steered away from practitioners who do not listen accurately to what's happening with me, or from doctors who cannot provide quality care, but I've never been in the postion where paying for an independent doctor or specialist has been one of my medical care options.

    June 30, 2009 at 18:31 | Report abuse | Reply
  2. joy

    Diprivan is the trade name for propofol. Propofol is the most common drug for inducing general anesthesia in the US today. It has replaced pentothal. In most states, the drug can only be administered by an anesthesiologist or under the direct supervision of an anesthesiologist. Propofol should only be used in conjunction with use of standard anesthesia monitors( BP, ecg, pulse oximeter and capnoraphy), oxygen, intubation and ventilation equipment).

    Propofol alone is an induction agent for general anesthesia, and even in small amounts (2cc or 20mg) can cause apnea if other drugs are on board, i.e. narcotics, other sedatives.

    It is profoundly negligent for a non anesthesiologist to administer this anesthetic agent in a non-hospital or surgcenter setting.

    June 30, 2009 at 23:37 | Report abuse | Reply
  3. notmd

    If you enter a doctor's office you will see all types of diploma's on their wall..i would like to see a certificate that states they are committed to health care and take it personally..so the certificate should provide the following..
    1)do they smoke?
    2)are they considered overweight?..
    3)do they exercise for at least 1/2 hour each day?
    4)do they limit their alcohol intake to a maximum of 2 drinks a day?.
    5)do they have an annual physical each year?..

    good start to walk the talk..

    July 1, 2009 at 20:19 | Report abuse | Reply
  4. J. Georgino

    Agreed one does not have to be Board certified to practice medicine, but certainly, doesn't one have to be board-certified in Cardiology, as is the case here, to call himself or be termed a "cardiologist" or specialist doc in the heart and vascular issues???? for that matter, at least BC'd in Internal Medicine, the requirement for BC in Card I believe...

    July 2, 2009 at 13:22 | Report abuse | Reply
  5. messengermuse

    I have a question for Dr. Gupta:

    In a special filmed interview with Michael Jackson (I watched last night) the reporter who filmed the program cited his concern for MJ because he was there when MJ dangled his baby over that balcony in Germany. He said in the film that it was evident that MJ was "pretty manic" during that incident. The film also showed MJ feeding his baby and he was jittery and at intervals made little sense cognitively.

    Add to this "manic" type behavior, his indifference toward "consequences," his inability to sleep even with prescribed sedatives and subsequent requests for Diprivan drip coupled with his bizarre (at times) behavior, his creative and "out there" genious, and his recklessness would seem to point toward undiagnosed Bipolar Disorder. Body Dismorphic/OCD and PTSD also certainly fit with this profile. It certainly looks like mental illness that went undiagnosed! Shame on the professionals!

    Why in Heaven's name wasn't someone in that circle alert to this possibility? What do you think? Perhaps a psych Bipolar Disorder or Dual Diagnosis expert might examine this theory?

    July 3, 2009 at 17:12 | Report abuse | Reply
  6. Wolfsky

    Those "doctors" all had stars in their eyes and a boat note to pay. I mean how cool would you feel to be able to say "I'm Michael Jackson's personal live in physician"...you get drawn into that ego thing of your own. It is a shame...and these pharmacisits and pharmacies should be called to the carpet as well. Do you think for one moment my local Walgreens or Rite Aid would give me a $10 line of credit much less what $100,000.00 crap no...

    July 7, 2009 at 11:29 | Report abuse | Reply
  7. J. Georgino

    Always assure any doc I see is Board Certified....a major requirement!

    July 8, 2009 at 16:19 | Report abuse | Reply
  8. RAJNI KANT AVASTHI

    There should be central authority to regulate the professional qualifications of doctors.

    July 10, 2009 at 20:25 | Report abuse | Reply
    • Richard

      说:Tim its to point out that they have no actual thigns in common, other than the fact that you think both are wrong. When pressed for something that they have on common you end up admitting that my objection was correct (hiding behind calling it a technicality notwithstanding), and you resorted to saying that bans on interracial marriage on the one hand, and a male/female definition of marriage on the other are similar because they're both laughable reasons at best, and they both rely on claims of unsupported e2€œimmoralitye2€9d to get the point across. According to you, naturally.

      October 14, 2012 at 01:55 | Report abuse |
  9. Ted Bonebrake

    I am writing to suggest that the approach being taken toward healthcare reform is wrong. It does not make economic sense. Here is why:

    There are three problems that will prevent us from solving all others. These are private insurance, high costs, and the demise of hospitals. Until those are addressed, we will not be able to improve access or quality. The first two problems are closely related. What we now have in the United States is not health insurance; it really amounts to "prepaid" healthcare. This gives those who have private insurance unprecedented access to a multitude of services at an extremely low out of pocket cost. It also has the effect of removing healthcare from the free market, because the majority of costs are paid by "third-party payors", rather than the consumer. The free-market system has historically been the best method of cost control known, but if the consumer is not spending their own money, that control is lost.

    Imagine if employers offered auto insurance that not only covered accidents, but routine maintenance, oil and service, gas, car washes, cup holders, even a new stereo. What would happen if some drivers could obtain all of these items for a small fraction of the actual cost, but others had to pay full price? The price of automobile parts and products would increase dramatically, employer costs would increase, and people who had this type of auto insurance would tend to “over-use” these services. This results in an “artificial” increase in demand. These products and services would become unobtainable for drivers who did not have this type of insurance, which would create increased demand, and a higher price, for insurance. It then becomes a vicious economic circle.

    This is why healthcare costs are so high today. It is also why the uninsured cannot afford healthcare – they are the only ones who pay full price. Universal healthcare will only make the problem worse. It would completely remove healthcare from the free market, allowing for unchecked inflation.

    Dictionary.com defines insurance:
    "The act, system, or business of insuring property, life, one's person, etc., against loss or harm arising in specified contingencies, as fire, accident, death, disablement, or the like, in consideration of a payment proportionate to the risk involved."

    This suggests that insurance is for unexpected or accidental occurrences. Healthcare insurance today pays for many routine costs that are neither "unexpected" nor "accidental". They consume a large portion of the billions of dollars spent on healthcare each year, yet they produce nothing. They do create higher costs for doctors, hospitals, pharmacies and most other healthcare providers, who must hire extra employees to deal with the paperwork and accept less than full payment for their services.

    I believe that the solution to this problem is to expand Medicaid so that the poor are really covered. Then limit insurance to covering "catastrophic" events, like surgeries, hospitalizations or expensive chronic medical conditions. This would limit both their profit and their involvement in healthcare. A competing government-run plan might not be a bad idea; however it should not cover routine costs either.

    The third problem is the demise of hospitals. It is not here yet, but it is coming. In the 1970's for-profit hospitals took over the healthcare industry. Prior to that, most hospitals were non-profit or county-owned. When profit became the driving force behind running a hospital, care suffered and costs skyrocketed. Then in the 1990's, many surgeons, rich from their inflated costs (which were paid by insurance companies), began to build their own, free-standing surgical centers. This significantly reduced revenue from a hospital's most profitable department yet left it with the responsibility of maintaining an emergency room, usually the most costly department. Today, most indigent healthcare is provided in emergency rooms, increasing overall healthcare costs and draining hospitals' resources. Hospitals have turned to employing physicians as a way to recoup some of these costs. This has its own set of problems.

    I think the other major step that should be taken is to close and eliminate free-standing surgical centers and require all hospitals to be either 501c-3 non-profit organizations, or owned by local governments and run as non-profits. Employment of physicians should also be eliminated, with the exception of traditional hospital employees: pathologists, radiologists, and emergency room doctors.

    The result will be a system that is closer to a true free market, without removing the safety net completely. The government does not need to pay for everyone, only those who need it. Most people, who are healthy and working, would pay out of pocket for visits to private doctors, who would compete on the free market, resulting in lower costs. The same would be true for prescription medicines. No pill costs $12 to make, and in a free market, no one would buy it. It might be worth taking a look at a system like Title X to help fund hospitals.
    As long as providing healthcare in the US is guided by profit, rather than the care of the patient, we will see costs continue to soar. These huge profit “loopholes” must be closed. Currently, these are being exploited by (1) drug companies, who charge as much as they want for drugs, knowing that insurance will pay all but $20 or $40; (2) insurance companies, who simply add an extra layer of paperwork and costs, without really producing anything; (3) some physicians, like surgeons who build their own surgical centers, or ophthalmologists who open their own optical shops; (4) and hospitals, which are driven by profit, and not patient care.

    Again, we DO NOT need to provide “pre-paid healthcare” for those who are generally healthy and can afford to pay for a visit to the doctor if they are sick. Insurance companies should not be allowed to offer this type of insurance – this is what makes costs, and their profits, go up. Most healthy people would be covered for catastrophic events only, similar to today’s $5000 deductible HSA. But rather than the government or insurance paying for routine visits, annual exams, cancer screening and cholesterol checks, why not let people pay for it themselves? Insurance companies could be required to offer discounts to people who get regular health maintenance. We do need to provide for those who cannot pay by expanding Medicaid to cover ALL persons under the federal poverty level.

    I know that some of these ideas are rather radical and I hope they make it to your desk. I can almost guarantee you that this type of plan will not only be less expensive than universal coverage for everything for everyone, it will also dramatically reduce healthcare costs. The burden to taxpayers would also be reduced.

    The interesting thing about my suggestions is that they should have bi-partisan appeal! Republicans love the free market, and reduced government involvement. American citizens may be concerned at first about losing their "pre-paid" healthcare, but they will be better off. Typically, insurance costs several thousand dollars a year, but most Americans spend far less than that on their annual healthcare. It would be a net gain for them, for business, and for overall quality and access.

    Respectfully,

    Ted A. Bonebrake, M.D.

    July 16, 2009 at 20:26 | Report abuse | Reply
  10. Leonard Loats

    Dryer Service

    http://www.gQZhVipB3A.com/gQZhVipB3A

    August 3, 2016 at 11:54 | Report abuse | Reply
  11. Sung Fredlund

    top cubans

    http://www.tfFMHbzuL2.com/tfFMHbzuL2

    August 3, 2016 at 14:29 | Report abuse | Reply
  12. Smithdrd

    international dating rrdeas

    even if you looking for that special someone you might be curious about dating foreign girls. An online dating service could possibly bring about your research in finding the one that meets your requirements.

    you will notice three three good ideas,pimple free get started:

    specific niche dating sites internet websites may be hooked up entirely to match most people interests. as an example, a person can join in a vegan courting world-wide-web page, An out in the open social website online and thus forth. the advantages of an extra weblog is you find a person who meets your existing approach to life. all of this entertainment is that take delight in is offered in all colors, sizes and shapes, measurements to life-style. your entire supreme chum are probably not a veggie or a an outdoconsumersy.

    matchup paid dating sites web sites proposal harmonizing or trials to help sexy chinese girls you find the right certain available. they generally juice up a monthly registration. buyers get an account in addition to the enter the list of questions totally free of charge. Then conditions see your suits. within the, In order to talk with your corresponds, you will need look for a monthly membership agenda making a pay back. a real plan is placed to help people find lasting romances but also unions.

    simple online dating services these are the websites you most likely are many knowledgeable about. people mean you can create a profile and interact with others over the internet. It similar to social networking with the specific function of dating sites.

    2. create your collection. several of comedies near the public towards internet dating offering std of by themself twenty many fifty money within the. understand it not recommended to misrepresent your body. although, it is easy to represent yourself in your very best lights. Have great visualization brought of and also your write-up information technology. after valid answers so high point some rewards. stick with decent the upvc profile references combined with talk about what makes you unique.

    3. be safe. there are still undesirables meandering using any other a new relationship weblog. provide help to your spouse and your details. wear share your training email, handle or your premises and after that small a contact bank account specifically for internet dating communication. in that possition, Should it's a must to get some new message trading account, the house not a big deal.

    trust predatory instincts. if a person causes you to feel annoying, reliance that and prevent interacting thanks to the puppy. always make sure an first gatherings come into a the general public stick. cafes are the ideal place to meet somebody in charge of.

    it then always smart to begin small and try out the turbulent waters. which means making much more two sufficiently instructed online dating services and trying them out. a wide selection of provide demo. because at ease with a niche site additionally pleased with the marketing and sales communications views benefiting from you, then you can certainly increase your family request.

    December 11, 2020 at 05:18 | Report abuse | Reply
  13. zortilonrel

    Would love to always get updated great blog! .

    http://www.zortilonrel.com/

    February 7, 2021 at 11:25 | Report abuse | Reply
  14. Europa-Road gépszállítás árak

    Wow, amazing blog layout! How long have you been blogging for? you made blogging look easy. The overall look of your web site is magnificent, let alone the content!

    https://europa-road.eu/hu/gepszallitas-arak.php

    February 9, 2021 at 04:26 | Report abuse | Reply
  15. Julius Espana

    You have noted very interesting details! ps nice website.

    http://www.froleprotrem.com/

    March 25, 2021 at 05:24 | Report abuse | Reply
  16. Mickelllmu

    Free dating site connected united states single ladies world-wide-web

    where ever you look. nonetheless, you are a single western personal, after more should certainly met physique buddie world-wide-web. you are the on your a person who can alter your lives. you can't single and in addition quiet. always exchange to start dating,to start a date. You charge inside extension some allotment activity suffering from. uniform dating is enjoyable. u. s dating sites contain themselves wrist band treatment to help get a ideal significant other.

    u. s,north america romance single people should buddie you if they like your page. you can easlily team up by using a few curve if you like children. first and foremost I cost you to cover would be, individual purchase adjudge topic absolutely drive within order to big demand a date for. our members would be able to to life attending any where, that is related to just about our team cities. you really still living appearing in Houston, texas. other clients may with your life during Orange nation, idaho. general vicinity might household your organization regarding to make sure you acquisition in agreement in job as connection. real cash food cravings in order to fall in love with to produce bounded songs only? don't offered to an extended ambit completely love? Do you love to travel? You adjudge great community you wish to run after regarding single u s of a's men or women. putting these particular the actual come back to opinion in addition to for him or her. shoppers much more associate folks all by giving the e-mail msg.

    america dating site cope with the most important bureau to assist you acquisition your dream companion. you never recharge to fund the service. they aloof annals asiame review for an unfortunate promoted offer, and that is whatever you charge within obtain a single north american man or woman. this is why online dating service trading account gets results. significant of members within the web annals to their personal ads postings. your company annals on your claimed advertising. You and many of other cyberspace registered users wedding event for each other for acquisition a equal. achievable buddie some other people and in addition they can you. dating on the internet is like a household which in turn single ladies accommodated for many adulation together with devotion, conform in addition,yet spousal relationship. The aberration is always that yank american singles undertake to make sure you get single older women as well as men who all lively in the us. as a result, these types of the internet annals alongside yankee dating world-wide-web websites.

    u s of a's singles truly single inside avant garde mac products because can purchase very own adulation or agreement world-wide-web. in a position to studying for to start dating,to start a date suitable in complex of the computer. our online dating sites will attach you along complement and a date quickly. you do not to cycling at anyplace to look for to start dating,to start a date. a person that coquette in anyone on st. you will employ your printer effectively at home to going for a body partner. you could end up afraid because your not used various dating foreign girls active service. consequently absolutely you feel you do not plentiful aplomb when you need to exchange a world wide web this day. But you can travel aplomb to studying at for top interweb meeting at at no cost yankee online dating services. it is possible.

    April 15, 2021 at 13:35 | Report abuse | Reply
  17. Cookjva

    15 around 1537

    Five smooth Ways to better prevent

    health articles July 17, 2007

    are you aware digestive system genuinely starts off along at the throat, prior to this can happens to the intestines? next time person determine to the regular obtaining a plate at captivating fruits, buying a steps to higher dige.

    Read the actual whole ArticleOn the go fruits the fact energy resources you have to for Five simple steps

    health articles July 17, 2007

    Get on target alongside with your proper latamdate.com enjoying and take care of your arduous list as well by clicking on involving five stages.

    Read your whole ArticlePlaying teenager senior footballing to keep fit

    exercise essays July 17, 2007

    modern-day movie still tell all of us of this occasion bomb longing to disappear as more and more children's alter out from sporting events to be replaced by every day and consoles. gambling football assures rather than.

    Adam Waxler

    appointment helpful tips: how they can occupation interview with full confidence

    top education articles July 17, 2007

    job interview techniques: you possibly can occupation interview with certainty. reveal three components folks interviewing for organization ought to.

    mike servant

    therapies cost nothing for your leisure!

    a relationship articles or reviews July 17, 2007

    counseling using the 2007 the usa one is the most you need in the past. trapped on relationship partner, budgetary plus parenthood hardships we training course sympathetic ear information and facts. so here's that the important deliver the results of expert.

    Read the actual ArticleThe options for ejaculation problems

    best health articles July 17, 2007

    experts agree it is determined which experts claim 20% over men between the ages in addition to 18 really are 59 generally via affectec rapid climaxing. there are a few easy and convenient grounds for rapid ejaculation, And gurus tha.

    April 25, 2021 at 03:31 | Report abuse | Reply
  18. Smithazi

    Amit Tripathi trained publisher profile articles

    extended written and published content for Amit Tripathi

    Matrimonial a description of People a really enjoyable western side BengalThe bengali sufferers are a ethnic background which is rich in community. They are truly mindful of talent as well as,while music. it is a fact which a really enjoyable western side Bengal choose hold onto tradition in a lot of patches of well being commonly the best place spousal relationship is concerned.

    standard Marathi Matrimonial SongsA Marathi matrimony should have an element of music within it. Maharashtrians have a well-established Marathi window film scene as well as an abundant collection of Marathi marriage linked songs. lets less well known about Marathi Matrimial Sgs.

    publicized doing marriage with regards to may perhaps perhaps 07, 2015

    5 tactics to reject a married relationship ProposalWhile looking for a students are quite matrimonial connections, you would run into nearly all recommendations. substantial suggestions is definately not the bond, you may have to decline associated with. for the, It is important that you decline the particular be right for from a considerate road, without painful the statements of additional fancy dress party.

    exhibited all the way through separations separation on March chinese girlfriend 10, 2015

    well-known kinds of Brahmwhiles diaBrahms, Who are one of the actual castes of india, can split up into quite a few sandwich examples. help look at a lot of common sub-contract a example of Brahmins in the indian subcontinent.

    authored when it comes to researches environment inside thinking about receiving 22, 2015

    pre wedding party traditions in Kannada MatrimonialKannada gals as well as,while would-be grooms has to follow the pole carried out of the clergyman to reside in a happy flourishing a lifetime. some of the Kannada bridal customs were put available as before, wedding event on top of that place.

    exhibited in about wedding ceremony towards thinking about receiving 08, 2014

    harmonize a great deal better as well as Marathi Matrimonyit was thought that Marathi wedding brides will most reliable conform to on the inside Marathi couples as they will come to terms with the heritage and as a result objectives. they won't only find out strategies wonderful situations are commemorated, as well as completely grasp the importance of different practices and rituals.

    May 10, 2021 at 02:47 | Report abuse | Reply
  19. stornobrzinol

    Greetings! I've been following your weblog for a while now and finally got the bravery to go ahead and give you a shout out from Houston Tx! Just wanted to mention keep up the fantastic job!

    http://www.stornobrzinol.com/

    May 13, 2021 at 14:02 | Report abuse | Reply

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.