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	<title>Comments on: Why doesn&#8217;t medical peer review work?</title>
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	<link>http://www.kevinmd.com/blog/2009/06/why-doesnt-medical-peer-review-work.html</link>
	<description>medical blog</description>
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		<title>By: Dr. Mary Johnson</title>
		<link>http://www.kevinmd.com/blog/2009/06/why-doesnt-medical-peer-review-work.html/comment-page-1#comment-91846</link>
		<dc:creator>Dr. Mary Johnson</dc:creator>
		<pubDate>Fri, 05 Jun 2009 20:49:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.kevinmd.com/blog/?p=30202#comment-91846</guid>
		<description>Matt, I suggest you go back and READ about my experience on &quot;Housecalls&quot; before you talk about LAME reasons for &quot;clamming up&quot;.    

I expect my life &amp; career would have gone a lot smoother if I had done exactly that - if I had rolled over and gone back to sleep.  I&#039;m the poster-child for WHY most doctors keep their heads down and their mouths shut.

My enemies were stupid.  I was &quot;only&quot; fired when I blew the whistle. So I&#039;m not in the NPDB.  But I have spoken to a number of physicians who say they&#039;ve been the victims of &quot;bad-faith peer review&quot; (many targeted by competitors and/or for whistle-blowing).  And they ALL say the same thing: 

With regards to the NPDB, if you have a job and manage to keep it despite disciplinary action (and it&#039;s actually MORE about being listed because of a hospital&#039;s disciplinary action rather than because you&#039;ve been successfully sued) . . . or you are self-employed . . . and you don&#039;t move . . . there&#039;s not a whole lot to worry about.

BUT (very seriously) if you lose your job, getting another one - anywhere -  is a whole nuther story.  Being in the NPDB can be the kiss of death.

Peer review is supposed to be about correcting behaviors and rehabilitating doctors - if these things can, in fact, be done.  Too often it is used as a weapon to crush and destroy very good people.  

And the &quot;immunity&quot; it enjoys often serves to protect the WRONG people.</description>
		<content:encoded><![CDATA[<p>Matt, I suggest you go back and READ about my experience on &#8220;Housecalls&#8221; before you talk about LAME reasons for &#8220;clamming up&#8221;.    </p>
<p>I expect my life &amp; career would have gone a lot smoother if I had done exactly that &#8211; if I had rolled over and gone back to sleep.  I&#8217;m the poster-child for WHY most doctors keep their heads down and their mouths shut.</p>
<p>My enemies were stupid.  I was &#8220;only&#8221; fired when I blew the whistle. So I&#8217;m not in the NPDB.  But I have spoken to a number of physicians who say they&#8217;ve been the victims of &#8220;bad-faith peer review&#8221; (many targeted by competitors and/or for whistle-blowing).  And they ALL say the same thing: </p>
<p>With regards to the NPDB, if you have a job and manage to keep it despite disciplinary action (and it&#8217;s actually MORE about being listed because of a hospital&#8217;s disciplinary action rather than because you&#8217;ve been successfully sued) . . . or you are self-employed . . . and you don&#8217;t move . . . there&#8217;s not a whole lot to worry about.</p>
<p>BUT (very seriously) if you lose your job, getting another one &#8211; anywhere &#8211;  is a whole nuther story.  Being in the NPDB can be the kiss of death.</p>
<p>Peer review is supposed to be about correcting behaviors and rehabilitating doctors &#8211; if these things can, in fact, be done.  Too often it is used as a weapon to crush and destroy very good people.  </p>
<p>And the &#8220;immunity&#8221; it enjoys often serves to protect the WRONG people.</p>
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		<title>By: Matt</title>
		<link>http://www.kevinmd.com/blog/2009/06/why-doesnt-medical-peer-review-work.html/comment-page-1#comment-91843</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Fri, 05 Jun 2009 18:26:06 +0000</pubDate>
		<guid isPermaLink="false">http://www.kevinmd.com/blog/?p=30202#comment-91843</guid>
		<description>So NO doctor on the NPDB has a job?  Be serious. 

And unless you can point to a case showing the immunity has been put aside that&#039;s a weak excuse. And if there is, then have your lobbyists strengthen it. 

These are some pretty lame reasons for clamming up when you know a physician shouldn&#039;t be practicing.</description>
		<content:encoded><![CDATA[<p>So NO doctor on the NPDB has a job?  Be serious. </p>
<p>And unless you can point to a case showing the immunity has been put aside that&#8217;s a weak excuse. And if there is, then have your lobbyists strengthen it. </p>
<p>These are some pretty lame reasons for clamming up when you know a physician shouldn&#8217;t be practicing.</p>
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		<title>By: Dr. Mary Johnson</title>
		<link>http://www.kevinmd.com/blog/2009/06/why-doesnt-medical-peer-review-work.html/comment-page-1#comment-91839</link>
		<dc:creator>Dr. Mary Johnson</dc:creator>
		<pubDate>Fri, 05 Jun 2009 17:04:15 +0000</pubDate>
		<guid isPermaLink="false">http://www.kevinmd.com/blog/?p=30202#comment-91839</guid>
		<description>Kevin, for well over four years, I&#039;ve been blogging about my experience as a public-servant/whistle-blower crap-canned by my hometown hospital for intervening in a bad-baby case (saving the child&#039;s life) . . . and REPORTING it to peer review.  

It&#039;s the REASON I&#039;m in the blogosphere!  

My practice was decimated, I was black-balled, and I fell into an on-going legal black hole - where wrong is right and down is up - because every law we have favors the hospitals/suits that pull these stunts.  

Doctors have little to no recourse.  The establishment KNOWS it - and they have turned a deaf ear! 

I&#039;ve been treated like dirt for even trying to fight back - called every name in the book - even in the medical blogosphere.  

The general public has NO CLUE as to what  really going on in medicine.  Hell, many doctors don&#039;t.  Not really.  Most live in their won bubbles.  It&#039;s a big part of what&#039;s wrong.

Try the following post on for size.  Read the links in it.  Then tell me I don&#039;t have the right to be angry &amp; bitter about a system that DOES NOT WORK:  http://drjshousecalls.blogspot.com/2009/06/north-carolina-medical-board-needs-to.html

Here&#039;s another link: http://medicaleconomics.modernmedicine.com/memag/article/articleDetail.jsp?id=147405

And another one: http://www.post-gazette.com/pg/03299/234499.stm

The medical blogosphere is LATE to the peer review party.</description>
		<content:encoded><![CDATA[<p>Kevin, for well over four years, I&#8217;ve been blogging about my experience as a public-servant/whistle-blower crap-canned by my hometown hospital for intervening in a bad-baby case (saving the child&#8217;s life) . . . and REPORTING it to peer review.  </p>
<p>It&#8217;s the REASON I&#8217;m in the blogosphere!  </p>
<p>My practice was decimated, I was black-balled, and I fell into an on-going legal black hole &#8211; where wrong is right and down is up &#8211; because every law we have favors the hospitals/suits that pull these stunts.  </p>
<p>Doctors have little to no recourse.  The establishment KNOWS it &#8211; and they have turned a deaf ear! </p>
<p>I&#8217;ve been treated like dirt for even trying to fight back &#8211; called every name in the book &#8211; even in the medical blogosphere.  </p>
<p>The general public has NO CLUE as to what  really going on in medicine.  Hell, many doctors don&#8217;t.  Not really.  Most live in their won bubbles.  It&#8217;s a big part of what&#8217;s wrong.</p>
<p>Try the following post on for size.  Read the links in it.  Then tell me I don&#8217;t have the right to be angry &amp; bitter about a system that DOES NOT WORK:  <a href="http://drjshousecalls.blogspot.com/2009/06/north-carolina-medical-board-needs-to.html" rel="nofollow">http://drjshousecalls.blogspot.com/2009/06/north-carolina-medical-board-needs-to.html</a></p>
<p>Here&#8217;s another link: <a href="http://medicaleconomics.modernmedicine.com/memag/article/articleDetail.jsp?id=147405" rel="nofollow">http://medicaleconomics.modernmedicine.com/memag/article/articleDetail.jsp?id=147405</a></p>
<p>And another one: <a href="http://www.post-gazette.com/pg/03299/234499.stm" rel="nofollow">http://www.post-gazette.com/pg/03299/234499.stm</a></p>
<p>The medical blogosphere is LATE to the peer review party.</p>
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