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Removed
Kicked Out of Residency
- Thread starter LVDoc
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Dear lord, Let's hope not!!!
-B
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you paint an inflammatory picture..
I would be hesitant to judge before you told me the whole story...
a dui doesnt preclude you from licensure
I would be hesitant to judge before you told me the whole story...
a dui doesnt preclude you from licensure
what medication did he give that could cause brain damage? just curiosity
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Did he give the wrong dose of metoprolol?LVDoc said:
I give metoprolol all the time. It's not a hard drug to mess up unless you bolus someone with five times the normal dose, someone already has bradycardia, or you give it to someone who is hypotensive. It usually does not affect the respiratory drive.
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If everything you say is true, this guy/gal should probably not be practicing medicine.
That's not to say that his mistake should preclude licensure. I haven't killed a patient yet (that I'm aware of) but it's only a matter of time. We make so many critical decisions that a few are bound to be wrong. I wouldn't say that one mistake makes a bad doctor. Chronic drunkeness and not caring about your patients makes a bad doctor.
Bottom line is that he'll probably be able to find another residency if he really wants to and he'll probably be able to get liscenced somewhere.
That's not to say that his mistake should preclude licensure. I haven't killed a patient yet (that I'm aware of) but it's only a matter of time. We make so many critical decisions that a few are bound to be wrong. I wouldn't say that one mistake makes a bad doctor. Chronic drunkeness and not caring about your patients makes a bad doctor.
Bottom line is that he'll probably be able to find another residency if he really wants to and he'll probably be able to get liscenced somewhere.
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Being kicked out of residency does not preclude someone from finding another position or being licensed elsewhere.
A problem with alchohol or other substance abuse also does not preclude him from employment or licensure. There are programs available for impaired physicians and residency programs are essentially required to refer residents to these programs rather than fire them without doing so (if the problem is substance abuse).
I'm not sure what his being an IMG has to do with the discussion.
I agree with southerndoc; the use of metoprolol is widespread and doesn't usually cause hypoxia. Besides, while the physician is responsible, there should be checks on the system - ie, if the drug was inappropriate or the wrong dose, it should have been caught by others in the room assisting him (ie, the ICU or ED nurse, etc.). But you weren't there, so we don't know the whole story.
What you've described is a physician who appears to have a substance abuse problem and while it is scary, I don't think we should be advocating banishment of our colleagues who suffer from such. A refusal to participate in a treatment program is another matter; but to simply refuse licensure to someone with a medical problem is abhorent to me. A lot of his actions (falling asleep, being late, etc.) can be attributed to a substance abuse problem.
A problem with alchohol or other substance abuse also does not preclude him from employment or licensure. There are programs available for impaired physicians and residency programs are essentially required to refer residents to these programs rather than fire them without doing so (if the problem is substance abuse).
I'm not sure what his being an IMG has to do with the discussion.
I agree with southerndoc; the use of metoprolol is widespread and doesn't usually cause hypoxia. Besides, while the physician is responsible, there should be checks on the system - ie, if the drug was inappropriate or the wrong dose, it should have been caught by others in the room assisting him (ie, the ICU or ED nurse, etc.). But you weren't there, so we don't know the whole story.
What you've described is a physician who appears to have a substance abuse problem and while it is scary, I don't think we should be advocating banishment of our colleagues who suffer from such. A refusal to participate in a treatment program is another matter; but to simply refuse licensure to someone with a medical problem is abhorent to me. A lot of his actions (falling asleep, being late, etc.) can be attributed to a substance abuse problem.
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seems wise not to give information and advice about our drugs or even one of our colleagues to someone who might be looking to sue someone for something they "perceive" was wrong. The person sounds like a family member or something with little medical knowledge. They "dont' work there" can't spell metoprolol, and "the pt is OK now" etc. Words of caution. EVERYONE has access to the internet and there are 2 sides to every story.
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It seems as if too many people have misconstrued my post, and as a result, I've had no choice but to remove it.
Really though, I can't believe the majority of these replies. None of you were obligated to respond, and neither were any of you required to even mention any details of the medication and/or its complications. In fact, I never asked you for that either. Next time, instead of blaming a person for asking a question, you should use your own discretion when posting something.
Oh, and yes, let's not forget; Studentdoctor.net is not a place for legal and/or medical advice. Therefore, if you're suggesting that you shouldn't have responded to my post for fear of litigation, you probably should stop responding to any other users posing questions for diagnoses that can only be made by a visit to a physician, or those posing questions in regards to misdemeanors, felonies, and other licensure-related questions.
I am seeking no further replies. I have already asked one of the moderators to close this thread.
Really though, I can't believe the majority of these replies. None of you were obligated to respond, and neither were any of you required to even mention any details of the medication and/or its complications. In fact, I never asked you for that either. Next time, instead of blaming a person for asking a question, you should use your own discretion when posting something.
Oh, and yes, let's not forget; Studentdoctor.net is not a place for legal and/or medical advice. Therefore, if you're suggesting that you shouldn't have responded to my post for fear of litigation, you probably should stop responding to any other users posing questions for diagnoses that can only be made by a visit to a physician, or those posing questions in regards to misdemeanors, felonies, and other licensure-related questions.
I am seeking no further replies. I have already asked one of the moderators to close this thread.
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You might not be interested in another reply, but here it is:
Your post was based on hearsay and I don't think you had even half of the facts. I couldn't quite figure out what you were trying to tell us with this post, but it had an undercurrent of agression to it which other people seemed to pick up as well.
If you had been truly interested in the facts about medical licensure and misdemeanors, addiction, dismissal etc. you could have found whatever wisdom people have to contribute in a number of recent threads on these issues.
Your post was based on hearsay and I don't think you had even half of the facts. I couldn't quite figure out what you were trying to tell us with this post, but it had an undercurrent of agression to it which other people seemed to pick up as well.
If you had been truly interested in the facts about medical licensure and misdemeanors, addiction, dismissal etc. you could have found whatever wisdom people have to contribute in a number of recent threads on these issues.
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