9. Apportionment and reapportionment 4 Flashcards
What must each applicant pay before receiving an appointment?
Each applicant must pay the annual fee required by section 17 of this Article prior to appointment.
What must an applicant do prior to appointment as a QME?
The text does not provide the complete requirements prior to appointment as a QME but it indicates that applicants must complete certain fees and potentially other qualifications.
What is the definition of implicit or unconscious bias?
Implicit or unconscious bias refers to the attitudes or stereotypes that affect our understanding actions and decisions in an unconscious manner. These biases can be favorable or unfavorable and they often operate in ways that affect people’s perceptions and judgments without their conscious awareness.
Why is it important to increase awareness of differences in human experience in healthcare?
Increasing awareness of differences in human experience is crucial in healthcare to ensure that medical professionals understand how cultural societal and individual factors influence patient experiences and outcomes. This awareness helps in providing culturally competent care addressing the unique needs of diverse patient populations and reducing health disparities.
How can unconscious bias impact medical evaluations and reporting?
Unconscious bias can impact medical evaluations and reporting by leading healthcare providers to make assumptions based on stereotypes rather than objective evidence. This can result in misdiagnoses inappropriate treatment plans or unequal access to medical resources ultimately contributing to disparities in healthcare.
What are some strategies to eliminate or reduce implicit bias in medical evaluations?
Strategies to eliminate or reduce implicit bias in medical evaluations include: 1) Education and training on recognizing and understanding bias; 2) Standardizing evaluation criteria to minimize subjective judgments; 3) Engaging in reflective practices to question and assess one’s own biases; 4) Creating diverse healthcare teams to provide multiple perspectives; and 5) Implementing accountability measures that track biases in medical decision-making.
Provide an example of potential gender bias in a fictitious QME evaluation.
In a fictitious QME evaluation a male injured worker presents with a musculoskeletal injury but the evaluator assumes that a lower apportionment rating is warranted based on the stereotype that men are naturally more resilient to pain. Conversely if a female injured worker presents with the same injury the evaluator might assume a higher apportionment due to an unconscious belief that women are more emotionally sensitive to pain. These assumptions are based solely on the worker’s gender and not on their individual circumstances.
What is a potential gender bias issue in the assessment of permanent disability from industrial breast cancer?
A potential gender bias issue in assessing permanent disability from industrial breast cancer could manifest if evaluators unconsciously downplay the severity of the condition in women underestimating the impact on their quality of life due to societal biases about women’s health issues. This may lead to lower disability ratings compared to male counterparts with comparable health conditions thus overlooking specific challenges women may face in the workplace post-treatment.
What role does stereotyping play in healthcare disparities?
Stereotyping plays a significant role in healthcare disparities as it leads medical professionals to make generalized assumptions about patients based on race gender socioeconomic status or other characteristics. These stereotypes can result in differential treatment miscommunication and a lack of trust further exacerbating inequities in health outcomes and access to care.
What type of training is necessary to combat bias in healthcare settings?
Training necessary to combat bias in healthcare settings should include: 1) Education on implicit bias and its effects; 2) Cultural competence training; 3) Interactive workshops that involve role-playing and discussion of scenarios; 4) Encouragement for self-reflection regarding personal biases; 5) Continuous efforts to monitor and evaluate the effectiveness of bias reduction strategies in clinical practice.
Describe how training on implicit bias should be structured to be effective.
Training on implicit bias should be structured to include interactive elements such as case studies and group discussions that allow participants to engage with the material actively. It should include a clear definition of implicit bias real-world examples of its impact in healthcare strategies for recognizing one’s own biases and practical solutions for reducing bias in clinical practice. Regular follow-up sessions to reinforce learning and track progress should also be implemented.
What are some common examples of implicit bias in healthcare?
Common examples of implicit bias in healthcare include: 1) Racial bias leading to different pain management strategies for minority patients; 2) Gender bias affecting the credibility of women’s health complaints; 3) Age bias impacting the treatments offered to elderly patients; 4) Socioeconomic bias influencing the perceived compliance of low-income patients.
What is the definition of impairment resulting from breast cancer and its treatment?
Impairment from breast cancer and its treatment refers to any physical or psychological condition that limits a person’s ability to perform everyday activities or fulfill roles due to the cancer diagnosis or the effects of related treatments such as chemotherapy radiation or surgery.
What components should a course on breast cancer impairment include?
The course should provide a comprehensive understanding of breast cancer impairments and must include a post-course examination based on the program material.
What is the minimum passing rate required for credit in the breast cancer impairment course?
The minimum passing rate required for credit in the course is no lower than 70 percent correct responses.
Who has the authority to audit examination scores for physicians in the breast cancer impairment course?
The administrative director has the authority to audit physicians’ examinations and their scores.
Define a physician’s specialty according to the regulations provided.
A physician’s specialty is defined as one for which the physician is board certified or has completed postgraduate specialty training or has held an appointment as a Qualified Medical Evaluator (QME) in that specialty as of June 30 2000 according to Labor Code Section 139.2.
What is required for a physician to be listed as a QME in a particular specialty?
To be listed as a QME in a specialty the physician must have the designated specialty recognized by the relevant licensing board and must provide documentation from the appropriate board of certification or qualification to the Administrative Director.
What is Section 11a2A in the context of physician specialties?
Section 11a2A refers to the definitions and requirements for a physician’s specialty which may include board certification or completion of postgraduate training in that specific area.
Why might a physician request to add a specialty?
A physician might request to add a specialty to their credentials in order to expand their practice capabilities ensure compliance with medical regulations or to enhance their professional recognition in a specific area of medicine.
What is required for a physician to change or add a specialty?
A physician seeking to change or add a specialty must submit a written request along with documentation that proves they are board certified in the new specialty or subspecialty recognized by the Administrative Director. Failure to provide proof of board certification can result in denial of the request.
What are the documentation requirements for a physician applying to be a Qualified Medical Evaluator (QME) under Labor Code Section 139.2c?
A physician applying to be a QME must pass the QME competency examination and provide written documentation to the Administrative Director demonstrating that they meet at least one of the following criteria: (a) Be a current salaried faculty member at an accredited university or college; (b) Have a current license to practice as a physician; (c) Be engaged in teaching lecturing published writing or medical research at that university or college.
What happens if a physician fails to provide proof of board certification when applying to change a specialty?
If a physician fails to provide proof of board certification when applying to change a specialty their request will be denied.
What qualifies a physician as a current salaried faculty member for QME consideration?
A physician qualifies as a current salaried faculty member if they hold a position at an accredited university or college and are actively engaged in teaching lecturing published writing or medical research in their field of expertise.
