NBME BOARD MEETING TRANSCRIPT
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2 MS. HUG-ENGLISH: All right.
I'm going to
3 call the continuation of this meeting of the
4 state board of medical examiners to
order. And we have
5 a few
things left on our agenda. We were so
efficient
6 yesterday that we took care of a lot of
things. But I
7 think that we'll start with item 15, which
is
8 consideration of the request by the
9 attorney general for requiring domestic
violence
10 continuing
education. And do we have someone --
11 MR.
LESLEY: I don't know.
12 MS.
HUG-ENGLISH: Someone from that
office?
13 I'm from the
14 MS. HUG-ENGLISH: Did you want to make a
15 couple
comments?
16
UNIDENIFIED SPEAKER: I came
because I saw
17 the item was
agendized. I wanted to thank you, the
18 board, for
taking the matter so seriously wanted to
19 clarify that
that letter was not requesting that you
20 take any
action on whether domestic violence training
21 should be
required rather that the Attorney General's
22 office and the
23 are looking
for feedback from the Board on how best to
24 prioritize
domestic violence training for physicians.
25 So again
rather than making it mandatory to ask you to
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1 think about how that can be prioritized and
how best to
2 work with this. That's all.
3 MS. HUG-ENGLISH: Any comments on the letter
4 that we received?
5 MR. MATHIS: Larry Mathis,
6 medical association. We've been working with the
7 domestic violence task force and with the
Attorney
8 General's office on actually right now
there's a
9 project that received some of the national
funding to
10 develop
clinical guidelines for use by physicians and
11 other health
care professionals on integrating domestic
12 violence,
screening procedures into practices, and I
13 expect we'll
have that done I think in probably January
14 or
February. It's coming very close. We have on the
15
16 about the
clinical issues on domestic violence, the
17 links. There's a clinical guide for emergency
18 physicians
that we have on there. And we've also
put
19 on C M E
programs that encouraged all the C M
20 E providers to
integrate that in the practice. So I
21 think what the
intent of this was was to bring in this
22 Board and the
other licensing boards as these clinical
23 guidelines
become more available as to how best to make
24 sure that all
the physicians, nurses and others really
25 become aware
of it and that screening for domestic
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1 violence becomes just a natural part of
taking
2 histories in the appropriate practices and
how for --
3 how to rank that in C M Es rather than
having a
4 requirement that somebody C M Es in one area
or
5 another.
I think we're all pretty much on the same
6 waiving length on that.
7 MS. HUG-ENGLISH: Thank you.
I think just
8 to clarify in the letter that we received in
the last
9 paragraph, it does say we would like to know
the
10 Board's
position on requiring domestic violence
11 continuing
education for its licensees.
12 So
the letter is worded just a bit
13 differently
than what I'm hearing from you all this
14 morning. And so I guess I'd like to ask for comments
15 from board
members.
16 MS.
JONES: I think that that's definitely
17 an issue that
we need to be looking at and we have
18 been. It's not that we haven't been up to this
time.
19 But perhaps in
the ethics requirement that C M E could
20 be included in
that area.
21 MS.
HUG-ENGLISH: I know Dr. Titus isn't
22 able to be
here this morning but she did want it noted
23 also that
although she was not supporting requiring or
24 making it an
addition to continuing education
25 requirements,
that she felt that it might be considered
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1 part of the two credits of ethics, where
that some
2 domestic violence education could be
substituted or
3 incorporated in those two credit hours.
4 MR. MONTOYA: I'm an obstetrician
5 gynecologist. In my literature that I go through,
6 there's a domestic violence articles every
month in
7 something.
And so there are a lot of literature out
8 there.
I'm seeing there's a lot of advertising about
9 awareness of domestic violence. And I'm not sure that
10 mandating C M
Es for domestic violence is necessarily
11 the way to
go. It's going to be a lot like this
ethics
12 thing, which
in my personal opinion has gotten to be a
13 joke after a
while, because guys go sign in and bolt.
14 And I think
it's more a push for education, a push for
15 awareness and
not just saying go to this lecture and
16 then we'll
consider you aware. I don't think that
just
17 requiring C M
E's is necessarily the way to go.
18 MS.
HUG-ENGLISH: Other comments?
19 I
certainly agree with that. I think that
20 each of us on
the Board recognizes the importance of
21 domestic
violence that it's a critical issue that we
22 need to be
aware of and that we need to educate
23 physicians
about. I'm not sure that C M E is the
way
24 to do it. And I am happy to hear that there's some
25 things in the
works that are providing information on
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1 the web site, perhaps that can be extended
to some
2 little monograph or something that's sent to
physicians
3 and incorporated that way. I think that certainly we
4 all are aware of the importance of this
issue. But I'm
5 not hearing from the Board members any
willingness to
6 incorporate that as an addition to our C M
7 E requirements at this time.
8 Dick or Larry, should we draft a
response to
9 this letter in some sort of form to the
Attorney
10 General's
office.
11 MR.
LESLEY: If you like.
12 MS.
HUG-ENGLISH: That would indicate that
13 we certainly value the importance of it, but
that at
14 this time we
don't feel that doing it in a C M E format
15 would be the
best. Is that what I'm hearing.
16 MS.
KIRSCH: I think that's appropriate.
17 MR.
MONTOYA: I can volunteer that the Clark
18 County OB/GYN
society typically every year gives money
19 to something
like the shade tree shelter or one of the
20 other type
shelters to help out. So the OB/GYN
society
21 down in
southern Nevada at least has a pretty good
22 awareness of
the problem. Maybe needs to spread to
23 some of the
other disciplines.
24 MS.
HUG-ENGLISH: And I do think that it's
25 helpful for
you to come and tell us what's happening in
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1 other
arenas too. I think if other things come
up with
2 that that certainly this board would like to
hear about
3 it and I would see other avenues of perhaps
doing
4 something in our newsletter or something
that would
5 increase awareness as well.
6 Any other comments about
that? Okay. Then
7 we can move on. I believe the only item left on our
8 agenda from last night was the diversion
report, but I
9 don't think Carolyn is here this
morning. I think that
10 report was
passed out. Does anybody have any
questions
11 or comments
about her report?
12 (No
response.)
13 MS.
HUG-ENGLISH: Okay. Then I think that
14 we can move on
to our adjudications. 8:40.
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