Formation | 1912 |
---|---|
Type | Professional association |
Headquarters | Washington, DC |
Location |
|
Official language | English |
President and CEO | Humayun Chaudhry, D.O. |
Website | www |
The Federation of State Medical Boards (FSMB) of the United States is a national non-profit organization that represents the 71 state medical and osteopathic boards of the United States and its territories and co-sponsors the United States Medical Licensing Examination. Medical boards license physicians, investigate complaints, discipline those who violate the law, conduct physician evaluations, and facilitate the rehabilitation of physicians where appropriate. The FSMB's mission calls for "continual improvement in the quality, safety and integrity of health care through the development and promotion of high standards for physician licensure and practice." [1]
Based in Euless, Texas and Washington, D.C., the FSMB serves as the national voice for its member boards and is a recognized authority throughout the United States and internationally on issues related to medical licensure and discipline.
The United States Medical Licensing Examination (USMLE) is a three-step (three-part) professional examination for medical licensure that is sponsored by the FSMB and the National Board of Medical Examiners (NBME).
The Tenth Amendment to the United States Constitution authorizes states to establish laws and regulations protecting the health, safety and general welfare of their citizens. [1] Medicine is a regulated profession in the United States because of the potential harm to the public if an incompetent or impaired physician is licensed to practice.
To protect the public from the unprofessional, improper, unlawful, fraudulent and/or incompetent practice of medicine, each of the 50 states, the District of Columbia and the U.S. territories (Puerto Rico, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands) has a medical practice act that defines the practice of medicine and delegates the authority to enforce the law to a state medical board. By following up on complaints, medical boards also give the public a way to enforce basic standards of competence and ethical behavior in their physicians, and physicians a way to protect the integrity of their profession. State medical boards also adopt policies and guidelines related to the practice of medicine. However, medical boards sometimes engage in the unethical practice of sham peer review. [2] [3] [4] [5] [6] [7]
The FSMB was founded in 1912 through a merger between the National Confederation of State Medical Examining and Licensing Boards (established in 1891) and the American Confederation of Reciprocating Examining and Licensing Boards (established in 1902). The founding of the FSMB coincides with the national impact of the Flexner Report, which was published in 1910 by the Carnegie Foundation and led to dramatic changes in medical education.
In 1915 the FSMB began publication of the Monthly Bulletin, the first regular publication since the Quarterly, which ceased publication after the first volume. The FSMB was unique in that it was the first group to publish the names of disciplined physicians in its Monthly Bulletin. In 1920 or 1921 the name of the publication was changed to Federation Bulletin and publication continued monthly. The year 1993 saw the development of a new, larger format for the publication, which was called the Journal of Medical Licensure and Discipline. In 2010, the journal was renamed the Journal of Medical Regulation.
Since its establishment, the FSMB has initiated and strengthened cooperation among state medical boards and facilitated collaborative efforts between state medical boards and other entities. [8] All 71 medical boards of the United States and its territories, including the 14 state boards of osteopathic medicine, belong to the FSMB. Members of these boards are known as Fellows of the FSMB, so long as they are serving as members of a member medical board and for a period of 36 months thereafter, and many of them have been prominent in the affairs of numerous other major medical organizations in the United States. The FSMB is a parent organization of the Accreditation Council for Continuing Medical Education (ACCME) and the Educational Commission for Foreign Medical Graduates (ECFMG). It was a founding member of what was to become the American Board of Medical Specialties (ABMS) and remains an associate member of that body.
The FSMB's Chief Executive Officers since the organization's inception have been George H. Matson, (1912), Otto V. Huffman, (1912–1915), Walter L. Bierring, (1915–1961), Stiles D. Ezell, (1961), Harold E. Jervey Jr., (1961–1962, 1977–1984), McKinley H. Crabb, (1962–1977), Bryant L. Galusha, (1984–1989), James R. Winn, (1989–2001), Dale L. Austin, M.A. (2001–2002), James N. Thompson, (2002–2008) and Barbara S. Schneidman, (2009). Humayun Chaudhry began his tenure as President and CEO on October 19, 2009. [9]
The federation is run by a board of directors which is elected by the 71 member state and territorial medical regulatory authorities within the federation. As of 2022: [10]
The United States Medical Licensing Examination (USMLE) is sponsored by the FSMB. The USMLE must be passed before a Doctor of Medicine with an M.D. degree can obtain a license to practice medicine in the United States. [12]
The FSMB is guided in its actions and activities by its House of Delegates, in which every member board is represented. Its activities include conducting or commissioning research to determine whether an emerging trend in medical practice requires the attention of its member boards; developing and updating policy guidelines to reflect the impact of scientific advances, new technologies and changing cultural attitudes; helping member boards carry out their duties as regulators of the medical profession through educational meetings, programs, and seminars; representing its member boards in a growing number of collaborations as new medical knowledge and new technologies demand work across old boundaries; serving as a national and international spokesperson on issues related to medical regulation and discipline; and conducting outreach to the public around new initiatives and responding to calls from the media, editors and concerned citizens.
The FSMB Foundation (formerly the FSMB Education and Research Foundation) is the philanthropic arm of the FSMB and makes financial grants for education and research projects that support the work of the state medical boards. The Foundation, as a 501(c)(3) organization, can compete for external grant funds and, when appropriate, direct them back to state medical boards in the form of grants that address education and research needs. In April 2006, the FSMB Foundation was awarded a grant to develop online physician education. The Online Prescriber Education Network portal now offers 32 available educational courses. [13]
Starting in 2013, the foundation has hosted an annual luncheon which has raised thousands of dollars to support Foundation activities, including research into how states addressed the COVID-19 pandemic. [14] [15] In April 2022, the foundation held its 10th Anniversary luncheon.
This section contains content that is written like an advertisement .(January 2017) |
The FSMB's Federation Physician Data Center (FPDC) provides comprehensive information on regulatory actions and other vital information reported against physicians. It offers two services to assist medical boards in their credentialing efforts: the Board Action Data Bank Search and the Disciplinary Alert Service, both of which are considered primary source equivalents by NCQA, URAC and the Joint Commission. The FPDC permits medical boards to view a consolidated national record of disciplinary actions taken against a physician dating back to the early 1960s. Actions by medical boards and governmental agencies include revocation, suspension or denial of license renewal. Through the FPDC's Disciplinary Alert Service, the FSMB electronically notifies all member boards within 48 hours when any member board reports a disciplinary action against a physician or physician assistant. A similar service advises hospitals and managed care organizations when one of their physicians has been disciplined. The FPDC is routinely consulted by licensing and disciplinary boards; military, governmental and private agencies; and organizations involved in the employment and/or credentialing of physicians. The FPDC also serves state medical boards as a back-up repository, both in hard copy and electronic files, of their disciplinary action data. In case of emergencies or local system failures, member boards can recreate all of their physician discipline files through the FPDC. [16] During the immediate aftermath of the effects of Hurricane Katrina in 2005, the staff of the FSMB and its members boards worked together to expedite medical care for victims while simultaneously protecting the public from dangerous doctors or imposter physicians. [17]
The FSMB's Federation Credentials Verification Service (FCVS), created in 1996, provides a permanent repository for the core credentials of physicians and physician assistants. In February 2009, FCVS received its 100,000th physician applicant.
The Post-Licensure Assessment System (PLAS) is a joint program of the FSMB and the National Board of Medical Examiners. The PLAS provides comprehensive services to medical licensing authorities for use in assessing the ongoing competence of licensed or previously licensed physicians. Such services benefit state medical boards, hospitals and other organizations interested in ensuring that physicians who are providing patient care are competent to do so.
The FSMB publishes both electronic and print materials to inform member boards, physicians and the public about medical licensing, regulation, discipline and medical trends. The FSMB's quarterly flagship publication, the Journal of Medical Licensure and Discipline, is not currently indexed by PubMed, as was its predecessor, the "Federal Bulletin." [18] A monthly newsletter, FSMB Newsline, and a weekly e-mail publication, BoardNet News, keep member boards and their staff up to date.
In February 2012, Milwaukee Journal Sentinel and MedPage Today revealed that in 2007 the FSMB with financial support from several opioid manufacturers, including Purdue Pharma started to distribute hundreds of thousands of the Responsible Opioid Prescribing: A Physician's Guide, a guideline written by Scott Fishman, MD. This book aimed to translate the 1997 Model Guidelines for the use of Controlled Substances for the Treatment of Pain into pragmatic implementation strategies. However, some academics have argued that the publication contributed to the marked increase in opioid use by encouraging aggressive prescribing and failing to point out the lack of science supporting the use of opioids for chronic, non cancer pain. [19] [20] [21]
In 2012, as a result of the Sentinel report, the US Senate Finance Committee started investigating the tight relationship of various tax-exempt organizations, including FSMB, with opioid manufacturers. That same year, the FSMB adopted a policy which precluded it from accepting any grants or funding from pharmaceutical companies. [22] [23]
A physician, medical practitioner, medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis and treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice. Medical practice properly requires both a detailed knowledge of the academic disciplines, such as anatomy and physiology, underlying diseases, and their treatment, which is the science of medicine, and a decent competence in its applied practice, which is the art or craft of the profession.
A medical license is an occupational license that permits a person to legally practice medicine. In most countries, a person must have a medical license bestowed either by a specified government-approved professional association or a government agency before they can practice medicine. Licenses are not granted automatically to all people with medical degrees. A medical school graduate must receive a license to practice medicine to legally be called a physician. The process typically requires testing by a medical board. The medical license is the documentation of authority to practice medicine within a certain locality. An active license is also required to practice medicine as an assistant physician, a physician assistant or a clinical officer in jurisdictions with authorizing legislation.
The United States Medical Licensing Examination (USMLE) is a three-step examination program for medical licensure in the United States sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Physicians with a Doctor of Medicine (MD) degree are required to pass the USMLE for medical licensure. However, those with a Doctor of Osteopathic Medicine degree (DO) are required to take the COMLEX-USA (COMLEX) exams but may also sit for the USMLE as well.
The American Board of Medical Specialties (ABMS) is a non-profit organization established in 1933 which represents 24 broad areas of specialty medicine. ABMS is the largest and most widely recognized physician-led specialty certification organization in the United States. The other certification organizations in the United States are the American Board of Physician Specialties and American Osteopathic Association Bureau of Osteopathic Specialists.
The Federation of Chiropractic Licensing Boards, based in Greeley, Colorado, is a non-profit organization which facilitates the coordination and communication of the 50 individual United States' chiropractic licensing boards.
The American Board of Internal Medicine (ABIM) is a 501(c)(3) nonprofit, self-appointed physician-evaluation organization that certifies physicians practicing internal medicine and its subspecialties. The American Board of Internal Medicine is not a membership society, educational institution, or licensing body.
Maintenance of Certification (MOC) is a recently implemented and controversial process of physician certification maintenance through one of the 24 approved medical specialty boards of the American Board of Medical Specialties (ABMS) and the 18 approved medical specialty boards of the American Osteopathic Association (AOA). The MOC process is controversial within the medical community, with proponents claiming that it is a voluntary program that improves physician knowledge and demonstrates a commitment to lifelong learning. Critics claim that MOC is an expensive, burdensome, involuntary and clinically irrelevant process that has been created primarily as a money-making scheme for the ABMS and the AOA.
Board certification is the process by which a physician, veterinarian, or other professional demonstrates a mastery of advanced knowledge and skills through written, oral, practical, or simulator-based testing.
The American Board of Physician Specialties (ABPS), the official certifying body for the American Association of Physician Specialists (AAPS) is a non-profit umbrella organization for sixteen medical specialty boards that certifies and re-certifies physicians in fourteen medical specialties in the United States and Canada. It is one of three certifying bodies in the United States in addition to the American Board of Medical Specialties, and American Osteopathic Association Bureau of Osteopathic Specialists. The ABPS oversees Doctor of Medicine (M.D.) and Doctor of Osteopathic Medicine (D.O.) certification in the United States. The ABPS assists its Member Boards in developing and implementing educational and professional standards to evaluate and certify physician specialists. It is recognized by the U.S. Department of Labor as well as the Centers for Medicare and Medicaid Services (CMS).
Doctor of Osteopathic Medicine is a medical degree conferred by the 38 osteopathic medical schools in the United States. DO and Doctor of Medicine (MD) degrees are equivalent: a DO graduate may become licensed as a physician or surgeon and thus have full medical and surgical practicing rights in all 50 US states. As of 2021, there were 168,701 osteopathic physicians and medical students in DO programs across the United States. Osteopathic medicine emerged historically from the quasi-medical practice of osteopathy, but has become a distinct and proper medical profession.
Humayun Javaid Chaudhry, D.O., MACP, FRCP (Lon.), FRCP (Edin.) is an American physician and medical educator who is president and chief executive officer of the Federation of State Medical Boards (FSMB) of the United States, a national non-profit organization founded in 1912 that represents the 70 state medical boards of the United States and its territories and which co-sponsors the United States Medical Licensing Examination (USMLE). From 2007 to 2009, he served as Commissioner of Health Services for Suffolk County, New York, the state's most populous county outside New York City. In 2016, he was listed by Modern Healthcare magazine as one of the 50 Most Influential Physician Executives and Leaders.
The National Board of Medical Examiners (NBME), founded in 1915, is a United States non-profit which develops and manages assessments student physicians. Known for its role in developing the United States Medical Licensing Examination (USMLE) in partnership with the Federation of State Medical Boards (FSMB), USMLE examinations for medical students and residents are used by medical licensing authorities in the U.S. to help determine qualifications to grant and recognize medical licenses. NBME also creates assessments and materials that are used by medical students, medical educators, practicing physicians, and for state testing of physicians already holding licenses.
Health professional requisites refer to the regulations used by countries to control the quality of health workers practicing in their jurisdictions and to control the size of the health labour market. They include licensure, certification and proof of minimum training for regulated health professions.
The Texas Medical Board (TMB) is the state agency mandated to regulate the practice of medicine by Doctors of Medicine (MDs) and Doctors of Osteopathic Medicine (DOs) in Texas. The Board consists of 12 physician members and seven public members appointed for a six-year term by the Governor and confirmed by the Senate. The full Board is required to meet at least four times a year but customarily convenes five times a year. Typical Board business includes interviewing licensure candidates, considering disciplinary matters and adopting substantive and procedural rules. Additionally, Board committees address a variety of important issues.
Physicians are an important part of health care in the United States. The vast majority of physicians in the US have a Doctor of Medicine (MD) degree, though some have a Doctor of Osteopathic Medicine (DO), or Bachelor of Medicine, Bachelor of Surgery (MBBS).
The Center for Personalized Education for Physicians (CPEP) is a non-profit organization, headquartered in Denver, Colorado, and it specializes in physician competency assessment and educational intervention. The organization was established in 1990 as a collaborative effort of seven Colorado healthcare organizations: the Colorado Alliance for CME, the Colorado Foundation for Medical Care, the Colorado Hospital Association, the Colorado Medical Society, the Colorado Physician Health Program, the Colorado Society of Osteopathic Medicine and the University of Colorado School of Medicine.
The American Osteopathic Board of Neurology and Psychiatry (AOBNP) is an organization that provides board certification to qualified Doctors of Osteopathic Medicine (D.O.) and non-osteopathic physicians who specialize in disorders of the nervous system (neurologists) and to qualified Doctors of Osteopathic Medicine and physicians who specialize in the diagnosis and treatment of mental disorders (psychiatrists).
The National Board of Osteopathic Medical Examiners (NBOME), founded in 1934 as the National Osteopathic Board of Examiners for Osteopathic Physicians and Surgeons, Inc., is a United States examination board which sets state recognized examinations for osteopathic medical students and began administering exams in February 1935. The NBOME is an independent, nonprofit organization and is headquartered in Chicago, Illinois and Conshohocken, Pennsylvania. The NBOME states that its mission is "to protect the public by providing the means to assess competencies for osteopathic medicine and related health care professions." The NBOME conducts research to monitor the quality of the COMLEX examinations.
The Oregon Medical Board (OMB) is the agency of the government of the U.S. state of Oregon responsible for establishing the rules and regulations governing the practice of medicine in Oregon. The Board's office is located in Portland, Oregon. It is a member of the Federation of State Medical Boards.
The Medical Licensing Board of Indiana is a state government agency that licenses and disciplines physicians, surgeons and other healthcare professionals in Indiana. It is a member of the Federation of State Medical Boards.
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