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Wednesday 25 September 2013

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Professor Obi Blog | Medical Council News | Ireland Leads The Way | No Immunity For Former Medical Council President | Source - Irish Times | Click Here For The Full Article

A former president of the Irish Hospital Consultants’ Association has been found guilty of “poor professional performance” by a fitness to practice inquiry of the Medical Council.

Dr Colm Quigley is the clinical director at Wexford General Hospital and is himself a former president of the Medical Council.

The findings will now be forwarded to the board of the Medical Council who will deliberate and decide on what sanctions – if any – will be imposed on Dr Quigley.

The finding of poor professional performance of a doctor is distinct from from from the more serious accusation of “professional misconduct”, which was not levelled against him.

The case relates to a patient – known only as Patient X – who was referred by his GP to Dr Quigley’s private clinic at the Ely Hospital at Ferrybank, Co Wexford on August 27, 2009.

Patient X was said to have been suffering from a number of complaints including low sodium in the blood.

After the consultation, Dr Quigley wrote to Patient X’s GP and said he would be carrying out a series of tests on Patient X. These tests were never carried out. Patient X died of inoperable lung cancer on April 16th, 2011. There is no allegation that Dr Quigley caused deterioration in the patient’s health or in any way contributed to his death.

Dr Quigley told the inquiry he believed subsequent examination of medical records had shown Patient X had not contracted the cancer that killed him in 2010 – and so the missing tests in 2009 could not have revealed it.

However, the committee found Dr Quigley was guilty of “poor professional performance” in failing to arrange the tests, failing to recognise the tests had not been carried out, and failing to have “any adequate system” in place for tracking or monitoring tests.

He was also guilty of failing to “respond adequately” to letters and phone calls over a number of months by Patient X, his wife, and his GP enquiring as to why the tests had not yet been carried out.

It was proven beyond reasonable doubt that Dr Quigley, in or after the first consulation in August, failed to “ensure” the tests were carried out – but this was not deemed to constitute “poor professional performance”.

Dr Quigley was found not guilty of allegations that at consultations in August and December 2009, he failed to take “any adequate history” or undertake “any adequate examination” of Patient X.

He was also found not guilty of an allegation that he “failed to maintain adequate records in respect of the care afforded” to Patient X.

During closing statements, Neasa Bird, for the Medical Council, said Dr Quigley had been unable to provide an explanation or excuse as to why the series of tests were not carried out.

The crux of the prosecution case hung on the argument that Dr Quigley had not been responsible for one mistake, but “a series of errors over a long period of time”. She said this amounted to a case of poor professional performance.

In his closing statement, Paul Anthony McDermott, counsel for Dr Quigley, said his client’s position was the same as it had been from the outset – that “a mistake” had occurred.

He said Dr Quigley had an otherwise “unblemished” record.

“What this case does establish is that paper-based systems can go wrong. Ireland is moving towards computer-based systems which should ensure that something like this never happens again.”

He said it was “ironic” that Dr Quigley was the subject of an inquiry having “spent much of his time protecting patients in the role as clinical director (at Wexford General Hospital)”.

Concerning allegations from the Medical Council that Dr Quigley had implicated himself with an admission that his handling of Patient X had “fallen below (his) standards”, Mr McDermott said this was “unfair”.

“His standards are unusually high and he has been a perfectionist. It’s unfair to turn that approach on him and use his own evidence to condemn him. He said ‘I wanted to do better’ and that is being used against him.”

The committee heard Dr Quigley has made “significant changes” to his practice, including the reduction of the number of patients he sees. “He is making changes to make sure this never happens again,” added Mr McDermott.

Tuesday 17 September 2013

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. . . Joseph Obi is Impeccably Informed that Brazilian President Dilma Rousseff has just ANGRILY CANCELLED a (Highly Publicized) State Visit to America ; after it emerged that American Foreign Policy Chiefs had been (Secretly) Snooping on Her Emails . . .

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- Joseph Chikelue Obi FRCAM(Dublin)

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* * *

BMJ 2011; 342:d1817 doi: 10.1136/bmj.d1817

(Published on : 05 April 2011)

Cite this as: BMJ 2011; 342:d1817

Place of medical qualification and outcomes of UK General Medical Council “fitness to practise” process: cohort study.

Charlotte Humphrey, professor of health care evaluation (*1),
Shaista Hickman, research associate (*1),
Martin C Gulliford, professor of public health (*2)

+ Author Affiliations

(*1). Florence Nightingale School of Nursing and Midwifery, King’s College London, London SE1 8WA, UK
(*2). Department of Primary Care and Public Health Sciences, King’s College London, London SE1 3QD

Correspondence To : C Humphrey 

charlotte.humphrey@kcl.ac.uk

Accepted on : 01 February 2011


Abstract

Objectives : To evaluate whether country of medical qualification is associated with “higher impact” decisions at different stages of the UK General Medical Council’s (GMC’s) “fitness to practise” process after allowing for other characteristics of doctors and inquiries.

Design : Retrospective cohort study.

Setting : Medical practice in the United Kingdom.

Participants : 7526 inquiries to the GMC concerning 6954 doctors.

Main Outcome Measures : Proportion of inquiries referred for further investigation at initial triage by the GMC, proportion of inquiries investigated that were subsequently referred for adjudication, and proportion of inquiries resulting in doctors being erased or suspended from the medical register; relative odds of higher impact decisions, by country of qualification, adjusted for doctors’ sex, years since primary medical qualification, medical specialty, source and type of inquiry, and nature of allegations.

Results : Of 7526 inquiries, 4702 concerned doctors who qualified in the UK, 624 concerned doctors who qualified elsewhere in the European Union (EU), and 2190 concerned doctors who qualified outside the EU. At the initial triage, 30% (n=1398) of inquiries concerning doctors who qualified in the UK had a high impact decision, compared with 43% (267) for doctors who qualified elsewhere in the EU and 46% (998) for those who qualified outside the EU. The adjusted relative odds of an inquiry being referred for further investigation were 1.67 (95% confidence interval 1.28 to 2.17) for doctors who qualified elsewhere in the EU and 1.61 (1.38 to 1.88) for those who qualified outside the EU, compared with doctors who qualified in the UK. At the investigation stage, 5% (228) of inquiries received concerning UK qualified doctors were referred for adjudication, compared with 10% for EU (63) or non-EU (221) qualified doctors. The adjusted relative odds of referral for adjudication were 2.14 (1.46 to 3.16) for doctors who qualified elsewhere in the EU and 1.68 (1.31 to 2.16) for those who qualified outside the EU. At the adjudication stage, 1% (69) of inquiries received concerning UK qualified doctors led to erasure or suspension, compared with 4% (24) for doctors who qualified elsewhere in the EU and 3% (71) for non-EU qualified doctors. The adjusted relative odds of erasure or suspension were 2.16 (1.22 to 3.80) for doctors who qualified elsewhere in the EU and 1.48 (1.00 to 2.19) for those who qualified outside the EU.

Conclusions : Inquiries to the GMC concerning doctors qualified outside the UK are more likely to be associated with higher impact decisions at each stage of the fitness to practice process. These associations were not explained by measured inquiry related and doctor related characteristics, but residual confounding cannot be excluded.


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Monday 16 September 2013

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NewsFlash (September 2013) : Joseph Chikelue Obi Has Just Been Unanimously Endorsed To Independently (and Additionally) Contest For A UK Parliamentary Constituency Seat In The (Upcoming) 2015 British General Elections.

. . . Further Statements Will Arrive In Due Course . . .

Saturday 14 September 2013

Joseph Chikelue Obi | Title Network News | ". . . Hold America Primarily Responsible Syrian Chemical Warfare Deaths . . ."

Joseph Chikelue Obi | Title News Network | Syria | Part 3

Joseph Obi | Statements On Syria [Part 3]

". . . Treacherous Foreign Policies of the United States of America (USA) are Primarily to Blame for the Recent Spate of (Fatal) Syrian Chemical Attacks ; Not Dr Bashar Assad . . . "

- Joseph Chikelue Obi FRCAM(Dublin)

General Medical Council (GMC) Opposition Leader

Monday 2 September 2013

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Joseph Obi | Statements On Syria [Part 2]

" Syrians are Perfectly Capable of (Intelligently) Sorting Out their Very Own Problems.

To This Effect, I Fully Support the Recent Decision of the United Kingdom (Parliament) not to get involved in any (Wreckless) Military Intervention (whatsoever) concerning Syria.

What Our Poor Syrian Brethren really need (at present) is Lots (and Lots) of Diplomatic Pacification , together with Copious Amounts of Useful Humanitarian Aid and Appropriate Clinical Support.

Bombing the Living Daylights out of (Team) Assad in Damascus will (most) certainly not actually solve anything (significant) in the Long Term ; and will only Ultimately Lead to (very many) more (Highly) Preventable Deaths throughout the Middle East and Beyond.

It is therefore (Now) Time for Great Britain to Thoroughly (and Urgently) Redefine it's International Role on the World Stage ; from that of a Glorified (White House) Poodle to that of a Global Humanitarian Super-Power . . . "

- Joseph Chikelue Obi FRCAM(Dublin)

General Medical Council (GMC) Opposition Leader

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