Friday 25 January 2008

Trust me. I'm a doctor.


There was a time when the expression "Trust me. I'm a doctor" would not have had everyone falling over in laughter. Unlike politicians, who have always had a reputation for being dishonest and never waste an opportunity to confirm this reputation, doctors place great emphasis on professionalism and trust. This is as it should be if patients are to divulge their most intimate details and expect an opinion not influenced by anything but clinical considerations.

The present UK government, currently under investigation by the Metropolitan police for breaching their own regulations on electoral fraud, have always judged the professions by their own standards and imposed increasingly onerous regulation. At the same time there has been a move to replace professionals by untrained or minimally trained personnel with the mistaken belief that clinical judgment and professionalism can be replaced by strict protocols and close regulation.

Telemedicine, and in particular teleradiology, distances the doctor from the patient and the radiologist from the clinician and would seemingly demand extremely high levels of professionalism and trust or alternatively cast-iron regulation for the system to work. In the USA, physicians and radiologists offering out-of State consultation are required to be licensed to practice in that State. The UK seems less concerned with protecting standards. Before Mercuryhealthcare had their MRI contract withdrawn, their business plan involved sending the scans to Hungary for reporting. The reports were supposedly to be done by GMC registered radiologists but almost none had qualified or trained in the UK or sat any UK examinations. It is questionable whether, a few years ago, many of these people would have been recognised as doctors let alone as radiologists. At the time the GMC was so desperate to maintain its position in charge of medical regulation that they acceded to Government demands that European qualifications be recognised as of equal value and offered GMC registration to these overseas doctors.

Last week I received an invitation from a company in India offering teleradiology which I reproduce in full (emphasis mine- name deleted):

"Hello Doctor !

We provide teleradiology pre reading & reporting services from India by the name of XXXX XXXX Ltd.


XXXX XXXX Ltd.offers complete, round-the-clock, fast & 98.9% accurate teleradiology services for hospitals, clinics and physicians.

We have a panel of 30 dedicated & experienced Indian radiologists interpreting MRI, CT Scans & ultrasounds. All radiologists are MD & FRCR
some of them having more than 7 years of experience in the field. We have a setup at the city of Delhi in India. We use the most
advanced technology /RIS /PACS/ Synapse/Emed that enables a rapid transmission and interpretation of diagnostic medical images.

Since in US, You need license for each state , so we can not operate directly by the name of our esteemed radiologists .So, we cater to few

US based radiologists and teleradiology who operates by their name but outsource the work to us.So less overheads and more
quality productivity for them with 98.9% accuracy level
.

Our 30 MD radiologists each can read and report 16 cases a day at 12 hrs TAT (turn around time) and yet excel in terms of quality of reports. We

usually, start with a pilot service which comprises of few 4-5 test cases and then do some back log cases with 1-2 days TAT. As we get

comfortable working with each other we go live with 12 hrs TAT cases. We suggest a test sample/pilot Project to know our quality and competency level.

To ensure customer satisfaction and quality, our Quality Measurement processes document your radiologist’s evaluation of each PreRead’s accuracy. Our
Medical Quality Improvement Board reviews aggregate statistics and individual studies in an effort to help your radiologists guarantee the highest degree of clinical quality. The Board also conducts random evaluations of completed PreReads from our personnel.

We are currently looking forward to foray into the UK and EU markets for which we already have FRCR radiologists in our pannel.We shall be highly privileged to forge any alliance /collaboration with such an eminent company like you. We look forward to a long term mutually beneficial relationship with you .Hope to hear from you real soon with more of your kind suggestions.

Thanks & Regards"


So even the strict US regulations have been bypassed. It just goes to show; where money is involved the dishonest will always outwit the regulators. As Nu Labour and Societe General have found out and UK patients will soon find out.


27 comments:

Garth Marenghi said...

http://www.bloggerschoiceawards.com/blogs/show/39829/?utm_source=bloggerschoiceawards&utm_medium=badge&utm_content=worstblogofalltime

dr ray, any chance of linking this up to your blog, nominating Darzi's blog as worst of all time?

Dr Xavier Ray said...

Yes, His blog is embarrassing. Like watching your dad wearing flairs and trying to dance like Pans People when we were kids.
I shall certainly nominate him.

Anonymous said...
This comment has been removed by a blog administrator.
Anonymous said...

The Indian doctors seems to be more qualified ,competent and affordable than US and UK radiologists/Doctors , so consumers and companies always find them no matter how hard you try to shield your incompetency and overpriced rates with Government regulations.
Don't complain fight it with better service than them. And hey! revealing confidential business letter on public blog doesn't makes you look honest either.
Its a pure breach of trust already, rather looks like Great-Dishonest UK doctors.

Anonymous said...

Some of my most excellent radiological colleagues are Hungarian and I have learned a lot from them. Beware of diminishing your point by falling into the island mentality trap ie that everyone trained outside of your island cannot possibly be as good as you or your island colleagues.

WoW Gold Guides said...

nice post!

精神年齢 said...

あなたの精神年齢を占ってみよう!当サイトは、みんなの「精神年齢度」をチェックする性格診断のサイトです。精神年齢度には、期待以上の意外な結果があるかも??興味がある方はぜひどうぞ

逆円助 said...

さあ、今夏も新たな出会いを経験してみませんか?当サイトは円助交際の逆、つまり女性が男性を円助する『逆円助交際』を提供します。逆円交際を未経験の方でも気軽に遊べる大人のマッチングシステムです。年齢上限・容姿・経験一切問いません。男性の方は無料で登録して頂けます。貴方も新たな出会いを経験してみませんか

精神年齢 said...

みんなの精神年齢を測定できる、メンタル年齢チェッカーで秘められた年齢がズバリわかっちゃう!かわいいあの子も実は精神年齢オバサンということも…合コンや話のネタに一度チャレンジしてみよう

童貞卒業 said...

童貞卒業を考えているなら、迷わずココ!今まで童貞とヤッた事がない女性というのは意外と多いものです。そんな彼女たちは一度童貞とやってみたいと考えるのは自然な事と言えるでしょう。当サイトにはそんな好奇心旺盛な女性たちが登録されています

メル友募集 said...

最近仕事ばかりで毎日退屈してます。そろそろ恋人欲しいです☆もう夏だし海とか行きたいな♪ k.c.0720@docomo.ne.jp 連絡待ってるよ☆

動物占い said...

あなたの性格を、動物に例えて占っちゃいます。もしかしたらこんな動物かも!?動物占いをうまく使って、楽しい人間関係を築いてください

家出 said...

家出中の女性や泊まる所が無い女性達がネットカフェなどで、飲み放題のドリンクで空腹を満たす生活を送っています。当サイトはそんな女性達をサポートしたいという人たちと困っている女性たちの為のサイトです

セレブラブ said...

セレブ女性との割り切りお付き合いで大金を稼いでみませんか?女性に癒しと快楽、男性に謝礼とお互い満たしあえる当サイト、セレブラブはあなたの登録をお待ちしております。

夏フェス!! said...

夏フェス一緒に行ってくれる人募集!!夏の思い出一緒につくろぉ☆ megumi-0830@docomo.ne.jp 連絡してね♪

無料ゲーム said...

あなたのゲーマー度を無料ゲーム感覚で測定します。15個の質問に答えるだけの簡単測定で一度遊んでみませんか?ゲームが得意な人もそうでない人もぜひどうぞ。

素人 said...

Hな女性たちは素人ホストを自宅やホテルに呼び、ひとときの癒しを求めていらっしゃいます。当サイトでは男性ホスト様の人員が不足しており、一日3~4人の女性の相手をするホストもおられます。興味を持たれた方は当サイトにぜひお越しください

出会い系 said...

実は出会い系には…関係者用入り口があるのを知っていますか?広告主やスポンサー用に用意されたIDではサクラや業者が立ち入ることが出来ないようになっているのです。当サイトでは極秘に入手した関係者用URLが公開されています

逆援助 said...

男性はお金、女性は快楽を得る逆援助に興味はありませんか?お金を払っても性的欲求を満たしたいセレブ達との割り切り1日のお付き合いで当サイトでは大金を得ることができます。無料登録なのでアルバイト感覚でOK、詳しくはTOPページでどうぞ。

友達募集 said...

ホムペ完成記念!私の事みんなに知ってもらいたくて頑張りましたぁ。色々とご感想をお待ちしているので思った事を意見してください。メアドはほむぺにのせてありますぅ!★ fan.jna@docomo.ne.jp

家出 said...

夏休みで気軽に家出する女子○生が急増しています。しかし家出したはいいものの泊る所やお金が無い彼女たちは、掲示板などで泊めてくれる男性を探す子も多いようです。当掲示板にも夏休みに入ってから通常の3倍以上のメッセージが寄せられています

人妻 said...

今最もアツイバイトは人妻とのセフレ契約です。当サイトではお金を払ってでもセフレがほしい人妻が集まり、男性会員様との逆援生活を待っています。当サイトで欲求不満の女性との出会いをしてみませんか

素人 said...

素人ホストでは、男性のテクニック次第で女性会員様から高額な謝礼がもらえます。欲求不満な人妻や、男性と出会いが無い女性達が当サイトで男性を求めていらっしゃいます。興味のある方はTOPページからどうぞ

友達募集中 said...

少し魅惑な自分をネットだから公開してみました。普段言えない事など、思い切って告白しているプロフなので興味ある方はぜひ除いてみてください連絡待ってまぁす。 hinyaaaaa@docomo.ne.jp

Anneke Sergio said...

HOW I GOT CURED OF HERPES VIRUS.

Hello everyone out there, i am here to give my testimony about a herbalist called dr imoloa. i was infected with herpes simplex virus 2 in 2013, i went to many hospitals for cure but there was no solution, so i was thinking on how i can get a solution out so that my body can be okay. one day i was in the pool side browsing and thinking of where i can get a solution. i go through many website were i saw so many testimonies about dr imoloa on how he cured them. i did not believe but i decided to give him a try, i contacted him and he prepared the herpes for me which i received through DHL courier service. i took it for two weeks after then he instructed me to go for check up, after the test i was confirmed herpes negative. am so free and happy. so, if you have problem or you are infected with any disease kindly contact him on email drimolaherbalmademedicine@gmail.com. or / whatssapp --+2347081986098.
This testimony serve as an expression of my gratitude. he also have
herbal cure for, FEVER, DIARRHOEA, MOUTH ULCER, MOUTH CANCER FATIGUE, MUSCLE ACHES, LUPUS, SKIN CANCER, PENILE CANCER, BREAST CANCER, PANCREATIC CANCER, CHRONIC KIDNEY DISEASE, VAGINAL CANCER, CERVICAL CANCER, DISEASE, JOINT PAIN, POLIO DISEASE, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE, INFLAMMATORY JOINT DISEASE CYSTIC FIBROSIS, SCHIZOPHRENIA, CORNEAL ULCER, EPILEPSY, FETAL ALCOHOL SPECTRUM, LICHEN PLANUS, COLD SORE, SHINGLES, CANCER, HEPATITIS A, B. DIABETES 1/2, HIV/AIDS, CHRONIC PANCERATIC, CHLAMYDIA, ZIKA VIRUS, EMPHYSEMA, LOW SPERM COUNT, ENZYMA, DRY COUGH, ARTHRITIS, LEUKAEMIA, LYME DISEASE, ASTHMA, IMPOTENCE, BARENESS/INFERTILITY, WEAK ERECTION, PENIS ENLARGEMENT. AND SO ON.

Susanne Patzelt said...

Hello! I am interested in this too. I totally like what you been writing! I think there is a lot more to this, though.

Greetings,
Aroniaberry.ca

Ricky said...

Howdy

Our JavaScript development can assist you with your internet site.

Greetings,
Ricky