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Biomedical subjects

Robin Fretwell Wilson

Publications and source records attributed to Robin Fretwell Wilson.

9 recordsLinked to original sources

Nanotechnology: the challenge of regulating known unknowns.

Media reports of the health hazards posed by nano-sized particles (NSPs) have turned a white hot spotlight on the risks of nanotechnology. Worried about the risks posed to workers producing nano-materials, the Washington Post has labeled nanotechnology a "seat-of-the-pants occupational health experiment." This article examines our emerging knowledge base about the hazards of two types of exposure: inhalation of NSPs and topical application of products containing NSPs. It argues that a clear-eyed evaluation of the benefits and risks of nanotechnology is made extremely difficult by the marriage of a complex science with a venture capitalist-like hype. It then suggests that, absent additional statutory authority, governmental regulators cannot readily address the risks posed by these products. This regulatory inaction leaves a significant role for the private insurance market, a role that regulators should support in tangible ways outlined in the article.

Capitalism↗

Physician recruiting under the microscope.

Although recruiting physicians into existing practices is a time-honored way for hospitals to bolster their staffs, hospitals and physicians may need to rethink this practice in light of increased scrutiny from federal regulators. In June 2003, federal prosecutors filed charges against Alvarado Hospital Medical Center and its former chief executive, Barry Weinbaum, alleging that they had "bribed" doctors with relocation agreements in exchange for the doctors' referral of patients. The charges against Alvarado may not be an isolated event.

Humans↗

Unauthorized practice: teaching pelvic examination on women under anesthesia.

Medical ethics evolved over the past half-century. This brought close reexamination and scrutiny of medical education and the "hands-on training" of future medical practitioners. Likewise societal opinions have intensified regarding the rights of patients, especially those deemed less likely to express their humiliation if they should discover themselves in compromising positions during treatment. Informed consent is modern medico-legal terminology; if the public felt that all patients were treated with the self-determination and dignity required by current HIPAA regulations, then there would be no reason to legislate such requirements. Law professor Robin Fretwell Wilson, Esq., and obstetrics and gynecology professor Nancy G. Chescheir, MD, present evidence and opinions from the legal and medical perspectives regarding conducting pelvic exams on anesthetized women without or with vague consent.

Anesthesia, General↗