Heart disease, cancer and stroke--regional medical programs. Legislative development and administrative interpretation.
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FDA authority over medical devices is a fact of life, certain to have an effect on the dental trade industry. Trends toward acquisitions and mergers of companies within the dental trade industry and the employment of additional personnel, in response to the regulations, have already become apparent. While some improvement in the quality of dental products can be anticipated, it is also expected that the regulations will result in fewer sources of dental products, higher costs for products fewer new products, and a reluctance to accept goods for return or repair. Whether the net impact of the Medical Device Amendments upon the industry will be positive or negative, remains to be seen.
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This essay places the early modern origins of the ethico-legal structure of medicine, in which eventually by exclusion or inclusion, dental activity shared, in the Humanist environment of the Italian Renaissance as it was imported into England in the first years of the sixteenth century. There were two linked stages to this, the first supported by the genius of Thomas Linacre (1460-1524), and the second by the administrative ability of Sir Thomas More (1478-1535). This paper concentrates on the evidence for the intellectual basis of More's medical legislation, and that which was made shortly after his death.
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The New Zealand Accident Compensation Act 1972 and its amending Act of 1982 have substantially altered the attitudes of the law, the medical profession and the public, to personal injury by accident. The element of fault is removed and the uncertainty of the outcome of a claim under adversarial court action no longer exists. Rehabilitation assistance on recovery from injury as well as accident prevention measures are cited in the Act as statutory responsibilities of the New Zealand Accident Compensation Corporation. Mechanisms of dealing with medical malpractice, with illustrative examples from ophthalmic practice, are described. Most such incidents are described as medical misadventure.
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Mandatory continuing medical education, because of the need to validate participation, rewards classroom activities but not self-education. To determine if self-education is still a major study method for practicing physicians, we surveyed 158 cardiologists to learn how they first heard of, and continued their education in, echocardiography, a technique in which 81% of the physician-sample receiving no training in medical school, residency, or fellowship. Initial and continuing sources of information included professional journals and literature, meetings and conferences, discussion with colleagues, and courses. Professional journals ranked first in use; individual and group learning activities were used about equally by physicians. Recent legislation requiring validation of attendance may cause educators and legislators to ignore the self-learner. This study should remind educators and legislators that variations in learning style must be considered when planning and legislating approaches in continuing medical education.
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