Posted by alexandra_k on May 23, 2005, at 19:20:09
In reply to Re: Ok, » Dinah, posted by so on May 23, 2005, at 18:57:30
>My original concern stated in this thread, in response to a request that I propose a first step toward more effective goverance patterned after the historic experience of nations worldwide, was that medical professionals do best to administer services based on established protocols developed in a process of peer review, and when they venture into new services, they do best to substantially involve peers in defining the scope and methods of those new protocols.
But... Dr Bob isn't offering us a service AS a medical professional. He simply provides us board space and moderates that so we don't turn on each other...
I thought that was clear enough from the mulit-guess quiz...
>This is especially a concern to me when new protocols are unique and are administered in a dynamic setting that requires judgement calls by the provider that can involve large numbers of people in diverse situations. I proposed seeking funding as a means of formally involving other organized, established groups that would help attend to matters involving efficacy, harm and liability.
So... You don't understand some of his decisions -> you don't think there is a rational basis to some of his decisions. You can't point out precisely what the problem is but you are thinking some other professional might be able to?
> Not the individual decisions, but policies. If policies were articulated to a board, a panel or even a limited partnership of professionals, the refinement and clarification gleaned from other professionals might result in more coherent explanations to those with less training -- and I don't mean to those, such as yourself, who assert an understanding of his terms, but to those who routinely represent that they don't understand some of his judgements.
Ah.
So we want to understand the rules better...
And how the rules are applied in particular determinations...Is that what this is about???
poster:alexandra_k
thread:491889
URL: http://www.dr-bob.org/babble/admin/20050517/msgs/501907.html