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  • 11 27 01 UNLV Clears Coughlin of Tratos Academic Fraud Charge, Letter of Warning Relative To Other Charge Printed

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    Disrupted Physician The Physician Wellness Movement and Illegitimate Authority: The Need for Revolt and Reconstruction MENU SKIP TO CONTENT Letters From Those Abused and Afraid Letters From Those Abused and Afraid images-2I get many e-mails, letters and phone calls from doctors, nurses and others who have been abused by “professional health programs” (PHPs). Most are anonymous. Afraid of being identified and punished by the PHP, very few leave comments on my blog revealing their names or potentially identifiable information. This is understandable. By simply reporting “noncompliance” to the medical boards a state PHP can end their careers. As it was with the Inquisition this system relies above all else on silence and secrecy. Speaking out can result in “swift and certain consequences.” They are afraid. Some are undoubtedly suffering from PTSD. Most have developed a “learned-helplessness” Many have reported abuse and even crimes to their medical societies, medical boards, law enforcement, the media and others only to have the door slammed in their faces.-myself included.. They have no advocacy or support and feel no one cares. Their locus of control, identify and self-worth have been suddenly ripped from them without recourse. There is no lifeline. Attempts at justice are often undermined by a concerted defiance of the truth by their medical boards and even the attorneys who are purportedly working for them but will not “bite the hand that feeds.” PHPs are ostensibly Employee Assistance Programs (EAPs) for doctors in both mechanics and mentality. EAPs assist employees with substance abuse, personal problems and other issues. They do not diagnose or treat “patients” but refer to outside professionals who do. The critical difference between EAPs and PHPs is PHPs have mandated all assessment and treatment be done by their own. These “PHP-approved” facilities are economically and ideologically intertwined with the PHP. The conflicts of interest are serious and many. PHPs also use non-FDA approved junk-science drug and alcohol testing they introduced. The procedural safeguards most EAPs use to protect the donor ( certified labs, FDA-approved validated tests, split-specimen, strict chain-of-custody, MRO review) have been reviewed. Unvalidated “personality” assessments they also introduces are being used in “disruptive” physician evaluations guaranteed to find “character defects” to justify monitoring contracts. They implement polygraphs despite the AMAs previous conclusion they are scientifically unsupportable. It is an institutionally unjust system of coercion, control and abuse that is unregulated, opaque and protected. There is no answerability and they are accountable to no one. But regulatory agencies have readily adopted policies not only unsupported by science and evidence-based research but outside the normative principles and practice of medicine. Granting PHPs authority to limit assessments and treatment to their own facilities offends the fundamental rights of the individual. Informed consent (or refusal) constitutes a basic rule of the lawfulness of medical practice according to national and state medical practice acts governing the profession. It is a basic principle of all published principles of medical ethics. Involuntary treatment is motivated by either potential harm to others (for the good of society) or by need for treatment and/or potential self harm. Involuntary treatment should be a confined to those gravely disabled by psychiatric disorders or substance abuse. It necessitates reflection under the ethical principles of autonomy and beneficence. A single DUI, transient psychological issue such as grief or anxiety, and even sham peer-review can easily land a doctor into forced assessment and involuntary treatment at a “PHP-approved” facility. Involuntary assessment and treatment involves legal, clinical ethical, and deontologica

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    Disrupted Physician The Physician Wellness Movement and Illegitimate Authority: The Need for Revolt and Reconstruction MENU SKIP TO CONTENT Letters From Those Abused and Afraid Letters From Those Abused and Afraid images-2I get many e-mails, letters and phone calls from doctors, nurses and others who have been abused by “professional health programs” (PHPs). Most are anonymous. Afraid of being identified and punished by the PHP, very few leave comments on my blog revealing their names or potentially identifiable information. This is understandable. By simply reporting “noncompliance” to the medical boards a state PHP can end their careers. As it was with the Inquisition this system relies above all else on silence and secrecy. Speaking out can result in “swift and certain consequences.” They are afraid. Some are undoubtedly suffering from PTSD. Most have developed a “learned-helplessness” Many have reported abuse and even crimes to their medical societies, medical boards, law enforcement, the media and others only to have the door slammed in their faces.-myself included.. They have no advocacy or support and feel no one cares. Their locus of control, identify and self-worth have been suddenly ripped from them without recourse. There is no lifeline. Attempts at justice are often undermined by a concerted defiance of the truth by their medical boards and even the attorneys who are purportedly working for them but will not “bite the hand that feeds.” PHPs are ostensibly Employee Assistance Programs (EAPs) for doctors in both mechanics and mentality. EAPs assist employees with substance abuse, personal problems and other issues. They do not diagnose or treat “patients” but refer to outside professionals who do. The critical difference between EAPs and PHPs is PHPs have mandated all assessment and treatment be done by their own. These “PHP-approved” facilities are economically and ideologically intertwined with the PHP. The conflicts of interest are serious and many. PHPs also use non-FDA approved junk-science drug and alcohol testing they introduced. The procedural safeguards most EAPs use to protect the donor ( certified labs, FDA-approved validated tests, split-specimen, strict chain-of-custody, MRO review) have been reviewed. Unvalidated “personality” assessments they also introduces are being used in “disruptive” physician evaluations guaranteed to find “character defects” to justify monitoring contracts. They implement polygraphs despite the AMAs previous conclusion they are scientifically unsupportable. It is an institutionally unjust system of coercion, control and abuse that is unregulated, opaque and protected. There is no answerability and they are accountable to no one. But regulatory agencies have readily adopted policies not only unsupported by science and evidence-based research but outside the normative principles and practice of medicine. Granting PHPs authority to limit assessments and treatment to their own facilities offends the fundamental rights of the individual. Informed consent (or refusal) constitutes a basic rule of the lawfulness of medical practice according to national and state medical practice acts governing the profession. It is a basic principle of all published principles of medical ethics. Involuntary treatment is motivated by either potential harm to others (for the good of society) or by need for treatment and/or potential self harm. Involuntary treatment should be a confined to those gravely disabled by psychiatric disorders or substance abuse. It necessitates reflection under the ethical principles of autonomy and beneficence. A single DUI, transient psychological issue such as grief or anxiety, and even sham peer-review can easily land a doctor into forced assessment and involuntary treatment at a “PHP-approved” facility. Involuntary assessment and treatment involves legal, clinical ethical, and deontologica

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    11 27 01 UNLV Clears Coughlin of Tratos Academic Fraud Charge, Letter of Warning Relative To Other Charge Printed

    Uploaded by

    DoTheMacaReno
    Disrupted Physician The Physician Wellness Movement and Illegitimate Authority: The Need for Revolt and Reconstruction MENU SKIP TO CONTENT Letters From Those Abused and Afraid Letters From Those Abused and Afraid images-2I get many e-mails, letters and phone calls from doctors, nurses and others who have been abused by “professional health programs” (PHPs). Most are anonymous. Afraid of being identified and punished by the PHP, very few leave comments on my blog revealing their names or potentially identifiable information. This is understandable. By simply reporting “noncompliance” to the medical boards a state PHP can end their careers. As it was with the Inquisition this system relies above all else on silence and secrecy. Speaking out can result in “swift and certain consequences.” They are afraid. Some are undoubtedly suffering from PTSD. Most have developed a “learned-helplessness” Many have reported abuse and even crimes to their medical societies, medical boards, law enforcement, the media and others only to have the door slammed in their faces.-myself included.. They have no advocacy or support and feel no one cares. Their locus of control, identify and self-worth have been suddenly ripped from them without recourse. There is no lifeline. Attempts at justice are often undermined by a concerted defiance of the truth by their medical boards and even the attorneys who are purportedly working for them but will not “bite the hand that feeds.” PHPs are ostensibly Employee Assistance Programs (EAPs) for doctors in both mechanics and mentality. EAPs assist employees with substance abuse, personal problems and other issues. They do not diagnose or treat “patients” but refer to outside professionals who do. The critical difference between EAPs and PHPs is PHPs have mandated all assessment and treatment be done by their own. These “PHP-approved” facilities are economically and ideologically intertwined with the PHP. The conflicts of interest are serious and many. PHPs also use non-FDA approved junk-science drug and alcohol testing they introduced. The procedural safeguards most EAPs use to protect the donor ( certified labs, FDA-approved validated tests, split-specimen, strict chain-of-custody, MRO review) have been reviewed. Unvalidated “personality” assessments they also introduces are being used in “disruptive” physician evaluations guaranteed to find “character defects” to justify monitoring contracts. They implement polygraphs despite the AMAs previous conclusion they are scientifically unsupportable. It is an institutionally unjust system of coercion, control and abuse that is unregulated, opaque and protected. There is no answerability and they are accountable to no one. But regulatory agencies have readily adopted policies not only unsupported by science and evidence-based research but outside the normative principles and practice of medicine. Granting PHPs authority to limit assessments and treatment to their own facilities offends the fundamental rights of the individual. Informed consent (or refusal) constitutes a basic rule of the lawfulness of medical practice according to national and state medical practice acts governing the profession. It is a basic principle of all published principles of medical ethics. Involuntary treatment is motivated by either potential harm to others (for the good of society) or by need for treatment and/or potential self harm. Involuntary treatment should be a confined to those gravely disabled by psychiatric disorders or substance abuse. It necessitates reflection under the ethical principles of autonomy and beneficence. A single DUI, transient psychological issue such as grief or anxiety, and even sham peer-review can easily land a doctor into forced assessment and involuntary treatment at a “PHP-approved” facility. Involuntary assessment and treatment involves legal, clinical ethical, and deontologica

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    Secti~~e(~;:~ ;~;~nd your Involvement in an incident that occurred, violating the

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    1Q) De,stnklng threat .
    S.truction Or vand~Jiz r emng or causing physical harm to another.
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    smg .rom your class :-'lIh Professor Tralos, and the potential allegation of
    an inVestigation. it ap~'_ th h
    c \\ere perceJved as threatenmg by some faculty at the Boyd School of Law. After
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    lass that day. As we dIscussed, however, please notr thai this does not remoye you (rom
    C; """Jelln" _1...
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    ~'lng t' ~nstrurlor's dire('lions or also submitting the c-mai l version. You bcllr the responsibility or not
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    - an I IS cemp cte 'j up 10 ~nSlruCtO~ TralOS liS 10 the appropriate academic action, While it
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    . ou J tak~ It Upon yourself 10 seek resolu!lon of thiS mailer before the judicial investigation J wou ld
    ; II ur~e)-ou 10. carefully conSIder your communications in the future, In the matter of Section (P) I recommend the
    10 owmg sancuon:
    .

    1.

    You are to consider this a Formal Letter of Warning.. If you afe found r esponsible for sim ilar violations of the
    student code, Jour status as a student at UNLV will be re-considered.

    In the maner of section (R), you accepted responsibility for the disconnection of the computer in the Boyd School of Law
    Librar)' It is clear from our discussion that a) it was not for any UNLV academic purpose, and b) you moved the public
    use computer \\;thOUI pennission or notifying the appropriate staff and proceeded to use it for your personal, nonacademic work. You have requested an infonnal resolution in this matter, and based On the infonnation provided in this
    case, J recorrunend the foHowing sanctions:

    2_

    You are hereby assessed a $100 restituHon fee for the University staff time that was allotted in re-connecting
    d ch ki g the svstems invoh'cd in the computer to assure that no programs were missing and that no
    an
    ec n _ C ";ed from )'our removing the computer. You will have a hold placed on your transcript until
    d amage was m u,
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    this restitution fee (money order or cashier's check made payable to UNLV Board of egents IS elver to

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    PIilliiB~Y

    S~ I:' AlfailS Officer

    The State Sar Court


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    Box 452019'

    (702) 895-

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    Nevada 89154-2019

    3656' FAX (702) 895-4148

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