Ron Paterson

speaker
117 appearances 1 recordings 1 series first heard Aug 2012 last heard Aug 2012

Ron Paterson’s voice in public audio — every appearance, attributed to the second.

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One response is to say to the cardiac surgeons, great, well please publish this so we can all see why aren't they sharing that data.
But secondly, I think we would find that actually it's complicated to do this, but it can be done.
Of course, the cardiac surgeons in New York and more recently in the United Kingdom have started to do this.
And last year, the Cardiothoracic Society in the UK published a book called Modern Medical Professionalism.
And they've backed their words with action and they are saying, You've got no right as a surgeon to be continuing to practice unless you know how well you're doing vis-a-vis your peers, unless you know the short term and long term outcomes of your procedures.
They're now making all of this public so you can go in and look at Norman Swann as a cardiac surgeon and say, Well what are your results like in your public work at this hospital?
What are your results like?
Well, I think there are still elements of that.
I mean, some of that is just human nature.
When you work in smaller centres and you all know each other, it's very difficult to raise these awkward matters.
And and when colleagues do raise them, if they get rebuffed, then it's very difficult to say, Well, I'm going to take it a step further.
When colleagues are willing to do that and for example when cases go on to disciplinary tribunals into courts, w we actually see quite a lot of evidence of denigration of those people who put their head above the parapets and say, Well actually this isn't an acceptable standard of medical care.
I think things have improved.
I think there's a good idea
Well
That's certainly true for impairment, and it's also true for somebody who has practiced, to your knowledge, significantly below professional standards.
I doubt whether that's ultimately going to be effective.
So the question for me is not so much whether we should be having mandatory reporting.
It seems to me what we need to develop is the ethical responsibility, a sense of responsibility that all members of a profession have to the public.
Because we give this assurance to the public that the members of our profession are good enough to be practicing.
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