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FSMB Webinar: Difficult and Ungovernable Licensees: Improving Regulatory Impact (Jan. 24, 2023)

This activity was originally recorded on Tuesday, January 24, 2023. The activity EXPIRED on January 24, 2024, and is no longer available for CME credit, but the recording is still available for viewing.


About the Webinar
Difficult and/or ungovernable licensees present particularly vexing challenges for regulators and their staff. In addition to the concerning professional conduct that rises to the level of regulatory attention, one encounters other indicators of difficulty with authority and oversight in these licensees, such as frustrating communication styles, uncooperative attitudes, a history of wide-ranging or repeated offenses, or a proclivity for playing by their own rules. This session will assist regulators and their staff to interact more productively with such licensees through practical communication approaches and provide recommendations to increase the impact of regulatory interventions toward ensuring public protection and relapse prevention.

About the Speaker
Catherine V. Caldicott, MD, FACP, is the Medical Director of PBI Education. She is an internist with over 20 years of experience in professional ethics education, remediation, coaching, and research. She served as an invited subject matter expert on the Federation of State Medical Boards Workgroup on Physician Sexual Misconduct, and is on the Advisory Board of a Greenwall Foundation funded project to assist state medical boards to protect patients by removing physicians who engage in egregious misconduct. Dr. Caldicott is regularly invited to present on topics relating to professional ethics and boundary remediation by regulators and professional associations across North America in medicine, nursing, chiropractic, occupational therapy, social work, and other healthcare fields. She is a graduate of Princeton University and Dartmouth (now Geisel) Medical School. She completed her Internal Medicine internship at Yale and residency at the University of Michigan, where subsequently she was a Robert Wood Johnson Foundation Clinical Scholar.

About the Moderator
Mark L. Staz, MA, is Management Consultant for Regulatory Policy at the Federation of State Medical Boards. In his role, he is responsible for organizational initiatives related to regulatory best practices and supports the FSMB’s work in ethics and professionalism. He also supports the FSMB’s international collaborations with medical regulators outside of the United States, including its involvement in the International Association of Medical Regulatory Authorities. Mr. Staz has worked in medical regulation in Canada as a policy analyst for the College of Physicians and Surgeons of Ontario and has been involved in several policy and research initiatives addressing human resources for health, social determinants of health, and physician performance enhancement. He received his master’s degree in philosophy at York University and is currently writing his doctoral dissertation on conflicting rights in health policy.

Target Audience
This activity was designed specifically for physician and public members, as well as leadership staff of the state medical and osteopathic licensing boards, and others within the medical regulatory community.

Learning Objectives
Upon completion of this educational activity, participants should be able to:

  • Describe differences and similarities between ungovernable and difficult licensees
  • List the various factors that may cause a licensee to become ungovernable or difficult
  • Explain practical approaches to communicating with ungovernable and difficult licensees
  • Create more impactful regulatory orders to improve compliance and reduce recidivism
Accreditation Statement
The Federation of State Medical Boards is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statements
The Federation of State Medical Boards designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Federation of State Medical Boards certifies that non-physicians will receive an attendance certificate stating they participated in the activity that was designated for 1.0 AMA PRA Category 1 Credit™.

Disclosure Declaration
As an organization accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Federation of State Medical Boards (FSMB) requires that the content of CME activities and related materials provide balance, independence, objectivity, and scientific rigor. All faculty, planners, and others in a position to control continuing medical education content participating in an accredited continuing education activity are required to disclose all financial relationships with ineligible companies. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Faculty (authors, presenters, speakers) are encouraged to provide a balanced view of therapeutic options by utilizing either generic names or other options available when utilizing trade names to ensure impartiality.

All faculty members are asked to disclose all financial relationships they have had in the past 24 months with ineligible companies regardless of the potential relevance of each relationship to the education and of the amount. The FSMB has implemented a mechanism to identify and resolve all conflicts of interest prior to the activity. The intent of this policy is to identify potential conflicts of interest so participants can form their own judgments with full disclosure of the facts. Participants will be asked to evaluate whether the speaker’s outside interests reflect a possible bias in the planning or presentation of the activity. The following indicates the disclosure declaration information and the nature of any relationships with ineligible companies.

The speakers, course director, and planners at the Federation of State Medical Boards, have nothing to disclose.

System Requirements
In order to view this presentation, your computer must have audio capabilities (working speakers or headphones) and must have an internet browser capable of playing an HTML5 video.

Instructions for Participants and Obtaining CME Credit
There is no fee for this activity. To receive credit and receive their certificates, participants must view this CME activity in its entirety and complete the evaluation. The estimated time for completion of this activity is 1 hour.