The Michigan Department of Licensing and Regulatory Affairs (LARA) must believe that there is a significant bias problem among licensed physicians, backed by substantial empirical evidence of complaints and instances of wrongdoing.
Or, are they just a group of virtue-signaling fools bowing to the fashionable science, I should say non-science, or more aptly, nonsense, of the day?
I posit that the overwhelming majority of physicians are professional and patient-centric, regardless of the patient’s class identity, including race, color, religion, sex (including pregnancy, sexual orientation, or gender identity ), national origin, age, disability, and genetic information.
To the extent race and sex play a part in the interaction, it is usually to limit the range of potential diagnoses and treatment protocols.
The Michigan Public Health Code and board administrative rules requires every medical doctor to complete, during the 3-year period prior to the date of application for renewal of the license, at least 150 hours of continuing education in courses or programs approved by the Board of Medicine (Board). Pursuant to this requirement, the board has promulgated rules to establish specific criteria for the board’s approval of continuing medical education courses and programs.
Therefore, I find the following additional mandatory training insulting and unproductive…
The Michigan Department of Licensing and Regulatory Affairs (LARA) will require implicit bias training for physicians (and other health care professionals), effective June 1, 2022. The requirements apply to both new applicants as well as those renewing their existing licenses or registrations.
An applicant for license renewal shall have completed a minimum of 1 hour of implicit bias training for each year of the applicant’s license or registration cycle. An applicant for new licensure, both limited and medical, shall have completed a minimum of 2 hours of implicit bias training within the 5 years immediately preceding issuance of the license or registration.
Physicians will need to report implicit bias credit when they renew their license. Those who renewed in January 2022, needed no training. Physicians who renew in 2023, will need to report 1 hour. Physicians who renew in 2024, will need to report 2 hours. Physicians who renew in 2025, will need to report the full 3 hours. Then after, every 3-year renewal cycle will need to report 3 hours. Training that was taken prior to June 1, 2021, and within the license cycle that is up for renewal, qualifies toward the requirement for renewals. The rule also allows new applicants for licensure or registration to complete the training within the 5 years immediately preceding issuance of the license or registration.
Please note, the implicit bias training for licensure has additional requirements and differs from the other mandated CME areas. Training must include strategies to reduce disparities in access to and delivery of health care services and the administration of pre- and post-test implicit bias assessments. Acceptable modalities of training are a teleconference or webinar that permits live synchronous interaction, a live presentation or an interactive online instruction. Solely recorded or archived content is not allowable, a live component is required.
Training content must include, but is not limited to, 1 or more of the following topics:
Sample courses from a continuing education vendor…
Continuing Education to meet the Michigan Board of Medicine (LARA) requirements for Physicians.
Implicit Bias Interrupted: How to Reveal, Confront, and Get Unconscious Biases Out of Your Way -
Join Dr. Michell A. Greenidge as we explore the features and corresponding behaviors associated with Implicit Bias. In this eye-opening discussion, participants will identify the social and systemic ramifications of Implicit Bias, study the historical and biological context and origin of biases and their impact on daily personal and professional interactions, as well as gain tools to help bring implicit biases into conscious awareness. This class also fulfills the NEW Implicit Bias requirement for MICHIGAN licensees. Earn 3 CME Credits! (Live Webinar)
November 9 - Cultural Competence: LGBTQ and Conflicting Religious Values A “CE You! Plus” Afternoon Webinar! Multiple issues may arise when traditional religious values and LGBTQ+ clients intersect. This is true for clients as well as clinicians. This course will explore this complex dynamic, informing a culturally competent approach and moving to a synthesis of these seemingly conflicting ideas. Earn 3 CE/CME Credits! (Live Webinar)
December 7 - Cultural Competence: LGBTQ and Conflicting Religious Values A “CE You! Plus” Afternoon Webinar! Multiple issues may arise when traditional religious values and LGBTQ+ clients intersect. This is true for clients as well as clinicians. This course will explore this complex dynamic, informing a culturally competent approach and moving to a synthesis of these seemingly conflicting ideas. Earn 3 CE/CME Credits! (Live Webinar)
December 9 - Implicit Bias: Clinical and Ethical Considerations A “CE You! Plus” Afternoon Webinar! Take a new look at Implicit biases and how bias can contribute to unconscious attitudes and stereotypes that can manifest in the workplace, school setting, and in the healthcare system. Join the dialogue about where Implicit Bias comes from and how it can affect clinical treatment. This class can be used to fulfill the NEW Implicit Bias requirement for MICHIGAN licensees. Earn 3 CE Credits. (Live Webinar)
Perhaps LARA should rethink the implicit bias coursework and retool the program to deal with mentally disturbed or combative patients in a clinical setting.
And, perhaps the Board should be required to read the chapter on gender dysphoria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
DSM Gender Dysphoria: Clinical Symptoms And Diagnosis
Gender Dysphoria is a mental health condition in which an individual experiences distress due to the presence of at least two of the following symptoms:
It is important to note that not all of these symptoms will be present in someone with a diagnosis of Gender Dysphoria; instead, at least two of them must be present for six months or longer and cause significant distress for a diagnosis to be considered. Children can be evaluated for these symptoms, though they may not be able to use the same language an adult might describe their symptoms.
It is time that individuals recognize that progressive communist democrats are using identity characteristics to divide our nation into classes that can be designated as victims and manipulated in the pursuit of political power. The original Marxist struggle between the proletariat (wage earners/workers) and the bourgeoisie (middle or upper middle class) has been translated into a battle between the races and sexes – to foment a regime-changing revolution.
To allow our elites and government leaders to advance this toxic agenda of division is both un-American and dangerous to our representative democracy.
We are so screwed.
Hat Tip to my favorite Michigan Physician
“Nullius in verba.”-- take nobody's word for it!
“Beware of false knowledge; it is more dangerous than ignorance.”-- George Bernard Shaw
“Progressive, liberal, Socialist, Marxist, Democratic Socialist -- they are all COMMUNISTS.”
“The key to fighting the craziness of the progressives is to hold them responsible for their actions, not their intentions.” – OCS "The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius “A people that elect corrupt politicians, imposters, thieves, and traitors are not victims... but accomplices” -- George Orwell “Fere libenter homines id quod volunt credunt." (The people gladly believe what they wish to.) ~Julius Caesar “Describing the problem is quite different from knowing the solution. Except in politics." ~ OCS
“Describing the problem is quite different from knowing the solution. Except in politics." ~ OCS