Federation of State Medical Boards

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Federation of State Medical Boards (FSMB) "serves as the voice for state medical boards, supporting them through education, assessment, research and advocacy while providing services and initiatives that promote patient safety, quality health care and regulatory best practices."

In 1994, the Federation of State Medical Boards collaborated with the US Department of Health and Human Services to expand globally, ultimately creating the International Association of Medical Regulatory Authorities, which was incorporated in 2004. The IAMRA Secretariat continues to be supported by the FSMB.

Working with the U.S. govt to expand globally

From the International Association of Medical Regulatory Authorities website:[1]

"In May 1994, the Federation of State Medical Boards of the United States (FSMB), under contract with the US Department of Health and Human Services, planned and hosted the 1st International Conference on Medical Regulation in Washington, D.C. Participants included representatives of Australia, Canada, Ireland, New Zealand, South Africa, the United Kingdom and the United States. Observers attended from Egypt, Israel, Mexico and Taiwan.
Designed to initiate dialogue among the attendees, the conference focused on the status of medical regulation in the participating nations, examined current research and identified future research needs. The conference stimulated lively discussion and resulted in a consensus in favor of continuing international dialogue. Attendees concluded that the issues faced in the field of regulation, licensure and discipline are not unique to any one nation, and they decided to hold a second conference in Australia in 1996, beginning a pattern of biennial conferences that continues to this day. (Subsequently, conferences were held in South Africa, the United Kingdom, Canada, Ireland, New Zealand, the United States, Australia and Dubai.)
In September 2000, medical regulatory authorities from Australia, Canada, Ireland, New Zealand, South Africa, Sweden, the United Kingdom and the United States formed the International Association of Medical Licensing Authorities (IAMLA), which was formally incorporated in 2004 in the State of Texas as the International Association of Medical Regulatory Authorities (IAMRA). The IAMRA Secretariat continues to be supported by the generosity of the FSMB.
From the outset, IAMRA has not promoted or endorsed any particular model of medical regulation but rather, recognizes there are many different structures and approaches. IAMRA supports and encourages the delivery of effective regulatory systems that provide the foundation for patient safety and public protection, relevant to the environment in which they operate. Given the increasing mobility of the medical workforce, IAMRA also recognizes that the impacts of medical regulation can be felt across the world. What happens in one jurisdiction has the potential to affect another, both positively and adversely.
Today, IAMRA has over one hundred members from all regions of the world, and promotes effective medical regulation worldwide by supporting best practice, innovation, collaboration, and knowledge sharing in the interest of public safety and in support of the medical profession. The challenge for medical regulators is to create relevant and effective systems that can respond to the rapidly changing environments in which physicians work, changes in both healthcare and communication technologies, and evolving healthcare delivery systems.

Health Equity and Medical Regulation Symposium

Federation of State Medical Boards posted on YouTube June 8, 2022: Speakers Cheryl Walker-McGill, Marc Morial, Mark McClellan, Humayun Chaudhry, Aletha Maybank, Leonard Weather, Jr., Diana Currie

Federation of State Medical Boards posted the "Health Equity and Medical Regulation Symposium" on YouTube on Jun 8, 2022.[2] Speakers: Cheryl Walker-McGill, Marc Morial, Mark McClellan, Humayun Chaudhry, Aletha Maybank, Leonard Weather, Jr., and Diana Currie

'Health Equity and Medical Regulation'

Federation of State Medical Boards launched the Task Force on Health Equity and Medical Regulation in March, 2021 "to assist state medical and osteopathic boards in identifying opportunities for understanding and addressing systemic racism, implicit bias, and health inequity in medical regulation and patient care."

The "Final Report of the FSMB Workgroup On Diversity, Equity and Inclusion in Medical Regulation and Patient Care" was submitted in March, 2023.[3]

The 21 page report offered guidance on how to punish those who do not fall in line with the Diversity, Equity and Inclusion objectives. For example:

"The medical profession is moving towards a common understanding that equitable care is part of the profession’s promise to patients and society. Clearly stated definitions of what constitutes professional misconduct in terms of a violation of DEI principles through discrimination unchecked bias or other inequitable or unjust practices will amplify this understanding across the profession. Redefining professional misconduct to recognize discrimination as grounds for disciplinary action can be an important step and many states have done so. Explicit recognition of discrimination in the context of professional misconduct will improve a board’s ability to hold physicians accountable for discriminatory practice and focus attention on bias which may previously have been too subjective to address. To this end, boards may find the following language from the North Carolina Nursing Home Administrator Act helpful:
"The Board may suspend, revoke, or refuse to issue a license or may reprimand or otherwise discipline a licensee after due notice and an opportunity to be heard at a formal hearing, upon substantial evidence that a licensee…has discriminated among patients, employees, or staff on account of race, gender, religion, color, national origin, mental or physical disability, or any other class protected by State or federal law.”

From the initial press release:[4]

"WASHINGTON, D.C. (March 31, 2021) The Federation of State Medical Boards (FSMB) has launched the Task Force on Health Equity and Medical Regulation. Under the leadership of FSMB Chair Cheryl Walker-McGill, MD, MBA, the ad hoc Task Force will evaluate education and training programs to assist state medical and osteopathic boards in identifying opportunities for understanding and addressing systemic racism, implicit bias, and health inequity in medical regulation and patient care.
“The COVID-19 pandemic has laid bare how devastating the issue of health inequity can be for communities of color and underserved populations,” said Cheryl Walker-McGill, MD, MBA, Chair of the FSMB Task Force on Health Equity and Medical Regulation. “Over the coming months, the Task Force will seek to understand what medical regulators can do to address health inequities and implicit bias and evaluate what processes need to change to make licensing, discipline and regulation more equitable.”
“The FSMB is committed to studying the impact that systematic racism and health inequities have on medical regulation, and working with our member state medical boards to find solutions to address it,” said Humayun J. Chaudhry, DO, MACP, President and CEO of the FSMB. “We are encouraged by the efforts already underway at a number of our member boards to review policies and procedures where implicit bias or inequities may exist and to take action to make them more fair.”
In recent months, the FSMB and state medical boards have increased their efforts to raise awareness about how disparities are impacting health care quality and delivery. In January, the FSMB hosted a symposium on “Health Equity and Medical Regulation: How Disparities are Impacting U.S. Health Care Quality and Delivery and Why it Matters.” The symposium featured keynote speeches by Marc Morial, JD, President and Chief Executive Officer of the National Urban League, and former FDA Commissioner Mark McClellan, MD, PhD, Director of the Robert J. Margolis Center for Health Policy at Duke University.
The launch of the ad hoc Task Force on Health Equity and Medical Regulation will help to advance the FSMB’s work on these issues by bringing together leaders from the U.S. and international medical regulatory communities and experts in bioethics. The Task Force is charged with:
  • Reviewing literature on implicit bias, systematic racism and health equity in medical regulation
  • Identifying current state medical board implicit bias initiatives
  • Directing efforts for the creation of a public facing platform to provide educational resources for addressing implicit bias in medical licensing, discipline and regulation
  • Engaging with key stakeholders (professional medical associations, academia, government, and agencies) to ensure that a state regulatory perspective is part of the larger discussion on these issues

Members of the ad hoc Task Force on Health Equity and Medical Regulation

Leadership

From the Federation of State Medical Boards website as of February 20, 2024:[5]

Officers of the Board of Directors

Directors-at-Large and Staff Fellows,

Executive Staff

References