1. Disciplinary measures taken in cases of medical misconduct in the EU Member States Konstanty Radziwill CPME, Ethics and professional codes Subcomitee, chairman Polish Chamber of Physicians and Dentists, president Paris, November 6-7th, 2004

2. Disciplinary measures taken in cases of medical misconduct in the EU Member States Automatic recognition of qualifications Free movement of physicians Physicians practising in two (or more) states Timely practising physicians 25 systems of licensing/registration/profesional liability

3. Disciplinary measures taken in cases of medical misconduct in the EU Member States In order to safeguard patients: Need of knowledge about imigrating physician Need to share information to the host country Need to coordinate at least the severest accidents

4. Disciplinary measures taken in cases of medical misconduct in the EU Member States Interested parties; CEOM CPME Regulatory bodies...

5. Disciplinary measures taken in cases of medical misconduct in the EU Member States Philippe Biclet ( CEOM) & Konstanty Radziwill (CPME): Questionnaire of disciplinary measures taken in cases of medical misconduct in the EU Member States: 14 questions

6. Questionnaire 1. Who is in charge of licensing/registration of physicians: 1.1. medical organization? 1.2. governmental administration? 1.3. independent institution established especially for this purpose?

7. Questionnaire 2. Is there any independent procedure concerning disciplinary measures taken in cases of medical misconduct? 3. What is the basis of the physicians disciplinary liability: 3.1. infringement of the principles of the professional ethics? 3.2. infringment of the legal regulations of the proffesion of a physician?

8. Questionnaire 4. What are the regulations concerning disciplinary measures taken in cases of medical misconduct: 4.1. legal regulations? 4.2. regulations of the medical organization?

9. Questionnaire 5. Which institution proceeds in the subject of the disciplinatory liability of physicians: 5.1. medical organization? 5.2. governmental administration? 5.3. common courts? 5.4. independent institution established especially for this purpose?

10. Questionnaire 6. What is the composition of the body examining complaints: 6.1 physicians (elected?)? 6.2. lawyers (judges?)? 6.3. individuals outside the profession? 6.4. administrative employees? 6.5. other definite individuals?

11. Questionnaire 7. Do the courts have to pass information to the disciplinary body: 7.1. in case of misconduct in non professional field (about proceedings taken or final sanctions?)? 7.2. in case of misconduct in professional field (about proceedings taken or final sanctions?)?

12. Questionnaire 8. What are the possible penalties in the disciplinary matters: 8.3. admonition? 8.4. reprimand? 8.5. fine (range)? 8.6. limitation of the scope of the professional practise? 8.7. prohibition to hold specified posts? 8.9. prohibition to exercise the profession of a physician (how long?)? 8.10. public announcement of the fact of a punishment? 8.11. other judgments?

13. Questionnaire 9. Is there any registry of the convicted physicians: 9.1. at a national level? 9.2. at a regional level?

14. Questionnaire 10. Is the fact of a penalty: 10.1. public? 10.2. disclosed only for definite individuals/institutions? 10.3. confidential?

15. Questionnaire 11. Is there a legal provision on cleaning past sentences? 12. What kind of information is needed to register a foreign physician: 12.1. information on non suspending/forfeit the license? 12.2. information on final penalties? 12.3. information on pending procedures taken against a physician?

16. Questionnaire 13. Is there a mandatory professional civil liability insurance for all physicians? 13.1. Is the licensing/registrating authority allowed to ask the insurance companies for information related to the doctor's practise? 13.2. Would the licensing/registrating authority be interested in a systematic report of the physician's insurance concerning all litigation related to the professional practise?

17. Questionnaire 14. Do you think an "European passport of a physician" coud help in dealing with physicians changing country of practise?

18. Answers - Poland 1. Who is in charge of licensing/registration of physicians: medical organization PCPD* - regional chambers 2. Is there any independent procedure concerning disciplinary measures taken in cases of medical misconduct? Yes 3. What is the basis of the physicians disciplinary liability infringement of the principles of the professional ethics infringement of the legal regulations of the profession of a physician

19. Answers - Poland 4. What are the regulations concerning disciplinary measures taken in cases of medical misconduct: legal regulations - Act on the professions of physician and dentist and Act on medical chambers regulations of the medical organization 5. Which institution proceeds in the subject of the disciplinatory liability of physicians: medical organization - PCPD*

20. Answers - Poland 6. What is the composition of the body examining complaints: physicians elected by medical assemblies 7. Do the courts have to pass information to the disciplinary body? in case of misconduct in professional field they pass it only when accessorily to the verdict they decide to prohibit to practice the profession

21. Answers - Poland 8. What are the possible penalties in the disciplinary matters: aadmonition rreprimand limitation of the scope of the professional practise can be decided only because of the health problems (by medical councils) - not as a penalty prohibition to hold specified posts can be an accessory penalty decided by penal courts prohibition to exercise the profession of a physician for 6 months - 3 years (suspension) or forever

22. Answers - Poland 9. Is there any registry of the convicted physicians: at a national level it is performed by PCPD* 10. The fact of a penalty: is disclosed only for definite individuals/institutions eg. to competent authorities from UE member states hosting a physician confidential - Yes 11. Is there a legal provision on cleaning past sentences? Yes - 3-5 years (depends on kind of penalty)

23. Answers - Poland 12. What kind of information is needed to register a foreign physician: information on non suspending/forfeit the license – Yes information on final penalties - Yes information on pending procedures taken against a physician - Yes

24. Answers - Poland 13. Is there a mandatory professional civil liability insurance for all physicians? only for self-employed physicians contracted by public payer 13.1. Is the licensing/registration authority allowed to ask the insurance companies for information related to the doctor's practice? Yes 13.2. Would the licensing/registration authority be interested in a systematic report of the physician's insurance concerning all litigation related to the professional practice? No - complaints come first to the PCPD*

25. Thank you very much for your attention