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Principles

Principles. Feasible / realistic Acceptable (to whom? sovereign authority?) Accountable (to public, to physicians, to fellow regulators, others?) Affordable Fair Evidence-based. Principles. Portable Transparent (processes) Openness (to the public) Relevant Collaborative

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Principles

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  1. Principles • Feasible / realistic • Acceptable (to whom? sovereign authority?) • Accountable (to public, to physicians, to fellow regulators, others?) • Affordable • Fair • Evidence-based

  2. Principles • Portable • Transparent (processes) • Openness (to the public) • Relevant • Collaborative • Innovative / leading edge • Safety first / excellence later • Proactive

  3. Practices The Good, the Bad and the Ugly The Good, the Best and the Sublime

  4. Practices • License based on qualifications • Verification (primary source) • Reliance on accreditation of educational programs • Relationship between MRA bylaws / regulations and the law • Balancing act (e.g., a physician’s personal health information)

  5. Practices • Triage of complaints • Information sharing across borders • Involvement of the public and lay representatives (including within IAMRA) • Early exposure of trainees to the MRA’s role and processes • Capture the language (I have a dream!)

  6. Practices • Encourage self-reflective practice • Align incentives with better patient outcomes • Mandatory CPD is a good beginning, but not enough • Measure, measure, measure • Public reports and disclosure • Criminal record checks • Role clarification

  7. Dear Fleur-Ange, aka Dear Princess,

  8. Would you do this again? • Passion • Diversity • World perspectives • More similarities than differences • Desire to make improvements • Sense of accomplishment

  9. What made you smile? • When Dr. Lerebours won the iPad and the room erupted with joy • The humour in the groups • Such different personalities and characters • Level of enthusiasm • Teamwork

  10. What made you cry? • Small rooms • Noise • Fatigue... • Inability to answer all the questions from the delegates, e.g., where is all of this going? “We were expected to work in a linear fashion but the group dynamics were non-linear.”

  11. A few more quotes • Excitement came in the end once hard work was accomplished and we were successful at uncovering important issues. • Can we come to Ottawa to the next conference given our exposure to the current one?

  12. And… Tighten the focus, loosen the structure.

  13. “... an evolution, not a revolution” • Progression from now until we meet again in Ottawa in the fall of 2012 • The IAMRA Management Committee will consider all this valuable material, and propose a manageable amount of work to be accomplished in the coming two years • Your desire for ongoing interactions and involvement was clear and clearly understood

  14. So ... Thank you!

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