Monday September 15, 2008

Why measure clinic’s doors and floor?

I GRADUATED as a medical doctor in 1983, and have been running a specialist heart clinic since 1994.

I am keen to be an up-to-date, ethical doctor and have written letters and articles in Lancet, Journal of the American Medical Association, Singapore Medical Journal and British Medical Journal among others.

I regularly give educational talks to doctors and the public.

I was the President of the Penang Medical Practitioners’ Society in 2000, and the chairman of Penang branch MMA in 1994.

I was visited today by four inspectors of the Penang State Health Department as part of the ministry’s post-registration check.

The officers were not interested in my publications or in the two patients who were successfully resuscitated in my clinic.

Instead, they measured my doors and floor, took multiple photographs of rooms, corridor and toilet, then looked at my financial accounts and randomly picked up case notes to peer over.

An officer then proudly told me that diazepam (valium) is listed as a dangerous drug and I should be personally handing them to the patient and not just writing the prescription.

After they left, I checked with the Pharmacy Enforcement Division of the State Health Department and was told by the officer in charge that valium is not a dangerous drug but is listed as a psychotrophic.

Furthermore, it is present policy to have it prescribed by a doctor, and dispensed by a dispenser under the doctor’s supervision.

Before the inspectors left, they also took my photograph, in full view of all my staff and patients, saying they had been instructed to do so.

I am left feeling like a criminal having just been visited by the police. I am writing to raise the following points:

> Two health ministers and the director-general had publicly stated that the Private Healthcare Act is not to penalise legitimate doctors or to harass them. Why then is the Health Ministry sending inspectors to measure my doors and floor, and to take photographs of my consultation room and the clean, tidy toilet?

> Which section of the Healthcare Act requires that the inspectors look at my financial records, and patient case notes? I recall that the director-general was very emphatic in press statements that case records are strictly confidential documents.

> Why is it necessary to photograph me, as the police do when arresting a criminal?

> How can an officer of the ministry be unaware that valium is not listed as a dangerous drug, but is a psychotrophic, insisting that she is right merely to try and confuse me?

> When will the ministry be enforcing the new regulation that valium must now be personally given to patients by the prescribing doctor? In my conversation with colleagues in private clinics and hospitals, no doctor is presently personally dispensing valium. Has such a major change been discussed with the medical societies?

> Patients had to wait as my staff and I attended to the inspectors for an hour. Can the ministry consider doing such inspections after clinic hours, so as not to interfere with patient care, since inspection seems to be all about immobile physical structures and previous paperwork.

DR ONG HEIN TEIK,

Penang.

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