Course Content
Course Objectives
Course Objectives
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Section 1: Introduction — What Fitness to Practice Means in U.S. Healthcare
1.1 Defining Fitness to Practice
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1.2 Why Fitness to Practice Matters
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1.3 Core Elements of Fitness to Practice
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1.4 Fitness to Practice as a Licensing Requirement
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1.5 Fitness to Practice in Daily Professional Life
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1.6 Reflective Quiz
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Section 2: Core Components of Fitness to Practice — Competence, Ethics, and Professionalism
2.1 Clinical Competence
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2.2 Ethics and Probity
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2.3 Professionalism
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2.4 The Interdependence of Competence, Ethics, and Professionalism
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2.5 Regulator Expectations Across Professions
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2.6 Reflective Quiz
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Section 3: Regulator Perspectives — FSMB, State Boards, AMA, ANA, ADA, APhA
3.1 Federation of State Medical Boards (FSMB)
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3.2 State Licensing Boards
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3.3 American Medical Association (AMA)
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3.4 American Nurses Association (ANA)
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3.5 American Dental Association (ADA)
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3.6 American Pharmacists Association (APhA)
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3.7 Shared Regulator Themes
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3.8 Reflective Quiz
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Section 4: Common Triggers for Fitness to Practice Concerns
4.1 Clinical Incompetence or Unsafe Practice
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4.2 Ethical Lapses and Dishonesty
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4.3 Professional Misconduct and Boundaries
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4.4 Substance Misuse and Health Concerns
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4.5 Poor Communication and Disrespect
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4.6 Confidentiality and Digital Misconduct
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4.7 Criminal Convictions and Legal Issues
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4.8 Reflective Quiz
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Section 5: The Role of Insight, Reflection, and Remediation
5.1 Insight — Recognising Seriousness and Impact
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5.2 Reflection — Honest Analysis and Learning
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5.3 Remediation — Demonstrating Corrective Action
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5.4 How Boards Judge Insight, Reflection, and Remediation
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5.5 Integration of the Three Elements
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5.6 Reflective Quiz
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Section 6: Case Studies — Weak vs Strong Fitness to Practice Responses
6.1 Medicine — Documentation Falsification
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6.2 Nursing — Medication Error Concealment
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6.3 Dentistry — Fraudulent Billing
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6.4 Pharmacy — Dispensing Error
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6.5 Midwifery — Communication Failure
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6.6 Lessons Across Professions
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6.7 Reflective Quiz
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Section 7: Demonstrating Fitness to Practice in Board Hearings and Portfolios
7.1 Why Demonstration Matters
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7.2 Forms of Evidence Regulators Expect
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7.3 Weak vs Strong Demonstrations in Hearings
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7.4 Building a Remediation Portfolio
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7.5 Behaviour in Hearings
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7.6 Long-Term Demonstration of Fitness
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7.7 Reflective Quiz
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Section 8: Embedding Fitness to Practice into Professional Identity and Resilience
8.1 Fitness to Practice as Professional Identity
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