Malcolm Rivera
The practice of medicine in Vermont is a highly regulated field with various laws and requirements that must be adhered to. The Vermont Board of Medical Practice is responsible for ensuring professional integrity and investigating complaints regarding the practice of medicine in the state. The Board has outlined specific rules and regulations that constitute the practice of medicine, including provisions for persons practicing faith cure, mind healing, or laying on of hands. Additionally, the Board has implemented requirements for licensure and renewal, such as Continuing Medical Education, and has defined what constitutes unprofessional conduct, such as fraud or misrepresentation in obtaining a medical license. With the rise of telehealth during the COVID-19 pandemic, the Board has also introduced new telehealth credentials for physicians practicing with Vermont patients.
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What You'll Learn
Temporary Telehealth Registrations
In the state of Vermont, the practice of medicine is strictly regulated by the Vermont Board of Medical Practice, which ensures professional integrity through the licensure of healthcare practitioners and the investigation of complaints.
During the COVID-19 public health emergency, Temporary Telehealth Registrations were introduced to facilitate remote medical consultations. However, it is important to note that these temporary registrations have now expired, and they are no longer available. Any individual or practitioner wishing to engage in telehealth practice with Vermont patients must obtain the appropriate credentials.
The state of Vermont offers two distinct telehealth credential options for physicians, physician assistants, and podiatrists: a telehealth license and a telehealth registration. The telehealth registration option is particularly advantageous for professionals who want to initiate telehealth practice swiftly. This registration is valid for 120 days from the date of issue and permits treatment for a total of 10 unique patients during this period. Although the registration cannot be renewed, the application process is streamlined, and the fee is significantly lower than that of a full license. Moreover, this fee may be credited towards obtaining a full license or a telehealth license within three years of the telehealth registration's effective date.
The telehealth registration is well-suited to scenarios where a patient is visiting or relocating to Vermont, and there is a need for continuity of care. For instance, a patient planning to spend up to 120 days in Vermont may prefer to continue their treatment with their existing out-of-state healthcare provider via telehealth during their temporary stay. Similarly, if a patient moves to Vermont, their previous out-of-state healthcare provider can utilize telehealth registration to continue treating them for a limited time while they transition to a new long-term care provider.
It is important to be aware of the limitations and requirements associated with telehealth registrations in Vermont. While they offer flexibility and a simplified application process, they are intended for short-term use and have restrictions on the number of unique patients that can be treated. For long-term or more extensive practice, a full license or telehealth license may be more appropriate.
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Unprofessional conduct
The Vermont Board of Medical Practice is responsible for ensuring professional integrity through the licensure of health care practitioners and the investigation of complaints. The Board defines unprofessional conduct as:
- Fraud or misrepresentation in applying for or procuring a medical license or in connection with applying for or procuring periodic renewal of a medical license.
- Advertising of medical business that is intended or has a tendency to deceive the public or impose upon ignorant persons, thereby harming public morals or safety.
- Habitual or excessive use or abuse of drugs, alcohol, or other substances that impair the licensee’s ability to practice medicine.
- Promotion by a physician of the sale of drugs, devices, appliances, or goods provided for a patient in such a manner as to exploit the patient for financial gain.
- Failure to practice competently, including performing unsafe or unacceptable patient care or failing to conform to the essential standards of acceptable and prevailing practice.
- Failure to comply with provisions of federal statutes or regulations, or the statutes or rules governing the practice of medicine or surgery.
- Practicing medicine when medically or psychologically unfit to do so.
- Delegating professional responsibilities to a person whom the licensee knows or has reason to know is not qualified by training, experience, education, or licensing credentials to perform them.
- Conviction of a crime related to the practice of medicine or conviction of any felony, or failure to report such a conviction to the Board within 30 days.
It is important to note that unprofessional conduct can occur both within and outside the state of Vermont and can be reported by patients or observed by the Board. Patients are advised to first try to solve any issues directly with their doctor before filing a complaint, as the doctor-patient relationship may be affected.
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Out-of-state physicians
For out-of-state physicians who wish to practice telehealth with patients in Vermont, there are two credential options: a telehealth license and a telehealth registration. The telehealth registration is a good option for those who want to start practicing telehealth quickly, as it has a very abbreviated application process and a lower fee compared to a full license. However, it is only valid for 120 days, allows practice with a maximum of 10 unique patients during that period, and cannot be renewed. On the other hand, the telehealth license offers more flexibility and can be a better choice for long-term telehealth practice.
It is important to note that out-of-state physicians must comply with Vermont's regulations and laws governing the practice of medicine. The Vermont Board of Medical Practice is responsible for ensuring professional integrity and investigating complaints regarding the practice of medicine within the state.
In addition, students enrolled in accredited educational programs leading to degrees in professions licensed by the Board can engage in acts constituting the practice of medicine under the supervision of a Vermont-licensed or certified health care professional. This allows them to gain practical experience while being properly supervised and ensures that they are operating within the scope of their profession.
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Student practice
The practice of medicine in Vermont is governed by the Vermont Board of Medical Practice, which operates under the Vermont Department of Health. The Board is responsible for licensing health care practitioners, investigating complaints, and promoting professional integrity in the medical field.
For students aspiring to practice medicine in Vermont, there are specific academic requirements that must be met. The Virginia Tech Carilion School of Medicine, for instance, requires students to hold either a baccalaureate degree conferred before matriculation or a combined masters or doctoral degree that satisfies baccalaureate degree requirements. All coursework must be completed at an educational institution in the United States or Canada, or it must be approved by a United States regional accrediting body.
Additionally, the school recommends specific academic coursework, including organic chemistry with a laboratory, biochemistry with a laboratory, and advanced science courses. They encourage applicants to explore a broad range of academic disciplines and engage in in-depth research. Activities that showcase a student's spirit of discovery, inquiry, and potential for thought leadership in medicine are highly regarded.
Once enrolled in an accredited educational program, students can engage in acts constituting the practice of medicine under the supervision of a Vermont-licensed or Vermont-certified healthcare professional. This practical experience is crucial for students' medical education and must be conducted under the guidance of a qualified supervisor.
It is important to note that the Board of Medical Practice has specific rules and regulations that govern the practice of medicine in Vermont, and it is the responsibility of medical practitioners, including students, to stay informed about these legal and regulatory requirements.
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Faith healing
The Roman Catholic Church recognises two types of healing: one justified by science and one by faith. The former is through the practice of medicine, while the latter is through divine grace, such as the invocation of the name of the Lord Jesus, prayers, and the laying on of hands and anointing with oil.
There are varying perceptions of faith healing. A 2004 Newsweek poll found that 72% of Americans believe that praying to God can cure someone, even if science says otherwise. Similarly, studies in Ghana have shown that many people believe in the effectiveness of faith healing, especially for mental disorders and spiritually-motivated diseases. However, the American Cancer Society has stated that "available scientific evidence does not support claims that faith healing can actually cure physical ailments".
Faith healers often face ethical controversies, such as exorbitant fees and fraudulent practices. For example, in 1955, a faith healer was arrested and charged with practicing medicine without a license after he claimed to have healed a boy of polio and told his parents to remove his leg braces, resulting in constant pain for the child.
Despite these controversies, some advocate for integrating faith healing into conventional healthcare systems. This is because faith and spirituality can impact an individual's medical decisions, and accommodating a patient's religious and spiritual needs can reduce their anxiety during healthcare challenges.
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Frequently asked questions
The Vermont Board of Medical Practice ensures professional integrity through the licensure of health care practitioners and the investigation of complaints in a fair and respectful manner.
Unprofessional conduct in the practice of medicine in Vermont includes fraud or misrepresentation in applying for or procuring a medical license, advertising of medical business that is intended to deceive the public, and the habitual or excessive use or abuse of drugs, alcohol, or other substances that impair the licensee’s ability to practice medicine.
The practice of medicine in Vermont applies to health care professionals licensed or certified by the Office of Professional Regulation when practicing within the scope of their profession. It also applies to non-resident physicians consulting with patients in Vermont via telehealth.
