New in Our Library

Considering the Future of Health Care Workforce Regulation

Christine M. Gragnola and Elizabeth Stone. San Francisco: UCSF Center for the Health Professions, 1997. [39 pp.]

In December 1995, a Taskforce assembled by the Pew Health Professions Commission issued a report offering recommendations for reforming health care workforce regulation. Since its release, the report has received both praise and criticism for promoting standardized entry-to-practice requirements, widened scopes of practice and redesigned health regulatory boards.

Considering the Future of Health Care Workforce Regulation summarizes and analyzes the formal responses received by the Taskforce in 1996. The report reviews each of the original ten recommendations and ranks the level of concern it generated among respondents. In general, the report finds respondents were more supportive than critical of the Taskforce's overall message and mission. However, challengers raised valid concerns over specific policy recommendations and offered interesting alternatives to consider.

Copies of the report can be obtained free of charge by contacting the USCF Center for the Health Professions, 1388 Sutter Street, Ste. 805, San Francisco, CA 94109-5453, 415/476-8181 (phone). The report can also be downloaded from their website at

Proceedings of the Third International Conference on the Regulation of Nursing and Midwifery

Vancouver: College of Nurses of Ontario, 1997. [52 pp.]

The third international conference on the regulation of nursing and midwifery was held in Vancouver, Canada, June 12-13, 1997. The conference theme, Regulation Across Borders: Enhancing Public Service Through International Collaboration, attracted 150 nurses and midwives.

Participants heard about regulatory reforms occurring in nursing and midwifery across the globe. Then, they discussed how to regulate in the public's best interest in workshops focused on enforcement, practice and competency issues.

These proceedings include the keynote address, condensed reports of plenary sessions, feedback from the regional meetings, a summary of the conference and a list of conference participants. To obtain a copy, contact the College of Nurses of Ontario, 101 Davenport Rd., Toronto, Ontario, Canada M5R 3P1, 416/928-0900 (phone), or visit their website at

Nebraska Credentialing Reform 2000: A Model for the Regulation of Health Care Facilities by State Government in Nebraska

Lincoln, Nebraska: Department of Health and Human Services, 1998. [24 pp.]

Nebraska Credentialing Reform 2000 resulted from a legislative charge to study the state's current regulatory system for health facilities and propose a more effective model. Five work teams--composed of providers, consumers and health and human services system staff--concluded the current system was uncoordinated, time-consuming, and costly. The teams recommended that a single state agency assume responsibility for the licensure and discipline of health facilities, and that rules be established to ensure compliance.

The report outlines the proposed model system and implementation structures and strategies. To obtain a copy, contact David Montgomery, Regulation and Licensure, 301 Centennial Mall South, P.O. Box 95007, Lincoln, Nebraska 68509-5007, 402/471-6515 (phone), or visit the HHS System web page at

Sexual Misconduct: Ethical, Clinical and Legal Ramifications and the Chiropractic Profession

Michael Stahl and Stephen M. Foreman. Des Moines: NCMIC Insurance Company, 1997. [51 pp.]

Unlike the medical and psychiatric communities, the chiropractic profession has not widely published on the issue of sexual misconduct by its practitioners. Doctors Stahl and Foreman attempt to fill this void in Sexual Misconduct: Ethical, Clinical and Legal Ramifications and the Chiropractic Profession. As members of the profession and the California Board of Chiropractic Examiners, the authors acquaint chiropractors with current sexual boundary issues and help them protect themselves from allegations of abuse.

Through a careful review of the literature, the guide identifies three general categories of sexual misconduct: sexual impropriety, sexual transgression and sexual violation. Eight common situations where sexual contact can occur between a doctor and a patient are discussed. Examples of actual cases and board rulings throughout help pinpoint the line between appropriate and inappropriate behavior.

To obtain a copy, contact NCMIC Insurance Company, 1452 - 29th St., Ste. 102, Des Moines, IA 50266-1307, 800/247-8043 (phone).