Clinical innovation and scope of practice regulation: a case study of the Charlie Teo decision

Author:

Walsh JillORCID,Downie Sharon,Windholz Eric,Kirk-Brown Andrea,Haines Terry P.

Abstract

The issue of regulation of scope of practice (SOP) has recently been highlighted through the high-profile case of New South Wales-based neurosurgeon, Mr Charles Teo and specifically the finding of ‘unsatisfactory professional conduct’ by the NSW Health Care Complaints Commission (HCCC) in Teo, Charles (2023) NSWMPSC 2 (12 July 2023). The HCCC decision went to two issues in Teo’s practice: (1) his decision to perform a surgery not within the SOP of his profession [at 238]; and (2) his failure to gain patient informed consent for that surgery [at 245]. This paper explores the findings against Teo with respect to SOP and recommends a nuanced approach to the regulation of clinical innovation and SOP evolution.

Publisher

CSIRO Publishing

Subject

Health Policy

Reference19 articles.

1. New South Wales Medical Professional Standards Committee. Teo, Charles [2023] NSWMPSC 2 (12 July 2023). 2023. Available at

2. Australian Government – Department of Prime Minister and Cabinet. Award extract - Australian honours search facility. Commonwealth Government of Australia; 2023. Available at [cited 24 July 2024].

3. National Portrait Gallery. Charles Teo, National Portrait Gallery. National Portrait Gallery; 2023. Available at [cited 24 July 2023].

4. Regulating health professional scopes of practice: comparing institutional arrangements and approaches in the US, Canada, Australia and the UK.;Hum Resour Health,2021

5. Australian Health Practitioner Regulation Agency (Ahpra). Workforce - can doctors work in areas outside their usual scope of practice during the COVID-19 pandemic? Ahpra; 2021. Available at [cited 24 July 2023].

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