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Exam Code: CGFNS Practice test 2022 by Killexams.com team
CGFNS Commission on Graduates of Foreign Nursing Schools

Exam : CGFNS
Exam Name : Commission on Graduates of Foreign Nursing Schools
Exam Type : MCQ
Questions : 260
Part1 Questions : 150
Part1 test Time : 2 hrs 30 min.
Break : 1 hour
Part2 Questions : 110
Part2 test Time : 1 hr 50 min.

The CGFNS Certification Program® is a three part program that consists of:
1. A credentials evaluation of secondary education, nursing education and licensure
2. The CGFNS Qualifying Exam®
3. Demonstration of passing one of the accepted English language proficiency examinations
It is a requirement for licensure by some State Boards of Nursing to take the NCLEX-RN® exam.

First-level, general nurses educated outside the United States who wish to practice nursing in the United States use this service. A first-level, general nurse (as defined historically by the International Council of Nurses) is also called a registered (RN) or a professional nurse in some countries.

Second-level nurses are not eligible to be licensed as registered nurses in the United States and therefore cannot be approved to take the CGFNS Qualifying Exam®. A second-level nurse may be called an enrolled, vocational or practical nurse or a nurse assistant.

The CGFNS test has both Nursing section. The CGFNS test is a multiple choice and objective based paper. It is divided into two parts with a total of 260 questions. Candidates should submit anyone TOEFL, TOIEC or IELTS scores for an eligibility criterion.
Applicants are given 150 questions in the part 1 test with a time limit of 2 hours and 30 minutes. You will get a 1 hour break for lunch after you are done with part 1 section. The part 2 section contains 110 questions with a time limit of 1 hours and 50 minutes.
The candidates must demonstrate English language proficiency and they should be able to get the passing scores for that. Any of the English proficiency test has three parts, listening, and vocabulary and sentence structure.
It takes more than 4 hours for its completion. It is taken by experienced people and thus it covers various critical areas. Like maternal or infant nursing, child care and mental health subjects. Read on to know more information on CGFNS test.

The program is comprised of three parts: a credentials review, which includes an evaluation of the secondary and nursing education, registration and licensure; the CGFNS International Qualifying test SM.
It tests nursing knowledge and is administered 3–4 times per year in over 50 locations worldwide (if applicant base warrants);and an English language proficiency examination.

Commission on Graduates of Foreign Nursing Schools
Medical Commission Free PDF
Killexams : Medical Commission Free PDF - BingNews https://killexams.com/pass4sure/exam-detail/CGFNS Search results Killexams : Medical Commission Free PDF - BingNews https://killexams.com/pass4sure/exam-detail/CGFNS https://killexams.com/exam_list/Medical Killexams : Commission to suggest ways out of medical device shortage

With the medical device regulation transitional period set to end in May 2024, stakeholders and politicians warning of potential shortages. To address this Commission is to present ways out of the situation. 

There are over 500,000 types of medical devices on the EU market, from hip replacements to sticking plasters, all covered by the medical devices regulation (MDR). In accordance with the regulation, all medical devices produced in Europe must be re-certified by 26 May 2024 – but many are struggling to reach the deadline.

Currently, 36 notified bodies exist to cater for the 23,000 certificates that still need to be approved. So far, only 2,000 certificates have been issued.

“With all those figures, we are indeed facing a serious risk of shortages of some devices. We can see that there is a need for somehow more time to transfer from the directors to the regulation,” an EU official told an informal press briefing on Monday (5 December).

“Global crises around are not all related to COVID: Supply shortages, the war in Ukraine – they all add up to the challenges that are there due to the new requirements,” the EU official said.

The main reason for shortages, according to the EU official, is the capacity of notified bodies and the preparedness of the manufacturers. While 36 notified bodies is not “a bad figure”, it is not enough when the large volume of 23,000 certificates “need to transfer very much at the same time”.

The creation of 20 more notified bodies are currently in the pipeline, with three in advanced stages, meaning they could be operational by the start of 2023.

“We’re quite optimistic that many others will also advance on over next year or over the next 18 months or so,” the official said.

The MDR entered into force in 2017, and into application in May 2021, replacing the two-decade-old former directive. At its creation, the Commission argued that the new regulation will strengthen safety requirements, keep up with technological and scientific progress and create fair market access for manufacturers. 

“The legislation will strengthen innovation and our international competitiveness, ensuring that we are ready for any new and emerging challenges,” EU health chief Stella Kyriakides said on the day the regulation came into force.

“As we move towards the end of the transition period, it has become extremely clear that ensuring patient access to these devices is not guaranteed. We are, in fact, facing a serious risk of shortages of medical devices,” Kyriakides said at a plenary session in November.

“We fully recognise that as most certificates expire, the worse the situation is expected to become. So we’re very conscious about the urgency,” the EU health chief continued. 

She added that the Commission is working on a legislative proposal, alongside other actions.

On Monday, the EU spokesperson confirmed that the Commission is to present clear orientations on the way forward on Friday at EU Council’s Employment, Social Policy, Health and Consumer Affairs Council (EPSCO) meeting this week – though a legal proposal will take more time.

“Our task is to ensure that safe devices need to remain a priority and remain available for patients and for our health system,” Kyriakides said in November.

Criticism of the MDR

Concerns about the implementation of the revision of the MDR have been raised by both politicians and stakeholders. 

In April, the European Parliament highlighted manufacturers’ claims that it is impossible to have almost 20,000 technologies certified in such a short time, naming the COVID crisis and the lack of notified bodies on the other.

An oral question to the Commission filed by European lawmakers in October on behalf of the European People’s Party (EPP) said: “In practice, the MDR is leading to a decrease in the availability of medical devices across Europe. Consequently, patient care in the EU is worsening instead of improving.”

When asked on Monday, if shortages had been anticipated, the EU official said: We would have hoped to be in another place now and that we would have had better preparedness and more capacity” but added that co-legislators added “quite a number of additional requirements” to the Commission’s proposal.

In November, Kyriakides said that while progress had been made in implementing the new rules, the Commission is setting up panels which are “essential for the more thorough assessment of clinical data”.

The Commissioner acknowledged the calls for action, including the calls for an amendment to the regulation to extend the transition period.

Back in August, the Medical Device Coordination Group (MDCG) chaired by the European Commission approved a list of actions to ease the transition into the new framework for medical devices, following a warning from EU health ministers.

[Edited by Nathalie Weatherald]

Wed, 07 Dec 2022 10:00:00 -0600 en-GB text/html https://www.euractiv.com/section/health-consumers/news/commission-to-suggest-ways-out-of-medical-device-shortage/
Killexams : Make Money Online for Free: 11 Ways to Earn Extra Cash From Home

Have you ever wished you could make extra money working from home? The key is to find a great way to make money online for free. Contrary to popular belief there are plenty of legit ways to make real money online; the only investment needed is your time.

You don’t need to have a particular skill set or talent to make money online. Whether you’re looking to earn a full-time income or supplement your current income with a side hustle, there are several different ways to make extra cash.

How To Make Money Online for Free

Take a look at these 11 examples of online work you can do without having to invest a lot of money.

1. Teach English Online

The main requirement for working for most online companies that teach English is to have a college or university degree – the degree can be in any subject, not just education. Companies prefer native English speakers but will consider people who have proficient English language skills.

For many English teaching jobs, you don’t need prior teaching experience. Still, some companies prefer applicants to have a TEFL (teaching English as a foreign language) certification for teaching ESL (English as a second language). Another difference between companies is the age range and nationality of the students.

Within the past few years the Chinese government barred online tutoring platforms from employing foreign teachers outside of China. Unfortunately, this forced many popular companies that hired online English tutors that were based in China like VIPKid to change course regarding their hiring practices. But there are still teaching and tutoring opportunities available.

Companies like Cambly, Preply, and Engoo don’t require certification, teaching degrees, or experience but all of the above can land you a higher hourly pay rate.

2. Drop-Ship Products

Drop-shipping is the process of selling and fulfilling customer orders without keeping any products in stock. A drop-shipping business model is a good option for you if you love the idea of having your own online store but don’t have a large budget or spare room to purchase and store inventory.

Instead, a drop-shipping company produces and delivers the items based on the seller’s orders, so you don’t have to purchase and maintain inventory or handle shipping.

Source products that are in high demand, mark up the price to ensure you’re earning enough money, and list items for sale on an online marketplace. When you make a sale the drop-shipping will ship the order to your customer and take their fees and delivery charge out of your revenue. Popular drop-shipping items include small electronics, t-shirts, and mugs.

3. Sell Digital Products

You can design and sell digital products even if you’re not a graphic designer. Create your own products on free platforms like Canva, which offers an endless number of free templates to help you start creating beautiful designs.

Items such as art for home decor, planners, and tracking spreadsheets are just a few digital products you can design for free on Canva and sell.

Use your social media accounts like Instagram, TikTok, and Facebook to promote your digital products without paying for advertising. An online platform like Etsy is a great place to start selling your creations and make some quick cash

4. Freelance

Freelance work includes writing, copywriting, photography, editing, and more. A freelance writer often writes articles or produces web content like informational well-researched pieces, how-to tutorials, or product reviews. In addition, freelance writing can be more lucrative if you have expertise in a specific niche, such as finance, technology, or home decorating.

Editing and proofreading are also in-demand services you could offer as a freelancer. Before publication, documents like books, manuscripts, and articles must be checked for logic and grammatical errors.

A freelance copywriter creates marketing and promotional materials to persuade customers to purchase a product or service. As copywriting requires a specific skill, you’re able to charge a higher price as a freelance copywriter.

You can find freelancing opportunities across standard job boards and places like Upwork, Fiverr, and niche groups on social media.

5. Write an eBook

Long gone are the days of needing a publisher to become an author. If you can write blog posts, you can create and self-publish an eBook. An eBook is an “electronic book” meaning it’s a digital product you read on an electronic device or printout, not a physical book you would find in a traditional book store.

You can write an eBook on any subject matter such as recipes, poetry, short stories, or even a guide that teaches the reader how to accomplish a specific task.

The first step is to write on Google Docs, Microsoft Word, or Apple Pages. Then use Canva, which has free ebook templates to design your book cover. Next, you can format and convert your book to a pdf, Mobi, or epub using a website like Kindle Create, Sonar, and Calibre.

Finally, head to a free website like Amazon KDP, Barnes & Noble Press, or Smashwords and self-publish your book at no charge. Each site will take a percentage of the sale price as a commission for each copy sold.

6. Start a YouTube Channel

Starting a YouTube channel is a free way to make money online. But, of course, you need to find a demand and have the personality that draws viewers. For example, do you have a skill you can teach with how-to tutorials? Do you love baking or cooking and would love to share your cooking techniques and recipes? Would you like to review products, books, movies, or shows?

These are just a few things you can do on YouTube to attract viewers. Still, you’ll want to hustle and promote your videos on social media before you can monetize your channel. The YouTube partner program requires 1,000 subscribers and 4,000 watch hours over the past year before you can monetize your account and earn money for your video views. However, you can monetize your channel with affiliate marketing immediately.

7. Sell Photos

Turn your hobby into a side gig by selling your photos. Make money straight from your mobile device with photo-selling apps like Shutterstock, iStock, Etsy, and Adobe Stock. After uploading images to a photo selling app marketplace, you receive a royalty payment for each picture downloaded by a customer. The percentage or amount you receive will vary by the company and the quality of your images.

Another way to make money with photos is to turn them into prints. You can sell your photographs directly on a marketplace like Etsy. You can also use drop-shipping to add your images to posters, cell phone cases, t-shirts, mugs, notebooks, and journals and then sell them.

8. Create and Sell Templates

If you are creative and know how to use platforms like Canva, earn additional income by making custom templates like ebooks designs, Pinterest pin templates, online course templates, and more.

With a massive demand for digital products combined with great designs, you can attract many customers on platforms like Etsy and Creative Market. Putting the time into creating attractive and practical templates can be worth it because once the hard work of designing is complete, every sale is considered passive income.

9. Become a Transcriptionist

Transcription involves listening to audio and video recordings of legal, medical, or general Topics and typing out what you hear. Transcribing requires strong hearing and excellent typing skills with an additional focus on speed and accuracy.

Many transcription jobs available don’t require any previous experience. Still, you may need to pass a grammar quiz and a transcription trial to get the gig. Look for opportunities with companies like Rev, TranscribeMe, and Crowdsurf, or you can look on freelancing websites.

Entertainment, market research companies, educational institutes, and the medical profession are just a few industries that have created a demand for transcription services.

10. Become a Virtual Assistant

A virtual assistant job might be right up your alley if you have good communication and organizational skills. A virtual assistant’s duties can vary depending on the industry. Generally speaking, a virtual assistant (VA) can perform such duties as:

  • Scheduling Meetings and Travel
  • Organizing and Filing Documents
  • Email Management
  • Answering Calls
  • Billing and Accounting
  • Social Media, Blog, or Website Management
  • Other Administrative Tasks

These are just a few examples, and most virtual assistant skills are transferable to any industry. But suppose you have specialized skills, such as Pinterest management. In that case, you should find groups on social media like Facebook looking for this service. Download this free checklist to help you kickstart your own VA business.

11. Provide a Service

If you have expertise in an area, consider offering a service online. Find creative ways to promote your service on social media and display your abilities the best you can with creative and fun images and videos.

Some of the services you can offer to clients online include:

  • Virtual Design Consulting
  • Life Coaching
  • Blog Coaching
  • Social Media Management or Coaching
  • Business Consulting
  • Fitness Trainer
  • Webpage Design
  • Graphic Design
  • eBook Publishing
  • Virtual Assistant
  • Resume Writing
  • Translation Services
  • Video Editing

There is always a customer who has a need that you can fulfill. With some digging, you can find customers who can benefit from your skillset and your online services.

Final Thoughts

This list of how to make money online for free requires no prior experience for many jobs and the flexibility to work from home and choose your hours.

In addition, many of these jobs or services are in demand and with no startup costs. So start looking for opportunities or promoting your services and earn money online.

This article was produced and syndicated by Savoteur.

Nadia is co-creator and author of the blog This Mom Is On Fire, a place where busy moms can find ideas for family meals, kids activities, and tips for saving time and money, as well as relate to common experiences in motherhood. She is also a freelance writer, primarily in the areas of lifestyle and personal finance.

Mon, 12 Dec 2022 11:25:41 -0600 en-US text/html https://www.msn.com/en-us/news/technology/make-money-online-for-free-11-ways-to-earn-extra-cash-from-home/ar-AA11PmsO
Killexams : Medical commission directs colleges to submit details of students admitted to PG course

Read this news in brief form


The National Medical Commission (NMC) and the Dental Council of India (DCI) have asked all medical and dental colleges to submit information of students admitted to postgraduate (PG) courses through the online system.

The NMC in a notification said that all medical colleges are called upon to submit requisite information through online system that can be accessed through NMC website. “You are required to submit details of all the students admitted to PG (broad and super speciality) course during the current academic year 2022-23,” the NMC said.

“The last date of admission in postgraduate broad speciality course, as approved by the Supreme Court, was December 2, the portal for filling in student details will remain open till December 9. The last date for postgraduate super speciality course as of now is December 24,” the NMC added.

The DCI directed all the dental colleges to upload the details of students admitted in MDS and PG diploma courses for the academic session 2022-2023, on the DCI Website.

Sun, 04 Dec 2022 09:52:00 -0600 en text/html https://www.hindustantimes.com/cities/chandigarh-news/medical-commission-directs-colleges-to-submit-details-of-students-admitted-to-pg-course-101670178192840.html
Killexams : Best Mood-Balancing Products for Mental Health

What is balance? At Mental, it’s all the things that—when disrupted—mess with an otherwise good day. Thoughts intrude. Moods spiral. Obsessions grab hold and don’t let go.

The research is increasingly clear: Balance begins in your brain—and your bed. And no, we’re not talking about nodding off to “good vibes only” posts on Instagram.

Nearly everyone who suffers from depression, bipolar, and other mood disorders experiences major disruptions to their circadian rhythms and the sleep-wake cycle, according to a study in Biological Psychiatry. “Shift work, travel across time zones, and irregular social schedules tend to precipitate or exacerbate mood-related episodes,” the authors write.

Of course, finding emotional balance isn’t as simple as consistent shuteye. Imbalances in brain chemicals (including norepinephrine, serotonin, and dopamine), environmental conditions, and genetics all play a role. Even dehydration can spike your risk of mood disorders.

The Best of Mental Health 2022 solutions here aim help you regain your emotional balance—glasses that protect against blue light (linked to insomnia), a water bottle that always keeps its cool, and computer software that casts the natural light of the sun on your face all day (even if you’re stuck on Zoom calls…all day).

Last thing: Stand on one leg and touch your nose. That’s balance too. Also, you look ridiculous. 

Light Therapy Lamp for Mental HealthNorthern Light Technologies Boxelite-OS Therapy Light Box, $204.99 

© Provided by Mental It’s huge. It’s ugly. And it’s expensive. So you know that we wouldn’t suggest this bright solution to seasonal affective disorder (SAD) if it wasn’t the best. “If you buy one of the low-end, low-priced gimmicks that are prevalent online, they’ve never been evaluated in clinical trials,” says Michael Terman, Ph.D, president of the Center for Environmental Therapeutics and professor of clinical psychology in psychiatry at Columbia University. (He adds that how some brands calculate their lux—a measure of how much light is produced—is suspect.)

Dr. Terman, who has studied light therapy since the 1980s, says that your light box should offer 10,000 lux, be wide (for a full field of illumination), and hit your face at an angle and from above, the way the sun would shine down on you when taking a walk on the beach in the morning. 

This NLT model ticks off everything on that list. Dr. Terman suggests both following the lamp’s directions and experimenting a bit on your own re: how long you should sit in front of it. The major SAD clinical trials dosed users for 30 minutes, he says, but you might find that overstimulating, or you may want to bump up to 45 minutes after a week for stronger effects. 

Many studies have shown that light therapy combats SAD. But the benefits of light therapy go beyond warming up the winter blues. Research has shown that light therapy improves ADHD symptoms and disordered eating, namely binging. There’s also evidence that it can alleviate the depression that comes with premenstrual depressive disorders (PMDD).

Blue Light-Filtering Glasses

Warby Parker Blue Light Glasses, $50

© Provided by Mental We’ve all read (probably on a screen) that blocking out some of the blue light emitted from our phone, computer, and TV is good for eye health. You may also know that blue light, especially at night, messes with circadian rhythm, which can cause problems with falling asleep and insomnia and, thus, impact mental health. “Wearing blue-light filtering glasses starting in the evening can dramatically resolve sleep problems,” says Dr. Terman.

These glasses go beyond getting you from A to ZZZs, though. Both a case study and a randomized control trial found that wearing blue-light-blocking glasses led to “substantial decreases in manic symptoms,” making them a side-effect-free, stabilizing supplement to bipolar treatments. They might also help with autism, as experts say blue and green light exposure at night can worsen sleep-wake issues in those with the condition.

We like Warby Parker’s glasses because A) they’re mail order, and you can try them on at home before you buy, B) they offer so many cool styles to choose from, and C) we could add the blue-blocking effect to our prescription lenses for an extra $50, less than we’d pay at the optometrist. (You can get non-prescription blue-blockers for $50 flat.)

Blue Light-Filtering Tech

f.lux software, $0

© Provided by Mental But wait—there’s more! Dr. Terman also recommends the free downloadable f.lux software, which mimics the natural daylight of wherever you live. “Throughout the day, the software gradually transitions your screen from a bright white to one that appears dimmer because it has deactivated the blue light,” he says. “And it’s just as easy to read and write on the changing screen.”

Adjustable Light Bulb

Philips E26 smart bulb – 75 W, $27.99  

© Provided by Mental After a few months of working from home, a friend of Mental’s noticed that he was jittery after a long day (and we mean a LONG day)—and he connected it to 12 hours in his bright white-lit office. “That’s a very intelligent observation,” says Dr. Terman. “A general guideline is to restrict yourself to the warm and other lighting spectrums in the evening.”

Cool white light has short wavelengths and keeps you alert, so it’s totally fine for the morning and afternoon. Great, even—a 2022 consensus of experts recommended short-wavelength lighting that mimics natural daylight for those times. But prolonged exposure to this light into the evening will “negatively affect your circadian rhythm system,” and could lead to insomnia, says Terman. (The 2022 paper recommended switching to lighting that blocked out shorter wavelengths at least three hours before bedtime.)

Our pal invested in some adjustable light bulbs, tuning them from cool to warm depending on whether he needs to feel energized or calm. He spends the last couple of hours of his work day in warm lighting just to begin a wind-down process, and has noticed that he is less nervous overall and sleeps better. We like this Phillips bulb for the job because it offers cool and warm light in one convenient package, and we can control it via Bluetooth, which makes us feel like we’re on The Jetsons. Plus, LED lights are highly energy-efficient and last for like a million years. We might even be the Jetsons by the time this bulb dies. 

Chill-Keeping Water Bottle

Yeti Ramble 18 oz Water Bottle, $30 

© Provided by Mental

“You should drink more water!” is perhaps the most annoying truly good advice out there. And yet we’re saying it right now. That’s because there are a plethora of mental health-related reasons to drink up. Let us count them for you…

1) A study published in the World Journal of Psychiatry found that subjects who drank greater than or equal to five glasses of water a day had a significantly lower risk of depression, which dovetails with another study that looked at the opposite: Young women who experienced just 1.36 percent dehydration had “degraded mood, lower concentration, and headache symptoms.”

2) Water intake and bipolar disorder are closely linked. In one study, patients with bipolar disorder had a significant reduction of “serum fluid balance” (translation: a lower amount of water in their body) during episodes of mania. Another study, published in the International Journal of Bipolar Disorders, found that up to 70 percent of long-term users of lithium, a drug commonly prescribed for bipolar, had excessive thirst (called polydipsia). 

3) Cold water can be grounding—even touching a cold glass helps, says Lori Davis, Psy.D., clinical instructor of psychology in psychiatry at Weill Cornell Medical College, who specializes in anxiety disorders and PTSD. “It’s a great coping strategy for anxiety and trauma, or anything. It shifts your mental set.” 

Enter the Yeti. Whether members of this Mental set are on a hike or the couch, in the subway or the gym, we’re toting this stainless steel Yeti Ramble, ‘cause it keeps our water icier than the diamonds on a rapper’s chain. (That’s thanks to its double-wall vacuum insulation.) Other extras: It’s dishwasher-safe and doesn’t leave your hands wet (or frozen), no matter how frosty the H20.

Bonus tip: Try taking a cold shower when you’re feeling anxious. Cold water reduces cortisol and increases dopamine levels. Didn’t you wonder why distressed movie characters are always splashing their faces with it? Because: science!

Hand Cream for Imbalanced Skin

Aveeno Eczema Therapy Daily Moisturizing Cream, $19.67

© Provided by Mental

Imagine a different kind of balance, the skin kind—the kind that leaves your hands red, sore, and sometimes even bleeding after you’ve washed then 27 times a day due to OCD. How do you rebalance your skin? Most people, when considering the best hand cream for dryness, immediately picture a thick ointment—but truth is, those mostly just trap existing moisture in. When you’ve got no moisture left, you need ingredients that put more of it in. 

We’ve found no better option than Aveeno’s eczema cream. It coddles sore hands like a Louboutin at the Leather Spa with a three-tiered ingredient approach: Glycerin rehydrates by drawing moisture from the air into your skin. Ceramides refortify the skin barrier stripped away from all that water exposure. And colloidal oatmeal, an anti-inflammatory, soothes and softens. (What’s not in this cream? Fragrance, which can irritate sensitive skin.) Altogether, if you put this on before bed, you’ll wake up with less red, less ouchy hands, and we find it even seems to seal up little cuts overnight. No wonder it’s got the National Eczema Association Seal of Approval.

Want more of the most-vetted products and tips for mental health? Sign up for our newsletter and get Mental in your inbox!

Check Out Our Other Best of Mental Health 2022 Categories

All Up In My Feelings

Block Out Distractions

I Just Cried (or: I Couldn’t Sleep)

Don’t Tell Me to Calm Down (But I Probably Should)

Oh, Crap, I Have to Go Somewhere

It’s My Meds

Keep My Hands Busy

Help Me Stop Picking

Quick Clean

Fri, 09 Dec 2022 14:05:26 -0600 en-US text/html https://www.msn.com/en-us/news/other/best-mood-balancing-products-for-mental-health/ar-AA1539Ho
Killexams : Medical Services Commission files injunction against Telus Health's paid service

Telus’s LifePlus program, which charges membership fees to patients in return for 24/7 access to a health-care practitioner, is alleged to contravene the Medicare Protection Act.

The Medical Services Commission on Thursday applied for an injunction to stop Telus’s LifePlus program from charging membership fees to patients in return for preferential 24/7 access to a health-care practitioner.

In February, B.C. Health Minister Adrian Dix asked the commission, which oversees the Medical Services Plan, to review private fee-based services offered by Telus Health Care Centres to ensure there’s no queue-jumping for patients who pay the fee, which isn’t allowed under the Canada Health Act.

Dix said he received complaints from the public “alleging illegal extra billing at these LifePlus clinics.”

The commission, an independent body, completed its investigation in the summer and on Thursday applied to the B.C. Supreme Court for an injunction against Telus Health, specifically, Telus’s LifePlus program, alleging contraventions of the Medicare Protection Act.

“It’s very important to uphold the Medicare Protection Act,” Dix said in a media availability on Thursday. “Access to necessary medical care should be based by needs and not on an individual’s ability to pay.”

The act establishes rules regarding billing for services provided by MSP-enrolled physicians, and section 17 prohibits charging for a medical service covered under MSP. Charging in violation of this section is called extra billing.

Court documents filed by the Medical Services Commission Thursday petition the court to declare that Telus Health is in breach of section 17, and to stop Telus Health through its MSP-enrolled physicians from offering and advertising benefits that can be obtained free of charge through Telus Health.

The injunction also seeks to stop Telus Health from charging pre-existing patients of an enrolled physician later associated with Telus Health for continuing that care.

The injunction “solely” relates to Telus’s LifePlus program and the membership fees charged under that program, and does not touch on Telus Health’s “significant role” in delivering virtual healthcare services, said Dix in a media availability.

The commission will argue its case in court in the coming weeks while the government continues to defend the public health care system, he said.

As part of its investigation, the commission asked the Health Ministry’s audit and investigations branch to analyze available data for contraventions of the act.

Mark Winston, 72, is cited in one of several affidavits as a retired university professor who was under the care of Vancouver physician Geoffrey Edwards for 14 years prior to Edwards leaving his practice to join Telus Health. Winston says in an affidavit that he was told he would need to pay the fee to become a LifePlus member to continue receiving care under Edwards.

At no time was Winston told he could continue to receive primary care through Edwards without paying a fee, say the court documents. “The implication was the exact opposite: the only way to keep Dr. Edwards as a family doctor was for Mr. Winston to pay thousands of dollars to join LifePlus,” according to the affidavit.

Winston did not pay and “had no family doctor,” which investigators for the commission say was the case for more than 93 per cent of Edwards’ 1,430 patients. Of the 87 who followed Edwards to the Telus LifePlus program, the vast majority, 68, paid the membership fee, according to the court documents.

The audit and investigations branch determined Telus’s LifePlus members appear to be getting disproportionate and potentially preferential access to MSP-insured services by virtue of their membership in LifePlus.

Telus’s LifePlus package — which costs about $4,650 in the first year and $3,650 for subsequent years — originally offered a team of clinicians, assistance with urgent needs, timely referrals to specialists, and other concierge-type services, although court documents claim the wording of Telus Health’s website has changed since contact with the commission.

Telus Health Care Centres and other fee-based services have drawn criticism that they’re creating a two-tier health-care system. The commission has also been asked to look into physicians in the province charging patients a fee for similar packages that offer fast-track physician access and diagnostic tests.

According to court documents filed by the commission, Telus Health maintains its fees for LifePlus are solely for uninsured preventative services and its members receive equal access to MSP-insured services. Telus Health says it has not contravened the act.

In a statement to the Times Colonist, Telus Health said it has “fully collaborated” with requests for information from the Medical Services Commission regarding its LifePlus program since February, and made “every effort” to engage with members to ensure it is in compliance with all applicable laws.

“Despite our numerous good-faith efforts in this regard, we have not been granted an audience with representatives of the Commission, and we are not aware of any basis for bringing an injunction application. We believe that doing so is unnecessary given our fully cooperative approach and commitment to ensuring regulatory compliance.”

B.C. Green leader Sonia Furstenau, MLA for Cowichan Valley, questioned why the Medical Services Commission investigation results were not previously made public.

“While a million British Columbians go without a family doctor, and our emergency wards are full of sick children, Telus Health has quietly been charging thousands of dollars per year for access to primary healthcare,” she said in a statement. “We have persistently raised this issue with the minister and are relieved that action has finally been taken, but why has it taken so long?”

Dix said Thursday that the commission took time to investigate, talk with Telus, assess the situation and then take action.

“They took the time necessary to make what they believe as an independent commission is the right decision and now it’s a matter that will be before the courts,” said Dix.

In 2018, the province introduced new protections for patients to prevent extra billing, clarified rules around extra billing for medical practitioners and established consequences for those who break the rules, according to the Health Ministry.


Fri, 02 Dec 2022 14:52:00 -0600 en text/html https://www.timescolonist.com/local-news/medical-services-commission-files-injunction-against-telus-healths-paid-service-6187224
Killexams : Private medical colleges asked to charge fees detailed in G.O.

The Puducherry Government has directed the unaided self-financing private medical colleges functioning in the Union Territory to charge the same fees as detailed in a latest Government Order for various postgraduate medical/dental/MBBS/B.Sc (Nursing) courses for the academic year 2022-23. 

According to a circular issued by the Health Department, the unaided self-financing private medical colleges have filed writ petitions in the Madras High Court challenging the G.O. dated October 28, 2022. The court had issued an interim stay and the matter is sub-judice.

“As no final orders have been passed by the Madras High Court to revise the fee structure and the admissions have to be made immediately to meet the cut-off date fixed by the National Medical Commission, all self-financing private medical institutions are instructed to charge the fee communicated in the G.O. provisionally. However, this fee is subject to the revision of the outcome/orders of the Madras High Court in the writ petitions filed by self-financing private medical institutions,” the circular said.

Wed, 07 Dec 2022 00:15:00 -0600 en text/html https://www.thehindu.com/news/cities/puducherry/private-medical-colleges-asked-to-charge-fees-detailed-in-go/article66235219.ece
Killexams : B.C. Medical Services Commission files court injunction against Telus Health over fee-based program

A commission overseeing B.C.'s public health insurance program has taken court action against Telus Health's fee-based LifePlus program, claiming the service is breaking the law by charging patients for services that should be publicly covered.

The B.C. Medical Services Commission's injunction application, filed Thursday, claimed LifePlus is violating the extra billing provisions of the province's Medicare Protection Act. 

The program leads people to believe they will get preferential treatment if they pay for a membership, alleged the petition filed in B.C. Supreme Court.

"It is very important to uphold the Medicare Protection Act, which is in place to preserve our publicly managed and fiscally sustainable health-care system for British Columbia," said Health Minister Adrian Dix at a news conference on Thursday. 

The province began investigating the program in February. Court documents said a would-be patient and a private investigator said they were told they would have to pay an annual fee to see a family doctor, which isn't allowed under the Medical Protection Act.

The act ensures access to necessary medical care should be based on need, not an individual's ability to pay. 

An estimated one in five — nearly a million — British Columbians do not have a family doctor, with the lack of access to primary care putting pressure on emergency rooms, urgent care centres and specialist's offices. The COVID-19 pandemic exacerbated the problem, leading to staffing shortages, emergency room closures and hours-long ambulance delays with potentially fatal consequences.

Telus Health denied the accusations Thursday, saying its program is only trying to relieve pressure on the public system.

It said its fees — $4,650 in the first year and $3,650 in subsequent years — are not for primary care and "strictly" for uninsured services like dietitians, kinesiologists and other health and wellness needs.

"We're blindsided right now … and I think that's very disrespectful, and it's quite a shame. We are disappointed with the route that the Medical Services Commission has chosen," vice-president Juggy Sihota told a teleconference after the injunction application was filed.

"The services that we have them providing through the life program are for preventative care. If a preventative care patient is coming to use the service and has an insured service request, that physician is free to provide that care to that patient of their own accord."

The commission is asking the courts to declare that Telus Health is violating the Medicare Protection Act. It's also seeking interim, interlocutory and permanent court orders to stop Telus Health's physicians from providing MSP-covered services.

Sihota didn't say whether Telus will be fighting the injunction but said it "welcomes the legal proceeding." The company has 21 days to respond.

The injunction filed in B.C.'s Supreme Court alleges the LifePlus program violates the Medicare Protection Act. (Ben Nelms/CBC)

In an affidavit filed as part of the proceedings, Vancouver resident Mark Winston, 72, said his family doctor informed him last December that he would be shutting down his family practice and moving over to Telus Health.

The sworn statement said patients were told to find a new physician or speak with Telus Health about its fee-based membership.

Winston said he was told he could only continue seeing his doctor if he paid.

"I was devastated because he was, I'm sure still is, a fantastic physician, and I've been with him for probably 14 or 15 years and really had a great relationship with him," said Winston, a retired Simon Fraser University professor.

An analysis found fewer than seven per cent of the family doctor's patients followed him to Telus Health, according to the court filing.

"At my age and with the relationship I built with my family doctor, I really did think about doing it because I didn't want to lose that care, but I just don't believe in private health care," Winston said, speaking in an interview Thursday.

"I don't believe any Canadian should have to spend $4,000 a year to see a primary care provider."

Winston said he managed to find another family doctor, but she's leaving her practice soon for other reasons. He's now waiting to be taken in by another doctor at the same clinic.

"That just highlighted for me how precarious our primary care system was — it left me without any primary care, which turned out to be quite a journey," he said.

Juggy Sihota, vice-president of Telus Health, denied claims that patients whose doctors joined the LifePlus program can't get primary care unless they pay the fees. (Ben Nelms/CBC)

Under the Medical Protection Act, health insurance premiums are permitted as long as residents are not denied coverage for medically necessary hospital and physician services.

Dix noted the province's concern is only regarding fees charged by the LifePlus program, not other aspects of Telus Health. 

"We do significant work on a number of files [and] health issues with Telus, and they're an outstanding corporation in B.C.," he said. "[The injunction application] only reflects aspects of that program." 

The Medical Services Commission is a statutory body made up of three government representatives, three from Doctors of B.C. and three from the general public. The group manages the MSP program on behalf of the provincial government.

Dix said the commission will argue its case in the coming weeks.

Thu, 01 Dec 2022 10:01:00 -0600 en text/html https://www.cbc.ca/news/canada/british-columbia/telus-health-lifeplus-injunction-1.6671327
Killexams : UPPSC MO Recruitment 2022-23: 2382 Vacancies Available @uppsc.up.nic.in

UPPSC MO Recruitment 2022-23: Uttar Pradesh Public Service Commission has announced 2382 vacancies for Medical Officer Posts. Candidates can check the how-to apply, notification, vacancy details and other information here.

UPPSC MO Recruitment 2022-23

UPPSC MO Recruitment 2022: Uttar Pradesh Public Service Commission (UPPSC) is looking to recruit candidates for the post of Medica Grade-II Level-2. The commission has a total of 2382 vacancies in different specialities. Doctors interested in this opportunity can apply online on the website of the commission i.e. uppsc.up.nic.in. It is to be noted that the last date of application will be 05 January 2023.

Before applying for the speciality, candidates are advised to go through the PDF in order to check the eligibility, selection process, salary and other details.

UPPSC MO Notification Download

UPPSC MO Online Application Link

Important Dates

Last Date of Application - 05 January 2023

UPPSC MO Vacancy Details

Specialist Vacancies
Gynaecologist 346
Anaesthetist 476
Paediatrician 418
Radiologist 68
Pathologist 6
General Surgeon 401
General Surgeon 488
Ophthalmologist 5
Orthopedician 2
E.N.T. Specialist 29
Dermatologist 46
Psychiatrist 32
Microbiologist 8
Forensic Specialist 52
Public Health Specialist 5


Rs. 67700-208700

Eligibility Criteria for UPPSC MO Recruitment 2022

Educational Qualification:

  • MBBS degree of a university recognized by the ‘Medical Council of India’ or an undergraduate medical degree recognized under ‘The National Medical Commission Act, 2019.’ and, Postgraduate Degree (3 years) in the concerned Specialty of a university recognized by the ‘Medical Council of India’ or a Post-Graduate Medical degree recognized under ‘The National Medical Commission Act, 2019’, or
  • Postgraduate Diploma (2 years) in the concerned Speciality of a university recognized by the Medical Council of India or a Post-Graduate medical diploma recognized under ‘The National Medical Commission Act, 2019’ and with at least one year of experience in the concerned Speciality after registration of the diploma in the concerned Medical Council.

UPPSC MO Age Limit:

21 to 40 years

How to Apply for UPPSC Recruitment 2022 ?

  1. Visit the website of the UPPSC - uppsc.up.nic.in
  2. Click on ‘Apply’.On clicking "Apply" Candidate Registration will be displayed
  3. Register yourself
  4. Thereafter 'Print Registration Slip' shall be displayed and Print of Registration Slip must be taken by Clicking on Print Registration Slip.
  5. Pay the fee by clicking on "Click here to proceed for payment”
  6. Now, click on "Proceed for final submission of application form (Part-2)"
  7. Fill the asked details
  8. Upload duly scanned photo and signature
  9. After filling in all entries in the format, you may click “PREVIEW” to check if  all entries and informations are correctly entered and then click "Submit" button to forward the same to the Commission

Application Fee:

  • UR /EWS/OBC - test Fee of Rs. 80/- + Online Processing Fee of Rs. 25/- = Rs. 105/-
  • SC/ST - test Fee of Rs. 40/- + Online Processing Fee of Rs. 25/- - Rs. 65/-
  • PWD - Rs. 25/-
  • Ex-Servicemen - Rs/ 65/-

What is UPPSC MO Salary ?

Selected candidates will be paid under the scale of 67700-208700.

What is UPPSC Registration Last Date ?

05 January 2023.

Mon, 05 Dec 2022 17:51:00 -0600 text/html https://www.jagranjosh.com/articles/uppsc-mo-recruitment-202223-check-online-application-link-and-notification-1670310730-1
Killexams : For the first time, a medical marijuana outlet gets approval by N.J. to begin selling recreational weed

The New Jersey Cannabis Regulatory Commission gave approval on Friday for a medical marijuana dispensary to begin selling adult recreational weed, a step considered by some as marking the next chapter of the industry’s growth in the state.

The commission approved Harmony Foundation of New Jersey Inc. by a 4-1 vote on Friday to expand into adult recreational marijuana sales at its Secaucus dispensary on Meadowlands Parkway.

If you purchase a product or register for an account through one of the links on our site, we may receive compensation.

Sat, 03 Dec 2022 07:39:00 -0600 en text/html https://www.nj.com/marijuana/2022/12/for-the-first-time-a-medical-marijuana-outlet-gets-approval-by-nj-to-begin-selling-recreational-weed.html
Killexams : B.C. Medical Services Commission seeks injunction against Telus Health’s fee-based health care program

B.C. Health Minister Adrian Dix during a news conference in Vancouver on Nov. 7.DARRYL DYCK/The Canadian Press

British Columbia’s Medical Services Commission is seeking an injunction against Telus Health over its private, fee-based LifePlus health care program, saying it violates the extra billing provisions of the province’s Medicare Protection Act, according to documents filed in B.C. Supreme Court on Thursday.

About a million British Columbians are without a family doctor, which has fed into pressures in emergency departments and secondary care systems such as specialist access. The COVID-19 pandemic exacerbated these pressures, leading to shuttered emergency departments, cancelled elective surgeries and hours-long waits for ambulances.

Telus Health has argued that it is only seeking to alleviate pressures on the health care system through its LifePlus program, which charges patients thousands of dollars a year in membership fees for services it says are not covered through the province’s Medical Services Plan, or MSP.

B.C. Health Minister Adrian Dix said he directed the commission to review Telus Health in February after complaints made by the public of illegal extra billing.

“It’s very important to uphold the Medicare Protection Act, which is in place to preserve our publicly managed and fiscally sustainable health care system for British Columbia,” Mr. Dix said Thursday. “Access to necessary medical care should be based by needs and not on an individual’s ability to pay.”

Canada has more family doctors than ever. Why is it so hard to see them?

Under Telus Health’s LifePlus program, patients pay about $4,882 for the first year and $3,882 for each subsequent year for what the company describes as preventive health care, according to a Nov. 8 e-mail from a Telus Health clinical enrolment nurse to a private investigator retained by the plaintiffs, submitted as part of the legal filings. The company says patients then have access to a multidisciplinary care team of independent contractors including family doctors, nurses, dietitians and kinesiologists, who offer services that are not covered by MSP. The LifePlus program has about 25 doctors and 4,000 customers in B.C.

Telus Health vice-president Juggy Sihota said Thursday the company had made numerous efforts to discuss the matter with members of the commission, but received no response.

“We’re really upset about this because we want to be able to, of course, address any outstanding issues that they may have regarding compliance,” she said. “And so we welcome the legal proceeding. We would have hoped that the government would be focusing their attention on fixing the significant issues of the public health care system here rather than firing bullets indiscriminately.”

Ms. Sihota added the company is disappointed in the route the commission has chosen, saying it felt “rather political.”

The commission is seeking a declaration that Telus Health is breaching the Medicare Protection Act; interim, interlocutory and permanent injunctions against facilitating the provisions of MSP-covered services by MSP-enrolled doctors at Telus Health facilities; and costs. Telus Health has 21 days to respond to the petition.

In an affidavit, recently retired Simon Fraser University professor Mark Winston wrote that his family doctor of 14 years had informed him last December that he would be closing down his family practice and joining Telus Health. Patients could either seek a new doctor or contact Telus Health to inquire about its fee-based membership, the affidavit said.

At no time did Dr. Winston’s former doctor, or Telus Health, inform him that he could continue accessing primary care services from the doctor without paying, he wrote.

British Columbia overhauling the way it pays family doctors with a new, higher paying model

Ms. Sihota disputed this Wednesday, saying all physicians that are part of the LifePlus service are welcome to continue offering primary care services to their own patient rosters, separate from their work with the LifePlus program.

“In fact, we enable them to do that at no charge on our premises,” Ms. Sihota said. “The services that we have them providing through the LifePlus program are for preventative care. If a preventative care patient is coming to use the service and has an insured service request, that physician is free to provide that care to that patient on their own accord.”

The Medical Services Commission is a nine-member statutory body consisting of three representatives from government, three from the Doctors of BC and three from the public. It manages the Medical Services Plan on behalf of the B.C. government in accordance with the Medicare Protection Act and Regulations.

The College of Physicians and Surgeons of B.C. notes that doctors can charge what’s called a “block fee” for uninsured services, but it must be optional for the patient. Doctors cannot require patients pay a block fee before accessing an insured or uninsured services; treat or offer to treat patients preferentially if they do pay it; or terminate a patient or refuse to accept a new patient because they refuse to pay it.

The college further states that doctors must charge a block fee for a period of no greater than one year, and that they must list, in writing, each of the services covered under the block fee, and how much each service would cost if paid on a fee-for-service basis, according to a practice standard.

Premier David Eby has spoken out in defence of the public health care system at latest health care announcements.

“Some are proposing to respond to [health care system] stress, that we undercut the principles of universal public health care and promote a pay-as-you-go approach, allowing the wealthiest to jump the line to the front, by buying their way to the front of the line,” he said Sunday at an announcement about expanding a program for international medical graduates.

“It’s not right. Buying your way to the front of the line doesn’t solve the line, it just changes who gets there first. Universal public health care is one of Canada’s great achievements. Everyone deserves the best possible health care. We can’t privatize our way toward a better health care system.”

Thu, 01 Dec 2022 13:05:00 -0600 en-CA text/html https://www.theglobeandmail.com/canada/british-columbia/article-bc-medical-services-commission-seeks-injunction-against-telus-healths/
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