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| Prison Doctors Adapt to Inmates' Needs |
| By miamiherald.com |
| Published: 03/22/2010 |
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DAVIE, Fla. -- The inmate seemed cooperative but the drugs he was receiving for a seizure disorder weren't working, so Dr. David Thomas prescribed a new regimen. Throughout Thomas' examination, guards lingered. Nurses peeked into the room. Thomas, relatively new to prison medicine, asked what the fuss was about. "'Don't you know why he's here?'" Thomas recalls the others saying. "'His mother changed his meds and he decapitated her.'" That, Thomas says, helped him realize he was performing a very different type of medicine - one that requires a very different type of doctor. Thomas, a professor at Nova Southeastern University's medical school, helped develop the college's new two-year fellowship for doctors who are considering working in prison medicine, one of few such programs in the country. The program's goal is to prepare doctors who have completed their residencies for handling the myriad ailments that appear in the prison population, difficult patients and a system where security is as important as treatment. Participants are expected to leave the program qualified for senior-level positions within corrections systems and, it's hoped, bring a higher level of respect to this long-dismissed track of medicine and improve the quality of care. "What most people don't realize is that 90 percent of inmates get out of prison," Thomas said. "They're your neighbors." The state of Florida has about 140 physicians on its correctional staff and uses contracted doctors, according to a spokeswoman. There is no national estimate on the number of physicians working in correctional institutions. Read More. |
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