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Woodhavens' Green Caste Guidelines
 
 
1:  The practice of medicine is more then the understanding of scientific knowledge, it is also a commitment to one's City, one's Caste and to humanity, striving for the highest degree of professionalism.
 
In Gorean society, the Welfare of the Caste takes precedence over the ambitions of an individual, and the City Laws take precedence over the Gor wide Green Caste Structure.

2: WHGC Mission statement:

 To  Provide timely and effective Medical Intervention, Monitoring  and safeguards for the health and welfare of the  citizens of Woodhaven, thus serving the City. If you are unable to help, Do no harm.
 
 And
 
To ensure that the Laws of the City, and the standards of the Green Caste are upheld and the most current medical information is made available to the healers of the city. 

3: WHGC Code of Ethics

a.   To maintain the health of one's Ubar and House.
b.   To maintain the health of one's Homestone and its peoples.
c.   To maintain physician/patient confidentiality with the exception of minors, and                   slaves where the parent/guardian or owner will be consulted and informed.
d.   To respect your fellow Physicians, treating your peers with dignity and respect, working in             collaboration to provide the best medical care to the Homestone
e.  To uphold a consistent standard of  medical practice and a way of life that is beyond reproach.
 

4: The City's Green Caste General Guidelines
 
a -are intended to be a work in progress. As the caste evolves, information changes, scientific break-throughs occur, the Guidelines will need to be updated annually< mun year> to reflect this development.

b -WoodHaven's Green Caste provides governance, support, structure, guidelines and training  to the physicians, healers and slave healers of the city.
 
c -All practicing healers in the city, MUST register with the WoodHaven GC. All visiting healers must check in with the WH GC Chairs and obtain clearance/permission to practice within the City lines with the exception of the VOSK League Healers with whom our city has reciptocity. They are already registered with the WHGC ( when the list is updated)
 
d -While Registration with the RCGP is not required of the Physicians of WoodHaven,It is encouraged.  Proof of education, experience and skill will be required of any physician seeking to practice in Wood Haven. Said proof, shall include some or all of the following; Letters of introduction from the physician's most recent places of practice,  interviews with the Citys GC Chairs, a < 4 mun week > period of observation/training/probation under a WHGC Physician of good standing if felt to be required by the Green Caste City Chairs. The Physician shall become a fully accredited, and practicing member of the WH GC when The WHGC Chairs are in agreement as to the applicant's skills and suitability for the position and its responsibilites. ( Requirements discussed more completely below )


((The Following is  OOC as such discussion IC is impossible  ))
 
e -The scrolls of John Norman will be used as much as possible as a role playing guideline for Gorean medicine. However, it is acknowledged that much of Medical Practice was left up to interpretation in these scrolls. Gorean medicine, in the Scrolls was frequently described as being far in advance of Earth medicine.

f -Gorean medicine is commonly as primitive compared to Earthen medicine. Nothing could be farther from the truth. Gorean medicine with it's scientific developments clearly out-pace the advancements made on earth. Diseases are rarely seen in Goreans. They live life-spans measured in centuries. Mental illness is unheard of  ( except in barbarians  and in AOL Goreans.. for some odd reason...) , as was dental disease. The stabilizations Serums are an example of Green Caste medical superiority. Aging is a breakdown in the cellular reproductive process.  Stabilization is a form of advanced genetic manipulation to prevent the deterioration of the genetic code in cells as they reproduce over time. In the books the cure for aging was described as being the result of centuries of research by the Green Caste, not a gift from the Priest Kings. Thus it is maintained in Woodhaven by agreement of the Administrator, and the Chairs of the Green Caste that is is entirely logical/reasonable/feasible and necessary to assume that advanced surgical, diagnostic and medical technologies are available to those practicing medicine on Gor and therefore in Woodhaven. Such advancements would of necessity have occurred as a result of that research into aging. Therefore., X-ray, CT scans, sonograms, fetal monitors, IV's, EEGs, EKG's, transfusions, Autoclaves, microscopes of incredible resolution, capable of viewing RNA and DNA strands (to make certain the Stabilizations "took", advanced instumentation, sterilization and theoretical knowledge of some urth diseases (afterall some of the GC practitioners may at one point been from Earth as well, bringing their medical knowledge with them). The only technology that we have agreed does not exist, at least for Woodhaven is MRI since MRI is a laser-generated device, and we shall admit that lasers would not have been invented on Gor, because of their easy conversion to a weapon of mass destruction.

g -The Priest Kings strictly limited Goreans development of  technologies which relate to the ability to the creation of weapons of mass destruction. Mass killing via a bomb, missile, laser, would never occur on Gor. Combat remains for the most part hand to hand, ship to ship, catapult to catapult. Thus, laser surgery and laser based diagnostics ( Such as MRI ) will not be used in WH, because of its weapons-use capability. Other Technologies will exist, for although the same technology can be developed into a weapon of mass destruction. the science for such has not progressed. The scientist usually vanished into a blaze of blue fire before he made any significant headway. 
 
h- ( Note: It is recognized that there are players who strongly believe that Gorean medical technology is much more strictly limited by the PK's than we do in Woodhaven. They advocate that the practice of medicine is restricted to herbal pharmacology and simple surgical techniques.  Woodhaven Physician muns are strongly urged to recognize that they are only SUPPORTIVE players in the patient's SL. If the patient's mun isnt comfortable with the use of modern medical techniques and treatments in their story line, then the Physician is to accommodate the patient mun's preferences in their SL. ) 
 
i -Slaves are property and therefore can only be treated with their owner's permission. In urgent situations, provide first aid and comfort measures, until the owner is located and permission for complete treatment is obtained. 

 5: Caste Membership

The WHGC is made of The members of the Green Caste, who have been approved to practice in Woodhaven. 

6: Requirements/Procedure Obtaining Licensure for City Medical Practice :
 
a *Any of The Woodhaven Green Caste Chairs may approve a Physician to heal on the basis of a known professional reputation, and a current registration in the RGCP or GGC. The other WHGC Chairs must be notified and a provisionary certificate of WHGC Licensure shall be issued.
 
b *Approval to practice medicine in Woodhaven is granted only to those Free whom are sworn to the Homestone, or those physicians with a valid city guest pass. The practice of Slave healers will be discussed later in this document.
 
c *There is reciprocity with the healers of the other Vosk League Cities. They do not require Licensure to practice medicine within the borders of Woodhaven. These healers have offered to be on call to the citizens of Woodhaven, just as Woodhaven Physicians are on call to the other Vosk League Cities.
 
 
d *Approval to Practice Medicine in Woodhaven shall be granted only to those practicing physicians who..: 
         
          1. Have been interviewed by WHGC chair members. 
          2. Documents and demonstrates medical knowledge, skill and experience,                             regardless of  RGCP registration.   
          3. Undergoes a probationary period <of at least 4 mun weeks or longer > as                           required  by the WHGC Chairs. Medical practice is strictly limited to periods of supervision.
          4. Receives unanimous WHGC Chair approval.  
          5. Women who have not had two children are not considered full Physicians. In order to practice, they must have the support of the WHGC and must have special dispensation from the Administrator/Ubar to practice.  Once this is given  they may practice as a full fledged Physician. (Twin bracelets are placed upon her wrist at the age of maturity. The caste members will ceremonially remove  each bracelet after the birth of each child.)
 
  e*Trainees/Medical apprentices may practice in Woodhaven under the direct supervision         of their Mentor ( who must be a member in good standing of the WHGC.
 
         1.Unskilled medical trainees shall undergo a minimum  4  mun week training period                 with a WHGC caste member who has agreed to be his/her mentor. During which time the  mentor must be present for the trainee to practice medicine. Then a 2 week probationary period, where the applicant can practice under a provisionary License. All logs, however, must be presented to the WHGC Chairs for review and approval. These same logs can be the required logs for RGCP Registration as well.
 
         2. RGCP Registration will not be required, but it will be encouraged and facilitated. (Note that the logs required by the WHGC can serve double duty and provide RGCP registration pending approval.)  
 
7: Woodhaven Green Caste Chair Structure and Responsibilities:

a: The three Green Caste  Chairs  sit on the High Council and have a vote on all council matters. Caste chairs will be held for a period not to exceed 2 Gorean years < 6 mun months> without re-appointment by the City's Ubar/Administrator or election if membership numbers and City Administrator allow.

b: Chairs and Duties:

1: En'Physician of Woodhaven: The En'Chair will be the recognized head of the WHGC.

   a •  Establishes Caste Goals for the upcoming year in coordination with the other chair             members. 

   b • Calls for and initiates the Caste elections when there is a membership of  4 or more for a period of at least 3 mun months.

   c • Represents the WHGC in all matters with other Castes and individuals.

   d • Is the primary liaison with the other Healers of the Vosk league for the WHGC.

   e • Interviews all potential Citizens who might become members of  the  Caste, reviewing the information with fellow chairs for a vote.
                      1 * Votes upon acceptance of those trained into the WHGC.
                       2* Performs the Certification Ceremony for New Healers

  f •  Attends all High Council Meetings and presents updates to the High Council on the WHGC. Makes sure updates and announcements of the WHGC are published in the Woodhaven Wind.
                       1 * Attends all WHGC Meetings.
                       2 * May establish an Advisory Council to the WHGC
                       3 * May delegate tasks to other Caste Members and assigned WHGC  scribe.

g  • Sees that web scrolls are established for the WHGC as part of the body of web scrolls for Woodhaven, determining content, providing updates to the Scribe handling such.

h  • Keeps WH Medical Center's supplies fully stocked and properly maintained.

i   • Ensures the best equipment is obtained.

        
 2: Se'Physician of Woodhaven:   Serves as the right hand to the En'Chair.

         a • The Se'Chair will assume the duties and responsibilities of the En'Chair In                         the event that the En'Chair is unable to fulfill his or her duties until such time the En'Chair is able to return.

                    1 •  Attends meetings of the Healers of the Vosk league for the WHGC if  the                          En'Chair is unavailable.
                    2 •  Performs the Certification Ceremony for New Healers if the EnChair is unavailable.
      
         b •  In the event of the En'Chair's resignation, collaring or death, the Se'Chair  will                    assume those duties until the expiration of the term of contract.
                                    
         c •  Votes upon acceptance of those trained into the WHGC.

        d • Participates in or Interviews applicants who seek to apply for WHGC Physician                   Licensure,  sharing and reviewing the information with fellow chairs for a vote.

        e •  Attends all High Council Meetings.

        f •  Attends all WHGC Meetings.

        g • Keeps the Citywide Stabilization Records up to date, ensuring that Woodhaven                   Citizens and slaves have been stabilized, keeping a current record, and making it available to other WHGC Healers as needed.

        h • Oversees and coordinates the revision and amendment of the WHGC GLs.

        i • May delegate tasks to other WHGC Physician and assigned WHGC Scribe.

3: Te'Physician of Woodhaven:  Director of Education and Research

        a • Oversees and coordinates the efforts of maintaining the Educational Services                       of the Caste.

        b • Develops the curriculum and standards for Apprentice Physicians and  slave healers of the WHGC.

        c• Ensures the cities slave healers program and roster  is updated annually,                          documenting such on the caste web scroll. 

        d • Oversees Apprentice Healers and slave healers in training. Appoints a mentor  to each after consulting with the En' Chair. Assesses each applicant's readiness in conjunction with the Mentor and presents the Apprentice Healers and slave healers  in training to vote by the WHGC Chairs when they have demonstrated adequate skills.
 
         e • Votes upon acceptance of those trained into the WHGC.

         f • Coordinates and Ensures the cities Rarii First Aide Program updated                                annually, documenting such on the caste web scroll. Plans at least one class annually in coordination with the cities Warriors caste needs.    

         g • Trains specific members of the City in basic first aid training, in case a Healer is               unavailable.

         h • Participates in or Interviews applicants who seek to apply for WHGC Physician                   Licensure,  sharing and reviewing the information with fellow chairs for a vote.
         
         i • Attends all High Council Meetings.

         j • Attends all WHGC Meetings.

        k • May enlist and appoint designees to assist in various duties, such as training's and              teachings.

4:All Members of the WHGC are required to:

         a • Uphold the Physician's Code of Honor as sacrosanct at all times, maintaining
             Honor, Respect & Loyalty to Woodhaven and its Citizens.

         b • Monitor and maintain the health of their House, City and Ubar.

         c •  Maintain a visible presence within the City and its Medical Center.

        d  •  Immediately report any public health issues to the City's WHGC Chairs and City                Administrator.

        e •  Work in conjunction with Healers of other Cities, communicating treatment of                      various Citizens and guests.

        f •  Keep current on all new techniques.

        g •  Shares new information with fellow physicians, keeping them apprised of changes                    in practice or standards of care.

        h • Readily treats citizens of the Cities of the Vosk League and those of our Allies when a Healer of that City is not available. Safe passage is always ensured.

        i • Only takes Healer calls that do not pose a risk to the Healer or of the City. 
            A Female physician shall always be escorted by guards and regardless of the guards, shall NOT enter a Man's private dwelling without escort and protection, and permission of the Man. ( No             WHGC Physician is to go alone -without a played character or another mun as a witness and protection- to a PR. If its a matter of urgency, have the patient make a  Member room. ) 

        j • Assists in mentoring and education of all Physician apprentices and 
            probationary Healers.

        k• Participates actively in the City's Caste, assisting in writing and development of                 guidelines, procedures and policies.

5: Caste Scribe :  Appointed by the En'Physician
 
    
        a • Any and all work done by the Woodhaven GC Scribe will be considered the                        property of the Woodhaven Green Caste and the City of Woodhaven. The Scribe shall not take any of the scrolls with her when he/she leaves regardless of why he/she leaves, but must make arrangements to transfer the ownership to a member of the WHGC, the City Scribe or the new scribe.    
 
       b • Shall treat all information on the WHGC scrolls as confidential. No information shall be given out except by the express permission of the Chairs or the City Administrator.  
 
       c • Keeps the Roster of all WHGC Physicians and slave healers current and up                            to date, including certifications and specialties. Keeps records of Licensures and Certifications and other relevant information on WHGC Physicians and slave healers. 
           Shall provide this information to the WHGC Chairs, Administrator and City En'Scribe            upon request.  
 
      
       d • Attends all WHGC Meetings, logs and provides a synopsis to all WHGC Physicians,                slave healers and the Administrator of Woodhaven. Keeps a record of these meetings.

        e• Responsible for the writing and delivery of announcements and meetings to the                  WHGC Physicians, Slave Healers and the Administrator, and as needed other                        relevant scrolls from the 3  Green Caste Chairs.
 
        f • Keeps records of Licensure and Certification and other relevant information on WHGC Physicians and slave Healers.

        g • Keeps records of City citizen Stabilizations and other relevant information. 

        h • Any other duties which the En' Physician either delegates or requests.
            (including but not limited to web sites.)
 
 
8: Elections
a -Once the caste membership reaches and maintains numbers of 4 or more for a period of       one Gorean year ( 3 mun ) months,  the En' healer will call for caste elections. Otherwise Woodhaven's Administrator will appoint the positions of En' healer, and Se' healer for  a term of 2 Gorean years. The terms will run in conjunction with the Administrators Election. 

b- Elections will be held every two Gorean years (six Mun months) for positions of First Chair, Second Chair, and Third Chair.

               1:  The Caste Scribe will run the elections, all votes going to the Caste Scribe and the City Scribe and/or First Chair of the WHSC (Woodhaven Scribe Caste).

               2:  The Scribe, at the direction of the En'chair will call for nominations. 
                          
                             a *Any member of the WHGC in good standing with the caste is eligible to vote and to be nominated to a chair.
                              
                              b *A candidate must respond to the nomination within a hand, either                 declining or accepting nomination. If nominated for several positions,  the nominee may accept nomination for only one chair position.

               3. When the nominees are established and confirmed, A period of one mun week                    shall be be established for the voting process.
 
               4. The Caste scibe and the City's En'scribe will confirm the results, announcing the election results within 3 mun days of the end of the voting period. In the case of a tie vote, Administrator/Ubar will be asked to cast a deciding vote. 

               5. New Chair members will assume their newly confirmed positions at a                               Caste meeting, set within 2 mun weeks of the end of the vote.

9: Woodhaven Medical Review Board

The three Chairs of the WHGC will operate, when necessary, as the Woodhaven Medical Review Board with the En'Chair presiding. This will allow the city to adjudicate issues locally instead of sending them to the larger caste.

     A.  Issues of physician misconduct, discrepancies in proper RP (refer to city GLs),  or other  IC issues may be brought to the WH-MRB. Unsubstantiated undocumented complaints will be viewed as slander. Be very very careful about  filing a complaint about a physician. If it is undocumented, unsubstantiated,  the accused may file a counter complaint.

     B. The WH-MRB decision is final, if it cannot agree on the outcome, the case may be referred to the larger caste or Woodhaven's Administrator if it appears to be a matter affecting the City.

10:  Meetings

Caste meetings will be held at least once every four hands <mun month>. WH slave healers may also attend. A Caste Chair must be present for the meeting to be convened. Special meetings may be called if the En'Chair deems it necessary. Attendance is manditory.

Caste Chair Meetings are at the descretion of the En Chair, though may be requested by any of the 3 chairs.

11: Caste Education

a -In a Caste society, A child's education into the caste of his /her parents begins at an early age. Many skills are handed down from parent to child, taught at the parent's knee. Prelimiaries such as fluency in ancient gorean, anatomy, herbs, their names and uses.  Although It is possible for a Gorean not born into the Green Caste to study to become a physician, this requires dedication to the caste and instructors and the meeting of certain skills and requirements as listed below:
 
b -Applicants will apply to the Green Caste Chairs in person or missive. If accepted, become candidates. Guests from other cities, must apply to the Administrator for an extended Guest pass.
 
c -A training period is a required part of any Caste on Gor, and in keeping with that tenant, each applicant will be required to successfully complete a training period.   Education  and training will be conducted in a hands on clinical environment under the supervision of a member of the WHGC.
 
d -Candidates will be appointed a mentor from the WHGC for training and education. The         process will last at least 4 mun weeks, during which there are minimally 2 instructive  interactions with the trainee and their mentor per week.
 
    The Physician assigned as the mentor will be responsible for overseeing the care of each patient during this time.  Apprentices shall not see patients except while under direct supervision of.His/her Mentor or another Physician must be present. The apprentice shall log the case, obtaining permission of the patient's mun first ( which must be on the log ) and forward it to the mentor for review.
 
e -The Physician assigned as the mentor will be ultimately responsible for monitoring the care  each patient whom the apprentice treats. At the conclusion of the  < 4 mun week> training period, the mentor will submit an evaluation ( including logs ) of the apprentice to     the Members of the WHGC, including their recommendation if the apprentice should be licensed.
 
f  -Utilizing the recommendation of the mentor and their own observations of the apprentice, the Caste Chairs will determine the readiness of the apprentice. An majority vote of approval of the Chairs plus mentor is necessary for licensure.
 
 g -An unsuccessful review from the Membership will require the apprentice to undergo             an additional training period under the supervision of a different Physician. At the                 completion of the second training period the same review process will be followed, except in this instance an unfavorable vote of the Council will result in the removal of the apprentice from the Caste.

12: Slave Healers

a- Slave healers are recognized within the city. Membership or completion of the slave healer program offered by the larger RGCP or GGC does not automatically give a slave healer the right to practice in Woodhaven.
 
b- Slave healers should acquaint themselves with Woodhaven's Slave Healer Program, laws and restrictions. Slave healers entering the city shall present themselves with their owner's permission both to practice, and to handle sharp instruments to the City's Te'Physician to be interviewed and evaluated.  A training and probation period may be required after that to practice. Full acceptance as a Woodhaven slave healer requires the full vote of the WHGC. 
 
12: Miscellaneous

a. When called to assist a patient it is the physician's responsibility to speak with the player of the patient in IM.  Find out the injuries, the extent, and how they wish the SL to proceed and turn out. They may wish to live through what should be fatal injuries or for some reason, kill off the character. Remember, It is their SL. Note - The physician shall not act as a referree for a dispute in a DM. A physician mun may give advice on the impact of a certain injury, severity, length of recuperation, and how to roleplay it as realistically as possible. The patient 's mun should be given the option of the healing being done strictly by role play or if they wish the dice guidelines used.

b. Pregnancy: Length of a full term pregnancy = 9 weeks {1 week = 1 month}.
Twins are not an every day occurrence in human reproduction unless they run in the family. Triplets are even rarer. ( IRL the chances of getting pregnant with triplets is 1 in every 999,999 conceptions. It is that rare. ) There is no reference to the use of fertility drugs in the Norman scrolls, therefore the probability of having a multiple birth should be quite low.)  Breeding wine is not a fertility drug. It simply reverses the effect of slave wine.
 
c.The dice system commonly used in Woodhaven for for determining the Number and gender of a player's pregnancy reflects the rarity of multiple births and is as follows:
 
Determining Pregnancy : 1d20     1-10 = yes,  11-20 = no 

Number of children          1d20     1 = triplets  2, 3 = twins,  4+ = single birth.  

Sex of child                            1d6       1-3 = girl,    4-6 = boy.
 
d. Disclaimer here: ANY dice system for determining Number, and gender of the fetus can be used as long as it reflects the rarity of multiple births, and is agreed upon by the patient and her companion muns. Many players have a dice system they prefer, or they may already have their sl with number and gender planned out. Remember the physician is a supporting character in their SL. Though if it is too ridiculous and the physician mun feels strongly about playing it out, the physician mun may opt to refuse to be included, and ask the players to seek a different physician for their SL.
 
 Regarding Multiple Births: Please use Common sense!  Full term pregnancies usually result in healthy infants. Premature deliveries have a higher mortality rate and premature infants have more medical problems. The earlier the infant, the more medical problems it shall have. Twins are usually a bit early. Triplets are typically born earlier still. ( Recall that in the books, euthanasia of a seriously damaged infant was an accepted practice and not considered cruel. Therefore, there would not be any children growing up who were blind, deaf crippled or brain damaged  from birth. Especially slaves!  So make sure the patient mun understands that their SL has limits. ) Of course, you can arrange any SL the patient mun wishes, but keep it in line with Woodhaven RP guidelines if the patient mun also resides in Woodhaven.

e. Child molestation/rape story lines are not in keeping with Gorean traditions and will not be sanctioned by the caste or by Woodhaven. Role playing these SL's, is doing so at your own risk, the caste will not become involved in any way with them 

f. A Physician should not step into an already ongoing healing storyline even if called to the scene, if there is a Physician already at the scene. The first physician there is in charge. Any later arriving physician should defer to the primary physician ( IC and OOC in IM ) re: what is happening and if their help is desired/needed, as well as in what way their help is requested. A later arriving physician should NEVER take over the healing SL unless specifically requested to BY the physician there already, OR by the patient, AFTER that patient has informed the first physician of their treatment preference.  We are there to enhance RP for the patient as well as ourselves.
 
 g. NOTE: NO physician shall disparage, denigrate or put down the skills of any other, ESPECIALLY in front of a patient, or in a SL, Nor allow the patient's mun to do so in the room where the SL is being played. The Green Caste is a Brotherhood which supports its brothers and sisters. Any dissention, disrespect, name calling or unprofessional behavior damages the Castes credibility as a whole in the eyes of the community.  If evidence of blatant malpractice on the part of another WHGC member is obtained, that documentation should be brought to the attention of the WHGC Chairs. NOT gossiped around the Caste or the City or elsewhere. No documentation? No case. Say nothing!
 

 

 

 

01/09/2007 12:21 AM