« How important is price when you buy? | Main | The Survive and Thrive Boomer Guide Recall of the Week: Nature & Health Co. male enhancement products »

July 18, 2009

TrackBack

TrackBack URL for this entry:
http://www.typepad.com/services/trackback/6a00e55008157688340115721554fc970b

Listed below are links to weblogs that reference Are state medical boards underdisciplining doctors?:

Comments

Feed You can follow this conversation by subscribing to the comment feed for this post.

William Price

FORMAL HEARING, ARIZONA MEDICAL BOARD MEETING, OCTOBER 9, 2008. www.azmd.gov minutes (October 8 & 9, 2008, pages 19 & 20)

5.MD-07-0798ASHAWN D. BLICK, M.D.27246Issue an Advisory Letter for inadequate medical records and inadequate informed consent for performing a new procedure. There is insufficient evidence to support discipline. Obtain 15-20 hours non-disciplinary CME in medical ethics within six months. The CME is in addition to the hours required for license renewal.Complainant WP spoke during the call to the public. Dr. Blick was present with legal counsel, Mr. Daniel Jantsch. Drs. Krishna and Petelin stated they know Mr. Jantsch, but it would not affect their ability to adjudicate this case. Bhupendra Bhatheja, M.D., Medical Consultant, stated that Dr. Blick misled a patient by failing to disclose that he would not be the surgeon of record and that this was his first live human case. Mr. Jantsch stated that the MC was never provided the Boards interview of the other surgeon involved in this case. Dr. Blick stated that he feels he provided the patient adequate informed consent. Dr. Petelin commented that it was erroneous and deceptive to document himself as the supervising physician of a procedure that he had no experience performing. Dr. Blick stated that he did not intend to mislead the patient and that he was never knowingly deceitful. Dr. Martin found that Dr. Blick was deceitful in having the other physician take credit for the procedure. Dr. Bhatheja pointed out that the other physician testified that he and Dr. Blick received credit for performing the procedure.MOTION: Dr. Petelin moved to enter into executive session.SECONDED: Dr. LeeVote: 10-yay, 0-nay, 0-abstain, 0-recuse, 2-absent.MOTION PASSED.The Board went into Executive Session for legal advice at 3:05 p.m.The Board returned to Open Session at 3:08 p.m.No deliberations or discussions were made during Executive Session.MOTION: Dr. Petelin moved for a finding of unprofessional conduct in violation of A.R.S. 32-1401(27)(e) - Failing or refusing to maintain adequate records on a patient; and A.R.S. 32-1401(27)(t) - Knowingly making any false or fraudulent statement, written or oral, in connection with the practice of medicine or if applying for privileges or renewing an application for privileges at a health care institution.SECONDED: Dr. MartinFinal Minutes for the October 8-9, 2008 Board MeetingPage 20 of 21Dr. Petelin stated that there is a preponderance of evidence to support that Dr. Blick was intentionally misleading and deceitful.VOTE: 5-yay, 4-nay, 1-abstain, 0-recuse, 2-absent.MOTION PASSED.Dr. Petelin stated that the patient should have been informed of the surgeons level of experience, providing the patient with the opportunity to choose whether he preferred to undergo the procedure with a more experienced physician.MOTION: Dr. Petelin moved for a draft Findings of Fact, Conclusions of Law and Order for a Letter of Reprimand for failing to inform the patient about his lack of experience, for failure to inform a patient that he was not going to be the surgeon of record for the robotic prostatectomy, and for inadequate medical records.SECONDED: Ms. IbezDrs. Krishna, Mackstaller and Schneider spoke against the motion as they believed this matter does not rise to the level of discipline.ROLL CALL VOTE: Roll call vote was taken and the following Board members voted in favor of the motion: Ms. Ibez and Dr. Petelin. The following Board members voted against the motion: Ms. Griffen, Dr. Krishna, Dr. Mackstaller, Dr. Martin, Dr. Pardo and Dr. Schneider. The following Board members were abstained: Dr. Lee and Ms. Proulx. The following Board members were absent: Drs. Goldfarb and Lefkowitz.VOTE: 2-yay, 6-nay, 2-abstain, 0-recuse, 2-absent.MOTION FAILED.MOTION: Dr. Krishna moved to issue an Advisory Letter for inadequate medical records. There is insufficient evidence to support discipline.SECONDED: Dr. SchneiderDr. Petelin spoke against the motion and reiterated that the patient was not adequately informed of the surgeons experience.ROLL CALL VOTE: Roll call vote was taken and the following Board Members voted in favor of the motion: Ms. Griffen, Dr. Krishna, Dr. Mackstaller, Dr. Pardo and Dr. Schneider. The following Board members voted against the motion: Ms. Ibez, Dr. Lee, Dr. Martin, Dr. Petelin and Ms. Proulx. The following Board members were absent: Drs. Goldfarb and Lefkowitz.VOTE: 5-yay, 5-nay, 0-abstain, 0-recuse, 2-absent.MOTION FAILED.MOTION: Dr. Schneider moved to issue an Advisory Letter for inadequate medical records and inadequate informed consent for performing a new procedure. There is insufficient evidence to support discipline. Obtain 15-20 hours non-disciplinary CME in medical ethics within six months. The CME is in addition to the hours required for license renewal.SECONDED: Dr. LeeROLL CALL VOTE: Roll call vote was taken and the following Board members voted in favor of the motion: Ms. Griffen, Ms. Ibez, Dr. Krishna, Dr. Lee, Dr. Mackstaller, Dr. Martin, Dr. Pardo, Ms. Proulx and Dr. Schneider. The following Board members voted against the motion: Dr. Petelin. The following Board members were absent: Drs. Goldfarb and Lefkowitz.VOTE: 9-yay, 1-nay, 0-abstain, 0-recuse, 2-absent.MOTION PASSED.NO.CASE NO.PHYSICIANLIC

Rita

Hi William,

This is quite a case note. It's hard to follow, but it looks as though the doctor didn't receive any disciplinary action from the medical board.

See the report "Hospitals Drop the Ball on Physician Oversight" by Public Citizen, a consumer advocacy organization for more information on the difficulties that are occurring with disciplining doctors.

Rita

Verify your Comment

Previewing your Comment

This is only a preview. Your comment has not yet been posted.

Working...
Your comment could not be posted. Error type:
Your comment has been saved. Comments are moderated and will not appear until approved by the author. Post another comment

The letters and numbers you entered did not match the image. Please try again.

As a final step before posting your comment, enter the letters and numbers you see in the image below. This prevents automated programs from posting comments.

Having trouble reading this image? View an alternate.

Working...

Post a comment

Comments are moderated, and will not appear until the author has approved them.