Public Citizen's Health Research Group: Questionable Doctors: Vermont

VERMONT

1999 serious action rate: 5.34/1000 doctors
1999 ranking: 9th

In Vermont, there were disciplinary actions reported against 95 doctors including 9 who were disciplined for substance abuse, 1 for misprescribing or overprescribing drugs, 5 for sexual abuse of or sexual misconduct with a patient, 7 for substandard care, incompetence or negligence and 4 who were convicted of a crime.

This web site provides aggregate national and state data on doctor discipline. Names of those doctors and their offenses are NOT included on the site. Web sites with such information need to be frequently updated and we cannot do this because of limited staff and resources available to continually monitor the information that we receive from the 51 MD and 14 DO licensing boards and the federal government. This website does provide direct links to the web sites of those boards that have information available on the internet.

Detailed information on specific doctors who have been disciplined is included in the book which can be purchased in regional editions for $20. The book includes disciplinary actions taken against doctors from 1990 through December 1999.

The Vermont Board of Medical Practice provided lists of disciplinary orders from 1990 through 1999. The orders list the physician's name, degree, city and state of residence, date and type of action taken and the reason for the action. For 1993 through 1999 the license number was also included. The orders contain information on modifications and terminations of board actions and some data on court decisions which affected board actions.

The Vermont Board of Osteopathic Physicians and Surgeons supplied board orders from 1990 through 1996. The orders list the physician's name, degree, license number, date and type of action taken and the reason for the action. These also contain information on modifications and terminations of board orders, as well as information on court decisions affecting board actions. There has been one action by the osteopathic board since 1996.

The information provided covers disciplinary actions taken against allopathic physicians (MDs) and osteopathic physicians (DOs).

Besides disciplinary actions taken by the State Medical Boards, this listing also includes actions taken by the Medicare/Medicaid programs, the FDA, and the DEA against physicians located in this state. Disciplinary actions taken by other states against physicians located in Vermont or that match a physician disciplined by Vermont are also included.

Vermont Board Internet Address: http://www.docboard.org/vt/vermont.htm

This state has a web site which we have graded B on a scale of A (best) to X (worst) as part of our February 2000 Survey of Doctor Disciplinary Information on State Medical Board Web Sites. This grade is a measure of the completeness of the information on disciplined doctors. Those state licensing boards with web sites make independent choices about the type of information to be included on their site and how often it is updated.

According to the Federation of State Medical Boards, Vermont took 11 serious disciplinary actions against MDs and DOs in 1999. Compared to the 2,061 MDs in the state, Vermont had a serious disciplinary action rate of 5.34 serious actions per 1,000 MDs and a ranking of 9th on that list of states (see Table A, Findings, pg. 14).

The tables below summarize the data Public Citizen received from Vermont.

Table 1. Disciplinary Actions Against MDs and DOs 1990 through 1999*
Action	Number	Percent**
Revocation	19	14.4%
Surrender	10	7.6%
Suspension	16	12.1%
Probation	6	4.5%
Practice Restriction	15	11.4%
Action Taken Against Controlled Substance License	8	6.1%
Other Actions	58	43.9%
Total Actions	132	100.0%

* This table lists only the two most serious disciplinary actions taken against a physician.
** Percentages may not total 100% due to rounding.

Table 2. Offenses for which MDs and DOs were Disciplined 1990 through 1999*
Offense	Number	Percent
Criminal Conviction	5	6.3%
Sexual Abuse of or Sexual Misconduct with a Patient	5	6.3%
Substandard Care, Incompetence or Negligence	7	8.9%
Misprescribing or Overprescribing Drugs	1	1.3%
Substance Abuse	10	12.7%
Disciplinary Action Taken Against License by Another State or Agency	31	39.2%
Other Offenses	20	25.3%
Total Records With Offense Listed	79	100.0%

* Includes only those actions for which an offense was listed and for which we had a corresponding term in our database.

Table 3. Disciplinary Actions Taken for Substandard Care, Incompetence or Negligence
Action	Number	Percent
Revocation	2	16.7%
Suspension	1	8.3%
Probation	1	8.3%
Practice Restriction	2	16.7%
Reprimand	2	16.7%
Other Actions	4	33.3%
Total Actions	12	100.0%

Table 4. Disciplinary Actions Taken for Substance Abuse
Action	Number	Percent
Surrender	2	11.8%
Suspension	2	11.8%
Emergency Suspension	1	5.9%
Restriction on Controlled Substance License	2	11.8%
Required to Enter an Impaired Physician Program or Substance Abuse Treatment	4	23.5%
Other Actions	6	35.3%
Total Actions	17	100.0%

If you feel that your doctor has not given you proper medical care or has mistreated you in any way--whether or not he or she is listed in this report--it is important that you let your state medical board know. Even if they do not immediately act on your complaint, it is important that the information be recorded in their files because it is possible that other people may have filed or will file complaints about the same doctor. Send a brief written description of what occurred to the addresses below or call the phone numbers listed for more information on how to file a complaint.

Addresses
Vermont Board of Medical Practice
109 State Street
Montpelier, VT 05609-1106
(802) 828-2673
Fax: (802) 828-5450

Internet Address: http://www.docboard.org/vt/vermont.htm

Vermont Board of Osteopathic Physicians & Surgeons
Rita Knapp, Administrator
109 State Street
Montpelier, VT 05609-1106
(802) 828-2373