Sept. 4, 2002
Public Citizen Releases Database With Names of 124 “Questionable Doctors” in Nevada – Most Still Practicing
Consumers Can Search Online for Their Doctor
WASHINGTON, D.C. – The consumer advocacy group Public Citizen today released new information about 124 physicians who have been disciplined by Nevada’s state medical and osteopathic boards for incompetence, misprescribing drugs, sexual misconduct, criminal convictions, ethical lapses and other offenses. Most of the doctors were not required to stop practicing, even temporarily.
Public Citizen has been publishing national and regional editions of its Questionable Doctors database in book form for more than a decade. But now, for the first time, the database is available on the World Wide Web (although it is no longer available in book form). The Questionable Doctors Online Web site is www.questionabledoctors.org.
Consumers will be able to search the list of disciplined doctors for free. For $10, they can view and print detailed disciplinary reports on up to 10 individual doctors over a three-month period in any state listed. The Web site currently contains information about doctors sanctioned by Alabama, Alaska, California, Colorado, Connecticut, the District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Maine, Maryland, Massachusetts, Michigan, Montana, Nevada, New Hampshire, New Mexico, Oklahoma, Ohio, Rhode Island, Texas, Utah, Vermont and Virginia. More states will be added throughout the year.
Although the Nevada State Board of Medical Examiners ranks higher than many other states in Public Citizen’s annual ranking of state medical boards, the state all too often permits doctors who have committed serious offenses to continue practicing. Examples of doctors who were disciplined but are currently allowed to practice in Nevada include:
- A doctor who was merely put on probation and fined $4,000 for gross malpractice concerning abortion;
- A doctor who was found guilty of gross malpractice and failure to exercise skill or diligence in general surgery. The doctor’s license was revoked, but that revocation was stayed, allowing him to continue practicing. He was placed on probation and required to have more education; and
- A doctor who altered and falsified the medical records of six hospitalized patients. His license was revoked, but that revocation was stayed, meaning he could continue to practice, and he was merely put on probation.
“The Nevada medical board should do a better job of protecting patients,” said Sidney Wolfe, M.D., director of Public Citizen’s Health Research Group. “The board lets serious and sometimes repeat offenders off the hook. What’s more is that many of their patients likely are not aware of their offenses.”
The majority of Nevada doctors who provided substandard care, committed incompetence or negligence; overprescribed or misprescribed drugs; or had criminal convictions weren’t required to stop practicing, even temporarily.
Counting only the two most serious disciplinary actions taken against a physician in each case, there were 184 disciplinary actions issued against 124 doctors in Nevada over the 10-year period covered by the Questionable Doctors Online database. There were: 16 actions taken against doctors because of criminal convictions; 23 for substandard care, incompetence or negligence; and 12 for misprescribing or overprescribing drugs.
Public Citizen also has published a ranking of state medical boards, based on the number of serious disciplinary actions per 1,000 doctors in each state. In 2001, nationally there were 3.36 serious actions taken for every 1,000 physicians. Nevada ranked No. 18 on the list, with 16 serious sanctions levied against 3,893 doctors, for a rate of 4.11 per 1,000 doctors. (To view the ranking, click here.) In contrast, Arizona issues 2.5 times more serious actions per thousand doctors than Nevada.
Over the past five years (1997-2001), Nevada has gradually moved up the rankings. In 1997 it was 32nd; it moved to 26th in 1998, 25th in 1999 and 21st in 2000.
The state medical board’s Web site, however, ranked lower. While Public Citizen gave it a “B” for content, it merited an “F” for user-friendliness. This is because the state has no searchable database of disciplined doctors, so it is impossible for consumers to learn if their doctor has been disciplined (to view the analysis, click here).
Public Citizen recommends that states promptly make public all of their board disciplinary actions, malpractice payouts and hospital disciplinary actions; strengthen medical practice statutes; restructure their medical boards to sever any links with state medical societies; and increase funding and staffing for medical boards.
Public Citizen has long sought greater consumer access to information about doctors, and there have been recent improvements in making that information available. Most state medical boards now provide some physician information on the Internet, but the information about disciplinary actions varies greatly, is often inadequate and can be difficult for people to access.
Information about doctor discipline, including state sanctions, hospital disciplinary actions and medical malpractice awards is now contained in the National Practitioner Data Bank, but that database is kept secret from the public.
“HMOs, hospitals and medical boards can look at the National Practitioner Data Bank, but consumers cannot,” Wolfe said. “It is time we lifted the veil of secrecy surrounding doctors and allowed the people who have the most to lose from questionable doctors to get the information they need to protect themselves and their families. But until Congress finds the will to open up this information, Public Citizen will provide the public with as much of the data as we can obtain.”
With today’s addition of Nevada, nine other states and the District of Columbia, Questionable Doctors Online now lists doctors in 26 states and the District of Columbia disciplined from 1992 through 2001. Information comes from all 50 state medical boards, the District of Columbia, the U.S. Department of Health and Human Services, the Drug Enforcement Administration, and the Food and Drug Administration. Previously listed physicians sanctioned in 1990 and 1991 were removed.
Using the information from the state and federal agencies, Public Citizen created a database containing the doctor’s name, degree, license number, date of birth, location, the disciplinary state or agency, the date of the disciplinary action, the nature of the discipline and available information about the case. Public Citizen asked all the state medical boards to provide information about court actions that may have been overruled or changed previous disciplinary actions. Any disciplinary actions that were overturned by courts or for which litigation ended in the doctor’s favor were deleted from the database.
CONSUMER INFORMATION: Consumers will be able to search for names of disciplined doctors in the online database for free. For a $10 subscription, they can obtain detailed disciplinary reports on up to 10 physicians over a three-month period in any of the states listed. States available are Alabama, Alaska, California, Colorado, Connecticut, the District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Maine, Maryland, Massachusetts, Michigan, Montana, Nevada, New Hampshire, New Mexico, Oklahoma, Ohio, Rhode Island, Texas, Utah, Vermont and Virginia. Additional states will be added as the information becomes available. To order on the Internet, click here.