Oct. 30, 2003
Public Citizen Releases Database With Names of 374 “Questionable Doctors” in Iowa
Consumers Can Search Online for Their Doctor
WASHINGTON, D.C. – The consumer advocacy group Public Citizen today released new information about 374 physicians who have been disciplined by Iowa’s state medical board for incompetence, misprescribing drugs, sexual misconduct, criminal convictions, substandard care, 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 data about Iowa are available on the World Wide Web (the books are no longer available). The Questionable Doctors Online Web site is www.questionabledoctors.org. With today’s addition of Iowa data (Kansas, Kentucky, North Carolina, South Carolina and Wisconsin data are also being added today), the site will have information about doctors in 49 states and the District of Columbia. Information about the remaining state, South Dakota, will be added when data become available.
Consumers can search the list of disciplined doctors for free. For $10, they can view and print disciplinary reports on up to 10 individual doctors over a one-year period in all available states. So far, more than 375,000 people have looked up their doctors on the Web site to see if they are among the 18,000 nationwide who have been disciplined.
The information on the Questionable Doctors site is generally more comprehensive than information on state medical board Web sites. If a doctor has been disciplined in one state, such as Iowa, but is licensed in multiple states, the Web sites for the other state medical boards will not include the Iowa discipline. Similarly, if an Iowa-licensed doctor has been disciplined in another state, that information will not show up on the Iowa medical board Web site. Questionable Doctors Online includes such cross-references. Questionable Doctors also lists doctors who have been disciplined by federal agencies, such as the U.S. Drug Enforcement Agency – information that state board Web sites do not have.
Even when Iowa takes action against a doctor, it usually doesn’t stop them from practicing. Doctors who were disciplined but are currently allowed to practice in Iowa include:
- An anesthesiologist who fell asleep during a surgical procedure, inappropriately left the operating room during surgery and falsified records. The doctor was merely suspended for one month, fined $5,000 and placed on five years of probation;
- A doctor disciplined for substandard care because he failed to ensure proper equipment was available, lost his temper while performing surgery and unjustifiably left the operating room in the middle of a procedure. He was fined $8,000 and reprimanded; and
- A doctor who failed to meet the prevailing standard of care in the treatment of at least 14 patients since 1993. The doctor performed excessive, unnecessary or inappropriate surgery and engaged in a sexual relationship with a patient. The medical board suspended his license but reinstated it with probation in 2000.
“For a number of the offenses committed by Iowa doctors, the discipline has been quite lenient,” said Sidney Wolfe, M.D., director of Public Citizen’s Health Research Group. “Most Iowa doctors who committed one or more of the five most serious offenses weren’t required to stop practicing, even temporarily. Therefore, it is likely that they are still practicing and that their patients are not aware of their offenses.”
Counting only the two most serious disciplinary actions taken against a physician in each case, there were 548 disciplinary actions issued against 374 doctors in Iowa over the 10-year period covered by the Questionable Doctors Online database (1992-2001). For the five most serious offenses, there were: 66 actions taken for substandard care, incompetence or negligence; 13 for criminal conviction; 33 for misprescribing or overprescribing drugs; 57 for substance abuse; and 23 for sexual abuse of or sexual misconduct with a patient.
Of the 23 actions taken against doctors for sexual abuse or sexual misconduct, only four (17 percent) involved license revocation, suspension or surrender. Similarly, of the 33 actions taken for misprescribing or overprescribing drugs, only one (3 percent) involved medical license revocation, suspension or surrender.
“All too often, state medical boards are more concerned about protecting the reputations of doctors than doing their job, which is to protect unsuspecting patients from doctors who may be incompetent or negligent,” Wolfe said. “Iowa has a poor record of letting serious and sometimes repeat offenders off the hook.”
Public Citizen also has published a ranking of state medical boards, based on the number of serious disciplinary actions (license revocations, surrenders, suspensions and probation/restrictions) per 1,000 doctors in each state. In 2002, nationally there were 3.56 serious actions taken for every 1,000 physicians. Iowa ranked No. 15 on the list, with 33 serious sanctions levied in a state with 6,784 doctors, for a rate of 4.86 per 1,000 doctors. Eight states – Wyoming, North Dakota, Alaska, Kentucky, Oklahoma, Arizona, Ohio and Colorado – disciplined more than one-and-a-half times as many doctors per 1,000 as Iowa. (To view the ranking, 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.”
The information on the site involves disciplinary actions 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 U.S. Drug Enforcement Administration, and the U.S. Food and Drug Administration.
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 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 one-year period in any of the states listed. To order on the Internet, go to www.questionabledoctors.org.