North Carolina Medical Board www.ncmedboard.org | [email protected]North Carolina Medical Board 1203 Front Street | Raleigh, NC 27609 www.ncmedboard.org | [email protected]800.253.9653 North Carolina Medical Board Subhash C. Gumber, M.D., Ph.D. Board Member AND Scott G. Kirby, MD Medical Director, NCMB Presented September 2014
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North Carolina Medical Board | [email protected] North Carolina Medical Board 1203 Front Street | Raleigh, NC 27609.
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Board compositionThe NCMB is physician led and is composed of: 12 members appointed by the Governor, including:• Eight physicians (currently 7 MDs and 1 DO)• One physician assistant or nurse practitioner
(currently, one NP)• Three public members • The full Board meets six times a year. Hearings are
• By statute, candidates for 7 physician seats and the one PA/NP seat are nominated by an independent “Review Panel”
• Panel is made up of delegates from NC Med Society, NC Academy of PAs, DO group, Old North State, Nursing Assn’s Council of NPs and one public member of NCMB
• Panel must nominate two candidates for each open seat; NC Governor makes final selection
Volume and sources of complaintsIn a typical year, the NCMB reviews about 2,500 matters, from sources including:•Patients/family members/public•Malpractice insurance carriers (payment reports)•Pharmacists/pharmacies•Board investigators (10 across the state)•NCMB licensees and other health care professionals•Hospital privilege reports •News media reports
NCMB Approach to DisciplineNCMB seeks to rehabilitate licensees whenever it is possible and appropriate, and would not compromise public protectionNCMB favors targeted remediation (addressing the area of practice that raises concern) that preserves the licensee’s ability to serve patientsLicensees with prior NCMB disciplinary histories are dealt with more harshly
Quality of Care: Case Study• MD inappropriately prescribed controlled substances
to multiple patients for a variety of reasons, including chronic pain
• In addition, documentation of care was poorBoard action: MD reprimanded. License limited and
restricted such that MD may not prescribe controlled substances in Schedules II and III. In addition, MD must complete CME in medical record keeping and in controlled substances management and prescribing.
Case study• MD wrote several prescriptions, including scripts
for controlled substances, to several close friends.
• MD failed to perform medical exams or keep a medical record of the treatment provided.
Board action: MD is issued a non-disciplinary Public Letter of Concern; By accepting the letter, MD also agrees to complete a Category 1 CME course on record keeping