rhode island medical board disciplinary actions

Reinstatement of a license after a lapse for disciplinary reasons is processed pursuant to 1.5.1(F) of this Part. After the fifth (5th) consecutive renewal, a physician may reapply for limited registration in accordance with the provisions of 1.5.3(A) through (C) of this Part. An applicant seeking licensure to practice medicine in Rhode Island and who is a Foreign Medical Graduate and a United States citizen at the time of attendance at said foreign school and who has completed all of the formal requirements of said medical school except internship and/or social services must: Have successfully completed a course of study from a medical school located outside the United States which is recognized by the World Health Organization and the Board; Have satisfactorily passed the Educational Commission for Foreign Medical Graduates Examinations; Have attained a score satisfactory to a medical school approved by the Liaison Committee on Medical Education on a qualifying examination acceptable to the State Board for Medicine; Applicants shall have satisfactorily completed two (2) years of progressive postgraduate training, internship and residency or fellowship in a training program accredited by the Accreditation Council for Graduate Medical Education. 2.Successfully passing a Board approved exam. The Director at the direction of the Board, after due notice and hearing, in accordance with the procedures set forth in R.I. Gen. Laws 5-37-5.2 to 5-37-6.2, may refuse to grant the original license to any physician and/or applicant who fulfills the grounds for such refusal pursuant to R.I. Gen. Laws 5-37-4. 4. This shall be done via written notice, which shall be documented in the medical record. The Supreme Court appoints twelve (12) members to the Board, eight (8) of whom are attorneys and four (4) of whom are members of the public. In all cases the practice of medicine under a limited medical registration shall be in accordance with policies and procedures established by the hospital, institution or other clinic designated on the certificate. A.The requirements regarding the physician inactive list are pursuant to R.I. Gen. Laws 5-37-11. These Regulations hereby adopt and incorporate by reference the Centers for Disease Control ("CDC") "Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care" (September 2016), not including any further editions or amendments thereof, and only to the extent that the provisions therein are not inconsistent with this Part. E.Every person to whom a license to practice medicine in Rhode Island has been granted by the duly constituted licensing authority in Rhode Island and who intends to engage in the practice of medicine during the ensuing two (2) years, shall register his or her license by filing with the Board such application duly executed together with such registration form and fee as established by the Director. Discipline & Administrative Actions Complete one or more search fields. The holder shall reapply for limited registration in accordance with the requirements of 1.5.3(A) through (C) of this Part if the relationship with the medical school substantially changes. The Supreme Court Disciplinary Counsel is the investigative arm of the Board. F.In order to update for the profile the information initially supplied to the Board by the physician at initial application for licensure, each physician shall provide the following information through the questionnaire: 2.Number of years in practice in any State; 3.Name(s) of the hospital(s) where the physician has privileges in any State, and. This shall be done via written notice, which shall be documented in the medical record. 12.Provisions relative to signatory withdrawal from the agreement; a.A signatory may withdraw from the agreement at any time; provided, however, that in the event that withdrawal of such signatory would result in failure of the agreement for want of a party, a new party must contemporaneously be substituted consistent with the provisions of 1.5.14 of this Part. A physician is not authorized to prescribe a controlled substance to him or herself or an immediate family member under any circumstances. No fees shall be charged when a medical record is being sent from one (1) provider to the next in the context of a consultation. Pharmacy compounding includes the preparation of drugs or devices pursuant to a prescription or medication order or in anticipation or prescription or medication orders based upon routine, regularly observed prescribing patterns. D.Physicians who have a full license in this or another jurisdiction who come to a Rhode Island graduate medical education program. 8.The application fee, as set forth in Part 10-05-2 of this Title, Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health. When appropriate, the Board authorizes the filing of formal charges against an attorney and then conducts hearings and makes recommendations to the court for the imposition of discipline. B.Graduates of Schools Located in Canada. "Person" means any individual, partnership, firm corporation, (including, but not limited to, associations, joint stock companies, limited liability companies, and insurance companies), trust or estate, state or political subdivision or instrumentality of a State. An applicant seeking licensure to practice medicine in Rhode Island who is a Foreign Medical Graduate must: 2.Have graduated from a medical school located outside the United States which is recognized by the World Health Organization and the Board; 3.Have received certification by the Education Commission for Foreign Medical Graduates (ECFMG); 4.Applicants must have satisfactorily completed two (2) years of progressive postgraduate training, internship and residency or a comparable fellowship in a training program accredited by the Accreditation Council for Graduate Medical Education (ACGME). A.An application for limited medical registration as an intern, resident or fellow be made on forms provided by the Board, shall be submitted through the hospital, institution, clinical facility, or medical practice, and shall be accompanied by the following documents and fee (non-refundable and non-returnable): 1.Being eighteen (18) years of age or older; 3.Successful graduation and completion of no less than two (2) years of study in a medical school accredited by the LCME or COCA and having power to grant degrees in medicine or osteopathic medicine; 4.Appointment as an intern, resident or fellow in an accredited training program pursuant to 1.3.4(A) of this Part; and. 1.Those documents must be safeguarded, for a period of three (3) years, by the physician for review by the Board if required. A physician with a volunteer license who wishes to resume active practice may convert the license to full/unrestricted license by paying the licensure fee as set forth in. A physician who practices medical acupuncture as a therapy shall provide full written disclosure to his/her patient receiving medical acupuncture that the physicians qualifications to practice medical acupuncture are not equivalent to those of doctors of acupuncture licensed in accordance with R.I. Gen. Laws Chapter 5-37.2. Such licenses shall be considered provisional until ratified at a meeting of the full Board. The Board oversees the Office of Disciplinary Counsel, which reviews and investigates all allegations of attorney misconduct. or any other title or designation implying a practitioner of allopathic or osteopathic medicine. "Foreign medical graduate" means a physician (individual) whose basic medical degree or qualification was conferred by an allopathic medical school located outside the United States, Canada and Puerto Rico. Meet such other requirements as set forth by Regulation or as may be established by the Board. The records must contain sufficient information to justify the course of treatment, including, but not limited to: active problem and medication lists; patient histories; examination results; test results; records of drugs prescribed, dispensed, or administered; and reports of consultations and hospitalizations. The Board may grant a temporary post-graduate license to practice medicine in Rhode Island as a physician to an individual who meets all of the following requirements: 1.Have successfully completed one (1) year of post graduate training in an accredited Rhode Island training program. A physician in training greater than five (5) years shall obtain a full, unrestricted license to practice medicine in Rhode Island, unless the physician remains in an accredited training program and has successfully passed all three (3) parts of the United States Medical Licensing Examination (USMLE) or all three (3) levels of the Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA). No collaborative practice may commence unless and until the corresponding collaborative practice agreement is approved by the Director. '/_layouts/15/hold.aspx' 9.Communication requirements between parties; Care provided to the patient by the pharmacist will be in coordination with the provider. F.Gifts. Infection Prevention. A.No person, unless licensed to practice medicine in Rhode Island, shall practice allopathic or osteopathic medicine or surgery or attempt to practice allopathic or osteopathic medicine or surgery, or any of the branches of allopathic or osteopathic medicine or surgery after having received therefore or with the intent of receiving therefore, either directly or indirectly, any bonus, gift or compensation or who shall open an office with intent to practice allopathic or osteopathic medicine or shall hold himself or herself out to the public as a practitioner of allopathic or osteopathic medicine, whether by appending to his or her name the title of doctor or any abbreviation thereof, or M.D., or D.O. State medical boards define the following actions as unprofessional conduct: Alcohol and substance abuse Sexual misconduct Neglect of a patient Failing to meet a state's accepted standard of care Prescribing drugs in excess or without legitimate reason Dishonesty during the license application process Conviction of a felony Fraud Have submitted a completed application, in the English language or accompanied by a certified translation thereof into English for reciprocal licensure. "Person" means any individual, partnership, firm corporation, (including, but not limited to, associations, joint stock companies, limited liability companies, and insurance companies), trust or estate, state or political subdivision or instrumentality of a State. A limited registration certificate for academic faculty shall be valid for a period of not more than one (1) year, expiring on the thirtieth (30, ) day of June following its initial effective date and may be renewed for not more than five (5) consecutive years by the Board, provided however, such registration shall automatically expire when the holder's relationship with the medical school is terminated or substantially changes. (b) If a license granted to a physician by the . The applicant is responsible to report the results of an evaluation from a Board approved organization and follow the recommendations for ongoing competence; and. Part 900. In the event of a planned voluntary closure of a medical practice, the physician shall, at least ninety (90) days before closing his or her practice, give public notice as to the disposition of patients' medical records in a media venue with, at a minimum, statewide influence, and shall notify the Rhode Island Medical Society and the Board of the location of the records. [Expires July 1, 2025.] Good standing means a licensee has an unrestricted license to practice medicine. Furthermore, each applicant from an accredited training program or its equivalent shall have the application for limited medical registration signed by: The Administrator/Chief Executive Officer of the hospital, clinic, or other institution that has granted the appointment as an intern, resident or fellow; and. All of these surgical procedures are invasive, including those that are performed with lasers, and the risks of any surgical procedure are not eliminated by using a light knife or laser in place of a metal knife, or scalpel. 1.A physician who practices medical acupuncture as a therapy shall provide full written disclosure to his/her patient receiving medical acupuncture that the physicians qualifications to practice medical acupuncture are not equivalent to those of doctors of acupuncture licensed in accordance with R.I. Gen. Laws Chapter 5-37.2. The heirs or estate of a deceased physician who had been practicing at the time of his or her death shall, within ninety (90) days of the physician's death, give public notice as to the disposition of patients' medical records in a media venue with a statewide circulation, and shall notify the Rhode Island Medical Society and the Board of the location of the records. Telemedicine does not include an email message or facsimile transmission between the provider and patient, or an automated computer program used to diagnose and/or treat ocular or refractive conditions. Psychiatrists shall not engage in a romantic or sexual relationship with a current or former patient ever. A.The requirements regarding patient disclosures are pursuant to R.I. Gen. Laws 5-37-22. '/_layouts/15/itemexpiration.aspx' 15. A.Application for limited registration for "academic faculty" shall be made on forms provided by the Department which shall be completed and submitted to the Board at least thirty (30) days prior to the scheduled date of Board meeting. + '?List={ListId}&ID={ItemId}'), /_layouts/15/images/sendOtherLoc.gif?rev=23, javascript:GoToPage('{SiteUrl}' + +'?ID={ItemId}&List={ListId}'); return false;} if(pageid == 'audit') {STSNavigate(unescape(decodeURI('{SiteUrl}'))+ The Board may grant up to twelve (12) months of credit at the internship level to an applicant with a minimum of three (3) years of progressive international postgraduate training when advanced standing is also granted by the American Board of Medical Specialties. Therefore, consistent with the definition of telemedicine, provided in 1.2(A)(25) of this Part, treatment, including issuing a prescription, based solely on an online questionnaire without an appropriate evaluation does not constitute an acceptable standard of care and is considered unprofessional conduct. Re-instatement of revoked licenses shall be at the discretion of the Board. The records must contain sufficient information to justify the course of treatment, including, but not limited to: active problem and medication lists; patient histories; examination results; test results; records of drugs prescribed, dispensed, or administered; and reports of consultations and hospitalizations. I.Issuing of fines for disciplinary actions. It is the goal of the Board to process disciplinary complaints filed against Rhode Island attorneys as expeditiously and fairly as possible. Physicians who have a full license in this or another jurisdiction who come to a Rhode Island graduate medical education program. It is enacted by the General Assembly as follows: 1 All services provided pursuant to a collaborative practice agreement shall be performed in a setting that ensures patient privacy and confidentiality. The physician shall be reimbursed for reasonable expenses (as defined in 1.5.12(B) of this Part) incurred in connection with copying such medical records. Once a full license to practice medicine in the State of Rhode Island has been granted, all concurrent limited medical registration privileges shall cease. Section 5-37-1 - Definitions. To determine the discipline history of a particular licensee, you may use New Hampshire's Online License Verification website, which provides the disciplinary documents and the current status of the license. However, a physician may prescribe a non-controlled substance for him or herself or an immediate family member for less than thirty (30) days, with appropriate documentation. The application shall include evidence satisfactory to the Board of completion of a prescribed program of continuing medical education established by the appropriate medical or osteopathic society. Medical Records shall be legible and contain the identity of the physician or physician extender and supervising physician by name and professional title who is responsible for rendering, ordering, supervising or billing each diagnostic or treatment procedure. 2.If the physician chooses to practice outside of the accredited graduate medical education program at any time during the period of training, a full medical license is required. Notwithstanding the provisions of 1.3.1 of this Part, the exceptions to licensure requirements are pursuant to R.I. Gen. Laws 5-37-16.2. A disciplinary action includes, but is not limited to, the refusal to issue or renew a license to practice medicine by any aforementioned entity. STATE OF RHODE ISLAND. Submit documentation to the Board that malpractice insurance will be provided, either by the organization or by the applicant. 1.All collaborative practice agreements must be approved by the Board of Pharmacy (BOP), the Board of Medical Licensure and Discipline (BMLD), and the Director, each of which may request revisions to any proposed collaborative practice agreement as a condition of approval. day of July in each even-numbered year. July 4, 2022 rhode island medical board disciplinary actionsdid benjamin franklin help write the declaration of independencedid benjamin franklin help write the declaration of independence C.All documents not written in the English language shall be accompanied by certified translations. Hospital responsibility to take action based upon adverse . 5.Meet such other requirements as set forth by Regulation or as may be established by the Board. Surgery also is the diagnostic or therapeutic treatment of conditions or disease processes by any instruments causing localized alteration or transposition of human tissue which include lasers, ultra-sound, ionizing radiation, scalpels, probes, and needles. A volunteer physician license may be renewed in accordance with 1.5.6(B) of this Part. D.The Department may request additional information as required to determine compliance with this Part. Submit documentation to the Board from an IRS-approved 501(c)(3) organization, or other similar entity, providing care for underinsured or uninsured patients, attesting to the physician's status as a volunteer physician and the absence of compensation (monetary or in-kind). Be retired from the active practice of medicine and whose only clinical activities will be volunteering in clinics and other facilities that provide medical care to underinsured or uninsured patients. A.All aspects of mammography services shall be performed in accordance with the Mammography Quality Standards Reauthorization Act of 1998, Pub. Any person shall be regarded as practicing medicine within the meaning of the Act who holds himself or herself out as being able to diagnose, treat, perform surgery, use a laser/intense pulsed light, or prescribe for any person for disease, pain, injury, deformity or physical or mental condition or prescribe for any person ill or alleged to be ill with disease, pain, injury, deformity or abnormal physical or mental condition, or who shall either profess to heal, offer or undertake, by any means or method, to diagnose, treat, perform surgery, or prescribe for any person for disease, pain, injury, deformity or physical or mental condition. 13.Good standing means a licensee has an unrestricted license to practice medicine. All aspects of mammography services shall be performed in accordance with the Mammography Quality Standards Reauthorization Act of 1998, Pub. E.Granting of licensure after a lapse for non-disciplinary reasons. The Board may grant expedited full and unrestricted licensure to applicants with a verified full and unrestricted licensure in another State with administrative approval from the Chief Administrative Officer provided that the candidate shall: Have no formal disciplinary actions or active or pending investigations; past, pending, public or confidential restrictions or sanctions, by the board of medicine, licensing authority, medical society, professional society, hospital, medical school or institution staff sanctions in any State, country or jurisdiction. Medical Records shall be stored by physicians or their authorized agents for a period of at least seven (7) years unless otherwise required by law or Regulation. B.For written examinations, the Board requires applicants to successfully pass the following: 1.The National Board of Allopathic or Osteopathic Medical Examination (NBME) or (NBOME); or. of this Chapter and the United States Pharmacopeia (USP). 1.Physicians shall not engage in a romantic or sexual relationship with a current patient. All physicians who are licensed to practice medicine in Rhode Island must obtain and sustain medical malpractice coverage prior to seeing patients. c.New participants in the collaborative practice agreement shall be kept up to date with names and signatures at the practice site. A. physician is not authorized to prescribe a controlled substance to him or herself or an immediate family member under any circumstances. The Disciplinary Board serves two (2) important functions: to protect the public and to maintain the integrity of the legal profession. b.Any site locations must have secure access to an Electronic Health Record (EHR) that ensures patient privacy and confidentiality. Upon BMLD approval, the collaborative practice agreement will be forwarded to the Director for approval. Each proposed collaborative practice agreement must first be submitted to the BOP. 5.Separate documentation shall be provided for each organization where the applicant intends to provide services as a volunteer physician. This unmatched, case-control, and descriptive study reviews disciplinary actions involving physician loss-of-license cases from January 1, 2009, to December 31, 2019. d.Under the supervision of, or in direct consultation with a physician, ordering and evaluating the results of laboratory tests directly related to drug therapy when performed in accordance with approved protocols applicable to the practice setting and providing such evaluation does not include any diagnostic component. The Board may extend for only one (1) six (6) month period such educational requirements pursuant to the provisions of R.I. Gen. Laws 5-37-2.1. An additional charge to reflect actual cost of postage is permissible. If a physician has not engaged in the active practice of medicine for two (2) years or more the Board shall establish clinical competency of the applicant prior to reactivation or reinstatement. 1.It shall be the responsibility of each hospital, clinic or other institution to submit, on or before April 1 of each year to the Department for its approval, a list of affiliated hospitals, institutions, clinics or programs providing training programs for interns, residents or, fellows. 3. During the period of inactive status referenced in the Act, the physician may not practice medicine, as defined in 1.2(A)(20) of this Part. Discharging a Patient from a Practice. 2.Upon completion of the requirements contained in 1.4.5(A) of this Part, the Director may issue a volunteer physician license in accordance with 1.5.6(A) of this Part. A.Medical records and medical bills may be requested by the patient or the patients personal representative. 2.Notwithstanding the requirements of 1.4.1(B)(3) of this Part, all or some of the postgraduate training requirement for graduates of schools located in Canada may be waived, at the discretion of the Board, for graduates who hold a full and unrestricted medical license in another State/jurisdiction for at least five (5) years and are certified by an ABMS Board. Graduates of Schools Located in the United States and Puerto Rico. 4.Have submitted a completed application, in the English language or accompanied by a certified translation thereof into English for reciprocal licensure. E.Licensure renewal shall be denied to any applicant who fails to provide satisfactory evidence of continuing medical education as required by this Part. 3. Upon BMLD approval, the collaborative practice agreement will be forwarded to the Director for approval. 7.Meet such other requirements as set forth by Regulation or as may be established by the Board. Physicians who receive a fee waiver who do not supply evidence of aforementioned DEA waiver (X number) within nine (9) months will be billed for the full license fee. A health care professional who has prescribing privileges and is employed by a collaborating physician may be in such an agreement. The requirements for retention of mammography x-rays by health care providers are pursuant to R.I. Gen. Laws 23-4.9-1. "Act" means R.I. Gen. Laws Chapter 5-37 entitled "Board of Medical Licensure and Discipline.". 22. Signatories to the collaborative practice agreement shall keep a copy of the agreement on file at their primary place(s) of practice. It shall be the sole responsibility of the individual physician to obtain documentation from the approved sponsoring or co-sponsoring organizations, agencies or other, of his or her participation in a learning experience and the number of dated credits earned. Requested records must be provided within thirty (30) days of the receipt of the written request or signed authorization for records. Compounding does not mean the routine preparation, mixing, reconstitution or assembling od drug products that are essentially copies of a commercially available product. Only a summary list of those documents, not the documents themselves, shall be submitted with the application for renewal of the certification. "Drug therapy management" means the review, in accordance with a collaborative practice agreement, of drug therapy regimen(s) of patients by a pharmacist for the purpose of rendering advice to one (1) or more physicians that are party to the agreement, or their physician designees, regarding adjustment of the regimen. 5.Authorization of specific patient care functions; a.The physician shall approve all protocols and activities for pharmacist driven drug therapy management, provide written protocols that describe the activities in which a pharmacist is authorized to engage, including but not limited to the procedures, decision criteria, and plan a pharmacist shall follow when providing medication therapy management. Copying of X-rays or other documents not reproducible by photocopy shall be at the physician's actual cost plus reasonable fees for clerical service not to exceed twenty-five dollars ($25.00). However, the agreement must be reviewed by the signatories at least once every two (2) years. Telemedicine. Compounding does not mean the routine preparation, mixing, reconstitution or assembling od drug products that are essentially copies of a commercially available product. Such other information as may be deemed necessary by the Board. Postgraduate training means satisfactory training after earning the medical degree at an accredited program, or its equivalent as determined by the Board, including internship, residency and fellowship. C.All collaborative practice agreements must include the following: 2.Citation of the authority to establish the agreement; 3.Identification and signatures of all parties to the agreement, as well as date of signature; 4.Site and settings where the collaborative practice is to take place; a.The agreement shall specify the site(s) and setting(s) where the collaborative practice occurs. Mammography and Medical Records Mammography. Proof of liability insurance must be available to the Department upon request. 5.Requested records must be provided within thirty (30) days of the receipt of the written request or signed authorization for records. An applicant seeking licensure to practice medicine in Rhode Island who is a Foreign Medical Graduate must: Have graduated from a medical school located outside the United States which is recognized by the World Health Organization and the Board; Have received certification by the Education Commission for Foreign Medical Graduates (ECFMG); Applicants must have satisfactorily completed two (2) years of progressive postgraduate training, internship and residency or a comparable fellowship in a training program accredited by the Accreditation Council for Graduate Medical Education (ACGME).

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