02:46 PM FAX No. I October 29, 2013 Grossmont Hospital Medical Board of California Central Complaint Unit 2005 Evergreen Street, Suite 1200 Sacramento, CA 95 815 Re: Adam Dorin, MD. . Physician License Number: 686440 Dear Medical Board: Dr. Adam Darin, a California licensed physician and an anesthesiologist, resigned his membership on the Grossmont Hospital Corporation medical staff on October 15, 2013. Grossmont Hospital believes that although the of Dr. Dorin?s resignation do not require an 805 report to the California Medical Board, the Medical Board should .be aware of recent actions and conduct by Dr.- Dorin while a meniber of Grossmont Hospital?s medical staff. On April 9, 2013, Grossmont Hospital?s Medical Executive Committee was presented with information concerning Dr. Dorin?s apparent removal (on a number of occasions during 2013)'of propofol from anesthesia certs located in unoccupied operating rooms. Due to concerns about the potential for substance abuse and the uncirplained taking (and use) of the removed propofol, the MEC summarily suspended Dr. Dorin?s clinical privileges that day. The MEC met with Dr. Darin on April 10, 2013. After interviewing Dr. Dorin and receiving other information?, the MEC determined there Was . no reasonable likelihood of substance abuse by Dr. Darin and terminated the Summary. suspension. At that time the MEC also decided that Medical Staff leadership (the current, former and newly elected Chiefs of Staff) should investigate Dr. Dorin?s conduct with regard to the removal of the propofol from the operating room anesthesia carts and the subsequent use of that propofol. The Medical Staff Leadership conducted its investigation and reported its ?ndings to the MEC on June 11, 2013. At that time the MEC determined to end the investigation and issue Dr. Dorin a formal admonishment (no restriction on clinical privileges or medical in interviews. Dr. Dorin said it was his practice to have extra vials of prop ofol and certain other medications available on his person so that he could administer needed medications to patients on an emergent basis if the medications were not immediately otherwise available. He also indicated that he would deposit unused vials of removed medications in anesthesia drug carts at various locations in the hospital. Dr. Darin said that he did not administer remoVed drugs to himself and that he did not take the removed drugs from the hospital?s premises. Health Care System Since 1946 -v 20. .80): 158. La Mesa, California 919M158 ,l (619) 7406000 P. 002 .308! I .5 we: in 02 ocean/20130400 02:40 PM FAX No. 0. 003 Medical Board of California October 29, 2013 - Page 2 of 2 staff membership). Dr. Dorin was informed of the formal admonishment by letter dated June 18, 2013. The conduct by Dr. Doria that led to the admonishment was: 1. Dr. Dorin?s failure to fully explain how medications (speci?cally propofol) that Dr. Dorin removed from operating room anesthesia drug carts at various times in 2013 were used, relocated or disposed. 2. Dr. Dorin?s initial denial that he removal medications (including pmpofol) from anesthesia drug carts in unoccupied/inactive operating rooms in 2013. Dr. Darin later admitted removing the propofol after being told that his actions 'were recorded on video tape. - The Board of Directors of Grossmont Hospital was informed of the actions with respect to Dr. Darin in June 2013. At its July 16, 2013, the Board of Directors voted to convene a Joint Conference Committee (composed of members of the Board of Directors and the Medical Staff Leadership) to discuss the decisions regarding'Dr. Dorin. The Joint Conference Committee met several times in August and September 2013. On September 17, 2013, the Board of Directors voted to request that the MEC consult with the Board of Directors about reconsidering its discipline of Dr. Dorin (the letter of admonishment)? and to instead revoke Dr. Dorin?s medical staff membership; it being'the Sense of the Board that Dr. Dorin?s conduct described above was potentially detrimmtal to patient safety and demonstrated a lack of integrity and honesty. Prior to the MEG consulting with the Board of Directors on the matter and without notice to Dr. Dorin of the Board of Director?s consultation request, Dr. Darin resigned his membership from Grossmont Hospital?s medical staff on October 15, 2013. Dr. Dorin was on Grossmont Hospital?s medical staff continuously from November 19, 2002 to October 15 2013. During that time, Dr. Dorin had not been the subject of any investigations or disciplinary actions prior to the investigation that led to the admonishment desaribed above. Thank you for considering this information. Sincerely, Wattle: 000 but Michele Tarbet Senior Vice President and Chief Executive Of?cer