BEFORE THE MEDICAL BOARD OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS STATE OF CALIFORNIA In the Matter of the First Amended) Accusation Against: DAN ORVILLE HARPER, M.D. Case No. 11-2012-223668 Physician's and Surgeon's Certi?cate No. 51231 Respondent DECISION The attached Stipulated Settlement and Disciplinary Order is hereby adopted as the Decision and Order of the Medical Board of California, Department of Consumer Affairs, State of California. This Decision shall become effective at 5:00 pm. on March 3, 2017. IT IS SO ORDERED: Februag; 2, 2017. MEDICAL BOARD OF CALIFORNIA Jami Wright, JD, Chair Panel A U1 .5 DJ IQ KAMALA D. HARRIS Attorney General of California MATTHEW M. DAVIS Supervising Deputy Attorney General TESSA L. HEUNIS Deputy Attorney General State Bar No. 241559 600 West Broadway, Suite 1800 San Diego, CA 92101 PO. Box 85266 San Diego, CA 92186-5266 Telephone: (619) 73 8-9403 Facsimile: (619) 645-2061 Attorneysfor Complainant BEFORE THE MEDICAL BOARD OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS STATE OF CALIFORNIA 1n the Matter of the First Amended Accusation Case No. 11-2012-223668 Against: OAH No. 2016030948 DAN ORVILLE HARPER, M.D., 509 South Cedros Avenue, Suite STIPULATED SETTLEMENT A Solana Beach, CA 92075 DISCIPLINARY ORDER Physician?s and Surgeon?s Certi?cate No. C51231 (bk a Respondent. IT IS HEREBY STIPULATED AND AGREED by and between the parties to the above- entitled proceedings that the following matters are true: PARTIES 1. Kimberly Kirchmeyer (Complainant) is the Executive Director of the Medical Board of California (Board). She brought this action solely in her of?cial capacity and is represented in this matter by Kamala D. Harris, Attorney General of the State of California, by Tessa L. Heunis, Deputy Attorney General. 2. Respondent Dan Orville Harper, M.D. (Respondent) is represented in this proceeding by attorney Daniel Deuprey, whose address is: Daniel Deuprey, Esq., 1901 First Ave, Suite 330 San Diego, CA 9210]. 1 n'IHll-n r? "-er A?kll'? Ill A (\nth 1 Ix.) U1 3. On or about July 1, 2003. the Board issued Physician?s and Surgeon?s Certi?cate No. C5123l to respondent. The Physician?s and Surgeon?s Certi?cate was in full force and effect at all times relevant to the charges and allegations brought in First Amended Accusation No. 11-- 2012-2213668, and will expire on July 31. 2017, unless renewed. JURISDICTION 4. On or about May 19. 2015. Accusation No. 11?2012-223668 was ?led before the Board. A true and correct copy of the Accusation and all other statutorily required documents were properly served on respondent on or about May 19. 2015. Respondent timely ?led his Notice of Defense, contesting the charges in the Accusation. 5. On or about October 1 l. 2016, First Amended Accusation No. 11-2012-223668 was ?led before the Board, and is currently pending against respondent. A true and correct copy of the First Amended Accusation and all other statutorily required documents were properly served on respondent on or about October 1 1. 2016. All new charges contained in the First Amended Accusation were properly deemed controverted by reSpondent without any further pleading being ?led by him or on his behalf. A true and correct copy of the First Amended Accusation No. l- 2012-223668 is attached as Exhibit A and hereby incorporated herein by reference. ADVISEMENT AND WAIVERS 6. Respondent has carefully read, fully discussed with counsel, and fully understands the charges and allegations in First Amended Accusation No. 11-2012?223668. Respondent has also carefully read. fully discussed with counsel. and fully understands the effects of this Stipulated Settlement and Disciplinary Order. 7. Respondent is fully aware of his legal rights in this matter, including the right to a hearing on the charges and allegations in the First Amended Accusation; the right to confront and cross-examine the witnesses against him; the right to present evidence and to testify on his own behalf; the right to the issuance of subpoenas to compel the attendance of witnesses and the production of documents: the right to reconsideration and court review of an adverse decision: and all other rights accorded by the California Administrative Procedure Act and other applicable laws. 2 CTIDI ll ATttn QCTTI ANN INAPV an mm (11.10173725on 3-D.) 8. Respondent voluntarily, knowingly, and intelligently waives and gives up each and every right set forth above. CULPABILITY 9. Respondent does not contest that, at an administrative hearing, complainant could establish a primafacie case with respect to the charges and allegations contained in First Amended Accusation No. 11-2012-223668 and that he has thereby subjected his Physician?s and Surgeon?s Certi?cate No. C51231 to disciplinary action. 10. Respondent agrees that if he ever petitions for early termination or modification of probation. or if an accusation and/or petition to revoke probation is ?led against him before the Medical Board of California, all of the charges and allegations contained in First Amended Accusation 1-2012-223 668 shall be deemed true, correct and fully admitted by respondent for purposes of any such proceeding or any other licensing proceeding involving respondent in the State of California. 11. Respondent agrees that his Physician?s and Surgeon?s Certificate No. is subject to discipline, and he agrees to be bound by the Board?s imposition of discipline as set forth in the Disciplinary Order below. RESERVATION OF RIGHTS 12. The admissions made by respondent herein are only for the purposes of this proceeding. or any other proceedings in which the Board or other professional licensing agency is involved, and shall not be admissible in any other criminal or civil proceeding. CONTINGENCY 13. This Stipulated Settlement and Disciplinary Order shall be subject to approval of the Board. The parties agree that this Stipulated Settlement and Disciplinary Order shall be submitted to the Board for its consideration in the above-entitled matter and, further, that the Board shall have a reasonable period of time in which to consider and act on this Stipulated Settlement and Disciplinary Order after receiving it. By signing this stipulation, respondent fully understands and agrees that he may not withdraw his agreement or seek to rescind this stipulation prior to the time the Board considers and acts upon it. 3 ("mm ?ran oc'r'r?r cumu'r mun lef?lDl INA DV hunt-'0 (I La14. The parties agree that this Stipulated Settlement and Disciplinary Order shall be null and void and not binding upon the parties unless approved and adopted by the Board. except for this paragraph, which shall remain in full force and effect. Respondent fully understands and agrees that in deciding whether or not to approve and adopt this Stipulated Settlement and Disciplinary Order, the Board may receive oral and written communications from its staff and/or the Attorney General?s Of?ce. Communications pursuant to this paragraph shall not disqualify the Board, any member thereof, and/or any other person from future participation in this or any other matter affecting or involving respondent. In the event that the Board does not. in its discretion. approve and adopt this Stipulated Settlement and Disciplinary Order. with the exception of this paragraph, it shall not become effective, shall be of no evidentiary value whatsoever, and shall not be relied upon or introduced in any disciplinary action by either party hereto. Respondent further agrees that should this Stipulated Settlement and Disciplinary Order be rejected for any reason by the Board, respondent will assert no claim that the Board, or any member thereof. was prejudiced by its/his/her review. discussion and/or consideration of this Stipulated Settlement and Disciplinary Order or of any matter or matters related hereto. ADDITIONAL PROVISIONS 15. This Stipulated Settlement and Disciplinary Order is intended by the parties herein to be an integrated writing representing the complete, ?nal and exclusive embodiment of the agreements of the parties in the above-entitled matter. 16. The parties agree that c0pies of this Stipulated Settlement and Disciplinary Order, including copies of the signatures of the parties. may be used in lieu of original documents and signatures and. further. that such copies shall have the same force and effect as originals. 17. In consideration of the foregoing admissions and stipulations, the parties agree the Board may, without further notice to or opportunity to be heard by respondent, issue and enter the following Disciplinary Order: 4 e'nol 11 ATcn CIUIPRIT nlcr?lDl INA DY 012an La) DISCIPLINARY ORDER IT IS HEREBY ORDERED that Physician?s and Surgeons Certi?cate No. C51231 issued to respondent Dan Orville Harper, M.D.. is revoked. However, the revocation is stayed and respondent is placed on probation for three (3) years from the effective date of the Decision on the following terms and conditions: 1. EDUCATION COURSE. Within 60 calendar days of the effective date of this Decision. and on an annual basis thereafter, respondent shall submit to the Board or its designee for its prior approval educational program(s) or course(s) which shall not be less than 40 hours per year, for each year of probation. The educational program(s) or course(s) shall be aimed at correcting any areas of de?cient practice or knowledge and shall be Category I certi?ed. The educational program(s) or course(s) shall be at respondent?s expense and shall be in addition to the Continuing Medical Education (CME) requirements for renewal of licensure. Following the completion of each course, the Board or its designee may administer an examination to test respondent's knowledge of the course. Respondent shall provide proof of attendance for 65 hours of CME of which 40 hours were in satisfaction of this condition. 2. MEDICAL RECORD KEEPING COURSE. Within 60 calendar days of the effective date of this Decision, respondent shall enroll in a course in medical record keeping equivalent to the Medical Record Keeping Course offered by the Physician Assessment and Clinical Education Program. University of California. San Diego School of Medicine (Program). approved in advance by the Board or its designee. Respondent shall provide the program with any information and documents that the Program may deem pertinent. Respondent shall participate in and successfully complete the classroom component of the course not later than six (6) months after respondent?s initial enrollment. Respondent shall successfully complete any other component of the course within one (1) year of enrollment. The medical record keeping course shall be at respondent?s expense and shall be in addition to the Continuing Medical Education (CME) requirements for renewal of licensure. A medical record keeping course taken after the acts that gave rise to the charges in the Accusation. but prior to the effective date of the Decision may, in the sole discretion of the Board 5 n-mm Arrhn m-wvm hurxr'r nun mnov no It I Lu LA or its designee, be accepted towards the ful?llment of this condition if the course would have been approved by the Board or its designee had the course been taken after the effective date of this Decision. Respondent shall submit a certi?cation of successful completion to the Board or its designee not later than 15 calendar days after successfully completing the course, or not later than 15 calendar days after the effective date of the Decision, whichever is later. 3. PROFESSIONALISM PROGRAM 1 ETHICS COURSE). Within 60 calendar days of the effective date of this Decision, respondent shall enroll in a professionalism program. that meets the requirements of Title 16, California Code of Regulations (CCR) section 1358. Respondent shall participate in and successfully complete that program. Respondent shall provide any information and documents that the program may deem pertinent. Respondent shall successfully complete the classroom component of the program not later than six (6) months after respondent?s initial enrollment. and the longitudinal component of the program not later than the time speci?ed by the program, but no later than one (1) year after attending the classroom component. The professionalism program shall be at respondent?s expense and shall be in addition to the Continuing Medical Education (CME) requirements for renewal of licensure. A professionalism prOgram taken after the acts that gave rise to the charges in the Accusation, but prior to the effective date of the Decision may, in the sole discretion of the Board or its designee, be accepted towards the ful?llment of this condition if the program would have been approved by the Board or its designee had the program been taken after the effective date of this Decision. Respondent shall submit a certi?cation of successful completion to the Board or its designee not later than 15 calendar days after successfully completing the program or not later than 15 calendar days after the effective date of the Decision, whichever is later. 4. MONITORING - PRACTICE. Within 30 calendar days of the effective date of this Decision. respondent shall submit to the Board or its designee for prior approval as a practice monitor, the name and quali?cations of one or more licensed physicians and surgeons whose licenses are valid and in good standing, and who are preferably American Board of Medical 6 c-?r?lm A?rcn 1:?:er AND nler?lol nu ADV m: nun DJ Specialties (ABMS) certi?ed. A monitor shall have no prior or current business or personal relationship with respondent, or other relationship that could reasonably be expected to compromise the ability of the monitor to render fair and unbiased reports to the Board, including but not limited to any form of bartering. shall be in respondent?s ?eld of practice, and must agree to serve as respondent?s monitor. Respondent shall pay all monitoring costs. The Board or its designee shall provide the approved monitor with copies of the Decision and First Amended Accusation, and a proposed monitoring plan. Within 15 calendar days of receipt of the Decision. First Amended Accusation, and proposed monitoring plan. the monitor shall submit a signed statement that the monitor has read the Decision and First Amended Accusation, fully understands the role of a monitor, and agrees or disagrees with the proposed monitoring plan. If the monitor disagrees with the proposed monitoring plan, the monitor shall submit a revised monitoring plan with the signed statement for approval by the Board or its designee. Within 60 calendar days of the effective date of this Decision, and continuing throughout probation, reSpondent's practice shall be monitored by the approved monitor. Respondent shall make all records available for immediate inspection and copying on the premises by the monitor at all times during business hours and shall retain the records for the entire temi of probation. If respondent fails to obtain approval of a monitor within 60 calendar days of the effective date of this Decision, respondent shall receive a noti?cation from the Board or its designee to cease the practice of medicine within three (3) calendar days after being so noti?ed. Respondent shall cease the practice of medicine until a monitor is approved to provide monitoring responsibility. The monitor shall submit a quarterly written report to the Board or its designee which includes an evaluation of respondent?s performance, indicating whether respondent?s practices are within the standards of practice of medicine, and whether respondent is practicing medicine safely. It shall be the sole responsibility of respondent to ensure that the monitor submits the quarterly written reports to the Board or its designee within 10 calendar days after the end of the preceding quarter. 7 ("mm a man oc'r'rl cucu?r? nun nlcr?to! Dv (?370173718650 DJ If the monitor resigns or is no longer available, respondent shall. within 5 calendar days of such resignation or unavailability, submit to the Board or its designee, for prior approval, the name and quali?cations of a replacement monitor who will be assuming that responsibility within 15 calendar days. If respondent fails to obtain approval of a replacement monitor within 60 calendar days of the resignation or unavailability of the monitor, reSpondent shall receive a noti?cation from the Board or its designee to cease the practice of medicine within three (3) calendar days after being so noti?ed respondent shall cease the practice of medicine until a replacement monitor is approved and assumes monitoring responsibility. In lieu of a monitor, respondent may participate in a professional enhancement program equivalent to the one offered by the Physician Assessment and Clinical Education Program at the University of California, San Diego School of Medicine, that includes, at minimum. quarterly chart review, semi-annual practice assessment, and semi-annual review of professional growth and education. Respondent shall participate in the professional enhancement program at respondent?s expense during the term of probation. S. PROHIBITED PRACTICE. During probation. respondent is prohibited from using. creating or administering ozone in the care and treatment of his patients unless such use is accompanied by the simultaneous use of a destructor unit within the same room. After the effective date of this Decision, all patients being treated with ozone therapy by respondent shall be noti?ed that respondent is prohibited from creating. using, or administering ozone without the simultaneous use of a destructor unit within the same room. Any new patients who will be receiving ozone therapy at respondent?s practice must be provided this noti?cation before receiving or being administered ozone therapy for the ?rst time. Respondent shall maintain a log of all patients to Whom the required oral noti?cation was made. The log shall contain the: 1) patient?s name, address and phone number; patient?s medical record number, if available; 3) the full name of the person making the noti?cation; 4) the date the noti?cation was made: and 5) a description of the noti?cation given. Respondent shall keep this log in a separate ?le or ledger, in chronological order, shall make the log available for immediate inspection and copying on the premises at all times during business hours by the Board or its 8 n?nn?u mun ar?wv?r? ax!? nlr?r?lnl nv A Ahhr?h ?nl? L0.) designee, and shall retain the log for the entire term of probation. 6. NOTIFICATION. Within seven (7) days of the effective date of this Decision, respondent shall provide a true copy of this Decision and Accusation to the Chief of Staff or the Chief Executive Of?cer at every hospital where privileges or membership are extended to respondent. at any other facility where respondent engages in the practice of medicine. including all physician and locum renens registries or other similar agencies, and to the Chief Executive Officer at every insurance carrier which extends malpractice insurance coverage to reSpondent. Respondent shall submit proof of compliance to the Board or its designee within 15 calendar days. This condition shall apply to any change(s) in hospitals, other facilities or insurance carrier. 7. SUPERVISION OF PHYSICIAN ASSISTANTS. During probation, respondent is prohibited from supervising physician assistants. 8. OBEY ALL LAWS. Respondent shall obey all federal. state and local laws, all rules governing the practice of medicine in California and remain in full compliance with any court ordered criminal probation. payments. and other orders. 9. QUARTERLY DECLARATIONS. Respondent shall submit quarterly declarations under penalty of perjury on forms provided by the Board, stating whether there has been compliance with all the conditions of probation. Respondent shall submit quarterly declarations not later than 10 calendar days after the end of the preceding quarter. 10. GENERAL PROBATION REQUIREMENTS. Compliance with Probation Unit Respondent shall comply with the Board?s probation unit and all terms and conditions of this Decision. Agnew Respondent shall, at all times. keep the Board informed of respondent's business and residence addresses, email address (if available), and telephone number. Changes of such addresses shall be immediately communicated in writing to the Board or its designee. Under no 9 cum-u cumu'r lef?lDI A Dv (l AWN circumstances shall a post of?ce box serve as an address of record, except as allowed by Business and Professions Code section 2021(b). Place of Practice Respondent shall not engage in the practice of medicine in respondent?s or patient's place of residence, unless the patient resides in a skilled nursing facility or other similar licensed facility. License Renewal Respondent shall maintain a current and renewed California physician's and surgeon?s license. Travel or Residence Outside California Respondent shall immediately inform the Board or its designee, in writing, of travel to any areas outside the jurisdiction of California which lasts, or is contemplated to last, more than thirty (30) calendar days. In the event respondent should leave the State of California to reside or to practice. respondent shall notify the Board or its designee in writing 30 calendar days prior to the dates of departure and return. 11. INTERVIEW WITH THE BOARD OR ITS DESIGNEE. Respondent shall be available in person upon request for interviews either at respondent's place of business or at the probation unit of?ce, with or without prior notice throughout the term of probation. 12. NON-PRACTICE WHILE ON PROBATION. Respondent shall notify the Board or its designee in writing within 15 calendar days of any periods of non-practice lasting more than 30 calendar days and within 15 calendar days of respondent?s return to practice. Non-practice is de?ned as any period of time respondent is not practicing medicine in California as de?ned in Business and Professions Code sections 2051 and 2052 for at least 40 hours in a calendar month in direct patient care. clinical activity or teaching, or other activity as approved by the Board. All time spent in an intensive training program which has been approved by the Board or its designee shall not be considered non-practice. Practicing medicine in another state of the United States or Federal jurisdiction while on probation with the medical licensing authority of that state or IO 1"th an-rv'ru Flarwm? A\1n nit-run! A n?r (\nnr?n (I I onto U.) jurisdiction shall not be considered non-practice. A Board-ordered suspension of practice shall not be considered as a period of non-practice. In the event respondent?s period of non-practice while on probation exceeds 18 calendar months, respondent shall successfully complete a clinical training program that meets the criteria of Condition 18 of the current version of the Board?s ?Manual of Model Disciplinary Orders and Disciplinary Guidelines" prior to resuming the practice of medicine. Respondent?s period of non-practice while on probation shall not exceed two (2) years. Periods of non-practice will not apply to the reduction of the probationary term. Periods of non-practice will relieve respondent of the responsibility to comply with the probationary terms and conditions with the exception of this condition and the following terms and conditions of probation: Obey All Laws; and General Probation Requirements. 13. COMPLETION OF PROBATION. Respondent shall comply with all ?nancial obligations restitution. probation costs) not later than 120 calendar days prior to the completion of probation. Upon successful completion of probation, respondent?s certi?cate shall be fully restored. 14. VIOLATION OF PROBATION. Failure to fully comply with any term or condition of probation is a violation of probation. If respondent violates probation in any respect, the Board, after giving respondent notice and the opportunity to be heard, may revoke probation and carry out the disciplinary order that was stayed. If an Accusation. or Petition to Revoke Probation, or an Interim Suspension Order is ?led against respondent during probation, the Board shall have continuing jurisdiction until the matter is ?nal, and the period of probation shall be extended until the matter is ?nal. 15. LICENSE SURRENDER. Following the effective date of this Decision, if respondent ceases practicing due to retirement or health reasons or is otherwise unable to satisfy the terms and conditions of probation, respondent may request to surrender his or her license. The Board reserves the right to evaluate respondent?s request and to exercise its discretion in determining whether or not to grant the request, or to take any other action deemed appropriate and reasonable under the circumstances. Upon formal acceptance of the surrender, respondent ll o'rrm A-rr?n arm-1": cnacnt'r nun nlcr?IDI IMADV no turn (I I om?) shall within 15 calendar days deliver respondent?s wallet and wall certi?cate to the Board or its ii designee and Respondent shall no longer practice medicine. respondent will no longer be subject to the terms and conditions of probation. If respondent re-applies for a medical license, the application shall be treated as a petition for reinstatement of a revoked certi?cate. 16. PROBATION MONITORING COSTS. respondent shall pay the costs associated with probation monitoring each and every year of probation, as designated by the Board, which may be adjusted on an annual basis. Such costs shall be payable to the Medical Board of California and delivered to the Board or its designee no later than January 3] of each calendar year. ACCEPTANCE have carefully read the above Stipulated Settlement and Disciplinary Order and have ?illy il discussed it with my attorney, Daniel Deuprey. I fully understand the stipulation and the effect it will have on my Physician?s and Surgeon?s Certi?cate No. 051231. I enter into this Stipulated Settlement and Disciplinary Order voluntarily, knowingly, and intelligently, and agree to be I bound by the Decision and Order of the Medical Board of California. DATEDI ~c3 -31.-1e gage; MO DAN ORVILLE HARPER, M. D. Respondent have read and fully discussed with reSpondent Dan Orville Harper, MD. the terms and conditions and other matters contained 1n the above Stipulated Settlement and Disciplinary Order. I approve its form and content. A627 DATED: /r . 3h 7; EKDEUPREY, ESQ Attorneyfor Respondent II II ii l/l/ Ill! 12 STIPULATED SETTLEMENT AND DISCIPLINARY ORDER (1 l-2012-22366 8) \DOOQmLh-bwm? I?t?u?n??n?nu?nn?n?n?Ip?I ll The foregoing Stipulated Settlement and Disciplinary Order is hereby respectfully submitted for consideration by the Medical Board of California. Dated: Ncit??wt 96% i 2?0 1 (o Respectfully submitted, KAMALA D. HARRIS Attorney General of California MATTHEW M. DAVIS Supervising Deputy Attorney General Wee Luz??! TESSA L. 1-1511le Deputy Attorney General Attorneysfor Complainant 13 STIPULATED SETTLEMENT AND DISCIPLINARY ORDER 1-2012-223668) Exhibit A First Amended Accusation No. 11-2012-223668 Ix) KAMALA D. HARRIS Attorney General of Califomia MATTHEWM. DAVIS .325; mg Supewising Deputy Attorney General STLTE 1: ML. TESSA L. HEUNIS Erma cu Deputy Attorney General -: - I State Bar No. 241559 2.31 var-y 600 W. Broadway, Suite 1800 ?4 - . 5m San Diego. CA 92101 PO. Box 85266 San Diego, CA 92186-5266 Telephone: (619) 738-9403 Facsimile: (619) 645-2061 Complainant BEFORE THE MEDICAL BOARD OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS STATE OF CALIFORNIA In the Matter of the First Amended Accusation Case No. 11-2012-223668 Against: DAN ORVILLE HARPER, M.D., 509 South Cedros Avenue, Suite FIRST AMENDED ACCUSATION Solana Beach, CA 92075 Physician?s and Surgeon?s Certificate No. 51231, Respondent. Complainant alleges: PARTIES 1. Kimberly Kirehmeyer (complainant) brings this First Amended Aecusation solely in her of?cial capacity as the Executive Director of the Medical Board of California, Department of Consumer Affairs (Board). 2. On or about July 1, 2003, the Board issued Physician?s and Surgeon?s Certi?cate No. 51231 to Dan Orville Harper, MD. (respondent). The Physician?s and Surgeons Certi?cate was in full force and effect at all times relevant to the charges and allegations brought herein and will expire on July 31, 2017. unless renewed. I I A ll ?rim 11111?; I0 3. This First Amended Accusation is brought before the Board under the authority of the following laws. All section references are to the Business and Professions Code (Code) unless otherwise indicated. 4. Section 2227 of the Code states: A licensee whose matter has been heard by an administrative law judge of the Medical Quality Hearing Panel as designated in Section I 1371 of the Government Code, or whose default has been entered, and who is found guilty, or who has entered into a stipulation for disciplinaiy action with the board, may, in accordance with the provisions of this chapter: Have his or her license revoked upon order of the board. Have his or her right to practice suspended for a period not to exceed one year upon order of the board. Be placed on probation and be required to pay the costs of probation monitoring upon order of the board. Be publicly reprimanded by the board. The public reprimand may include a requirement that the licensee complete relevant educational courses approved by the board. Have any other action taken in relation to discipline as part of an order of probation, as the board or an administrative law judge may deem proper. Any matter heard pursuant to subdivision except for warning letters, medical review or advisory conferences, professional competency examinations, continuing education activities, and cost reimbursement associated therewith that are agreed to with the board and successfully completed by the licensee, or other matters made confidential or privileged by existing law, is deemed public. and shall be made available to the public by the board pursuant to Section 803.1." fill r? ls) 1 I "t I (It! IxIx.) to tq IO .13 5. Section 2234 of the Code, states: ?The board shall take action against any licensee who is charged with unprofessional conduct. In addition to other provisions of this article, unprofessional conduct includes, but is not limited to, the following: Violating or attempting to violate, directly or indirectly, assisting in or abetting the violation of, or conspiring to violate any provision of this chapter. Gross negligence. Repeated negligent acts. To be repeated, there must be two or more negligent acts or omissions. An initial negligent act or omission followed by a separate and distinct departure from the applicable standard of care shall constitute repeated negligent acts. An initial negligent diagnosis followed by an act or omission medically appropriate for that negligent diagnosis of the patient shall constitute a single negligent act. When the standard of care requires a change in the diagnosis, act, or omission that constitutes the negligent act described in paragraph (1 including, but not limited to, a reevaluation of the diagnosis or a change in treatment, and the licensee?s conduct departs from the applicable standard of care, each depaiture constitutes a separate and distinct breach of the standard of care. 6. Section 2266 of the Code states: ?The failure of a physician and surgeon to maintain adequate and accurate records relating to the provision of services to their patients constitutes unprofessional conduct.? 7. Unproiessional conduct under Business and Professions Code section 2234 is conduct which breaches the rules or ethical conduct of the medical profession, or conduct which is unbecoming to a member in good standing of the medical profession. and which demonstrated an unfitness to practice medicine. (Shea v. Board of Medical Examiners (l 978) 81 al.App.3d 564, Ll.) . 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FOURTH CAUSE FOR DISCIPLINE (General Unprofessional Conduct) 46. ReSpondent is further subject to disciplinary action under sections 2227 and 2234, 2234 of the Code, in that he has engaged in conduct which breaches the rules or ethical code of the medical profession, or conduct that is unbecoming to a member in good standing of the medical profession, and which demonstrates an unfitness to practice medicine. The circumstances are as follows: 47. Paragraphs 8 through 45, above, are hereby realleged and incorporated by reference as if fully set feith herein. 48. At the second interview, respondent insisted that he did not regard patients l.W. and S.W. as ?his? patients and that his care and treatment of them was restricted accordingly, and also by the patients themselves. These restrictions were not documented anywhere in the patients? charts. Despite these alleged restrictions, respondent treated multiple ailments through FSM, made referrals, and also issued a detailed and comprehensive disability determination in regard to both patient l.W. and patient S.W., which was intended for use in the course of their ongoing civil litigation following their motor vehicle accident. In addition, the disability determinations appeared to be based, at least partly, on inaccurate, unverified, incomplete, and/or inconsistent information provided by the patients themselves. PRAYER WHEREFORE, Complainant requests that a hearing be held on the matters herein alleged, and that following the hearing. the Board issue a decision: 1. Revoking or suspending Physician?s and Surgeon?s Certi?cate Number 51231, issued to respondent Dan Orville Harper, 2. Rcvoking, suspending or denying approx al of respondent Dan Orville Harper, M.D.'s. authority to supervise Physician Assistants. pursuant to section 3527 of the Code?irn'i ?3?11?rt