State of Wisconsin DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES CORRESPONDENCE MEMORANDUM DATE: November 2, 2015 FILE REF: 13 MED 200 TO: Case ?le SUBJECT: Case Summary RESPONDENT: John W. Siebert, M.D., (dob 02/08/1955) WI Credential 50002-20, granted 12/18/2006, renewal 10/31/2017 i (608) 265?8072 sieb ert@surgery.wisc.edu COWLAINANT: Federation of State Medical Boards INVESTIGATIVOR: Tiffany Brussow ATTORNEY: Jocst Kap PRIOR DISCIPLINE: COMPLAINT: Respondent was issued a disciplinary order by the New York State Department of Health, State Board for Professional Medical Misconduct on June 5, 2013. REPLY: Respondent?s timely reply to the Department is attached. INVESTIGATION: Respondent John W. Siebert, M.D., (dob February 8, 1955), is licensed in the state of Wisconsin to practice medicine and surgery, having license number 50002-20, ?rst issued on December 18, 2006, with registration current through October 31, 2017. Respondent?s most recent address on ?le with the ,Wisconsin Department of Safety and Professional Services (Department) is Respondent has no prior disciplinary history with the Wisconsin Medical Examining Board. While practicing in New York City, Respondent treated a female patient between January 2000 and July 2008. Respondent and the patient were both married to others at the time, but they had a consensual sexual relationship between June 2006 and December 2008. The patient?s husband learned of the relationship and reported Respondent to the New York medical board. On June 5, 2013, the New York medical board and Respondent stipulated to discipline which remains in effect until June 5, 2016. It requires Respondent to use a chaperonc, who is subject to certain reporting obligations, with all female patients. Respondent also completed 24 PRA Category 1 credits on Professional Boundaries. Respondent, who is originally from Wisconsin, was subsequently hired by UW Hospital and as part of his employment contract entered into a chaperone agreement requiring Respondent have a chaperone present when seeing female patients. The agreement states that when Respondent successfully completes his New York order, he may petition his UW Division Chief and the UW Senior VP for Medical Affairs to modify or eliminate the chaperone requirement. However, Attorney Kap interviewed Respondent, who stated his intent to maintain the chaperone agreement with UW even after the New York order ends. Respondent has no known prior or subsequent complaints involving inappropriate contact with current/former patients. ADVISOR REVIEW AND RECOMMENDATIONS: Board Case Adviser Dr. Russell Yale and DSPS Attorney Jocst Kap have reviewed the matter and agree it can be closed P1: There may have been a minor or technical violation but a decision was made not to commence formal disciplinary action because the incident in question was not seriously harmful to the public. ALLEGED VIOLATIONS AND APPLICABLE CITATIONS: Wis. Admin. Code Med (Nov. 2002) Having a license, certi?cate, permit, registration, or other practice credential granted by another state or by any agency of the federal government to practice medicine and surgery or treat the sick, which becomes limited, restricted, suspended, or revoked, or having been subject to other adverse action by the state licensing authority or by any agency of the federal government, including but not limited to the denial or limitation of an original credential, or the surrender of a credential, whether or not accompanied by ?ndings of negligence or unprofessional conduct.