Section 17-4609. PHYSICIAN'S PROFILE

 

4609.1An applicant for a initial license or renewal of a license to practice allopathic or osteopathic medicine shall provide to the Board of Medicine the following information within thirty (30) days from the date of the initial application or renewal or, change in the following information:

 

(a)The address and telephone number of the primary practice setting and all secondary practice settings with the percentage of time spent at each location;

 

(b)The names of medical or osteopathic schools and graduate medical education programs attended with dates of graduation or completion of training;

 

(c)The names and dates of specialty Board certification, if any, as approved by the American Board of Medical Specialties or the Bureau of Osteopathic Specialists of the American Osteopathic Association;

 

(d)The number of years in active, clinical practice in the United States or Canada following completion of medical training and the number of years, if any, in active, clinical practice outside the United States or Canada;

 

(e)The area of specialty, if any, in which the physician practices;

 

(f)The names of hospitals with which the physician is affiliated;

 

(g)Appointments, if applicable, within the past 10 years to medical schools faculties with the years of service and academic rank;

 

(h)Publications, not to exceed ten (10) in number, in peer-reviewed literature within the most recent five-year period, to be supplied at the physician's discretion;

 

(i)Access, if any, to translating services for non-English speaking patients at the primary and secondary practice setting and which, if any, foreign languages are spoken in the practice;

 

(j)Whether the physician participates in the District Medicaid and Medicare programs and whether he or she is accepting new Medicaid and Medicare patients, or D.C. Health Alliance;

 

(k)The names of insurances accepted by the physician, to be supplied at the physician's discretion;

 

(l)Information on misdemeanor and felony convictions including the date(s) of the conviction, the nature of the conviction, the jurisdiction in which the conviction occurred, and the sentence imposed, if any;

 

(m)Within the last ten (10) years, final orders of any regulatory board of another jurisdiction that resulted in the denial, probation, revocation, suspension, or restriction of any license or that resulted in the reprimand or censure of any licensure, fines imposed, or the voluntary surrender of a license while under investigation in a jurisdiction other than the District of Columbia, restriction or termination of privileges at a healthcare facility as a result of peer review action, as well as any disciplinary action taken by a federal health institution or federal agency; and

 

(n)The date, amount, and description of any medical malpractice payout made within the last ten (10) years.

 

authority

The Director of the Department of Health pursuant to the authority set forth under § 302(14) of the District of Columbia Health Occupations Revision Act of 1985 ("Act"), effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1203.02(14)), and Mayor's Order 98-140, dated August 20, 1998.

source

Final Rulemaking published at 52 DCR 10566 (December 2, 2005); as corrected by Errata Notice published at 59 DCR 1759 (March 2, 2012).

EditorNote

The Errata Notice published at 59 DCR 1759 (March 2, 2012) corrected an error in numbering as it pertains to section 4609. Notice of Final Rulemaking 52 DCR 10566 (December 2, 2005) created section 4609 (Physician's Profile). In February 2006, the Department of Health created another section 4609 but did not intend to repeal the existing section. To avoid any confusion, section 4609 will be entitled, "Physician's Profile," and the other section 4609 that was created in February 2006 is renumbered section 4616, Standards for the Use of Controlled Substances for the Treatment of Pain."