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BEFORE THE MEDICAL BOARD OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS STATE OF CALIFORNIA In the Matter of the Accusation Against: ) ) ) DAVID ELLIOT ALTMAN, M.D. ) ) Physician's and Surgeon's ) Certificate No. G 34377 ) ) Respondent. ) ) Case No. 02-2008-194793 DECISION AND ORDER The attached Stipulated Settlement and Disciplinary Order is hereby adopted by the Medical Board of California, Department of Consumer Affairs, State of California, as its Decision in this matter. This Decision shall become effective at 5:00p.m. on Mav 18,2012. IT IS SO ORDERF_:il Aprill8, 2012. MEDICAL BOARD OF CALIFORNIA By: Shelton Duruisseau, Ph.D., Chair Panel A

Me~4patientsafety.org/documents/Altman, David Elliot 2012-04... · 2017. 4. 23. · 1 KAMALA D. HARRIS Attorney General of California 2 GAIL M. HEPPELL Supervising Deputy Attorney

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  • BEFORE THE MEDICAL BOARD OF CALIFORNIA

    DEPARTMENT OF CONSUMER AFFAIRS STATE OF CALIFORNIA

    In the Matter of the Accusation Against: ) ) )

    DAVID ELLIOT ALTMAN, M.D. ) )

    Physician's and Surgeon's ) Certificate No. G 34377 )

    ) Respondent. )

    )

    Case No. 02-2008-194793

    DECISION AND ORDER

    The attached Stipulated Settlement and Disciplinary Order is hereby adopted by the Medical Board of California, Department of Consumer Affairs, State of California, as its Decision in this matter.

    This Decision shall become effective at 5:00p.m. on Mav 18,2012.

    IT IS SO ORDERF_:il Aprill8, 2012.

    MEDICAL BOARD OF CALIFORNIA

    By: Me~ ~"_..._.,... Shelton Duruisseau, Ph.D., Chair Panel A

  • 1 KAMALA D. HARRIS Attorney General of California

    2 GAIL M. HEPPELL Supervising Deputy Attorney General

    3 MARAFAUST Deputy Attorney General

    4 State Bar No. 111729 1300 I Street, Suite 125

    5 P.O. Box 944255 Sacramento, CA 94244-2550

    6 Telephone: (916) 324-5358 Facsimile: (916) 327-2247

    7 Attorneys for Complainant

    8 BEFORETHE MEDICAL BOARD OF CALIFORNIA

    9 DEPARTMENT OF CONSUMER AFFAIRS STATE OF CALIFORNIA

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    In the Matter of the Accusation Against:

    DAVID ELLIOT ALTMAN, M.D. 20 Constitution Drive Chico, CA 95973-4906 Physician and Surgeon's No. G34377

    Respondent.

    Case No. 02-2008-194793

    STIPULATED SETTLEMENT AND DISCIPLINARY ORDER

    17 In the interest of a prompt and speedy settlement of this matter, consistent with the public

    18 interest and the responsibility of the Medical Board of California ohhe Department of Consumer

    19 Affairs, the parties hereby agree to the following Stipulated Settlement and Disciplinary Order

    20 which will be submitted to the Board for approval and adoption as the final disposition of the

    21 Amended Accusation.

    22 PARTIES

    23 1. Linda K. Whitney (Complainant) is the Executive Director of the Medical Board of

    24 California. She brought this action solely in her official capacity and is represented in this matter

    25 by Kamala D. Harris, Attorney General of the State of California, by Mara Faust, Deputy

    26 Attorney General

    27 Ill

    28 Ill

    ST1Pl JJ ,A TED SETTLEMENT (02-2008-194 793)

  • 2. Respondent David Elliot Altman, M.D. is represented in this proceeding by attorney

    2 Lynn Hubbard III, whose address is: Law Offices of Lynn Hubbard

    3 12 Williamsburg Lane, Chico, CA 95926

    4 3. On or about June 25, 1977, the Medical Board of California issued Physician and

    5 Surgeon's No. G343 77 to David Elliot Altman, M.D. (hereinafter "Respondent").

    6 JURISDICTION

    7 4. Accusation No. 02-2008-194793 was filed before the Medical Board of California

    8 (Board), Department of Consumer Affairs, and is currently pending against Respondent. The

    9 Accusation and all other statutorily required documents were properly served on Respondent on

    10 March 11, 2011. Respondent timely filed his Notice of Defense contesting the Accusation. An

    11 Amended Accusation was filed on March 13, 2012

    12 A copy of Amended Accusation No. 02-2008-194793 is attached as exhibit A and

    13 incorporated herein by reference.

    14 ADVISEMENT AND WAIVERS

    15 5. Respondent has carefully read, fully discussed with counsel, and understands the

    16 charges and allegations in Amended Accusation No. 02-2008-194793. Respondent has also

    17 carefully read, fully discussed with _counsel, and understands the effects of this Stipulated

    18 ~.:ttlement and Disciplinary Order.

    19 6. Respondent is fully aware ofhis legal rights in this matter, including the right to a

    20 hearing on the charges and allegations in the Amended Accusation; the right to be represented by

    21 counsel at his own expense; the right to confront and cross-examine the witnesses against him;

    22 the right to present evidence and to testify on his own behalf; the right to the issuance of

    23 subpoenas to compel the attendance of witnesses and the production of documents; the right to

    24 reconsideration and court review of an advers;e decision; and all other rights accorded by the

    "' 25 California Administrative Procedure Act and other applicable laws.

    26 7. Respondent voluntarily, knowingly, and intelligently waives and gives up each and

    27 every right set forth above.

    28 ///

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    STIPULATED SETTLEMENT (02-2008-194793)

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    CULPABILITY

    8. Respondent admits the truth of the first and fourth causes for discipline in the

    Amended Accusation No. 02-2008-194 793.

    9. Respondent agrees that his Physician and Surgeon's is subject to discipline and he

    agrees to be bound by the Board's probationary terms as set forth in the Disciplinary Order below.

    CIRCUMSTANCES IN MITIGATION

    10. Respondent David Elliot Altman, M.D. has never been the subject of any disciplinary

    action. He is admitting responsibility at an early stage in the proceedings.

    RESERVATION

    11. The admissions made by Respondent herein are only for the purposes of this

    proceeding, or any other proceedings in which the Medical Board of California or other

    professional licensing agency is involved, and shall not be admissible in any other criminal or

    civil proceeding.

    CONTINGENCY

    12. This stipulation shall be subject to approval by the Medical Board of California.

    Respondent understands and agrees that counsel for Complainant and the staff of the Medical

    Board of California may communicate directly with the Board regarding this stipulation and

    settlement, without notice to or participation by Respondent or his counsel. By sig~mg the

    stipulation, Respondent understands and agrees that he may not withdraw his agreement or seek

    to rescind the stipulation prior to the time the Board considers and acts upon it. If the Board fails

    to adopt this stipulation as its Decision and Order, the Stipulated Settlement and Disciplinary

    Order shall be of no force or effect, except for this paragraph, it shall be inadmissible in any legal

    action between the parties, and the Board shall not be disqualified from further action by having

    considered this matter.

    13. The parties understand and agree that facsimile copies of this Stipulated Settlement

    and Disciplinary Order, including facsimile signatures thereto, shall have the same force and

    effect as the originals.

    I I I

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  • 14. In consideration of the foregoing admissions and stipulations, the parties agree that

    2 the Board may, without further notice or formal proceeding, issue and enter the following

    3 Disciplinary Order:

    4 DISCIPLINARY ORDER

    5 IT IS HEREBY ORDERED that Physician and Surgeon's No. 034377 issued to

    6 Respondent David Elliot Altman, M.D. (Respondent) is revoked. However, the revocation is

    7 stayed and Respondent is placed on probation for three (3) years on the following terms and

    8 conditions.

    9 1. EDUCATION COURSE Within 60 calendar days of the effective date ofthis

    10 Decision, and on an annual basis thereafter, respondent shall submit to the Division or its

    11 designee for its prior approval educational program(s) or course(s) which shall not be less than 40

    12 hours per year, for each year of probation. The educational program(s) or course(s) shall be

    13 aimed at correcting any areas of deficient practice or knowledge and shall be Category I certified.

    14 The educational program(s) or course(s) shall be at respondent's expense and shall be in addition

    15 to the Continuing Medical Education (CME) requirements for renewal of licensure. Following

    16 the completion of each course, the Division or its designee may administer an examination to test

    17 respondent's knowledge of the course. Respondent shall provide proof of attendance for 65 hours ~ , ..

    18 of continuing medical education of which 40 hours were in satisfaction of this condition.

    19 2. MEDICAL RECORD KEEPING COURSE Within 60 calendar days of the effective

    20 date of this decision, respondent shall emoll in a course in medical record keeping equivalent to

    21 the Medical Record Keeping Course offered by the Physician Assessment and Clinical Education

    22 Program, University of California, San Diego School of Medicine (Program), approved in

    23 advance by the Division or its designee. Respondent shall provide the program with any

    24 information and documents that the program may deem pertineint. Respondent shall participate in •

    25 and successfully complete the classroom component of the course not later than six (6) months

    26 after respondent's initial enrollment. Respondent shall successfully complete any other

    27 component of the course within one (1) year of enrollment. The medical record keeping course

    28 ///

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  • 1 shall be at respondent's expense and shall be in addition to the Continuing Medical Education

    2 ( CME) requirements for renewal of licensure.

    3 A medical record keeping course taken after the acts that gave rise to the charges in the

    4 Accusation, but prior to the effective date of the Decision may, in the sole discretion of the

    5 Division or its designee, be accepted towards the fulfillment of this condition if the course would

    6 have been approved by the Division or its designee had the course been taken after the effective

    7 date of this Decision.

    8 Respondent shall submit a certification of successful completion to the Division or its

    9 designee not later than 15 calendar days after successfully completing the course, or not later than

    10 15 calendar days after the effective date of the Decision, whichever is later.

    11 3. PROFESSIONAL BOUNDARIES PROGRAM Within 60 calendar days from

    12 the effective date of this Decision, respondent shall enroll in a professional boundaries program

    13 equivalent to the Professional Boundaries Program, offered by the Physician Assessment and

    14 Clinical Education Program at the University of California, San Diego School of Medicine

    15 ("Program"). Respondent, at the Program's discretion, shall undergo and complete the Program's

    16 assessment ofrespondent' s competency, mental health and/or neuropsychological performance,

    17 and at minimum, a 24 hour program of interactive education and training in the area of

    " 18 ' boundaries, which takes into account data obtained from the assessment and from the Decision(s), 19 Accusation(s) and any other information that the Division or its designee deems relevant. The

    20 Program shall evaluate respondent at the end of the training, and the Program shall provide any

    21 data from the assessment and training as well as the results of the evaluation to the Division or its

    22 designee.

    23 Failure to complete the entire Program not later than six months after respondent's initial

    24 ~ enrollment shall constitute a violation of probation unless the Division or its designee agrees in

    25 ; writing to a later time for completion. Based on respondent's performance in and evaluations

    26 from the assessment, education, and training, the Program shall advise the Division or its

    27 designee of its recommendation(s) for additional education, training, psychotherapy and other

    28 measures necessary to ensure that respondent can practice medicine safely. Respondent shall

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  • comply with Program recommendations. At the completion of the Program, respondent shall

    2 submit to a final evaluation. The Program shall provide the results of the evaluation to the

    3 Division or its designee. The professional boundaries program shall be at respondent's expense

    4 and shall be in addition to the Continuing Medical Education (CME) requirements for renewal of

    5 licensure.

    6 The Program has the authority to determine whether or not respondent successfully

    7 completed the Program.

    8 A professional boundaries course taken after the acts that gave rise to the charges in the

    9 Accusation, but prior to the effective date of the Decision may, in the sole discretion of the Board

    10 or its designee, be accepted towards the fulfillment of this condition if the course would have

    11 been approved by the Board or its designee had the course been taken after the effective date of

    12 this Decision.

    13 If respondent fails to complete the Program within the designated time period, respondent

    14 shall cease the practice of medicine within three (3) calendar days after being notified by the

    15 Division or its designee that respondent failed to complete the Program.

    16 4. PEP MONITORING -PRACTICE Within 90 days ofthe effective date ofthis

    17 Decision, respondent shall participate in a professional enhancement program equivalent to the • •

    18 one offered by the Physician Asses~ment and Clinical Education Program at the University of

    19 California, San Diego School of Medicine, which shall include quarterly chart review, semi-

    20 annual practice assessment, and semi-annual review of professional growth and education.

    21 Respondent shall participate in the professional enhancement program at respondent's expense

    22 during the first two years of probation, or until the Board or its designee determines that future

    23 participation is no longer necessary.

    24 5. NOTIFICATION Within seven (7) days of the effective date of this Decision, the ,. 25 respondent shall provide a true copy of this Decision and Accusation to the Chief of Staff or the

    26 Chief Executive Officer at every hospital where privileges or membership are extended to

    27 respondent, at any other facility where respondent engages in the practice of medicine, including

    28 all physician and locum tenens registries or other similar agencies, and to the Chief Executive

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  • 1 Officer at every insurance carrier which extends malpractice insurance coverage to respondent.

    2 Respondent shall submit proof of compliance to the Division or its designee within 15 calendar

    3 days.

    4 This condition shall apply to any change(s) in hospitals, other facilities or insurance carrier.

    5 6. SUPERVISION OF PHYSICIAN ASSISTANTS During probation, respondent is

    6 prohibited from supervising physician assistants.

    7 7. OBEY ALL LAWS Respondent shall obey all federal, state and local laws, all

    8 rules governing the practice of medicine in California, and remain in full compliance with any

    9 court ordered criminal probation, payments and other orders.

    10 8. QUARTERLY DECLARATIONS Respondent shall submit quarterly

    11 declarations under penalty of perjury on forms provided by the Division, stating whether there has

    12 been compliance with all the conditions of probation. Respondent shall submit quarterly

    13 declarations not later than 10 calendar days after the end of the preceding quarter.

    14 9. GENERAL PROBATION UNIT REQUIREMENTS

    15 Compliance with Probation Unit

    16 Respondent shall comply with the Board's probation unit and all terms and constitutions

    1 7 of this Decision . .. 18 Address Changes

    19 Respondent shall, at all times, keep the Board informed of respondent's business and

    20 residence addresses, email address (if available), and telephone number. Changes of such

    21 addresses shall be immediately communicated in writing to the Board or its designee. Under no

    22 circumstances shall a post office box serve as an address of record, except as allowed by Business

    23 and Professions Code section 2021 (b).

    24 Place of Practice

    "" 25 Respondent shall not engage in the practice of medicine in respondent's or patient's place

    26 of residence, unless the patient resides in a skilled nursing facility or other similar licensed

    27 facility.

    28 ///

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  • License Renewal

    2 Respondent shall maintain a current and renewed California physician's and surgeon's

    3 license.

    4 Travel or Residence Outside California

    5 Respondent shall immediately inform the Board, or its designee, in writing, of travel to any

    6 areas outside the jurisdiction of California which lasts, or is contemplated to last, more than 30

    7 calendar days.

    8 In the event respondent should leave the State of California to reside or to practice

    9 respondent shall notify the Board or its designee in writing 30 calendar days prior to the dates of

    1 0 departure and return.

    11 10. INTERVIEW WITH THE DIVISION. OR ITS DESIGNEE Respondent shall be

    12 available in person upon request for interviews either at respondent's place of business or at the

    13 probation unit office with or without prior notice throughout the term of probation.

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    11. 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 ofrespondent' s return to practice. Non-practice is

    defined as any period of time respondent is not practicing medicine in California as defined in

    Business and Professions Code sections 2051 and :t052 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

    jurisdiction shall not be considered non-practice. A Board-ordered suspension of practice shall

    not be considered as a period of non-practice.

    25 In the event respondent's period of non-practice while on probation exceeds 18 calendar:

    26 months, respondent all successfully complete a clinical training program that meets the criteria of

    27 Condition 18 ofthe current version ofthe Board's "Manual ofModel Disciplinary Orders and

    28 Disciplinary Guidelines" prior to resuming the practice of medicine.

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  • Respondent's period of non-practice while on probation shall not exceed two (2) years.

    2 Periods of non-practice will not apply to the reduction of the probationary term.

    3 Periods of non-practice will relieve respondent of the responsibility to comply with the

    4 probationary terms and conditions with the exception of this condition and the following terms

    5 and conditions of probation: Obey All Laws; and General Probation Requirements.

    6 12. COMPLETION OF PROBATION Respondent shall comply with all financial

    7 obligations (e.g., cost recovery, restitution, probation costs) not later than 120 calendar days prior

    8 to the completion of probation. Upon successful completion of probation, respondent's certificate

    9 shall be fully restored.

    10 13. VIOLATION OF PROBATION Failure to fully comply with any term or

    11 condition of probation is a violation of probation. If respondent violates probation in any respect,

    12 the Division, after giving respondent notice and the opportunity to be heard, may revoke

    13 probation and carry out the disciplinary order that was stayed. If an Accusation, Petition to

    14 Revoke Probation, or an Interim Suspension Order is filed against respondent during probation,

    15 the Division shall have continuing jurisdiction until the matter is final, and the period of probation

    16 shall be extended until the matter is final.

    17 14. LICENSE SURRENDER Following the effective date of this Decision, if ,. 18 respondent ceases practicing due to retirement, or health reasons or is otherwise unable to satisfy

    19 the terms and conditions of probation, respondent may request to surrender his or her license.

    20 The Board reserves the right to evaluate respondent's request and to exercise its discretion, in

    21 determining whether or not to grant the request, or to take any other action deemed appropriate

    22 and reasonable under the circumstances. Upon formal acceptance of the surrender, respondent

    23 shall within 15 calendar days deliver respondent's wallet and wall certificate to the Division or its

    24 designee and respondent shal\ no longer practice medicine. Respondent will no longer be subject ""

    25 to the terms and conditions of probation. If respondent re-applies for a medical license, the

    26 application shall be treated as a petition for reinstatement of a revoked certificate.

    27 15. PROBATION MONITORING COSTS Respondent shall pay the costs associated

    28 with probation monitoring each and every year of probation, as designated by the Board, which

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  • 1 may be adjusted on an annual basis. Such costs shall be payable to the Medical Board of

    2 California and delivered to the Division or its designee no later than January 31 of each calendar

    3 year.

    4 ACCEPTANCE

    5 I have carefully read the above Stipulated Settlement and Disciplinary Order and have fully

    6 discussed it with my attorney, Lynn Hubbard III. I understand the stipulation and the effect it will

    7 have on my Physician and Surgeon's Certificate. I enter into this Stipulated Settlement and

    8 Disciplinary Order voluntarily, knowingly, and intelligently, and agree to be bound by the

    9 Decision and Order of the Medical Board of California.

    10

    11 DATED:

    DAVID ELLIOT ALTMAN, M.D. Respondent 12

    13 I have read and fully discussed with Respondent David Elliot Altman, M.D. the terms and

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    conditions and other matters contained in the above Stipulated Settlement and Disciplinary Order.

    I approve its form and content.

    DATED:

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    Lynn Hubbard III Attorney for Respondent

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  • 03113/2012 16:33 FAX 9163272247 141011

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    may be adjusted on an annual basis. Such.costs shall be payable to the Medical Board of

    California and delivered to the Division or its designee no later than January 31 of each calendar

    year.

    ACCEPTANCE

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    I have carefully read the above Stipulated Settlement and Disciplinary Order and have fully

    discussed it with my attorney, Lynn Hubbard III. I understand the stipulation and the effect it will

    have on my Physician and Surgeon's Certificate. [enter into this Stipulated Settlement and

    Disciplinary Order voluntarily, knowingly, and intelligently, and agree to be bound by the

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    Decision and Order ofthe Medical Board of California.

    DATED: 9;;;J rc !JJ1;;;; 12

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    I have read and fully discussed with Respondent David Elliot Altman, M.D. the terms and

    conditions and other matters contained in the above Stipulated Settlement and Disciplinary Order.

    I approve its form and content.

    DATED: ~\\11\ \r 18 \.1//

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    Attorney for Respondent

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    STIPULATED SETTLEMENT (02-2008-194793)

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    ENDORSEMENT

    The foregoing Stipulated Settlement and Disciplinary Order is hereby respectfully

    submitted for consideration by the Medical Board of California of the Department of Consumer

    Affairs.

    Dated: March 8, 2012

    SA2010101557 10855503.docx

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    KAMALA D. HARRIS Attorney General of California GAIL M. HEPPELL Supervising Deputy Attorney General

    MARA FAUST Deputy Attorney General Attorneys for Complainant

  • Exhibit A ·flo

    Amended Accusation No. 02-2008-194793

  • 1 KAMALA D. HARRIS Attorney General of California

    2 GAIL M. HEPPELL Supervising Deputy Attorney General

    3 MARA FAUST Deputy Attorney General

    4 State Bar No. 111729 1300 I Street, Suite 125

    5 P.O. Box 944255 Sacramento, CA 94244-2550

    6 Telephone: (916) 324-5358 Facsimile: (916) 327-2247

    7

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    Attorneys for Complainant

    BEFORE THE

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    MEDICAL BOARD OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS

    STATE OF CALIFORNIA

    12 In the Matter of the Accusation Against:

    13 DAVID ELLIOT ALTMAN, M.D. 20 Constitution Drive, #B

    14 Chico, CA 95973-4906

    Physician's and Surgeon's No. 034377

    Case No. 02-2008-194793

    AMENDED ACCUSATION

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    Respondent.

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    Complainant alleges:

    PARTIES

    20 1. Linda K. Whitney (Complainant) brings this Accusation solely in her official capacity

    21 as the Executive Director of the Medical Board of California, Department of Consumer Affairs.

    22 2. On or about June 25, 1977, the Medical Board of California issued Physician and

    23 Surgeon's Number G34377 to David Elliot Altman, M.D. (Respondent). Said license expires on

    24; · May 31, 2012 .unless otherwise renewed. ~

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    2 3.

    JURISDICTION

    This Accusation is brought before the Medical Board of California (Board),

    3 Department of Consumer Affairs, under the authority of the following laws. All section

    4 references are to the Business and Professions Code unless otherwise indicated.

    5 4. Section 2266 of the Code states:

    6 "The failure of a physician and surgeon to maintain adequate and accurate records relating

    7 to the provision of services to their patients constitutes unprofessional conduct."

    8 5. Section 2234 of the Code states:

    9 "The Division of Medical Quality 1shall take action against any licensee who is charged

    10 with unprofessional conduct. In addition to other provisions of this article, unprofessional

    11 conduct includes, but is not limited to, the following:

    12 "(a) Violating or attempting to violate, directly or indirectly, assisting in or abetting

    13 the violation of, or conspiring to violate any provision of this chapter [Chapter 5, the

    14 Medical Practice Act].

    15 "(b) Gross negligence."

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    20 6.

    "(f) Any action or conduct which would have warrantedthe denial of a certificate."

    ""' . FIRST CAUSE FOR DISCIPLINE (Gross Negligence-Failure to maintain Records for Patient TB)

    (Bus. & Prof. Code section 2234(b))

    Respondent is subject to disciplinary action under section 2234(b) in that he failed to

    21 adequately document his care and treatment of female patient TB from January 4, 2007 through

    22 March 25, 2008. The circumstances are as follows:

    23 7. On or about and between January 4, 2007 and March 25, 2008, Respondent failed to

    24 document for patient TB' s visits, her chief complaint, her history of present illness, a review of .. 25

    26

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    1 California Business and Professions Code section 2002, as amended and effective January 1, 2008, provides that, unless otherwise expressly provided, the term "board" as used in the State Medical Practice Act (Cal. Bus & Prof Code, sections 2000, et seq.) means the "Medical Board of California," and references to the "Division of Medical Quality" and "Division of Licensing" in the Act or any other provision of law shall be deemed to refer to the Board.

    2

  • her systems, whether a physical examination was done, and what was the assessment and plan. In

    2 addition, during the same above referenced time frame, Respondent failed to document TB' s

    3 requests for early refills, her suicide threats, and TB's other aberrant and/or unusual behavior.

    4 SECOND CAUSE FOR DISCIPLINE (Failure to Maintain Adequate Records-Patient TB)

    5 (Bus. & Prof. Code section 2266)

    6 8. Complainant realleges paragraph 7 above, and incorporates it by reference herein as

    7 fully set forth.

    8 9. Respondent is subject to disciplinary action under section 2266 in that he failed to

    9 maintain adequate and accurate records relating to the provision of services by Respondent for

    10 patient TB.

    11 THIRD CAUSE FOR DISCIPLINE (Gross Negligence-Accepting Marijuana as a Gift or Payment from Patient TB)

    12 (Bus. & Prof. Code section 2234(b))

    13 10. Complainant realleges paragraph 7 above, and incorporates it by reference herein as

    14 fully set forth.

    15 11. Respondent is subject to disciplinary action under section 2234(b) in that he accepted

    16 a gift or payment of an eighth of an ounce of marijuana on one occasion from patient TB.

    17 FOURTH CAUSE FOR DISCIPLINE (Ger•ral Unprofessional Conduct-Inappropriate Comments Made to patient JFL)

    18 (Bus. & Prof. Code section 2234)

    19 12. Respondent is subject to disciplinary action under section 2234 in that he made

    20 inappropriate comments to patient JFL when Respondent was treating her on April 14, 2009. The

    21 circumstances are as follows:

    22 13. On or about April14, 2009, Respondent undertook the care and treatment of female

    23 patient JFL for back pain. Respondent gave the patient two injections in her shoulders.

    24 14. rouring the physical examination, Respondent told her to exhale hard like a really •

    25 good blow job. Just before Respondent gave this patient her injections in her shoulders, he told

    26 her that "everyone else was cutting their shit with baking soda, so we do too." Such statements

    27 collectively constitute general unprofessional conduct.

    28 ///

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    FIFTH CAUSE FOR DISCIPLINE (Gross Negligence-Failure to Maintain records for patient JFL)

    (Bus. & Prof. Code section 2234(b))

    3 14. Complainant realleges paragraph 13 above, and incorporates it by reference herein as

    4 fully set forth.

    5 15. Respondent is subject to disciplinary action under section 2234(b) in that that he

    6 failed to adequately document his care and treatment of female patient JFL on April 14, 2009.

    7 The circumstances are as follows:

    8 16. On or about April 14, 2009, Respondent failed to adequately document the patient's

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    chief complaint, history, review of systems in a physical exam.

    SIXTH CAUSE FOR DISCIPLINE (Failure to maintain adequate records for Patient JFL)

    (Bus. & Prof. Code section 2266)

    12 17. Complainant realleges paragraph 13 above, and incorporates it by reference herein as

    13 fully set forth

    14 18. Respondent is subject to disciplinary action under section 2266 in that he failed to

    15 adequately document his care and treatment of female patient JFL on April 14, 2009. The

    16 circumstances are as follows:

    17 19. On or about April 14, 2009, Respondent failed to adequately document the patient's \,.

    18 chief complaint, history, review of systems in a physical exam.

    19 PRAYER

    20 WHEREFORE, Complainant requests that a hearing be held on the matters herein alleged,

    21 and that following the hearing, the Medical B,oard of California issue a decision:

    22 1. Revoking or suspending Physician and Surgeon's Number G34377, issued to David

    23 Elliot Altman, M.D.

    24 Revoking, suspending or denying approval of David Elliot Altman, M.D.'s authority to ~

    25 supervise physician assistants, pursuant to section 3527 of the Code;

    26 Ill

    27 Ill

    28 Ill

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    2. If placed on probation, ordering David Elliot Altman, M.D. to pay the Medical Board

    of California the costs of probation monitoring;

    3. Taking such other and further action as deemed necessary and proper.

    DATED: _ __.£_3+-/.!._J'--f---13//_?. __ _ I I

    SA2010101557 1 0855523.doc

    LINDA K. WHITNEY Executive Director Medical Board of California Department of Consumer Affairs State of California Complainant

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