2 0 1 6
A
N
N
R
E
P
U A
O
R
L
T
About the Federation of
State Medical Boards
The 10th Amendment of the
United States Constitution authorizes
states to establish laws and
regulations protecting the health, safety
and general welfare of their citizens.
To protect the public from the
unprofessional, improper, unlawful or
incompetent practice of medicine,
each of the states and territories
making up the United States has a
Medical Practice Act that defines the
practice of medicine within their
borders and delegates the authority
to enforce the law to a state
medical board.
The FSMB represents the 70 medical
and osteopathic boards — commonly
referred to as state medical boards —
within the United States, including its
territories and the District of Columbia.
It assists these boards as they go
about their mandate of protecting
the public’s health, safety and
welfare through proper licensing
and disciplining of physicians and,
in some jurisdictions, physician
assistants and other health
care professionals.
WHAT IS THE
VALUE
OF AN ORGANIZATION?
It begins with vision and purpose.
It is carried forward by commitment and dedication.
It is judged by the impact we have on those we serve.
This annual report of the Federation of State Medical Boards highlights
our efforts over the last year in building VALUE — for our members,
for other stakeholder organizations, and for the public.
CONTENTS
2
Letter to Stakeholders
4
The Value of Medical Regulation
6
The Value of Federation Membership
8
The Value of Operational Excellence
10
Advocacy
14
Data Services and Research
18
Education and Policy
22
Communications
24
FSMB Foundation
26
FSMB Leadership
27
Committees and Workgroups
32 Members of the Federation of State Medical Boards
TO O U R S TA K E HO L D E R S
The FSMB is in a strong position in 2016, having significantly
Fourth, the value of FSMB’s products and initiatives: Creating
expanded its role in recent years as a leader in health care—
value day-to-day means offering outstanding products and
both in the United States and globally.
services. In this report you will learn of many exciting new
initiatives and developments in our three major operational
Much of our success has been the result of well established
centers, where much progress was made over the last year:
partnerships and strategic outreach in search of new
collaborative relationships with others, which we consider an
essential part of the FSMB’s long-term vision.
IN A WORLD I N WHI CH THE
As we examine our relationships, it becomes clear that their
OPPORTUNI TI ES FOR COLLABORAT ION
strength and effectiveness relies upon our capacity for delivering
consistent value. In a world in which the opportunities for
collaboration abound, the advantages and benefits we offer
to others must be clearly stated and widely understood.
For that reason, we have chosen “Building Value” as the
BENEFITS WE OFFER
ABOUND, THE ADVANTAGES AND
theme for this year’s annual report.
TO OTHERS MUST BE CLEARLY STAT ED
Though we have a diverse strategic agenda, each of our goals
AND WI DELY UNDERSTOOD.
has a common endpoint: the delivery of value to our stakeholders—from our strategic partners and Federation members to
peer organizations and the public.
Advocacy: The innovative Interstate Medical Licensure
Compact continued to pick up state support in 2015-16,
Our 2016 Annual Report examines the concept of value in
with a total of 12 states now participating and many more
several dimensions:
considering enactment. In Washington, D.C., we continued
vigorous advocacy for state-based medical regulation and built
First, the value of state-based medical regulation—and how
new partnerships in our efforts to reduce opioid prescription
the public benefits from a well-functioning regulatory system:
abuse, ensure patient safety in telehealth and address
On page 5, we provide a snapshot of how our state medical
standards for newly emerging issues, such as the use of
boards go about protecting patients and how they are working
marijuana in treating patients. Please see page 10.
together to improve their effectiveness.
Data and Research: With the FSMB’s major investments in
Second, the value of membership in the FSMB: As one of the
information technology beginning to yield benefits, we have
FSMB’s six formal strategic priorities, the goal of providing out-
begun focusing on how to make our improved databases more
standing service to our member boards is being addressed on
accessible and usable by our partners and the public.
many levels. On page 7, we provide examples of the benefits
We also gained new online efficiencies in the Federation
that accrue from Federation membership.
Credentials Verification Service (FCVS), the Uniform Application
(UA), the United States Medical Licensing Examination
Third, the value of organizational excellence: In recent years,
(USMLE) and other FSMB services—saving time and effort for
the FSMB has implemented many changes internally—from
users. And our Research Department served state boards with
the structure of our senior management team to new work-flow
new survey and data-mining projects. Please see page 14.
processes and major investments in cutting-edge technology.
All of these improvements add to our capacity to deliver value,
Education: 2015 proved to be a milestone year in our
and their impact is noted on page 9.
educational efforts, as we attained certification as an
2 | FSMB • BUILDING VALUE | 2 0 1 6
accredited provider of Continuing Medical Education (CME).
Our flagship publication, the Journal of Medical Regulation
(JMR) made significant progress during the year in its effort to
raise its visibility and attract new contributors and readers—
including publication of its first-ever special issue on international
regulatory topics. And several new policy-development teams
began work on issues ranging from telemedicine consultation
to the regulation of team-based care. Please see page 18.
Also featured in this report are updates from the FSMB’s
Communications Department, which advanced the work
of state medical boards in the media (page 22), and the
FSMB Foundation, which offered new grant opportunities
for state medical boards in 2015-16 (page 24).
As we begin the second year of our new 2015-2020 Strategic
Plan, we are steadfastly focused on our six major imperatives:
supporting the work of state medical boards; serving as
a leader in regulatory advocacy and policy; strengthening
partnership among state medical boards and expanding our
collaborative relationships; providing educational tools and
resources for state boards and information for the public;
building our organizational strength; and expanding our
data-sharing and research capabilities.
In pursuing our strategic agenda, we will remain committed to
delivering value in all that we do. The FSMB is well positioned
for success, and we anticipate continued progress on the various
initiatives shared in this report during the year to come.
As always, we end by saluting those who make all of our annual
achievements possible: the dedicated public servants who
THOUGH WE HAVE A DIVERSE STRAT EGIC
serve on, and work for, our 70 member boards, our FSMB staff,
elected leadership and volunteers. To all of them we express
our deep thanks and gratitude; their hard work and contributions
are the source of our achievements as an organization.
James Daniel Gifford, MD, FACP
Chair, Board of Directors
AGENDA, EACH OF OUR GOALS HAS A
COM M ON ENDPOINT: THE DELIVERY OF
VALUE TO OUR STAKEHOLDERS
Humayun J. Chaudhry, DO, MACP, MACOI
President and CEO
FSMB • BUILDING VALUE | 2 0 1 6 | 3
MEDICAL R EGULATION
T H E VALU E OF
“
State medical boards play an important
role in our health care system and help
protect patient safety through their
oversight of licensure, regulation, and the
continuing medical education of physicians.
Tejal K. Gandhi, MD, MPH, CPPS
President and Chief Executive Officer
National Patient Safety Foundation
D E L I V E R I N G VA L U E
State medical boards operate in a variety of
capacities to protect the public, including:
 Overseeing the process of issuing licenses to
ensure only qualified physicians practice
 Disciplining physicians who harm patients —
including revoking licenses
 Providing guidelines for physicians that improve
the overall quality of medical practice
 Maintaining public databases that help patients
learn about physicians before seeking care
 Sharing information with each other to prevent
4 | FSMB • BUILDING VALUE | 2 0 1 6
harmful physicians from staying in practice
”
•
State Medical Boards play a vital role in protecting patients from harm
From licensing to disciplining, states have a
range of tools to ensure safe medical practice
guaranteeing them local
To protect the public from the unprofessional, improper and
While they are independent,
incompetent practice of medicine, each of the 50 states, the
medical boards are also
District of Columbia, and the U.S. territories have enacted
connected in a variety of
laws and regulations that govern the practice of medicine and
ways that extend the impact
outline the responsibility of state medical boards to regulate
of their work across state
that practice. The responsibility of the states to protect citi-
borders — adding an
zens in this way is authorized in the 10th Amendment of the
additional layer of protection
United States Constitution.
for the public.
Every day, all over the nation, individuals affiliated with state
For more than 100 years,
medical boards go about the task of fulfilling this responsibility.
the nation’s state medical
Their work includes ensuring that physicians have sufficient
boards have shared informa-
skills to practice medicine, that they are keeping up with the
tion and coordinated their
medical profession as it evolves, and that those who do not
activities as members of the Federation of State Medical
meet accepted standards are disciplined, rehabilitated, or
Boards (FSMB) — an organization that helps ensure best
removed from practice.
practices and higher standards of quality in the regulation
State medical boards are typically made up of volunteer
control and oversight.
Giving Patients a Voice:
State medical and
osteopathic board leaders
play a vital public role by
enforcing basic standards
of competence and ethical
behavior among physicians.
of physicians.
physicians and members of the public who are, in most cases,
The FSMB serves as a convening forum for the boards, with a
appointed by the governor. In recent decades, non-physician
formal House of Delegates that shapes policy, facilitates the
board members — often referred to as “public members” —
sharing of information, and provides education to help boards
have become common.
operate at the highest levels of effectiveness.
All state medical boards issue licenses for the general
In recent years, state boards have become more intercon-
practice of medicine, and in many states, physician assistants
nected via the FSMB than ever before, working in new ways to
and other health care professionals are also licensed and
share information about disciplined physicians, expedite the
regulated by medical boards in addition to physicians.
licensing of physicians, and develop policies to address
After physicians are licensed, they must renew their license
periodically, usually every one or two years, to continue their
active status. During this license renewal process, physicians
must demonstrate that they have maintained acceptable stan-
common issues. This includes sharing alerts about disciplined
physicians using the FSMB’s robust database of U.S.
physicians and creating new multi-state agreements to better
coordinate physician licensing.
dards of ethics and medical practice and have not engaged in
Through the FSMB, this closely coordinated network of state
improper conduct. In nearly all states, physicians must also
boards has built strong new partnerships with a wide variety of
show that they have participated in a program of continuing
national health-related organizations and government agencies
medical education.
to maximize their efforts to protect the public. State boards
This basic process — checking to ensure physicians have
been properly trained, licensing and monitoring them, and
work more closely today with external partner-organizations
than ever before.
disciplining them when needed — is the same for all
This unique heritage of state autonomy, combined with national
of the nation’s medical boards. But as a state-mandated
interconnection through a formal federation of state boards
responsibility, each board generally has autonomy and control
and engagement with national health-care partners, has
over its own process — thus preserving the basic rights
created a system of regulation that meets local needs while
ensured for states and territories by our Constitution and
ensuring high standards of patient protection throughout the U.S.
FSMB • BUILDING VALUE | 2 0 1 6 | 5
FederatioN Membership
“
T H E VALU E OF
Federation membership brings extremely
valuable services. The Hawaii Medical Board
has worked closely with the FSMB, and our
interactions have always been very
informative and beneficial -— not just for the
Board, but for the State of Hawaii as well.
Ahlani K. Quiogue
Executive Officer
Hawaii Medical Board
D E L I V E R I N G VA L U E
Just a few examples of how the FSMB is
serving its member boards include:
 Providing help to boards in tracking legislation
and policy impacting them at both the state
and federal level
 Researching issues and providing data for
© 2011 Federation of State Medical
© 2011
Boards
Federation of State Medical Boards
boards as they develop their own policies
and guidelines
 Offering free orientation and training for new
state board executives, as well as media
coaching and training
 Analyzing data for states so they can
improve their licensure processes
 Offering free access to the Journal of
6 | FSMB • BUILDING VALUE | 2 0 1 6
Medical Regulation, Regulatory Trends and
Actions Report and other publications
”
•
Strengthening a community: FSMB prioritizes service to its member boards
Many Benefits to Federation Membership
The FSMB adopted a new strategic plan in 2015, highlighting
six areas of focus to guide the organization between the years
2015 and 2020. Of its new strategic imperatives, the FSMB
has placed its highest priority on providing state medical
board support ­— that is, serving state boards by promoting
best practices and providing policies, advocacy, and other
resources that add to their effectiveness.
Building Partnerships: The FSMB strives to create teamwork and
synergy among state boards through its State Medical Boards
Liaison Program. In 2015-16, FSMB Board members visited 16
boards, including a meeting with medical regulators in New York.
As it works to provide value as an organization, the FSMB is
committed at the highest level to the success of its member
and federal legislators — and provides briefing materials for
boards — and to ensuring they receive maximum benefit from
them on key state issues.
their affiliation as members of the Federation.
Data Access: One of the most extensive advantages of
Here are just a few examples of how the FSMB strives to provide
Federation membership is access to data. Member boards have
value through services and products for its member boards:
the ability to share and receive data on a 24/7 basis through
Staff Training: The FSMB offers expense-free training and
comprehensive orientation sessions for new executives
of state medical boards, helping them get up to speed on
emerging issues as they begin their work and directing them
to resources that can help their boards. In 2015, the FSMB
the FSMB’s robust Physician Data Center — which includes
information on every licensed physician in the United States.
This includes access to alerts about physicians who have been
disciplined and may be trying to evade detection. State boards
queried the FSMB’s Data Center more than 89,000 times in 2015.
provided training for senior executives from 10 boards. The
Credentials Verification: Member boards who utilize the
FSMB also provides free media training and assistance.
FSMB’s Federation Credentials Verification Service (FCVS)
Legal Services: The FSMB provides ongoing free legal research and consultation for its member boards, and absorbs
the expense of preparing and filing amicus briefs for them in
court when requested — providing a significant cost savings.
Policy Assistance: We develop model policies and identify
best practices for state boards, as well as conducting policy
research for them. Many state boards lack the dedicated staff
and financial resources to conduct such activities.
save significant time and expense in the process required to
ensure physicians have proper credentials. The FSMB keeps
a repository of credentialing information that benefits both
member boards and the physicians and physician assistants
they license.
Educational Resources: As an accredited Continuing Medical
Education (CME) provider, the FSMB provides free CME
accreditation for state boards that need it for a special event
or educational resource, saving significant costs. Through its
Legislative Monitoring and Advocacy Support: To keep member
Annual Meeting and other events, the FSMB also offers
boards ahead of legislative developments that may affect
extensive educational content for regulators. FSMB members
them, the FSMB monitors and reports regulatory and legisla-
receive complimentary subscriptions and access to the
tive activity at the local, state and federal levels. The FSMB’s
Journal of Medical Regulation and other publications.
advocacy team also facilitates contact between state boards
Research Services: The FSMB’s Research Department
provides customized data searches for member boards, and can
Addressing State Board Needs: The FSMB has developed a suite
of products and services that help state regulators administer
their duties more efficiently — including streamlining licensure processes for licensees.
A l a b a m a | A l a s k a | A r i z o n a | A r k a n s a s | C a l i f o r n i a | C o l o r a d o | C o n n e c t i c u t | D e l awa r e | D i s t r i c t o f C o l u m b i a | F l o r i d a | G e o r g i a | G u a m |
Protecting
Advocating
Serving
H awa ii | I d a h o | I l l in oi s | I nd i a n a | I o wa | K a n s a s | K e n t u c k y | Lo u i si a n a | M a ine | M a ry l a nd | M a s s a c h u se t t s | M i c hi g a n | M inne s ota |
organize customized surveys and other research projects for
them as they address state issues and trends.
Grants and Programming Assistance: The FSMB provides
M i s s i s s i p p i | M i s s o u r i | M o n ta n a | N e b r a s k a | N e va d a | N e w H a m p s h i r e | N e w J e r s e y | N e w M e x i c o | N e w Yo r k | N o rt h e r n M a r i a n a
A l a b a m a | A l a s k a | A r i z o n a | A r k a n s a s | C a l i f o r n i a | C o l o r a d o | C o n n e c t i c u t | D e l awa r e | D i s t r i c t o f C o l u m b i a | F l o r i d a | G e o r g i a | G u a m |
I s l a n d s | N o rt h C a r o l i n a | N o rt h D a k o ta | O h i o | O k l a h o m a | O r e g o n | P e n n s y lva n i a | P u e rt o R i c o | R h o d e I s l a n d | S o u t h C a r o l i n a |
Protecting
Advocating
Serving
H awa ii | I d a h o | I l l in oi s | I nd i a n a | I o wa | K a n s a s | K e n t u c k y | Lo u i si a n a | M a ine | M a ry l a nd | M a s s a c h u se t t s | M i c hi g a n | M inne s ota |
S o u t h D a k o ta | T e n n e s s e e | T e x a s | U . S . V i r g i n I s l a n d s | U ta h | V e r m o n t | V i r g i n i a | Wa s h i n g t o n | W e s t V i r g i n i a | W i s c o n s i n | W y o m i n g
M i s s i s s i p p i | M i s s o u r i | M o n ta n a | N e b r a s k a | N e va d a | N e w H a m p s h i r e | N e w J e r s e y | N e w M e x i c o | N e w Yo r k | N o rt h e r n M a r i a n a
substantial grants and programming assistance to member boards
I s l a n d s | N o rt h C a r o l i n a | N o rt h D a k o ta | O h i o | O k l a h o m a | O r e g o n | P e n n s y lva n i a | P u e rt o R i c o | R h o d e I s l a n d | S o u t h C a r o l i n a |
S o u t h D a k o ta | T e n n e s s e e | T e x a s | U . S . V i r g i n I s l a n d s | U ta h | V e r m o n t | V i r g i n i a | Wa s h i n g t o n | W e s t V i r g i n i a | W i s c o n s i n | W y o m i n g
through its relationship with federal agencies such as SAMHSA, as
well as through its philanthropic arm, the FSMB Foundation.
UA
U N I F O R M A P P L I C AT I O N
FOR PHYSICIAN
S TAT E L I C E N S U R E
TheUniformApplicationforPhysicianState
Licensure(UA)isaweb-basedapplication
designed to simplify and streamline the medical
licensure process for physicians. The UA allows
Simplifying the Medical Licensure
Process for Physicians
FCVS
F E D E R AT I O N
CREDENTIALS
V E R I F I C AT I O N
S E RV I C E
MedEdConnect™:
Streamlining and improving
the verification process
BenefitsofUsingtheUA
• AgrowingnumberofstatesareusingtheUA.
Medicalschoolcredentialsplayanimportant
Twenty-three (23) states have implemented the Uniform
in ofa adopting
physician’s career, impacting
Application and others are at variousrole
levels
Save valuable staff time and resources
usingMedEdConnectTM
| 7
Operational E xcellence
“
T H E VALUE OF
Our new system promotes more
collaboration among FSMB team
members. Where we were previously
more segmented in our respective roles,
our duties are better integrated now
and this allows us to provide much
more seamless customer service.
Brandon Evans
Supervisor
Federation Credentials
Verification Service
”
D E L I V E R I N G VA L U E
The FSMB has launched an organization-wide
quality improvement focus as a part of its
strategic plan. Examples of recent progress include:
 Implemented the Lean Team quality
improvement concept for key FSMB support
teams, including FCVS staff
 Significantly improved delivery of FSMB products
and services through increased automation
and software updates
 Completed major redesign of staff workspaces
in Texas headquarters, improving teamwork,
information flow and productivity
 Reconfigured accounting and financial
88 || FSMB
FSMB •• BUILDING
BUILDING VALUE
VALUE || 22001166
planning practices for better forecasting and
fiscal efficiency
•
Putting a new emphasis on quality improvement yields results for FSMB
Innovations Improve Productivity
To produce value externally requires an organization to be
focused, disciplined and adaptable internally. In recent years,
the FSMB has put a strong emphasis on making organizational
changes designed to achieve this goal.
The FSMB is working at many levels to become more efficient,
to build stronger teams, to be fiscally strong and to create a
technology infrastructure that is adaptable and expandable.
These steps are helping it deliver outstanding service to its
stakeholders while allowing it to be resilient as the health care
and regulatory landscapes continue to shift and change.
Streamlining the Workspace: The FSMB completed a major
renovation of work stations at its Euless, Texas, headquarters
in 2015, creating more team-friendly operations and facilitating
greater connection and efficiency among staff.
Workspace Reconfiguration: Understanding that workspace
configuration plays a vital role in the productivity and work-lives
of staff, FSMB continued its multi-year project to update its
Through careful financial management, the FSMB ensures the
Euless, Texas, facilities and redesign workflow in 2015. During
stability of its operations, while keeping costs low for member
the last year, the FSMB completely overhauled workspaces
organizations. A significant portion of each dollar of revenue
for data and technology staff at its headquarters to improve
goes back directly to support services for state medical boards.
accuracy, efficiency, teamwork and innovation among employees.
Post-redesign studies of the new, innovative workspaces showed
an immediate and rapid rise in staff productivity as a result.
Fiscal Improvements: To improve operational effectiveness,
the FSMB’s Finance and Accounting team has worked with each
department in the organization to identify value and eliminate
waste. Accounting and financial-planning practices have been
Strong Fiscal Position: The FSMB Finance Committee has
worked closely with FSMB staff in recent years to help create
an environment for more effective financial forecasting and
streamlined and efficient fiscal processes.
reconfigured for better forecasting and efficiency. These staff
efforts, in concert with those of the Board of Directors and its
Finance, Audit, and Investment Committees, have yielded
significant cost reductions and bolstered FSMB’s fiscal stability.
Recent examples of how we are striving for operational
excellence include:
Lean Team Methodology: The FSMB has introduced Lean
Team planning – a corporate-planning concept that stresses
A Year in the Life of the FSMB: As the FSMB continues to
expand its service to Federation members and the public, it is
striving to ensure the highest level of quality and efficiency.
Volume of activity related to products and services is on the rise.
continuous updating of processes in order to ensure that non-
S A M P L I N G O F D ATA T R A N S A C T I O N S provided to, or on
value-producing activities and products are quickly identified
behalf of, state medical boards in 2015
and modified or eliminated. Software development teams, for
Area
example, recently implemented a new continuous-loop updating schedule for FSMB system apps, which has dramatically
Data category
Assessment Services Exam transcripts
Annual Volume
81,878
accelerated the pace of quality improvements.
USMLE administrations 145,558
Database System Updates: The FSMB has continued to make
FCVS
Credentialing profiles
major investments in technology and completed a system-wide
Physician Data Center Physician profiles
43,719
89,498
integration of its previously diverse data systems into a
single, integrated enterprise. This multi-million dollar effort
has changed the way FSMB works internally, by eliminating
redundant tasks and increasing staff efficiency.
S A M P L I N G O F C U S T O M E R S E R V I C E V O L U M E in 2015
Area
Telephone calls
Emails
Assessment Services 39,31512,000
FCVS
93,93322,607
FSMB • BUILDING VALUE | 2 0 1 6 | 9
ADVOCACY
T H E VALU E OF
“
the Interstate Medical Licensure Compact,
FSMB staff was an invaluable resource.
Regardless of the hour or the request,
the FSMB team was there to provide
whatever information or help we needed.
Sarah T. Blodgett
Acting Executive Director
New Hampshire Office of
Professional Licensure
and Certification
As our state considered adoption of
ACTION HIGHLIGHTS
In a busy year, the FSMB pushed major initiatives forward
and strengthened its partnerships and coalitions.
Advancing License Portability
Worked in partnership with state medical boards to advance the Interstate Medical Licensure Compact
Fighting Opioid Prescription Abuse
Began review and update of model policies on the
use of opioids in the treatment of pain
Strengthening State-based Regulation
Hosted a symposium and provided resources
to help state boards respond to Supreme Court’s
FTC/North Carolina antitrust ruling
Opposed federal legislation that sought to implement
nationalized licensing for health care providers
Promoting Global Best Practices
Expanded international collaborations
and outreach
Advocated for sharing of best practices and
10 | FSMB • BUILDING VALUE | 2 0 1 6
guidelines among global regulators
”
•
As health care rapidly changes, FSMB’s role as a state medical board advocate
is more important than ever
2015-16: A Milestone Year for the Interstate
Medical Licensure Compact
The Interstate Medical Licensure Compact — a grassroots
effort by state medical boards to streamline the medical
licensing process and to help facilitate the growth of telehealth
in the United States — took major strides forward in 2015-16,
Redesigned License Portability Website Launched: As a
part of its longstanding effort to increase the portability of
medical licenses across state borders, the FSMB launched
LicensePortability.org in 2014. In early 2016, the website was
redesigned, with new features to help build support for the
Interstate Medical Licensure Compact. The new website features
an interactive map and resources for states interested in
introducing Compact legislation. Model legislation is available
at the website for those considering participation.
with assistance from the FSMB.
The Compact is designed to significantly streamline the licensure process for physicians who wish to practice in multiple
states, while ensuring each state medical board’s regulatory
authority — thus helping physicians who utilize telehealth
technology to reach patients outside their own state’s borders.
As of the first week of April 2016, the Compact has been
enacted by 12 states and introduced in 14. In many state
Growing List of States Interested: States continue to express
legislatures that have approved the Compact, votes for
interest in joining the Compact. Those formally introducing
enactment have been either unanimous or heavily in favor.
legislation in recent months include Alaska, Arizona, Colorado,
Among highlights for the Compact over the last year:
Kansas, Maryland, Michigan, Mississippi, Nebraska, New
Interstate Medical Licensure Compact Commission Formed:
Hampshire, Oklahoma, Pennsylvania, Rhode Island, Vermont,
The administrative body of the Compact met for the first time
and Washington.
in October 2015, establishing the first structural features to
enable an expedited licensure process. Two appointed
Heightened Visibility: The Compact has received extensive
media coverage, from large outlets such as The New York
commissioners from each of the Compact member states
Times and the New England Journal of Medicine to regional and
serve on the Commission.
local newspapers. A White House report released in July 2015,
titled “Occupational Licensing: A Framework for Policymakers,”
Making the Case for the
Interstate Compact:
State and federal policy
makers were invited to a
special Washington, D.C.
briefing on the Interstate
Medical Licensure Compact
June 24, 2015, organized by
Compact member states and
the FSMB. U.S. Senator
John Barrasso, MD (R-Wyoming),
left, addressed the
briefing, strongly endorsing
the Compact.
included the Compact as an example of smart regulatory policy.
Endorsements of the Compact continue to be received from
medical boards, provider and patient advocacy organizations,
hospitals, physician groups and many others.
Federal Funding: In 2015, the FSMB was awarded $225,446
from the U.S. Health Resources and Services Administration
(HRSA) to operationalize the Interstate Medical Licensure
Compact Commission, and support states that have enacted
the Compact and expand the number of participating states.
Additional state enactments of the Compact are expected in 2016.
Expanding Access,
Protecting Patients:
The Interstate
Medical Licensure
Compact
Don’t be misguided!
A new, expedited pathway
to medical licensure
The Interstate Medical Licensure Compact offers
a new, expedited pathway to licensure for qualified
physicians who wish to practice in multiple states,
increasing access to health care for patients in
underserved or rural areas and allowing them to more
easily connect with medical experts through the use
of telemedicine technologies. Put simply, the Compact
makes it easier for physicians to obtain licenses to
practice in multiple states. At the same time, the
growing need to increase access to health care for individuals
in underserved or rural communities through the use of
telemedicine. Proponents of telemedicine have often cited
the time-consuming state-by-state licensure process required
for multiple-license holders as a key barrier to telemedicine’s
growth — the Compact will help overcome this hurdle.
Who will be eligible to seek licensure through
the Compact process?
To be eligible for entry into the Compact process, physicians
will have to possess a full and unrestricted license in a
Compact member state, be certified (or “grandfathered”)
MYTHS vs. FACTS about the
Interstate Medical Licensure Compact
A new, expedited pathway to medical licensure
The Interstate Medical Licensure Compact offers a
new, alternative expedited pathway to licensure for
qualified physicians who wish to practice in multiple
states, increasing access to health care for patients in
underserved or rural areas and facilitating the growth
of telemedicine.
MYTH 2: The Compact will take away the
disciplinary authority of your state’s medical board.
FALSE. Physicians participating in the Compact who treat patients
in any Compact state will be accountable to, and under the
jurisdiction of that state’s medical board, just as they are today
without the Compact.
MYTH 3: The Compact redefines “physician”
| 11
FSMB Advocacy Team Represents Needs of
State Boards in Nation’s Capital
Since it was launched in 2010, the FSMB’s Washington, D.C.
based advocacy team has expanded to become an integral part
of the FSMB’s strategic efforts on many fronts — from helping advance key policies to providing support for the legislative
needs of state medical board partners.
The team had a productive year in 2015-16, advocating for state
Busy Year for Washington, D.C. Advocacy Team:
The FSMB’s Washington, D.C. office is often called upon to offer
policy recommendations and testimony before Congress, federal
agencies and state legislatures. In 2015-16, the team played
a key role in helping advance the Interstate Compact and other
legislative agenda items of importance to state medical boards.
medical boards on a wide range of issues and striving to provide
maximum value with hands-on support. Among the highlights:
opportunity for state medical board leaders to share input
Capitol Hill Day: On October 8, 2015, the FSMB’s Board of
and ideas on how to approach regulation policies following
Directors — which represents diverse state medical boards
the Court’s decision.
from all over the country — gathered in Washington, D.C. for the
FSMB’s annual day of interaction with federal lawmakers and
their staffs. Board members met
with more than two dozen
Members of Congress and their
legislative aides to raise awareness of the Interstate Medical
Licensure Compact and to
New Policy Positions: The advocacy team, working with
representatives of state medical boards, helped develop
new policy statements from the FSMB on telemedicine
consultations and the use of marijuana in patient care.
Staff also helped move forward policy reports from FSMB
workgroups expected in 2016 and 2017, including guidance
on team-based regulation and opioid prescribing.
discuss issues, ranging from
Grassroots Advocacy: The FSMB’s Grassroots Advocacy
opioid prescription abuse to the
Network continued to grow in 2015-16, adding new members.
regulation of telehealth.
The FSMB increased the frequency and expanded the content
FTC/“Active Supervision”
of the Network’s electronic newsletter, Advocacy eNews, and
Monitoring: In the wake of
the U.S. Supreme Court’s
decision in North Carolina State
engaged Network members to help fight harmful legislation
in Congress — including the proposed TELEmedicine for
MEDicare Act of 2015.
Board of Dental Examiners v.
Federal Trade Commission, the
FSMB’s advocacy team has
been monitoring state legislation

that addresses the ruling and is
tracking follow-up opinions and
analysis. The Court ruled that
regulators must be “actively
supervised” by the state as they
go about their work, prompting
boards to carefully examine their
U.S. Senate Support:
Thirteen bipartisan U.S. Senators
sent a letter to the FSMB in
September 2015, praising
state-board efforts to streamline
physician licensing by formally
launching the Interstate Medical
Licensure Compact.
2016 Legislative Scorecard: FSMB Activities in Congress
current policies and governance
to ensure they are in compliance.
On March 8, 2016, FSMB


members helped coordinate the
this topic in Dallas, providing an
Endorsed the National All Schedules Prescription Electronic
Reporting (NASPER) Reauthorization Act of 2015, the
Creating Opportunities Now for Necessary and Effective
Care Technologies (CONNECT) for Health Act, and the
Primary Care Physician Reentry Act.
 Submitted testimony to the Senate Judiciary Subcommittee
on Antitrust, Competition, Policy and Consumer Rights on the subject of the U.S. Supreme Court’s North Carolina
State Board of Dental Examiners v. Federal Trade
Commission case.
advocacy and legal team
FSMB’s antitrust symposium on
Opposed the TELEmedicine for MEDicare Act of 2015,
strongly objecting to provisions that would have weakened
state oversight of medical licensure.
Submitted comments on policy and legislation to the
U.S. Senate Finance Committee Chronic Care Working Group and the U.S. Senate Veterans' Affairs Committee.
Finding New Strategic Partners and
Strengthening Relationships
One of the FSMB’s six major strategic goals is to “strengthen
participation and engagement among state medical boards and
expand collaborative relationships with national and international
organizations.” Over the last year, the FSMB accelerated this
effort by organizing outreach to new partners and strengthening
relationships with those already actively engaged in collaboration.
A small sampling of organizations and agencies the FSMB
consulted or worked together with at various levels over the last
The FSMB is also actively working with IAMRA to help plan the
next IAMRA biennial meeting, to be held in Australia in the fall
of 2016. FSMB President and CEO Humayun J. Chaudhry, DO,
MACP, is IAMRA’s Chair-elect. FSMB leadership was also
represented at meetings with the International Association for
Medical Education, the International Medical Education
Leadership Forum, the International Academy for CPD
Accreditation and other global organizations.
Second Tri-Regulator Symposium Focuses on
Team-based Care, Collaborative Regulation
year includes the Accreditation Council for Continuing Medical
The FSMB joined its close partners, the National Association of
Education, Accreditation Council for Graduate Medical
Boards of Pharmacy (NABP) and the National Council of State
Education, American Association of Osteopathic Examiners,
Boards of Nursing (NCSBN), to co-host the second Tri-Regulator
American College of Physicians, American Medical Associa-
Symposium October 6-7, 2015 in Arlington, Virginia.
tion, American Osteopathic Association, American Public
The three organizations, which represent boards that oversee
Health Association, Association of Osteopathic State Execu-
the licensing of the nation’s five million physicians, nurses and
tive Directors, Coalition for Physician Accountability, Council
pharmacists, joined together formally in 2011. Since then, the
of Medical Specialty Societies, Federation of State Physician
Collaborative has raised the profile of the state regulatory com-
Health Programs, U.S. Food and Drug Administration, Office
munity significantly and provided a more powerful platform for
of the National Coordinator for Health Information Technology,
addressing issues of mutual concern.
the U.S. Department of Defense — and many others.
The symposium was largely focused on two emerging concepts
that will impact the future of health care: team-based care delivery and collaborative regulation. In the fast-changing environment of medicine, the roles of physicians, nurses, and
pharmacists in the health care delivery model are shifting —
and the FSMB and its partners have
FSMB’s International Activities Strengthen
Connection Among Global Regulators
begun exploring new ways to better
As the Secretariat of the International Association of Medical
response. Nearly 150 leaders from
Regulatory Authorities (IAMRA), the FSMB is helping build a
strong global community of medical regulators — who share
information and best practices at a time when health policy
issues increasingly cross national borders.
coordinate regulatory policies in
THE
TRI-REGUL ATOR
SYMPOSIUM
the three regulatory sectors
participated in the symposium.
A third symposium is being planned
for July 2017.
Team-Based Care —
Collaborative Regulation
Hosted by
Federation of State Medical Boards (FSMB)
National Association of Boards of Pharmacy (NABP)
National Council of State Boards of Nursing (NCSBN)
In 2015-16, FSMB leaders worked closely with IAMRA to assist in
its strategic growth initiatives, which are yielding results: IAMRA
now includes 95 member organizations from 44 countries — a
growth rate of more than 20 percent in less than two years.
OCTOBER 6–7, 2015
The Ritz-Carlton Pentagon City, Arlington, VA
FSMB leaders played a key role at IAMRA’s Revalidation
Symposium, held in October 2015 in Montreal, where
international progress on new systems of Continuing Professional Development (CPD) was shared. Attendees at the meeting
received copies of the Journal of Medical Regulation’s special
issue devoted to international topics (see page 20).
Working Together: FSMB Chair J. Daniel Gifford, MD, FACP,
led a discussion on collaborative regulation during the
Tri-Regulator Symposium. FSMB • BUILDING VALUE | 2 0 1 6 | 13
R
DATA SERVICES + ESEARCH
T H E VALU E OF
“
The Credentials Verification process
is simple and straightforward. It’s good
to know all of these documents are in
one place. There’s no need to haul
my large file all around and resubmit it
over and over again.
”
John Dougherty, DO, FACOFP
Dean
College of Osteopathic Medicine
Touro University, Nevada
ACTION HIGHLIGHTS
The FSMB launched new data products in 2015-16
and achieved strong results in its ongoing initiative
to grow its data and research capabilities.
Using Data Strategically
Launched improved version of DocInfo service
for consumers — now offered free
Provided more than 12,000 data alerts to state
medical boards, highlighting disciplined physicians
Entered into new data-sharing agreements to
extend reach of FSMB impact
Improving Assessment Services
Streamlined physician examination processes
for USMLE and SPEX
Growing Credentials Verification
Passed 200,000 mark in credentials processed
Implemented significant online
14 | FSMB • BUILDING VALUE | 2 0 1 6
credentialing enhancements
•
The FSMB’s data-sharing and research activities provide a valuable
resource to state medical boards, the public and other stakeholders
Data Sharing: FSMB Projects Are Aimed at
Making Information More Accessible
The FSMB’s strategic, multi-year effort to improve its data
architecture and operations entered a new phase in 2015 with
a focus on data quality and accessibility. At the core of its
data system is the Physician Data Center (PDC), a central
repository of license and discipline information for more than
1 million physicians and physician assistants. In 2015,
Protecting
Advocating
the FSMB successfully processed 1,224 packets
of files
Serving
containing more than 56 million license records from state
A l a b a m a | A l a s k a | A r i z o n a | A r k a n s a s | C a l i f o r n i a | C o l o r a d o | C o n n e c t i c u t | D e l awa r e | D i s t r i c t o f C o l u m b i a | F l o r i d a | G e o r g i a | G u a m |
H awa ii | I d a h o | I l l in oi s | I nd i a n a | I o wa | K a n s a s | K e n t u c k y | Lo u i si a n a | M a ine | M a ry l a nd | M a s s a c h u se t t s | M i c hi g a n | M inne s ota |
Keeping Consumers in the Know:
The FSMB’s DocInfo service provides free information about
physicians — including practice details and disciplinary history.
M i s s i s s i p p i | M i s s o u r i | M o n ta n a | N e b r a s k a | N e va d a | N e w H a m p s h i r e | N e w J e r s e y | N e w M e x i c o | N e w Yo r k | N o rt h e r n M a r i a n a
I s l a n d s | N o rt h C a r o l i n a | N o rt h D a k o ta | O h i o | O k l a h o m a | O r e g o n | P e n n s y lva n i a | P u e rt o R i c o | R h o d e I s l a n d | S o u t h C a r o l i n a |
S o u t h D a k o ta | T e n n e s s e e | T e x a s | U . S . V i r g i n I s l a n d s | U ta h | V e r m o n t | V i r g i n i a | Wa s h i n g t o n | W e s t V i r g i n i a | W i s c o n s i n | W y o m i n g
Now serving as a
boards in the United States
and
Puerto Rico. State boards
display agent for ABMS
board certification.
queried the PDC nearly 90,000
times in 2015.
PDC
Web portal for State Medical Boards: The FSMB has launched a
new initiative to streamline the process of data submission and
retrieval for its member boards. The SMB Portal project will
provide “one stop shopping” for state medical boards, making
PHYSICIAN
D ATA
CENTER
The New Physician Data Center Application:
More convenient, faster queries with
enhanced tools and payment options
Credentialing professionals have trusted the
quality of our data for more than 100 years.
Now, we’ve completely updated the look and
functionality of the Physician Data Center (PDC)
—making it easier to use than ever before.
You now have more convenient access to our
comprehensive repository of licensure and
sanction data provided by state medical boards,
the U.S. Department of Health and Human Services,
and a growing number of international
regulatory agencies.
The new, more convenient PDC application features:
• InstantReporting
Immediate access to query results
• ContinuousAlertMonitoring
Enhanced notification options
• ExpandedAuditCapabilities
Comprehensive, “point in time” tracking
• InnovativeAccountManagementTools
Improved roster management with
customizable reporting
State boards also continued to successfully collaborate in
using the FSMB’s Disciplinary Alert Service — a key feature
of the PDC — to prevent disciplined physicians from practicing
undetected in new locations. The FSMB sent more than
Our Sources
• All State Medical Licensing Boards
• U.S. Department of Health and Human Services
• American Board of Medical Specialties
• Government regulatory entities
• A growing list of international licensing authorities,
including Canada, England, Australia and New Zealand
12,000 disciplinary alerts to state boards in 2015.
You’ll have immediate access* to all historical
board sanctions reported on medical professionals
Recent
enhancements to other FSMB systems include:
by our reporting entities, as well as extensive
licensure history, board certifications and
To get started, contact us today:
physician biographical data. We also provide
DocInfo:
For consumers, the FSMB
has
made
available
for more
Call (817)
868-4010
or email
[email protected]
subscribers with new state board sanctions alerts
to meet your continuous credentialing processes,
than
10 years a national database of consolidated physician
as well as a variety of notification options,
* Some queries may require additional processing and report access delays.
comprehensive audit controls, and reporting
licensure
and disciplinary information, known as DocInfo,
capabilities, eliminating the need for historical
reporting when re-credentialing.
which
includes data from the PDC. DocInfo provides details
such as license history, medical school attended, practice
PROTECTING THE PUBLIC WITH
RECOGNIZED BY:
H I G H S TA N D A R D S F O R M E D I C A L
LICENSURE AND PRACTICE
it possible for them to engage in a variety of transactions with a
single log-in to the system and within one operating environment.
Among the transactions that will be more easily accessible and
navigable will be obtaining reports about physicians from the
Physician Data Center, utilization of the FSMB’s Federation
Credentials Verification Service, and processing physician data
required for the Uniform Application and for acquiring USMLE
transcripts. Testing of the portal enhancements will begin in
late 2016.
New Partnerships Extend FSMB Data Impact
As a part of its strategic vision, the FSMB is seeking out new
engagements and collaborations with partner organizations —
including opportunities to share data. Two recent examples:
New Canadian – U.S. Partnership: With the increased mobility
location, specialty designation and whether or not a physician
of physicians across the United States, and now between
has been disciplined by a state medical board.
countries, the FSMB has reached out to Canada in an effort to
To better serve the public as it seeks information about
physicians, the FSMB revamped DocInfo in 2015 with a new,
modernized technical platform and simplified navigation —
making the service available to the public for free for the
first time.
DocInfo also now includes links to information about state
medical boards, educating the public about their purpose
and services.
share information to help protect the citizens of both countries.
Data-sharing agreements with the provinces of Ontario and
Alberta now provide for the exchange of licensure and disciplinary
information with the FSMB, including disciplinary action alerts.
Additional provinces are working toward sharing data with the FSMB.
Monitoring Osteopathic Medical School Faculty/Preceptors:
The FSMB has aligned with several osteopathic medical schools
to provide them with a disciplinary alert notice in the event that
one of their faculty members or preceptors has been disciplined
by a state medical or osteopathic medical board.
FSMB • BUILDING VALUE | 2 0 1 6 | 15
FCVS 2020 Initiative Moves Forward
with New Enhancements
The Federation Credentials Verification Service (FCVS), one
of the FSMB’s most impactful services for the physician
community, continued to add enhancements and improvements
State Boards Contribute to USMLE Quality:
State medical board members and staff meet continually to
offer advice and input in maintaining the integrity of the
USMLE examination process. More than 200 individuals from
58 medical and osteopathic boards have served since the
USMLE’s launch. Members of the USMLE Composite
Committee, above, exchanged ideas in June 2015.
for users in 2015 — resulting in increased customer
satisfaction and usage.
Now in its 19th year, FCVS is in the midst of a major initiative
to broaden its use and improve service, known as FCVS 2020.
The latest phase of this effort, which has included large-scale
technological improvements, is FCVS 3.0, which includes new
Physician Assessments: USMLE and
SPEX Processes Streamlined in 2015
The FSMB implemented new workflow processes in 2015 that
have yielded measurable improvements for administration of
enhancements that represent a “next generation” of FCVS.
FCVS 3.0 will offer greater process efficiency, faster verification
times, improved communication with physicians, and more
efficient access to records by state medical boards.
the United States Medical Licensing Examination (USMLE),
Improvements to FCVS include a workflow quality improvement
and the Special Purpose Examination (SPEX), two
initiative at the FSMB’s Texas headquarters that has
physician-examination services it offers in partnership with
fundamentally changed the way FCVS staff teams work together
the National Board of Medical Examiners (NBME).
(see story, page 9).
The process enhancements are part of the FSMB’s
Another highlight of FCVS 3.0 is a new electronic approach to
organization-wide effort to improve operational efficiency.
the notarization of documents, required by many state boards,
Highlights include:
which cuts down data entry time for physicians and physician
USMLE Step 3 Now Web-based: In the new system for USMLE
Step 3, registrations and transcript requests are now fully
assistants — reducing the time required for completion from
several days to roughly five minutes.
electronic and web-based, allowing staff to handle greater
A database of user-feedback is being compiled, which
volumes of information with more speed and efficiency.
indicates strong support for the new enhancements. State
Volume of activity in USMLE administration has increased
medical board members have also applauded the changes.
steadily since the test was launched just over two decades
More than 43,000 credential portfolios were processed in
ago: Work-flow improvements have made it possible to reduce
2015, as the percentage of U.S. physician licensees using
staff size from 27 in 1997 to less than 10 today. In 2015,
FCVS continues to climb. The service passed a major
FSMB staff processed approximately 32,000 USMLE Step 3
milestone in late 2015 when it processed its 200,000th
applications and 70,000 transcripts, and processed
credential portfolio.
approximately 12,000 emails and 40,000 phone calls.
Phase I of FCVS 3.0 rolled out in February 2016, with all
SPEX Transitions to Email: SPEX, which is designed to assess
phases scheduled to be complete by the end of the year.
the competency of physicians already in medical practice,
focused process improvements on its use of traditional mail
A l a b a m a | A l a s k a | A r i z o n a | A r k a n s a s | C a l i f o r n i a | C o l o r a d o | C o n n e c t i c u t | D e l awa r e | D i s t r i c t o f C o l u m b i a | F l o r i d a | G e o r g i a | G u a m |
Protecting
Advocating
Serving
H awa ii | I d a h o | I l l in oi s | I nd i a n a | I o wa | K a n s a s | K e n t u c k y | Lo u i si a n a | M a ine | M a ry l a nd | M a s s a c h u se t t s | M i c hi g a n | M inne s ota |
in 2015. By moving various pieces of the SPEX registration
process to email, the program reduced shipping and
M i s s i s s i p p i | M i s s o u r i | M o n ta n a | N e b r a s k a | N e va d a | N e w H a m p s h i r e | N e w J e r s e y | N e w M e x i c o | N e w Yo r k | N o rt h e r n M a r i a n a
I s l a n d s | N o rt h C a r o l i n a | N o rt h D a k o ta | O h i o | O k l a h o m a | O r e g o n | P e n n s y lva n i a | P u e rt o R i c o | R h o d e I s l a n d | S o u t h C a r o l i n a |
S o u t h D a k o ta | T e n n e s s e e | T e x a s | U . S . V i r g i n I s l a n d s | U ta h | V e r m o n t | V i r g i n i a | Wa s h i n g t o n | W e s t V i r g i n i a | W i s c o n s i n | W y o m i n g
printing costs, as well as staff time for mail preparation —
and improved communication with SPEX examinees. Since its
inception in 1988, more than 13,000 examinations have
been administered through SPEX.
16 | FSMB • BUILDING VALUE | 2 0 1 6
FCVS
F E D E R AT I O N
CREDENTIALS
V E R I F I C AT I O N
S E RV I C E
Technological advances in medicine, along with
governmental and economic pressures have
resulted in greater physician mobility than ever.
With the Federation Credentials Verification
Service (FCVS), physicians and physician
assistants have a fast and convenient way to
access academic and professional credentials.
Fast and convenient
credentials verification
for physicians
• Integration with the FSMB’s Uniform Application (UA).
Approximately 70% of applicant data for the UA is
pre-populated when the applicant uses FCVS.
Twenty-three states currently accept the UA for
physician state licensure.
• Streamlined Credentialing and Licensing Process.
FCVS documents can be used throughout your career for
FSMB Research Projects Shed New Light
The FSMB’s Research Department conducted valuable studies
in 2015-16, working with state medical boards and external
stakeholder organizations to help advance understanding
of key issues for the regulatory community.
Among the highlights of a busy year:
Improving relations with the DEA:
Fifty state medical boards participated
in a survey designed to help improve
UA Moves to New Online Platform
The Uniform Application for Physician State Licensure (UA),
an FSMB service designed to streamline physician licensure,
working relationships and the flow of
information between state boards and the
Drug Enforcement Administration (DEA).
transitioned to a new online platform in September 2015,
Disciplinary information for the FDA:
providing new features and enhancements for state
A research project undertaken for the
medical boards.
U.S. Food and Drug Administration provided national
Now used by 25 state medical and osteopathic boards and
more than 62,000 physicians, the UA uses a common license
trends in physician discipline related to prescribing and
controlled substances.
application between participating states, saving steps in
More efficient surveying: In an effort to better understand
the compilation of educational and training experience
the policy priorities and needs of state medical boards, and
documentation required for licensure. A customized addendum
to improve efficiency, the FSMB created a new, comprehensive
in the application allows participating boards to capture
survey instrument for state board staff in 2015. The new
unique state-level requirements — and is now transferable
survey allows state boards to provide detail about multiple
via UA’s new online platform.
policy topics in one setting rather than responding
Storing Physician Records
What happens when you are a physician and the residency
program that trained you no longer exists? How will you verify
your credentials, if needed?
to numerous surveys.
FSMB research collaborative: Researchers
from the FSMB, the University of California
in San Francisco, and the American Board
of Internal Medicine completed a study in
As a special service, the FSMB has maintained the records
2015 of U.S. internal medicine residents to
of 174 closed training programs accounting for 46,000
determine impacts of board certification vs. non-certification
physicians. In 2015, the FSMB issued 1,450 credentialing
in that specialty. Results were recently published in
verifications for physicians who attended a now-closed program.
Academic Medicine.
Partners in Assessment: In 2015, the FSMB participated in
a summit meeting with the National Board of Medical
Examiners (NBME) and the Educational Commission for
Foreign Medical Graduates (ECFMG) to ensure that their
respective policies and processes for the assessment of newly
graduated and already practicing physicians are well
integrated. These meetings are held every three years. Among
topics discussed in 2015 were the new Interstate Medical
Licensure Compact and emerging trends in competency-based
assessment and international medical education.
FSMB • BUILDING VALUE | 2 0 1 6 | 17
EDUCATIO N + PolICY
T H E VALU E OF
“
Workshop has provided the only
multi-day, high-quality continuing education
program specifically for medical board
attorneys. We get exactly what we need,
and it’s not available anywhere else.
Thomas W. Mansfield, JD
Chief Legal Officer
Legislative Liaison
North Carolina Medical Board
Since 2007 the FSMB’s Board Attorneys
”
ACTION HIGHLIGHTS
Educational and policy resources from the FSMB help ensure
state boards follow best practices in medical regulation.
Earning CME Accreditation
Became an officially accredited ACCME continuing medical
education provider; began offering free CME program sponsorship for member boards
Addressing Policy Issues
Launched new workgroups on emerging topics, including Marijuana and Medical Regulation, Team-based
Regulation, and Education about Medical Regulation
Offering Online Education
Provided online courses aimed at educating physicians about opioid prescribing abuse
Publishing New Studies
Increased research and educational articles in the
18 | FSMB • BUILDING VALUE | 2 0 1 6
Journal of Medical Regulation, including an expanded
single-issue edition on global trends
••
New milestones in 2015-16 as the FSMB expands its educational
New milestones in 2015-16 as the FSMB expands its educational
and policymaking footprint
and policymaking footprint
FSMB is Now an ACCME Accredited Provider —
Bringing Advantages for State Boards
The FSMB achieved an important milestone in 2015 when it
earned provisional accreditation as a provider of Continuing
Medical Education (CME) by the Accreditation Council for
Continuing Medical Education (ACCME). Provisional accreditation is the first tier of ACCME accreditation for initial applicants
and is good for a period of two years.
FSMB educational events, including its
Annual Meeting, were formerly
Expanding Educational Opportunities: As an accredited CME
provider, the FSMB will have new advantages in planning its
educational events for medical regulators.
organized in partnership with a CME
provider, but with its newly acquired
“ACCME accreditation is the ‘gold standard’ in medical educa-
accreditation, the FSMB will now gain
tion, offering assurance to both physicians and the public that
greater efficiency and flexibility in its
educational programming activities.
In addition, FSMB’s new status means it can offer free CME
accreditation as a service to state medical boards as they
seek to provide educational programming to their licensees,
as well as other partner and stakeholder organizations.
the CME activities provided by the FSMB will be of the highest
quality,” said FSMB President and CEO Humayun J. Chaudhry,
DO, MACP. “Our new status as an accredited CME provider
raises the bar in terms of the value we offer to all of our
member boards.”
The FSMB now joins a community of approximately 2,000 ac-
Discussions are underway with the National Board of Medical
credited organizations that offer more than 138,000 educa-
Examiners to accredit a sampling of its online-learning
tional activities each year, addressing health care issues at the
modules for medical assessment, for example.
national, regional and local levels.
2015 Annual Events Draw New Attendees
Hosting meetings that bring together regulators to share best
Annual Meeting: The FSMB’s 2015 Annual Meeting, held
practices is a core educational activity for the FSMB. Meeting
April 23-25 in Fort Worth, Texas, drew a significant increase in
successes in 2015 included:
the number of attendees who had never previously been to the
meeting — up by approximately 40 percent from 2014. More
than 400 participants gathered for the three-day meeting, themed
“Collaborating and Communicating: Tools for Success in Today’s
Complex Regulatory Environment.”
Board Attorneys Workshop: The FSMB’s ninth annual Board
Attorneys Workshop, held November 12-13 in Las Vegas, Nevada,
drew high attendance — due in part to growing interest in legal
trends impacting state medical boards. More than 70 participants
attended this year’s workshop, representing 28 states. The
Bringing Leaders Together: FSMB meetings annually draw members
of state medical and osteopathic boards from all over the nation —
and internationally — to share information and learn about emerging
trends. In recent years, the FSMB has begun offering live webcasts
of its Annual Meeting, above.
program included sessions on the Interstate Medical Licensure
Compact, working with Veterans Affairs (VA) and military
physicians, National Practitioners Data Bank reporting criteria,
and other topics.
| 19
JMR Continues Expansion of Content and Influence
The Journal of Medical Regulation, the FSMB’s scholarly
publication, expanded its content again in 2015, publishing
14 major articles and commentaries on a wide variety of topics
of interest to medical regulators.
JMR is in the midst of a new strategic
JMR
Jour nal
of
medic al
regul ation
VOLUME 101
NUMBER 3
2015
CRITICAL THINKING ON ISSUES
OF MEDICAL LICENSURE AND DISCIPLINE
The Challenges Facing Medical
Regulation Around the Globe
Preventing Harm and Promoting
Competence in an Era of Change
SPECIAL
EDITION
GLOBAL
TRENDS
I N M E D I C A L R E G U L AT I O N
ALSO IN THIS ISSUE
Research In Medical
Regulation: An Active
Demonstration
Of Accountability
The Patient’s Right
to Know
And Three Other
International Articles
A Global View:
JMR’s special international
theme in the fall of 2015
drew article submissions
from all over the world.
effort that calls for it to widen its
publishing base and grow its
Sharing Ideas:
In small-group sessions, participants at the FSMB’s
symposium discussed issues in the wake of the Supreme
Court’s antitrust ruling impacting regulatory boards.
visibility as an outlet for researchers
focusing on socio-legal and
The case established that the FTC was justified in restricting
regulatory issues. With a circulation
the North Carolina Board’s regulation of certain dental
that now includes thousands of
practices on antitrust grounds — a finding with striking
medical regulators, JMR is a prime
implications for medical regulation.
educational resource, providing
trend analysis, data, and thought
leadership on emerging issues.
In a well-attended forum on the Court’s ruling, hosted by the
FSMB in March 2016, regulators and legal experts gathered
in Dallas, Texas, to discuss legal ramifications, best practices
JMR highlights in 2015-16 included
in governance and other considerations facing boards as they
publication of a single-topic edition,
align their activities with new precedents established by the
devoted to international trends,
case. The FSMB will continue to offer educational resources to
which drew submissions from
help boards as they adjust to the ruling.
Australia, Canada, India, Pakistan,
and the United Kingdom. For the
third time, JMR served as the host
publication for the FSMB’s biennial
Census of Actively Licensed
Physicians in the United States.
FSMB Symposium on Supreme Court FTC Ruling
Helps Regulators Prepare for the Future
ruling in favor of the Federal Trade Commission (FTC) in
Online Education Course Focuses on
Internet Drug Sellers
North Carolina State Board of Dental Examiners v. Federal
As a part of its overall efforts to educate health professionals
Trade Commission, medical regulators are closely
about the dangers of opioid prescription abuse, the FSMB con-
examining their policies and governance — and the FSMB is
tinued to offer its online program “Internet Drug Sellers: What
providing assistance.
Providers Need To Know” in 2015-16, in collaboration with the
In the wake of the U.S. Supreme Court’s landmark 2015
Alliance for Safe Online Pharmacies.
The program, aimed at physicians and pharmacists, encourages
participants to discuss the risks and patient safety issues
involved with purchasing medications from a rogue Internet
pharmacy. It has been reported that 97% of Internet pharmacies
are illegal, selling prescription drugs without a valid prescription,
offering unregulated and potentially unsafe pharmaceuticals,
and/or lacking the required licenses. Participants in the
program receive one hour of AMA PRA Category 1 Credit™ or
one contact hour of continuing pharmacy education.
Participants shared ideas at the FSMB's antitrust symposium.
20 | FSMB • BUILDING VALUE | 2 0 1 6
A Busy Year for FSMB Policy Making:
Five Workgroups Developing New Ideas
Marijuana and Medical Regulation
Since its inception more than a century ago, the FSMB has
Workgroup on Marijuana and Medical
served as a national catalyst for discussions of emerging
Regulation developed model policy
issues in medical regulation. Hundreds of major policies,
guidelines regarding the use of marijuana
guidelines and position statements have been developed as
in patient care, including best practices
a result — all aimed squarely at improving or advancing the
when recommending marijuana. The
quality of health care and the safety of patients.
workgroup also developed a policy statement
In 2015-16, the wheels of FSMB policy-development were
particularly active, with five formal workgroups tackling key issues:
Chaired by Gregory B. Snyder, MD, the
regarding the regulation of licensees who
use marijuana recreationally.
Telemedicine Consultations
Opioid Treatment Guidelines
Chaired by Kenneth B. Simons, MD, the Workgroup on
Chaired by FSMB Chair J. Daniel Gifford, MD, FACP, the
Telemedicine Consultations sought common definitions for
Workgroup on FSMB’s “Model Policy on the Use of Opioid
physician-to-physician consultations, and how telemedicine
Analgesics in the Treatment of Chronic Pain” reviewed the current
technologies/devices might be
science for treating chronic
used in that context. Its work
pain with opioid analgesics and
included a comprehensive
began development of recom-
literature review of telemedicine
mendations to revise the Model
services and an examination
Policy as appropriate.
of models for the regulation
Physician Burnout
of physician-to-physician
In addition to these policy
consultations.
Team-Based Regulation
Chaired by Ralph C. Loomis, MD,
the Workgroup on Team-Based
Regulation is identifying best
state-based practices and
efforts, FSMB’s Ethics and
Raising Awareness of Medical Regulation: Among the
FSMB’s new workgroups and task forces is the Workgroup on
Education about Medical Regulation, above, which is working
to make medical students and residents more aware of the
work of state medical boards.
developing recommendations
Professionalism Committee,
chaired by FSMB Chair-elect
Arthur S. Hengerer, MD, FACS,
launched a new effort to review
policy on physician burnout —
which surveys show is a growing
for regulatory strategies that could achieve greater cooperation
issue. The committee also developed position statements on
and collaboration among health professional boards in carrying
issues such as physician advertising and practice drift.
out their shared
responsibility to protect the public. The workgroup is closely
studying delivery models that utilize interdisciplinary
collaboration and a team-based approach to patient care, and
how regulation could be conducted in this environment.
Education About Medical Regulation
Chaired by Patricia A. King, MD, PhD, FACP, the Workgroup on
Education about Medical Regulation is studying and developing
methods and delivery models that would best educate medical
students and residents about medical licensing and regulation,
including critical issues/problems relevant to young physicians.
The workgroup is focusing on tools and resources — including
educational-module concepts — that could be shared with
medical schools, residency programs and state medical boards.
Mounting Pressure: Physician burnout is growing as a serious
issue for the medical community. A special educational session
on burnout was offered at the FSMB's 2015 Annual Meeting in
Fort Worth, Texas, and the FSMB
is •actively
examining
the| topic.
FSMB
BUILDING
VALUE
2 0 1 6 | 21
COMMUNIC A TIONS
T H E VALU E OF
“
It makes it easy to keep track
of what’s going on with other
boards and I regularly mine the news clips for stories to share with
NCMB’s audiences.
Jean Fisher Brinkley
Communications Director
North Carolina Medical Board
FSMB eNews is a valuable resource.
”
ACTION HIGHLIGHTS
FSMB's communications activities helped raise the
visibility of state medical boards in 2015-16.
Publishing New Content
Expanded content in Journal of Medical Regulation
Building Audiences
Increased circulation of FSMB eNews to 5,200;
increased frequency of Advocacy eNews
Working with the Media
Assisted state medical boards in fielding inquiries
22 | FSMB • BUILDING VALUE | 2 0 1 6
from their local and regional media
•
Communicating the purpose and value of medical regulation is a priority
for the FSMB, which utilizes a wide range of platforms to get the job done
JMR
Jour na l
of
medic a l
r egu l ation
New FSMB Resource
for Improving
Physician-Patient
Communications
VOLUME 101
NUMBER 4
2015
CRITICAL THINKING ON ISSUES
OF MEDICAL LICENSURE AND DISCIPLINE
Federation of State Medical Boards of the United States, Inc.
Insightful Practice
B
eginning April 24 in Denver, participants at the 2014 FSMB Annual
Meeting will explore the theme “From
Policy to Action: Resources for Medical
Regulators.” More than 500 physicians
and public members from state medical
boards, staff members, and influential
leaders from governmental and health
care organizations are expected to
attend. The opening ceremonies of the
three-day program will be webcast to a
national audience.
Through keynote presentations, panel
discussions and networking opportunities,
the Annual Meeting will provide practical
information and professional tools to
help medical regulators stay ahead of the
curve. Featured speakers include:
Glenn
Regehr, PhD,
Professor in the
Department
of Surgery and
Associate Director of Research
for the Centre
for Health Education Scholar-
A Method to Address a Gap
in Medical Regulation
U.S. Medical Regulatory
Trends
A L S O I and
N T H I S Actions
ISSUE
Oversight of Medical
Care Quality:
Origins and Evolution
ship at the University of British Columbia. Widely recognized for his expertise
in medical education, Dr. Regehr has
consulted to a variety of health professional regulatory bodies across
North America regarding models of
continuing professional development.
Dr. Regehr will deliver the Dr. Herbert
Platter Lecture titled “Self-assessment,
Self-direction, Self-regulation and
Other Myths.”
Susan
Dentzer, Senior
Policy Adviser
at the Robert
Wood Johnson
Foundation,
the nation’s
largest health
and health care
philanthropy. A
national thought leader on health and
health policy, she is also an on-air analyst
on health issues for the PBS NewsHour.
Ms. Dentzer is an elected member of the
Institute of Medicine and the Council on
Foreign Relations, a fellow of both the
...continued on page 2
The FSMB Annual Meeting app will be live in late March
in advance of the April 24-26 meeting. Download the app
to have the most up-to-date schedule and speaker information. Also, find information about the Annual Meeting
sponsors and exhibitors and access select photos from last
year’s Annual Meeting. Download
the app on your mobile device or
iPad or by searching for FSMB Events
in iTunes and Google Play. Follow our Twitter handle
@theFSMB. We will be posting information about the
Annual Meeting, the Journal of Medical Regulation, our
products and services, and news that impacts medical
regulation and health care.
International News
The FSMB continued to increase its volume of electronic
communications in 2015-16, increasing the distribution
frequency of Advocacy eNews and Annual Meeting eNews, and
expanding its use of social media platforms — including Twitter.
Examples of poor communication
According to the resources available
on the website, examples of poor communication that can lead to complaints
include:
• A patient may find his or her physician’s tone insulting or dismissive.
• Inappropriate comments about a
patient’s appearance or anatomical
features unrelated to the patient’s
health.
• Incomplete communication about
possible clinical outcomes and side
effects of care, which can set up unrealistic expectations for the outcome of
treatment.
“Patients expect to receive everexpanding clarity when communicating
Two ways to connect with the FSMB Annual Meeting! State Board News
Electronic Platforms Reach New Audiences
M
any of the complaints state medical
boards receive from patients can
be linked at some level to a breakdown
in communications between physicians
and patients – even when the complainant is unaware that communication is at
the root of the problem. To help address
this issue, the FSMB has developed a new
Physician-Patient Communications
Resource Center for boards to use in
educating physicians about the kinds of
communication issues that can lead to
complaints from their patients.
The Resource Center includes articles
and studies from state medical board
newsletters, health care publications,
medical societies, academic studies and
blogs.
“While the Board does see examples
of inappropriate and substandard care,
most often the mistakes we see have to
do with dysfunctional communication,”
states one of the articles in the Resource
Center. “. . . when the physician-patient
relationship breaks down, the result is
often a patient complaint to the Medical
Board and, frequently, a medical malpractice claim. Too often, the breakdown deals
with some aspect of poor communication. I believe that more than 80 percent
of the complaints the Board sees begin
with dissatisfaction sown with the seed of
miscommunication.”
Spring 2014
2014 Annual Meeting: ‘From Policy to Action:
Resources for Medical Regulators’
Distribution of FSMB eNews, the FSMB’s twice-weekly summary
of news and developments for the regulatory community,
continues to increase, with a circulation that now stands at
...continued on page 4
Newsline | Spring 2014
JournalMedReg_Vol101_4.indd 1
1/12/16 12:15 PM
5,200 readers. Reader open and click-through rates continue to
May 2014
surpass industry standards for comparable publications.
FSMB Publications Raise Awareness: Thousands of readers
benefit from the Journal of Medical Regulation, Newsline, and
the U.S. Medical Regulatory Trends and Actions report, above.
FSMB’s Publications: Cornerstone Communications
The FSMB produces several periodical publications that play a
major role in advancing awareness and understanding of the
Website redesigned: The FSMB website was recently
redesigned and provides many new features for visitors.
role of medical regulation: the Journal of Medical Regulation
(JMR), Newsline, and the newly developed U.S. Medical
Regulatory Trends and Actions report. All three are produced
Public Speakership: Giving a Voice to Regulation
by the FSMB Communications Department.
The FSMB’s yearly agenda of public speakership continued over
Among publishing highlights for 2015-16 was a significant
increase in submissions to JMR, which has steadily increased
its volume of scholarly articles over the last two years. JMR
the last year, with dozens of presentations, media interviews and
speeches delivered by FSMB elected leadership and staff.
published its second single-topic issue in 2015, devoted to
The FSMB prepares presentation
issues in international medical regulation (see more about
materials and provides training
JMR on page 20). Surveys have consistently shown strongly
and support for these speakers
favorable reader opinions about JMR content — which continues
as they travel the country —
to be an important benefit of Federation membership.
including presentations before
government agencies, health
care organizations and for
Find a partner
Raise visibility
Build a network
the media.
Share a project
Annual Meeting Support:
Each year FSMB's
Communications team
develops a coordinated
system of materials to
help support various
special events and
activities. This includes
development of
products to support
the Annual Meeting.
In the last year, FSMB
Deliver a message
Collaborating and
Communicating:
Alabama
|
Alaska
Connecticut
|
|
|
Missouri
Maryland
|
|
|
|District
H awa ii | I d a ho | I l l inoi s |
Maine
interviews with leading media
Tools for success
in today’s
Arkansas
|
California
| Colorado
complex
regulatory
Columbia | Florida | Geor gia | Gua m
I n d i a n a environment
| Io wa | K a n s a s | K e n t u c k y | Lo u i si a n a
Arizona
D e l awa r e
of
Massachusetts
M on ta n a
|
Nebraska
communications staff facilitated
|
|
Michigan
N e va d a
|
|
New
M inne s ota
Hampshire
|
|
Mississippi
New
Jersey
Speaking Out:
The FSMB’s public speakership
program advances the interests of the
medical regulatory community through
presentations and media outreach.
outlets, including The New York
Times, NPR, Time, Politico, Reuters, British Medical Journal,
ProPublica and numerous other health care publications.
N e w M e x ic o | N e w Yor k | Nort he r n M a r i a n a I sl a nd s | Nort h C a r ol in a | Nort h D a k ota
Ohio
|Oklahom a
|
Oregon
|
P e n n s y lva n i a
|
P u e rto
Rico
|
Rhode
Island
S o u t h C a r ol in a | S o u t h Da k ota | Te nne s se e | Te xa s | U . S . V ir g in I sl a nd s | U ta h
Vermont
|
Virginia
|
Wa s h i n g t on
|
West
Virginia
2015 Annual Meeting Fort Worth, Texas, April 23 — 25
|
Wisconsin
|
Wyoming
In addition, the FSMB offered communications counsel and
assistance to state medical board staff fielding questions from
their regional and local media on policy issues.
| 23
N
the FSMB FOUNDATIO
T H E VALU E OF
“
The Minnesota Board of Medical Practice
has distributed hundreds of copies
of 'Responsible Opioid Prescribing —
A Clinician’s Guide' as an indispensable
resource to licensees and many other
stakeholders in our state committed to
providing excellent patient care.
Ruth M. Martinez, MA
Executive Director
Minnesota Board of Medical Practice
A
SPEC I A L
S EEK
/
”
I N V I TAT I O N
S HAR E
/
S ERV E
ACTION HIGHLIGHTS
The FSMB Foundation continues to fund research
and education initiatives that strengthen the medical
regulatory system and help state medical boards
become more effective.
Educating Physicians
Provided funding for online and live opioid
prescription-safety training courses that reached more
than 4,000 physicians across the United States
Distributed copies of the book, “Responsible
Opioid Prescribing: A Clinician’s Guide,” now in its
second edition
Advancing New Ideas
Allocated $60,000 for grants to support the advancement
of the Interstate Medical Licensure Compact
Raising Funds
Raised more than $16,000 to support ongoing
24 | FSMB • BUILDING VALUE | 2 0 1 6
initiatives with its third annual FSMB Foundation
Luncheon during the FSMB Annual Meeting
•
The FSMB Foundation had another strong year of
service as the FSMB’s philanthropic arm
Safe Opioid Prescribing Grants Provide Training
for Thousands of U.S. Physicians
in the Interstate Medical
Reducing the impact of opioid prescription abuse continues to
ministrative requirements,
be a major priority for the FSMB. In 2014, the FSMB Foundation
staff training, technical
and its collaborative partners awarded 26 individual grants
enhancements and more.
for a combined total of $250,000 to 21 state medical and
osteopathic boards to conduct live educational programs on
safe opioid prescribing. During 2015, 40 live educational
meetings were held as a result of the funding. The educational
meetings, which focused on Extended Release/Long Acting
(ER/LA) opioids, reached 3,105 licensees.
Licensure Compact, implementation of Compact ad-
The FSMB Foundation has
allocated $60,000 for this
initiative, and to date, five
grants totaling $49,000
Putting Service First:
Ebola survivor and physician volunteer
Kent Brantly, MD, was the featured
speaker at FSMB Foundation Luncheon,
held during the FSMB’s 2015
Annual Meeting in Fort Worth, Texas.
have been awarded.
The Interstate Medical Licensure Compact, which offers a
Online Opioid Prescribing Course: The FSMB Foundation
is providing targeted online educational material to
help physicians understand the dangers of
Extended Release/Long Acting (ER/LA) opioids.
streamlined licensing process for physicians interested in
practicing medicine in multiple states, is expected to expand
access to health care and facilitate new modes of health care
delivery such as telemedicine. Since 2015, 12 states have
enacted the Compact and more than 30 state medical and
osteopathic boards have publicly expressed support for it.
Third Annual Fundraising Luncheon Sets
New Attendance Mark
Financial support for the FSMB Foundation was up over the
last year, helped by record attendance at the Foundation's
annual Luncheon. Held during the 2015 Annual Meeting, the
In addition to the live educational meetings, FSMB Foundation
funding also supported an online educational activity aimed at
opioid prescribing abuse. Available via the FSMB website, the
targeted ER/LA safe-prescribing course consists of six training
modules. To date, 1,367 providers have completed the
modules for Continuing Medical Education (CME) credit.
event drew 180 visitors, who turned out to hear an inspiring
presentation by Kent Brantly, MD,
who contracted Ebola while offering
care to Ebola patients in Liberia.
Dr. Brantly’s theme was the value of
volunteerism and physician service.
The Foundation's book, "Responsible Opioid Prescribing, a
Clinician's Guide," continues to be distributed nationally.
Interstate Medical Licensure Compact Grants
Advance License Portability
In early 2016, the FSMB Foundation began accepting applications for grants to support projects associated with the new
Learning to Prescribe Safely:
Since its first release in 2007,
“Responsible Opioid Prescribing:
A Clinician’s Guide” has been
distributed to nearly 200,000 clinicians.
The book was written by pain
medicine expert Scott Fishman, MD.
Interstate Medical Licensure Compact (see more about the
Compact on page 11). The grants can be used for a wide array of activities, including education of stakeholders interested
FSMB • BUILDING VALUE | 2 0 1 6 | 25
FSMB Committees, Councils and Boards
The FSMB 2015–16 Board of Directors
The Federation of State Medical Boards represents a community of dedicated public servants who are committed to protecting
the public and ensuring the highest standards of medical quality. These leaders make possible the successful operation of
the nation’s medical regulatory system. In this section of our annual report, we acknowledge the work of the many individuals who make up our committees, councils and boards. We thank them for their dedication and contributions.
Officers, Board of Directors
J. Daniel Gifford, MD, FACP
Chair
Alabama
Arthur S. Hengerer, MD, FACS
Chair-elect
New York PMC
Ralph C. Loomis, MD
Treasurer
North Carolina
Humayun J. Chaudhry, DO, MACP
Secretary, FSMB President and
Chief Executive Officer
Donald H. Polk, DO
Immediate Past Chair
Tennessee Osteopathic
Directors
Mark E. Bowden, MPA
Iowa
Claudette E. Dalton, MD
Virginia
Mark A. Eggen, MD
Minnesota
Stephen E. Heretick, JD
Virginia
Patricia A. King, MD, PhD, FACP
Vermont Medical
Jerry G. Landau, JD
Arizona Osteopathic
Jean L. Rexford
Connecticut
Gregory B. Snyder, MD
Minnesota
Jacqueline A. Watson, DO, MBA
District of Columbia
Michael D. Zanolli, MD
Tennessee Medical
Executive Administration
Humayun J. Chaudhry, DO, MACP
President and Chief Executive Officer
Michael P. Dugan, MBA
Chief Information Officer and Senior
Vice President for Operations
Todd A. Phillips, MBA
Chief Financial Officer
Lisa A. Robin, MLA
Chief Advocacy Officer
David A. Johnson, MA
Senior Vice President,
Assessment Services
Eric M. Fish, JD
Senior Vice President, Legal Services
FSMB Foundation Board of Directors
Janelle A. Rhyne, MD, MACP
President
North Carolina
Hedy L. Chang
Treasurer
California Medical
Humayun J. Chaudhry, DO, MACP
Secretary
FSMB President and
Chief Executive Officer
J. Daniel Gifford, MD, FACP
Director
Alabama
Arthur S. Hengerer, MD, FACS
Director
New York PMC
Stephen E. Heretick, JD
Director
Virginia
Ralph C. Loomis, MD
Director
North Carolina
Randal C. Manning, MBA
Director
Maine Medical
2015–2016 FSMB
Committees and Workgroups
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
Audit Committee
FSMB Support Staff:
Eric Fish, Patricia McCarty
1-year term; 5 Fellows, 3 of whom shall
be members of the BOD; FSMB
Treasurer serves ex-officio without vote
Editorial Committee
Donald H. Polk, DO
FSMB Immediate Past Chair,
Tennessee Osteopathic
Ronald H. Lewis, MD
California Medical
Martin B. Reiss, DO
Arizona Osteopathic
Jerry G. Landau, JD (Chair)
Arizona Osteopathic
3-year term; eligible for 2 terms;
not to exceed 12 Fellows and
3 Subject Matter Experts
Stephen E. Heretick, JD
Virginia
Ruth Horowitz, PhD (Editor-in-Chief)
New York PMC
Mushtaq A. Sheikh, MD
New York Medical
Gary F. Leung, MD
Alabama
Richard D. Brantner, MD
Washington Medical
J. Michael Wieting, DO
Tennessee Osteopathic
Gregory B. Snyder, MD
Minnesota
Mark A. Bechtel, MD
Ohio
Carmela Torrelli, BBA
New York PMC
C. Deborah Cross, MD
New York PMC
Associate Member:
Jacqueline A. Watson, DO, MBA
District of Columbia
Cheryl Graham Solomon, MA
Michigan Medical
Ex Officio Members:
J. Daniel Gifford, MD, FACP (Chair)
Alabama
Arthur S. Hengerer, MD, FACS
(Chair-elect)
New York PMC
Ralph C. Loomis, MD (Treasurer)
North Carolina
Humayun J. Chaudhry, DO, MACP
(President-CEO)
FSMB Support Staff:
Todd Phillips, Sandy McAllister
Bylaws Committee
(1-year term; 5 Fellows)
Anita M. Steinbergh, DO (Chair)
Ohio
Jodi A. Bain, JD
Arizona Medical
Maroulla S. Gleaton, MD
Maine Medical
Stuart F. Mackler, MD
Virginia
Michael D. Zanolli, MD
Tennessee Medical
Margaret B. Hansen, PA-C
(Associate Member)
South Dakota
Ex Officio Members:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Jean L. Rexford
Connecticut
Ex Officio Member:
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Lisa Robin, Kelly Alfred
Eleanor E. Greene, MD, MPH
North Carolina
Ethics and
Professionalism Committee
Rebecca J. Hafner-Fogarty, MD
Minnesota
1-year term; up to 5 Fellows and
up to 2 subject matter experts
Heidi M. Koenig, MD
Kentucky
Arthur S. Hengerer, MD, FACS (Chair)
New York PMC
Wayne J. Reynolds, DO
Virginia
Rev. O. Richard Bowyer, MDiv
West Virginia Medical
E. Scott Sills, MD
New York Medical
Claudette E. Dalton, MD
Virginia
Pascal O. Udekwu, MD, MBA
North Carolina
Mark A. Eggen, MD
Minnesota
Jamie Wright, JD
California Medical
Gerald T. Kaplan, MA
Minnesota
Carl F. Ameringer, PhD, JD
(Subject Matter Expert)
University of Nebraska
Lois Snyder Sulmasy, JD
(Subject Matter Expert)
ACP Center for Ethics and
Professionalism
Kathleen Haley, JD
(Subject Matter Expert)
Oregon
Diane E. Hoffmann, JD, MS
(Subject Matter Expert)
University of Maryland
FSMB Support Staff:
David Johnson, Drew Carlson
Education Committee
1-year term, 8 Fellows to include
FSMB Chair as Chair, Chair-elect
and Immediate Past Chair
Bruce D. White, DO, JD
(Subject Matter Expert)
Alden March Bioethics Institute
Doris C. Gundersen, MD (Consultant)
FSPHP
Ex Officio Members:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Lisa Robin, Mark Staz
J. Daniel Gifford, MD, FACP (Chair)
FSMB Chair, Alabama
Arthur S. Hengerer, MD
FSMB Chair-elect, New York PMC
FSMB • BUILDING VALUE | 2 0 1 6 | 27
Finance Committee
1-year term; 5 Fellows to include FSMB
Treasurer as Chair
Ralph C. Loomis, MD (Chair)
FSMB Treasurer, North Carolina
FSMB Joint Committees
With Other Organizations
USMLE Budget Committee —
FSMB Members
Post-Licensure Assessment System
Governing Committee
Term is open-ended; 2 years
recommended; chair alternates
between CEOs; 5 FSMB/5 NBME
3-year term; eligible for 2 terms
Sarah L. Evenson, JD, MBA
Minnesota
Stephen E. Heretick, JD
Virginia
Patricia A. King, MD, PhD
Vermont Medical
Harold J. Sauer, MD
Michigan Medical
Joel B. Rose, DO
Florida Osteopathic
Gregory B. Snyder, MD
Minnesota
Kenneth J. Walker, MD
Virginia
Ex-officio Members
Humayun J. Chaudhry, DO, MACP,
FSMB President and CEO
Mark E. Bowden, MPA
(Associate Member)
Iowa
Donald E. Melnick, MD
NBME President
Ex Officio Members:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
FSMB Support Staff:
Frances Cain
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Post-Licensure Assessment System
Program Committee
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
3-year term; eligible for 2 terms;
members are all co-appointed by FSMB
and NBME
FSMB Support Staff:
Todd Phillips, Marie Bounheuangvilay
Nominating Committee
2-year term; 7 Fellows including
Immediate Past Chair; at least
1 Fellow to be a non-physician
Donald H. Polk, DO, (Chair)
FSMB Immediate Past Chair,
Tennessee Osteopathic
Mohammed A. Arsiwala, MD
Michigan Medical
Jeffrey D. Carter, MD
Missouri
Greg M. Collins
Wisconsin
James F. Griffin, DO
Rhode Island
Kelli A. Johnson, MBA
Minnesota
Barbara E. Walker, DO
North Carolina
Ex Officio Member:
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Pat McCarty, Pam Huffman
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Cynthia S. Cooper
New Hampshire
John G. Gianopoulis, MD
Individual Non-Member
Robert L. Hatch, MD
Individual Non-Member
James L. Levenson, MD
Individual Non-Member
Sharon L. Levine, MD
California Medical
Scott Manaker, MD
Individual Non-Member
George C. Mejicano, MD
Individual Non-Member
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Ralph C. Loomis, MD
FSMB Treasurer, North Carolina
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
Todd A. Phillips, MBA
FSMB Chief Financial Officer
FSMB Support Staff:
Todd Phillips, Marie Bounheuangvilay
USMLE Composite Committee
FSMB Members -- 5 appointments plus
1 alternate; ECFMG representatives —
jointly appointed by FSMB and NBME;
3-year term; eligible for 2 terms;
term limitation waived for CEO’s
Janelle A. Rhyne, MD, MACP (Chair)
North Carolina
Steven I. Altchuler, MD, PhD
Minnesota
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
Patricia A. King, MD, PhD, FACP
Vermont Medical
Jon V. Thomas, MD, MBA
Minnesota
Alternate: Cynthia S. Cooper, MD
New Hampshire
FSMB Support Staff:
David Johnson, Frances Cain
David J. Rydell, DO
Maine Osteopathic
American Board of Medical
Specialties (ABMS)
Kristin A. Spanjian, MD
Montana
4-year term
Scott A. Steingard, DO
Arizona Osteopathic
FSMB Support Staff:
Frances Cain
Jon V. Thomas, MD, MBA
Minnesota, 2nd term
FSMB Staff Liaison:
Frances Cain
Accreditation Council for Continuing
Medical Education (ACCME)
3-year term
Linda Gage-White, MD, PhD
Louisiana
Michael D. Zanolli, MD
Tennessee Medical
FSMB Staff Liaison:
Kelly Alfred
ACCME Accreditation Review
Committee (ARC)
Initial 2-year term followed by 2nd/3rd
terms specified by the ACCME Board, not
to exceed a total of 6 years
Crystal Gyiraszin
Individual Non-member
SreyRam Kuy, MD
Individual Non-member
National Commission on
Certification of Physician
Assistants (NCCPA)
Ex Officio Members:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
4-year term
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Peggy R. Robinson, MS, MHS, PA-C
North Carolina
FSMB Staff Liaison:
Pat McCarty
2015–2016 Advisory Councils,
Panels and Workgroups
Advisory Council of
Board Executives
Paul J. Lambiase
New York PMC
Kimberly Kirchmeyer
California Medical
FSMB Staff Liaison:
Kelly Alfred
Robert C. Knittle, MS
West Virginia Medical
Accreditation Council for Graduate
Medical Education (ACGME)
4-year term
Martin Crane, MD
Massachusetts
FSMB Staff Liaison:
Pat McCarty
Educational Commission for Foreign
Medical Graduates (ECFMG)
4-year term
Pamela L. Blizzard, MBA
North Carolina
Ram R. Krishna, MD
Arizona Medical
FSMB Staff Liaison:
David Johnson
National Board of Medical
Examiners (NBME)
4-year term; eligible for 2 terms
Freda M. Bush, MD
Mississippi
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Barbara S. Schneidman, MD
Washington Medical
Mari Robinson, JD
Texas
Kathleen J. Selzler Lippert, JD
Kansas
Ex Officio Members:
Margaret B. Hansen, PA-C
President, AIM
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Mike Dugan
State Board Advisory Panel
to the USMLE
Kevin D. Bohnenblust, JD
Wyoming
David A. Cook, MD
Utah Medical
Lynnette L. Daniels
Nevada Medical
Kimberly Kirchmeyer
California Medical
Robert C. Knittle, MS
West Virginia Medical
Wayne J. Reynolds, DO
Virginia
Kevin D. Bohnenblust, JD
Vice President, AIM
Maria Laporta, MD
Illinois
Mark E. Bowden, MPA
FSMB BOD, Iowa
Kenneth B Simons, MD
Wisconsin
Jacqueline A. Watson, DO, MBA
FSMB BOD, District of Columbia
Kristin A. Spanjian, MD
Montana
FSMB Support Staff:
Lisa Robin
FSMB Support Staff:
David Johnson, Frances Cain
FCVS Advisory Council
Workgroup on
Telemedicine Consultations
Kimberly Kirchmeyer (Chair)
California Medical
S. Paul Edwards, JD
AAOE (Nevada Osteopathic)
Liana Puscas, MD
Individual Non-member
(Young Physician)
Connie E. Riedel, CPMSM, CPCS
National Association of
Medical Staff Services
Kenneth B. Simons, MD (Chair)
Wisconsin
Michael R. Arambula, MD
Texas
Michael J. Arnold, MBA
North Carolina (Public Member)
Elizabeth L. Baney, JD
FWD Strategies International, LLC
Greg T. Billings
Center for Telehealth and eHealth Law
Lance A. Talmage, MD
Ohio
Kathleen J. Selzler Lippert, JD
Kansas
(Associate Member)
Jon V. Thomas, MD, MBA
Minnesota
Rose Stern, CPMSM
Individual Non-Member
Anna Earl, MD
Montana
FSMB Staff Liaison:
David Johnson
Michelle Stultz, RN
Individual Non-member
Mark A. Eggen, MD
Minnesota
Patrick A. Woodard, MD
Individual Non-Member
(Resident Physician)
Ronald R. Burns, DO
Florida Osteopathic
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Alexis S. Gilroy, JD
Jones Day
Stephen E. Heretick, JD
Virginia (FSMB BOD)
Sherilyn Z. Pruitt
HRSA OAT director
Gregory B. Snyder, MD
Minnesota (FSMB BOD)
Jean R. Sumner, MD
Georgia (Honorary Fellow)
Ted Thompson, JD
Parkinson’s Action Network
Thomas G. Zimmerman, DO
AOA of Medical Informatics (AOAMI)
Ex Officio Members:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
FSMB Support Staff:
Lisa Robin
Workgroup on
Team-Based Regulation
Workgroup on Education
about Medical Regulation
Patricia A. King, MD, PhD (Chair)
Vermont Medical
Jerry R. Balentine, DO
New York (Licensure)
Barbara Barzansky, PhD, MHPE
AMA
Ronald R. Burns, DO
AOA
Anna Z. Hayden, DO
Florida Osteopathic
R. David Henderson, JD
North Carolina
Peter J. Katsufrakis, MD, MBA
NBME
Timothy J. Kowalski, DO
AACOM
Louis J. Ling, MD
ACGME
Katherine McOwen
AAMC
Kimberly Kirchmeyer
California Medical
Howard R. Krauss, MD
California Medical
Micah T. Matthews, MPA
Washington Medical
James V. McDonald, MD, MPH
Rhode Island
Marc E. Rankin, MD
District of Columbia
Ex Officio Members:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
Arthur S. Hengerer, MD, FACS
Chair-elect, New York PMC
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Lisa Robin, John Bremer
Workgroup on FSMB’s Model Policy
on the Use of Opioid Analgesics in
the Treatment of Chronic Pain
Janelle A. Rhyne, MD, MA, MACP
North Carolina
J. Daniel Gifford, MD, FACP (Chair)
Alabama
Mari Robinson, JD
Texas
James E. Anderson, PA-C
Washington Medical
Kathleen J. Selzler Lippert, JD
Kansas
J. Mark Bailey, DO, PhD
AOA
Scott A. Steingard, DO
Arizona Osteopathic
H. Westley Clark, MD, JD
ASAM
Peter M. Zeman, MD
Connecticut
Paul R. DeRensis, Esq.
Massachusetts
Ex Officio Members:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
James W. Finch, MD
Governor’s Institute on
Substance Abuse
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Suresh K. Gupta, MD
Maryland
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
Robin J. Hamil-Ruth, MD
ABPM
Katherine A. Thomas, MN, RN, FAAN
NCSBN
FSMB Support Staff:
Dave Johnson, Kelly Alfred
Patrice A. Harris, MD, MA
AMA
Ex Officio Members:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
Workgroup on Marijuana
and Medical Regulation
Marilyn J. Heine, MD
Pennsylvania Medical
Gregory B. Snyder, MD (Chair)
Minnesota
Howard Heit, MD
Georgetown University School
of Medicine
Eustaquio O. Abay, II, MD
Kansas
Christopher M. Jones, Pharm.D, MPH
FDA
Eric R. Groce, DO
Colorado
Margaret M. Kotz, DO
Case Western Reserve University
School of Medicine
Ralph C. Loomis, MD (Chair)
North Carolina
Claudette E. Dalton, MD
Virginia Medical
Kathleen Haley, JD
Oregon
Lyle R. Kelsey, MBA
Oklahoma Medical
Susan Ksiazek, RPh
NABP
Louis J. Prues, DMin, MBA
Michigan Medical
Jean L. Rexford
Connecticut
Cheryl L. Walker-McGill, MD
North Carolina
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Lisa Robin, Shiri Hickman,
Natalie Weiner
30 | FSMB • BUILDING VALUE | 2 0 1 6
Ronald D. Hedger, DO
Nevada Osteopathic
Michael S. Rodman
Kentucky
Joel B. Rose, DO
Florida Osteopathic
Diana K. Shepard, CMBE
West Virginia Osteopathic
George “Buddy” C. Smith, Jr., MD
Alabama
Ex Officio Members:
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Compensation Committee
J. Daniel Gifford, MD, FACP (Chair)
FSMB Chair, Alabama
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York, PMC
Ralph C. Loomis, MD
FSMB Treasurer, North Carolina
Donald H. Polk, DO
FSMB Immediate Past Chair,
Tennessee Osteopathic
Ex Officio:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Lisa Robin, Pat McCarty
Investment Committee
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
Patricia A. King, MD, PhD, FACP
Vermont Medical
J. Daniel Gifford, MD, FACP (Chair)
FSMB Chair, Alabama
FSMB Support Staff:
Lisa Robin, Kelly Alfred
Michael D. Zanolli, MD
Tennessee Medical
Arthur S. Hengerer, MD, FACS
FSMC Chair-elect, New York PMC
FSMB Support Staff:
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
Ralph C. Loomis, MD
FSMB Treasurer, North Carolina
Board of Directors Committees
Awards Committee
Donald H. Polk (Chair)
FSMB Immediate Past Chair,
Tennessee Osteopathic
Executive Committee
J. Daniel Gifford, MD, FACP (Chair)
FSMB Chair, Alabama
Mark E. Bowden, MPA
Iowa
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Claudette E. Dalton, MD
Virginia
Ralph C. Loomis, MD
FSMB Treasurer, North Carolina
Mark A. Eggen, MD
Minnesota
Donald H. Polk, DO
FSMB Immediate Past Chair,
Tennessee Osteopathic
Jean L. Rexford
Connecticut
Fellows:
Andrea A. Anderson, MD
District of Columbia
Sindy M. Paul, MD
New Jersey
Leticia J. San Diego, PhD
Michigan Medical
Ex Officio Members:
J. Daniel Gifford, MD, FACP
FSMB Chair, Alabama
Arthur S. Hengerer, MD, FACS
FSMB Chair-elect, New York PMC
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Lisa Robin, Pat McCarty
Patricia A. King, MD, PhD, FACP
Vermont Medical
Michael D. Zanolli, MD
Tennessee Medical
Ex Officio:
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Pat McCarty
Governance Committee
Gregory B. Snyder, MD (Chair)
Minnesota
Stephen E. Heretick, JD
Virginia
Patricia A. King, MD, PhD, FACP
Vermont Medical
Jerry G. Landau, JD
Arizona Osteopathic
Donald H. Polk, DO
FSMB Immediate Past Chair,
Tennessee Osteopathic
Patricia A. King, MD, PhD, FACP
Vermont Medical
Michael D. Zanolli, MD
Tennessee Medical
Ex Officio:
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Todd Phillips
Planning Committee
Arthur S. Hengerer, MD, FACS (Chair)
FSMB Chair-elect, New York PMC
Ralph C. Loomis, MD
FSMB Treasurer, North Carolina
Jacqueline A. Watson, DO, MBA
District of Columbia
Michael D. Zanolli, MD
Tennessee Medical
Ex Officio:
J. Daniel Gifford, MD, FACP
FSMB Chair
Humayun J. Chaudhry, DO, MACP
FSMB President and CEO
FSMB Support Staff:
Lisa Robin, Pat McCarty
Donald H. Polk, DO
FSMB Immediate Past Chair,
Tennessee Osteopathic
FSMB • BUILDING VALUE | 2 0 1 6 | 31
The Federation of State Medical Boards: Dedicated to Public Protection
Alabama Board of Medical Examiners
New Hampshire Board of Medicine
Alaska State Medical Board
New Jersey State Board of Medical Examiners*
Arizona Medical Board
New Mexico Medical Board
Arizona Board of Osteopathic Examiners in Medicine
and Surgery
New Mexico Board of Osteopathic Medical Examiners
Arkansas State Medical Board*
New York State Office of Professional Medical Conduct
Medical Board of California
North Carolina Medical Board
Osteopathic Medical Board of California
North Dakota Board of Medicine
Colorado Medical Board
Connecticut Medical Examining Board
Commonwealth of the Northern Mariana Islands Health
Care Professions Licensing Board
Delaware Board of Medical Licensure & Discipline
State Medical Board of Ohio*
District of Columbia Board of Medicine
Oklahoma Board of Medical Licensure and Supervision*
Florida Board of Medicine
Oklahoma State Board of Osteopathic Examiners
Florida Board of Osteopathic Medicine
Oregon Medical Board*
Georgia Composite Medical Board
Pennsylvania State Board of Medicine*
Guam Board of Medical Examiners
Pennsylvania State Board of Osteopathic Medicine
Hawaii Medical Board
Puerto Rico Board of Medical Licensure and Discipline
Idaho Board of Medicine
Rhode Island Board of Medical Licensure and Discipline*
Illinois Department of Financial and Professional
Regulation: Division of Professional Regulation*
South Carolina Board of Medical Examiners*
Medical Licensing Board of Indiana
Tennessee Board of Medical Examiners
Iowa Board of Medicine
Tennessee Board of Ostepathic Examination
Kansas State Board of Healing Arts
Texas Medical Board
Kentucky Board of Medical Licensure
Utah Physicians and Surgeons Licensing Board*
Louisiana State Board of Medical Examiners*
Utah Osteopathic Physicians and Surgeons Licensing Board
Maine Board of Licensure in Medicine
Vermont Board of Medical Practice*
Maine Board of Osteopathic Licensure
Vermont Board of Osteopathic Physicians and Surgeons
Maryland Board of Physicians*
Virgin Islands Board of Medical Examiners
Massachusetts Board of Registration in Medicine*
Virginia Board of Medicine*
Michigan Board of Medicine*
Washington Medical Quality Assurance Commission
Michigan Board of Osteopathic Medicine and Surgery
Minnesota Board of Medical Practice*
Washington Board of Osteopathic Medicine
and Surgery
Mississippi State Board of Medical Licensure
West Virginia Board of Medicine
Missouri Board of Registration for the Healing Arts
West Virginia Board of Osteopathic Medicine
Montana Board of Medical Examiners*
Wisconsin Medical Examining Board*
Nebraska Board of Medicine and Surgery
Wyoming Board of Medicine
New York State Board for Medicine*
South Dakota Board of Medical and Osteopathic Examiners
Nevada State Board of Medical Examiners
Nevada State Board of Osteopathic Medicine
32 | FSMB • BUILDING VALUE | 2 0 1 6
*Original charter member board of the FSMB
ABOUT THE FSMB
The Federation of State Medical Boards represents the 70 state medical and osteopathic
regulatory boards — commonly referred to as state medical boards — within the United States,
its territories and the District of Columbia. It supports its member boards as they fulfill their
mandate of protecting the public’s health, safety and welfare through the proper licensing,
disciplining, and regulation of physicians and, in most jurisdictions, other health care professionals.
VISION
The FSMB is an innovative leader, helping state medical boards shape the future of medical
regulation by protecting the public and promoting quality health care.
MISSION
The FSMB serves as the voice for state medical boards, supporting them through education,
assessment, research and advocacy while providing services and initiatives that promote patient
safety, quality health care and regulatory best practices.
S T R AT E G I C G O A L S
State Medical Board Support: Serve state medical boards by promoting best practices
and providing policies, advocacy, and other resources that add to their effectiveness.
Advocacy and Policy Leadership: Strengthen the viability of state-based medical regulation in a
changing, globally-connected health care environment.
Collaboration: Strengthen participation and engagement among state medical boards and expand
collaborative relationships with national and international organizations.
Education: Provide educational tools and resources that enhance the quality of medical regulation
and raise public awareness of the vital role of state medical boards.
Organizational Strength and Excellence: Enhance the FSMB’s organizational vitality and
adaptability in an environment of change and strengthen its financial resources in support
of its mission.
Data and Research Services: Expand the FSMB’s data-sharing and research capabilities
while providing valuable information to state medical boards, the public and other stakeholders.
Euless, Texas Office
Federation of State Medical Boards
400 Fuller Wiser Road, Suite 300
Euless, TX 76039
Washington D.C. Office
Federation of State Medical Boards
1300 Connecticut Avenue NW, Suite 500
Washington, D.C. 20036
FSMB Foundation for Research
and Education
Federation of State Medical Boards
400 Fuller Wiser Road, Suite 300
Euless, TX 76039
Build with us.