Board of Podiatric Medicine

Regulations

DIVISION 13.9
BOARD OF PODIATRIC MEDICINE OF THE
MEDICAL BOARD OF CALIFORNIA

 

Article 1. General Provisions

1399.650. Citation.

This division may be cited and referred to as the "Podiatric Medicine Regulations."

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference: Section 2018, Business and Professions Code.

HISTORY:

 

1399.651. Location of Office.

The principal office of the California Board of Podiatric Medicine is located at 2005 Evergreen Street, Suite 1300, Sacramento, CA 95815-3831.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Section 2470, Business and Professions Code.

HISTORY:

 

1399.652. Tenses, Gender and Number.

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference: Section 2119, Business and Professions Code.

HISTORY:

 

1399.653. Definitions.

For the purpose of the regulations contained in this chapter, the term:

  1. (a) "Board" means the California Board of Podiatric Medicine.
  2. (b) "Division" means the Division of Licensing of the Medical Board of California.
  3. (c) "Code" means the Business and Professions Code.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Section 2470, Business and Professions Code.

HISTORY:

 

1399.654. Continuation of Existing Regulations.

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference: Section 2119, Business and Professions Code.

HISTORY:

 

1399.655. Delegation of Functions.

Except for those powers reserved exclusively to the "agency itself" under the Administrative Procedure Act (Section 11500 et seq. of the Government Code), the board delegates and confers upon the executive officer of the board, or in his or her absence, the executive director or assistant executive director of the Medical Board of California, all functions necessary to the dispatch of business of the board in connection with investigative and administrative proceedings under the jurisdiction of the board.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Sections 2018, 2227, 2228, 2229, 2307 and 2470, Business and Professions Code; and Section 11500, Government Code.

HISTORY:

 

1399.656. Filing of Addresses.

Each person holding a certificate, license or other authority issued under the Medical Practice Act to engage in the practice of podiatric medicine shall file his or her proper and current mailing address with the board in its principal office, and shall immediately notify the board at its office of any and all changes of mailing address, giving both the old and new address.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Section 2422, Business and Professions Code.

HISTORY:

 

1399.657. Fees.

NOTE: Authority cited: Section 2108, Business and Professions Code. Reference cited: Sections 2450.5, 2458, 2458.1, 2458.2, and 2525, Business and Professions Code.

HISTORY:

 

1399.658. Professional Podiatry Corporations.

Professional podiatry corporations shall be subject to and administered according to the provisions of Article 13 of Subchapter 1 of Chapter 13 (Sections 1341-1348) of these regulations.

NOTE: Authority cited: Sections 2018 and 2412, Business and Professions Code. Reference: Section 2406, Business and Professions Code.

HISTORY:

 

1399.659. Suspension and Revocation of Certificates to Practice Podiatric Medicine.

Doctors of podiatric medicine whose certificates have been subject to disciplinary action shall be subject to the provisions of Article 3 of Subchapter 2 of Chapter 13 (Sections 1358-1360.2).

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference cited: Sections 481, 482, 2227, 2228, 2229 and 2307, Business and Professions Code.

HISTORY:

 

Article 2. Applications, Podiatry Education and Residency Programs

 

1399.660. Applications, Certificates.
  1. (a) Applications for certificates to practice podiatric medicine and the form and endorsement of such certificates are subject to and administered according to the provisions of Article 2 (Sections 1307, 1308, 1309), Article 9 (Sections 1331-1332) and Article 10 (Section 1335), of the Medical Practice Regulations (Division 13, Chapter 1).
  2. (b) The parts of the examination administered by the National Board of Podiatric Medical Examiners required by the board pursuant to Section 2486(b) of the Code are Parts I, II and III.
  3. (c) Pursuant to Sections 2475.1, 2486 and 2488 of the Code, the board recognizes the respective, corresponding sections of examinations of the United States Medical Licensing Examination and the National Board of Osteopathic Medical Examiners as equivalent in content to those administered by the National Board of Podiatric Medical Examiners.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Sections 482, 2475.1, 2479, 2480, 2486 and 2488, Business and Professions Code.

HISTORY:

 

1399.661. Oral Examination Appeals.
  1. (a) All appeals from a failure of the oral examination and for reconsideration of the applicant's examination scores shall be received in writing at the Board's office in Sacramento within 45 days from the date on the notification of failure of the examination.
  2. (b) Such an appeal shall state the reasons for the appeal and shall be based upon one or more of the following grounds:
  1. (1) Significant procedural error in the examination process;
  2. (2) Evidence of adverse discrimination;
  3. (3) Evidence of substantial disadvantage to the examinee.
  1. (c) An examinee may review only one time the tape recording of his or her examination prior to filing an appeal or, in the alternative, an examinee who has filed an appeal and received an adverse decision from the board may review only one time the tape recording of his or her examination. Such a review shall take place in the board's office in Sacramento at a time designated by the executive officer. The examinee may be accompanied by his or her legal representative. Such review shall be no longer that three (3) hours in length. Neither the examinee nor his or her legal representative may take notes of the recorded examination.
  2. (d) The review of the oral examination shall be conducted by one or more board members, or the board's designee, and their findings shall be subject to the approval of the board in its discretion.
  3. (e) All oral examination materials shall be retained by the board at the board's office in Sacramento for a period of two (2) years after the date of the examination.
  4. (f) Nothing in this section shall be construed to deprive an applicant of his or her rights of appeal as afforded by other provisions of law.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Sections 2480, 2486, 2487, Business and Professions Code; Section 12944, Government Code.

HISTORY:

 

1399.662. Approved Schools.
  1. (a) Colleges of podiatric medicine accredited by the Council on Podiatric Medical Education may be approved by the board for the giving of professional instruction in podiatric medicine to candidates for examination and licensure as a doctor of podiatric medicine.
  2. (b) Nothing contained in this section shall prevent the board from disapproving any college of podiatric medicine which would otherwise be approved under subsection (a) if it does not meet the requirements of the code, including Section 2483, and any regulations of the board.
HISTORY:

 

1399.663. Review of Specialty Board Applications; Processing Time.
  1. (a) Within 30 working days of receipt of an application for specialty board approval, the Board of Podiatric Medicine (BPM) shall inform the applicant in writing that it is either complete and accepted for filing and referral to a podiatric medical consultant selected by BPM or that it is deficient and what specific information or documentation is required to complete the application.
  2. (b) Within 918 calendar days from the date of filing of a completed application, BPM shall inform the applicant in writing of its decision regarding the applicant's approval as a specialty board.

NOTE: Sections 651 and 2470, Business and Professions Code; Section 15376, Government Code. Reference: Sections 651 and 2470, Business and Professions Code; Section 15376, Government Code.

HISTORY:

 

1399.664. Review of National Board Applications; Processing Time. [Repealed]

NOTE: Authority cited: Section 2470, Business and Professions Code; and Section 15376, Government Code. Reference: Section 2480, Business and Professions Code; Section 15376, Government Code.

HISTORY:

 

1399.665. Review of Reciprocity Applications; Processing Time.

NOTE: Authority cited: Section 2470, Business and Professions Code; and Section 15376, Government Code. Reference: Section 2480, Business and Professions Code; Section 15376, Government Code.

HISTORY:

 

1399.666. Equivalent Training.

Equivalent training as set forth in Section 2483 of the code shall be that training obtained through those educational programs meeting the criteria and guidelines established by the Council on Podiatric Medical Education and accredited by that body, provided the training meets all requirements of the code and regulations.

NOTE: Authority cited: Sections 2015, 2018 and 2470 Business and Professions Code. Reference: Section 2483, Business and Professions Code.

HISTORY:

 

1399.667. Postgraduate Medical Education.

Podiatric medical residencies approved by the board in accordance with Section 2484 of the code shall be those that meet the minimum requirements set by the Council on Podiatric Medical Education, have designated a Director of Medical Education, provide emergency medical training through emergency room rotations, measure and evaluate the progress of participants and program effectiveness, have at least a seventy-five per cent pass rate for residents taking the Part III exam of the National Board of Podiatric Medical Examiners within the most recent five-year period, and, in the board's determination, reasonably conform with the Accreditation Council for Graduate Medical Education's Institutional Requirements of the Essentials of Accredited Residencies in Graduate Medical Education: Institutional and Program Requirements, as revised effective September 1998, which are incorporated by reference in their entirety.
Reasonable conformance means that, in applying such requirements, the podiatric medical equivalent should be substituted for references made to general medicine, as appropriate. For example, in regard to resident eligibility and selection, references to "graduates of medical schools accredited by the Liaison Committee on Medical Education" should be interpreted as graduates of podiatric medical schools accredited by the Council on Podiatric Medical Education and approved by the California Board of Podiatric Medicine.
If a residency program falls below the specified seventy-five per cent pass rate, the board may grant the program approval if it determines after review of reports submitted by the program or the board's own site visit team that the program is in reasonable conformance with all applicable requirements.

NOTE: Authority cited: Sections 2015, 2018 and 2470, Business and Professions Code. Reference cited: Sections 2475, 2475.3 and 2484, Business and Professions Code.

HISTORY:

 

1399.668. Resident's License.
In order to be issued a license under Section 2475 of the code, a graduate shall:
  1. (a) file an application for registration on a form provided by the board, and
  2. (b) provide documentation that he or she is enrolled in an approved residency program or teaching program of an approved college of podiatric medicine.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Sections 2006 and 2475, Business and Professions Code.

HISTORY:

 

1399.668.1. Certification for Ankle Surgery.

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference: Section 2473, Business and Professions Code.

HISTORY:

 

Article 3. Continuing Competence

 

1399.669. Continuing Competence Required.

  1. (a) Each doctor of podiatric medicine is required to complete 50 hours of approved continuing education, including a minimum of 12 hours in subjects related to the lower extremity muscular skeletal system, and one of the continuing competence pathways specified in Business and Professions Code Section 2496(a) through (h), during each two (2) year renewal period.
  2. (b) Each doctor of podiatric medicine renewing his or her license under the provisions of Section 2423 of the code may be required to submit proof satisfactory to the board of compliance with the provisions of this article every two (2) years.
  3. (c) Each doctor of podiatric medicine in order to renew his or her license at each renewal period shall report compliance with the provisions of this article by signing and returning the declaration contained in the license renewal application.
  4. (d) Any doctor of podiatric medicine who cannot comply with the provisions of this article during a two (2) year period shall be ineligible for the next renewal of his or her license unless such licensee applies for and obtains a waiver pursuant to Section 1399.678 below.

NOTE: Authority and reference cited: Section 2496, Business and Professions Code.

HISTORY:

 

1399.670. Approved Continuing Education Programs.

Only scientific courses relating directly to patient care under the following categories are approved for continuing medical education credit:

  1. (a) Programs approved by the California Podiatric Medical Association or the American Podiatric Medical Association and their affiliated organizations.
  2. (b) Programs approved for Category 1 credit of the American Medical Association, the California Medical Association, or their affiliated organizations, and programs approved by the American Osteopathic Association, or the California Osteopathic Association or their affiliated organizations.
  3. (c) Programs offered by approved colleges or schools of podiatric medicine, medicine and osteopathic medicine.
  4. (d) Programs approved by a government agency.
  5. (e) Completion of a podiatric residency program or clinical fellowship in a hospital approved under Section 1399.667 shall be credited for 50 hours of approved continuing education.
  6. (f) Programs offered by other individuals, organizations and institutions approved by the board pursuant to Section 1399.671 below.

NOTE: Authority and reference cited: Section 2496, Business and Professions Code.

HISTORY:

 

1399.671. Criteria for Approval of Courses.

  1. (a) Only those individuals, organizations or institutions seeking approval by the board of continuing education courses or programs under Section 1399.671, subs. (e), above, shall apply for such approval on a form provided by the board. Those individuals, organizations and institutions approved under Section 1399.671, subsections (a) through (d) need not apply to the board for approval.
  2. (b) Those individuals, organizations and institutions applying for approval of course or program offerings by the board under Section 1399.671, subs. (e), shall submit such documents and other evidence as may be needed by the board to determine compliance with the criteria set forth below, including but not limited to, catalogues, course descriptions, curricula plans and bulletins.
  3. (c) Those courses or programs referred to in Section 1399.671, subs. (e), shall meet the following criteria in order to be approved by the board on an hour-for-hour basis:
  1. (1) Faculty-The course or program organizer(s) shall have a faculty appointment in a public university or state college or in a private postsecondary educational institution authorized or approved pursuant to Section 94310 of the Education Code. The appointment may be in disciplines other than medicine but directly related to the practice of podiatric medicine or medicine. The curriculum vitae of all faculty members and all other organizers shall be kept on file.
  2. (2) Rationale-The need for the course and how the need was determined shall be clearly stated and maintained on file.
  3. (3) Course Content-The content of the course and how the need was determined shall be clearly stated and maintained on file.
  4. (4) Educational Objectives-Each course or program shall clearly state educational objectives that can be realistically accomplished within the framework of the course.
  5. (5) Method of Instruction-Teaching methods for each course or program shall be described, e.g., lecture, seminar, audio-visual simulation, etc.
  6. (6) Attendance-Course organizers shall maintain a record of attendance of each participant.

NOTE: Authority and reference cited: Section 2496, Business and Professions Code.

HISTORY:

 

1399.672. Continuing Education for Acupuncture Practice.

  1. (a) A doctor of podiatric medicine may engage in the practice of acupuncture as part of the practice of podiatric medicine if he or she has completed a course of instruction as provided in this section.
  2. (b) The course of instruction shall have a minimum of 25 hours of training and include the following subject areas:
  1. (1) Survey of traditional Oriental medicine: "Traditional Oriental Medicine" is the theory and practice of traditional diagnostic and therapeutic procedures. It is the basis of oriental diagnosis and encompasses the differentiation of syndromes according to symptom complexes of blood, chi and humor, and classical and contemporary literature on acupuncture and Chinese medicine;
  2. (2) Acupuncture points of the lower extremities;
  3. (3) Acupuncture techniques.
  1. (c) The course of instruction shall be obtained from one of the following:
  1. (1) College or school of podiatric medicine approved under Section 1399.661;
  2. (2) A college or school of acupuncture approved by the Acupuncture Board;
  3. (3) A program approved under Section 1399.670.
  1. (d) A course of instruction in acupuncture which meets the requirements of this section shall be credited toward required hours of continuing education.

NOTE: Authority cited: Section 2496, Business and Professions Code. Reference: Sections 2496 and 4947, Business and Professions Code.

HISTORY:

 

1399.673. Survey of Need and Self-Assessment Required.

In addition to any other requirements for approval, all approved individuals, organizations, institutions, and other continuing education providers listed in Section 1399.671, with the exception of residency programs and clinical fellowships, may

  1. (a) Utilize a survey of the podiatric medical community in order to determine those areas of clinical practice in which there is the greatest need in terms of demonstrated and expressed needs for additional information and instruction directly relevant to quality patient care and developments in the practice of podiatric medicine; and
  2. (b) Provide a self-assessment evaluation in an objective format for each participant which pertains to the course content of the particular continuing education program. The evaluations shall be reviewed by the program providers to measure educational needs and to determine whether the objectives of the program have been met, and shall be made available to each participant for his or her review. Evaluations shall not be submitted to the board.

NOTE: Authority and reference cited: Section 2496, Business and Professions Code.

HISTORY:

 

1399.674. Withdrawal of Approval; Appeal Procedure.

  1. (a) Any individual, organization, institution, or other continuing education provider approved by the board in Section 1399.671 may have its approval withdrawn by the board for failure to comply with the provisions of this article.
  2. (b) Any provider who is denied approval by the board as a continuing education provider or any continuing education provider whose approval is withdrawn by the board, or any doctor of podiatric medicine who is denied credit for continuing education coursework or whose license to practice podiatric medicine is not renewed after failure to comply with these continuing education rules may appeal such denial, withdrawal or suspension to the board. The board in its discretion may consider such an appeal with or without a hearing.

NOTE: Authority and reference cited: Section 2496, Business and Professions Code.

HISTORY:

 

1399.675. Continuing Competence Course.

  1. (a) Extended courses of study approved by the board pursuant to Section 2496(g) of the code shall be in addition and supplementary to those taken to meet the continuing education requirement.
  2. (b) Such courses shall provide didactic and clinical training that refreshes and updates knowledge and skills in common podiatric medical and surgical procedures.
  3. (c) Such courses shall examine and test each candidate prior to graduation and certify graduation directly to the board.
  4. (d) The application fee for board approval of each course shall be that specified in Section 2499.5(m) of the Business and Professions Code.

NOTE: Authority and reference cited: Section 2496, Business and Professions Code.

HISTORY:

 

1399.676. Audit and Sanctions for Noncompliance.

  1. (a) Each doctor of podiatric medicine at the time of license renewal shall sign a statement under penalty of perjury that he or she has or has not complied with the requirements of this article.
  2. (b) The board may audit once each year a random sample of doctors of podiatric medicine who have reported compliance with the requirements. No doctor of podiatric medicine shall be subject to audit more than once every two (2) years. Those licensees selected for audit shall be required to document their compliance with the requirements of this article.
  3. (c) Any doctor of podiatric medicine who is found out of compliance shall be required to document compliance prior to the next biennial renewal. Such licensees shall document to the board the completion of any deficient hours identified by audit. Any doctor of podiatric medicine who fails to make up the deficient hours, in addition to the hours required for the current renewal period, shall be ineligible for renewal of his or her license to practice podiatric medicine until such time as all the required hours of continuing education are completed and documented to the board in addition to the requirement of one of the continuing competence pathways.
  4. (d) It shall constitute unprofessional conduct for any doctor of podiatric medicine to misrepresent compliance with the provisions of this article.
  5. (e) Any doctor of podiatric medicine selected for audit who has been certified as complying with the continuing education requirements of this article by those organizations listed in Section 1399.671, subsections (a), (b), (c) and (d), will not be required to submit documentation or records of continuing education coursework received, but the board may obtain such records directly from the certifying organizations or institutions.
  6. (f) The board requires that each doctor of podiatric medicine retain records for a minimum of four (4) years of all continuing education programs attended which indicate the title of the course or program, the sponsoring organization or individual and the accrediting organization, if any.

NOTE: Authority and reference cited: Section 2496, Business and Professions Code.

HISTORY:

 

1399.677. Credit for Teaching.

A maximum of one-third of the required hours of continuing education may be satisfied by teaching or otherwise presenting a course or program offered by an approved continuing education provider.

NOTE: Authority and reference cited: Section 2525.9, Business and Professions Code.

 

1399.678. Waiver of Requirement.

  1. (a) The board in its discretion may exempt permanently or temporarily from the continuing education requirement, any licensee who for reasons of retirement, health, military service, or undue hardship cannot meet those requirements. Applications for waivers shall be submitted on a provided form to the board for its consideration.
  2. (b) Any licensee so exempted by reason of retirement may not engage in the practice of podiatric medicine.
  3. (c) Any licensee who submits an application for waiver which is denied by the board, may be ineligible for renewal of his or her license to practice podiatric medicine under the provisions of Section 1399.676.
  4. (d) Any newly licensed doctor of podiatric medicine who is licensed for less than six (6) months of the year shall be exempt from the continuing education requirement for that year.

NOTE: Authority and reference cited: Section 2496, Business and Professions Code.

HISTORY:

 

1399.679. Inactive License.

  1. (a) Any doctor of podiatric medicine desiring an inactive license pursuant to the provisions of Article 9 (commencing with Section 700) of Chapter 1 of Division 2 of the code or to restore an inactive license to active status shall submit an application to the board on a form provided by it. The applicant need not submit his or her certificate or copy thereof to the board with the application.
  2. (b) "Board" as used in Section 701 of the code means the California Board of Podiatric Medicine.
  3. (c) In order to restore an inactive license to active status, the licensee shall have completed a minimum of fifty (50) hours of approved continuing education within the last two (2) years and meet one of the continuing competence pathways in compliance with this article.
  4. (d) All licensees who are in inactive status shall continue to pay to the board the required biennial renewal fees.
  5. (e) The inactive status of any licensee shall not deprive the board of its authority to institute or continue a disciplinary proceeding against the licensee upon any ground provided by law or to enter an order suspending or revoking a certificate or otherwise taking disciplinary action against the licensee on any such ground.

NOTE: Authority cited: Section 2470 and 2496, Business and Professions Code. Reference: Sections 700-704 and 2529, Business and Professions Code.

HISTORY:

 

Article 4. Fees

1399.680. Applicants by Written Examination.

NOTE: Authority cited: Section 2499.6, Business and Professions Code. Reference: Section 2499.5, Business and Professions Code.

HISTORY:

 

1399.681. Fee for Specialty Board Approval.

Each specialty board or association applying for approval from the Board of Podiatric Medicine under section 651 of the code shall pay a fee $4,030.

NOTE: Authority cited: Sections 651 and 2470, Business and Professions Code. Reference: Sections 651 and 2470, Business and Professions Code.

HISTORY:

 

1399.682. Initial Fee.

NOTE: Authority cited: Section 2499.6, Business and Professions Code. Reference: Section 2499.5, Business and Professions Code.

HISTORY:

 

1399.683. Expiration Date of Initial Licenses.

The expiration date of an initial license when issued shall be the second birthdate of the licensee after the date the license is issued.

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference: Sections 2423, 2435 and 2436, Business and Professions Code.


HISTORY:

 

1399.684. Renewal Fee.

NOTE: Authority cited: Section 2499.6, Business and Professions Code. Reference: Section 2499.5, Business and Professions Code.

HISTORY:

 

1399.685. Penalty Fee.

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference: Section 2424, Business and Professions Code.

HISTORY:

 

1399.686. Duplicate Wall Certificate.

NOTE: Authority cited: Section 2499.6, Business and Professions Code. Reference: Section 2499.5, Business and Professions Code.

HISTORY:

 

1399.687. Special Certification Fees.

NOTE: Authority cited: Section 2499.6, Business and Professions Code. Reference: Section 2473, Business and Professions Code.

HISTORY:

 

Article 5. Advertising

1399.688. Advertising.

  1. (a) A licensed doctor of podiatric medicine may advertise the provision of any professional services authorized to be provided by such license in a manner authorized by Section 651 of the code so long as such advertising does not promote the excessive or unnecessary use of such services.
  2. (b) A licensed doctor of podiatric medicine may be issued a permit to practice as a sole proprietor or in a partnership, group, or professional corporation under a fictitious name pursuant to Section 2415 of the code so long as it is not deceptive, misleading, or confusing. The fictitious name must include the designation "podiatric," "podiatry," "podiatrist," "foot," or "ankle."

NOTE: Authority cited: Sections 651, 2018, 2415 and 2470, Business and Professions Code. Reference: Sections 651, 651.3, 2271 and 2415, Business and Professions Code.

HISTORY:

 

Article 6. Ankle Surgery


1399.689. Certification for Ankle Surgery.

NOTE: Authority cited: Section 2499.6, Business and Professions Code. Reference: Section 2499.5, Business and Professions Code.

HISTORY:

 

1399.690. Definitions.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Section 2006 and 2484, Business and Professions Code.

HISTORY:

 

1399.691. Requirements for Approval of Preceptorships.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Sections 2006 and 2484, Business and Professions Code.

HISTORY:

 

1399.692. Requirements for Preceptors.

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference: Sections 2006 and 2484, Business and Professions Code.

HISTORY:

 

1399.693. Responsibilities of a Preceptor.

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference: Sections 2006 and 2484, Business and Professions Code.

HISTORY:

 

1399.694. Preceptee 's Responsibilities.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Sections 2006 and 2484, Business and Professions Code.

HISTORY:

 

1399.695. Denial, Suspension or Revocation of Registration of a Preceptor.

NOTE: Authority cited: Section 2018, Business and Professions Code. Reference: Sections 2006 and 2484, Business and Professions Code.

HISTORY:

Article 8. Citations and Fines

 

1399.696. Citations and Fines.
  1. (a) The executive officer of the board is authorized to determine when and against whom a citation will be issued and to issue citations containing orders of abatement and fines for violations by a licensed doctor of podiatric medicine of the provisions of law referred to in this section. In all cases concerning medical quality of care, or requiring medical judgement, the executive officer shall base his decision on the findings of a board-approved medical consultant or expert.
  2. (b) A citation shall be issued whenever any fine is levied or any order of abatement is issued. Each citation shall be in writing and shall describe with particularity the nature and facts of the violation, including a reference to the statute or regulations alleged to have been violated. The citation shall be served upon the individual personally or by certified mail.
  3. (c) The amount of any fine to be levied by the executive officer shall take into consideration the factors listed in subdivision (b)(3) of Section 125.9 of the code and shall be within the range set forth below.
    The fine for a violation of the following provisions shall be from $100.00 to $2500.00:
  1. (1) Business and Professions Code Section 119
  2. (2) Business and Professions Code Section 125
  3. (3) Business and Professions Code Section 125.6
  4. (4) Business and Professions Code Section 496
  5. (5) Business and Professions Code Section 650
  6. (6) Business and Professions Code Section 650.1
  7. (7) Business and Professions Code Section 651
  8. (8) Business and Professions Code Section 654.1
  9. (9) Business and Professions Code Section 654.2
  10. (10) Business and Professions Code Section 655.5
  11. (11) Business and Professions Code Section 702
  12. (12) Business and Professions Code Section 810
  13. (13) Business and Professions Code Section 2021
  14. (14) Business and Professions Code Section 2052
  15. (15) Business and Professions Code Section 2054
  16. (16) Business and Professions Code Section 2221.1
  17. (17) Business and Professions Code Section 2234
  18. (18) Business and Professions Code Section 2236
  19. (19) Business and Professions Code Section 2238
  20. (20) Business and Professions Code Section 2239
  21. (21) Business and Professions Code Section 2242
  22. (22) Business and Professions Code Section 2243
  23. (23) Business and Professions Code Section 2255
  24. (24) Business and Professions Code Section 2256
  25. (25) Business and Professions Code Section 2259
  26. (26) Business and Professions Code Section 2259.5
  27. (27) Business and Professions Code Section 2261
  28. (28) Business and Professions Code Section 2262
  29. (29) Business and Professions Code Section 2263
  30. (30) Business and Professions Code Section 2264
  31. (31) Business and Professions Code Section 2266
  32. (32) Business and Professions Code Section 2271
  33. (33) Business and Professions Code Section 2272
  34. (34) Business and Professions Code Section 2273
  35. (35) Business and Professions Code Section 2274
  36. (36) Business and Professions Code Section 2278
  37. (37) Business and Professions Code Section 2285
  38. (38) Business and Professions Code Section 2286
  39. (39) Business and Professions Code Section 2305
  40. (40) Business and Professions Code Section 2410
  41. (41) Business and Professions Code Section 2415
  42. (42) Business and Professions Code Section 2439
  43. (43) Business and Professions Code Section 2440
  44. (44) Business and Professions Code Section 2441
  45. (45) Business and Professions Code Section 2496
  46. (46) Business and Professions Code Section 2630
  47. (47) Business and Professions Code Section 2472
  48. (48) Business and Professions Code Section 2474
  49. (49) Business and Professions Code Section 4080
  50. (50) Business and Professions Code Section 4081
  51. (51) Business and Professions Code Section 17500
  52. (52) Business and Professions Code Section 17537.11
  53. (53) Health and Safety Code Section 1795
  54. (54) Health and Safety Code Section 11167
  55. (55) Health and Safety Code Section 11190
  56. (56) Health and Safety Code Section 11191
  57. (57) Health and Safety Code Section 123110
  58. (58) Penal Code Section 11166
  59. (59) Title 16 Cal. Code Reg. Section 1338(c)
  60. (60) Title 16 Cal. Code Reg. Section 1399.676
  61. (61) Business and Professions Code Section 2225(d)
  1. In her or his discretion, the executive officer may issue an order of abatement without levying a fine for the first violation of any provision set forth in this subsection.
  2. (d) Notwithstanding the administrative fine amounts specified in subsection (c) of section 1399.696, a citation may include a fine between $2,501 and $5,000 if one or more of the following circumstances apply:
  1. (1) The citation involves a violation that has an immediate relationship to the health and safety of another person.
  2. (2) The cited person has a history of two or more prior citations of the same or similar violations;
  3. (3) The citation involves multiple violations that demonstrate a willful disregard of the law.
  4. (4) The citation involves a violation or violations perpetrated against a senior citizen or disabled person.
  1. (e) In her or his discretion, the executive officer may issue a citation under Section 1399.696 to a licensee for a violation of a term or condition contained in the decision placing that licensee on probation.
  2. (f) If a cited person who has been issued an order of abatement is unable to complete the correction within the time set forth in the citation because of conditions beyond his or her control after the exercise of reasonable diligence, the person cited may request an extension of time from the executive officer in which to complete the correction. Such a request shall be in writing and shall be made within the time set forth for abatement.
  3. (g) When an order of abatement is not contested or if the order is appealed and the person cited does not prevail, failure to abate the violation charged within the time allowed shall constitute a violation and failure to comply with the order of abatement. An order of abatement shall either be personally served or mailed by certified mail, return receipt requested. The time allowed for the abatement of a violation shall begin the first day after the order of abatement has been served or received. Such failure may result in disciplinary action being taken by the board or other appropriate judicial relief being taken against the person cited.
  4. (h) The executive officer of the board is authorized to determine when and against whom a citation will be issued and to issue citations containing orders of abatement and fines against persons, partnerships, corporations or associations who are performing or who have performed services for which licensure is required as a doctor of podiatric medicine under the Medical Practice Act but who do not possess a license. Each citation issued shall contain an order of abatement. Where appropriate the executive officer shall levy a fine for such unlicensed activity in accordance with subdivision (b)(3) of Section 125.9 of the code. The provisions of subsections (b), (f) and (g) of this section shall apply to the issuance of citations for unlicensed activity under this subsection. The sanction authorized under this section shall be separate from and in addition to any other civil or criminal remedies.

NOTE: Authority cited: Sections 125.9, 148 and 2470, Business and Professions Code. Reference: Sections 12.5, 125.9 and 148, Business and Professions Code.

HISTORY:

 

1399.697. Contest of Citations.

  1. (a) In addition to requesting a hearing provided for in subdivision (b)(4) of Section 125.9 of the code, the person cited may, within ten (10) days after service or receipt of the citation, notify the executive officer in writing of his or her request for an informal conference with the executive officer regarding the acts charged in the citation. The time allowed for the request shall begin the first day after the citation has been served or received.
  2. (b) The executive officer shall hold, within 30 days from the receipt of the request, an informal conference with the person cited or his or her legal counsel or authorized representative. At the conclusion of the informal conference the executive officer may affirm, modify or dismiss the citation, including any fine levied or order of abatement issued. The executive officer shall state in writing the reasons for his or her action and serve or mail, as provided in subsection (g) of Section 1399.696, a copy of his or her findings and decision to the person cited within ten days from the date of the informal conference. This decision shall be deemed to be a final order with regard to the citation issued, including the fine levied and the order of abatement.
  3. (c) The person cited does not waive his or her request for a hearing to contest a citation by requesting an informal conference after which the citation is affirmed by the executive officer. If the citation is dismissed after the informal conference, the request for a hearing on the matter of the citation shall be deemed to be withdrawn. If the citation, including any fine levied or order of abatement, is modified, the citation originally issued shall be considered withdrawn and new citation issued. If a hearing is requested for the subsequent citation, it shall be requested within 30 days in accordance with subdivision (b)(4) of Section 125.9.

NOTE: Authority cited: Sections 125.9 and 2470, Business and Professions Code. Reference: Section 125.9, Business and Professions Code.

HISTORY:

 

1399.698. Public Disclosure; Public Retention

Every citation that is issued pursuant to this article shall be disclosed to an inquiring member of the public. Citations that have been resolved, by payment of the administrative fine or compliance with the order of abatement, shall be purged five (5) years from the date of resolution. A citation that has been withdrawn or dismissed shall be purged immediately upon being withdrawn or dismissed.

NOTE: Authority cited: Sections 125.9, 148 and 2470, Business and Professions Code. Reference: Sections 125.9 and 148, Business and Professions Code.

HISTORY:

 

Article 9. Information Disclosure

1399.700. Statement of Policy.

It is the policy of the Board of Podiatric Medicine to permit the maximum public access to information in its possession consistent with the requirements of the California Public Records Act (Govt. Code § 6250 et seq.), the Information Practices Act (Civ. Code § 1798 et seq.), Section 803.1 of the Business & Professions Code and the individual's right of privacy guaranteed by the California Constitution (Art. I, § 1).

NOTE: Authority cited: Sections 803, 803.1 and 2470, Business and Professions Code; and Section 6253, Government Code. Reference: Sections 803 and 803.1, Business and Professions Code; and Sections 6250 and 6253, Government Code.

HISTORY:

 

1399.701. Status of Licensees

The Board shall use the following categorical description when referring to licensed doctors of podiatric medicine either in response to public inquiries or in posting information on its website.
  1. (a) A licensed doctor of podiatric medicine is not considered to be in "good standing" if he or she:
  1. (1) Is subject to an order issued by the Board or any other civil, criminal or administrative court or agency that limits or in any way restricts his or her practice.
  2. (2) Has entered into a settlement with either the Board, any other administrative agency, the Attorney General, or any civil or criminal prosecutor which in any way limits or restricts his or her practice.
  3. (3) Has been suspended following conviction of any crime referred to in Business and Professions Code Section 2237 or Penal Code Sections 187, 261, 262, or 288.
  4. (4) Has been incarcerated following conviction of a felony.
  1. (b) Any licensed doctor of podiatric medicine who does not have a "good standing" designation may petition the Board to have this designation changed. The petition shall be heard before an administrative law judge designated in Section 11371 of the Government Code and pursuant to the provisions of the Administrative Procedure Act (Chapter 5 (commencing with Section 11500) of Division 3 of Title 2 of the Government Code).

NOTE: Authority cited: Sections 803, 803.1 and 2470, Business and Professions Code; and Section 6253, Government Code. Reference: Sections 803, 803.1, 2027 and 2236.1, Business and Professions Code; and Section 11504, Government Code.

HISTORY:

 

1399.702. Standard Terminology Describing Different Types of Disciplinary Actions Listed in Subdivision (a) of Section 803.1 of the Business and Professions Code.

  1. (a) Temporary Restraining Order:
    A temporary restraining order is a procedural device which State agencies can seek to prevent violations of the law or to suspend a license before formal disciplinary action is taken. It is also used to preserve the status quo or prevent the occurrence of irreparable injury pending further judicial or administrative proceedings. Such an order can only be issued by a court. Except in very severe emergency situations, the agency must give the licensee notice in order that he or she can be heard by the court.
  2. (b) Interim Suspension Order:
    Interim suspension orders may be issued by administrative law judges following an application by the Board when it appears that continued practice by a doctor of podiatric medicine would endanger the public health, safety, or welfare. The doctor of podiatric medicine is entitled to advance notice of such proceedings unless there is a showing that serious injury will result to the public before a hearing can be held. If an interim suspension order is issued, an accusation must be filed by the Board, a hearing conducted, and a decision issued by the administrative law judge on a very accelerated time frame. If these deadlines are not met, the interim suspension order is dissolved by operation of law.
  3. (c) Revocations, suspensions, probations, or limitations on practice ordered by the Board
    These penalties may be imposed by the Board, but only after the doctor of podiatric medicine is notified of such proposed action and given an opportunity to be heard before an independent administrative law judge. The most severe penalty is revocation of the license to practice. Lesser penalties include a specified period of probation including the imposition of limitations on the manner or type of practice by the doctor of podiatric medicine.
  4. (d) Public Letters of Reprimand
    Public letters of reprimand or reproval may be issued by the Board for any act that would constitute grounds to suspend or revoke the license of a doctor of podiatric medicine. Letters of reprimand shall be purged from the file of the doctor of podiatric medicine five (5) years after they are issued.
  5. (e) Infractions, citations or fines
    A citation is issued by the Board for violations of specified provisions of law found in the Business and Professions Code. The citation may contain an order to stop performing some activity (order of abatement) and/or levy a fine. Any doctor of podiatric medicine served with a citation has a right to a hearing before an independent administrative law judge.

NOTE: Authority cited: Section 803.1, Business and Professions Code. Reference: Section 803.1, Business and Professions Code.

HISTORY:

 

1399.703. Requirements for Information Disclosure.

The Board of Podiatric Medicine will disclose the following information, if known, upon any request regarding any doctor of podiatric medicine licensed in California:
  1. (a) Current status of a license, issuance and expiration date of a license, podiatric medical school of graduation, and date of graduation.
  2. (b) Any public action or administrative decision against any doctor of podiatric medicine, and any disposition thereof, taken by the Board, another state or the Federal Government including, but not limited to:
  1. (1) the filing of an accusation;
  2. (2) licensure revocations;
  3. (3) denial of an application for licensure;
  4. (4) temporary restraining orders;
  5. (5) interim suspension orders;
  6. (6) citations, infractions, or fines imposed;
  7. (7) limitations on practice ordered by the board, including those made part of a probationary order or stipulated agreement; and
  8. (8) public letters of reprimand.
  1. The following disclaimer shall be included with these disclosures:
  1. "Any adverse judgment or administrative order is subject to appeal or challenge by the doctor of podiatric medicine. For example, if an order revoking the license of a doctor of podiatric medicine is adopted by the Board, he or she can challenge that order by filing a petition for a writ of mandamus in superior court. If this court determines the order was issued contrary to law, it can vacate the Board's action and order that the doctor of podiatric medicine be reinstated."
  1. (c) Accusations which have been filed and later withdrawn shall be retained in the board's files for a period of one year after the accusation was withdrawn.
  2. (d) Civil judgments in any amount of a claim or action for damages for death or personal injury caused by the negligence, error, or omission in practice by a doctor of podiatric medicine, or by his or her rendering unauthorized professional services, whether or not vacated by a settlement after entry of the judgment, and not reversed on appeal, including the date and amount of judgment, the court and case number, a brief summary of the circumstances as provided by the court, plus any information the Board possesses pertaining to the disposition of the case following entry of judgment. The Board shall also include the following disclaimer with such disclosures:
  1. "Any civil judgment is subject to appeal by the losing party. For example, if a judgment is entered against a doctor of podiatric medicine, he or she can appeal to a higher court. If this court determines the judgment was entered in error, it can either vacate it or reduce the amount of any money damages awarded against the podiatrist."
  1. (e) Arbitration awards in any amount of a claim or action for damages for death or personal injury caused by the negligence, error, or omission in practice of the doctor of podiatric medicine, or by his or her rendering unauthorized professional services.
  2. (f) California felony convictions reported to the board on or after January 1, 1991, including the nature of the conviction, the date of conviction, the sentence, if known, the court of jurisdiction, and an appropriate disclaimer including, but not limited to, the accuracy of the information provided.
  3. (g) Summaries of any disciplinary actions taken at a hospital or any other type of health care facility that result in the termination or revocation of staff privileges of a doctor of podiatric medicine for medical disciplinary cause or reason.
  4. (h) Matters that have been referred to the Attorney General for the filing of an accusation or statement of issues; provided that:
  1. (1) The matter has not been rejected by the Attorney General; and
  2. (2) The following disclaimer accompanies the disclosure:
    "Referral of a matter to the Attorney General for the filing of an accusation or statement of issues only occurs after an investigation has been conducted by the Board and a determination has been made that the actions of the podiatrist are of a nature that should warrant disciplinary action. In some instances, however, the Attorney General may determine that disciplinary action is not warranted. Such cases will normally not result in the filing of a formal accusation. When an accusation is filed, the podiatrist will be given notice and the right to request a hearing before an independent administrative law judge. At such a hearing the Board has the burden of proving the allegations contained in the allegation. Unless a legal determination is made that the Board has sustained this burden, no disciplinary action may be taken against the doctor of podiatric medicine.";

NOTE: Authority cited: Sections 803, 803.1 and 2470, Business and Professions Code; Section 6253, Government Code. Reference: Sections 803 and 803.1, Business and Professions Code.

HISTORY:

 

1399.704. Disclosure of Complaints.

The Board shall maintain records showing the complaints received against doctors of podiatric medicine and, with respect to such complaints, shall make available to inquiring members of the public the following information:
  1. (a) The nature of all complaints on file which have been investigated by the Board and referred for legal action to the Attorney General, including:
  1. (1) The date of the complaint;
  2. (2) A brief summary of the nature of the complaint; and
  3. (3) Its disposition.
  1. (b) Under no circumstances shall the name, identity, or information that might lead to the discovery of the identity of the complainant be disclosed.
  2. (c) Information concerning the complaint shall be accompanied by the disclaimer set out in Section 1399.703(h)(2). If no action is taken by the Attorney General, records of the complaint shall be deleted from the Board's complaint disclosure system no later than one year after receipt of the decision by the Attorney General to take no action.
  3. (d) If a complaint results in legal action and is subsequently determined by the Board, the Attorney General, or a court of competent jurisdiction not to have merit, it shall be deleted from the complaint disclosure system.

NOTE: Authority cited: Sections 803.1 and 2470, Business and Professions Code; and Section 6253, Government Code. Reference: Sections 803 and 803.1, Business and Professions Code; Section 6250, Government Code; Section 1798.24, Civil Code.

HISTORY:

 

1399.705. Disclosure of Civil Settlements.

Upon request, the Board will disclose information in its possession concerning settlements entered into on or after January 1, 2003 of civil actions seeking recovery of damages for death or personal injury caused by the professional negligence, errors, or omissions of a doctor of podiatric medicine or his or her unauthorized practice pursuant to Business and Professions Code Section 803.1(b) & 803.1(c) and regulations promulgated by the Medical Board of California.

NOTE: Authority cited: Sections 803.1 and 2470, Business and Professions Code; Section 6253, Government Code. Reference: Section 803.1, Business and Professions Code; Section.

HISTORY:

 

1399.706. Disclosure of Information Concerning Licensed Doctors of Podiatric Medicine on the Board's Website.

For each licensed doctor of podiatric medicine, the Board will maintain on its website all of the information described in subdivision (a) of Section 1399.703 of these regulations as well as information on whether the doctor of podiatric medicine is in "good standing" as that term is used in Section 1399.701. If the doctor of podiatric medicine is not in good standing, the website shall indicate what restrictions, legal actions, orders, or discipline are currently pending.

NOTE: Authority cited: Sections 803, 803.1 and 2470, Business and Professions Code; Section 6253, Government Code. Reference: Sections 803.1 and 2470, Business and Professions Code.

HISTORY:

 

Article 10. Corrective Shoes


1399.707. Sale of Corrective Shoes by Unlicensed Persons.

  1. (a) Pursuant to Section 2477 of the code, unlicensed persons may manufacture, recommend, and sell corrective shoes and appliances for the human feet, including arch supports.
  2. (b) Unlicensed persons may advertise the products and services specified in subsection (a).
  3. (c) Unlicensed persons may not diagnose or treat podiatric medical conditions or otherwise practice podiatric medicine as defined in Business and Professions Code section 2472. Unlicensed persons may not prescribe, furnish, dispense, or sell corrective shoes, orthotics, or any other devices as treatments for podiatric medical conditions.
  4. (d) Unlicensed persons may not advertise the diagnosis or treatment of podiatric medical conditions. Unlicensed persons may not advertise the prescribing, furnishing, dispensing, or sale of shoes or devices as treatments for podiatric medical conditions.

NOTE: Authority cited: Section 2470, Business and Professions Code. Reference: Sections 2052, 2474 and 2477, Business and Professions Code.

HISTORY:

 

Article 11. Disciplinary Guidelines

1399.710. Disciplinary Guidelines.

In reaching a decision on a disciplinary action under the Administrative Procedure Act (Government Code Section 11400, et seq.), the board shall consider the disciplinary guidelines entitled “Manual of Disciplinary Guidelines with Model Disciplinary Orders” [revised September 2005] which are hereby incorporated by reference. Deviation from these guidelines and orders, including the standard terms of probation, is appropriate where the board in its sole discretion determines that the facts of the particular case warrant such a deviation--for example: the presence of mitigating factors; the age of the case; evidentiary problems.

NOTE: Authority cited: Section 2470, Business and Professions Code; and Section 11400.20, Government Code. Reference: Sections 11400.20 and 11425.50(e), Government Code.

HISTORY: