
National Organization for State Medical & Osteopathic Board Executives
TRAINING PROGRAM AGENDA
2008 CERTIFIED MEDICAL BOARD INVESTIGATOR (CMBI)
TRAINING PROGRAM AGENDA

Tuesday-Thursday: July 8-10, 2008
Excalibur Hotel Las Vegas
3850 Las Vegas Blvd. South
Las Vegas, Nevada 89109
Main Telephone: 702-597-7777
See special AIM group hotel reservation call in number and group code below
Web Site: www.excalibur.com
REGISTER AND MAKE HOTEL RESERVATIONS NOW
DATES: Tuesday-Thursday: July 8-10, 2008 (Tuesday – Thursday) Las Vegas, Nevada
REGISTER: Training Registration Form Web Link: http://www.aimmembers.org/08cmbiregisform/
HOTEL: Excalibur Hotel Las Vegas
AIM Group Hotel Room Rate: $71 per night (lower than the government rate for that time period) plus 9% hotel tax and $1 per day per room for unlimited local phone service (a mandatory fee) and any incidental charges.
Call in hotel room reservations: Dial 800-937-7777 and give the AIM group code XCMBI. Arrival Date is Monday, July 7 (must arrive the day before) and departure date is either the evening of Thursday, July 10 (a limited number of rooms have been blocked for July 10 in anticipation of departures Thursday evening) or July 11. Training session ends on Thursday, July 10 at 4:00 pm.
CUT-OFF DATE: The last day the hotel will accept reservations at the $71 rate is June 6, 2008.
QUICK VIEW SCHEDULE AND MEETING ROOMS
Meeting Rooms along
with the
Meal and Break
Schedule
Tuesday - Meeting Room: Aquitane/Devonshire/Cornwall Room
Continental Breakfast and Registration: 7:00-8:00 am
Break: 9:00-9:15 am
Break: 10:45-11:00 am
Luncheon Buffet: 11:45 am - 1:00 pm - Luncheon Buffet with breakout sessions in the Kent Room
Break: 2:00-2:15 pm
Break: 3:30 – 3:45 pm
END DAY AT 4:30 pm
5:00 pm - 6:30 pm: Reception in the Kent Room
Wednesday – Meeting Room: Aquitane/Devonshire/Cornwall Room
Continental Breakfast: 7:30-8:30 am
Break: 9:30-9:45 am
Break: 10:45-11:00 am
Luncheon Buffet: 12:00 – 1:30 pm
Break: 2:30-2:45 pm
Break: 3:30-3:45 pm
END DAY AT 4:30 pm
Evening Free
Thursday – Meeting Room: Aquitane/Devonshire/Cornwall Room
Continental Breakfast: 7:00-8:00 am
Break: 8:45-9:00 am
Break: 10:00-10:15 am
Luncheon Buffet: 11:30-12 Noon return to tables with food plates for 12 Noon – 1:00 pm Keynote Address by Lynn Hankes, MD
Break: 1:00 – 1:15 pm
Break: 3:00-3:15 pm
3:15 pm: Awarding of Course Completion Certificates
END OF TRAINING COURSE AT 3:45 pm
TRAINING PROGRAM AGENDA
Tuesday - July 8th
Meeting Room: Aquitane/Devonshire/Cornwall Room
7:00 am - 8:00 am: Continental Breakfast and Registration in the Aquitane/Devonshire/Cornwall Room
8:00 am: Welcome from AIM & FSMB - Greetings from the Host Boards
Welcome from AIM & FSMB: Leslie A. Gallant, CMBI Program Chair; Past President of AIM; Member, FSMB Board of Directors; and Executive Administrator, Alaska State Medical Board
Greetings from the Host Boards: Douglas C. Cooper, CMBI, Chief of Investigations, Nevada State Board of Medical Examiners & CMBI Program Committee Member and Catryna Kelly, Executive Administrator, Nevada State Board of Osteopathic Medicine
8:15 am – 9:00 am: Investigator Professionalism and Ethics
Defining the attitudes and skills necessary for a successful medical board investigator, particularly in their interactions with the patient and physician community.
Presenter: Thomas K. Hannah, CMBI, Chief (Ret), MQA Investigative Services, Florida Department of Health & CMBI Program Committee Member
9:00 am – 9:15 am: Break
9:15 am – 10:45 am: Both Sides of the Legal Aisle: Perspectives of the Prosecutor and the Defense
Creating an effective and positive team with your Prosecutors to win your cases. Presentation includes the perspective of Defense Counsel.
Presenter: James A. Wilson, Attorney at Law, Durham, North Carolina - Former Chief Prosecutor and General Counsel to the North Carolina Medical Board
10:45 am – 11:00 am: Break
11:00 am – 11:45 am: The Investigative Process
Review of the analysis of complaint handling, case planning and development, use of experts, sources of evidence and prosecution.
Panel Moderator: Loy Ingold, CMBI, Investigator, North Carolina Medical Board
Panelists:
Douglas C. Cooper, CMBI, Chief of Investigations, Nevada State Board of Medical Examiners & CMBI Program Committee Member
Thomas K. Hannah, CMBI, Chief (Ret), MQA Investigative Services, Florida Department of Health & CMBI Program Committee Member
11:45 am – 1:00 pm: Luncheon Buffet in the Kent Room with Breakout Sessions on Best Investigative Practices with Discussion Leaders
Lunch from 11:45 am to 12:15 pm
Directed Discussion from 12:15 pm to 12:45 pm
Topics for Directed Discussion:
1) Best Practices - Complaint Intake
2) Best Practices - Case Analysis (Assignment and Planning)
1:00 pm – 2:00 pm: Approaches to Complaint Specific Interviewing
Using neurolinguistics and kinesiology to your advantage when interviewing both complainants and respondents. Also examining methods to avoid gender or ethnic biases in conducting investigations.
Substance Abuse Cases
Boundary Violations (Sexual Misconduct) Cases
Drug Diversion and Prescribing Cases
Psychiatric or Disruptive Physician Cases
Presenter: Sergeant Billy Rakes, formerly with the Orlando Police Department and currently consultant to the Special Investigations Division, Polygraph Unit
2:00 pm – 2:15 pm: Break
2:15 pm – 3:30 pm: Approaches to Complaint Specific Interviewing – Continued
Presenter: Sergeant Billy Rakes, formerly with the Orlando Police Department and currently consultant to the Special Investigations Division, Polygraph Unit
3:30 pm – 3:45 pm: Break
3:45 pm – 4:30 pm: Approaches to Complaint Specific Interviewing – Continued
Presenter: Sergeant Billy Rakes, formerly with the Orlando Police Department and currently consultant to the Special Investigations Division, Polygraph Unit
5:00 pm – 6:30 pm: Reception in the Kent Room
Wednesday - July 9th
Meeting Room: Aquitane/Devonshire/Cornwall Room
7:30 am - 8:30 am Continental Breakfast
8:30 am – 9:30 am: The Hospital Hierarchy – Understanding the System
An explanation of the processes, the personnel, the roles they play, the medical records, the expectations, and the realities of working with hospital staffs and system procedures.
Presenter: John Ellerton MD, CM, Chief of Staff, University Medical Center, Las Vegas and Professor of Medicine, University of Nevada, School of Medicine
9:30 am – 9:45 am: Break
9:45 am – 10:45 am: Physician Health Programs – What They Do and Do Not Do
What are Physician Health Programs; how they work; why Medical Boards need them; and how they can be helpful. Includes a summary of the current state of drug and alcohol testing.
Presenter: Greg Skipper, MD, Medical Director, Alabama Physician Health Program
10:45 am – 11:00 am: Break
11:00 am – 12 Noon: Sex, Drugs, and Power in the Practice of Medicine
Review of the most common problems that ruin medical careers, how they are identified, evaluated, and treated. Learn methods of investigating these sensitive cases.
Presenter: Greg Skipper, MD, Medical Director, Alabama Physician Health Program
12 Noon – 1:30 pm: Luncheon Buffet
1:30 am – 2:30 pm: "Urine Luck" All About Drug Testing
A review of the most important things to know about drug testing, cheating on drug testing, and understanding new testing techniques (hair, saliva, sweat patch, fingernails) and new tests (EtG, EtS, Phosphatidyl ethanol, etc).
Presenter: Greg Skipper, MD, Medical Director, Alabama Physician Health Program
2:30 pm – 2:45 pm: Break
2:45 pm – 3:30 pm: Investigating Standard of Care Cases
Examining standard of care cases in terms of lack of definition; common problems for the non-medically trained investigator; use of medical experts; and what resources are available.
Presenter: Douglas C. Cooper, CMBI, Chief of Investigations, Nevada State Board of Medical Examiners & CMBI Program Committee Member
3:30 pm – 3:45 pm: Break
3:45 pm – 4:30 pm: Investigating Standard of Care Cases: Use of Medical Records
Presenter: Thuy Tran, RHIA, Director, Health Information Management, HCA Health Care, Sunrise Hospital and Medical Center, Las Vegas, Nevada
Evening Free
Thursday - July 10th
Meeting Room: Aquitane/Devonshire/Cornwall Room
7:00 am - 8:00 am: Continental Breakfast
8:00 am – 9:00 am: Challenges of Investigating Internet Pharmacies
Understanding Internet pharmacies and drug diversion.
Presenter: Rick J. Zenuch, Director, Law Enforcement Liaison & Education, Purdue Pharma LP, Stamford, Connecticut; Former Chief of Law Enforcement, Office of the Attorney General, Medicaid Fraud Control Unit; Former Inspector, Florida Department of Law Enforcement, Office of Statewide Intelligence
9:00 am – 9:15 am: Break
9:15 am – 10:00 am: Effective Investigation of Pharmacology and Prescribing Cases
Learning about cases involving prescribing issues.
10:00 am – 10:15 am: Break
10:15 am – 11:00 am: Medicaid Fraud Issues
Identifying Medicaid Fraud
Presenter: Rick J. Zenuch, Director, Law Enforcement Liaison & Education, Purdue Pharma LP, Stamford, Connecticut; Former Chief of Law Enforcement, Office of the Attorney General, Medicaid Fraud Control Unit; Former Inspector, Florida Department of Law Enforcement, Office of Statewide Intelligence
11:00 – 11:30 am: National Clearinghouse on Internet Prescribing
Tools to Help in Investigating Internet Pharmacy Cases
11:30 am – 12 Noon: Luncheon Buffet (Return to tables with food plates for Keynote Address)
12 Noon – 1:00 pm: Keynote Address: Relapse--What's Different?
Speaker: Lynn Hankes, MD
Dr. Hankes is Clinical Professor Emeritus at the University of Washington School of Medicine in the Department of Psychiatry and Behavioral Sciences. He served for 13 years as the full-time Director of the Washington Physician's Health Program. He is among the 100 pioneer physicians in the entire U.S. who passed the first certification exam in Addiction Medicine and is currently a Fellow of the American Society of Addiction Medicine. He is Past President of the Federation of State Physician Health Programs.
JAMA article included in training manual: Risk Factors for Relapse in Health Care Professionals With Substance Use Disorders1:00 pm – 1:15 pm: Break
1:15 pm – 3:00 pm: Interagency Relationships
Working together with law enforcement and other regulatory agencies to protect the public. This will be a case presentation.
Introduction: Douglas C. Cooper, CMBI, Chief of Investigations, Nevada State Board of Medical Examiners & CMBI Program Committee Member
Presenters:
Matt Alberto, Deputy Chief, Department of Public Safety (DPS), State of Nevada
Jennifer Reubart, Detective, Department of Public Safety, Investigation Division, Nevada HIDTA (Pharm-NET)
3:00 pm – 3:15 pm: Break
3:15 pm – 3:45 pm: Awarding of Certificates of Course Completion and Closing Remarks
Acknowledgements
AIM wishes to thank the many people who make our meetings so successful.
Special thanks to:
The AIM CMBI Program Planning Committee
Our Presenters: Without their willingness to share their time, knowledge, and experience, we would be unable to bring you such important programs.
FSMB: James N. Thompson, MD, President/Chief Executive Officer, Federation of State Medical Boards (FSMB)
Our Host Board Representatives: Catryna Kelly, Executive Administrator, Nevada State Board of Osteopathic Medicine and
Douglas C. Cooper, CMBI, Program Committee Member, Chief of Investigations, Nevada State Board of Medical Examiners
2008 AIM CMBI Program Planning Committee
Leslie A. Gallant, Program Chair; Executive Administrator, Alaska State Medical Board; Past President of AIM; and current member of the FSMB Board of Directors
Douglas C. Cooper, CMBI, Program Committee Member, Chief of Investigations, Nevada State Board of Medical Examiners
Curtis L. Ellis, CMBI, Program Committee Member, Director of Investigations, North Carolina Medical Board
Thomas K. Hannah, CMBI, Program Committee Member, Chief (Ret), MQA Investigative Services, Florida Department of Health
Background: Administrators In Medicine (AIM), in a collaborative effort with the Federation of State Medical Boards (FSMB), has designed a state medical and osteopathic board investigator certification program that will provide comprehensive, subject specific education and training for state medical and osteopathic board investigators. The goal of the program is to provide a resource to boards that will give specialized training to individuals who are in the position of investigating complaints received by medical and osteopathic boards. The program is specifically intended for investigators who have basic investigation skills but who are new to the peculiarities of investigating physicians while also providing continuing education and certification for individuals with more advanced skills.
14 Boards now have Certified Investigators (CMBIs): Arizona Osteo; Florida; Iowa; Georgia; Louisiana; Maine Medical; Mississippi; Nevada Medical; North Carolina; Ohio; Oklahoma Medical; Oklahoma Osteo; Washington State; and West Virginia Medical.
END OF TRAINING
PROGRAM AGENDA