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Tuesday, May 31, 2005 - Last Updated: 7:09 AM 

S.C. punishes few doctors, study says

Public Citizen ranks state 43rd for disciplinary action

Associated Press

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COLUMBIA--A national consumer group says South Carolina is doing worse at disciplining its doctors, but state regulators say the state has tough licensing requirements that weed out bad seeds early on.

Public Citizen ranks the state 43rd among the 50 states in the rate of doctors disciplined. In 1987, South Carolina was ninth, said Dr. Sidney Wolfe, who co-founded the consumer advocacy group with Ralph Nader.

South Carolina sanctions fewer doctors than other states, according to the study released in April by the group. The state sanctioned an average of 2.18 doctors per 1,000 from 2002 to 2004. That stands in sharp contrast to the 10 per 1,000 for Wyoming, the top-ranked state on the list.

The study could fuel those pushing to change disciplinary procedures of the state Board of Medical Examiners. Legislation in the General Assembly, which adjourns June 2, would force the board to let the public know about formal complaints against doctors.

The push for more open procedures comes after two high-profile cases involving Dr. James Shortt of West Columbia and Dr. James Johnston of Hilton Head Island.

Johnston has been barred from practice until he completes an alcohol abuse treatment program. Shortt has been disciplined by the board after a patient died from the hydrogen peroxide infusion treatments he ordered. Shortt also is being investigated by a federal grand jury for allegations of prescribing steroids to athletes.

The Public Citizen study "shows our board is not doing a top-notch job or even a mediocre job in disciplining those doctors who are problems," said Sen. Brad Hutto, D-Orangeburg.

Medical board members say there is no proven correlation between the number of sanctions against doctors and patient care.

"Perhaps those states with fewer discipline actions are more careful upfront in the licensing process and do a better job of keeping out problem physicians," according to a statement released by the board.

The statement also made the claim that the study is based on arbitrary data and does not make allowances for differences in state practices.