Medical Boards: Impact of Growing Virtual Care and Need for Integrated Approach to Enhance Quality and Safety




digital health, medical board oversight, National Practitioner Data Bank, quality, telehealth, virtual care


The increased amount of virtual care during the COVID-19 pandemic has exacerbated the challenge of providing appropriate medical board oversight to ensure proper quality of care delivery and safety of patients. This is partly due to the conventional model of each state medical board (SMB) holding responsibility for medical standards and oversight only within the jurisdiction of that state board and partly due to regulatory waivers and reduced enforcement of privacy policies. Even with a revoked license in one state, significant number of physicians have continued to practice by obtaining a medical license in a different state. Individualized requests were sent to 63 medical boards with questions related to practice of telemedicine and digital health by debarred or penalized medical doctors. The responses revealed major deficiencies and the urgent need to adopt a nationwide framework and to create an anchor point to serve as the coordinator of all relevant information related to incidents of improper medical practice. The ability to cause damage to large number of patients is significantly more now. Federal and state agencies urgently need to provide more attention and funding to issues related to quality of care and patient care in the changing ecosystem that includes medical specialists at a distance and the use of evolving digital health services and products. The creation, maintenance, and use of an integrated information system at national and multinational levels is increasingly important.


Download data is not yet available.


Fauber J, Wynn M. State medical board failures: 7 takeaways from our investigation. USA Today. Updated 2018. Accessed January 12, 2022.

DuBois JM, Walsh HAA, Chibnall JT, Anderson EE, Eggers MR, Fowose M, Ziobrowski H. Sexual Violation of Patients by Physicians: A Mixed-Methods, Exploratory Analysis of 101 Cases. Sexual Abuse. 2019 Aug;31(5):503-523.

Federation of State Medical Boards (FSMB). National Survey Indicates Majority of Physician Misconduct Goes Unreported. Federation of State Medical Boards. Updated 2019. Accessed January 12, 2022.

Health Professional Licensing Reports [Internet]. Tennessee Department of Health. Accessed April 12, 2022. Available from:

Medical Examining Board Newsletters. State of Wisconsin, Department of Safety and Professional Services. Accessed April 12, 2022. [cited 2022 April 12]. Available from:

Chaudhry, HJ, Robin, LA, Fish, EM, Polk, DH, and Gifford, JD, Improving Access and Mobility — The Interstate Medical Licensure Compact. N Engl J Med, 2015;372(17, April 23):1581-3.

Cohen IG, Sao D, Gupta A, Gantz DA. Chapter 20: Legal and Regulatory Barriers to Telemedicine in the United States: Public and Private Approaches toward Health Care Reform. In: The Globalization of Health Care: Legal and Ethical Issues. Oxford: Oxford University Press; 2013. p. 647–83.

Gupta A, Sao D. The Constitutionality of Current Legal Barriers to Telemedicine in the United States: Analysis and Future Directions of Its Relationship to National and International Health Care Reform. Health Matrix: Journal of Law-Medicine. 2011;21:385-442.

Federation of State Medical Boards (FSMB). Federal Grant Awarded to Expand Interstate Medical Licensure Compact; Support License Portability for PAs. Federation of State Medical Boards. Updated 2019. Accessed January 12, 2022.

Albanese, S, Gupta A, Shah I, Mitri J. Medicare Telehealth Pre and Post-COVID-19: Interstate Framework, Regulations, Licensure, and HIPAA. Telehealth Med Today. 2021;6(4). doi:10.30953/tmt.v6.299

Park, L, Russo, H, Gupta A. Enhancing Quality of Healthcare and Patient Safety: Oversight of Physician Assistants, Nurses, and Pharmacists in Era of COVID-19 and Beyond. Telehealth Med Today. 2022;7(1).

( DW. Lufthansa Faces Civil Lawsuit on 2015 Germanwings Plane Crash: DW: 06.05.2020 [Internet]. DW.COM. 2020 [cited 2020Nov20]. Available from:



How to Cite

Gupta, A., Halamka, J., Park, L. ., Kim, N., Donthireddy, V. ., Dogar, M., & Patel, D. . (2022). Medical Boards: Impact of Growing Virtual Care and Need for Integrated Approach to Enhance Quality and Safety. Telehealth and Medicine Today, 7(3).

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 > >>