Disciplinary actions taken

The Board of Regents of the American College of Surgeons (ACS) took the following disciplinary actions at its February 7, 2014, meeting:

  • Efrain Diego Gonzalez, MD, a gynecology and obstetrics surgeon from Rocklin, CA, was expelled from the College. This action was taken following disciplinary action by the California Medical Board based on a determination that, over a four-year period, he engaged in multiple extreme departures from the standard of care involving multiple patients. The State of California accepted the surrender of his license to practice medicine on January 6, 2014.
  • Daniel Leslie Myers, MD, a general surgeon from Overland Park, KS, had his Fellowship suspended with conditions for reinstatement. This action was taken following disciplinary action by the Kansas Board of Healing Arts, resulting in the disciplinary surrender of his license to practice medicine in June 2013.
  • Edward J. S. Picardi, MD, a general surgeon from Sturgis, SD, had his Fellowship suspended with conditions for reinstatement. This action was taken following his conviction in federal court for income tax evasion. The South Dakota Board of Medical and Osteopathic Examiners revoked his license to practice medicine based upon the federal court conviction.
  • Oscar M. Ramirez, MD, a plastic surgeon from Weston, FL, had his Fellowship suspended with conditions for reinstatement. This action was taken following disciplinary action by the Maryland Board of Physicians based on a finding that he failed to meet the standards of quality medical care in his treatment of two patients in 2004 and 2005. The Florida Medical Board placed obligations on his license in that state based upon the actions in Maryland.

The Board of Regents of the ACS took the following disciplinary action at its October 5, 2013, meeting:

  • Michael L. Smith, MD, a general surgeon from Kitty Hawk, NC, was expelled from the College. This action was taken following repeated disciplinary action by the North Carolina Medical Board and reciprocal action in the states of Virginia and Illinois.

Definition of terms

Following are the disciplinary actions that may be imposed for violations of the principles of the College.

  • Admonition: A written notification, warning, or serious rebuke.
  • Censure: A written judgment, condemning the Fellow or Member’s actions as wrong. This is a firm reprimand.
  • Probation: A punitive action for a stated period of time, during which the Member: (a) loses the rights to hold office and to participate as a leader in College programs; (b) retains other privileges and obligations of membership; (c) will be reconsidered by the Central Judiciary Committee periodically and at the end of the stated term.
  • Suspension: A severe punitive action for a period of time, during which the Fellow or Member, according to the membership status: (a) loses the rights to attend and vote at College meetings, to hold office, and to participate as a leader, speaker, or panelist in College programs; (b) is subject to the removal of the Member’s name from the public listing and mailing list of the College; (c) surrenders his or her Fellowship certificate to the College, and no longer explicitly or implicitly claims to be a Fellow of the American College of Surgeons; (d) pays the visitor’s registration fee when attending College programs; (e) is not subject to the payment of annual dues. When the suspension is lifted, the Fellow or Member is returned to full privileges and obligations of Fellowship.
  • Expulsion: The certificate of Fellowship and all other indicia of Fellowship or membership previously issued by the College must be forthwith returned to the College. The surgeon thereafter shall not explicitly or implicitly claim to be a Fellow or Member of the American College of Surgeons and may not participate as a leader, speaker, or panelist in College programs.

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