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Rand Paul Not Board Certified: Kentucky Senate Hopeful Faces Challenge From Medical Panel

BRUCE SCHREINER and BRETT BARROUQUERE   06/14/10 05:20 PM ET   AP

Rand Paul Not Board Certified
Rand Paul Not Board Certified: Kentucky Senate Candidate Faces Challenge From Medical Panel On Certification Claims

LOUISVILLE, Ky. — Rand Paul, who touts his career as a Kentucky eye doctor as part of his outsider credentials in his campaign for U.S. Senate, isn't certified by his profession's leading group.

He tried Monday to bat away questions about it by calling it an attack on his livelihood, saying the scrutiny stems from his challenge of a powerful medical group over a certification policy he thought was unfair.

The libertarian-leaning Republican helped create a rival certification group more than a decade ago. He said the group has since recertified several hundred ophthalmologists, despite not being recognized the American Board of Medical Specialties – the governing group for two dozen medical specialty boards.

Questions about Paul's certification as an eye surgeon first arose in a story published Sunday in The Courier-Journal of Louisville.

Paul, who is continuing to practice in Bowling Green during the campaign, chafed Monday at questions about his certification.

"It's a personal assault on my ability to make a living," Paul told The Associated Press in a telephone interview.

Paul, whose father, Ron Paul, is a Texas congressman and former presidential candidate, said he is a good physician with thousands of patients. Paul casts himself as a political outsider spent years building his medical practice in Bowling Green before making his first run for elective office.

By focusing on an internal struggle within his profession, he said, "you vilify me and make it out to sound, 'Oh, ... there's something wrong with him as a physician because he chose not to register" with the American Board of Ophthalmology.

Paul said he helped formed the rival group because the established organization exempted older ophthalmologists from recertification. He likened it to members of Congress passing laws that don't apply to themselves.

The campaign for his Democratic rival, Kentucky Attorney General Jack Conway, said the episode raises serious questions about Paul's character. Conway's campaign said it shows Paul doesn't want to be held to the same standards as other doctors.

"It is clear that Rand Paul does not think the rules apply to him," Conway campaign manager Jonathan Drobis said in a statement Monday.

Paul, a graduate of Duke University's medical school, said he was board certified under the American Board of Ophthalmology for a decade. Paul has been licensed to practice in Kentucky since 1993.

In the late 1990s, Paul was a driving force behind forming the National Board of Ophthalmology to protest the ABO's exemption policy.

"I don't think that some people should recertify and others shouldn't," he said. "And I don't choose to give my money to a private group that discriminates."

Paul has been certified through the National Board of Ophthalmology since 2005. He is listed as the group's president; his wife, Kelley, is listed as vice president; and his father-in-law is listed as secretary. Paul and his relatives receive no salaries from the organization, his campaign said.

Beth Ann Slembarski, administrator for the American Board of Ophthalmology, said less than 5 percent of the nation's practicing ophthalmologists aren't certified through her organization.

Slembarski said that certification through the ABO reflects "an extra commitment by physicians to demonstrate their knowledge and skills in this specialty."

Before 1992, ABO certification had no expiration, she said. After that, it started issuing certifications that lasted 10 years, but ophthalmologists certified before 1992 were grandfathered in, meaning they didn't have to be recertified.

Neither group has anything to do with medical licensure, which is handled by state boards.

Paul shrugged off his group's lack of recognition by the American Board of Medical Specialties.

"Do you think that they're going to recognize a competitor?" he said.

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LOUISVILLE, Ky. — Rand Paul, who touts his career as a Kentucky eye doctor as part of his outsider credentials in his campaign for U.S. Senate, isn't certified by his profession's leading group.
LOUISVILLE, Ky. — Rand Paul, who touts his career as a Kentucky eye doctor as part of his outsider credentials in his campaign for U.S. Senate, isn't certified by his profession's leading group.
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HUFFPOST SUPER USER
Andre Lieven
Cdn.
11:51 PM on 06/22/2010
Oh, you have to love this contrast:

-Paul casts himself as a political outsider-

-He likened it to members of Congress passing laws that don't apply to themselves.-

Wow, what an insider entitlement besotted kind of outsider.
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CateManhattan
Common sense is way too uncommon.
07:27 PM on 06/21/2010
From the ABMS website:
Since 1933, official recognition of specialty boards in medicine has been achieved by the collaborative efforts of the Advisory Board for Medical Specialties, its successor, the American Board of Medical Specialties, and the AMA Council on Medical Education. In 1948 these efforts were formalized through the establishment of the Liaison Committee for Specialty Boards (LCSB). A jointly approved publication, "Essentials for Approval of Examining Boards in Medicine Specialties," established standards. This document has undergone several revisions through the years and remains the standard for recognition of new specialty boards.

Paul's family organization has never applied for recognition as a medical board. Only seven members of his organization have been found, and they are all board certified by the real medical board: ABO.

Paul is licensed in his state to practice general medicine, but he is not board certified as a specialist. Therefore, his current ability to practice in his specialty has not been assessed since his first application to ABO -- many years ago.
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HUFFPOST SUPER USER
Netflyer
Tree Hugger in firm support of President Obama!
10:04 PM on 06/18/2010
If anything this makes Rand look good and believe me, I'm not fan of his but this is just not a mote in his eye. It is not as if he isn't certified at all, just with a different group that he formed to insure that older eye dr.'s keep up with the current trends. If this is true then Rand has fought the good battle here and should be commended, no?
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CateManhattan
Common sense is way too uncommon.
12:23 AM on 06/20/2010
No, you have it all wrong. Paul did not want to be forced to keep current in his specialty.

One medical specialty board exists per specialty, and he refused to join it. Paul' organization has, at last count, 7 members and they are all board certified by ABO -- except for Paul. His sham organization does not have a website, and the 'office' is a UPS mail drop.
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HUFFPOST SUPER USER
Netflyer
Tree Hugger in firm support of President Obama!
12:47 AM on 06/20/2010
Ooohh, I see! Thanks for setting me straight ;-)
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HUFFPOST SUPER USER
Mike Clark II
memphis, journalism major. nuff said
08:38 AM on 06/18/2010
he doesnt believe in the civil rights act, and now he doesnt believe you should be certified to be a doctor... this is going in a reallllllly weird direction
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09:31 PM on 06/17/2010
Rand Paul's wife speaks on the certification controversy:
http://www.youtube.com/watch?v=bLqaM6P2Ttg
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CateManhattan
Common sense is way too uncommon.
01:23 AM on 06/20/2010
Like . . she is an expert in medicine? Sure thing. Because . . . . hmmmmm . . . . well, let's see . . . . because . . . .she can repeat what her husband tells her to say . . . . yeh, that's it.
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04:33 PM on 06/17/2010
Another interesting letter to the editor in a Kentucky newspaper today:

---------------------------------------------------------------------------------------------------

I am certified with both the American Board of Ophthalmology and the National Board of Ophthalmology. Regarding the NBO, Dr. Rand Paul should be commended for taking a stand against what he and many of us saw as a discriminatory practice regarding re-certification requirements with the ABO.

The older ophthalmologists, those who were running the ABO, were exempting themselves from re-testing, while serving up the younger doctors to the forces who were clamoring for the ABO to institute a formal re-testing procedure.

Dr. Paul was the only one willing to take on the ABO. By forming the NBO, the hope was that enough young doctors would leave the ABO, thereby putting pressure on the ABO to re-consider its stance.

This is why Dr. Paul let his certification expire.

Second, as a surgeon and fellow physician, I can attest to the fact that Dr. Paul is an extremely knowledgeable doctor and a skilled surgeon. In fact, he is probably one of the better read of all my colleagues nationally and I do not hesitate to ask him for advice in a given medical situation, and have done so several times.

I have incorporated several recommendations made by Dr. Paul into my practice and I am a better surgeon because of it.............

continued at:
http://bgdailynews.com/articles/2010/06/17/opinion/letters/letter1.txt
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04:30 PM on 06/17/2010
Interesting letter to the editor in a Kentucky newspaper yesterday:

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The Rand Paul medical board controversy is not a manifestation of evasiveness but rather an example of Dr. Paul’s principled stand against bureaucracy.

I am a board certified ophthalmologist practicing in Dr. Paul’s city and was not required to take the American Board of Ophthalmology recertification exam because I was “grandfathered” in.

Dr. Paul had the boldness to do what thousands of doctors would like to do - challenge the medical bureaucracy on the unfairness of requiring recertification for some and not for others.

There are further questions about whether recertification improves medical care or just improves the bottom line for the medical boards and the AMA. Medical professionals regularly and confidently refer patients to Dr. Paul.

Please do not be distracted by this irrelevant smokescreen.

Gerald E. Sullivan

Bowling Green

http://bgdailynews.com/articles/2010/06/16/opinion/letters/letter3.txt
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CateManhattan
Common sense is way too uncommon.
01:34 AM on 06/20/2010
Oh, please. All Paul did was try to exempt himself from repeated testing.

Only 7 members of his organization have been found, there is no website, the 'office' is a UPS mail drop, no certification criteria has been published, and there is no list of 'certified' members. The most public function of a medical board is to verify to the public that the member is certified - not done.

Paul's organization is a sham. Paul is not certified as current in his field by a medical board.

Yes, there is a lot of pushback about having to recertify, and more pushback that there is a grandfather clause, but 95% of specialists maintain their board certification in their specialty. Many of the 5% without board certs have rural practices -- they cover several specialties as a first stage but refer on when the case is complex. Paul simply wants to defy the medical board for his own personal oppositional characteristics.
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ChaCubed
Fabulously Liberal
07:55 AM on 06/17/2010
So "Board Certified" means you met some obligation or passed a test 30 years ago?

Oh, calm down, Cha, "Doctor" means the same thing. :)
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pyradius
Death by a thousand tax cuts
02:58 AM on 06/17/2010
I'm no fan of Paul, but I can see his dissatisfaction with ABO's grandfather clause. While I'd agree that having your own "board" that is made up purely of family members is pretty sketchy, people here using the argument that ABO somehow makes people impeccable eye dr's is a bit disingenious, as his biggest complaint is about those who get to be grandfathered (ABO), whereas he believes EVERYONE should have to get re-certified every so often.

While not really being in the same category of difficulty, they did the same thing with A++ certification. While I never bothered to pick up the cert, I was thinking about doing so, and learned that a few years back they stopped offering "certs for life" for everyone who had taken it already, whereas all NEW people suddenly have to get recertified every few years. I know some dimwits who passed the A++ cert, and suddenly they deserve to be hooked up for life, while I would have to keep getting recertified? That's pretty crappy...
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barrycourage
You have an absolute right to my opinion
12:09 AM on 06/17/2010
What makes these certifiers qualified to certify?

And who certifies the certifiers?

And who certifies the certifiers of the certifiers?

And who certifies the certifiers of the certifiers of the certifiers?

State licensure, which board certification or no board certification, the number of people affected by Rand Paul's medical skills are far fewer than the number of people who would be affected by his actions in the U.S. Senate.

Rand Paul is certifiable. That should concern everyone.
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HUFFPOST SUPER USER
Winston Smith
GOP solution: GIVE THE 1% MORE !!!
08:31 PM on 06/16/2010
Rand says he never would belong to an organization that would discriminate on race.

How many of the "hundreds" of Ophthalmologist in Rand's organization are of color ? How many are women ?

Some News organization need to have a respected Black woman Ophthalmologist seek to be certified by Rand's organization and do a story on it. I really don't think he would discriminate based on race. But if he declined to let them try, for what ever reason, he would create the appearance of racism.

The real reason to do the story would be to compare Rand's board of certification requirements to the requirements of the legitimate board.

Rand refuses to tell the world what the requirements of his board are.
HUFFPOST SUPER USER
smartdog
08:00 PM on 06/16/2010
gawd, look at the size of his fingers. he's got a pencil you know what. no wonder he's angry.
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HUFFPOST SUPER USER
rainkitty
Lively up yourself.
06:59 PM on 06/16/2010
Rand Paul is using trickery when creating his own "board" and cheapening the meaning of what if means to be truly "Board Certified". This man loves to make his own rules. AMA Board Certification has rules requiring training that this man thinks he doesn't need. Fine. Not every good doctor needs it. But just be honest and tell people you're self-board certified. Since when is it ok for Libertarians to lie in the name of freedom? They didn't used to be like that.
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DocSkull
My questions aren't rhetorical.
07:35 PM on 06/16/2010
I guess he could tell his patients that his family run the board under which he is certified, but I think that would defeat the purpose of having a phony certification authority with a sound-alike name.
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HUFFPOST SUPER USER
rainkitty
Lively up yourself.
01:09 AM on 06/18/2010
Of course you are right. Naive of me to think this should be a more honest world.
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HUFFPOST SUPER USER
Abraxas79
01:35 PM on 06/16/2010
I am sorry, but this a really a non story. His certification or lack thereof does not have anything to do with his professional competence. Huffingtonpost seems to have a fixation with Rand Paul, but I really think we have larger issues to worry about.
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DocSkull
My questions aren't rhetorical.
07:32 PM on 06/16/2010
"His certification or lack thereof does not have anything to do with his professional competence."

Nothing ever has anything to do with anything in rightwing world. If he isn't properly certified then you don't know whether he has or has not been deemed professionally competent.
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HUFFPOST PUNDIT
Uncle Bill
ex-lawyer and teacher
07:38 PM on 06/16/2010
It has a great deal to do with his honesty and his contempt for not only government standards protecting the public but even the self-governance and ethics the professions that is the hallmark distinction between them and ordinary commerce. Caveat emptor may be the standard of the marketplace, but professionals voluntarily assume ethical obligations to serve their client's best interests and not only their own. If he isn't willing to assume those obligations inherent in his profession and the standards set by his peers, he is free to make his living in commerce, not a profession.
10:33 AM on 06/16/2010
Very interesting article regarding "Dr" Rand Paul. Eight years ago when my grand daughter was born she experienced an eye problem. Grandma and daughter-in-law (DIL) visited with "Dr" Paul in our home location of Bowling Green, Kentucky. His prognosis was pretty simply, it should go away in a month or two. Not satisfied, my son enrolled in the Exceptional Family Member Program from the Army and was reassigned to Fort Campbell with the 101st Airborne Division. Once there, my grand daughter commenced weekly visits for steriod
shots at Vanderbilt University, which continued for close to a year before she was proclaimed clean. Though I am not clearly up on the particulars of what our grand brat actually had, just the plain fact that the military doctors and the university experts recognized a problem that "Dr" Paul was unable to diagnose or provide a referral leads me to distrust the individual. With the aforementioned in mind, I also call into question his creation of "his" own board for eye doctors. I guess if one can't deal with one organization, then let's simply create one for ourselves (and put the rest of the family into key positions). My wife has no use for this individual as a doctor and from what I heard a few months ago when he won the primary I don't have any use for this individual as a politician either.
HUFFPOST SUPER USER
Validusername
Caught in the thick of thin things
11:23 AM on 06/16/2010
Or it could be that Dr. Paul knew that the condition would correct itself and that no painful shots were necessary. Who knows what would have happened if your granddaughter had not had the treatment. I am not a Rand Paul fan but I think this is a smear campaign and that the man is probably very good at his job.
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HUFFPOST SUPER USER
fedupinfla
In a kennel full of dogs, I bark the loudest
11:36 AM on 06/16/2010
According to his family owned & operated "medical board" he is...
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collettethehedgehog
My micro-bio is So running on empty
03:37 AM on 06/17/2010
Circular argument. If he is very good at his job-just why couldnt he get certified? If it was a principled objection to the idea of certification-why make up his own board, stock it with family members and refuse to reveal how you get certified in HIS board-then advertise that he's certified. In Europe that would be fraud and he would no longer be able to use the title Dr. when he got out of prison.
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HUFFPOST SUPER USER
vegaspauli
11:08 AM on 06/17/2010
Apparently they asked his father-in-law, the "secretary," what the organization did and he wasn't sure....Instead of trying to make the "real" organization better, he quits.....sounds very familiar. I'm sure he'll really go to bat for his constituents and not his ideals.....