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Kate Brown, Governor October 23, 2020 Holly Bartholomew West Linn Tidings Sent via email: [email protected] REPORT NAME: LICENSE VERIFICATION REPORT SUBJECT: David Brian Farley, MD LICENSE #: MD16003 The Oregon Medical Board is responding to your inquiry regarding verification of licensure for the above-referenced Licensee. Enclosed is a License Verification Report for this Licensee. There are public Board orders on file for this Licensee. Copies of the following Board Orders are also enclosed: n Interim Stipulated Order; Dated 08/06/2020 n Complaint and Notice; Dated 09/03/2020 n Stipulated Order; Dated 10/02/2020 If you have any questions regarding this License Verification Report, please contact the Board at (971) 673-2700, or toll free in Oregon at (877) 254-6263. Sincerely, Elizabeth Ross Legislative and Policy Analyst Enclosures

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  • Kate Brown, Governor

    October 23, 2020

    Holly BartholomewWest Linn Tidings

    Sent via email: [email protected]

    REPORT NAME: LICENSE VERIFICATIONREPORT SUBJECT: David Brian Farley, MDLICENSE #: MD16003

    The Oregon Medical Board is responding to your inquiry regarding verification of licensure for theabove-referenced Licensee. Enclosed is a License Verification Report for this Licensee.

    There are public Board orders on file for this Licensee. Copies of the following Board Orders are alsoenclosed:

    n Interim Stipulated Order; Dated 08/06/2020n Complaint and Notice; Dated 09/03/2020n Stipulated Order; Dated 10/02/2020

    If you have any questions regarding this License Verification Report, please contact the Board at (971)673-2700, or toll free in Oregon at (877) 254-6263.

    Sincerely,

    Elizabeth RossLegislative and Policy Analyst

    Enclosures

    http://prod.techmed.local/DataTier/Documents/Repository/0/0/6/7/c61ec288-443e-488b-8ef0-7bcc5aed3622.pdfhttp://prod.techmed.local/DataTier/Documents/Repository/0/0/6/1/72ca4f08-954c-4791-a3da-a66c70df6927.pdfhttp://prod.techmed.local/DataTier/Documents/Repository/0/0/7/0/ea40e7ec-a101-45cf-ade6-66c6fc4df7a1.pdf

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    Page

    BEFORE THE

    OREGON MEDICAL BOARD

    STATE OF OREGON

    In the Matter of ))

    DAVID BRIAN FARLEY, MD ) STIPULATED ORDERLICENSE NO. MD16003 )

    )

    L

    The Oregon Medical Board (Board) is the state agency responsible for licensing,

    regulating and disciplining certain health care providers, including physicians, in the State of

    Oregon. David Brian Farley, MD (Licensee) is a licensed physician in the State of Oregon.

    - 2. , .

    On September 3, 2020, the .Board issucd a Complaint and Notice of Proposed

    Disciplinary Action in which the Board; proposed to; take disciplinary action by imposing up to

    the maximum range of potential sanctions identified in ORS 677.205(2), which may include the

    revocation of license, a $10,000 civil penalty per violation, and assessment of costs, against

    Licensee for violations of the Medical Practice Act, to wit: ORS 677.190(l)(a) unprofessional or

    dishonorable conduct, as defined in ORS 677.188 conduct unbecoming a person licensed to

    practice medicine or detrimental to the best interest of the public as further defined in OAR 847-

    010~0073(3)(b)(G) sexual misconduct, ORS 677.188(4)(a) any conduct or practice contrary to

    recognized standards of ethics of the medical profession or any conduct or practice which does

    or might constitute a danger to the health or safety of a patient or the public, ORS 677.188(b)

    willful performance of any surgical or medical treatment which is contrary to acceptable medical

    standards, and ORS 677.188(c) willful and repeated ordering or performance of unnecessary

    laboratory tests or radiologic studies;, administration of unnecessary treatment; employment of

    outmoded, unproved or unscientific, treatments; or otherwise utilizing medical service for

    diagnosis or treatment which is or may be considered inappropriate or unnecessary; and ORS

    1 -STIPULATED ORDER - David Brian Farley, MD

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    Page 2 -STIPULATED ORDER - David Brian Farley, MD

    677.190(13) gross or repeated acts of negligence. Prior to the issuance of the Notice, on August

    6, 2020, Licensee entered into an Interim Stipulated Order with the Board in which he agreed to

    voluntarily withdraw from practice and place his license in Inactive status pending the

    completion of the Board's investigation.

    3.

    Licensee and the Board desire to settle this matter by the entry of this Stipulated Order.

    Licensee understands that he has the right to a contested case hearing under the Administrative

    Procedures Act (Oregon Revised Statutes chapter 183), and fully and finally waives the right to a

    contested case hearing and any appeal therefrom by the signing of and entry of this Order in the

    Board’s records. Licensee neither admits nor denies, but the Board finds that Licensee engaged

    in conduct as described in the September 3, 2020, Complaint and Notice of Proposed

    Disciplinary Action, and that this conduct violated the Medical Practice Act, to wit ORS

    677,190(l)(a), as defined in ORS 677.188 as further defined in OAR 847-010-0073(3)(b)(G),

    ORS 677.188(4)(a),. ORS, 677.188(b), and ORS 677.188(c); and-ORS 677.190(13). Licensee

    understands that this Order is a public record and is a disciplinary action that is reportable to the

    National Practitioner Data Bank and the Federation of State Medical Boards.

    ... , , : .4. .. . ■ ■ ■ , , .. ■

    Licensee and the Board agree that the Board will dose this investigation and resolve this

    matter by entry of this Stipulated Order, subject to the following conditions:

    , 4.1 Licensee’s Oregon medical licensees revoked, and Licensee agrees never to

    reapply for a license to practicemedicine in Oregon. . ..

    4.2 Licensee is reprimanded.; , y ; . ■ -

    4.3 Licensee must pay a civil penalty in the amount of $20,000. This term is held in

    abeyance unless Licensee violates any term of this Order or practices medicine in the State of

    Oregon, including holding himself put as a physician in Oregon, as set forth in ORS 677.085.

    Any violation of this term of the Order will immediately terminate the abeyance of the civil

    /// > : ■ ;• , ■ > ..: • u ' • s : < ... -. . . . ...

  • penalty and the $20,000 civil penalty will become payable in full within 30 days from the date

    2 that Licensee receives written notification from the Board.

    Board Chair signs this Stipulated Order.4

    5

    6 to the practice of medicine.

    7

    be grounds for further disciplinary action under ORS 677.190(17).8

    9

    This Order becomes effective the date it is signed by the Board Chair.10

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    Page 3 STIPULATED ORDER - David Brian Farley, MD

    DAVID BRIAN FAR’

    IT IS SO ORDERED this

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    BEFORE THE

    OREGON MEDICAL BOARD

    STATE OF OREGON

    In the Matter of ))

    DAVID BRIAN FARLEY, MD ) COMPLAINT & NOTICE OF PROPOSEDLICENSE NO. MD 16003 ) DISCIPLINARY ACTION

    )

    1.

    The Oregon Medical Board (Board) is the state agency responsible for licensing,

    regulating and disciplining certain health care providers, including physicians, in the State of

    Oregon. David Brian Farley, MD (Licensee), is a licensed physician in the State of Oregon.

    2.

    The Board proposes to take disciplinary action by imposing up to the maximum range of

    potential sanctions identified in ORS 677.205(2), which may include the revocation of license, a

    $10,000 civil penalty per violation, and assessment of costs, against Licensee for violations of

    the Medical Practice Act, to wit: ORS 677.190(l)(a) unprofessional or dishonorable conduct, as

    defined in ORS 677.188 conduct unbecoming a person licensed to practice medicine or

    detrimental to the best interest of the public as further defined in OAR 847-010-0073(3)(b)(G)

    sexual misconduct, ORS 677.188(4)(a) any conduct or practice contrary to recognized standards

    of ethics of the medical profession or any conduct or practice which does or might constitute a

    danger to the health or safety of a patient or the public, ORS 677.188(b) willful performance of

    any surgical or medical treatment which is contrary to acceptable medical standards, and ORS

    677.188(c) willful and repeated ordering or performance of unnecessary laboratory tests or

    radiologic studies; administration of unnecessary treatment; employment of outmoded, unproved

    or unscientific treatments; or otherwise utilizing medical service for diagnosis or treatment which

    is or may be considered inappropriate or unnecessary; and ORS 677.190(13) gross or repeated

    acts of negligence.

    Page 1 - COMPLAINT & NOTICE OF PROPOSED DISCIPLINARY ACTION- David Brian Farley, MD

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    3.

    3.1 The American Medical Association (AMA) publishes “AMA Code of Medical

    Ethics.” AMA Code of Medical Ethics Opinion 1.1.1 states:

    The practice of medicine, and its embodiment in the clinical encounter between a patient and a physician, is fundamentally a moral activity that arises from the imperative to care for patients and to alleviate suffering. The relationship between a patient and a physician is based on trust, which gives rise to physicians’ ethical responsibility to place patients’ welfare above the physician’s own self-interest or obligations to others, to use sound medical judgment on patients’ behalf, and to advocate for their patients’ welfare.

    3.2 The AMA Code of Medical Ethics Opinion 3.1.3 states:

    Audio or visual recording of patients can be a valuable tool for educating health care professionals, but physicians must balance educational goals with patient privacy and confidentiality. The intended audience is bound by professional standards of respect for patient autonomy, privacy, and confidentiality, but physicians also have an obligation to ensure that content is accurate and complete and that the process and product of recording uphold standards of professional conduct.

    To safeguard patient interests in the context of recording for purposes of educating health care professionals, physicians should:

    (i) Be aware that the information contained in educational recordings should be held to the same protections as any other record of patient information. Recordings should be securely stored and properly destroyed, in keeping with ethics guidance for managing medical records.

    (j) Be aware that recording creates a permanent record of personal patient information and may be considered part of the medical record and subject to laws governing medical records.

    3.3 The AMA Code of Medical Ethics Opinion 3.1.4 states, in part:

    Audio and/or visual recording of patient care for public broadcast is one way to help educate the public about health care. However, no matter what medium is used, such recording poses challenges for protecting patient autonomy, privacy, and confidentiality. Filming cannot benefit a patient medically and may cause harm. As advocates for their patients, physicians have an obligation to protect patient interests and ensure that professional standards are upheld. Physicians also have a responsibility to ensure that information conveyed to the public is complete and accurate (including the risks, benefits, and alternatives of treatments).

    Physicians involved in recording patients for public broadcast should:

    Page 2 - COMPLAINT & NOTICE OF PROPOSED DISCIPLINARY ACTION- David Brian Farley, MD

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    (a) Participate in institutional review of requests to record patient interactions.

    3.4 AMA Code of Medical Ethics Opinion 3.3.1 states, in part:

    In keeping with the professional responsibility to safeguard the confidentiality of patients’ personal information, physicians have an ethical obligation to manage medical records appropriately.

    To manage medical records responsibly, physicians (or the individual responsible for the practice’s medical records) should:

    (h) Ensure that records that are to be discarded are destroyed to protect confidentiality.

    3.5 The AMA Code of Medical Ethics Opinion 3.3.2 states, in part:

    Information gathered and recorded in association with the care of a patient is confidential, regardless of the form in which it is collected or stored.

    Physicians who collect or store patient information electronically, whether on stand-alone systems in their own practice or through contracts with service providers, must:

    (a) Choose a system that conforms to acceptable industry practices and standards with respect to:(i) restriction of data entry and access to authorized personnel;(ii) capacity to routinely monitor/audit access to records;(iii) measures to ensure data security and integrity; and(iv) policies and practices to address record retrieval, data sharing, third-party access and release of information, and disposition of records (when outdated or on termination of the service relationship) in keeping with ethics guidance.

    3.6 The AMA Code of Medical Ethics Opinion 7.1.1 states:

    Biomedical and health research is intended to contribute to the advancement of knowledge and the welfare of society and future patients, rather than to the specific benefit of the individuals who participate as research subjects.

    However, research involving human participants should be conducted in a manner that minimizes risks and avoids unnecessary suffering. Because research depends on the willingness of participants to accept risk, they must be able to make informed decisions about whether to participate or continue in a given protocol.

    Physician researchers share their responsibility for the ethical conduct of research with the institution that carries out research. Institutions have an obligation to oversee the design, conduct, and dissemination of research to ensure that scientific, ethical, and legal standards are upheld. Institutional review boards (IRBs) as well as individual investigators should ensure that each participant has been appropriately informed and has given voluntary consent.

    Page 3 - COMPLAINT & NOTICE OF PROPOSED DISCIPLINARY ACTION- David Brian Farley, MD

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    Physicians who are involved in any role in research with human participants have an ethical obligation to ensure that participants’ interests are protected and to safeguard participants’ welfare, safety, and comfort.

    To fulfill these obligations, individually, physicians who are involved in research should:

    (a) Participate only in those studies for which they have relevant expertise.

    (b) Ensure that voluntary consent has been obtained from each participant or from the participant’s legally authorized representative if the participant lacks the capacity to consent, in keeping with ethics guidance. This requires that:

    1. Prospective participants receive the information they need to make well-considered decisions, including informing them about the nature of the research and potential harms involved.

    2. Physicians make all reasonable efforts to ensure that participants understand the research is not intended to benefit them individually.

    3. Physicians also make clear that the individual may refuse to participate or may withdraw from the protocol at any time.

    (c) Assure themselves that the research protocol is scientifically sound and meets ethical guidelines for research with human participants. Informed consent can never be invoked to justify an unethical study design.

    (d) Demonstrate the same care and concern for the well-being of research participants that they would for patients to whom they provide clinical care in a therapeutic relationship. Physician researchers should advocate for access to experimental interventions that have proven effectiveness for patients.

    (e) Be mindful of conflicts of interest and assure themselves that appropriate safeguards are in place to protect the integrity of the research and the welfare of human participants.

    (f) Adhere to rigorous scientific and ethical standards in conducting, supervising, and disseminating results of the research.

    3.7 Oregon Administrative Rule (OAR) 847-010-0073(3)(b)(G) defines sexual

    misconduct as “behavior that exploits the licensee-patient relationship in a sexual way. The

    behavior is non-diagnostic and non-therapeutic, may be verbal, physical or other behavior, and

    may include expressions of thoughts and feelings or gestures that are sexual or that reasonably

    may be construed by a patient as sexual,” including transmitting, viewing, or in any way using

    photos or any other image of a patient for prurient interest, or having any involvement with child

    pornography.

    4.

    Licensee is a board-certified family practice physician who formerly practiced in West

    Linn, Oregon. The acts and conduct alleged to violate the Medical Practice Act follow:

    Page 4 - COMPLAINT & NOTICE OF PROPOSED DISCIPLINARY ACTION- David Brian Farley, MD

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    4.1 Licensee conducted gynecological examinations on Patient A when she was under

    18 years of age, to include pelvic and breast exams and Pap smears with a frequency that was not

    indicated by the patient's medical history, which breached the standard of care. In November

    2016, Patient A presented to Licensee with complaints of dysmenorrhea. Licensee diagnosed her

    with endometriosis and gave her a prescription for alprazolam (Xanax, Schedule IV) 1 mg, 1 -2

    tablets to be used prior to a scheduled pelvic examination six weeks later. Patient A returned to

    the clinic on December 16, 2016. She denied being sexually active but reported heavy menses

    that were quite painful. She requested to be on birth control medication because of her acne.

    Licensee conducted a pelvic examination that showed moderate tenderness in both adnexa but no

    masses. There was marked tenderness with significant nodularity along her uterosacral

    ligaments. Licensee began Patient A on birth control pills and asked her to return in four months

    for a repeat examination. Patient A was seen again on July 11, 2017. Licensee repeated a pelvic

    exam and noted that her tenderness had resolved. Patient A was asked to return in four weeks

    for a wellness examination. Patient A returned on August 19, 2017, for a sexually transmitted

    disease (STD) check. A repeat pelvic examination showed no abnormalities and screening for

    STDs was negative. Patient A was asked to return in three months. Patient A was seen on

    November 7, 2017. Licensee performed a breast and pelvic examination, which were normal

    and a Pap smear was obtained. The Pap smear returned showing atypical squamous cells of

    undetermined significance (ASCUS). HPV testing was positive but negative for genotypes 16

    and 18/45 (Patient A had completed her human papilloma virus vaccinations). Licensee

    recommended a follow up in six months. Patient A returned on May 23, 2018. Licensee

    1

    III

    1 The current guidelines from the American College of Obstetricians and Gynecologists (ACOG), which have been in effect since 2010, state that most women should wait until age 21 to have their first Pap test unless they have compromised immune systems. The American Academy of Family Physicians also recommend not performing Pap smears on women under the age of 21. The Academy notes that “most observed abnormalities in adolescents regress spontaneously, therefore screening Pap smears done in this age group can lead to unnecessary anxiety, additional testing, and cost.” In 2012, the U.S. Preventive Services Task Force issued a recommendation recommends against screening for cervical cancer in women younger than age 21 years.

    Page 5 COMPLAINT & NOTICE OF PROPOSED DISCIPLINARY ACTION- David Brian Farley, MD

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    conducted a pelvic examination, which was normal. A Pap smear continued to show ASCUS.

    Patient A was asked to return in four weeks. No current published medical guidelines

    recommend routine gynecological examinations or Pap smears in women under the age of 21. In

    his lengthy response to the Board’s investigation, Licensee supports his personal guidelines

    based on outdated recommendations to start Pap smears at age 18 or the onset of sexual activity,

    whichever comes first, and then annually. Patient A was under age 18 and denied sexual activity

    at the time of Licensee’s initial examinations. Licensee breached the standard of care by having

    Patient A undergo recurring pelvic/gynecological examinations and repeat Pap smears, which

    were not documented as being chaperoned and were not medically indicated, nor supported by

    current medical science. In addition, Licensee diagnosed Patient A with endometriosis without

    medical evidence to support the diagnosis. Licensee repeatedly ordered or administered

    unnecessary, outmoded tests, contrary to acceptable medical standards, which may have caused

    potential harm to Patient A, and is also contrary to the AMA Code of Medical Ethics Opinion

    1.1.1. Licensee’s care and treatment of Patient A constitutes unprofessional conduct, including

    sexual misconduct, as well as repeated negligence.

    4.2 The Board conducted a review of other charts and found other female patients

    under the age of 18 for whom Licensee conducted periodic pelvic examinations and Pap smears,

    to include Patient B, a 17-year-old female. On November 7, 2017, Patient B presented to

    Licensee and at Licensee’s recommendation underwent a Pap smear and STD screening. Her

    Pap showed ASCUS. Licensee recommended a repeat Pap in May of 2018. Licensee repeatedly

    ordered or administered unnecessary, outmoded tests, contrary to acceptable medical standards,

    which may have caused potential harm to Patient B, and is also contrary to the AMA Code of

    Medical Ethics Opinion 1.1.1. Licensee’s care and treatment of Patient B constitutes

    unprofessional conduct, including sexual misconduct, and repeated negligence.

    4.3 Patient C, a 15-year-old female, presented to Licensee on November 30, 2018, for

    insertion of an IUD. Licensee conducted a pelvic examination, after Patient C declined the

    presence of a chaperone, and screened for STDs. Licensee recommended and Patient C agreed

    Page 6 COMPLAINT & NOTICE OF PROPOSED DISCIPLINARY ACTION- David Brian Farley, MD

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    to also undergo a Pap smear. The Licensee ordered a testosterone level with no apparent or

    stated indication. Patient C was under age 18 and denied sexual activity at the time of Licensee’s

    examinations. Licensee ordered or administered unnecessary or outmoded tests, contrary to

    acceptable medical standards, which may have caused potential harm to Patient C, and is also

    contrary to the AMA Code of Medical Ethics Opinion 1.1.1. Licensee’s care and treatment of

    Patient C was negligent and constitutes unprofessional conduct, including sexual misconduct.

    4.4 Licensee contacted Subject D, the mother of 16-year-old Patient E. Licensee

    informed Subject D that he wanted to use her daughter in a study to explain puberty. Licensee

    asked if she heard about a study that was done in the 60s in which photographs were taken of

    children starting puberty and showing their development over time. Subject D denied having

    heard of it. Licensee stated that he was going to update this study and intended to procure photos

    and videos depicting male and female development while in puberty and asked if her daughter

    (Patient E) would be interested. She told Licensee “no,” but Licensee explained that he would

    use the photos and the videos along with additional literature on sexual development to develop a

    presentation. This presentation would be placed on a thumb drive with a password that he

    could then provide to parents and teens to educate them on what to expect during puberty.

    Subject D declined to have Patient E take part in Licensee’s study. Licensee’s solicitation of

    Subject D for the participation of Patient E in a study regarding puberty is contrary to the AMA

    Code of Medical Ethics Opinions 3.1.4 and 7.1.1, constitutes unprofessional or dishonorable

    conduct, including sexual misconduct, and is grossly negligent.

    4.5 In Licensee’s response to the Board he admitted that he had taken photographs of

    five patients, Patients F - J, all of whom are under the age of 18, on his personal cellular phone

    for an educational exercise to document sexual development. These photographs were of the

    breasts and exterior genitalia of these patients. Licensee stated he had obtained signed consents

    from each patient and their parents to take part in the exercise. Licensee was asked to provide

    the Board the consent forms for all patients involved as well as all records and photographs.

    Licensee advised the Board that he could not provide the records as he had deleted the

    Page 7 - COMPLAINT & NOTICE OF PROPOSED DISCIPLINARY ACTION- David Brian Farley, MD

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    photographs from his phone and had shredded the consent forms and all records related to the

    program. The Board obtained a blank consent form that was offered by Licensee to a patient's

    family; the “Consent for Use of Photos and Videos of Minors for Education” states that photos

    and videos obtained by Licensee become Licensee’s property and may be used for educational

    purposes as determined by Licensee. Licensee’s solicitation of Patients F - J for the

    participation in a study regarding puberty is contrary to the AMA Code of Medical Ethics

    Opinions 3.1.4 and 7.1.1. Licensee’s use of his personal cell phone to photograph Patients F - J,

    and his subsequent deletion of these photographs and shredding of the consent forms is contrary

    to the AMA Code of Medical Ethics Opinions 3.1.3, 3.1.4, 3.3.1, 3.3.2, and 7.1.1. Licensee’s

    conduct constitutes unprofessional or dishonorable conduct, including sexual misconduct, and is

    grossly negligent.

    5.

    Licensee’s above described conduct violated the Medical Practice Act, as set forth below.

    5.1 Licensee breached the standard of care in regard to Patients A, B and C, and

    exposed these patients to the risk of harm by having these patients, who were all under the age of

    21, undergo Pap smears and unnecessary and recurring pelvic and breast examinations, and by

    conducting these examinations without the presence of a medically trained chaperone.

    Licensee’s conduct constitutes unprofessional or dishonorable conduct, in violation of ORS

    677.190(l)(a) unprofessional or dishonorable conduct, as defined in ORS 677.188(4)(a) any

    conduct or practice contrary to recognized standards of ethics of the medical profession or any

    conduct or practice which does or might constitute a danger to the health or safety of a patient or

    the public, ORS 677.188(b) willful performance of any surgical or medical treatment which is

    contrary to acceptable medical standards, ORS 677.188(c) willful and repeated ordering or

    performance of unnecessary laboratory tests or radiologic studies; administration of unnecessary

    treatment; employment of outmoded, unproved or unscientific treatments; or otherwise utilizing

    medical service for diagnosis or treatment which is or may be considered inappropriate or

    ///

    Page 8 - COMPLAINT & NOTICE OF PROPOSED DISCIPLINARY ACTION- David Brian Farley, MD

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    unnecessary, and OAR 847-010-0073(3)(b)(G) sexual misconduct; and ORS 677.190(13) gross

    or repeated acts of negligence.

    5.2 Licensee breached the standard of care and engaged in unethical conduct by

    diagnosing Patient A with endometriosis without appropriate work-up to establish the diagnosis.

    Licensee’s conduct constitutes unprofessional or dishonorable conduct, in violation of ORS

    677.190(l)(a) unprofessional or dishonorable conduct, as defined in ORS 677.188(4)(a) any

    conduct or practice contrary to recognized standards of ethics of the medical profession or any

    conduct or practice which does or might constitute a danger to the health or safety of a patient or

    the public; and ORS 677.190(13) gross or repeated acts of negligence.

    5.3 Licensee violated well recognized ethical standards by asking the mother of a 16-

    year-old patient to participate in a “study” or “educational presentation” that would involve

    taking photographs of Patient E’s breasts and genitalia to document sexual development.

    Licensee failed to ensure that his proposal was needed, that his research protocol was

    scientifically sound and meets ethical guidelines for research with human participants, and

    knowing that informed consent can never be invoked to justify an unethical study design.

    Licensee’s above described conduct in regard to Subject D and Patient E was contrary to well

    recognized standards of ethics, to include AMA Ethics Opinion 1.1.1, in his failing to promote a

    relationship with the patient that is based on trust, which gives rise to physicians’ ethical

    responsibility to place patients’ welfare above the physician’s own self-interest or obligations to

    others, to use sound medical judgment on patients’ behalf, and to advocate for their patients’

    welfare; as well as AMA Ethics Opinions 3.1.4 and 7.1.1. Licensee’s conduct violated

    ORS 677.190(l)(a) unprofessional or dishonorable conduct, as defined in ORS 677.188(4)(a)

    conduct or practice contrary to recognized standards of ethics of the medical profession and

    conduct that does or might constitute a danger to the health or safety of a patient, and as defined

    in OAR 847-010-0073(3)(b)(G) sexual misconduct; and ORS 677.190(13) gross or repeated acts

    of negligence by breaching the standard of care.

    HI

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    6.4 Licensee’s conduct was contrary to well recognized ethical standards in his taking

    photographs of underaged patients for the purpose of inclusion of his “study” or “educational

    presentation” to include the breasts and external genitalia of Patients F - J for the purpose of

    documenting sexual development. Licensee failed to ensure that his proposal was needed, that

    his research protocol was scientifically sound and met ethical guidelines for research with human

    participants, and knowing that informed consent can never be invoked to justify an unethical

    study design. Licensee further demonstrated conduct contrary to established ethical standards in

    his failing to store the photographs in a secure manner and in his destruction of documents which

    should have been kept as part of the medical records for Patients F - J. Licensee’s above

    described conduct in regard to Patients F - J is contrary to AMA Ethics Opinions 3.1.3, 3.1.4,

    3.3.1, 3.3.2, and 7.1.1. Licensee’s conduct violated ORS 677.190(1 )(a) unprofessional or

    dishonorable conduct, as defined in ORS 677.188(4)(a) conduct or practice contrary to

    recognized standards of ethics of the medical profession and conduct that does or might

    constitute a danger to the health or safety of a patient, and OAR 847-010-0073(3)(b)(G) sexual

    misconduct; and ORS 677.190(13) gross or repeated acts of negligence by breaching the

    standard of care.

    6.

    Licensee is entitled to a hearing as provided by the Administrative Procedures Act

    (chapter 183), Oregon Revised Statutes. Licensee may be represented by counsel at the hearing.

    If Licensee desires a hearing, the Board must receive Licensee’s written request for hearing

    within twenty-one (21) days of the mailing of this Notice to Licensee. Upon receipt of a request

    for a hearing, the Board will notify Licensee of the time and place of the hearing.

    7.

    7.1 If Licensee requests a hearing, Licensee will be given information on the

    procedures, right of representation, and other rights of parties relating to the conduct of the

    hearing as required under ORS 183.413(2) before commencement of the hearing.

    ///

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    7.2 In the event of a hearing, the Board proposes to assess against Licensee the

    Board’s costs of this disciplinary process and action, including but not limited to all legal costs

    from the Oregon Department of Justice, all hearing costs from the Office of Administrative

    Hearings, all costs associated with any expert or witness, all costs related to security and

    transcriptionist services for the hearing and administrative costs specific to this proceeding in an

    amount not to exceed $80,000, pursuant to ORS 677.205(2)(f).

    8.

    NOTICE TO ACTIVE DUTY SERVICEMEMBERS: Active Duty Servicemembers

    have a right to stay these proceedings under the federal Servicemembers Civil Relief Act. For

    more information contact the Oregon State Bar at 800-452-8260, the Oregon Military

    Department at 503-584-3571 or the nearest United States Armed Forces Legal Assistance Office

    through http://legalassistance.law.af.mil. The Oregon Military Department does not have a toll-

    free telephone number.

    9.

    Failure by Licensee to timely request a hearing or failure to appear at any hearing

    scheduled by the Board will constitute waiver of the right to a contested case hearing and will

    result in a default order by the Board, including the revocation of his medical license and

    assessment of such penalty and costs as the Board deems appropriate under ORS 677.205. If a

    default order is issued, the record of proceeding to date, including Licensee’s file with the Board

    and any information on the subject of the contested case automatically becomes a part of the

    contested case record for the purpose of proving a prima facie case per ORS 183.417(4).

    DATED this 3rd day of > 2020.

    OREGON MEDICAL BOARDState of Oregon

    ASWAMI, JDNIiEXECUTIVE DIRECTOR

    Page 11 - COMPLAINT & NOTICE OF PROPOSED DISCIPLINARY ACTION- David Brian Farley, MD

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