What are the consequences of an Ethics complaint?

  1. Initial action upon receipt of an ethics complaint

    Upon receipt of an ethics complaint from the Board Secretary, the Chairperson of the Grievance Committee shall review the complaint. Any evidence and documentation attached will be considered only to the extent necessary to determine whether a complaint will be referred for hearing. The Chairperson may assign one or more members of the Grievance Committee to review the complaint and to make any necessary evaluation. The member(s) may, if necessary, gather additional information on the matters complained of from the complainant if additional information is necessary to determine whether a complaint will be referred for hearing. The complaint shall be provided to the assigned members by the Board Secretary upon instruction from the Chairperson. (Amended 11/15)

    The reviewer(s), if appointed, shall complete the assignment promptly and prepare a report and recommendation for the Grievance Committee. After reviewing the report, the Chairperson shall schedule a meeting of the Grievance Committee and may instruct the Secretary to provide members of the Grievance Committee with copies of the case file including the reviewer’s report, if any. At the option of the Board, such file may be sent to the Grievance Committee members prior to the meeting or may be distributed at the meeting. (Amended 4/94)


     
  2. Consideration of an ethics complaint by the Grievance Committee

    In reviewing an ethics complaint, the Grievance Committee shall consider the following:

    1. Is the ethics complaint acceptable in form as received by the Committee? If not in proper form, the Chairperson may request that the Professional Standards Administrator contact the complainant to advise that the complaint must be submitted in proper form. (Revised 11/15)

      NOTE: If deemed appropriate by the Chairperson, a member of the Grievance Committee may be assigned to contact the complainant and to provide procedural assistance to amend the complaint or resubmit a new complaint in proper form and with proper content. The Grievance Committee member providing such assistance shall ensure that only procedural assistance is provided to the complainant, and that the complainant understands that the member is not representing the complainant or advocating on behalf of the complainant. (Revised 11/15)


       
    2. Are all necessary parties named in the complaint?
    3. Was the complaint filed within one hundred eighty (180) days of the time that the alleged offense and facts relating to it could have been known by the complainant in the exercise of reasonable diligence or within one hundred eighty (180) days after the conclusion of the transaction or event, whichever is later? (Revised 5/11)
    4. Is the respondent named in the complaint a member of the Board, and was the respondent a member of any Board at the time of the alleged offense?
    5. Is criminal or civil litigation or any government agency investigation or other action pending related to the same facts and circumstances giving rise to the complaint alleging unethical conduct?
      1. If criminal or civil litigation is pending related to the facts and circumstances giving rise to the complaint alleging unethical conduct, the Grievance Committee shall instruct the Professional Standards Administrator to have Board legal counsel review the complaint filed and advise if any hearing should proceed (presuming the matter would otherwise warrant a hearing), with counsel considering the following:
        1. similarity of factors giving rise to pending litigation or regulatory or administrative proceeding and the ethics complaint
        2. degree to which resolution of the pending litigation or regulatory or administrative proceeding could make consideration of the ethics complaint unnecessary
        3. degree to which pending litigation or regulatory or administrative proceeding would delay prompt disposition of the ethics complaint
        4. the nature of the alleged violation and the extent to which it could impact on cooperation with other Board Members
        5. the assurance of Board legal counsel that consideration of an ethics complaint would not deprive the respondent of due process (Revised 11/18)
    6. Is there any reason to conclude that the Board would be unable to provide an impartial Hearing Panel?
    7. Are the specific Articles cited in the complaint appropriate in light of the facts provided? Should additional Articles be cited? Should certain Standards of Practice be cited in support of the Articles charged? Are any inappropriate Articles cited?
    8. If the facts alleged in the complaint were taken as true on their face, is it possible that a violation of the Code of Ethics occurred? Complainants are not required to prove their case when initially filing an ethics complaint. A complaint may not be dismissed for lack of evidence if the allegation(s), taken as true on their face, could constitute a violation of the Code of Ethics and the complaint is in an otherwise acceptable form. (Revised 11/15)

    If all relevant questions have been answered to the satisfaction of the Grievance Committee, and the allegations, if taken as true, could constitute a violation of the Code of Ethics, the Grievance Committee shall refer the complaint to the Professional Standards Committee for a hearing by an ethics Hearing Panel. (Revised 11/15)

  3. Appeal from the decision of the Grievance Committee related to an ethics complaint

    If the Grievance Committee dismisses the complaint, the notice of dismissal shall specify the reasons for dismissing and the complainant may appeal the dismissal to the Board of Directors within twenty (20) days from transmittal of the dismissal notice using Form #E-22, Appeal of Grievance Committee (or Hearing Panel) Dismissal of Ethics Complaint. The complaint and any attachments to the complaint cannot be revised, modified, or supplemented. The complainant may, however, explain in writing why the complainant disagrees with the Grievance Committee’s conclusion that the complaint should be dismissed. If the Grievance Committee deletes an Article or Articles from an ethics complaint, the complainant may also appeal to the Board of Directors using Form #E-22, Appeal of Grievance Committee (or Hearing Panel) Dismissal of Ethics Complaint. The Directors (or a panel of Directors or the Executive Committee) shall consider only the information and documents considered by the Grievance Committee, together with the complainant’s rationale for challenging the dismissal and render its decision, which shall be final. The parties are not present at the meeting at which the appeal is considered. Appeals of dismissals shall be heard at the Directors' next regularly scheduled meeting or a special meeting designated for that purpose, but no later than ten (10) days after the date of receipt of the appeal. The Directors' decision shall be transmitted to the parties within five (5) days from the date of the decision. (Revised 11/15)


     
  4. Criminal or civil litigation or regulatory/administrative proceedings coming to light after an ethics complaint has been referred to an ethics Hearing Panel

    If after review of an ethics complaint by the Grievance Committee and referral of the complaint for hearing, it is subsequently discovered that criminal or civil litigation or regulatory or administrative proceedings related to the same transaction or event are pending, the Hearing Panel Chair, in consultation with association legal counsel, will determine whether the hearing will proceed or, alternatively, whether the complaint will be held in abeyance pending resolution of the litigation or regulatory or administrative proceedings. (Revised 11/18)

Search Code of Ethics and Arbitration Manual

The AMA's Code of Medical Ethics offers ethical guidance for the medical profession and centers on the physician-patient relationship. It sets ethical guidance to how physicians should interact with patients. The AMA believes all physicians should uphold the ethical standards set forth in the Code.

First developed in 1847, the Code is regularly updated through reports and opinions of the Council on Ethical and Judicial Affairs (CEJA). CEJA’s role is to analyze and address timely issues confronting physicians and the medical profession. 

The AMA is bound by due process in all matters related to complaints and generally does not have the legal authority or possesses the proper resources to investigate individual cases.

Grievances against a medical professional who you believe is acting unethically or not providing a certain standard of care should be directed to your state medical licensing board.

Legal standards of professional conduct are set by individual state medical licensing boards and may vary from state to state. While there is no single definition of unprofessional conduct, the Federation of State Medical Board defines such conduct as:

  • Patient abuse
  • Inadequate record keeping
  • Failure to meet the standard of care
  • Prescribing drugs in excess or without legitimate reason
  • Failing to meet continuing medical education requirements
  • Dishonesty
  • Conviction of a felony
  • Delegating the practice to an unlicensed individual

Billing disputes and poor customer service are generally not viewed as unprofessional conduct.

Contact your state medical licensing board to find out what the standards are in your state.

AMA policy can be found in several ways:

The Code states that physicians should make medical records available as requested by the patient and that a reasonable fee may be charged for transferring medical records (see Opinion 3.3.1 "Management of Medical Records"). Individual states may have regulations defining reasonable fee, contact your state medical licensing board to find out what the regulations are in your state. 

The Code states that, in general, physicians are free to choose whom to serve (see Principle VI, Principles of Medical Ethics), but physicians have an obligation to support continuity of care for their patients (see Opinion 1.1.5 "Terminating a Patient-Physician Relationship"). Physicians and patients wanting to know more about the appropriate mechanism for terminating a patient-physician relationship should contact their state medical licensing board to find out what the regulations are in their state.

Opinion 1.1.2 “Prospective Patients” defines circumstances in which a physician may ethically decline to accept specific patients before a patient-physician relationship has been established.

AMA Ethics Group

Tom Wagner

Telephone: (312) 464-4823

Email: [email protected]

AMA Journal of Ethics® inquiries or assistance

Visit the Journal of Ethics contact page. 

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