December 24, 2019
Recently, the Iowa Board of Medicine took the following actions:
Richard L. Dowell, D.O., a 53-year-old Iowa-licensed physician who formerly practiced obstetrics and gynecology in Marshalltown, Iowa, and currently practices in Kansas City, Missouri, had a Statement of Charges filed against him by the Board on December 20, 2019. The Board alleged that Dr. Dowell failed to respond to, or comply with, a Board investigation initiated pursuant to Iowa Code section 272C.3 and Iowa Administrative Code rule 653—24.2. The Board alleged that Dr. Dowell opted to maintain his patients’ medical records upon the closure of his practice in Marshalltown, Iowa in September, 2018. The Board received information which indicates that several of Dr. Dowell’s former patients have been unable to obtain their medical records from him. The Board thereafter initiated an investigation. The Board alleges that Dr. Dowell failed to appropriately respond to, or comply with, numerous attempts by the Board’s investigator to contact him, numerous inquiries from the Board’s investigator, and a subpoena issued by the Board. A hearing is scheduled on March 5, 2020.
Margaret J. Fehrle, M.D., a 56-year-old Iowa-licensed physician who formerly practiced orthopedic surgery in Marshalltown and Vinton, Iowa, entered into a Settlement Agreement with the Board on December 20, 2019. On March 18, 2018, the Board filed a Statement of Charges alleging that Dr. Fehrle violated the laws and rules governing the practice of medicine in Iowa when she failed to provide appropriate orthopedic surgical care to multiple patients in Marshalltown and Vinton, Iowa, between 2008 and 2015. Dr. Fehrle filed an Answer to the Statement of Charges denying the allegations. Dr. Fehrle retired from the practice of medicine and surgery in 2018 and her Iowa medical license went inactive due to nonrenewal on April 1, 2019. Under the terms of the December 20, 2019, Settlement Agreement, Dr. Fehrle agrees that she will not seek renewal or reinstatement of her Iowa medical license.
Linda M. Iler, M.D., a 66-year-old Iowa-licensed physician who currently practices family medicine and emergency medicine in Carroll, Iowa, had a Statement of Charges filed against her by the Board on December 20, 2019. On May 29, 2019, the Board issued a Confidential Clinical Competency Evaluation Order pursuant to Iowa Code section 272C.9(1) requiring Dr. Iler to successfully complete a comprehensive clinical competency evaluation within ninety (90) days. The Board alleges that Dr. Iler has failed to complete the Board-ordered evaluation in violation of the laws and rules governing the practice of medicine in Iowa. A hearing is scheduled on March 5, 2020.
Kang Lu, M.D., a 42-year-old Iowa-licensed physician who formerly practiced radiology in Massachusetts, had a Statement of Charges filed against him by the Board on December 20, 2019. The Board alleged that Dr. Lu was disciplined by the licensing authority of another state and that he engaged in unethical or unprofessional conduct in violation of the laws and rules governing the practice of medicine in Iowa. Dr. Lu was disciplined by the Massachusetts Board of Medicine for: His conviction in Canada for illegally importing firearms into Quebec, Canada; fraudulently procuring the renewal of his Massachusetts certificate of registration; committing an offense against the laws of Massachusetts; and lacking good moral character and engaging in conduct which undermines the public confidence in the integrity of the medical profession. The Massachusetts Board suspended Dr. Lu’s license to practice medicine. As of July 8, 2019, thirteen other states have suspended or revoked Dr. Lu’s license to practice medicine in those states. A hearing is scheduled on March 5, 2020.
Scott T. Roethle, M.D., a 42-year-old Iowa-licensed physician who practices medicine in Overland Park, Kansas, and via telemedicine in multiple states entered into a combined Statement of Charges and Settlement Agreement with the Board on December 20, 2019. The Board alleged that Dr. Roethle failed to conform to the minimal standard of acceptable and prevailing practice of medicine when he prescribed medications to a patient via telemedicine using electronic means, without establishing an appropriate physician-patient relationship sufficient to establish an informed diagnosis and provide appropriate medical care. The Board alleged that Dr. Roethle failed to perform an adequate interview of the patient to collect the relevant medical history and/or perform a physical examination sufficient for the diagnosis and treatment of the patient in Iowa. Under the terms of the December 20, 2019, combined Statement of Charges and Settlement Agreement, the Board issued Dr. Roethle a Citation and Warning and ordered him to pay a $5,000 civil penalty for violating the laws and rules governing the practice of medicine in Iowa.
Mary P. Rosman, D.O., a 63-year-old Iowa-licensed physician who formerly practiced family medicine in Sibley, Iowa, had a Statement of Charges filed against her by the Board on December 20, 2019. The Board alleged that while practicing medicine in Sibley, Iowa, Dr. Rosman failed to maintain appropriate medical records; that many of her medical records are incomplete; that she failed to complete her medical records in a timely manner and that she failed to maintain her medical records in an organized and secure manner. A hearing is scheduled on March 5, 2020.
LeRoy L. Yates, Jr., M.D., a 64-year-old Iowa-licensed obstetrician and gynecologist who formerly practiced cosmetic surgery in Davenport, Iowa, had a Findings of Fact, Conclusions of Law, Decision and Order issued by the Board on December 12, 2019. On July 29, 2016, the Board filed a Statement of Charges against Dr. Yates alleging that he violated the laws and rules governing the practice of medicine in Iowa when he failed to provide appropriate cosmetic surgical care to multiple patients in Davenport, Iowa, between 2013 and 2015. The Board alleged that Dr. Yates: failed to possess adequate training in cosmetic surgery; inappropriately delegated anesthesia services to unqualified medical staff; inappropriately performed cosmetic surgical procedures under intravenous sedation in an unsafe office setting; failed to establish and/or document appropriate safety measures; performed cosmetic surgical procedures on patients who were not appropriate candidates for the procedures; failed to perform and/or document appropriate monitoring during procedures; failed to maintain appropriate medical and anesthesia records; failed to obtain appropriate informed consent; failed to provide and/or documenting appropriate follow-up care; experienced excessive postoperative infections; experienced excessive postoperative complications; failed to appropriately diagnose and/or treat postoperative complications; failed to obtain appropriate hospital privileges; performed large volume liposuction procedures under intravenous sedation in an office setting without appropriate monitoring or hospital privileges to manage patients postoperatively; performed a cosmetic surgical procedure on, and prescribed, administered or dispensed controlled substances to, a member of his immediate family; made misleading, deceptive or untrue representations regarding his competency to perform cosmetic surgical procedures and his complication rates and his success rates; and used untruthful or improbable statements in advertisements. Dr. Yates subsequently completed a clinical competency evaluation and the evaluation program determined that Dr. Yates demonstrated significant deficiencies in cosmetic surgery and that he is not able to remain in independent practice while he remediates his skills. On October 27, 2017, the Board issued an Emergency Adjudicative Order prohibiting Dr. Yates from practicing medicine under his Iowa medical license after determining that his continued treatment of patients constituted an immediate danger to the public health, safety, and welfare. A hearing was held on June 12-14, 2019. Under the terms of the December 12, 2019, Findings of Fact, Conclusions of Law, Decision and Order, the Board concluded that Dr. Yates exhibited professional incompetency and practice harmful or detrimental to the public. The Board also determined that Dr. Yates engaged in unprofessional conduct, inappropriate prescribing and improper management of patient medical records. The Board issued Dr. Yates and Citation and Warning and ordered him to pay a $5,000 civil penalty and complete a Board-approved medical recordkeeping course. The Board also prohibited Dr. Yates from engaging in any aspect of the practice of cosmetic surgery until and unless he completes a Board-approved training program that fully addresses and remediates the deficiencies in his level of knowledge and skill as outlined in the December 12, 2019, Findings of Fact, Conclusions of Law, Decision and Order and his clinical competency evaluation. The Board also determined that should Dr. Yates complete a training program as approved by the Board and demonstrate his competency to practice in the area of cosmetic surgery, his cosmetic surgery practice shall be limited to a Board-approved practice setting and his practice shall be subject to the terms and conditions of a five-year term of probation established by the Board, including Board monitoring. The Board noted that Dr. Yates has completed a professional ethics program.
To view these actions, please visit our Find A Physician page at https://eservices.iowa.gov/PublicPortal/Iowa/IBM/licenseQuery/LicenseQuery.jsp?Profession=Physician
When appropriate, disciplinary actions are reported to the National Practitioner Data Bank, an electronic repository administered by the U.S. Health Resources and Services Administration to track adverse license actions.
CONSUMER COMPLAINTS: Consumers can submit complaints against physicians by visiting https://medicalboard.iowa.gov/consumers/filing-complaint, visiting the Board’s Website at www.medicalboard.iowa.gov, or calling (515) 281-5847, or mail to 400 S.W. 8th Street, Ste. C, Des Moines, IA 50309.
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