| Misconduct Description for DOH Webpage: | The physician assistant did not contest the charge of committing professional misconduct by having been disciplined by the Vermont Board of Medical Practice for the treatment of one patient from February 2011 through February 2016, during which time the physician assistant prescribed methadone equivalent to MED dosage of 960 per day, the physician assistant failed to document: discussion with Respondent’s supervising physician regarding the dosage and combinations of medications; rationale for the continued prescribing of high doses of opioids and combination of opioids with benzodiazepines; the use of non-opioid and non-pharmacological alternative for treatment; reevaluation of the pain management plan; a functional status examination; and a review and appropriate revisions to the pain medication use treatment agreement. |