[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6740354,"mediaKeyId","5681069-de02343e884489bac43adb08ba4567a4","parentId",5681069,"title","Final UC Davis evaluation recommends continuing California's Mexico Licensed Physicians pilot, citing better access and culturally concordant care","audioSeconds",18272,"startMs",18272000,"endMs",-1,"viewUrl","/Search/View?dp=1&key=5681069-de02343e884489bac43adb08ba4567a4&start=18272&end=0","thumbnailUrl","https://assets.pipeline.soar.com/5681069-de02343e884489bac43adb08ba4567a4/thumbnail_18272000.jpg","articleUrl","/articles/6740354/California/Final-UC-Davis-evaluation-recommends-continuing-Californias-Mexico-Licensed-Physicians-pilot-citing-better-access-and-culturally-concordant-care","mediaUrl","https://secure.pipeline.soar.com/6740354-7e020e8169084ddcb786944d4b6671f2/orig.mp4?Expires=1771160002&Signature=WtDo0tYIxPPIwwBHsRkzIagndehRs1iT8fYRRADtayLrq2uMwNtvollerc-S3wPvB4aDmIw8DhQ~WGwcqHxMou1-lX6CUDnra-lFbM0n6wgBC2ce0p1fXy9olArwL-p-oSvq1sy-64YOPkIQ9uDcWrX7tPZ33nMLCEO~CfWv81VXtGXg2bXnkCp8Ng~eyBwMO8x2eaSM~EbeHXPXy09pOMBGrGNiYQTo3zD704wHVEPAWD8uLNlj-iLk0tYc2SnyJygCvt2ShhEV6iOI4rHZTkgTeDQuK91NJeIvo9FZ6N-V2wlGWFYt0~jMWIU4BLLIH6UmZM7QdZfqpArTDB8-EA__&Key-Pair-Id=KUT5TJCACFTXG","author","Respiratory Care Board of California","date","2025-08-26T23:13:19Z","article","UC Davis presented the final evaluation of the Medical Board of California's Licensed Physicians from Mexico Pilot Program (LPMPP) on Aug. 21. The multi-year study reviewed outcomes across participating federally qualified health centers (FQHCs) and medically underserved regions (Monterey/Salinas Valley, Tulare, San Benito and parts of Los Angeles) and recommended continuing and scaling the pilot with refinements.

Key findings

- Access and quality: Clinics that participated in the pilot reported measurable improvements in detection and management of chronic conditions, notably diabetes and hypertension. UC Davis's evaluation of UDS and chart-review data showed increases in identification and guideline-consistent treatment in the pilot clinics compared with baseline.
- Cultural and linguistic concordance: Spanish-speaking patients said they were more comfortable and more likely to explain symptoms when treated by Mexico-trained physicians; interpreter use decreased and adherence improved according to staff and patient interviews.
- Patient experience: Focus groups and surveys showed strong patient approval; several interviewees said they would stop using a clinic if the bilingual physicians were removed.
- Physician adaptation and well-being: Mexico-trained physicians generally adapted to EMRs and clinical guidelines; several became informal mentors and integrated into team-based care. However, UC Davis flagged emotional distress, fatigue and burnout associated with heavy workloads and onboarding stress, and recommended explicit wellness supports.
- Organizational effects: Staff reported improved teamwork and communication in many clinics; administrators noted onboarding and immigration costs, and suggested phased rollouts to reduce operational disruptions.

Recommendations

UC Davis recommended continuing and expanding the LPMPP with several improvements: expand cohort sizes and in-demand specialties (notably psychiatry), provide comprehensive onboarding and cultural-orientation programs, build formal wellness supports for participants, create stronger employer (FQHC) partnerships and shared funding plans, and implement phased rollouts and ongoing program evaluation with standardized outcome metrics.

Why it matters: The evaluation concluded that culturally and linguistically concordant clinicians improved access and the patient experience in medically underserved communities. Continued program funding and improved supports for clinicians were judged necessary to sustain the gains.

Speakers quoted (whitelist): Dr. Sergio Aguilar-Gaxiola (UC Davis), clinic administrators, patients quoted in evaluation

Topics: workforce diversification; access to care; pilot evaluation

Actions: none at this meeting","mediaType","Video","parentTitle","Medical Board of California- Quarterly Board Meeting- August 21, 2025 through August 22, 2025","oneSentenceSummary","UC Davis presented the final evaluation of the Medical Board's Mexico Licensed Physicians pilot and recommended continuation and expansion with improved onboarding, clinician wellness support and funding plans.","taxTitle","Respiratory Care Board of California, Boards and Commissions, Executive, California","taxId",76751,"location","California","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":46,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6740356,"Medical Board demos public complaint-tracking tool; staff targets testing and phased enhancements",20933,20933000,"/Search/View?dp=1&key=5681069-de02343e884489bac43adb08ba4567a4&start=20933&end=0","https://assets.pipeline.soar.com/5681069-de02343e884489bac43adb08ba4567a4/thumbnail_20933000.jpg","/articles/6740356/California/Medical-Board-demos-public-complaint-tracking-tool-staff-targets-testing-and-phased-enhancements","https://secure.pipeline.soar.com/6740356-bc6c0e42161ed393ed5eaba3abf79155/orig.mp4?Expires=1771160002&Signature=OEZQ2rWp5zc66j7wjVgrhTGIRJ-m-~qs73g56Gj3pedUGkzQeGIzJJSZKjo-7fXPFfNTDjvSN0y5SOQ4e-b4utCN8o1h7-ZREl6X2DHMrtKvC5giKJ~efzSC37li6PjeU72nfiu9t1PqxY4FgUMswpPpIRqihD305jdxJbcb5rL8SWTUSvBYkxyKaWROtxLk6fQ3JhlTAG57bvQWOImn11LtvkMsRqR8prdskpx9IBLSaGk9uc3kMAS42CF0zHQarzIGhUF37rQCu~feh1XYr5z1Vwg7XoQRnPabyYIJkfsIU5vEWOdPvk5-dj7UvZRne72wdkWHeLAic2-GZJwqKQ__&Key-Pair-Id=KUT5TJCACFTXG","The Medical Board of California offered a public demonstration of a new complaint-tracking interface on Aug. 21, showing how members of the public who submit complaints can log in with a complaint number and one-time passcode to view an activity timeline and check the current status of an investigation.

How it works

- Complainants will receive a complaint number when they file (by mail or email) and use that number and an email address to request a one-time code. That code grants access to a private view of the complaint's activity timeline.
- The interface displays summary details from the complaint (as submitted), respondent license lookup links (to DCA's license search), and a chronological list of complaint-related activities: central complaint unit (CCU) assignment and review, requests for medical releases, records requests, medical consultant review, referrals to HQIU, investigator assignment, and ultimate dispositions (including referral to the Attorney General or administrative orders).
- The demo included three made-up scenarios: (1) a complaint closed as unable to meet burden of proof after CCU review; (2) an open complaint currently assigned to HQIU and awaiting investigation; and (3) a complaint progressing to AG filing and eventual revocation.

Planned enhancements and scope

IS staff said the first-phase (minimum viable) release focuses on status visibility, the activity timeline, and a message form so complainants can contact the assigned analyst or unit. Future planned enhancements include automated milestone notifications via email, the ability to view the original complaint form and correspondence online, uploading secure files (medical releases and records), and improved integration with Breeze so staff can log messages and attach documents directly in the record.

Public and board comments

Patient-advocates praised the transparency gains and asked for clear display of analysts'contact information and stronger guidance to complainants about submitting medical releases and records. Staff explained that California's statewide web-security policy requires contact forms rather than publishing raw email addresses; IS said messages will route to unit inboxes and managers for follow-up. Several advocates urged immediate public warnings not to submit sensitive legal documents online without clear legal counsel; staff emphasized that secure-file upload is a future enhancement and that complainants can continue to submit records by mail or by other secure channels today.

Next steps

Staff said development is complete for the first release and that the remainder of 2025 will be spent on testing, incorporation of remaining business rules, and legal review with enforcement units and the AG's office. A tentative go-live window was described as late 2025 into early 2026, subject to testing and final approvals.

Why it matters: The interface aims to reduce routine case-status inquiries and increase complainant visibility into where a complaint stands in a multi-stage process that routinely spans months. User testing and careful security design were highlighted as essential to protecting confidential data while improving transparency.

Speakers quoted (whitelist): Sean (IS), Michelle Montrealt Ramos (Consumer Watchdog)

Topics: complaint tracking; transparency; enforcement IT

Actions: none formalized in the demo","The Medical Board of California demonstrated a new public complaint-tracking interface that lets complainants view a timeline of their case and message the analyst assigned to it.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6740358,"UC San Diego PACE outlines how physician assessments and remediation work; board probes recidivism and scope",765,3757000,4522000,"/Search/View?dp=1&key=5681069-de02343e884489bac43adb08ba4567a4&start=3757&end=4522","https://assets.pipeline.soar.com/5681069-de02343e884489bac43adb08ba4567a4/thumbnail_3757000.jpg","/articles/6740358/California/UC-San-Diego-PACE-outlines-how-physician-assessments-and-remediation-work-board-probes-recidivism-and-scope","https://secure.pipeline.soar.com/6740358-0d6d6740fcc85ade60be949862321407/orig.mp4?Expires=1771160002&Signature=R1H5qs5C6AOedzEBxmKrkThfzZi~Mx9YPR3MkdDKRdtjKsYntQyc~22-11NVgUz7z7bk9V2OlW3zOrO3eWGn9ELKSAiWg3t6Ub0bSBGlrU7~jnts69zq1pyYF4VJ0xHR8oHtShC1EV0kbGcHuNXxuRzg4x5NKYpwuIRSauHVckUO52Fp7XvykvV6R0f9nQrzQojmworzdrkBJy-c9UdEn1tq1BObqQ1YEHi3wA1NHb6k1rDPjTdl~OELFaKpBK1Ybr1jdoxPelhU8lb0m1c9dn68yb8Qx-O3jh0Z9ojVSFfJjNP6K0xkHCPp-EHf9-GsUzy8ayaOIiD2zZUFVWzUDQ__&Key-Pair-Id=KUT5TJCACFTXG","UC San Diego's PACE program described to the Medical Board of California on Aug. 20 how it conducts clinical competence assessments, fitness-for-duty evaluations and remedial education for referred physicians.

PACE director of administration Peter Bull told the board the program uses a hybrid assessment model that combines remote review of records with one-to-two-day on-site evaluation in San Diego. Assessments are framed against the ACGME/ABMS six core competencies — patient care and procedural skills, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice — and may include chart-stimulated recall, standardized patient encounters and multidisciplinary case conferences, Bull said.

Bull described PACE's four-category rating scale. Category 1 indicates performance consistent with safe practice; category 2 indicates minor, non-safety-relevant deficits; category 3 identifies broad-based deficiencies warranting remediation and supervision; and category 4 denotes practitioners judged unsafe at the time of evaluation, some of whom may not be suitable for reassessment without substantial retraining.

Bull said about two-thirds of physicians referred to PACE fall into categories 1 or 2, roughly 20% in category 3, and about 10% in category 4. He added that the program has reassessed physicians when remediation pathways were plausible, while some physicians with health-related impairments may not be candidates for reassessment.

PACE staff also reviewed programs that follow an assessment: longitudinal physician enhancement programs (monthly chart review and mentoring, quarterly reports to the referring entity), behavioral courses addressing communication, professionalism and disruptive behavior, plus a PACE-plus coaching option (seven coaching sessions over several months with behavioral assessments and accountability planning).

Board members asked how PACE measures recidivism and whether allied health professionals can participate. Bull said recidivism calculations reflect participants who returned for the same PACE course more than once. He confirmed the program assesses physician assistants and podiatrists in some circumstances and accepts some allied professionals for select CME/remediation activities, but most regulatory referrals come for physicians.

Why it matters: Board members repeatedly asked how PACE's findings are translated into enforceable conditions and how the board should rely on the program when approvals, probationary terms, or public letters of reprimand follow. PACE staff said the board retains responsibility for implementation and that the program's recommendations are commonly incorporated into probationary or settlement terms when the board or an attorney general filing asks for them.

Lede takeaway: PACE aims to combine objective testing with clinical judgment to recommend remediation or monitoring; the board sought clarity about how program recommendations should be embedded in licensing or disciplinary orders to ensure public protection.

Nut graf: The PACE presentation clarified the range of assessments and remedial options available to regulators reviewing physician competence. Board members pressed for more detail on how to operationalize PACE findings in enforcement orders, how to handle clinicians close to the safety threshold, and how outcomes are tracked over time.

Ending: PACE staff urged referring bodies to consider structured, documented supervision and to evaluate defendants' medical and procedural competence longitudinally before restoration of full privileges. The board signaled continued interest in guidance on integrating PACE recommendations into enforceable terms.

Speakers quoted (whitelist): Peter Bull, director of administration, UC San Diego PACE program; Dr. Felix Yip, Medical Board member.

Topics: physician assessment; remediation; professional conduct

Actions: none formalized at this meeting","UC San Diego's PACE program told the Medical Board of California how it assesses clinical competence and fitness for duty, and described post-assessment remediation and mentoring services. Board members pressed PACE staff about recidivism, eligibility for allied professionals and how assessments translate to workplace performance.","actionData","errors"]

Article not found

Final UC Davis evaluation recommends continuing California's Mexico Licensed Physicians pilot, citing better access and culturally concordant care

Medical Board demos public complaint-tracking tool; staff targets testing and phased enhancements

UC San Diego PACE outlines how physician assessments and remediation work; board probes recidivism and scope