Federation of State Medical Boards - History

History

The 10th Amendment of the United States Constitution authorizes states to establish laws and regulations protecting the health, safety and general welfare of their citizens. Medicine is a regulated profession in the United States because of the potential harm to the public if an incompetent or impaired physician is licensed to practice.

To protect the public from the unprofessional, improper, unlawful, fraudulent and/or incompetent practice of medicine, each of the 50 states, the District of Columbia and the U.S. territories (Puerto Rico, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands) has a medical practice act that defines the practice of medicine and delegates the authority to enforce the law to a state medical board. By following up on complaints, medical boards also give the public a way to enforce basic standards of competence and ethical behavior in their physicians, and physicians a way to protect the integrity of their profession. State medical boards also adopt policies and guidelines related to the practice of medicine.

The FSMB was founded in 1912 through a merger between the National Confederation of State Medical Examining and Licensing Boards (established in 1891) and the American Confederation of Reciprocating Examining and Licensing Boards (established in 1902). The founding of the FSMB coincides with the national impact of the Flexner Report, which was published in 1910 by the Carnegie Foundation and led to dramatic changes in medical education.

In 1915 the FSMB began publication of the Monthly Bulletin, the first regular publication since the Quarterly, which ceased publication after the first volume. The FSMB was unique in that it was the first group to publish the names of disciplined physicians in its Monthly Bulletin. In 1920 or 1921 the name of the publication was changed to Federation Bulletin and publication continued on a monthly basis. The year 1993 saw the development of a new, larger format for the publication, which was called the Journal of Medical Licensure and Discipline. In 2010, the journal was renamed the Journal of Medical Regulation.

Since its establishment, the FSMB has initiated and strengthened cooperation among state medical boards and facilitated collaborative efforts between state medical boards and other entities. All 70 medical boards of the United States and its territories, including the 14 state boards of osteopathic medicine, belong to the FSMB. Members of these boards are known as Fellows of the FSMB, so long as they are serving as members of a member medical board and for a period of 36 months thereafter, and many of them have been prominent in the affairs of numerous other major medical organizations in the United States. The FSMB is a parent organization of the Accreditation Council for Continuing Medical Education (ACCME) and the Educational Commission for Foreign Medical Graduates (ECFMG). It was a founding member of what was to become the American Board of Medical Specialties (ABMS) and remains an associate member of that body.

The FSMB's Chief Executive Officers since the organization's inception have been George H. Matson, M.D. (1912), Otto V. Huffman, M.D. (1912–1915), Walter L. Bierring, M.D. (1915–1961), Stiles D. Ezell, M.D. (1961), Harold E. Jervey, Jr., M.D. (1961–1962, 1977–1984), McKinley H. Crabb, M.D. (1962–1977), Bryant L. Galusha, M.D. (1984–1989), James R. Winn, M.D. (1989–2001), Dale L. Austin, M.A. (2001–2002), James N. Thompson, M.D. (2002–2008) and Barbara S. Schneidman, M.D. (2009). Humayun Chaudhry, D.O. began his tenure as President and CEO on October 19, 2009.

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