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Compliance Monitoring Program

When a complaint about a Physician or Physician Assistant is submitted to the Washington Medical Commission (WMC) and results in disciplinary action against a provider (respondent) the sanctions are defined by either Stipulated Findings of Fact, Conclusions of Law, and Agreed Order (AO), a Final Order or a Stipulation to Informal Disposition (STID).

The Compliance Monitoring Program (CMP) assures that all required evaluation(s), remediation, education, and rehabilitation defined in the AO or STID is completed in accordance with the directives of the Medical Commission.  The CMP is responsible for assuring continuous compliance with disciplinary action for a cohort of respondents that typically number over 170 at one time, and over 50 new respondents per year.

Every newly sanctioned respondent is required to participate in a compliance orientation, at which the CMP staff review the AO or STID with the respondent in detail, explain the expectations of the Medical Commission, and address the respondent’s questions and concerns.

Every respondent is compelled to make at least one personal appearance (and typically subsequent annual appearances) before a Medical Commission panel. The respondent is expected to discuss his / her achievements and challenges under disciplinary action, and respond to questions and comments from the Medical Commissioners. More than 70 Respondents appear before the Medical Commission annually.

Respondents whose disciplinary action includes violations of the standard of care are often compelled to undergo periodic practice reviews over the course of their term. Medical Commission staff visit the respondent’s practice, interview the respondent and staff, and collect a representative sample of medical records pertinent to the issues that precipitated the complaint and case. Approximately 60 practice reviews are performed annually and each respondent typically undergoes 2 or more practice reviews during their term. 

Through the processes described above, the Compliance Monitoring Program has established a reputation for integrity, courtesy and diligence, which has in turn served its mission to protect the public, by encouraging respondents to fully engage in compliance with Medical Commission mandated evaluation, education, remediation.


Current schedule of personal appearances. *Schedule is subject to change without notice.

The following appearances are for Feburary 28, 2020 at the Heathman Lodge, Vancouver WA.

Panel A


Order Type

Appearance Type


Gene R Conley   


Petition To Terminate


Jeffery L. Smith


Personal Appearance     


Lance J. Ferrin


Personal Appearance     


Shalini Nair


Personal Appearance     


Panel B


Order Type Appearance Type Time

Justin Rosenfeld


Personal Appearance     


Johnny B.  Delashaw


Personal Appearance     


Simon P. Zadina


Personal Appearance     


Patrick Z. Pearce


Personal Appearance     



Findings of Fact, Conclusions of Law and Final Order - an order issued following a formal hearing.

Findings of Fact, Conclusions of Law and Waiver Order - an order issued following a formal hearing in which Respondent does not appear or in which the Respondent waives their right to a hearing. 

Informal Disposition (Stipulation to Informal Disposition/STID) - a document stating that allegations have been made, and containing an agreement by the licensee to take some type of remedial action to resolve the concerns raised by the allegations.

Notice of Decision on Application (NOD) - a notice to an applicant that there are grounds for denying the application. An applicant may request a hearing to prove that he or she is qualified to be licensed.  If an applicant does not request a hearing within 28 days of the service of the NOD, the application is deemed to be denied.

Order of Default - an order stating that the licensee has failed to either answer a Statement of Charges or otherwise failed to participate in the adjudicative process, resulting in the Commission issuing an order imposing sanctions against the licensee’s license.

Order of Reinstatement - an order that either reinstates a suspended or revoked license or terminates an Agreed Order or STID.

Order on Request for Modification/Stipulation to Modify Order - an order that modifies a prior order.

Statement of Charges (SOC) - a document formally charging a licensee with either unprofessional conduct or impairment. The licensee will have an opportunity to defend against the allegations at a hearing.

Stipulated Findings of Fact, Conclusions of Law and Agreed Order - a document resolving a Statement of Charges. This document contains an agreement by the Respondent to comply with certain terms and conditions to protect the public.

Summary Suspension - an order summarily suspending a licensee’s license to practice. The licensee will have an opportunity to defend against the summary action.

To look up a practitioner, please use the Provider Credential Search.

For a list of definitions of all the types of orders, visit the Legal Actions Page.