In Minnesota, a doctor has to meet the minimum standard to avoid state discipline. And when a physician is caught making a mistake, the Minnesota Board of Medical Practice often gives second chances.
Take the case of Dr. James P. Wasemiller.
Over 35 years, the Red River Valley physician has defended a dozen malpractice claims in two states, lost private malpractice insurance because he was considered too much of a risk and forfeited his surgical privileges at a Minnesota hospital, records show. He even failed parts of a clinical skills test requested by the state medical board.
Despite his record, Minnesota regulators didn't suspend him until 2011, when he violated terms of a board order that allowed him to keep working as long as he practiced with other doctors who could supervise him, among other restrictions.
Board officials wouldn't comment on the case. But they said physicians cannot be disciplined as long as they meet certain minimum standards as determined by the board on a case-by-case basis, even if physicians fail parts of a state-ordered skills test. The standards are not written down.
The board enforces "the minimum standard of care, not the top-notch quality we'd all like to have," said Ruth Martinez, who supervises the board's complaint review unit.
Wasemiller, 65, declined to comment.
"I would say the great majority of his patients are very loyal to him, and he would have what most people would consider an excellent bedside manner," said North Dakota attorney Don Krassin, who has known Wasemiller for nearly 30 years and has represented him on personal and professional cases.