Delaware Code § 24-1731B

Counseling; letter of concern
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(a) If the Executive Director and the President of the Board, or a member of the Board designated by the President to assist in an
investigation concerning a person certified to practice medicine, determine after the investigation that a violation of this chapter or of
regulations enacted pursuant to this chapter which warrants formal disciplinary action has not occurred, but that an act or omission of the
person is a matter of concern and that the person's practice may be improved if the person is made aware of the concern, the Executive
Director, with the concurrence of the President or the assisting Board member, may issue a nondisciplinary, confidential letter of concern
regarding the person's act or omission.
(b) If a person certified to practice medicine receives a total of 3 letters of concern and/or letters of counseling pursuant to this section,
the Executive Director may reasonably require a formal assessment of professional competency pursuant to § 1732(d) of this title to assess
the person's continued ability to protect the health and safety of the person's present or prospective patients.

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