Gross malpractice means malpractice where the failure to exercise the requisite degree of care, diligence or skill consists of: 1. Performing surgery upon or otherwise ministering to a patient while the osteopathic physician is under the influence of alcohol or any controlled substance; 2. Gross negligence; 3. Knowing or willful disregard of established medical procedures; or 4. Knowing or willful and consistent use of medical procedures, services or treatment considered by osteopathic physicians in the community to be inappropriate or unnecessary in the cases where used.
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