Allegation of Complaint:
Brian G. Kwetkowski, D.O.; License # DO00498
Nature of Complaint:
The Rhode Island Department of Health Board of Medical Licensure and Discipline received information concerning sexual boundary violations with a woman who was under the physician's primary care. The sexual boundary violations dated back three years with a patient who was nineteen years old at the time the sexual relations began. The Board learned of the violations due to self-reporting by the physician to the Physician Health Committee of the Rhode Island Medical Society and the physician's consent to the referral to the Board.
Action Taken-Consent Order-Voluntary Surrender of License
The physician's license to practice medicine in the State of Rhode Island is Surrendered until further order of the Board.
The physician reserves the right to petition the Board for reinstatement at a future date.
March 8, 2011-Reinstatement Order
The Rhode Island Board of Medical Licensure and Discipline found that the physician has completed the initial required phase of his evaluation and treatment.
- The physician shall enter into a five-year monitoring contract with the Rhode Island Physicians Health Committee for a period of time deemed appropriate by this program.
- The physician shall conduct himself according to the American Medical Association code of ethics. The physicain shall abstain from any type of exploitive behavior in the physician's personal and professional life. The physician shall abstain from any type of seductive sexual behavior with any patient or relative of a patient.
- The physician must enter into a weekly psychotherapy process with Dr. Pescosolido in order to maintain gains internalized over the course of the physician's treatment at Acumen. The Acumen Institute treatment team will be integrating treatment process with Dr. Pescosolido over the next year.
- The Board approves of the physician returning to the practice of medicine with a group practice or urgent care center approved by the Rhode Island Physicians Health Committee. The physician shall not return to a solo practice setting. The physician must meet with his practice monitor on a weekly basis and the practice monitor shall submit reports to the Rhode Island Physicians Health Committee on a quarterly basis.
- The physician shall utilize a chaperone when meeting all female patients and the chaperone's presence must be documented in the patient's chart.
- The physician shall utilize twenty-five randomized patient satisfaction surveys on a quarterly basis. The surveys must be distributed by the physician's nurse and reviewed by the physician's practice monitor and then sent to the Rhode Island Physicians Health Committee.
- The physician must return to the Acumen Institute for follow up assessment/treatment in March, September, and December 2011. Polygraph testing will be done in order to document the absence of boundary violations.