<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.40.11.05" title_num="10" subtitle_num="40" chapter_num="11" heading="Mitigating and Aggravating Factors.">
  <text>Depending upon the facts and circumstances of each case, and to the extent that they apply, the Board may consider the following mitigating and aggravating factors in determining whether the sanction in a particular case should fall outside of the range of sanctions established by the guidelines. These factors may include, but are not limited, to the following:</text>
  <paragraph num="A.">
    <text>Mitigating factors:</text>
    <paragraph num="(1)">
      <text>Absence of a prior disciplinary record;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The licensee having reported the violation to the Board;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The licensee having voluntarily admitted violation, provided full disclosure to the Board, and cooperated during Board proceedings;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The licensee having implemented remedial measures to correct or mitigate harm arising from the violation;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The licensee having made a timely good-faith effort to make restitution or otherwise rectify the consequences of the violation;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Evidence of rehabilitation or potential for rehabilitation;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Absence of premeditation to commit the violation;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Absence of potential harm to or adverse impact on the public;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Isolated incident and not likely to recur; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>The licensee’s prior community service and present value to the community; and</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Aggravating factors:</text>
    <paragraph num="(1)">
      <text>Previous criminal or administrative disciplinary history;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The violation was committed deliberately or with gross negligence or recklessness;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The violation had the potential for, or caused, serious patient harm;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The violation was part of a pattern of detrimental conduct;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The licensee was motivated to perform the violation by his or her financial gain;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The vulnerability of the patient;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>The licensee attempted to conceal the violation, falsified or destroyed evidence, or presented false testimony or evidence;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>The licensee failed to cooperate with the Board’s investigation; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Previous attempts at rehabilitation were unsuccessful.</text>
    </paragraph>
  </paragraph>
</regulation>