After medical regulators said he fondled patients, exposed himself and traded drugs for sex, Dr. David Pavlakovic easily could have lost his license. Law enforcement thought his acts were criminal. Instead of losing his job, Pavlakovic was placed in therapy. He was allowed to return to practice. And he didn't even have to tell his patients. Society has become intolerant of most sex offenders, placing some on lifelong public registries and banishing others from their professions or volunteer activities. But medical regulators have embraced the idea of rehabilitation for physicians accused of sexual misconduct. It is left to private therapists ... to unearth the extent of a doctor's transgressions. There is little pretense of the check and balance of public scrutiny. Even doctors with egregious violations are allowed to redeem themselves through education and treatment centers, which have quietly proliferated over the past two decades. These education and treatment programs are being used by regulators in virtually every state. The Catholic Church once secretly sent sex offender priests for psychiatric treatment, then returned them to service. The abuse, the church reasoned, was a spiritual failing requiring repentance and forgiveness. Most medical authorities have embraced a similar approach, but through the lens of sexual abuse as the sign of a mental disorder. Public board orders on regulators' websites reveal dozens of physicians who were found to have re-offended after taking part in education or treatment programs.
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