I have a lot of friends who are M.D.'s They just roll their eyes and giggle when the mention of Paul and his self certification comes up. Most of my friends say they wouldn't touch him as candidate for employment. The criteria for all top facilities is BC/BE. Board Certified Board Eligible. The fact is that he's neither. Not to mention that his Malpractice Insurance has got to be sky high. But knows what passes for competent in KY.