I do not have a problem with the idea of development of an inspection and approval process for conscious sedation or creation of an anesthesia review committee.   Assuming both are intelligently developed by individuals with a background in anesthesia and sedation, they are good ideas and probably inevitable anyway.  Those who resist the notion might keep in mind that this will ultimately improve patient safety and possibly keep malpractice insurance rates and liability low. We might as well start working on this now while we have time, as opposed to resisting it until some sort of  knee-jerk reactive policy becomes necessary.  My one strenuous objection is the manner in which Mr. Haddad is presenting the petition to the Board, ie under the premise that conscious sedation is "likely" to lead to deep sedation.  I know of no studies, literature articles, or consensus statements to support this.  To preface the proposal with such a statement is irresponsibly inflammatory, and it makes me want to tell Mr. Haddad to go back, re-write the petition and resubmit it to the Board.  At the very least, the Board should go on record as rejecting such a rationale for development of an inspection process and review committee.