Minutes of the Open sessions of the North Carolina Medical Board Meeting held March 17-19, 2010.

The March 17-19, 2010, meeting of the North Carolina Medical Board was held at the Board's Office, 1203 Front Street, Raleigh, NC 27609. The meeting was called to order at 8:00 a.m., Wednesday, March 17, 2010 by Janice E. Huff, MD, President-Elect. Board members in attendance were: George L. Saunders III, MD, Past President; William A. Walker, MD, Secretary/Treasurer; Ms. Pamela Blizzard; Thomas R. Hill, MD; Ms. Thelma Lennon; Ralph C. Loomis, MD, John B. Lewis, Jr., LLB; Peggy R. Robinson, PA-C; Paul S. Camnitz, MD and Karen R. Gerancher, MD. Donald E. Jablonski, President was absent. Also attending were R. David Henderson, Executive Director and Thom Mansfield, Board Attorney.

Miscellaneous Announcements
Presidential Remarks

Dr. Huff commenced the meeting by reading from the State Government Ethics Act, “ethics awareness and conflict of interest reminder.” No conflicts were reported.

Dr. Huff read the oath of office to our newest board member, Dr. Karen Gerancher.

Minute Approval

Motion: A motion passed that the January 20, 2010 and the February 18, 2010 Board Minutes are approved as presented.

Executive Director’s Announcements

Mr. Mansfiled recognized Cindy Harrison on her five year anniversary at the NCMB.

Mr. Henderson reminded the NCPHP Committee members that the Compliance and BOD meetings would be held Wednesday afternoon/evening.

Mr. Henderson reminded everyone of the New Board Member’s Dinner Thursday evening.

Mr. Henderson noted that Dr. Rhyne’s FSMB Chair-Elect campaign website is up and running, www.votejanrhyne.com .

Mr. Henderson explained that the legal department would be presenting a proposed consent order to the Board on Friday morning.

Failure to disclose material factual information on an application for licensure.

Failure to disclose material factual information on an application for licensure renewal.

Failure to make timely (within 60 days) mandated changes, additions, or corrections to the physician’s information profile.

Failure to timely report pursuant to 90-16(j). Failure to report within 30 days a DUI, drug or felony arrest or indictment. Failure to maintain required PA/supervising physician protocols.

Up to $1,000 per omission. Failure to disclose action taken

by another state Board would result in maximum fine.

Up to $1,000 per omission Failure to disclose change in

medical staff privileges resulting from an adverse action - $1,000

Up to $1,000 per omission Failure to provide change of address within 60 days - $250 Failure to report medical malpractice payments - $1,000 per omission.

Up to $1,000 per omission Failure to report DUI arrest -

$500

Up to $250 per omission Failure to conduct or document

Quality Assurance meetings - $250

New Business

Review of Practitioner Information Rules: N.C. General Statute 90-5.2(a) states the Board shall require all physicians and physician assistants to report to the Board certain misdemeanor convictions, occurring within the last 10 years, in accordance with rules adopted by the Board.

As a result, in August 2009, the Board adopted the following rule:

21 NCAC 32X .0104 PUBLISHING CERTAIN MISDEMEANOR CONVICTIONS

The Board shall publish misdemeanor convictions which involve offenses against a person, offenses of moral turpitude, offenses involving the use of drugs or alcohol, and violations of public health and safety codes. Such misdemeanor convictions shall be published for a period of 10 years from the date of the conviction.

At the January Board meeting, some Board members expressed concerns that the rule might be too broad with respect to certain convictions.

The Committee recommends staff submit proposed changes to the rule to limit the misdemeanor convictions which will be posted on the licensee information page.

Proposed Legislative Change to Permit PAs and NPs to Sign Death Certificates: N.C. Gen Stat 130A-115 states a death certificate shall be completed and signed by a physician no more than three days after death. However, in many instances a PA or NP (working under a supervisory or collaborative practice agreement with a physician) has been responsible for the care of the deceased. A change to the law would permit the health care practitioner who is most familiar with the deceased’s health to certify the cause of death.

The Committee recommends the Board’s Legislative Liaison pursue changes to the statute to allow PAs and NPs to sign death certificates.

E-Hearings: Mr. Thomas Mansfield, Director of the Legal Department, announced plans to stop using hard copies of exhibits and records during disciplinary hearings and, instead, to begin using electronic copies of these documents. Staff will try to have these changes in place for the April hearings.

Renewal Cycle: After discussing the possibility of moving to a two-year renewal cycle, the Committee recommends the Board maintain the current annual renewal cycle. However,

March 17-19, 2010

the Committee would like for staff to explore a more efficient process for reporting CME during the renewal.

AARA Grant: Recently, the Board received a grant from the American Recovery and Reinvestment Act (AARA) of 2009. These funds will be used to hire an independent contractor to coordinate the Board’s license portability and expedited credentialing efforts.

PROPOSED CONSENT ORDER:

Board Members: Pamela Blizzard; Paul S. Camnitz, M.D.; Karen R. Gerancher, M.D.; Thomas R. Hill, MD; Janice E. Huff, MD; Thelma C. Lennon; John B. Lewis; Ralph C. Loomis, MD; Peggy R. Robinson, PA-C; George L. Saunders, MD; and William A. Walker, MD.

Buttar, Rashid Ali DO - Huntersville, NC

The hearing scheduled with the Office of Administrative Hearings was continued for the purposes of presenting a proposed settlement to the NC Medical Board.

Dr. Buttar was represented by Jim Maxwell.
The Board was represented by Marcus Jimison.

Board Action: On March 19, 2010, the Board voted to accept the proposed Consent Order subject to changes made to the informed consent form. Dr. Huff is to give final approval to the informed consent form.

POLICY COMMITTEE REPORT

Committee Members: Dr. Walker, Judge Lewis, Dr. Camnitz and Dr. Loomis

Staff: Todd Brosius, Wanda Long, Dena Konkel and Jean Fisher

Guests: Lisa Shock, NCAPA; Mike Borden, NCAPA; John Bode, NCAPA; Amy Whited, NCMS;

Linwood Jones, NCHA; and Andrew Wu, NCACR.

NEW BUSINESS:

POSITION STATEMENT REVIEW

1/2010 COMMITTEE RECOMMENDATION: (Loomis/Camnitz) Adopt a 4 year review schedule as presented. All reviews will be offered to the full Board for input. Additionally all reviews will be documented and will be reported to the full Board, even if no changes are made.

1/2010 BOARD ACTION: Adopt the recommendation of the Policy Committee.

POSITION STATEMENT	ADOPTED	SCHEDULED FOR REVIEW	LAST REVISED/ REVIEWED/ ADOPTED	REVISED/ REVIEWED	REVISED/ REVIEWED	REVISED/ REVIEWED	REVISED/ REVIEWED
Unethical Agreements in Complaint	Nov-93	Mar-10	May-96

March 17-19, 2010

Settlements
Professional Obligation to Report Incompetence, Impairment, and Unethical Conduct	Nov-98	Mar-10	Nov-98
Medical, Nursing, Pharmacy Boards: Joint Statement on Pain Management in End-of-Life Care	Oct-99		Oct-99
What Are the Position Statements of the Board and To Whom Do They Apply?	Nov-99		Nov-99
Contact With Patients Before Prescribing	Nov-99		Feb-01
Guidelines for Avoiding Misunderstandin gs During Physical Examinations	May-91		Oct-02	Feb-01	Jan-01	May-96	May-93
Office-Based Procedures	Sep-00		Jan-03
Access to Physician Records	Nov-93		Aug-03	Mar-02	Sep-97	May-96
Medical Supervisor-Trainee Relationship	Apr-04		Apr-04
The Treatment of Obesity	Oct-87		Jan-05	Mar-96
HIV/HBV Infected Health Care Workers	Nov-92		Jan-05	May-96
Writing of Prescriptions	May-91		Mar-05	Jul-02	Mar-02	May-96	Sep-92
Laser Surgery	Jul-99		Jul-05	Aug-02	Mar-02	Jan-00
Self- Treatment and Treatment of Family Members and Others With Whom Significant Emotional Relationships Exist	May-91		Sep-05	Mar-02	May-00	May-96
Advertising and Publicity	Nov-99		Sep-05	Mar-01

Prescribing Legend or Controlled Substances for Other Than Valid Medical or Therapeutic Purposes, with Particular Reference to Substances or Preparations with Anabolic Properties	May-98	Nov-05	Jan-01	Jul-98
Sale of Goods From Physician Offices	Mar-01	Mar-06
Competence and Reentry to the Active Practice of Medicine	Jul-06	Jul-06
Availability of Physicians to Their Patients	Jul-93	Jul-06	Oct-03	Jan-01	May-96
Referral Fees and Fee Splitting	Nov-93	Jul-06	May-96
Sexual Exploitation of Patients	May-91	Sep-06	Jan-01	Apr-96
Care of the Patient Undergoing Surgery or Other Invasive Procedure	Sep-91	Sep-06	Mar-01
The Physician-Patient Relationship	Jul-95	Sep-06	Aug-03	Mar-02	Jan-00	Jul-98
The Retired Physician	Jan-97	Sep-06
Physician Supervision of Other Licensed Health Care Practitioners	Jul-07	Jul-07
Medical Testimony	Mar-08	Mar-08
Advance Directives and Patient Autonomy	Jul-93	Mar-08	May-96
End-of-Life Responsibilities and Palliative Care	Oct-99	Mar-08	May-07
Drug Overdose Prevention	Sep-08	Sep-08
Policy for the Use of Controlled Substances for the Treatment of Pain	Sep-96	Sep-08	Jul-05
Medical Record Documentation	May-94	May-09	May-96

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Retention of Medical Records	May-98	May-09
Capital Punishment	Jan-07	Jul-09
Departures from or Closings of Medical	Jan-00	Jul-09	Aug-03

POSITION STATEMENTS FOR REVIEW:

Unethical agreements in complaint settlements

It is the position of the North Carolina Medical Board that it is unethical for a physician licensee to settle any complaint if the settlement contains an agreement by a patient not to complain or provide information to the Board.

(Adopted November 1993) (Amended May 1996) (Amended March 2010)
3/2010 COMMITTEE RECOMMENDATION: Approve with the edit as indicated.
3/2010 BOARD ACTION: Accept the Committee recommendation.

Professional obligation to report incompetence, impairment and unethical conduct

It is the position of the North Carolina Medical Board that physicians have a professional obligation to act when confronted with an impaired or incompetent colleague or one who has engaged in unethical conduct.

When appropriate, an offer of personal assistance to the colleague may be the most compassionate and effective intervention. When this would not be appropriate or sufficient to address the problem, physicians have a duty to report the matter to the institution best positioned to deal with the problem. For example, impaired physicians and physician assistants should be reported to the North Carolina Physicians Health Program. Incompetent physicians should be reported to the clinical authority empowered to take appropriate action. Physicians also may report to the North Carolina Medical Board, and when there is no other institution reasonably likely to be able to deal with the problem, this will be the only way of discharging the duty to report.

This duty is subordinate to the duty to maintain patient confidences. In other words, when the colleague is a patient or when matters concerning a colleague are brought to the physician’s attention by a patient, the physician must give appropriate consideration to preserving the patient’s confidences in deciding whether to report the colleague.

(Adopted November 1998)

3/2010 COMMITTEE RECOMMENDATION: Mr. Brosius is to consider a new title that better reflects the Board’s intent for the Position Statement. The Position Statement will be reviewed again at the May meeting of the Policy Committee.

3/2010 BOARD ACTION: Accept the Committee Recommendation.

March 17-19, 2010

OLD BUSINESS:
TELEMEDICINE

Issue: The Board to consider recent adoptions of telemedicine policies and statements by the Federation, Blue Cross Blue Shield and the AMA.

5/2009 COMMITTEE DISCUSSION: Dr. Rhyne reported that the Federation recently adopted a statement regarding telemedicine. It was also reported that BCBS would be implementing a new e-medicine policy.

5/2009 BOARD ACTION: Mr. Brosius to use information from AMA, Federation, Medical Society and BCBS, to begin working on a comprehensive policy. This policy should include the telepsychiatry issue the Committee addressed last year.

7/2009 COMMITTEE DISCUSSION: Dr. Rhyne reported that the AMA recently passed a policy regarding telemedicine and that Blue Cross Blue Shield may have also taken a position regarding this issue.

7/2009 COMMITTEE RECOMMENDATION: Mr. Brosius is to continue to research this issue. The Committee will report its findings at the September meeting.

7/2009 BOARD ACTION: No action required.

9/2009 COMMITTEE DISCUSSION: Mr. Brosius presented the following proposed Position Statement. Comments were solicited from DHHS and their recommendations were considered and incorporated where the Policy Committee deemed appropriate.

9/2009 COMMITTEE RECOMMENDATION: Present proposed Position Statement to the full Board for consideration. This issue will be revisited at the November 2009 meeting.

9/2009 BOARD ACTION: Have proposed Position Statement published in Forum for comments before final adoption by Board.

11/2009 COMMITTEE RECOMMENDATION: Continue to collect comments. Position Statement and comments will be considered at the January 2010 meeting.

11/2009 BOARD ACTION: Continue to collect comments. Position Statement and comments will be considered at the January 2010 meeting.

1/2010 COMMITTEE DISCUSSION: Comments received are on file and were provided for the Committee’s review. The Committee discussed the need for informed consent. It was the consensus of the Committee that the proposed Position Statement should not be changed.

1/2010 COMMITTEE RECOMMENDATION: (Loomis/Camnitz) Approve proposed Position Statement. Present to full Board for approval.

1/2010 BOARD ACTION: After a full Board discussion, the Board voted to table this

issue until the staff could obtain additional information regarding informed consent.

3/2010 COMMITTEE DISCUSSION: The Committee received comments from Dr. Wu and Mr. Bode regarding current standards in telemedicine as it related to radiology.

March 17-19, 2010

Additional comments were made from public guests, indicating their interest in monitoring the Board’s activity on this issue.

3/2010 COMMITTEE RECOMMENDATION: Mr. Brosius is to prepare new language for the informed consent section of the proposed Position Statement. The proposal will be presented to the Policy Committee at the May meeting for further consideration.

3/2010 BOARD ACTION: Accept the Committee Recommendation.

Telemedicine

“Telemedicine” is the practice of medicine using electronic communication, information technology or other means between a physician in one location and a patient in another location with or without an intervening health care provider.

The Board recognizes that technological advances have made it possible for physicians to provide medical care to patients who are separated by some geographical distance. As a result, telemedicine is a potentially useful tool that, if employed appropriately, can provide important benefits to patients, including: increased access to health care, expanded utilization of specialty expertise, rapid availability of patient records, and the reduced cost of patient care.

The Board cautions, however, that physicians practicing via telemedicine will be held to the same standard of care as physicians employing more traditional in-person medical care. A failure to conform to the appropriate standard of care, whether that care is rendered in-person or via telemedicine, may subject the physician to potential discipline by this Board.

The Board provides the following considerations to its licensees as guidance in providing medical services via telemedicine:

Training of Staff -- Staff involved in the telemedicine visit should be trained in the use of the telemedicine equipment and competent in its operation.

Examinations -- Physicians using telemedicine technologies to provide care to patients located in North Carolina must provide an appropriate examination prior to diagnosing and/or treating the patient. However, this examination need not be in-person if the technology is sufficient to provide the same information to the physician as if the exam had been performed face-to-face.

Other examinations may also be considered appropriate if the physician is at a distance from the patient, but a licensed health care professional is able to provide various physical findings that the physician needs to complete an adequate assessment. On the other hand, a simple questionnaire without an appropriate examination may be a violation of law and/or subject the physician to discipline by the Board.¹

Informed Consent -- The physician using telemedicine should obtain the patient’s informed consent before providing care via telemedicine services. In addition to information relative to treatment, the patient should be informed of the risks and benefits of being treated via telemedicine, including how to receive follow-up care or assistance in the event of an adverse reaction to the treatment or in the event of an inability to communicate as a result of a technological or equipment failure. The patient retains the right to withdraw his or her consent at any time.

Physician-Patient Relationship – The physician using telemedicine should have some means of verifying that the person seeking treatment is in fact who he or she claims to be. A diagnosis should be established through the use of accepted medical practices, i.e., a patient history,

¹ See also the Board’s Position Statement entitled “Contact with Patients before Prescribing.”

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mental status examination, physical examination and appropriate diagnostic and laboratory testing. Physicians using telemedicine should also ensure the availability for appropriate follow-up care and maintain a complete medical record that is available to the patient and other treating health care providers.

Medical Records -- The physician treating a patient via telemedicine must maintain a complete record of the telemedicine patient’s care according to prevailing medical record standards. The medical record serves to document the analysis and plan of an episode of care for future reference. It must reflect an appropriate evaluation of the patient's presenting symptoms, and relevant components of the electronic professional interaction must be documented as with any other encounter.

The physician must maintain the record’s confidentiality and disclose the records to the patient consistent with state and federal law. If the patient has a primary physician and a telemedicine physician for the same ailment, then the primary physician’s medical record and the telemedicine physician’s record constitute one complete patient record.

Licensure -- The practice of medicine is deemed to occur in the state in which the patient is located. Therefore, any physician using telemedicine to regularly provide medical services to patients located in North Carolina should be licensed to practice medicine in North Carolina.² Physicians need not reside in North Carolina, as long as they have a valid, current North Carolina license.

North Carolina physicians intending to practice medicine via telemedicine technology to treat or diagnose patients outside of North Carolina should check with other state licensing boards. Most states require physicians to be licensed, and some have enacted limitations to telemedicine practice or require or offer a special registration. A directory of all U.S. medical boards may be accessed at the Federation of State Medical Boards Web site: http://www.fsmb.org/directory smb.html.

Fees – The Board’s licensees should be aware that third-party payors may have differing requirements and definitions of telemedicine for the purpose of reimbursement.

Board Comment:

During the Board’s consideration of this position statement, several radiology groups contacted the Board to voice concern about the section entitled “Informed Consent.” They were concerned that this position statement would require them to obtain an additional informed consent from patients when in the past they had traditionally relied on the informed consent obtained by the hospital or physician requesting the interpretation. The Board does not intend to create such an additional requirement. In the event that radiologists or other specialists have traditionally relied on the informed consent obtained by another provider, the Board believes that such informed consent should remain sufficient. The Board does caution however that physicians relying on such informed consent and hospitals obtaining such informed consent may want to review such informed consents to ensure that they include the possibility that the

² N.C. Gen. Stat. § 90-18(c)(11) exempts from the requirement for licensure: “The practice of medicine or surgery by any nonregistered reputable physician or surgeon who comes into this State, either in person or by use of any electronic or other mediums, on an irregular basis, to consult with a resident registered physician or to consult with personnel at a medical school about educational or medical training. This proviso shall not apply to physicians resident in a neighboring state and regularly practicing in this State.”

The Board also notes that the North Carolina General Statutes define the practice of medicine as including, “The performance of any act, within or without this State, described in this subdivision by use of any electronic or other means, including the Internet or telephone.” N.C. Gen. Stat. § 90-1.1(5)f.

March 17-19, 2010

patient’s diagnosis or treatment may be obtained by means of electronic communication, information technology or other means.

BOARD CERTIFICATION DISTINCTION

7/2009 BOARD ACTION: Approve proposed rule. Proceed with rule-making process.

9/2009 COMMITTEE DISCUSSION: It was reported that the following rule has been submitted to the Office of Administrative Hearings to be published in the NC

Register. A public hearing for the purpose of collecting any comments will be held at the Board’s office on November 30, 2009 at 11:00 am. The proposed rule will be submitted to the Board at its December meeting for adoption.

9/2009 BOARD ACTION: Accept as information.

11/2009 COMMITTEE DISCUSSION: It was reported that the following rule has been submitted to the Office of Administrative Hearings and was published in the NC Register. A public hearing for the purpose of collecting any comments will be held at the Board’s office on November 30, 2009 at 11:00 am. The Board continues to receive comments. The proposed rule and comments collected will be presented to the Board at its January 2010 meeting for consideration.

11/2009 COMMITTEE RECOMMENDATION: No action necessary. 11/2009 BOARD ACTION: No action necessary.

1/2010 COMMITTEE DISCUSSION: A public hearing was held on November 30, 2009, for the purpose of receiving comments regarding the proposed rule. A taskforce is currently being assembled to further research and consider this issue. No action is necessary at this time.

1/2010 COMMITTEE RECOMMENDATION: For information only. No action necessary at this time.

1/2010 BOARD ACTION: Dr. Jablonski is to appoint a taskforce to further research and consider this issue.

3/2010 COMMITTEE RECOMMENDATION: This issue will be tabled until the taskforce is created and reports back to the Policy Committee.

3/2010 BOARD ACTION: Accept as information.

21 NCAC 32Y .0101 is proposed for adoption as follows:

Subchapter 32Y – SPECIALTY AND BOARD CERTIFICATION ADVERTISING

21 NCAC 32Y .0101 ADVERTISING OF SPECIALTY AND BOARD CERTIFICATION

(a) No physician shall advertise or otherwise hold himself or herself out to the public as being “Board Certified” without proof of current certification by a specialty board approved by (1) the

American Board of Medical Specialties; (2) the Bureau of Osteopathic Specialists of American

March 17-19, 2010

Osteopathic Association; (3) the Royal College of Physicians and Surgeons of Canada; (4) a board or association with an Accreditation Council for Graduate Medical Education approved postgraduate training program that provides complete training in that specialty or subspecialty; or (5) a board or association with equivalent requirements approved by the North Carolina Medical Board.

(b) Any physicians advertising or otherwise holding himself or herself out to the public as “Board Certified” as contemplated in paragraph (a) shall disclose in the advertisement the specialty board by which the physician was certified.

(c) Physicians shall not list their names under a specific specialty in advertisements, including but not limited to, classified telephone directories and other directories unless: (1) they are board certified as defined in paragraph (a); or (2) they have successfully completed a training program in the advertised specialty that is accredited by the Accreditation Council for Graduate Medical Education or approved by the Council on Postdoctoral Training of the American Osteopathic Association.

History Note: Authority G.S.90-5.1, 90-5.2, 90-14.

LICENSE COMMITTEE REPORT

Janice Huff, MD, Chairman, Pamela Blizzard, Thomas Hill, MD, Ralph Loomis, MD, Joy Cooke, Michelle Allen, Mary Mazzetti, Kim Chapin, Ravonda James, Scott Kirby, MD, Thom Mansfield, Patrick Balestrieri, Nancy Hemphill

OPEN SESSION (** items are for discussion at the March meeting)

OLD BUSINESS:

1. Statutory Requirement for Postgraduate Training

Issue: At the March 2009 meeting a motion was passed for staff to investigate the feasibility of changing NCGS 90-9.1(a) (2)a to require completion of more than 1 year of postgraduate education for graduates of a medical college approved by the Liaison Commission on Medical Education, an osteopathic college approved by the American Osteopathic Association or The Committee for the Accreditation of Canadian Medical Schools after graduation from medical school. 11/09 Board Action: Have legal provide an update at the January 2010 meeting. Tasked to legal 12/9/09. 01/2010 Board Action: Recommend special project assignment to contact stake holders and research the repercussions it will have on the medical community.

Board Action: Legal to provide update at May 2010 meeting.

**2 Proposed Licensing Regulatory Rules

Issue: Nancy Hemphill continues to work on drafting rules and will present a new proposal for the Faculty Limited License rules at the March meeting. 1/2010 Board Action: Table Special Purpose License until further review by the Best Practices Committee. Table discussion on rules for Faculty Limited License and Reentry until further review by staff is completed.

Board Action: Table until May 2010 meeting.

**3 Legal Residence Status

Staff continues to investigate the most practical way to verify that an applicant is a legal resident

of the US. 11/09 Board Action: Move forward with staff’s proposal. Legal and Licensing Staff have submitted an application to participate in the SAVE program and are awaiting a response to the request. 1/2010 Board Action: Accept as information – Staff to provide update at March meeting.

Board Action: Department of Homeland Security has backlog. Legal to provide update at May 2010 meeting.

4. Illness and Substance Abuse Question on Licensure Applications

Do NCMB’s licensing application questions violate the Americans with Disabilities Act (ADA) and are they discriminatory towards those “qualified individuals with disabilities” who answer in the affirmative?

11/09 Board Action: Change question 7 to read, “Do you currently have a mental health or physical condition (not referenced above) which in any way limits or impairs, or if untreated could limit or impair, your ability to practice medicine in a competent or professional manner? “Currently” means recently enough so that the condition could reasonably be expected to have an impact on your ability to function as a physician. Defer question 5 and 6 back to legal for further review. Task to change question 7 forwarded to Operations 12/9/09 for followup. Questions 5 & 6 referred back to Legal 12/9/09

Staff Recommendations for Questions 5 & 6
Modification to application question # 5

Current question reads “In the past five (5) years have you used or consumed any controlled substance or other prescription drugs other than those lawfully prescribed for you, by another authorized healthcare professional or have you used illegal drugs? “Used illegal drugs” means the use of controlled substance obtain illegally, such as, but not limited to heroin or cocaine, as well as the use of controlled substance that are not obtained pursuant to a valid prescription or not taken in accordance with the direction of a licensed healthcare practitioner. Question 5 will become 2 questions.

New Q5. In the past five (5) years, have you used or consumed any controlled substance or other prescription drug that you obtained through illegal or improper means?

New Q6. In the past five (5) years, have you used or consumed any illicit or illegal drugs including, and not limited to cocaine, heroin, ecstasy (3,40Methylenedioxymethamphetamine), LSD (d-lysergic acid diethylamide), mescaline (3,4,5 trimethoxyphenethylamine), Psilocybin (4-

phosphoryloxy-N,N-dimethyltryptamine), PCP (phencyclidine) and/or Marijuana (delta-9-tetrahydrocannabinol)?

Modification to application question #6

Current question reads “In the past five (5) years, have you used alcohol or other substances in a manner that could in any way impair or limit your ability to practice medicine with reasonable skill and safety when on duty?

Issue to discuss:

1. Should a NCPHP (or other State PHP) qualifier be inserted into current Question #6 (i.e. if you are a current NCPHP (or other State PHP) anonymous participant and in compliance with your contract, you do not need to list any such use(s) related to this question?

2. Should we insert “including, but not limited to....” language into this question? If yes, then what would the list contain? Consider “....have you used alcohol, controlled substances or any illicit or illegal drugs including, but not limited to, cocaine, heroin, ecstacy (3,4-Methylenedioxymethamphetamine), LSD (d-lysergic acid diethylamide), mescaline (3,4,5 trimethoxyphenethylamine), Psilocybin (4-phosphoryloxy-N,N-dimethyltryptamine), PCP (phencyclidine) and/or Marijuana (delta-9-tetrahydrocannabinol)?

Board Action: Accept proposed modifications, without PHP qualifiers, to questions 5 & 6.

Implement new question as follow: In the past five (5) years, have you used alcohol or other substances in a manner that could in any way impair or limit your ability to practice medicine with reasonable skill and safety when on duty or have you been told you were impaired by your use of alcohol or other substances in a manner that could impair or limit your ability to practice medicine with reasonable skill and safety. Tasked to Operations 2/2/10

**5. Selection process for split Board Interviews

At the September Board meeting it was suggested that the Licensing Committee consider “tweaking” the current selection process for split Board interviews. Possibly have a Board member review applications flagged by staff for a split Board, prior to making a final decision. It was then suggested this be tasked to Dr. Huff as part of her “retreat research”. The current process is:

(1) Application is reviewed by the legal department or office of the Medical Director; a decision is made as to whether SSRC is required; if yes, the SSRC determines whether a split Board interview is indicated and if it is, the applicant is notified that they will be scheduled to appear at the next Board meeting – no Board Member involvement; or

(2) Application is reviewed only by the legal department because there are no quality of care issues and the legal department makes a recommendation for split Board interview; applicant is notified that they will be scheduled to appear at the next Board meeting – no Board Member involvement; or

(3) Application is reviewed only by OMD because there are no ethical issues; only issues are malpractice claims, medical conditions and/or issues during training; OMD makes a recommendation for split Board interview; applicant is notified that they will be scheduled to appear at the next Board meeting – no Board Member involvement. 11/09 Board Action: Table until January 2010 meeting.

Staff Recommendation: When senior staff recommends a split Board interview for a license applicant: the senior staff recommendation will include a brief summary of reasons for a given recommendation (e.g. 8 malpractice claims/4 within last 3 years/2 payments in last 2 years; Ohio public action for wrong side surgery; remote but unreported misdemeanor arrest). The file, with the accompanying senior staff recommendation and brief summary, will then go to the licensing committee chair. (We feel there is the benefit of consistency with a single identified Board member reviewing the approximate 60 such cases each year, rather than dispersing the cases to the entire Board). If the licensing committee chair agrees with senior staff, the interview is scheduled. If the chair disagrees, the application goes to licensing committee for discussion. We did not discuss further actions if what we are suggesting is approved.

However, for the sake of consideration, if over the course of a year there is significant discrepancy between what senior staff recommends and what the licensing committee chair approves, the opportunity to retrospectively review the discrepancies may be helpful. Similarly staff’s retrospective review of the split board interview files and subsequent Board actions may also be helpful. (SSRC)

1/2010 Board Action: Table until further review and action by the Best Practices Committee. Board Action: Table until May 2010 meeting.

6. Application Change

11/2009 Board Action: The Board voted to provide a definition for “investigation” where appropriate on the application questions.

1/2010 Board Action: Accept the following definition: An “investigation” includes, but is not limited to, any instance where a medical board or other medical regulatory agency has made an inquiry into, examination or inspection of, or gathered evidence or information regarding you or your practice of medicine. Tasked to Operations 2/2/2010

7. Application Question #10

Current question reads “Have you ever been suspended from, placed on scholastic or disciplinary probation, expelled or requested to resign from any school, including medical school?

1/2010 Board Action : Change question #10 to read “Have you ever been suspended from, placed on scholastic or disciplinary probation, expelled or requested to resign from any school, including medical school, residency or fellowship programs”? Tasked to Operations 2/2/2010

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

Fifteen licensure applications were reviewed. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

March 17-19, 2010

Abby, Diane

Adkins, Jennifer Cantrell

Ahmad, Aqeel

Alden, Margaret Stokes

Alkassab, Firas

Allen, Brian Christopher

Alley, William Daniel

Almaraz, Gilbert

Amrol, Jennifer Gregory

Anderson, Peter Ian

Anigbogu, Michael Egbuna

Appleyard, Deborah Van Allen

Asaad, Shonda Michelle

Asad, Syed Ali

Augenstein, Vedra Abdomerovic

Augustine, Scott Douglas

Baker, Justin John

Balder, Donald Allen

Barrow, Brian Patrick

Bates, Melisa Kaye

Battaglia, Daniel Richard

Biber, Joseph Moore

Blackham, Aaron Udell

Blomquist, Gustav Arthur

Boncimino, Kathleen

Bonnin, Marni Judith

Borzutzky, Carlos A.

Boswell, Elizabeth Louise

Bottiger, Brandi Anne

Brackin, George Gaul

Bradstreet, Jennifer Hope

Bride, John Paul

Brookhart, Carolyn Celi

Brownlee, Noel Anderson

Brusovanik, Georgiy Vladimirovich

Burdine, Steven Elliott

Butt, Amir Shahzad

Callaway, Jennifer Elise

Campenot, Eric Scott

Campos, Amy Tackett

Cardones, Adela Rambi Guanco

Carlson, John Ellert

Caruso, Thomas Daniel

Castillo, Jesus Alberto

Green, Brenna Rae Ellwein

Greer, Todd Blake

Grodman, Howard Michael

Grunwald, Lili

Guarino, Clinton Toms Andrews

Haas, Erwin Joseph

Hageman, Patrick Albert

Hallberg, John Andrew

Hand, Alfred Parkhill

Hanner, Jennifer

Harrington, Daphne Melvina

Havlin, Kathleen Anne

Hawes, Jodi Jane

Hawkins, Eric Ray

Head, Douglas Scott

Helveston, Wendell Raymond

Hemsley, Hugh Hambleton

Henrich, Douglas Edwin

Hernandez, Marie Molina

Heyns, Marthinus Daneel

Hicks, Winnie Claire

Hioe, Kiem Min

Hobbs, Richard Preston

Hoffert, Marvin Jay

Holbrook, Anna

Holmes, Lauren Michelle

Holtzclaw, Stephen Gates

Hooks, William Borden

Hountras, Dean Michael

Houser, Edward Ross

Hults, Steven Mark

Hutchison, Jane White

Ibezue, Stella Akwuka Ogonna

Inman, Jeffrey Eugene

Isaacson, Ari

Jackson, Woody Herman

Jaffer, Sukaina Jeffer

James, James Franklin

Jenis, Andrew David

Jolly, Puneet Singh

Jones, Rada Ruxandra

Jorge, Eduardo

Kadiev, Steven

Katona, Terrence Matthias

Kempton, Laurence Byron

Keogh, Michael James

Kerns, Mary Jo Jacobson

Knight, Nicole Carol

Kohtz, Scott Allen

Reddy, Naveena Mainampati

Reese, Matthew Edward

Reimann, Julie Dylan Regan

Reiser, John Michael

Ridgeway, Robert Lee

Robicheaux, Greg Anthony

Robinett, Stephanie Ann

Robinson, Daniel George

Romero, Nereida

Rowell, Candra Elita

Rubinson, Howard Alan

Ryan, Andrew

Saft, Elizabeth Lynne

Sakr, Mark James

Salameh, Nabil Peter

Salami, Saka Ademola

Salary, Montell Dupree'

Saltzmann, Robert Michael

Sangwan, Seema

Santin, Amy Jo

Schauberger, James Scott

Schrader, Laura Jean

Schranz, Craig Ian

Schroth, Kelley Stephens

Schuchard, Gregory Harold

Schuetze, David Paul

See, Sein Yin

Segebarth, Paul Bradley

Selley, Jeremy Kent

Shadzeka, Edwin

Shaner, Brian Allen

Sharief, Mohammad Fazalullah

Shchelchkov, Evgeniy

Shedd, Omer Lee

Shield, Christian Edward

Shimukowa, Makondo

Skaskiw, Anna

Slaven, Timothy Michael

Slotwiner, Alexander Joachim

Smith, Marsha Marek

Smith, Yale Robert

Snyder, Ryan

Spallino, John Frank

Spohn, Peter John

Sprague, Marie Ann

Stair, Richard Wayne

Stavri, George Theodore

Steffey, Clinton Scott

Steiner, Harry Emile

Stevens, Justin Dale

Stevenson, Paul Andrew

Stringham, J Riley

Stuckey, Jason Hugh

Sullivan, Raymond Charles

Summers, Erik Christian

Sutton, Jill Marie

Tang, Jennifer Hui-Yu

Tanimu, Zakari Danlami

Tayloe, David Thomas

Taylor, Richard Stephen

Thomas, Benjamin Michael

Thomas, Karin Elizabeth

Thomas, Renee Bethea

Thompson, Carl

Thompson, Stephen Brian

Tsai, David Bye-Shin

Tuel, Stephen Michael

Upadhya, Bharathi

Urban, Edward John

Verkauf, Barry Stephen

Vineyard, Joseph Carmichael

Vinikoor, Michael Jeffrey

Vogler, Sarah Anne

Volk, Sarah Ellen

Volpitto, George David

Vyas, Bavna Bagyalakshmi

Wadnerkar, Rahul

Walker, Robert Griffith

Wallace, James Grier

Watts, John Alexander

Weddington, Deborah Joan

Wheeler, Thomas L

Wiech, Carolyn Anne

Williams Ramirez, Carlos Augusto

Williams, Christine Anne

Wrenn, Cynthia

Wright, Laurie Grace

Xie, Donghua

Yaste, Jeffrey Jon-Michael

Yousefzadeh, Naghmeh

Yung, Steven Chin Sing

LICENSE INTERVIEW REPORT

Five licensure interviews were conducted. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

LICENSES APPROVED

JANUARY 5, 2010 – MARCH 3, 2010

Full License

Abby, Diane

Adkins, Jennifer Cantrell

Ahmad, Aqeel

Alden, Margaret Stokes

Alkassab, Firas

Allen, Brian Christopher

Alley, William Daniel

Almaraz, Gilbert

Anderson, Peter Ian

Anigbogu, Michael Egbuna

Appleyard, Deborah Van Allen

Asaad, Shonda Michelle

Asad, Syed Ali

Augenstein, Vedra Abdomerovic

Augustine, Scott Douglas

Baker, Justin John

Balder, Donald Allen

Barrow, Brian Patrick

Bates, Melisa Kaye

Battaglia, Daniel Richard

Biber, Joseph Moore

Blackham, Aaron Udell

Blomquist, Gustav Arthur

Boncimino, Kathleen

Bonnin, Marni Judith

Boswell, Elizabeth Louise

Bottiger, Brandi Anne

March 17-19, 2010

Brackin, George Gaul

Bradstreet, Jennifer Hope

Brookhart, Carolyn Celi

Brusovanik, Georgiy Vladimirovich

Burdine, Steven Elliott

Butt, Amir Shahzad

Callaway, Jennifer Elise

Campenot, Eric Scott

Campos, Amy Tackett

Cardones, Adela Rambi Guanco

Carlson, John Ellert

Castillo, Jesus Alberto

Catignani, Karen Marie

Chang, Paul Poo Liang

Chastanet, Robert Joseph

Christianson, Howard Kael

Christianson, Kimball Lael

Clare, Robert Alan

Clement, Katherine Camper

Cole, Ian Oluremilekun

Coleman, Michael Howard

Collins, Kelly Marie

Cook, Cathleen Marie

Cost, Jamey Lynn

Crane, Patrick Shawn

Cribbs, Floyd Ashton

Crocker, William Daniel

Curtin, Brian Matthew

Damle, Sagar Subhash

Dancel, Ria Drapete

Davey, Mathew Alan

Davis, Amelia

Dechant, Valerie Elaine

DeLisio, Kesah Lynn

DeLuca, Jason Richard

DeSimone, Noelle Annette

Dhawan, Rajnish

Dickerson, James Albert

Doering, Richard Peter

Dolgan, Dennis Anthony

Dunn, Michael McDonald

Dye, Michael Wayne

Edelen, Connie Ann

Ehrlich, Michael Stuart

Eze-Nliam, Chete M

Fajman, Krista Marie

Fenn, James David

Fish, Robert Norman

Fisher, Thomas David

Gallagher, Denise Marie

Gardner, Ryan Clark

George, Ronald Lee

Ghafoori, Ahmad Paiman

Green, Brenna Rae Ellwein

Greer, Todd Blake

Grodman, Howard Michael

Grunwald, Lili

Hageman, Patrick Albert

Hallberg, John Andrew

Hand, Alfred Parkhill

Hanner, Jennifer

Harrington, Daphne Melvina

Hawes, Jodi Jane

Hawkins, Eric Ray

Head, Douglas Scott

Helveston, Wendell Raymond

Hernandez, Marie Molina

Hicks, Winnie Claire

Hioe, Kiem Min

Hobbs, Richard Preston

Hoffert, Marvin Jay

Holbrook, Anna

Holmes, Lauren Michelle

Holtzclaw, Stephen Gates

Hooks, William Borden

Hountras, Dean Michael

Houser, Edward Ross

Hults, Steven Mark

Hutchison, Jane White

Ibezue, Stella Akwuka Ogonna

Inman, Jeffrey Eugene

Isaacson, Ari

Jackson, Woody Herman

Jenis, Andrew David

Jolly, Puneet Singh

Jones, Rada Ruxandra

Jorge, Eduardo

Kadiev, Steven

Katona, Terrence Matthias

Kempton, Laurence Byron

Kerns, Mary Jo Jacobson

Knight, Nicole Carol

Michael, Magdalena Sunshine Miller, Becky Alison

Mischen, Blaine Thomas Mizuguchi, Kaoru Annette Mock, Jennifer Ann

Morris, Angela Marie Morris, Benjamin Nicholas Moss, Jonathan Randall Mueller, Mark Francis Nelson, Andrew Frederick Newton, Diane Ruth Nuthalapaty, Francis S Nyunt, Soe

Oh, Paul Youngbok

OKeefe, Kraigher Allan Oksanen, Owen David O'Neill, Stacey Sheasley Osterberg, Hattina Denise Ottavio, Peter

Palmer, Emily Davis

Papalas, John Anthony
Parab, Minoti Vilas

Parker, Justin Christopher Paruchuri, Lakshmi Priya Parwani, Vivek

Patel, Kinnaresh Sureshbhai Patel, Sanjay Arun

Pavlisko, Elizabeth Nunnery Perumal, Shankar

Peterson, Cecily Karen
Pham, DuyKhanh Thi
Pham, Hung Xuan

Phillips, Yalonda La-Niece Podber, Jason Scott

Prescott, Michael Steven Puskarich, Michael Alexander Qadeer, Mohammed Abdul Qureshi, Hina

Ray, Jayanta

Rayala, Christopher Zaguirre Redden, Kelly King

Reddy, Naveena Mainampati Reese, Matthew Edward Reimann, Julie Dylan Regan Reiser, John Michael Ridgeway, Robert Lee

Robicheaux, Greg Anthony

Robinett, Stephanie Ann

Robinson, Daniel George

Rowell, Candra Elita

Rubinson, Howard Alan

Ryan, Andrew

Saft, Elizabeth Lynne

Sakr, Mark James

Salameh, Nabil Peter

Salami, Saka Ademola

Salary, Montell Dupree'

Saltzmann, Robert Michael

Sangwan, Seema

Santin, Amy Jo

Schauberger, James Scott

Schrader, Laura Jean

Schranz, Craig Ian

Schroth, Kelley Stephens

Schuchard, Gregory Harold

Schuetze, David Paul

See, Sein Yin

Selley, Jeremy Kent

Shadzeka, Edwin

Shaner, Brian Allen

Sharief, Mohammad Fazalullah

Shchelchkov, Evgeniy

Shedd, Omer Lee

Shield, Christian Edward

Shimukowa, Makondo

Skaskiw, Anna

Smith, Marsha Marek

Snyder, Ryan

Spallino, John Frank

Spohn, Peter John

Sprague, Marie Ann

Stair, Richard Wayne

Steffey, Clinton Scott

Stevens, Justin Dale

Stringham, J Riley

Stuckey, Jason Hugh

Sutton, Jill Marie

Tang, Jennifer Hui-Yu

Tanimu, Zakari Danlami

Tayloe, David Thomas

Thomas, Benjamin Michael

Thomas, Karin Elizabeth

Thomas, Renee Bethea

Thompson, Carl

Thompson, Stephen Brian

Tuel, Stephen Michael

Upadhya, Bharathi

Vineyard, Joseph Carmichael

Vinikoor, Michael Jeffrey

Vogler, Sarah Anne

Volk, Sarah Ellen

Volpitto, George David

Vyas, Bavna Bagyalakshmi

Wadnerkar, Rahul

Wallace, James Grier

Watts, John Alexander

Wheeler, Thomas L

Wiech, Carolyn Anne

Williams Ramirez, Carlos Augusto

Williams, Christine Anne

Yaste, Jeffrey Jon-Michael

Yousefzadeh, Naghmeh

Yung, Steven Chin Sing

Reinstatement

Brownlee, Noel Anderson Flemmings, Michelle Andrea Freels, Douglas Boyd Graham, Garth Prinsloo Haas, Erwin Joseph Havlin, Kathleen Anne Hemsley, Hugh Hambleton Henrich, Douglas Edwin Jaffer, Sukaina Jaffer James, James Franklin Lindsay, Nikita Williams Matsuyama, Duke Tsukasa Panigrahi, Tanmay Slotwiner, Alexander Joachim Stevenson, Paul Andrew Sullivan, Raymond Charles Summers, Erik Christian Tsai, David Bye-Shin

Reactivation

Bride, John Paul

Metts, Robert Ernest

Segebarth, Paul Bradley

Faculty Limited License
Crane, Andrea Kuntaraf
Heyns, Marthinus Daneel
Stavri, George Theodore
Verkauf, Barry Stephen
Walker, Robert Griffith
Xie, Donghua

Retired Volunteer License

Steiner, Harry Emile

Special Volunteer License
Amrol, Jennifer Gregory
Lewis, Darrell Vincent

Initial PA Applicants Licensed PA-Cs Name	01/01/10 – 02/28/10
Adams, Jason David	01/15/2010
Basham, Brian C	01/25/2010
Blackwell, Jessica Slaughter	02/02/2010
Bonito, Jeffrey T.	01/08/2010
Brock, Jared Layne	02/08/2010
Brock, Megan Leigh	02/17/2010
Burne, Brian Alan	01/08/2010
Burns, Natalie Ann	01/29/2010
Del Rosario, Josephine Vida	01/29/2010
Deutsch, Michael	01/22/2010
Embry, Brandy Lee	01/15/2010
Eng, John	01/29/2010
Evans, Michael Dean	02/17/2010
Filzer, Sofia	01/29/2010
Fischer, Rebecca Gasperson	02/16/2010
Fischer, Taylor Lee	02/04/2010
Green, Sarah Elizabeth	01/13/2010
Hanneman, Mariya Michailivna	01/07/2010
Hardin, Lindsey Crowe	01/26/2010
Hayslett, Bonnie Marie	01/22/2010
Hill, Sylvie Kiaku	01/06/2010
Irvin, Stephen Brooks	01/22/2010
Jackson, Joann Kate	02/25/2010
Jaeger, Nicole Lauren	02/01/2010
Johnson, Kevin Scott	01/15/2010
Keller, Mary Louise	02/01/2010
Keller, Michael Tyrrell	01/29/2010

Kellermeyer, Angela Marie	02/18/2010
King, Kevin John	02/09/2010
Kirichenko, Tatyana	01/22/2010
Krupski, Christina	01/15/2010
LaCoursiere, Julie Turner	01/14/2010
Langston, Melanie Fox	01/04/2010
Lee, Amanda Warren	01/05/2010
Manning, Jaime Elizabeth	01/29/2010
Michaels, Chase Anderson	02/25/2010
Mooring, Casi Lynn	02/05/2010
Newcomb, Joseph Ralph	01/25/2010
O'Connell, John Jennings	01/22/2010
O'Connor, James Carroll	01/28/2010
O'Regan, Janathea Marie	02/05/2010
Pike, Jeffrey Russell	02/19/2010
Poston, Jaclyn Nicole	01/08/2010
Register, Brooke Allison	01/15/2010
Remsey, Margarite E.	02/09/2010
Robbins, Tracy Lane	02/18/2010
Rudicil, Harold Scott	01/27/2010
Sabol, Michael Edward	02/05/2010
Sanders, Britney Kasey	01/22/2010
Scott, Jennifer Benfield	01/15/2010
Sicilia, Jasmine Danielle	01/21/2010
Smith, Julian Kevin	01/25/2010
Stallings, Howard Wright	01/22/2010
Sullivan, Emily Bennett	01/22/2010
Taylor, Penny Hare	02/18/2010
Turner, Theresa Elizabeth	01/19/2010
Upah, Nicole	01/25/2010
Vonk, Joy Hannah	01/21/2010
Wandel, Emily Jo	01/22/2010
Watts, Willie Mack	02/03/2010
Williams, Allison Ruth	01/15/2010
Wilson, Amanda Irons	01/15/2010
Yeskel, Sarah Eve	02/25/2010
Young, Lindsay Erin	01/22/2010

PA-Cs Reactivations/Reinstatements/Re-Entries

Johnson, Walter Reinstatement 01/27/2010

Moretz, Katherine Clark Reinstatement 02/03/2010

Rudicil, Harold Scott Reinstatement 01/27/2010

Additional Supervisor List – 01/01/10 – 01/30/10
PA-Cs

Name Primary Supervisor Practice City

Adams, Jason Allen, David Lumberton

Alvarez, Osvaldo Harrelson, Anna Asheville

Ardelean, Rhonda Burke, Lisa Charlotte

Bacalis, Katrina Van Voorhis, Kerry Charlotte

Baker, Kacie Morris, William Charlotte

Barber, Alvin Liffrig, James Ft. Bragg

Basham, Brian Miekley, Scott Fayetteville

Benjamin, Alexis Ellis, Clarence Charlotte

Benjamin, Alexis Pettis, Karlton Charlotte

Benjamin, Alexis Taylor, Latimer Charlotte

Bergmark, Lisa Kiratzis, Philip Asheville

Bhiro, Dixie Wells, Wendell Laurel Hill

Bhiro, Thakurdeo Wells, Wendell Laurel Hill

Blaylock, Kimberlee Pollock, David Winston Salem

Bloedow, Becky Bate, David Hendersonville

Bosch, David Elbeery, Joseph Greenville

Boyette, Tammy Desai, Pratik Cary

Boyette, Tammy Desai, Sunil Cary

Boyette, Tammy Macomber, Joshua Cary

Boyette, Tammy Netrebko, Pavlo Cary

Boyette, Tammy Shah, Dhirenkumar Cary

Bradshaw, Shanna Demas, Ronald Wilmington

Bradshaw, Shanna Frankos, Mary Wilmington

Bradshaw, Shanna Heter, Michael Southport

Bray, Jeffrey Weeke, Paul High Point

Burne, Brian Koeleveld, Robin Raleigh

Buschbach, Stacie Lin, Shu Durham

Buschemeyer, Kristin Burt, Mark Raleigh

Buschemeyer, Kristin Silver, William Raleigh

Carruthers, Adam Rudisill, Elbert Hickory

Caruso, James Hussain, Khwaja Goldsboro

Chamberlain, Kristin Ponder, Jerome Fayetteville

Chauncey Jazayeri, Anna Aldridge, Barbara Mebane

Chazan, Jennifer Bruce-Mensah, Kofi Raleigh

Clark, Adam Davis, Cheryl Laurinburg

Coburn, Lindsay Duggan, Thomas Morehead City

Davanzo, Michael McGowen, Timothy Winston Salem

Davis, Sara Perry, Lawrence Ramseur

Dawson, Melanie Van Voorhis, Kerry Charlotte

Despaigne, Policarpo Saunders, George Calabash

Deyto, Jenny Kalish, Michael Greensboro

March 17-19, 2010

Diaz, Roger Pearson, Marilyn Smithfield

Dowdall, Michelle Galland, Mark Wake Forest

Drinkwater, Don Gollehon, Douglas Cary

Drinkwater, Don McClure, Mark Raleigh

DuCharme, Robert Harrelson, Anna Asheville

Dundore, David Olivito, Francesco Fayetteville

Ellis, Patricia Shah, Abid Louisburg

Enoch, Jenna Hughes, Ronald Whitakers

Foxworth, Nicole Bate, David Hendersonville

Gainey, Sarah Morris, Deborah Fayetteville

Galban, Carlos Smith, Ronald Fayetteville

Gamache, Jennifer Kann, Joel Wake Forest

Garvey, Gina Carnes, Kenneth Raleigh

Garvey, Gina Ferrell, William Raleigh

Garvey, Gina Gabr, Rhonda Raleigh

Giddings, Joseph Gennosa, Thomas Robersonville

Goldbaum, Ross Parsons, Alden Raleigh

Greene, Kate Osborne, Jody Asheboro

Griffith, John Pridgen, James Whiteville

Halpin, John Smith, Roberts Durham

Harris, Tasha Crocker, Daniel Rocky Mount

Harris, Tasha Phipps, Ervin Nashville

Hazelton, Renee Sugarman, Joel Cornelius

Hlavacek, Sarah Adusumilli, Sankar Raleigh

Hlavacek, Sarah Armour, Edouard Cary

Hlavacek, Sarah Bhiwandiwalla, Pouruchis Raleigh

Hlavacek, Sarah Carlino, Richard Raleigh

Hlavacek, Sarah Gollehon, Douglas Cary

Hlavacek, Sarah MacPhee, Keelee Raleigh

Hlavacek, Sarah Martini, Douglas Cary

Holt, Carole Slatkoff, Marc Winston Salem

Humphrey, Susan Gerancher, Karen Winston Salem

Huss, Elizabeth VanNess, William Mooresville

Johnson, Kevin Sico, Chrisandra Kinston

Kapa, Stephen Gupta, Manoj Fayetteville

Kapa, Stephen Miekley, Scott Fayetteville

Karr, Christina Sachar, Ravish Raleigh

Keen, Robert Aluisio, Frank Greensboro

Keen, Robert Collins, Robert Greensboro

Kenjale, Himanshu Holmes, James Winston Salem

Kerekes, Alison Kann, Joel Raleigh

Kirichenko, Tatyana Wentz, Elliott Greensboro

Kirk, John Aul, Christopher Fayetteville

Kober, Charles Kuroski-Mazzei, Alyson Greensboro

Kouba, Jessica Miekley, Scott Fayetteville

Krupski, Christina Saman, Shaker Elizabeth City

March 17-19, 2010

La Rocque, Paul Harrelson, Anna Asheville

La Rocque, Paul Lee, Melvin Boone

Labore, Francis McEntire, Jerrill Morganton

Lamphere, Jeffrey Chaudhry, Abdul Raleigh

Leiken, Shuli Collins, Roger Cary

Massey-McMahan, Jenny Trigg, David Sylva

Maxson, Michelle Rose, Geoffrey Charlotte

Mayhue, Susan Ketheeswaran, Markandu Fayetteville

Mayhue, Susan Spooner, Linda Fayetteville

Mayo, Julia Howe, David Winston Salem

McClung, Angela Doolittle, Robert Greensboro

McClung, Angela Sena, Carol Greensboro

Melgar, Tammy Cervi, Mark Greenville

Melgar, Tammy Leonhardt, Gary Greenville

Mistovich, Danielle Ibegbu, Ikechukwu Kinston

Moraitis, Laura Paranjape, Suvinay Elizabeth City

Morgan, Londyn Dudley, Robert Marion

Munn, William Skinner, Nadine Rocky Mount

Muse, Rochelle Kalish, Michael High Point

Muse, Rochelle Kelly, Samuel High Point

Nelson, Stacy Bridgman, John Southern Pines

Norris, Brandy Whitman, Bruce Lumberton

Phelps, Cathy Cregan, Gregg Winston Salem

Poston, Jaclyn Reyes, Rodolfo Lillington

Prouty, Mary D'Angio, Salvatore Marion

Rattien, Jennifer Olivito, Francesco Sanford

Reid, Kim Zastrow, Joseph China Grove

Rinkenberg, Kristen Biggerstaff, Daniel Winston Salem

Rippel, Janet Jones, Monica Raleigh

Rose, Walter Buckner, Donald Sylva

Rudd, Terra Davis, Robert Edenton

Rudicil, Harold Poehling, Gary Winston Salem

Saez, Elizabeth DePietro, Perry Charlotte

Sanders, Britney Cathcart, Cornelius Henderson

Scott, Jennifer Futch, William New Bern

Sharpe, Katherine Jacobs, Danny Durham

Sicilia, Jasmine Marisiddaiah, Harish Gastonia

Sierra, Mariaeugenia Aul, Christopher Fayetteville

Simon, Spencer Hook, Matthew Raleigh

Simon, Spencer Sinden, John Raleigh

Smart, Deana Ritchie, John Winston Salem

Smith, Melissa Daily, Celine Wilmington

Spicer, Blai Burke, Lisa Charlotte

Spitler, Mary Gaskin, Steve Concord

Stratton, Suzonne Lowe, Stephan Winston Salem

Stringer, Byron Bryan, Charles Asheville

March 17-19, 2010

Taylor, Jacob Barnett, Ley Fuquay-Varina

Taylor, Jennifer Grine, Reynold Pinehurst

Thomas, Whitney Hopper, Kelly Kannapolis

Tolhurst, Mari Finch, George Rutherfordton

Tolhurst, Mari Korn, Scott Rutherfordton

Turner, Theresa Singh, Brajendra Burgaw

Weaver, Arlondra Mijumbi, Olivia Gastonia

Weiss, Stanley Sloan, Randy Surf City

Wighton, Stephanie Arain, Shazia Monroe

Williams, Tanya Pacicco, Thomas Charlotte

Williams, Tanya Sigmon, Richard Charlotte

Williams, Tanya Yavorski, Robert Charlotte

Zurich, Kathleen Cohen, Amy Asheville

Additional Supervisor List – 02/01/10 – 02/28/10

PA-Cs

Name Primary Supervisor Practice City

Abraham, Mufiyda Turlington, Wade Jacksonville

Ardelean, Rhonda Bregier, Charles Charlotte

Ardelean, Rhonda Lacroix, Christopher Faison

Ardelean, Rhonda Whitmer, Gilbert Fayetteville

Babb, Richard Baule, Raymond Rocky Mount

Babb, Richard Boone, Stephen Raleigh

Babb, Richard Bovard, Scott Louisberg

Babb, Richard Carr, James Raleigh

Bailey, Cortis Moulton, Michael Wilmington

Beeman, Sandra Brown, Howard Oak Island

Best, Roger Pacos, Andrew Louisburg

Biter, Scott Harris, Timothy Raleigh

Blackwell, Jessica Hart, Darlington Charlotte

Brinke, Paige Keely, Paul Murphy

Brock, Lauren Fowler, Wesley Asheville

Brown, Alicia Jacobs, Danny Durham

Buck, Philip McAllister, John Lumberton

Buck, Philip Pacos, Andrew Smithfield

Bullock, Sonya Feasel, Michael Roanoke Rapids

Burns, Natalie Rodriguez, Luis Ahoskie

Buschemeyer, Kristin Adusumilli, Sankar Raleigh

Buschemeyer, Kristin Andersen, William Cary

Buschemeyer, Kristin Boone, Stephen Raleigh

Caffey, Karen Kimberly, George Mocksville

Caffey, Karen Weeks, Landon Pfafftown

Carlson, William Barr, John Cleveland

Cochran, Teresa Jimenez, Shannon Goldsboro

DeRose, Sarah Jobe, Robert Raleigh

Deyto, Jenny Burnett, Brent Summerfield

March 17-19, 2010

Deyto, Jenny Orr, Richard High Point

Drinkwater, Don Boone, Stephen Tampa

Eakin, Marc Wiggins, David Thomasville

Evette, Michelle Mehta, Anita Charlotte

Evitts, Emma Sullivan, David Charlotte

Filzer, Sofia Byrd, Jeffrey Laurinburg

Gatlin, Stephen Kendrick, Alfred Indian Trail

Goo, Bianca Dave, Nailesh Lillington

Gould, Laura James, Robert Greenville

Graham, Barry Ugah, Nwannadiya Pembroke

Graham, Jennifer Doss, Ashwin S. Kadaramandalige Pembroke

Green-Odlum, Anya Warburton, Samuel Durham

Hamilton, Brianne Burishkin, Daniel Asheville

Hanneman, Mariya Dunaway, Byron Statesville

Hardin, Lindsey Smith, Robert Mills River

Hart, David Zacco, Arthur Apex

Hemp, Antoinette Lee, Melvin Boone

Henderson, David Sanchez-Rivera, Efrain Fayetteville

Hendricks, Carmen Umesi, Joseph Lillington

Hlavacek, Sarah Boone, Stephen Tampa

Hough, Brian Barnes, Daniel Pinehurst

Hunt, Hal Davis, Cheryl Laurinburg

Irvin, Stephen Burton, Philip Wake Forest

Jackson, Heather Antezana, James Charlotte

Jaeger, Nicole Rich, Preston Chapel Hill

Jones, Kathy Gupta, Manoj Fayetteville

Jones, Quinnette Byrne, Jennie Chapel Hill

Jones, Quinnette Taavoni, Shohreh Chapel Hill

Jones, William Hnilica, Mark Winston Salem

Karr, Christina Go, Brian Raleigh

Keller, Mary Powell, Michele Winston Salem

Keller, Michael Logan, Jennifer Dobson

Keller, Philip McPherson, Scott Nags Head

Kirsch, Eric Nami, Alireza Charlotte

Konigsberg, Audrey D'Angio, Salvatore Marion

Kuhn, Lindsay Preik, Curtis Charlotte

Kurtz, Harry Boone, Stephen Tampa Bay

LaFlure, Christopher Vick, Ralph Huntersville

Land, Phillip Cornell, David Greensboro

Land, Phillip Lacroix, Christopher Clinton

Langley, Dawn Ugah, Nwannadiya Maxton

Langston, Melanie Guha, Subrata Raleigh

Lee, Amanda Gupta, Manoj Fayetteville

Leiken, Shuli Boone, Stephen Tampa

Lenze, Michele Brodie, Bruce Greensboro

Lockett, Amy Townsend, Robert Raeford

Mahiquez, Jose Minior, Daniel Dunn

Malanka, Phyllis Buglisi, Lucille Jacksonville

Mann, Karen Coward, Karen Macclesfield

March 17-19, 2010

Martin, Kraig Tokunboh, Julius Charlotte

Maseda, Maureen Jones, Robert Durham

McNaught, Noelle Sullivan, Matthew Charlotte

Melgar, Tammy Lacroix, Christopher Warsaw

Mercer, Minnie Zinicola, Daniel Rocky Point

Miller, Dana El-Khoury, Semaan Aulander

Morehart, Jodi Brown, Robert Asheboro

Nicka, Anna Fulp, Cammie Stedman

O'Connell, John Moody, Mark Asheville

O'Grady, Holly Seitz, Kent Winston Salem

Oliver, Linda Farmer, Timothy Brevard

Osborne, Kelly Hoxworth, Benjamin Greensboro

Pack, Karen Ward, Nina Elizabethtown

Panchikal, Pamela Swartz, Zachary Greensboro

Pickett, Katherine Smith, Candace Winston Salem

Pike, Jeffrey Spooner, Linda Fayetteville

Placide, Frances Winchester, Blythe Cherokee

Powell, Jesse Reindollar, Robert Statesville

Puckett, Mary Trigg, David Sylva

Quiles, Carmen Aul, Christopher Fayetteville

Rendall, David Phillips, Harry Durham

Robinson, Michael Luoma, David Dallas

Ryan, Brandon Sloan, Randy Holly Ridge

Sampson, Kelvin Morando, Donald Fairmont

Schuette, Nora Naslund, Patricia Raleigh

Shaffer, James Johnson, Scott Ft Bragg

Shanton, Gregory Mikhail, Ashraf Jacksonville

Shilkitus, William Furie, David Pinehurst

Sierra, Mariaeugenia Dockery, Martina Raeford

Sierra, Mariaeugenia Fernandez, Gabriel Raeford

Silberstein, Kristina Yarnall, Kimberly Durham

Smith, Julian Harris, Timothy Raleigh

Stallings, Howard Drake, Almond Greenville

Sullivan, Emily Achreja, Manjeet Seagrove

Talbert, Karen Dimkpa, Rajeshree Mocksville

Taylor, Penny Arnold, Terry Lexington

Treat, Branigan Brinn, Nathan Greenville

Trum, Christopher Cairns, Bruce Chapel Hill

Upah, Nicole Gupta, Manoj Fayetteville

Vainio, Leigh Rudins, Andrew Asheville

Van Ooteghem, Christopher Pacos, Andrew Louisburg

Washington, Sandra Mann, Scott Raleigh

Westbrook, James Isaacs, Steven Elkin

Williams, Allison Yanuck, Michael Washington

Wilson, Amanda Helton, Todd Raleigh

Wynn, Chileatha Mask, Allen Raleigh

Zagon, Laura Cornell, David Greensboro

ALLIED HEALTH COMMITTEE REPORT

Present: Thomas Hill, MD, Chair, Peggy Robinson PA-C, George Saunders, MD, Jane Paige,

Lori King, CPCS, Marcus Jimison, Nancy Hemphill, Mike Borden, Lisa Shock

Absent: Quanta Williams, Christina Apperson

Open Session

PA Expedited Applications. N. Hemphill discussed the proposed rule regarding expedited licensure. Draft review of 21 NCAC 32BB.0801 Expedited Application for Physician Assistant Licensure.

Board Action: Accept second draft of PA Rule 21 NCAC 32BB.0801 for adoption.

PAs Practicing During a Disaster. N. Hemphill discussed revisions to the rule regarding limited Physician Assistant license for disasters and emergencies. Draft review of revisions to 21 NCAC 32S.0219 Limited Physician Assistant License for Disasters and Emergencies.

Board Action:

Change verbiage of section “C” to: The physician assistant must practice under the direct supervision of an on-site physician. The supervising physician must be licensed in this State or approved to practice in this State during a disaster or state of emergency pursuant to G.S. 9012.5 and 21 NCAC 32Bxxx. The physician assistant may only perform those medical acts, tasks, and functions delegated by the supervising physician.

Leave Section “E” included.

Accept revised draft of 21 NCAC 32S.0219 Limited Physician Assistant License for Disasters and Emergencies for adoption.

PA CME Rule. M. Jimison discussed 21 NCAC 32S.0216 Continuing Medical Education. Present rule and proposed rule discussed.

Board Action: Accept draft of revised PA Rule 21 NCAC 32S.0216 for adoption.

PA Old Business. Follow-up from the January 2010 AHC meeting regarding PAs with over five Primary Supervising Physicians. The NCMB will not carve out a specific exception for surgical PAs to the existing PA Rules.

Board Action: Accept as information.

EMS Chemical Dependency Treatment Program. Per Dr. Kanof: During legislative session, HB 878 was introduced and subsequently ratified which expanded the duties of the Secretary of DHHS to establish a recovery and rehabilitation program for EMS professionals with chemical addiction or abuse problems. Rules have been drafted and the program should be up and running by the Nursing Board by July 1, 2010.

Board Action: Accept as information.

Open Session Anesthesiology Assistants
No items for discussion.

Open Session Nurse Practitioners
No items for discussion.

Open Session Clinical Pharmacists
No Items for discussion.

Open Session Perfusionists

Perfusionist Report. Open session portion of PAC meeting minutes (January & February).

Board Action: Accept as information.

Open Session Polysomnography
No items for discussion

Six cases were discussed. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

APPROVED NP LIST

JANUARY 21 – FEBRUARY 03, 2010

List of Initial Applicants

NAME PRIMARY SUPERVISOR PRACTICE CITY

BAXTER, CATHERINE CHEIFETZ, IRA DURHAM

CARMICHAEL, ELIZABETH JOE, RANDALL ASHEVILLE

CONNOR, MARLON BULLARD, ANDREW SALISBURY

GREEN, LORI CARRERAS, JORGE SYLVA

March 17-19, 2010

HOFFMANN, ALYSSA BURKE-HAYNES, KAREN RALEIGH

MCCARTHY, BRIAN CHANDLER, MARK DURHAM

ROBERTS, KARI OLIVERIO, MICHAEL RALEIGH

NP ADDITIONAL SUPERVISOR LIST

AMOS, KATHLEEN LEINICKE, JEFFREY SALISBURY

ARNETTE, TOMMIE BRINN, NATHAN GREENVILLE

BARNARD, THERESA ALI, ROBIN DURHAM

BORNTRAGER, ELIZABETH VOLOW, MICHAEL GARNER

CLAMP, NICOLE SEWANYANA, STEVEN CHARLOTTE

DAVIS, EMILY AUL, CHRISTOPHER FAYETTEVILLE

DICKERHOFF, JAMIE AUL, CHRISTOPHER FAYETTEVILLE

DIEMONT, ANGELA LE, MARK CORNELIUS

FORMYDUVAL, ANDREA VERRETT, CHARLOTTE CHADBOURN

GORDON, KIMBERLY HURLEY, ROBIN SALISBURY

HAAS, MARILYN SOUFAS, MARIANNE ASHEVILLE

HARALDSON, LORELL HALL, SANDRA WILMINGTON

HUBBELL, SARA JEFFERSON, HENRY CARY

JONES, PAULA LAWAL, ADEYEMI RALEIGH

KILBY, MIRANDA AHMED, SYED SHELBY

MCLAWHORN, VICKI ASCH, ADAM GREENVILLE,

MILLER, NORMA VOULGAROPOULOS, MENELAOS STATESVILLE

MINTZ-SMITH, RASHONDA TURNER, JOHN ALBEMARLE

MOREHEAD, BETTY JONES, STEPHEN SHELBY

MORGAN, EILEEN SPOONER, LINDA FAYETTEVILLE

NEAL, CYNCERE BRINN, NATHAN GREENVILLE

NEWMAN, PEGGY THIGPEN, FRONIS WHITE LAKE

O'NEAL, LESLIE BELEN, ALFRED HIGH POINT

ORMOND, MARY GROSSELL, MICHAEL SHELBY

SANDER, SUSAN VOLKMER, DONALD SALISBURY

SCISM, ELIZABETH JONES, STEPHEN SHELBY

SHULTMAN, DEBRA BLAKE, PAUL CHARLOTTE

STAMEY, HEATHER ALEXANDER, JAMES CHARLOTTE

THOMAS, CHRISTINE HARRELL, SAMPSON WINDSOR

THOMPSON, S. BETH GODARD, MICHAEL CARY

THOMPSON, DEBRA BRINN, NATHAN GREENVILLE

TIRSCH, LADA MOSS, LARRY DURHAM

TURNER, LISA BRADLEY, BETTY ASHEBORO

VANDERGRIFT, PATTY WELLMAN, SAMUEL HICKORY

WHITE, ELIZABETH ALDRIDGE, BARBARA MEBANE

YOUNG-FRITCHIE, LEANNE DAILEY, TIMOTHY BOONE

FEBRUARY 04 - 17, 2010
List of Initial Applicants

NAME PRIMARY SUPERVISOR PRACTICE CITY

AHRING, RACHEAL GARRETT, JAMES JACKSONVILLE

BUTTS, MAUREEN WRIGHT, DAVID DURHAM

WEATHERSPOON-CUPID,

CORREDOR, DIANE MELISSA CHARLOTTE

FERRY, EVAN MILLS, JOHN HENDERSON

FOH, MARIAMA IRION, JAMES GREENSBORO

HOLCOMB, MEAGAN SUTTER, JENNIFER GREENVILLE

MITCHELL, SUSAN JONES, ENRICO WINSTON-SALEM

NIXON, TRACI RHODES, CHARLES CONCORD

REYER, ERIC FEINSON, THEODORE RALEIGH

SCHEAR, NANCY HARRIS, JAMES CAMP LEJEUNE

THOMPSON, ELIZABETH KILPATRICK, GEORGE GREENSBORO

WALKER, THANH MOUNSEY, JOHN CHAPEL HILL

WOODARD, CHARLSIE ALMASRI, GHIATH GREEVNILLE

ZIMON, TERRI COCKRELL, WILEY WHITAKERS

NP ADDITIONAL SUPERVISOR LIST

PAYSOUR, NORA THOMPSON, DONOVAN LINCOLNTON

PREVATTE, DIANE KHOSHNEVIS, PARVIZ ROCKINGHAM

PREVATTE, DIANE AHDIEH, MASOUD ROCKINGHAM

SWAIN, PAMELA HEAVNER, TERESA MURPHY

BEARD BYRD, KAREN HINSON, THOMAS WINSTON SALEM

DAWSON, MARGARET SANCHEZ, JOHN KITTY HAWK

DILLON, AMY HOGSETTE, GERALD WINSTON-SALEM

HILL, LANA VORWALD, FREDERICK MOORESVILLE

LEWIS, MARGARET GASKINS, RAYMOND FAYETTEVILLE

MURPHY, VICTORY KEENER, STEPHEN CHARLOTTE

SAYLOR, NATALIE BOOTH, KELLY CONCORD

STEVENS, TANYA FELDMAN, KRISTEN RALEIGH

TOLLEY, JODI MCDONALD, THADDEUS RALEIGH

LEWIS, MARGARET MORRIS, DEBORAH EASTOVER

PLENTL, MARIA LUKES, ANDREA DURHAM

SMITH, SHERRY ROBERSON, JENNIFER KINSTON

CAPRIO, CATHERINE SOBERANO, ARLENE CHAPEL HILL

ZEIGLER, SONYA KOOISTRA, CAROL COLUMBUS

COUSINS, MELISSA JONES, ENRICO GREENSBORO

HILBERT, KAREN CORVIN, KAREN RALEIGH

HUEY, BARBARA GARMAN, STEVE ELIZABETH CITY

YEBOAH, MAVIS DOONQUAH, KOFI REIDSVILLE,

HUTCHINSON, THERESA VAN VOORHIS, KERRY CHARLOTTE

March 17-19, 2010

PLUMER, DEVON SANCHEZ-RIVERA, EFRAIN FAYETTEVILLE

WELLS, CHERYL POLANCO, LEONARD GRAHAM

GILBERT, PAULA JOHANSON, WILLIAM MORGANTON

FEBRUARY 18 – MARCH 03, 2010
List of Initial Applicants

NAME PRIMARY SUPERVISOR PRACTICE CITY

DEAL, MELISSA KASSMAN, NEIL STATESVILLE

HAYMORE, KATHERINE GARDNER, JAMES WINSTON SALEM

HOUSTON, KIMBERLY SCHWANKL, JAMES SILER CITY

JOLLY, MELISSA MILLER, MICHAEL STATESVILLE

LUMSDEN, LAURA LENFESTEY, ROBERT DURHAM

MALLORY, JUDY VARGAS, CARLOS ASHEVILLE

MARRERO, JENNIFER THOMASON, MICHAEL CHARLOTTE

NOEVERE, ERIC KASTNER, ROBERT JACKSONVILLE

SMITH, HEATHER MARZBANI, SIAMAK SMITHFIELD

WATERS, SARAH CHANG, PATRICIA CHAPEL HILL

WHITEHEART, KATHRYN WRIGHT, PATRICK GREENSBORO

NP ADDITIONAL SUPERVISOR LIST

AGUILAR, LYNETTE FREDRIKSEN, SUSAN FRANKLIN

ASKEW-JACKSON, TERI ZERVOS, EMMANUEL GREENVILLE

BYRD, SARAH SNYDER, DANAL ROANOKE RAPIDS

CRANFORD, CHARITY ERLANDSON, STEPHEN ELKIN

CROWDER, GREGORY FERGUSON, THOMAS GREENVILLE

DAVIS, CAROLYN HARKINS, PAUL STATESVILLE

DAVIS, BARBARA CHAMBERS, JEFFREY DURHAM

DOLLAR, PAMELA THEVAOS, GEORGE MONROE

DOWD, LISA HAHN, CAROL RALEIGH

FRECHMAN, ERICA ALLEN, ANDREA CONCORD

GILBERT, KATIE RHYNE, JANELLE WILMINGTON

GREENE, NATASHA TRINH, THUHUONG DURHAM

HALL, BARBARA RUSS, DONALD HICKORY

HANSEN, DENISE LAWSON, ELLEN ASHEVILLE

HARMON, JAMES COLLINS-OGLE, MICHELLE HENDERSON

HENDERSON, CHERYL GUHA, SUBRATA RALEIGH

HOPKINS, TERESA REICHOW, KAREN WILMINGTON

HUDIMAC, CAMILLE MAROOF, SHAHEDA RALEIGH

HULIHAN, DEIRDRE MCQUISTON, CHRISTINA ASHEVILLE

HUTSON MOORE, TRACY REICHOW, KAREN WILMINGTON

LAMSON, CYNTHIA WHITMORE, EDNA CHERRY PT

LANIER, JODI COOK, LELAND HICKORY

March 17-19, 2010

LINK, MAUREEN SMITH, ROBERT CHARLOTTE

LINTHICUM, BENJAMIN SMITH, ROBERTS DURHAM

LOUCKS, KATHLEEN KRAUS, EMILY RALEIGH

MASON, DAWN BURKE, JAMES LEXINGTON

MIKULANINEC, CLAUDIA TRINH, THUHUONG WS

MIKULANINEC, CLAUDIA JONES, ENRICO WINSTON-SALEM

PATTI, CAMILLE GAWLAS, DOROTA CHARLOTTE

PETERSON, MIA TAKAHASHI, ERIC EDENTON

POLIMINE, DIANA TRINH, THUHUONG DURHAM

RINKACS, THOMAS FAULKENBERRY, BRADFORD LAURINBURG

SCHALNAT, KIMBERLY ALEJANDRO, LUIS GREENSBORO

SCHMITT, HOLLY RISSMILLER, SCOTT CHARLOTTE

STARR, JVONNE EZEIGBO, WALTER WINSTON SALEM

TROGDON, MONIKA TRINH, THUHUONG DURHAM

WAITE, KELLEY TRINH, THUHUONG WINSTON-SALEM

WHITLEY, DEANNA MAH, HANS KANNAPOLIS

PERFUSIONIST

Brewer, Wade Marion
Maine, Jeremy Ryan

ANESTHESIOLOGIST ASSISTANTS
None

Midwifery Joint Subcommittee Report

Thomas Hill, MD (NCMB); Mary Ann Fuchs, RN (NCBON); Nancy Bruton-Maree, RN

(NCBON); Maureen Darcey, RN, CNM; Elizabeth Korb, RN, CNM; Keith Nelson, MD; Peggy Robinson, PA-C, (NCMB); Dan Hudgins (NCBON) were present. George Saunders, MD, (NCMB) and Frank Harrison, MD, were absent.

1. The meeting was called to order by Elizabeth Korb in the absence of Chair Maureen Darcey, who arrived late due to car problems.

2. The Committee heard from several stakeholders in the gathering of information about the development of a proposed methodology for licensing certified professional midwives (CPM) in the state. These guest speakers were:

a. Melanie Phelps, Associate General Counsel, North Carolina Medical Society – Ms. Phelps stated that the Society opposes the CPM licensing due to concerns over safety and educational issues.

b. Jonathan B. Kotch, MD, professor in the Department of Maternal and Child Health of the Gillings School of Global Public Health at The University of North Carolina at Chapel Hill – Citing his health care experiences in the United Kingdom and statistical data, Dr. Kotch endorsed the new category of health care providers in the state.

c. Jeff Horton, Director of the Division of Health Service Regulation, North Carolina Department of Health and Human Services – Mr. Horton outlined the licensing and oversight responsibilities of his division.

March 17-19, 2010

d. Caron Jones, CNM, chairwoman of the American College of Nurse Midwives’ North Carolina chapter – Ms. Jones outlined the various pathways to midwife certification nationwide.

3. Committee members expressed their opinions on the CPM licensing issue to date. While they have heard numerous speakers, several members said they wanted additional stakeholders to speak and wanted to receive more data on the topic. Stakeholders from the N.C. Insurance Commission, trial lawyers and those who would perform home births were requested at a future meeting. Unbiased, statistical data on the CPMs in other states was requested. Information should include number of deliveries after licensing, infant mortality rates, etc.

4. Maureen Darcey, Chair, said the requested additional stakeholders would be scheduled for the April meeting. Julie George, executive director of the NCBON, will work with staff and volunteers to gather the requested data.

REVIEW (COMPLAINT) COMMITTEE REPORT

Peggy Robinson, Chair; Thelma Lennon; George L. Saunders, III, MD

The Review (Complaint) Committee reported on thrity-one complaint cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public.

A motion passed to return to open session.

DISCIPLINARY (COMPLAINTS) COMMITTEE REPORT

William Walker, MD, Chair; Dr. Thomas R. Hill, MD; Pamela Blizzard; Paul Camnitz, MD; Karen R. Gerancher, MD; Ralph C. Loomis, MD.

The Disciplinary (Complaints) Committee reported on three complaint cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public.

A motion passed to return to open session.

DISCIPLINARY (MALPRACTICE) COMMITTEE REPORT

William Walker, MD, Chair; Dr. Thomas R. Hill, MD; Pamela Blizzard; Paul Camnitz, MD; Karen R. Gerancher, MD; Ralph C. Loomis, MD.

The Disciplinary (Malpractice) Committee reported on 52 cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

INFORMAL INTERVIEW REPORT

Fifteen informal interviews were conducted. A written report was presented for the Board’s review. The Board adopted the recommendations and approved the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

DISCIPLINARY (INVESTIGATIVE) COMMITTEE REPORT

William Walker, MD, Chair; Dr. Thomas R. Hill, MD; Pamela Blizzard; Paul Camnitz, MD; Karen R. Gerancher, MD; Ralph C. Loomis, MD.

The Disciplinary (Investigative) Committee reported on 39 investigative cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

REVIEW (INVESTIGATIVE) COMMITTEE REPORT

Peggy Robinson, Chair; Thelma Lennon; George L. Saunders, III, MD

The Review (Investigative) Committee reported on 31 investigative cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

NORTH CAROLINA PHYSICIANS HEALTH PROGRAM (NCPHP) COMMITTEE REPORT Thelma Lennon, Chair; Janice Huff, MD; Karen R. Gerancher, MD

The Board reviewed 35 cases involving participants in the NC Physicians Health Program. The Board adopted the committee’s recommendation to approve the written report. The specifics of this report are not included as these actions are not public information.

A motion passed to return to open session.

BEST PRACTICES COMMITTEE

Members present were: Pamela Blizzard, Chair; George Saunders, MD; Janice Huff, MD; Michael Sheppa, MD, Medical Director; Hari Gupta, Director of Operations; Nancy Hemphill, Staff; Christina Apperson, Staff; Maureen Bedell, Staff and Amy Whited, NC Medical Society.

I. ITEM 3(B): Administrative License for Non-Certification Work

Special Purpose License for Administrative Medicine

The Committee discussed the public meeting held March 16; considered feedback received from interested parties, and reviewed Dr. Kirby’s recommendations in regard to the Board’s proposal to create a new Special Purpose License for Administrative Medicine. The Committee agreed that the administrative license proposal should not go forward, for two reasons: none of the persons it was intended to benefit are in favor of it; and it would not solve the problem the Board had identified at the 2009 Retreat, of how to deal with well- qualified applicants who do not fit the traditional model of clinically practicing physicians. The problem involved the Board’s interpretation of the two year “current competence” statute, and the Board’s policy of requiring clinical reentry programs for all applicants out of clinical practice for more than two years. Dr. Sheppa noted that the two year standard was decided by a nationally-recognized group of experts who studied the issue for years.

March 17-19, 2010

Instead, the Committee recommends that the Board consider initial license applications and reactivation requests of inactive licensees on an individual basis. If an applicant demonstrates “current competence” as an administrative physician, the applicant shall not be required to do a clinically-based reentry plan and the Board can grant an immediate license. In determining “current competence” the Board shall consider all the usual criteria, including Board certification, years of experience, CME, etc.

The Committee recommends contacting by email or publication on the website those administrative medicine physicians who are known to have requested licensure, and have rejected the Board’s offer of Special Permits with Consent Agreements, and any physicians whose applications are still pending. The Board may consider contacting those physicians currently holding such limited licenses to see if they would like to obtain a full physician license instead.

The Best Practices Committee may continue to discuss the issue, in particular whether it is necessary to amend either the MPA (although the Committee believes it would be difficult to define “administrative medicine”)or the Position Statement on Reentry, and to consider how to include this thinking in a drafting a rule on reentry.

Board action:

On March 18, 2010 (11 to 1): Board will not proceed with Special Purpose License for Administrative Medicine. Instead, Board will review applications of "administrative physicians" individually to determine if they meet the 90-14(11a) standard of being "currently competent." If administrative physicians meet that standard, they will not have to craft and complete a clinical medicine reentry program. Board will publicize this policy change and alert physicians who may hold limited licenses for administrative medicine, in case those physicians would like to apply for full licensure.

II. ITEM 2(B): Clinical Competence Assessments

While satisfied with the programs currently used by the Board for assessment, education and monitoring of licensees with personal and professional deficiencies, the Board heard a thirty minute presentation by Mr. Vin DiCianni, President of Affiliated Monitors, Inc. of Boston, concerning that organization’s expertise in facilitating assessment of licensees in their own practice environment.

III. ITEM 3(C): One-on-One vs. Split Board Interviews/Licensing
This will be discussed at the May 2010 meeting.

ADJOURNMENT

This meeting was adjourned at 1:00 p.m., March 19, 2010.

William A. Walker, MD
Secretary/Treasurer