July 15-17, 2009

MINUTES

North Carolina Medical Board

July 15-17, 2009

1203 Front Street Raleigh, North Carolina

July 15-17, 2009

Minutes of the Open sessions of the North Carolina Medical Board Meeting held July 15-17, 2009. The July 15-19, 2009, 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, July 15, 2009, by George L. Saunders, III, MD, President. Board members in attendance were: Janelle A. Rhyne, MD, Past President; Donald E. Jablonski, DO, President-Elect; Janice E. Huff, MD, Secretary/Treasurer; Ms. Pamela Blizzard; Thomas R. Hill, MD; Ms. Thelma Lennon; John B. Lewis, Jr., LLB; Peggy R. Robinson, PA-C; William A. Walker, MD; Paul S. Camnitz, MD and William W. Foster, MD. Also attending were R. David Henderson, Executive Director and Thom Mansfield, Board Attorney.

Presidential Remarks

Dr. Saunders commenced the meeting by reading from the State Government Ethics Act, “Ethics Awareness and Conflict of Interest Reminder.” No conflicts were reported. Dr. Saunders asked if there would be any absences at the September Board Meeting. Dr. Huff responded that she would not be able to attend that meeting. Dr. Saunders reported to the Board that a new committee on Diversity in the Workforce has been put in place. Dr. Huff and Ms. Lennon were appointed to this committee. Executive Director’s Announcements Mr. Henderson reminded all the Board Members that they would be participating in an Ethics Training session on Thursday afternoon. Mr. Curt Ellis, Director of Investigations, gave a presentation to the Board on the Certified Medical Board Investigator (CMBI) program. This is a rigorous program available to medical board investigators and is jointly sponsored by AIM and the FSMB. All of the NCMB investigators have completed this program.

Minute Approval Motion: A motion passed that the May 20, 2009 Board Minutes and the June 16, 2009 Emergency Board Minutes are approved as presented. ATTORNEY'S REPORT 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.

Written reports on 156 cases were presented for the Board’s review. The specifics of the non-public matters in this report are not included.

A motion passed to return to open session.

July 15-17, 2009

EXECUTED CASES PUBLIC ACTIONS Baird, Charlotte Leak PA Public Letter of Concern and Re-Entry Agreement executed 06/25/2009 Blake, John Alden PA Order terminating obligations/conditions of Consent Order executed 6/4/09 Bray, Anthony David MD Notice of Charges and Allegations; Notice of Hearing executed 7/13/09 Brodsky, Hal Marc MD Public Letter of Concern executed 5/28/09 Couch, Gordon Thames MD Public Letter of Concern executed 06/02/2009 Crawford, Edward Coleman MD Findings of Fact, Conclusions of Law and Order of Discipline executed 6/18/09 Davis, John Blevins MD Consent and Waiver and Public Letter of Concern executed 6/2/09 Esther, Thomas Anthony PA Re-Entry Agreement executed 5/27/09 Faber, Steven Mark MD Consent Order executed 5/22/09 Gooch, Joel Robert MD Consent Order executed 06/11/2009 Greenwood, Denise Rochelle MD Order of Discipline executed 5/29/09 Gregory, Ginger Dobbins Consent Order executed 6/19/09 Guarino, Clinton Toms Andrews MD Consent and Waiver and Public Letter of Concern executed 6/2/09 Harihan, Thomas Francis PA Order terminating conditions of Consent Order executed 5/29/09 Harper, Jill Diane PA Re-Entry Agreement executed 06/04/2009 Harris-Chin, Cheryl Jacqueline MD Findings of Fact, Conclusions of Law and Order of Discipline executed 6/18/09 Henson, Joseph Bascom MD Order of Summary Suspension of License executed on 06/17/2009

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Humble, Scott David MD Order executed 06/24/2009 Jackson, Richard Thomas MD Consent Order executed 06/12/2009 Jones, Vickie Denese MD Public Letter of Concern executed 5/28/09 Kinzie, Daniel Harpine MD Order executed 06/24/2009 Krishnaraj, Ramesh Loganathan MD Consent Order executed 6/24/09 Liu, Yong Jian Order Terminating Obligations/Conditions of Consent Order executed 5/29/09 Long, James Randall MD Consent Order executed 5/29/09 Manusov, Eron Grant MD Order terminating obligations/conditions of Consent Order executed 6/1/09 Marder, Curtis Charles MD Consent Order executed 07/01/2009 Marko, Bruce Howard MD Notice of Charges and Allegations; Notice of Hearing executed 7/10/09 Massi, Daniel Spong Denial Letter executed 6/19/09 McAlister, Linda Theresa Voluntary Surrender and Surrender Acknowledgment letter executed 6/12/09 McCabe, James Michael MD Denial of licensure executed06/08/2009 McIntosh, John Clarke Consent Order executed 5/22/09 McNamee, Sheila Marie PA Re-Entry Agreement executed 05/21/2009 Medlin, Laura Ann PA Consent and Waiver and Public Letter of Concern executed 7/1/09 Mendoza, Dominador Manguera MD Consent Order executed 6/15/09 Messner, Keith Harold MD Consent Order executed 06/03/2009 Nguyen, Mai Trang Le MD

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Consent Order executed 7/13/09 Nowick, Martin Edmund MD Affidavit of Service and Public Letter of Concern executed 6/5/09 O'Dell, Kevin Bruce MD Consent Order executed 7/6/09 Oksanen, Owen David Denial Letter executed 6/15/2009 Perry, Cheryl Denine Public Letter of Concern executed 06/15/2009 Pizarro, Glenn MD Consent Order executed 06/23/2009 Raynor, Eileen Margolies MD Consent and Waiver and Public Letter of Concern executed 6/5/09 Roca, Margo Hirshman MD Consent and Waiver and Public Letter of Concern executed 6/29/09 Sarmiento, Andre Gualberto MD Non-Disciplinary Consent Order executed 5/28/09 Shropshire-Atkins, Wendy Yvonne Public Letter of Concern executed 05/29/2009 Slatkoff, Marc Lester MD Re-Entry Agreement executed 07/02/2009 Smith, Sandra Bellamy PA Re-Entry Agreement executed 06/11/2009 Strother, Eric Furman MD Amended Consent Order executed 06/16/2009 Webster, Laurence Seaton MD Consent Order executed 6/24/09 White, Anne Litton MD Consent Order executed 5/22/09 Winton, Robert Emmett MD Notice of Charges and Allegations; Notice of Hearing executed 7/13/09 Wolf, Bradley Rex MD Notice of Charges and Allegations executed 7/8/09

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NON-PUBLIC ACTIONS 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.

Written reports on 66 cases were presented for the Board’s review. The specifics of the non-public matters in this report are not included.

A motion passed to return to open session MISCELLANEOUS Rule changes for adoption: 21 NCAC 32S .0101, .0102, .0104-.0113, .0115-.0118 21 NCAC 32S .0201-.0219 21 NCAC 32O .0118-.0121 Published in NC Register Volume 23, Issue 21 pages 2067 – 2076. Public Hearing held 6/30/2009 7/17/2009 BOARD ACTION: Adopted proposed rule changes as follows: Rules to be repealed: 21 NCAC 32O .0118 LOCUM TENENS PERMIT 21 NCAC 32O .0119 TITLE AND PRACTICE PROTECTION 21 NCAC 32O .0120 IDENTIFICATION REQUIREMENTS 21 NCAC 32O .0121 FEES 21 NCAC 32S .0101 DEFINITIONS 21 NCAC 32S .0102 QUALIFICATIONS FOR LICENSE 21 NCAC 32S .0104 INACTIVE LICENSE STATUS 21 NCAC 32S .0105 ANNUAL REGISTRATION 21 NCAC 32S .0106 CONTINUING MEDICAL EDUCATION 21 NCAC 32S .0107 EXEMPTION FROM LICENSE 21 NCAC 32S .0108 SCOPE OF PRACTICE 21 NCAC 32S .0109 PRESCRIPTIVE AUTHORITY 21 NCAC 32S .0110 SUPERVISION OF PHYSICIAN ASSISTANTS 21 NCAC 32S .0111 SUPERVISING PHYSICIANS 21 NCAC 32S .0112 NOTIFICATION OF INTENT TO PRACTICE 21 NCAC 32S .0113 VIOLATIONS 21 NCAC 32S .0115 TITLE AND PRACTICE PROTECTION 21 NCAC 32S .0116 IDENTIFICATION REQUIREMENTS 21 NCAC 32S .0117 FEES 21 NCAC 32S .0118 PRACTICE DURING A DISASTER Rules to be adopted: SUBCHAPTER 32S - PHYSICIAN ASSISTANTS 21 NCAC 32S .0201 DEFINITIONS

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The following definitions apply to this Subchapter: (1) “Board" means the North Carolina Medical Board. (2) “Examination" means the Physician Assistant National Certifying Examination. (3) “Family member” means a spouse, parent, grandparent, child, grandchild, sibling,

aunt, uncle or first cousin, or persons to the same degree by marriage. (4) "Physician Assistant" means a person licensed by the Board under the provisions

of G.S. 90-9.3. (5) "Physician Assistant License" means approval for the physician assistant to

perform medical acts, tasks, or functions under North Carolina law. (6) “Physician Assistant Educational Program” is the educational program set out in

G.S. 90-9.3(a) (1). (7) "License Renewal" means paying the annual fee and providing the information

requested by the Board as outlined in this Subchapter. (8) "Supervising" means overseeing the activities of, and accepting the responsibility

for, the medical services rendered by a physician assistant. (9) "Supervisory Arrangement" is the written statement that describes the medical

acts, tasks and functions delegated to the physician assistant by the primary supervising physician appropriate to the physician assistant's education, qualification, training, skill and competence.

(10) "Supervising Physician" means a physician who is licensed by the Board and who is not prohibited by the Board from supervising physician assistants. The physician may serve as a primary supervising physician or as a back-up supervising physician. (a) "Primary Supervising Physician" is the physician who accepts full

responsibility for the physician assistant's medical activities and professional conduct at all times, whether the physician personally is providing supervision or the supervision is being provided by a Back-up Supervising Physician. The Primary Supervising Physician shall assure the Board that the physician assistant is qualified by education, training and competence to perform all medical acts required of the physician assistant and is responsible for the physician assistant's performance in the particular field or fields in which the physician assistant is expected to perform medical acts.

(b) "Back-up Supervising Physician" means the physician who is responsible for supervision of the physician assistant's activities in the absence of the Primary Supervising Physician and while actively supervising the physician assistant.

(11) "Volunteer practice" means performance of medical acts, tasks, or functions without expectation of any form of payment or compensation.

21 NCAC 32S .0202 QUALIFICATIONS AND REQUIREMENTS FOR LICENSE

(a) Except as otherwise provided in this subchapter, an individual must obtain a license from the Board before practicing as a physician assistant. The Board may grant a physician assistant license to an applicant who:

(1) submits a completed application to the Board; (2) meets the requirements set forth in G.S. 90-9.3 and has not committed any of the

acts listed in 90-14; (3) submits to the Board proof that the applicant has completed an accredited

Physician Assistant Educational Program; if a physician assistant was licensed in North Carolina after June 1, 1994, he/she must also show successful completion of the Physician Assistant National Certifying Examination;

(4) pays to the Board a non-refundable fee of $200 plus the cost of a criminal background check. There is no fee to apply for a physician assistant limited volunteer license;

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(5) submits National Practitioner Data Bank (NPDB) and Healthcare Integrity and Protection Data Bank (HIPDB) reports. These reports must be requested by the Applicant and submitted to the Board within 60 days of the request.

(6) submits a Board Action Data Bank Inquiry from the Federation of State Medical Boards (FSMB), This report must be requested by the Applicant and submitted to the Board within 60 days of the request.

(7) submits to the Board two complete original fingerprint record cards, on fingerprint record cards supplied by the Board;

(8) submits to the Board a signed consent form allowing a search of local, state, and national files to disclose any criminal record;

(9) discloses whether he/she has ever been suspended from, placed on academic probation, expelled or required to resign from any school, including a PA educational program;

(10) attests that he/she has no license, certificate, or registration as a physician assistant currently under discipline, revocation, suspension or probation or any other adverse action resulting from a health care licensing board;

(11) certifies that he or she is mentally and physically able to safely practice as a physician assistant and is of good moral character;

(12) provides the Board with three original recommendation forms dated within 6 months of the application. These recommendations shall come from persons under whom the applicant has worked or trained who are familiar with the applicant’s academic competence or clinical skills. At least one reference form must be from a physician and two reference forms must be from peers under whom the applicant has worked or trained. References must be able to evaluate the applicant’s academic competence, clinical skills and character as a physician assistant. References cannot be from any family member or in the case of new graduate applicants, references cannot be from fellow students of the applicant’s Educational Program

(13) if two years or more have passed since graduation from a Physician Assistant Educational Program, documents that he/she has successfully completed at least 100 hours of continuing medical education (CME) during the preceding two years, at least 40 hours of which must be American Academy of Physician Assistants Category I CME; and

(14) supplies any other information the Board deems necessary to evaluate the applicant's qualifications.

(b) An applicant may be required to appear in person for an interview with the Board. 21 NCAC 32S .0203 MANDATORY NOTIFICATION OF INTENT TO PRACTICE (a) Prior to the performance of any medical acts, tasks, or functions under the supervision of a primary supervising physician, a physician assistant shall submit notification of such intent using the Board’s Intent to Practice form located on the Board’s website. The notification of intent to practice shall include:

(1) the name, practice addresses, and telephone number of the physician assistant; and

(2) the name, practice addresses, and telephone number of the primary supervising physician(s).

(b) The physician assistant shall not commence practice until he/she receives acknowledgment from the Board that the Board has received and processed the Intent to Practice Form. By checking the Board’s website, the physician assistant can confirm that the primary supervising physician has been added to the physician assistant’s personal information page on the Board’s website. (c) The physician assistant shall notify the Board of any changes to the information required in Paragraph (a) of this Rule within 15 days of the occurrence. 21 NCAC 32S .0204 ANNUAL RENEWAL

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(a) A physician assistant shall renew his/her license each year no later than 30 days after his/her birthday by:

(1) completing the Board's renewal form; and (2) submitting a nonrefundable fee of $120.00, except that a physician assistant who renews not later than 30 days after his/her birthday shall pay an annual renewal fee of $100.00;

(b) If a physician assistant fails to renew his/her license, the Board shall send a certified notice, return receipt requested . If the physician assistant does not renew his/her license within 30 days of the date of the mailing of that notice, his/her license automatically becomes inactive. 21 NCAC 32S .0205 INACTIVE LICENSE STATUS By notifying the board in writing, a physician assistant may elect to place his/ her license on inactive status. A physician assistant with an inactive license shall not practice as a physician assistant. A physician assistant who engages in practice while his/ her license is inactive is practicing without a license and is subject to discipline by the Board as well as criminal penalties. 21 NCAC 32S.0206 LICENSE REACTIVATION (a) A physician assistant may apply to reactivate his/her license if: (1) he/she had a license in North Carolina; (2) the license was placed on inactive status within the past calendar year; and

(3) the licensee did not become inactive as a result of disciplinary action or to avoid disciplinary action.

(b) A physician assistant requesting reactivation shall: (1) complete the board’s reactivation application;

(2) pay to the board a nonrefundable fee of $120, plus the cost of a criminal background check; (3) submit to the board two completed original fingerprint record cards, on fingerprint record cards provided by the Board; (4) submit to the board a completed signed and dated original Authority for Release of Information Form allowing a search of local, state, and national files to disclose any criminal record; (5) submit National Practitioner Data Bank (NPDB) and Healthcare Integrity and Protection Data Bank (HIPDB) reports, dated within 60 days of their submission to the board; (6) submit a board action data bank inquiry from the Federation of State Medical Boards (FSMB), dated within 60 days of its submission to the board; (7) provide documentation to the board verifying completion of 100 hours of continuing medical education during the preceding two years; and (8) supply any other information the board deems necessary to evaluate the applicant's qualifications.

(c) An applicant may be required to appear in person for an interview. 21 NCAC 32S. 0207 LICENSE REINSTATEMENT (a) A physician assistant may apply to reinstate his/her license if the license has been inactive for more than one calendar year, or if the inactive status resulted from disciplinary action or was taken to avoid disciplinary action. (b) A physician assistant requesting reinstatement shall satisfy all the requirements set forth in 21 NCAC 32S .0202. (c) An applicant may be required to appear in person for an interview with the Board. 21 NCAC 32S .0208 LIMITED VOLUNTEER LICENSE (a) A physician assistant who holds a regular license may convert that license to a limited volunteer license by notifying the Board in writing. A physician assistant practicing under a

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limited volunteer license shall practice with no expectation of payment or compensation whatsoever for any medical services rendered. A physician assistant holding a limited volunteer license may not accept any compensation, either directly or indirectly, whether monetary, in-kind, or otherwise, for the provision of medical services. (b) A physician assistant with an inactive license who wishes to return to practice on a volunteer basis must first reinstate or reactivate his/her license, whichever applies, by complying with 21 NCAC 32S.0206 or 21 NCAC 32S.0207. Once reinstated or reactivated, a physician assistant may convert that license to a limited volunteer license pursuant to paragraph (a) of this rule without paying an additional fee. (c) There is an annual renewal fee of $25. 21 NCAC 32S .0209 NON APPLICABILITY This Subchapter does not apply to:

(1) a student enrolled in a Physician Assistant Educational Program accredited by the Commission on Accreditation of Allied Health Education Programs or its successor organizations;

(2) a physician assistant employed by the federal government while performing duties incident to that employment; or

(3) an agent or employee of a physician who performs delegated tasks in the office of a physician but who is not rendering services as a physician assistant and identifying him/herself as a physician assistant.

21 NCAC 32S .0210 IDENTIFICATION REQUIREMENTS A physician assistant shall keep proof of current licensure and renewal available for inspection at the primary place of practice and shall, when engaged in professional activities, wear a name tag consistent with G.S. 90-640. 21 NCAC 32S .0211 AGENCY Physician assistants are the agents of their supervising physicians in the performance of all medical practice-related activities, including the ordering of diagnostic, therapeutic and other medical services. 21 NCAC 32S .0212 PRESCRIPTIVE AUTHORITY A physician assistant may prescribe, order, procure, dispense and administer drugs and medical devices subject to the following conditions:

(1) the physician assistant complies with all state and federal laws regarding prescribing including G.S. 90-18.1(b);

(2) each supervising physician and physician assistant incorporates within their written supervisory arrangements, as defined in rule .0201(8) of this Subchapter, instructions for prescribing, ordering, and administering drugs and medical devices and a policy for periodic review by the physician of these instructions and policy;

(3) In order to compound and dispense drugs, the physician assistant complies with G.S. 90-18.1(c);

(4) in order to prescribe controlled substances, (a) the physician assistant must have a valid Drug Enforcement

Administration (DEA) registration and prescribe in accordance with DEA rules;

(b) All prescriptions for substances falling within schedules II, IIN, III, and IIIN, as defined in the federal Controlled Substances Act, shall not exceed a legitimate 30 day supply;

(c) the supervising physician must possess the same schedule(s) of controlled substances as the physician assistant's DEA registration.

(5) each prescription issued by the physician assistant contains , in addition to other information required by law, the following:

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(a) the physician assistant's name, practice address and telephone number; (b) the physician assistant's license number and, if applicable, the physician

assistant's DEA number for controlled substances prescriptions; and (c) the responsible supervising physician's (primary or back-up) name and

telephone number; (6) the physician assistant documents prescriptions in writing on the patient's record,

including the medication name and dosage, amount prescribed, directions for use, and number of refills; and

(7) a physician assistant who requests, receives, and dispenses medication samples to patients complies with all applicable state and federal regulations.

21 NCAC 32S .0213 SUPERVISION OF PHYSICIAN ASSISTANTS (a) A physician assistant may perform medical acts, tasks, or functions only under the supervision of a physician. Supervision shall be continuous but, except as otherwise provided in the rules of this Subchapter, shall not be construed as requiring the physical presence of the supervising physician at the time and place that the services are rendered. (b) Each team of physician(s) and physician assistant(s) shall ensure that the physician assistant's scope of practice is identified; that delegation of medical tasks is appropriate to the skills of the supervising physician(s) as well as the physician assistant's level of competence; that the relationship of, and access to, each supervising physician is defined; and that a process for evaluation of the physician assistant's performance is established. (c) Each supervising physician and physician assistant shall sign a statement, as defined in Rule .0201(8) of this Subchapter, that describes the supervisory arrangements in all settings. Written prescribing instructions are required for each approved site. This statement shall be kept on file at all practice sites, and must be available upon request by the Board. (d) A primary supervising physician and a physician assistant in a new practice arrangement shall meet monthly for the first six months to discuss practice relevant clinical issues and quality improvement measures. Thereafter, the primary supervising physician and the physician assistant shall meet at least once every six months. A written record of these meetings shall be signed and dated by both the supervising physician and the physician assistant, and shall be available for inspection upon request by the Board agent. The written record shall include a description of the relevant clinical issues discussed and the quality improvement measures taken. 21 NCAC 32 S.0214 SUPERVISING PHYSICIAN A physician wishing to serve as a primary supervising physician must exercise supervision of the physician assistant in accordance with rules adopted by the Board. The physician shall retain professional responsibility for the care rendered by the physician assistant within the scope of the supervisory arrangement. 21 NCAC 32S .0215 RESPONSIBILITIES OF PRIMARY SUPERVISING PHYSICIANS IN REGARD TO BACK-UP SUPERVISING PHYSICIANS (a) The primary supervising physician shall ensure that a supervising physician, either primary or back-up, is readily accessible for the physician assistant to consult whenever the physician assistant is performing medical acts, tasks, or functions. (b) A back-up supervising physician must be licensed to practice medicine by the Board, not prohibited by the Board from supervising a physician assistant, and approved by the primary supervising physician as a person willing and qualified to assume responsibility for the care rendered by the physician assistant in the absence of the primary supervising physician. An ongoing list of all approved back-up supervising physicians, signed and dated by each back-up supervising physician, the primary supervising physician, and the physician assistant, must be retained as part of the Supervisory Arrangement. 21 NCAC 32S .0216 CONTINUING MEDICAL EDUCATION

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A physician assistant must complete at least 100 hours of continuing medical education (CME) every two years, at least 40 hours of which must be American Academy of Physician Assistants Category I CME. CME documentation must be available for inspection by the board or its agent upon request. The two year period shall run from the physician assistant’s birthday, beginning in the year 1999, or the first birthday following initial licensure, whichever occurs later. 21 NCAC 32S .0217 VIOLATIONS The Board may take disciplinary action against a supervising physician or a physician assistant, pursuant to G.S.§ 90-14. It is unprofessional or dishonorable conduct for a physician assistant to violate the rules of this Subchapter, or to represent him/herself as a physician. 21 NCAC 32S .0218 TITLE AND PRACTICE PROTECTION (a) Any person not licensed by the Board violates G.S. 90-18.1 if he or she:

(1) falsely identifies him/herself as a physician assistant; (2) uses any combination or abbreviation of the term "physician assistant" to

indicate or imply that he or she is a physician assistant; or (3) acts as a physician assistant without being licensed by the Board.

(b) An unlicensed physician may not use the title of "physician assistant" or practice as a physician assistant unless he/she fulfills the requirements of this Subchapter. 21 NCAC 32S .0219 PRACTICE DURING A DISASTER A physician assistant licensed in this State or in any other state may perform acts, tasks, or functions as a physician assistant under the supervision of a physician licensed to practice medicine in North Carolina during a disaster within a county in which a state of disaster has been declared or counties contiguous to a county in which a state of disaster has been declared (in accordance with G.S.166A-6). A team of physician(s) and physician assistant(s) practicing pursuant to this Rule is not required to maintain on-site documentation describing supervisory arrangements and instructions for prescriptive authority as otherwise required by 21 NCAC 32S .0212. The Board may waive other regulatory requirements regarding licensure and practice to facilitate a physician assistant practicing during a disaster consistent with G.S. 90-12.5. HEARINGS FINAL ARGUMENTS: Thrift-Cottrell, Alesia, MD - Lumberton, NC Panel Hearing held on April 15, 2009 (Panel Members recused: Dr. Saunders, Dr. Rhyne and Mrs. Blizzard) Panel Recommendation: Revoke Dr. Thrift-Cottrell was present but was not represented by counsel. The Board was represented by Marcus Jimison. 7/2009 BOARD ACTION: Uphold the Panel’s recommendation to Revoke PROPOSED CONSENT ORDERS: Anderson, Jeffery, MD Dr. Anderson was not present. The Board was represented by Patrick Balestrieri.

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7/2009 BOARD ACTION: Accept proposed Consent Order Niemeyer, Meindert, MD Dr. Niemeyer was represented by Bob Clay The Board was represented by Marcus Jimison 7/2009 BOARD ACTION: Accept proposed Consent Order Mesa, Gregory, PA Mr. Mesa was represented by Doug Brocker. The Board was represented by Marcus Jimison 7/2009 BOARD ACTION: Accept proposed Consent Order Nicholas, Theodore, MD Dr. Nicholas was represented by Alan Schneider. The Board was represented by Marcus Jimison. 7/2009 BOARD ACTION: Accept proposed Consent Order. EXECUTIVE COMMITTEE REPORT The Executive Committee of the North Carolina Medical Board met Wednesday July 15, 2009 at the offices of the Board. Members present were: George L. Saunders, MD; Donald E. Jablonski, DO; Janice E. Huff, MD; Janelle A. Rhyne, MD; and John B. Lewis, Jr. Also present were R. David Henderson (Executive Director), Hari Gupta (Director of Operations), and Peter T. Celentano, CPA (Comptroller). Financial Statements Mr. Celentano, CPA, presented the May 2009 compiled financial statements. May is the seventh month of fiscal year 2009. Mr. Celentano also reviewed the Board’s current cash position as of May 31, 2009. Dr. Jablonski made a motion to accept the financial statements as reported. Dr. Saunders seconded the motion and the motion was approved unanimously. Old Business There were no items under Old Business. New Business

Enhanced Licensee Information (“ELI”) Update: Pursuant to G.S. 90-5.2 and 5.3, the

Board is required to collect and publish certain information regarding physicians and physician assistants. Mr. Gupta and Jean Fisher-Brinkley, Director of Public Affairs, updated the Committee regarding staff efforts thus far to collect and publish this information. Mr. Gupta will provide a further update during the September Board Meeting.

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Staff Diversity: Ms. Dawn LaSure, Director of Human Resources discussed with the Committee management’s commitment and efforts to create a more diverse workplace. Delegation of Investigative Orders: The Medical Practice Act authorizes the Board to “require a physician licensed by it to submit to a mental or physical examination by physicians designated by the Board…G.S. 90-14(a) (5).” This is accomplished by an “Order for Examination” that requires a licensee to obtain a physical, neuropsychiatric, or substance abuse assessment when needed. The Committee discussed a proposal to delegate this authority to the President or his/her designee and the Chair of the Disciplinary or Review Committee upon recommendation of the Senior Staff Review Committee (this proposal would not apply to an order for a professional competence assessment). Dr. Jablonski made a motion to accept this proposal, Dr. Huff seconded the motion and the motion was approved unanimously. NCMB Advisory Committee: The Committee discussed the possibility of forming an Advisory Committee to provide input to the Board regarding its licensing, investigative and disciplinary processes. The Committee agreed unanimously on the formation of an Advisory Committee and will continue to work with staff on the structure of this committee. Informal Interviews/Orders for Assessment: The Committee discussed a policy whereby those the Board believes should undergo a professional assessment (e.g., CPEP or PACE) would be given the opportunity, if requested, to meet with members of the Board (informal interview) to learn the basis for the Board’s decision. The Committee believes this will give the licensee a better understanding of the Board’s decision and have an opportunity for input. Dr. Rhyne made a motion to adopt this policy, Dr. Huff seconded the motion and the motion was approved unanimously. Request for Rule–Making: On June 30, 2009, The NCMB received a petition for rulemaking pursuant to G.S. 150B-20 in which the petitioners ask the NCMB to adopt a rule that would require all non-physicians who use the designation “Doctor” or “Dr.” to wear an ID badge that would specify the type of license held by the individual and verbally disclose the information to patients. Dr. Rhyne made a motion to disseminate copies of the petition to all interested parties, solicit feedback and report any/all feedback to the Committee at the September meeting. Dr. Huff seconded the motion and the motion was approved unanimously.

Nomination of New Officers: A motion was made to nominate the following officers for 2009-2010: Dr. Janice Huff as President-Elect, and Dr. William Walker as Secretary/Treasurer. Mr. John Lewis and Dr. Tom Hill are nominated as members at large of the Executive Committee.

POLICY COMMITTEE REPORT Committee Members: Dr. Walker, Dr. Rhyne and Judge Lewis REVIEW OF POSITION STATEMENT:

Departure from or Closing of Medical Practices

Issue: Review Committee referred this issue to Policy Committee to determine if the current position statement should be amended to cover nurse practitioners and physician assistants.

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5/2008 – It was pointed out that not all physician extenders work in the same circumstances. Many physician extenders are at-will employees; others work in practice environments in which they are the owner and/or the sole practitioner. The statement should cover both extremes. It was suggested that the layout of the statement could be similar to the Physician Supervision position statement, which lists circumstances to be considered on a case by case basis. Additionally, it was stated that continuity of care for patients must be the ultimate concern.

5/2008 BOARD ACTION: Accept Committee recommendation

7/2008 BOARD ACTION: Todd and Dr. Walker to continue to work on a proposal. 9/2008 BOARD ACTION: Todd and Dr. Walker to continue to work on a proposal. 11/2008 BOARD ACTION: Todd and Dr. Walker to continue to work on a proposal. 1/2009 BOARD ACTION: Todd and Dr. Walker to continue to work on a proposal. 3/2009 COMMITTEE RECOMMENDATION: Todd will draft and circulate a revised Position Statement to both internal staff and external concerned parties and present the results at the May 2009 meeting. 3/2009 BOARD ACTION: Accept Committee recommendation. 5/2009 BOARD ACTION: Todd to continue to wordsmith Position Statement with input from representatives of the Medical Society and the NCAPA. 7/2009 COMMITTEE RECOMMENDATION: Approve proposed Position Statement with the addition of a statement indicating that the Board expects practices to abide by Federal and State guidelines and regulations. 7/2009 BOARD ACTION: Adopt Committee recommendation. North Carolina Medical Board Position Statement—Draft July 2009

DEPARTURES FROM OR CLOSINGS OF MEDICAL PRACTICES

Departures from or closings of medical practices are trying times. If mishandled, they can significantly disrupt continuity of care and endanger patients.

Provide Continuity of Care Practitioners continue to have obligations toward their patients during and after the departure from or closing of a medical practice. Practitioners may not abandon a patient or abruptly withdraw from the care of a patient. Patients should therefore be given reasonable advance notice (at least 30 days) to allow other medical care to be secured. Good continuity of care includes preserving and providing appropriate access to medical records.* Also, good continuity of care may often include making appropriate referrals. The practitioner(s) and other parties that may be involved should ensure that the requirements for continuity of care are effectively addressed. It is the position of the North Carolina Medical Board that during such times practitioners and other parties that may be involved in such processes must consider how their actions affect patients. In particular, practitioners and other parties that may be involved have the following obligations.

July 15-17, 2009

Permit Patient Choice

It is the patient's decision from whom to receive care. Therefore, it is the responsibility of all practitioners and other parties that may be involved to ensure that:

• Patients are notified in a timely fashion of changes in the practice and given the opportunity to seek other medical care, sufficiently far in advance (at least 30 days) to allow other medical care to be secured, which is often done by newspaper advertisement and by letters to patients currently under care;

• Patients clearly understand that they have a choice of health care providers; • Patients are told how to reach any practitioner(s) remaining in practice, and when

specifically requested, are told how to contact departing practitioners; and • Patients are told how to obtain copies of or transfer their medical records.

No practitioner, group of practitioners, or other parties involved should interfere with the fulfillment of these obligations, nor should practitioners put themselves in a position where they cannot be assured these obligations can be met.

Written Policies

The Board recommends that practitioners and practices prepare written policies regarding the secure storage, transfer and retrieval of patient medical records. Practitioners and practices should notify patients of these policies. At a minimum, the Board recommends that such written policies specify:

• A procedure and timeline that describes how the practitioner or practice will notify each patient when appropriate about (1) a pending practice closure or practitioner departure, (2) how medical records are to be accessed, and (3) how future notices of the location of the practice’s medical records will be provided;

• How long medical records will be retained; • The procedure by which the practitioner or practice will dispose of

unclaimed medical records after a specified period of time; • How the practitioner or practice shall timely respond to requests from

patients for copies of their medical records or to access to their medical records;

• In the event of the practitioner’s death or incapacity, how the deceased practitioner’s executor, administrator, personal representative or survivor will notify patients of the location of their medical records and how patients can access those records; and

• The procedure by which the deceased or incapacitated practitioner’s executor, administrator, personal representative or survivor will dispose of unclaimed medical records after a specified period of time.

The Board further expects that its licensees comply with any applicable state and/or federal law or regulation pertaining to a patient’s protected healthcare information. __________________________________________ * NOTE: The Board’s Position Statement on the Retention of Medical Records applies, even when practices close permanently due to the retirement or death of the practitioner. (Adopted January 2000) (Amended August 2003) (_______ _____2009)

July 15-17, 2009

BOARD CERTIFICATION DISTINCTION Issue: How North Carolina-licensed physicians may advertise their Board certification status to the general public?

• Mr. Brosius will attempt to develop language to add to the advertising and publicity position statement to be presented at this meeting for consideration.

5/2008 BOARD ACTION: Accept the proposed Position Statement with the following change. Do not delete the following sentence: “If patient photographs are used, they should be of the physician’s own patients and demonstrate realistic outcomes.” This Position Statement is to be published in the Forum for comments.

7/2008 BOARD ACTION: Submit the following proposed position statement with the amendment to the last sentence of the third paragraph. 9/17/2008: The Committee discussed the fact that the proposed changes to the current Position Statement would not be consistent with the information currently being provided on the Board’s website. Additionally, a representative from the Medical Society recommended that the position statement should include PAs and NPs. 9/2008 COMMITTEE RECOMMENDATION: (Walker/Lennon) Add the following language to the position statement “To avoid misleading the public, the Board strongly encourages that the use of the term “Board Certified” only be used in advertisements when it refers to certification derived from a specialty board recognized by the American Board of Medical Specialties or the American Osteopathic Association.” 9/2008 BOARD ACTION: Policy Committee to continue to address issue 11/2008 BOARD ACTION: Policy Committee to continue to address issue. Consideration to be given to making sure that physicians should only advertise board certification if that certification is in the specialty for which they are advertising. Dr. Saunders will attend January Policy Committee. 1/2009 BOARD ACTION: In an effort to have the strongest Position Statement possible, Todd will research the issue of disclosure and also survey other states regarding the issue. This information will be reported at the March 2009 Committee meeting. 3/2009 COMMITTEE DISCUSSION: Todd reported that after research of this issue he concluded that the Board can restrict the use of the term “board certified”. The issue posed then to the Committee was whether to revise the Advertising and Publicity Position Statement or set out the requirements for physicians to advertise themselves as board certified through rulemaking. 3/2009 COMMITTEE RECOMMENDATION: Todd will draft proposed rules based on similar rules in North Carolina and other jurisdictions. Todd will then check on viability of the Board adopting such regulations. 3/2009 BOARD ACTION: Accept Committee recommendation. 5/2009 BOARD ACTION: Proceed with the rule-making process. Ensure that the website complies with this new rule.

July 15-17, 2009

7/2009 COMMITTEE DISCUSSION: Todd reported that he had communicated with the staff at the Rules Review Commission regarding the proposed rule. The RRC staff recommended a few minor changes and suggested that the Board should be prepared to provide the statutory authority for this rule. 7/2009 COMMITTEE RECOMMENDATION: Submit proposed rule for full Board approval and proceed with rule-making process. 7/2009 BOARD ACTION: Approve proposed rule. Proceed with rule-making process.

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

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.

DEATH PENALTY Issue: Review Capital Punishment Position Statement

July 15-17, 2009

5/2009 COMMITTEE DISCUSSION: There was some concern about the current Position Statement being on the Board’s website. No further discussion was heard. 5/2009 BOARD ACTION: Table this issue pending further discussion with the Board attorneys. 7/2009 COMMITTEE DISCUSSION: Todd presented the following proposed changes to the current Capital Punishment Position Statement. There was some discussion regarding the references to the AMA. The Committee agreed that the AMA had a lot of resources and were through in their policies. 7/2009 COMMITTEE RECOMMENDATION: Accept proposed revision to Capital Punishment Position Statement and submit for full Board approval. 7/2009 BOARD ACTION: Approved proposed revision to Capital Punishment Position Statement.

Capital punishment

In North Carolina Dept. Correction v. North Carolina Medical Board, the North Carolina Supreme Court ruled that while the North Carolina Medical Board does “retain disciplinary power over a licensed medical doctor who participates in an execution,” the Board “may not discipline or threaten discipline against its licensees solely for participating in the execution alone.” Consistent with the Supreme Court’s ruling, the Board will not take any disciplinary action against a physician for participation in an execution.

The North Carolina Medical Board does, however, takes continue to take the position that physician participation in capital punishment is a departure from the ethics of the medical profession within the meaning of N.C. Gen.Stat. 90-14(a)(6).The North Carolina Medical Board adopts and endorses cites the provisions of AMA Code of Medical Ethics Opinion 2.06 (printed below) as an accurate statement of the professional ethics of physician participation in executions. except to the extent that it is inconsistent with North Carolina state law.

The Board recognizes that N.C. Gen.Stat. 15-190 requires the presence of “the surgeon or physician of the penitentiary” during the execution of condemned inmates. Therefore, the Board will not discipline licensees for merely being “present” during an execution in conformity with N.C. Gen.Stat. 15-190. However, any physician who engages in any verbal or physical activity, beyond the requirement of N.C. Gen.Stat. 15-190, that facilitates the execution may be subject to disciplinary action by this Board.

Relevant Provisions of AMA Code of Medical Ethics Opinion 2.06 An individual’s opinion on capital punishment is the personal moral decision of the individual. A physician, as a member of a profession dedicated to preserving life when there is hope of doing so, should not be a participant in a legally authorized execution. Physician participation in execution is defined generally as actions which would fall into one or more of the following categories: (1) an action which would directly cause the death of the condemned; (2) an action which would assist, supervise or contribute to the ability of another individual to directly cause the death of the condemned; (3) an action which could automatically cause an execution to be carried out on a condemned prisoner.

July 15-17, 2009

Physician participation in an execution includes, but is not limited to, the following actions: prescribing or administering tranquilizers and other psychotropic agents and medications that are part of the execution procedure; monitoring vital signs on site or remotely (including monitoring electrocardiograms); attending or observing an execution as a physician; and rendering of technical advice regarding execution.

In the case where the method of execution is lethal injection, the following actions by the physician would also constitute physician participation in execution: selecting injection sites; starting intravenous lines as a port for a lethal injection device; prescribing, preparing, administering, or supervising injection drugs or their doses or types; inspecting, testing, or maintaining lethal injection devices; and consulting with or supervising lethal injection personnel.

The following actions do not constitute physician participation in execution: (1) testifying as to medical history and diagnoses or mental state as they relate to competence to stand trial, testifying as to relevant medical evidence during trial, testifying as to medical aspects of aggravating or mitigating circumstances during the penalty phase of a capital case, or testifying as to medical diagnoses as they relate to the legal assessment of competence for execution; (2) certifying death, provided that the condemned has been declared dead by another person; (3) witnessing an execution in a totally nonprofessional capacity; (4) witnessing an execution at the specific voluntary request of the condemned person, provided that the physician observes the execution in a nonprofessional capacity; and (5) relieving the acute suffering of a condemned person while awaiting execution, including providing tranquilizers at the specific voluntary request of the condemned person to help relieve pain or anxiety in anticipation of the execution.

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: Todd 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: Todd is to continue to research this issue. The Committee will report its findings at the September meeting. 7/2009 BOARD ACTION: No action required.

July 15-17, 2009

Question regarding self treatment

Issue: Is it in violation of the Board’s position statement for a physician to order a cbc or lipid panel on him- or herself?

7/2009 COMMITTEE DISCUSSION: The Committee discussed several different scenarios where this might be done, such as convenience, when a physician’s doctor requests that blood work be done and the physician (patient) has the blood drawn at their own practice for convenience. It was the consensus of the Committee that ordering blood work is not a good idea and could lead to self-treatment. The Committee also agreed that the current position statement is sufficient and that each hospital should develop its own guidelines. 7/2009 COMMITTEE RECOMMENDATION: Respond that in the Board’s opinion, such ordering of tests on one’s self is a bad idea and is discouraged. Refer to the Board’s current position statement.

7/2009 BOARD ACTION: Accept Committee’s recommendation.

CONTINUED COMPETENCE COMMITTEE REPORT

The Continued Competence Committee of the North Carolina Medical Board was called to order at 1:00 p.m., Thursday, July 16, 2009, at the office of the Medical Board. Members present were: Peggy Robinson, PA-C, Chair; William Walker, MD and Paul Camnitz, MD. Also attending were: Janelle Rhyne, MD; Michael Sheppa, MD, Medical Director; Christina Apperson, Legal Attorney and Maureen Bedell, Recorder.

May Minutes Motion to approve the May minutes was approved.

OLD BUSINESS

I. An update of the CME Audit Program was presented to the Committee. A brief discussion followed.

1. The audit will be done for 1% of all In-state Active MD/DO licensees (20,000+). This should be approximately 15/month. We will post an article prior to the start of the program in the Forum, on our website and on the Renewal pages about the Audit program.

2. To create a random audit the alphabet will be used starting with “A” for the first

month, “B” for the second month, etc. For each letter in the alphabet, the appropriate numbers of licensees to be audited will be pulled randomly. This process will take about 2 years to cycle through the alphabet.

July 15-17, 2009

3. Each CME Audit letter that is mailed will have a CME sheet attached for the licensee to use to record their self reported Category 2 hours. For Category 1 hours they will send back copies of their Category 1 certificates.

4. The licensee will have 30 days from the date of the letter to return their information. 5. Each CME Audit response will need to be date stamped and reviewed. Category 2

hours will be reviewed by Operations staff. Category 1 hours will be reviewed by the Medical Director.

6. If a response is not received within 30 days, a certified letter will be mailed to the

licensee. If a licensee does not respond to the certified letter, a copy of the original CME Audit letter and the certified letter receipt will be sent to Investigations.

II. The Committee reviewed several different disruptive physician policies and decided to pass this over to the Policy Committee for recommendation of a disruptive physician position statement.

III. Dr. Rhyne updated the Committee on the FSMB Advisory Groups charged with Assuring the Continued Competence of Licensed Physicians. A discussion followed.

Charge: Issue an opinion to the FSMB Board of Directors concerning the FSMB’s Maintenance of Licensure initiative and more specifically, whether the framework proposed in the report of Special Committee on Maintenance of Licensure for use by state medical boards in assuring the continued competence of licensed physicians is feasible, reasonable, consistent with the guiding principles adopted by FSMB;s House of Delegates in May 2008 and suitable for use by state medical boards in assuring the continued competence of licensed physicians.

In carrying out this charge, the Advisory Group should include in its consideration and, where appropriate, provide input regarding:

1. Review of the FSMB’s work on MOL, to include public policies, reports, documents and any active engagement of state medical boards, the public, physicians and other stakeholders in discussions about MOL and the solicitation of their input in the evolution and development of related policy recommendations.

2. Review of the available research and published literature concerning the evidence for the need for initiating an MOL program and the effects of such a program as well as other quality improvement methodologies on physician practice and quality care outcomes.

3. Review of further analyses of any outstanding issues that surfaced as a result of the MOL impact analysis report and state medical board and other stakeholders’ feedback to this report.

4. In collaboration with the appropriate stakeholders, review and/or develop recommendations for how MOL, maintenance of certification and other continuous improvement activities could be aligned to support state medical boards in achieving a regulatory system that assures the public of a physician’s competence while minimizing duplication and burden on the physician community

5. Review of any pilot projects supported/funded by the FSMB in collaboration with appropriate stakeholders centering on issues relevant to the MOL discussions

July 15-17, 2009

NEW BUSINESS The discussion of a Re-entry mentor with a public record was discussed by the Committee. It was decided that it is was acceptable for a mentor to have a public record

LICENSE COMMITTEE REPORT Don Jablonski, DO, Chairman, Pamela Blizzard, Janice Huff, MD, Joy Cooke, Michelle Allen, Mary Mazzetti, Kim Chapin, Jane Paige, Scott Kirby, MD, Thom Mansfield, Patrick Balestrieri, Nancy Hemphill, Emily Lynch OPEN SESSION 1. Pre-approved PLOCs Summary: A presentation was made to the board by an applicant at the May meeting with regard to his plans to practice tele-neurology. Board action was to issue a license with a letter of concern outlining the Board’s concerns associated with practicing tele-neurology. Board Action: Send applicants approved for license, who are planning to practice tele-neurology, the letter developed by Dr. Sheppa. Add this category to the “pre-approved PLOC” list developed by the SSRC. 2. Practicing without license Summary: Staff requests feedback/guidance on how to proceed when a physician’s license is made inactive due to an error on their part or their staff’s. Possible sanctions for practicing medicine without a license are a PLOC, a PUBLOC or a reprimand.

Board Action: Add the following criteria to approved list of pre-approved PLOCs:

• Licenses that are inactive up to 90 days - reinstate retroactively with a PLOC • Cases beyond 90 days are handled via PUBLOC and other disciplinary vehicles

depending upon each situation and being guided by the length of inactive status and circumstances that led to the situation.

3. Rewrite of Physician Regulatory Rules Summary: Nancy Hemphill will attend the open session portion of this meeting to discuss the proposed regulatory rules for license. A draft will be e-mailed to Board members prior to the Board meeting. A copy of the proposed rules can be found under the heading “Licensing Rules”. Board Action: Accept proposed rules with recommended change to include language suggested by Dr. Huff that reference forms must be from physicians that have observed the applicant’s clinical practice within the past 3 years and to list the examinations acceptable to the Board instead of referencing the statute.

July 15-17, 2009

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.

Twenty-two 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. APPLICANTS PRESENTED MAY 5, 2009 – JULY 1, 2009

Abdulhak, Munzer Agnew, Elizabeth Bagby Alam, Wahila Ali, Abbas Khider Alle, Srinesh Allen, Stephanie Farrell Allred, James David Alshareef, Bashar Niman Altman, David A Anderson, Monique Latoya Andrews, Nancy Catherine Ansley, Travis Shelton Arnold, Staci Denise Arora, Harendra Arthur, Margaret Wendal Aryan, John Yeganeh Atkins, Sarah Elizabeth Wood Ayadi, Mohamed Nazih Badalamenti, Vito John Balfanz, James Balmadrid, Christian Laynes Banihashemi, Michael Reza Banuelos, Scott Joseph Batchu, Chandra Shekar Baveja, Namrita Beam, Daren Moss Beaty, Elijah Hamilton Beaver, Clint Richard Becker, Adam Michael Becker, Ann Young Bednar, John Michael Befera, Nicholas Thomas

July 15-17, 2009

Belen, Alfred Dennis Bellanger, Tracie Manuel Berggren, Erica Kristen Berman, Joel Alan Berman, Lorraine Bernard, Michael LaBranche Bertrand, Susan True Bhatta, Bhubanesh Kumar Bishko, Jay Richard Bitting, Rhonda Lynn Bliss, Laura Katherine Boateng, Lydia Alberta K. Bockewitz, Brandon Michael Boggs, Leo Richard Booth, Jessica Leigh Bova, James Gregory Bower, Natasha Ann Boyce, Matthew Scot Bradley, Deborah Ann Bradshaw, John Kenneth Bradshaw, Tamara Lynn Brandon, Mary Weber Breneman, Carol Joy Briones, Kerry Patterson Brody, Jason Scot Brown, Heather Simone Brown, James Kenneth Brown, Valerie Langston Bruner, Terrence Weston Buckley, Kevin Stuart Buckner, Carl Louis Bui, Bao-Anh Ngoc Bui, Hong Thi Bull, Mary Washburn Buresh, Robert Christopher Burke, Rachel Anna Bush, Dana Butler, Megan Williston Caicedo, Jennifer Laiacona Campbell, Justin Doyle Campi, Geralyn Mary Cardona, Diana Marcella Carmen, Kevin Patrick Carroll, David Michael Case, Ashley Stephens Chadderdon, Robert Christopher Chang, Corinna Yee-Shin Chen, Luke Francis

July 15-17, 2009

Chen, Ronald C Chin, Stacy Jennifer Chiu, Stephen Kun Christman, Jennifer Ann Christopher, Frank Leonard Chung, Aimee Byonghee Cicuto, Bryan Jonathan Claassen, Chris Anthony Clayton, M. Jane Coffee, Robert Earl Collins, John Orvil Collura, Christina J Colvin, Jennifer Susan Cook, John Daren Cooper, Tiffany Sims Copenhaver, Carol Anne Borack Corey, Daniel M Cosper, Graham Harvey Couch, Gordon Thames Creighton, Matthew Aaron Crescini, Weronika Maria Cunningham, Thomas Moffatt DaCosta, Gaston Fitzgerald Dalal, Ambrish Keshav Darnell, Timothy Alan DaSilva, Leonard Dimitri Davis, Bennett Lynwood Davis, Sanford Ian Day, Tomeka Gatling Degala, Ami Kantilal Denis, Guy Joseph Dennison, Whitney Jo DePalma, John Anthony Desai, Chirag Vijay Desai, Tejas Pradeep Deshmukh, Ninad Subhash Deshpande, Chetan Shrikant Dham, Gitika Didolkar, Manjiri Mukund DiFurio, Megan Justine Donahue, Timothy Patrick Dorn, Amanda Stine Downey, Laura Corbin Duffey, Robert Thomas Duthuluru, Sowjanya Dykema, Lindsay Rose Easterwood, Lee Hunter Eastman, Ann Rethy Edwards, Brian Edwin

July 15-17, 2009

Eftekhari Marsden, Nahid Eichner, Brian H Eklund, Nancy Marie El Chaar, Maher Ellis, Donald Thomas Ellis, Rickie Wade Emery, Carmen Rene Escabi Mendez, Fernando Armando Esposito, Robert Martin Eubany, Jacqueline Evans, John Peter Feldpausch, Dale Eldred Feldpausch, Dale Eldred Felix-Rodriguez, William Fink, Suzette Linn Fischer, Kevin Michael Fitzhugh, David Jordan Fleming, Charlene McCain Fleming, Shawn Howard Flippo, Jack Lloyd Fort, Prem Forte, Jamila Ife Abeni Frattarelli, Teasha-Lee Ann Freck, Elizabeth Anne Gardy, Harvey H. Gasper, Mason Clark Gavini, Naga Jyothi Gayle, Wezyann Arleta Gershon, Timothy Robin Ghobrial, Mona Monir Salib Ghosn, Maha Gilmer, Benjamin Paul Goebel, Jason Andrew Goetzl, Manlio Adam Goldie, Jason Franklin Goldstein, Adrian Michael Golshani, Kiarash Gooding, Julie Regal Goodwin, Maje Denise Gopal, Satish Gopalakrishnan, Isai Graham, Amanda Joy Grandis, Heidi Marie Grant, Andre Christopher Gray, Nicola Susan Graybill, Cassandra Noel Green, John Miller Greene, Quincy Justin

July 15-17, 2009

Grilley-Olson, Juneko Elaine Grodin, Richard Warren Grossens, Michael Kevin Grosshans, David Wesley Guelich, Susan Fowler Gunatilake, Ravindu Pasan Guptagupta, Harihari Ham, Larry Hamilton, Erika Paige Hanes, Holly Crain Hansalia, Sachin Jamnadas Haq, Ihtsham Ul Haque, Enamul Hannan, Paul John Hardy, Allan Lloyd Harper, Scott Anderson Harris, David Hartman, Michael Joseph Hassanien, Gammal A Heath, Jessica Linda Hecht, David Anthony Hendricks, Melissa Anne Hernandez, Ricardo Andres Hernandez-Gonzalez, Andrea Hofer, Curt Hollis, Richard Keith Hommel, Erin Leigh Hong, Harold Joseph Hooker, James Benjamin Horne, Anupama Betkerur Horowitz, Eric Neal Horsley, Ross Arthur Horton, Jeffrey Wayne Houbi, Yasin Hudson, Thomas Warner Hueman, Kevin Geoffrey Hursey, Darrin Robert Iloka, Uchechi Nwabugo Jackson, Meghan Genelle Jeannot, Michel Jensen, Brian Colwell Johnson, Jason Nathaniel Johnson, Kenneth Lee Johnston-MacAnanny, Erika Beth Jones, Christopher Allen Jones, Julie Lynn Jones, Lynn Shuster Jones, Preston Allen

July 15-17, 2009

Jones, Terrence Allen Jones, Vickie Denese Jones-Monte, Kathleen Renee Joshi, Anand Bhagwan Kahn, Scott Michael Kancherla, Shailaja Reddy Kanich, William Steele Karanam, Madhavi Katakam, Lakshmi Iswarya Keenan, Robert Thomas Kelley, Theodore Maxwell Kelty, Patrick James Khan, Jehanzeb Khan, Mazhar Ulhaq Kho, Mitchell Robert Chiong Kiesau, Ann Irwin Kiesau, Carter David Kim, Seung Won Kimmerle, Gregory Rook Kleven, Daniel Thomas Knebl Kohl, Gisela E Knopp, James Bryan Koduru, Sunaina Koenig, David John Kolluru, Sarath Chandra Konstance, Richard Patrick Koontz, Thadeus Brandon Kradel, Brian Keith Krempasky, Micah Hooper Kremsdorf, Robin Amy Kroker, Claudia Aurelia Kumar, Priya Ajit Kumar, Vinod Kuzma, Charles Samuel Ladipo, Olaniran A Lambeth, John Phillip Laramore, Andrew Pace Larsen, Christopher Patrick Lau, Kwan Nang LaValley, Daniel Joseph Law, Jennifer Rachel Lebauer, Edmund Joseph Leinicke, Jeffrey Allan Leong, Fong Tat Eugene Lessey, Bruce Arthur Leversedge, Fraser John Lewis, Caroline McIntosh Guerry Lewis, Daniel R

July 15-17, 2009

Liau, James Yhi Lillquist, Patricia Ann Lim, Zena I-Linn Lin, Jessica Tingsan Lineberry, Paul Joseph Llave, Alfred DeCastro Loman, Jeannette Luley, Tomas Lusk, Joanna Mahurin, Brandon Guy Mangunta, Venkat Reddy Mann, Christopher Hayes Maradiaga Panayotti, Gabriela Muriel Marder, Curtis Charles Maquez-Valdone, Guillermo Martin, Shelden Lee Martin, Terri Regina Mashburn, Lindsey Burns Mason, Kimberly Wilkinson Masson, Geema Shetty Mathieu, Francis A Mathur, Radhika McBane, Amanda Carol McConville, Patrick Owen McCracken, Brendan Kevin McCutcheon, Debra Reid McDavit, Michael Kent McDonald, Colin Timothy McGhee, James Ernest McManaman, Charlotte Elaine McQuaid, Douglas Brent McRackan, Daniel Ian Meachem, Franchesca Taneine Mecca, Patricia Stella Meny, Geralyn M Menz, Michael Joseph Messner, Keith Harold Michaud, Laura Lorraine Mieczkowski, Brian Peter Miles, Karen Denise Milkowski, Deborah Ann Miller, Jeffrey Alan Miller, Kate Klatt Milliken, Michael Colin Misra, Anita Mofidi, Ali Molle, Jeffrey Scott Montero, Paul Norbert Moore, Gary Arlan

July 15-17, 2009

Morris, Leslie Janine Mulligan, Stephane Murad, Khalil Naik, Seema Girish Najim, Claire Elise Namkung, Yun Nawaz, Arif Amir Naylor, Martha Ellen Neal, Matthew Thomas Neely, Mark Howard Nehra, Ajay Nehus, Nathan Robert Ng, Jennica Keng-Suan Nguyen, Tuan Gregory Nichols, Guy Eddy Nichols, Robert Carroll Nie, Feng Nielson, Kyle Pratt Nolen, Teresa Lynne Novoselsky, Seth Perry Ntatin, Amusa Ndzenyuy Nwosu, Victoria Kosonike Ochello, Charles Thomas O'Conor, Lorraine Maclean O'Daniel, Tori Lee Oenbrink, Raymond Onafuye, Rasheed Adeyinka Onuoha, Jude Okechukwu Opitz, Brian Anthony Oppenheimer, Ana Paula Demorais Oraka, Chinwe Nneka Ossmann, Eric William Owen, Douglas Gerald Pacentine, Gregory Gene Paleru, Vijayasree Palumbo-Rasch, April Kristen Panomitros, Gregory Elias Pantol, Gabriel Papiez, Joseph S. Parker, Jeremy David Pasniciuc, Maria Isabella Patel, Akash Dineshchandra Patel, Ankit Arvindbhai Patel, Mehul Balubhai Patel, Niraj Chandrakant Patel, Shital Suryakant Paton, Beverley Lauren

July 15-17, 2009

Pattanayak, Jan Matti Paul, Akkara Jose Paul, Jr., Robert Pearce, Jeffrey David Peery, Anne Finefrock Pena, Rhonda Lynn Philippi, William Emilio Phillips, David Lewis Pickard, Sybil Dawn Pierre, Frantz Eli Pinder, Leeya Fatima Pirzadeh, Afsaneh Poghosyan, Tereza Pollack, Gregory Andrew Pomerleau, Dustin Lewis Pop, Pop Powers, Alexander Kendrick Prastein, Deyanira Jerez Prenger, Casey Lee Presnall, Dixon Proctor, Leslie Kay Pulikkotil, Thelsa Thomas Pyrtle, Jay Malone Raasch, Hannah Erin Raddin, Ryan Stacer Rahangdale, Lisa Rai, Har Pratap Rainey, Elisabet Ellen Ramasunder, Shalini Rana, Hamza Rao, Roshan Kumbla Rayburg, Melissa Sue Raynor, Eileen Margolies Raynor, Mathew Cameron Rebello, Lynn Marie Reed, Melissa Rebecca Reiter, Todd Michael Renaud, Christian Elias Restel, Bradley Hartwell Reynolds, Carl Ray Reznik, Mark Rhue, Melanie Kaye Riba, Ali Khalil Ricketts, Karene Joanna Riley-Bussey, Annie Rini, Joseph Anthony Robinson, Barbara Lynn Robinson, John Michael

July 15-17, 2009

Roca, Margo Hirshman Rodak, David Rodillo, Eugene Suarez Rogers, William Everette Rosen, Richard James Rosenquist, Neil Arthur Ross, Elizabeth Mary Rossmann, Michelle Debra Rubin, Mithcell Jay Ruekberg, Bruce Michael Ruiz De Luzuriaga, Brian Calado Sabom, Michael Bruce Salunke, Swati Abhijit Salvemini, Philomena Giuseppina Samad, Zainab Samarakoon, Priyan Chandana Samuels, Todd Louis Sarantopoulos, Stefanie Sarwar, Sohail Schaefer, Gregory Paul Schulteis, Ryan David Seab-Tetrick, Kelly Bianca Seibert, Nicholas Robert Sever, Adrianne Elizabeth Shafer, Jennifer G. Shaff, Amber Dawn Shah, Neeral L Shah, Nirav Rajendra Sharma, Preeti Parekh Shaw, Leon Shnouda, Joseph F Shumate, Janelle Adenika Siaton, Bernadette Cavaneyro Siedhoff, Matthew Thomas Simeone, Alan Arthur Simons, John Patrick Singh, Jay Pal Singh, Tejpal Bal Sinha, Saurabh Ranjan Smelley, Matthew Peyton So, Mathew Jeremiah Solle, Michael Edward Song, Young S. Sloand, Timothy Peter Srinivasan, Lavanya Starodub, Alexander Nikolay Stevenson, Bernadette Mietus Stoeber, Jennifer Stork, Richard James

July 15-17, 2009

Stubbs, Erin Hollingsworth Susco, Benjamin Mark Swaby, Laurie-Anne Camiel Swindle, Jonathan Dwayne Tadlaoui, Karim Tarugu, Vikram Tassone, Heather Marie Tassone, Judi Lyn Taunton, Michael James Taylor, Kevin Lee Tcheung, Win Yee Terefe, Yared Girma Terreri, Anthony Andrew Thakur, Shilpa Thakuria, Pranjal Thomas, Daniel Stephen Thompson, Cari Wilcox Tighe De Soto, Jennifer Lynn Tompkins, Kenneth Toranto, Jason Daniel Towle, Justin Anthony Trani, Jose Luis Trevor, Jennifer Triche, Jessica Lee Trivedi, Alok Vikramkumar Tu, Priscilla Tucker, John Frederick Tull, Duane Franklin Turek, Joseph William Unroe, Kathleen Tschantz Unroe, Mark Alexander Van De Car, David Andrew Van Mater, David Sinclaire Van Mater, Heather Ann Van Scoyoc, Erin Elizabeth VanDeusen, Jeffrey Bryan Varghese-Kroll, Elizabeth Vargo, Neeta Mody Venkatasubramanian, Sara Venn, Tad Alan Vento, Rebecca Amber Ventre, Emile Karl Verdin, Thomas Verma, Sumeet Vest, Richard Norris Villamor, A. Collins Villegas, Leonardo

July 15-17, 2009

Vivas, Yoel Rafael Walker, David Benson Wallace, Dana Jack Wallace, Timothy Brian Walter, Gregory William Warner, Benjamin Welton Watkins, John Morgan Webb, Stacey Johnson Wegh, William Weinstein, Benjamin Leslie Weise, Karen Yax Welter, Cherie Lyn Weltge, Craig William West, Anne Jungran West, Markeeta Monique Wheeler, Lauren Michelle White, Barry James White, Laura Lee Whyte, Chad Allen Wild, Daniel M. Williams, Daryl Wesley Wilson, Michael Brian Winchester, Blythe Sanders Wood, Richard Kevin Wooten, William Isler Wooten, William Isler Work, Frederick Taylor Wren, John David Wunnava, Manoj Subbarao Yakubu, Rasheed A Yarnoz, Michael John Yester, Marc Alan Yoo, David Sung-Hyun Younger, Perry Ward Youssef, Nagy Adel Yue, Brian Wencheng Zaidman, Jeffrey Scott Zanga, Joseph Robert Zannis, John Zhang, Yanlong

LICENSE INTERVIEW REPORT 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.

July 15-17, 2009

Nineteen 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 FROM MAY 5, 2009 – JULY 1, 2009

Full License Abdulhak, Munzer Agnew, Elizabeth Bagby Alam, Wahila Ali, Abbas Khider Alle, Srinesh Allen, Stephanie Farrell Allred, James David Altman, David A Anderson, Monique Latoya Ansley, Travis Shelton Arnold, Staci Denise Arora, Harendra Arthur, Margaret Wendal Atkins, Sarah Elizabeth Wood Ayadi, Mohamed Nazih Badalamenti, Vito John Balfanz, James Balmadrid, Christian Laynes Banihashemi, Michael Reza Banuelos, Scott Joseph Batchu, Chandra Shekar Baveja, Namrita Beaty, Elijah Hamilton Beaver, Clint Richard Becker, Adam Michael Becker, Ann Young Bednar, John Michael Belen, Alfred Dennis Bellanger, Tracie Manuel Berggren, Erica Kristen Berman, Joel Alan Bernard, Michael LaBranche Bertrand, Susan True Bhatta, Bhubanesh Kumar Bitting, Rhonda Lynn

July 15-17, 2009

Boateng, Lydia Alberta K. Bockewitz, Brandon Michael Booth, Jessica Leigh Bova, James Gregory Bower, Natasha Ann Boyce, Matthew Scot Bradley, Deborah Ann Bradshaw, John Kenneth Bradshaw, Tamara Lynn Brandon, Mary Weber Breneman, Carol Joy Briones, Kerry Patterson Brody, Jason Scot Brown, Heather Simone Brown, James Kenneth Brown, Valerie Langston Bruner, Terrence Weston Buckley, Kevin Stuart Buckner, Carl Louis Bui, Bao-Anh Ngoc Bui, Hong Thi Bull, Mary Washburn Buresh, Robert Christopher Burke, Rachel Anna Bush, Dana Butler, Megan Williston Caicedo, Jennifer Laiacona Campbell, Justin Doyle Campi, Geralyn Mary Cardona, Diana Marcella Carmen, Kevin Patrick Carroll, David Michael Case, Ashley Stephens Chadderdon, Robert Christopher Chang, Corinna Yee-Shin Chen, Ronald C Chin, Stacy Jennifer Chiu, Stephen Kun Christman, Jennifer Ann Chung, Aimee Byonghee Cicuto, Bryan Jonathan Claassen, Chris Anthony Coffee, Robert Earl Collura, Christina J Colvin, Jennifer Susan Cook, John Daren

July 15-17, 2009

Cooper, Tiffany Sims Copenhaver, Carol Anne Borack Corey, Daniel M Cosper, Graham Harvey Couch, Gordon Thames Creighton, Matthew Aaron Cunningham, Thomas Moffatt DaCosta, Gaston Fitzgerald Dalal, Ambrish Keshav Darnell, Timothy Alan DaSilva, Leonard Dimitri Davis, Bennett Lynwood Day, Tomeka Gatling Degala, Ami Kantilal Dennison, Whitney Jo DePalma, John Anthony Desai, Chirag Vijay Desai, Tejas Pradeep Deshpande, Chetan Shrikant Dham, Gitika Didolkar, Manjiri Mukund DiFurio, Megan Justine Donahue, Timothy Patrick Dorn, Amanda Stine Downey, Laura Corbin Duffey, Robert Thomas Duthuluru, Sowjanya Dykema, Lindsay Rose Easterwood, Lee Hunter Edwards, Brian Edwin Eftekhari Marsden, Nahid Eichner, Brian H Eklund, Nancy Marie El Chaar, Maher Ellis, Donald Thomas Emery, Carmen Rene Escabi Mendez, Fernando Armando Eubany, Jacqueline Feldpausch, Dale Eldred Feldpausch, Dale Eldred Felix-Rodriguez, William Fink, Suzette Linn Fischer, Kevin Michael Fitzhugh, David Jordan Fleming, Charlene McCain Fleming, Shawn Howard

July 15-17, 2009

Fort, Prem Frattarelli, Teasha-Lee Ann Freck, Elizabeth Anne Gasper, Mason Clark Gavini, Naga Jyothi Gayle, Wezyann Arleta Gershon, Timothy Robin Ghobrial, Mona Monir Salib Ghosn, Maha Gilmer, Benjamin Paul Goebel, Jason Andrew Goetzl, Manlio Adam Goldie, Jason Franklin Goldstein, Adrian Michael Golshani, Kiarash Gooding, Julie Regal Goodwin, Maje Denise Gopal, Satish Gopalakrishnan, Isai Graham, Amanda Joy Grandis, Heidi Marie Grant, Andre Christopher Gray, Nicola Susan Graybill, Cassandra Noel Green, John Miller Greene, Quincy Justin Grilley-Olson, Juneko Elaine Grodin, Richard Warren Grossens, Michael Kevin Grosshans, David Wesley Guelich, Susan Fowler Gunatilake, Ravindu Pasan Guptagupta, Harihari Ham, Larry Hamilton, Erika Paige Hanes, Holly Crain Hansalia, Sachin Jamnadas Haq, Ihtsham Ul Haque, Enamul Hardy, Allan Lloyd Harper, Scott Anderson Harris, David Hartman, Michael Joseph Hassanien, Gammal A Heath, Jessica Linda Hecht, David Anthony

July 15-17, 2009

Hendricks, Melissa Anne Hernandez, Ricardo Andres Hernandez-Gonzalez, Andrea Hofer, Curt Hommel, Erin Leigh Hong, Harold Joseph Hooker, James Benjamin Horne, Anupama Betkerur Horowitz, Eric Neal Horton, Jeffrey Wayne Houbi, Yasin Hudson, Thomas Warner Hueman, Kevin Geoffrey Hursey, Darrin Robert Iloka, Uchechi Nwabugo Jackson, Meghan Genelle Jeannot, Michel Jensen, Brian Colwell Johnson, Jason Nathaniel Johnston-MacAnanny, Erika Beth Jones, Christopher Allen Jones, Julie Lynn Jones, Lynn Shuster Jones, Preston Allen Jones, Vickie Denese Jones-Monte, Kathleen Renee Joshi, Anand Bhagwan Kahn, Scott Michael Karanam, Madhavi Katakam, Lakshmi Iswarya Keenan, Robert Thomas Kelley, Theodore Maxwell Kelty, Patrick James Khan, Jehanzeb Khan, Mazhar Ulhaq Kho, Mitchell Robert Chiong Kiesau, Ann Irwin Kiesau, Carter David Kim, Seung Won Kimmerle, Gregory Rook Kleven, Daniel Thomas Knebl Kohl, Gisela E Knopp, James Bryan Koduru, Sunaina Koenig, David John Kolluru, Sarath Chandra

July 15-17, 2009

Kradel, Brian Keith Krempasky, Micah Hooper Kremsdorf, Robin Amy Kroker, Claudia Aurelia Kumar, Priya Ajit Kumar, Vinod Kuzma, Charles Samuel Ladipo, Olaniran A Lambeth, John Phillip Laramore, Andrew Pace Larsen, Christopher Patrick Lau, Kwan Nang LaValley, Daniel Joseph Law, Jennifer Rachel Leversedge, Fraser John Lewis, Caroline McIntosh Guerry Lewis, Daniel R Liau, James Yhi Lillquist, Patricia Ann Lin, Jessica Tingsan Llave, Alfred DeCastro Loman, Jeannette Luley, Tomas Lusk, Joanna Mahurin, Brandon Guy Mangunta, Venkat Reddy Mann, Christopher Hayes Maradiaga Panayotti, Gabriela Muriel Marder, Curtis Charles Martin, Shelden Lee Martin, Terri Regina Mashburn, Lindsey Burns Mason, Kimberly Wilkinson Masson, Geema Shetty Mathieu, Francis A Mathur, Radhika McBane, Amanda Carol McConville, Patrick Owen McCracken, Brendan Kevin McCutcheon, Debra Reid McDavit, Michael Kent McDonald, Colin Timothy McManaman, Charlotte Elaine McQuaid, Douglas Brent McRackan, Daniel Ian Meachem, Franchesca Taneine

July 15-17, 2009

Mecca, Patricia Stella Meny, Geralyn M Menz, Michael Joseph Michaud, Laura Lorraine Mieczkowski, Brian Peter Miles, Karen Denise Milkowski, Deborah Ann Miller, Jeffrey Alan Miller, Kate Klatt Milliken, Michael Colin Mm, Mm Molle, Jeffrey Scott Montero, Paul Norbert Morris, Leslie Janine Mulligan, Stephane Murad, Khalil Naik, Seema Girish Najim, Claire Elise Namkung, Yun Nawaz, Arif Amir Naylor, Martha Ellen Neal, Matthew Thomas Neely, Mark Howard Nehra, Ajay Nehus, Nathan Robert Ng, Jennica Keng-Suan Nguyen, Tuan Gregory Nichols, Guy Eddy Nichols, Robert Carroll Nie, Feng Nielson, Kyle Pratt Nolen, Teresa Lynne Novoselsky, Seth Perry Ntatin, Amusa Ndzenyuy Nwosu, Victoria Kosonike Ochello, Charles Thomas O'Conor, Lorraine Maclean O'Daniel, Tori Lee Onafuye, Rasheed Adeyinka Onuoha, Jude Okechukwu Opitz, Brian Anthony Oppenheimer, Ana Paula Demorais Oraka, Chinwe Nneka Owen, Douglas Gerald Pacentine, Gregory Gene Paleru, Vijayasree

July 15-17, 2009

Palumbo-Rasch, April Kristen Panomitros, Gregory Elias Pantol, Gabriel Papiez, Joseph S. Parker, Jeremy David Pasniciuc, Maria Isabella Patel, Akash Dineshchandra Patel, Ankit Arvindbhai Patel, Mehul Balubhai Patel, Niraj Chandrakant Patel, Shital Suryakant Paton, Beverley Lauren Pattanayak, Jan Matti Paul, Akkara Jose Peery, Anne Finefrock Pena, Rhonda Lynn Philippi, William Emilio Phillips, David Lewis Pierre, Frantz Eli Pinder, Leeya Fatima Pirzadeh, Afsaneh Poghosyan, Tereza Pollack, Gregory Andrew Pomerleau, Dustin Lewis Pop, Pop Powers, Alexander Kendrick Prastein, Deyanira Jerez Prenger, Casey Lee Proctor, Leslie Kay Pulikkotil, Thelsa Thomas Pyrtle, Jay Malone Raasch, Hannah Erin Raddin, Ryan Stacer Rahangdale, Lisa Rai, Har Pratap Rainey, Elisabet Ellen Ramasunder, Shalini Rana, Hamza Rao, Roshan Kumbla Raynor, Eileen Margolies Raynor, Mathew Cameron Rebello, Lynn Marie Reed, Melissa Rebecca Reiter, Todd Michael Renaud, Christian Elias Renewal, Barry

July 15-17, 2009

Renewal, Md Restel, Bradley Hartwell Reynolds, Carl Ray Reznik, Mark Rhue, Melanie Kaye Riba, Ali Khalil Ricketts, Karene Joanna Rini, Joseph Anthony Robinson, Barbara Lynn Robinson, John Michael Roca, Margo Hirshman Rodillo, Eugene Suarez Rosenquist, Neil Arthur Ross, Elizabeth Mary Rossmann, Michelle Debra Ruekberg, Bruce Michael Ruiz De Luzuriaga, Brian Calado Sabom, Michael Bruce Salunke, Swati Abhijit Salvemini, Philomena Giuseppina Samad, Zainab Samarakoon, Priyan Chandana Sarantopoulos, Stefanie Sarwar, Sohail Schaefer, Gregory Paul Seab-Tetrick, Kelly Bianca Seibert, Nicholas Robert Sever, Adrianne Elizabeth Shafer, Jennifer G. Shaff, Amber Dawn Shah, Nirav Rajendra Sharma, Preeti Parekh Shaw, Leon Shnouda, Joseph F Shumate, Janelle Adenika Siaton, Bernadette Cavaneyro Siedhoff, Matthew Thomas Simeone, Alan Arthur Simons, John Patrick Singh, Jay Pal Singh, Tejpal Bal Sinha, Saurabh Ranjan Smelley, Matthew Peyton So, Mathew Jeremiah Solle, Michael Edward Song, Young S.

July 15-17, 2009

Srinivasan, Lavanya Starodub, Alexander Nikolay Stevenson, Bernadette Mietus Stoeber, Jennifer Stubbs, Erin Hollingsworth Susco, Benjamin Mark Swaby, Laurie-Anne Camiel Swindle, Jonathan Dwayne Tadlaoui, Karim Tarugu, Vikram Tassone, Heather Marie Tassone, Judi Lyn Taunton, Michael James Taylor, Kevin Lee Tcheung, Win Yee Terefe, Yared Girma Terreri, Anthony Andrew Test Md App Email, Test Md App Email Test, Barry Md Fcvs Test_Brown, Test_Chris Mj Thakur, Shilpa Thakuria, Pranjal Thomas, Daniel Stephen Thompson, Cari Wilcox Tighe De Soto, Jennifer Lynn Toranto, Jason Daniel Towle, Justin Anthony Trani, Jose Luis Trevor, Jennifer Triche, Jessica Lee Trivedi, Alok Vikramkumar Tu, Priscilla Tucker, John Frederick Turek, Joseph William Unroe, Kathleen Tschantz Unroe, Mark Alexander Van De Car, David Andrew Van Mater, David Sinclaire Van Mater, Heather Ann Van Scoyoc, Erin Elizabeth VanDeusen, Jeffrey Bryan Varghese-Kroll, Elizabeth Vargo, Neeta Mody Venkatasubramanian, Sara Venn, Tad Alan Vento, Rebecca Amber

July 15-17, 2009

Ventre, Emile Karl Vest, Richard Norris Villamor, A. Collins Villegas, Leonardo Vivas, Yoel Rafael Walker, David Benson Wallace, Dana Jack Wallace, Timothy Brian Warner, Benjamin Welton Watkins, John Morgan Wegh, William Weinstein, Benjamin Leslie Welter, Cherie Lyn Weltge, Craig William West, Anne Jungran West, Markeeta Monique Wheeler, Lauren Michelle White, Barry James White, Laura Lee Whyte, Chad Allen Wild, Daniel M. Williams, Daryl Wesley Winchester, Blythe Sanders Wood, Richard Kevin Wooten, William Isler Wooten, William Isler Work, Frederick Taylor Wren, John David Wunnava, Manoj Subbarao Yakubu, Rasheed A Yarnoz, Michael John Yester, Marc Alan Yoo, David Sung-Hyun Younger, Perry Ward Youssef, Nagy Adel Yue, Brian Wencheng Zaidman, Jeffrey Scott Zanga, Joseph Robert Zannis, John Zhang, Yanlong Reinstatement Bishko, Jay Richard Christopher, Frank Leonard Davis, Sanford Ian Eastman, Ann Rethy Evans, John Peter

July 15-17, 2009

Hollis, Richard Keith Konstance, Richard Patrick Leinicke, Jeffrey Allan Lessey, Bruce Arthur Lineberry, Paul Joseph Messner, Keith Harold Misra, Anita Ossmann, Eric William Pickard, Sybil Dawn Rayburg, Melissa Sue Rodak, David Reactivation Aryan, John Yeganeh Flippo, Jack Lloyd Forte, Jamila Ife Abeni Kancherla, Shailaja Reddy Pearce, Jeffrey David Stork, Richard James Faculty Limited License Andrews, Nancy Catherine Chen, Luke Francis Deshmukh, Ninad Subhash Leong, Fong Tat Eugene Lim, Zena I-Linn Mofidi, Ali Retired Volunteer License Esposito, Robert Martin Lebauer, Edmund Joseph Rosen, Richard James Gardy, Harvey H. Special Volunteer License Kanich, William Steele Shah, Neeral L

Initial PA Applicants Licensed 05/01/09 – 06/30/09 PA-Cs Name Adams, Deborah Michelle 05/08/2009 Baird, Charlotte Leak 06/26/2009 Ballenger, Ann Chaney 06/23/2009

July 15-17, 2009

Bernier, Lisa Marie 05/18/2009 Boulware, Richard Brian 05/18/2009 Brenner, Michael Charles 06/05/2009 Brillant, Kelly Ann 05/19/2009 Bronson, Jaclyn Ruth 05/14/2009 Brooks, Nancy Leah 05/18/2009 Bumgarner, Mary Kathryn Jenkins 06/10/2009 Burnett, Kristin Curtis 06/05/2009 Butler, Anna Marks 06/22/2009 Carpenter, Iliana Jeannette 05/08/2009 Dang, Kim Anh Thi 06/08/2009 Deavers, Mickey James 06/10/2009 Drago, David Justin 05/08/2009 Duncan, Christy Renee 06/08/2009 Esther, Thomas Anthony 05/28/2009 Fina, Jillian Marie 06/10/2009 Fletcher, Erin Marie 05/08/2009 Gadomski, Ann-Marie 05/06/2009 Goller, Linda Sue 06/25/2009 Gomez, Victor Anselmo 05/21/2009 Harper, Rebecca Erin 06/23/2009 Helm, James Arthur 06/10/2009 Herlihy, Michelle Lynnette 06/05/2009 Hughes, Jo Andrea 06/26/2009 Hughes, Kristina Jean 06/16/2009 Hunt, Hal Marsh 06/10/2009 Jacob, April Curtis 06/16/2009 Kearney Sawyer, Elizabeth Ann 05/08/2009 Kershaw, Erica Lynn 05/08/2009 Miller, Rhonda M 05/08/2009 Morelli, Scott Anthony 06/25/2009 Nguyen, Brigitte Genevieve 06/23/2009 Patterson, Miriam Rachel 06/05/2009 Perkins, Alison Claire 06/10/2009 Perkins, Shawnie Renee 05/08/2009 Powell-Boone, Karen 05/01/2009 Ryan, Brandon Keith 06/05/2009 Scheer, Elizabeth Seifert 06/05/2009 Schlatter, Greta Michelle 06/05/2009 Setliff, Emily Jane 05/08/2009 Smith, Ronald Kenneth 06/10/2009 Smith, Sandra Bellamy 06/11/2009 Stoltzfus, Ryan Paul 06/10/2009 Storie, Rick Jarrett 05/28/2009 Thomas, Whitney Nicole 06/08/2009 Vinson, Breony Miller 06/05/2009

July 15-17, 2009

Watkins, Mai Tuyet 06/05/2009 Whitley, Ashley Brooke 06/10/2009 Young, Danny Francis 06/25/2009 Youngblood, Caleb Anthony 06/10/2009

PA-Cs Reactivations/Reinstatements/Re-Entries

Baird, Charlotte Leak 06/26/2009 – Reinstatement w/Re-Entry Clarke, James Albert 05/07/2009 – Reinstatement w/Re-Entry Hamilton, Brianne Leslie 06/15/2009 – Reactivation Harper, Jill Diane 06/04/2009 – Reinstatement w/Re-Entry LaCombe, Paula Simonne 06/26/2009 - Reinstatement McNamee, Sheila Marie 05/21/2009 – Reinstatement w/Re-Entry Shropshire-Atkins, Wendy 05/29/2009 – Reactivation w/PUBLOC Vawter, Heather Anne 05/29/2009 - Reinstatement

Additional Supervisor List – 05/01/09 – 05/30/09 PA-Cs Name Primary Supervisor Practice City Adams, Deborah Elbeery, Joseph Greenville Albrecht, Ramona Evans, Michael Smithfield Alvarez, Osvaldo Lee, Melvin Cary Alvarez, Osvaldo Godfrey, Wanda Garner Ambroise, Marie-Jacques Ordonez, Esperanza Raleigh Arnold, Alison Bennett, Bernard Chapel Hill Asfaw, Melinda Kois, Jean Huntersville Asfaw, Melinda Pena, Jose Huntersville Astern, Laurie Brundle, Scott Raleigh Baker, Wanda Hoben, Michael Charlotte Bartlett, Whitney Corder, John Hickory Bass Ransom, Julie Kring, Susan Hendersonville Battle, Lydia Hong, Matthew Matthews Beaty, Donna Munavalli, Girish Charlotte Beeman, Sandra Glinski, Ronald Whiteville Bellaw, Ryan Pence, James Morehead City Benfield, Elizabeth Bishop, Andrew Wilmington Bennett, James Pridgen, James Holly Ridge Bergmark, Lisa Kiratzis, Philip Asheville Bernart, D. Swygard, Heidi Raleigh Bernier, Lisa Alexander, James Asheville

July 15-17, 2009

Bernier, Lisa Beavers, Kimberly Asheville Bernier, Lisa Bond, Thomas Asheville Bernier, Lisa Cender, Craig Asheville Bernier, Lisa Deering, Timothy Asheville Bernier, Lisa Dukowicz, Andrew Asheville Bernier, Lisa Garrett, John Asheville Bernier, Lisa Grier, Michael Asheville Bernier, Lisa Harlan, William Asheville Bernier, Lisa Jeffries, Brentley Asheville Bernier, Lisa May, David Asheville Bernier, Lisa Meyer, Angela Asheville Bernier, Lisa Newcomer, Michael Asheville Bernier, Lisa Perez, Rodney Asheville Bernier, Lisa Smith, Richard Asheville Bernier, Lisa Weiser, Kirsten Asheville Bernier, Lisa Wood, Matthew Asheville Blackwood, Robert Wesley, Robert Raleigh Blazar, Melinda Gradison, Margaret Durham Blelloch, Lawrence Hines, Marcono New Bern Blelloch, Lawrence Moran, Joseph Raleigh Bloedow, Becky Kring, Susan Hendersonville Bonisa, Michael Hamilton, Brian Charlotte Boyd, Steven Delbridge, Theodore Greenville Bracken, Christy Manning, James Greensboro Bradshaw, Shanna Meyer, Mitchell Wallace Bronson, Jaclyn Maddox, William Asheville Bullard, Marian Evans, Michael Smithfield Burt, Hilary Potti, Anil Durham Burt, Hilary Vlahovic, Gordana Durham Buschemeyer, Kristin Inge, Jack Raleigh Buschemeyer, Kristin Mikles, Mark Raleigh Capps, Sarah Zinner, Tanya Chapel Hill Carpenter, Iliana Harden, William Rocky Mount Cartledge, Michael Isaacs, Steven Elkin Chance, Jeffery Saltzman, Leonard Albemarle Clark, Deborah Manuli, Steven Elizabeth City Clark, Deborah Merritt, Karen Elizabeth City Clarke, James Graf, Kenneth Asheville Clarke, Karen Hughes, Sarah Raleigh Clarke, Karen McDaniels, Christopher Raleigh Clarke, Theresa Bookert, Lisa Clayton Clarke, Theresa Lewis, Marvin Mamers Cole, Neal Harris, Timothy Raleigh Collins, Amanda Paracha, Muhammad Fayetteville Collins, Amanda Saini, Hari Fayetteville Craig, Dinah Quashie, Dawn Fayetteville

July 15-17, 2009

Crain, Carlton Maynard, Eugene Benson Crain, Carlton Crisp, Laddie Kinston Cross, Harry Garison, Gary Southern Pines Culbreth, Daniel Frueh, Walter Wilmington Curtis, Denise Hargrove, Roderick Hickory Deakle, Mary Kirkland, Stephen Winston Salem Deeley, Beth Bishop, Andrew Wilmington Dewar, John Hooper, Jeffrey Asheboro Dolph, Elizabeth Scott, Elisabeth Ann Snow Hill Doyle, Patricia Pollock, Nelson High Point Drinkwater, Don Tortora, Frank Cary Drinkwater, Don Valea, Fidel Durham Drinkwater, Don Brown, Howard Fuquay Varina Drinkwater, Don Adusumilli, Sankar Raleigh Drinkwater, Don Stephens, Tammi Raleigh Drinkwater, Don Bovard, Scott Wake Forest Eakin, Marc Wagner, David Lexington Ehly, Nelson Avent, John Rocky Mount Elledge, Robin Lee, Melvin Fuquay Varina Ellis, Dale Somani, Jagdish Morganton Enos, Fredrick Allgood, Sara Charlotte Ervin, Andrew Pojol, Ricardo Lumberton Ervin, Shannon Genkins, Steven Charlotte Evans, Eric Clarke, Donald Goldsboro Fales, Amy Scovill, David Charlotte Farmer, Kimberly Pridgen, James Clinton Farmer, Kimberly Meyer, Mitchell Wilmington Faulkner, John Pickett, John Enfield Fenstermacher, William Meyer, Mitchell Wallace Fitch, James Brown, Richard Wilson Flynn, Charles Beittel, Timothy Wilmington Fox, James Larson, Sean Catawba Futo, Jamie Puri, Sankalp Charlotte Gage, Shawn Lawson, Jeffrey Durham Galban, Carlos Koskinen, Kenneth Fayetteville Galloway, Ayanna Sapp, Amy Winston Salem Garwood, Dawn Hunt, Karen Raleigh Gonzalez, Eugenio Langston, Bernard Shallote Gonzalez, Eugenio Russell, Anthony Wilmington NC Goodwin, Gregory Bridgers, Stephen Elizabethtown Gordon, Brett Gootman, Aaron Fayetteville Gordon-Escobar, Kathryn Gerardo, Charles Durham Gore, William Zinicola, Daniel Rocky Point Gore, William Frankos, Mary Wilmington Greene, Kevin Quillin, Shawn Charlotte Gregory, Ginger Lee, Melvin Fuquay Varina

July 15-17, 2009

Griffin, Donna Carr, Josiah Raleigh Griffith, John Pridgen, James Clinton Griffith, John Meyer, Mitchell Wallace Griffith, Michael Fisher, William North Wilkesboro Groomes, Debra Pfeiffer, Frederick Charlotte Hall, Meghan Brooks, Kim Asheboro Harihan, Thomas DeVaul, Chanson Elizabeth City Harp, Wayne Ocloo, Shirley Gastonia Harris, Victoria Vaidya-Tank, Bhavna Clayton Hartman, Kristin Hollenberg, Bennett Charlotte Henderson-Nash, Alveta Avbuere, Edwin Greensboro Hineline, Jennifer Bishop, Andrew Wilmington Hoard, John Beamer, Mark Belhaven Hoffmann, Martha Littleton, Frederick Asheville Hong, Holly Morrisey, Lemont Burlington Hong, Holly Weber, David Chapel Hill Horlick, Susan Lee, Melvin Cary Horton, Ann Peace, Robin Pembroke Humphrey, Susan Mullany, Sally Winston Salem Ireton, Susan Elsner, Henry Greensboro Irving, Richard Reed, John Fayetteville Johnson, Curtis Nederostek, Douglas Laurinburg Johnson, Melissa Kendall, Jayne Gastonia Johnson, Sarah Bodie, Barry Brevard Kellerman, Mary Reyes, Rodolfo Raleigh Kenjale, Himanshu Cairns, Bruce Chapel Hill Kershaw, Erica Minior, Daniel Rocky Mount Kirsch, Eric Gingras, Jeannine Charlotte Kish, John Davis, Ryan Clyde Kozlow, Ayanna Coxe, James Raleigh Kuhn, Lindsay Adkins, Samuel Charlotte Kurian, Mathew Strother, Byron Morganton La Rocque, Paul Cargile, Leslie Black Mountain Lands, Carol Kiefer, Mark Lincolnton Leiken, Shuli Andersen, William Cary Leiken, Shuli Malik, Michael Cary Leiken, Shuli Cohen, Seth Durham Leiken, Shuli Valea, Fidel Durham Leiken, Shuli Brown, Howard Fuquay Varina Leiken, Shuli Adusumilli, Sankar Raleigh Leiken, Shuli Carlino, Richard Raleigh Leiken, Shuli Carr, James Raleigh Leiken, Shuli Collins, Roger Raleigh Leiken, Shuli Edrington, Richard Raleigh Leiken, Shuli Longo, Christopher Raleigh Leiken, Shuli Lyle, William Raleigh

July 15-17, 2009

Leiken, Shuli MacPhee, Keelee Raleigh Leiken, Shuli Mikles, Mark Raleigh Leiken, Shuli Oschwald, Donald Raleigh Leiken, Shuli Roberts, Lee Raleigh Leiken, Shuli Russell, Roger Raleigh Leiken, Shuli Stephens, Tammi Raleigh Lewis, Michael Pridgen, James Clinton Lindsley, Alan Morris, Deborah Fayetteville Llaneza, Keiran Rhodes, Marsha Charlotte Mahar, Suzanne Thomas, Jason Ahoskie Malanka, Phyllis Pence, James Carolina Beach Mangin, Ross Fisher, David High Point Martin, Maida Price, Kevin Leland Martinelli, Kathleen Jones, Robert Raleigh Mashburn, Neil Griffin, Adrian Winston Salem Mattera, Paul Mackinnon, Christopher Wendell Maxwell, Jowanna Ray, John Fayetteville McDowell, Edward Novembre, Emidio Elkin McNamee, Sheila Knab, John Wilmington Migdon, Steven Vu, Khanh Henderson Minor, David Wolf, Jack Graham Mitchell-Barnes, Donna Aul, Christopher Fayetteville Mollette, Vikki Whitworth, Claude Forest City Mollette, Vikki Thiemkey, William Hendersonville Moore, Beth Shea, Thomas Chapel Hill Moreno, Paula Boleman, Robert Hendersonville Moreno, Paula Henrichs, Charles Hendersonville Morgan, Leslie Gardner, Todd Monroe Mundy, Jonathan Armour, Edouard Burlington Murphy, Michaela Traylor, Henry Wilmington Myers, Pamela Templeton, Bradley North Wilkesboro Nakos, Eleftheria Moore, Michael Chapel Hill Neunkirchner, Steven Negron-Medina, Rafael Henderson Noland, Katherine Ng, Wing Raleigh Noland, Katherine O'Brien, Patrick Raleigh O'Brien, Sharon Sair, Farrukh Charlotte OKeefe, Shawn Foster, James Charlotte OKeefe, Shawn Meade, John Monroe Olenowski, Brooke Russo, Mark Charlotte Oliver, Linda Kelling, Carmen Brevard Olson, Scott Nederostek, Douglas Laurinburg Oravetz, Nicholas Toothman, Donald Charlotte Paitsel, Lisa Meyer, Mitchell Wallace Paitsel, Lisa Cromer, John Wilmington Parikh, Madhavi Muniz, Felix Charlotte Patterson, Jimmy D'Amico, Paul Albemarle

July 15-17, 2009

Person, Jennifer Messec, Harry Jacksonville Pettit, Jerome Rosenberg, Brian Columbus Pfeil, Heather Singh, Paul Cary Phillips, Jason Lee, Melvin Clayton Picciocca, Colby Iruela, Maria Winston Salem Pitta, Jeffrey Oak, Chang Plymoth Polinsky, Rosemarie Gyarteng-Dakwa, Kwadwo Durham Poole, Michael Rizk, Victor Butner Pratt, Eugene Haviland, Julie Asheboro Pulliam, Charles DeVries, Abigail Siler City Purcell, Craig Lee, Melvin Clayton Putnam, Marshall Kelley, Steven Clinton Quintero, Tammi Strand, Terry Reidsville Rayburn, Eric Broughton, Justin Clinton Regan, James Hensley, Terry New Bern Rice, Ralph Williams, Susan Winston Salem Richards, Dick Shepherd, Jack Matthews Robinson, Michael Smith, Patricia Dallas Rohde, Karen Baugham, Leonard Mooresville Rojas, Brian Valea, Fidel Durham Rojas, Brian Brown, Howard Fuquay Varina Rojas, Brian Bhiwandiwalla, Pouruchis Raleigh Rojas, Brian Stephens, Tammi Raleigh Salisbury, Steven Aul, Christopher Fayetteville Sanford, William Wolf, Matthew Durham Sapp, Lindsey Frino, John Winston Salem Saunders, Sarah Rosenberg, Beth Chapel Hill Schade, Jana Risk, Gregory Elizabeth City Schade, Jana Turlington, Wade Jacksonvillle Schrum, Maribeth Sutton, Linda Lumberton Setliff, Emily Eskander, Essam Chadbourn Shutak, Michael Goubran, Michel Emerald Isle Simpson-Meek, Maleah Velasco, Luis Monroe Sims, Ginger Guerrini, James Winston Salem Slate, Scottie Smith, Sean Danbury Smith, David Sethi, Pramodkumar Greensboro Smith, Frances Frere, Robert Greenville Smith, Matthew Lee, Melvin Garner Spalding, Thomas Andrews, Robert Durham Sparks, Jessica Kribbs, Scott Winston Salem Srikantha, Venayagaratnam Hussain, Khwaja Goldsboro Stephens, Laura Bregier, Charles Matthews Sterling, Anthony Harris, Phillip Windsor Stewart, Douglas Isaacs, Steven Statesville Stone, Emily Hong, Matthew Matthews Sullivan, Colleen Vredenburgh, James Durham

July 15-17, 2009

Sumner, Lori Bernstein, Daniel Charlotte Thompson, William Daymude, Marc Fort Bragg Tilus, Jessicah Messec, Harry Jacksonville Treat, Branigan Cockrell, Wiley Whitakers Trzcienski, Michael Gupta, Pankaj Cary Trzcienski, Michael Valea, Fidel Durham Trzcienski, Michael Brown, Howard fuquay varina Trzcienski, Michael Carlino, Richard Raleigh Trzcienski, Michael Stephens, Tammi Raleigh Tshuma, Lisa Kring, Susan Hendersonville Ulstad, Richard Abraham, Victor Wilmington Underwood, Ashley Adkins, Heather Durham Vawter, Heather Harris, Charles Durham Velazquez, Louis Harris, Phillip Windsor Ventrilla, James Staten, James Laurinburg Wagner, Shawn Gerlach, Stephan Roanoke Rapids Wall, Michelle Majure, David Mount Airy Ware, Leslie Outen, Ronnie Marshville Warren, Joseph Dambeck, Allyn Goldsboro Weaver-Bailey, Ellen Simpson, Patrick Pinehurst Webb, Craig Bishop, Andrew Wilmington Weber, Jeffrey Reyes, Rodolfo Lillington Weber, Wendy Pierce, Charles Ahoskie Weegar, James Cotton, Michael Hickory White, Sheneque Fernando, Jay Charlotte White, Steven Whitmer, Gilbert Fayetteville White, Steven Cornell, David Greensboro White, Steven Turlington, Wade Jacksonville White, Steven Lacroix, Christopher Mount Olive White, Steven Lozano, Joseph Mt. Olive Whitmer, Kristin Singhi, Sushil Rock Hill Williams, Krissi Gallant, Roger Currituck Wilson, Janet Butler, Richard Cary Woglom, Peter DeVaul, Chanson Windsor Wolf, Audrey Joseph, Gregory Charlotte Wyatt, Charles Khan, Iqbal Raeford Zagon, Laura Howard, Chad Charlotte Zagon, Laura Tarkington, Beth Stanley Ziady, Phillip Grant, Terry Goldsboro Ziady, Phillip King-Thiele, Robin Goldsboro

Additional Supervisor List – 06/01/09 – 06/30/09 Name Primary Supervisor Practice City

July 15-17, 2009

Acker, Shekitta Weigle, Nancy Durham Alcala, Jose Coleman, Ralph Durham Ambroise, Marie-Jacques Hooper, Jeffrey Durham Andrews, Maureene Kauth, Brian Hickory Bacon, Jenise Hunt, Mary Greensboro Baker, David Kilby, Larry Taylorsville Ballenger, Ann Wofford, Marcia Winston Salem Bass Ransom, Julie Trani, Paul Hendersonville Binstock, Michael Sloan, Randy Hampstead Blelloch, Lawrence Burnett, Tara Raleigh Blumenthal, Susan Lerro, Keith Wilson Bolt, Carol Allgood, Sara Charlotte Bolt, Carol Runyon, Michael Charlotte Bolt, Carol Vaden, Tracela Charlotte Bost, Derek Lowry, David Lenoir Bracken, Christy Fisher, William N. Wilkesboro Brown, Jessica Hinson, Thomas Winston Salem Bumgarner, Mary Kathryn Hook, Matthew Raleigh Burnett, Kristin Howard, Chad Charlotte Buschemeyer, Kristin Bullard, Dennis Raleigh Buschemeyer, Kristin Carr, James Raleigh Buschemeyer, Kristin Curzan, Mark Cary Campbell, Kimberly Henry, Christy Raleigh Carlson, William Dewees, Steven Kannapolis Carter, Alnissa Elston, Scott Cary Cawley, Kathryn Kuo, Paul Durham Chambers, Gregory Barnabei, Robert Huntersville Chambers, Gregory Barnabei, Robert Hunterville Chance, Jeffery Cannon, Brett Albemarle Chance, Jeffery D'Amico, Paul Albemarle Chavis, Anthony Burnett, Tara Raleigh Chester, David Dallis, James Highpoint Chester, David Rowley, Mark High Point Chester, David Rowley, Mark Highpoint Chester, David Thompson, David High Point Clark, Adam Ball, Frank Laurinburg Clark, Adam Moore, Jeffrey Laurinburg Clarke, Karen O'Donnell, Timothy Durham Clement, Ryan Michau, Kenneth Raleigh Coggin, Sharon Vassallo, Peter Pinehurst Colley, Harvey Dewees, Steven Lincolnton Collins, Kristin Duncan, Catherine Raleigh Collins, Kristin Godbout, Christopher Raleigh Collins, Kristin Reznik, Mark Raleigh Collins, Kristin Singh, Paul Raleigh Combs, Glen Gardner, Donald Mt. Airy

July 15-17, 2009

Cooper, Donna Bahner, Richard Wilmington Crenshaw, Sharon Griffin, Ashton Goldsboro Crenshaw, Sharon O'Daniel, Mark Rocky Mount Cvelic, Patrick Galaska, Piotr Thomasville Cvelic, Patrick Keller, Mark Mocksville Dale, Henry Marshall, William Clemmons Dang, Kim Anh Antony, Jose Roanoke Rapids Davidson, Jeremy Highley, Timothy Hendersonville Davidson, Teresa Highley, Timothy Hendersonville Davis, Demetria Ladapo, Jumoke Fayetteville Dawson, Melanie Millard, Jonathan Charlotte Day, Jerry Beamer, Mark Belhaven Deakle, Mary Holland, James Winston Salem DeRose, Sarah Chao, Nelson Durham DeSantis-Wilcox, Maria Robinson, Lindwood Raleigh Detrick, Joshua Coles, Robert Morehead City Dillard, Wilbert Dockery, Pamela Winston Salem Dochow, Jeffre Bush, Andrew Sanford Dore, Mary Le, Mark Charlotte Dore, Mary Stowe, Mary Charlotte Drago, David Freidinger, Brad Concord Drinkwater, Don Alioto, Richard Smithfield, NC Drinkwater, Don Bullard, Dennis Raleigh Drinkwater, Don Krupski, Tracey Raleigh Drinkwater, Don Visco, Anthony Durham Dudley, Gilian Fowlkes, William Lousiburg Dziminski, Veronica Cappola, James Cary Eisenberg, Lindsey Corvino, Timothy Gastonia Eley, Katina Jones, Colin Ahoskie Faircloth, Cristie Boyle, Joseph Wilmington Faircloth, Marisa Stonecipher, Karl Greensboro Farmer, Joseph Mattox, William Castle Hayne Farmer, Kimberly Elston, Scott Wilmington Fina, Jillian Kon, Neal Winston Salem Forbes, Jennifer Sutton, Sidney Elizabeth City Freeman, Leigh Bell, Joseph Pembroke Freeman, Leigh Harris, Glenn Laurinburg Freeman, Leigh Harris, Glenn Laurinburg Fricklas, Elizabeth Vlahovic, Gordana Durham Friedman, Erica Acharya, Anjana Durham Futh, Stephen Oak, Chang Washington Gadomski, Ann-Marie Evans, Michael Smithfield Gallagher, Claudia Kuo, Paul Durham Garbia, Waseem Lee, Melvin Cary Gentile, Elizabeth Price, Billy Mt. Holly Giddings, Joseph McCaleb, Jane Scotland Neck

July 15-17, 2009

Giglio, Michelle Overton, Edward Gastonia Gilbert, Tonya Spooner, Linda Fayetteville Goddard, Alan Jones, Colin Ahoskie Goller, Linda Morris, John Flat Rock Gomez, Victor Lowry, Terry Lumberton Goodwin, Gregory Rich, Robert Elizabethtown Grafton, Nancy Lindsay, Maryanne Winston Salem Granzow, Paul Litwak, Joseph Rutherford Gregory, Richard Kim, Ian Greenville Grice, Jessica Powell, Bayard Winston Salem Grullon, Rosemary Rish, Carlos Charlotte Gunter, Jane Ajao, Olufolarin Gastonia Hall, Laura Brown, Stephanie Franklinton Harrell, Mark Daly, Claudia Greenville Hedrick, Jessica Meier, John Raleigh Hemp, Antoinette Wonsick, Melinda Jefferson Herlihy, Michelle Taiwo, Adebukola Fayetteville Hiatt, Tiffany Shepherd, Jack Matthews Hibbard, James Sharma, Anuj Weddington Hipp, Karin Williams, Jennelle Chapel Hill Holt, Rebecca Elston, Scott Cary Hopkins, Shawn Barsanti, Christopher Greenville Hudson, Charles Greenberg, Brent Greensboro Hughes, Kristina Kremers, Scott Charlotte Hunnings, Blakely Evans, Michael Smithfield Hunt, Hal Bethel, Bradley Laurinburg Hunt, Hal Rowson, Jonathan Laurinburg Hunt, J. Hollar, Larry Winston Salem James, David Lutz, Charles Gastonia Jung, Min Jin Nutz, Joseph Morehead City Kearney Sawyer, Elizabeth Armstrong, Robert Asheville Kearns, Amy Applegate, Michael Asheboro Kearns, Amy Pinyan, Clark Asheboro Kelley, Timothy Armistead, Hal Huntersville Kelley, William Stroup, Daniel Murphy Kern, Christopher Branyon, David Taylorsville Key, Kimberly Connolley, Christopher Winston Salem Kirsch, Eric Kanelos, Dino Charlotte Kirsch, Eric Neulander, Matthew Charlotte Kish, John Jaffe, Michael Clyde Kish, John Ursin, Gabriela Clyde Kish, John Zellner, Eric Clyde Kobuszewski, Shani Revis, Sheley Concord Kozlow, Ayanna Azzi, Anthony Raleigh Kunz, Erin Riedel, Richard Durham Kurtz, Harry Bullard, Dennis Raleigh

July 15-17, 2009

LaCombe, Paula Anthony, Meredith Fort Bragg LaFuria, Jeffrey Reznik, Mark Raleigh Layman, Paul Dewees, Steven Shelby Leamy, Gregory Burnett, Tara Raleigh Lechner, Jonathan Hsu, Kevin Charlotte Leiken, Shuli Bhiwandiwalla, Pouruchis Raleigh Leiken, Shuli Bullard, Dennis Raleigh Leiken, Shuli Gupta, Pankaj Cary Leiken, Shuli Kagan, Steven Raleigh Leiken, Shuli Mong, James Raleigh Leiken, Shuli Oschwald, Donald Raleigh Lewis, Michael Maultsby, James Clinton Liepins, Andrew Burnett, Tara Raleigh Lloyd, John Requarth, Jay Winston Salem Lordeus, Tajuana Glaser, Mark Fayetteville Lupton, Amy Daly, Claudia Greenville Maddux, Joseph Henry, Christy Raleigh Maestas, Rebecca Oak, Chang Plymouth Mahar, Suzanne Reyes, Rodolfo Holly Springs Mahiquez, Jose Evans, Michael Smithfield Mann, Karen Daly, Claudia Greenville Martin, Jennifer Lee, Melvin Clayton Martinelli, Kathleen Law, Michael Raleigh Matkovich, Matthew Outen, Ronnie Wadesboro Mattera, Paul McDaniels, Christopher Raleigh McCarty, Martha Aiken, Christopher Winston Salem McKnight, Susan Oak, Chang Plymouth Meincke, Stacy Whitman, Bruce Lumberton Melgar, Tammy Antony, Jose Roanoke Rapids Mercer, Christopher Miller, Jon Wilmington Mercer, Christopher Rodger, Robert Wilmington Migdon, Steven Vu, Khanh Henderson Montgomery, Jeremiah Riser, Mark Smithfield Morelli, Scott Minior, Daniel Rocky Mount Moreno, Paula Flitt, Bruce Gastonia Morgan, Leslie Davis, Ryan Clyde Murphy, Michael Spencer, Honnie Concord Murphy, Michaela Guse, Steven Wilmington Muse, Rochelle Andy, Camille Kernersville Muse, Rochelle Snider, Alison Kernersville Nazmi, Mehrnoush Kuo, Paul Durham Newton, Meredith Cheesborough, John Sanford Nguyen, Brigitte Pickering, Nathan Greensboro Nguyen, Brigitte Tucich, Peter Greensboro Niehues, Denise Luckadoo, Laura Hickory Nielsen, Alicia Raj, Vishwa Charlotte

July 15-17, 2009

Noland, Katherine Burnett, Tara Raleigh Noland, Katherine Henry, Christy Raleigh Olson, Jennifer DiOrio, Christopher Huntersville Page, Constance Kelley, Steven Clinton Parrish, Thomas Hill, Mary Ahoskie Parrish, Thomas Lyons, Esther Ahoskie Parsons, Dean Crabtree, Thomas Avon Patel, Tanaya Go, Brian Raleigh Patterson, Jimmy Lykins, Kimberly Albemarle Perkins, Alison Skinner, Elizabeth Winston Salem Perrotta, Philip Kuzma, Paul pinehust Pettit, Jerome Rosner, Michael Hendersonville Phillips, James Kelley, Steven Clinton Poovey, Leah Rinehart, David Belmont Powell, Debra Hoffman, Stanley Denver Powell-Boone, Karen Boyle, Joseph Wilmington Purcell, Craig Godfrey, Wanda Garner Quillen, Rocky Demas, Ronald Wilmington Ramm, Allen Hunt, Jason Asheville Randolph, Mark Brown, Richard Wilson Reagan, Kathleen Pridgen, James Fayetteville Reid, Aubrey Evans, Michael Smithfield Reuter, Eric Lawing, William Winston Salem Rice, Patricia Pancoast, Thomson Greenville Richards, Dick Dagenhart, Timothy Salisbury Riley, Elizabeth Partridge, James Durham Robb, Sybil Seewaldt, Victoria Durham Roeser, Julie Lestini, William Raleigh Rojas, Brian Bovard, Scott Wake Forest Rojas, Brian Inge, Jack Raleigh Rojas, Brian Lee, Paula Durham Rojas, Brian Visco, Anthony Durham Rojas, Brian Vulgaropulos, Spyro Cary Romero, Veronica Chiodo, Mary Dunn Royal, Ja-Na' Yarnall, Kimberly Durham Ruffian, William Williams, Jonathan Kinston Russell, Karen Frankos, Mary Wilmington Sanborn, Jane St. Clair, Samuel Raleigh Satterfield, Sara Powell, Bayard Winston Salem Sax, Linda Carreras, Jorge Sylva Sax, Linda Wilson, Thomas Sylva Schlatter, Greta Webster, Leslie Charlotte Schlatter, Greta Zbinden, Louis Charlotte Scotece, Cecelia Howard, John Elizabeth City Scott-Lavan, Dale Hines, Marcono Smithfield Scott-Lavan, Dale Oak, Chang Plymouth

July 15-17, 2009

Scott-Lavan, Dale Venable, Robert Plymouth Setzler, Heather Pickett, Lisa Durham Sharpe, Katherine Kuo, Paul Durham Shelton, Carla Kuo, Paul Durham Sherburne, Emily Franco, Jorge Fayetteville Shinnick, Joseph Ruch, David Durham Shipman, Jerry Jones, Colin Colerain Shirlen, Andrew Chaudhry, Abdul Raleigh Simon, Spencer Burnett, Tara Raleigh Sims, Ginger Lue, Alvin Winston Salem Smith, Delisa Bagley, Carlos Durham Smith, Laurie Howard, Willard Rutherfordton Smith, Ronald Griner, Eugene Burlington Smith, Sandra Salahuddin, Abu Fayetteville Stackhouse, Michael Dancel, Jose Fayetteville Stanley, Glenn Charlton, Glenn Henderson Steimle, Theresa Lewis, Marvin Spring Lake Sterling, David Pence, James Morehead City Sterling, David Riser, Mark Smithfield Stindt, Diana Lawrence, Julia Winston Salem Stindt, Diana Lesser, Glenn Winston Salem Stindt, Diana Savage, Paul Winston Salem Sumner, Lori Kimball, Robert Statesville Swansiger, David Jordan, Christopher Smithfield Taylor, Allie Adams, Gregory Boone Taylor, Brice Clancy, Thomas Wilmington Thomas, Whitney Ferris, Andrew Concord Thomas, Whitney Freidinger, Brad Concord Thomas, Whitney Ward, Marc Concord Thompson, Joel Johnson, Marc Charlotte Thompson, William Christopher, Frank Fort Bragg Timmons, Nikol Rhodes, Marsha Charlotte Torres-Frias, Rebecca Roth, Heidi Chapel Hill Torres-Frias, Rebecca Vaughn, Bradley Chapel Hill Trombley, Richard Spillmann, Celia Winston Salem Trzcienski, Michael Krupski, Tracey Raleigh Turrentine, Ennis Riedel, Richard Durham Van Rhee, James Murinson, Donald Greensboro Venkat, Vidya Pershing, John La Crosse Venkat, Vidya Tokunboh, Julius Charlotte Vinson, Breony Blackstone, Thomas Wilmington Vinson, Keri Sharts, Michael Greenville Wagner, Shawn Pacos, Andrew Smithfield Wallace, Todd Almasri, Ghiath Greenville Walters, Thienkim Griesen, Dawn Hickory Walton, Anna Kendall, Jayne Gastonia

July 15-17, 2009

Waltz, Nichole Bolin, Lewis Gastonia Wangerin-Lile, David Ardaman, Miles Clyde Ward, Blythe Wehbie, Charles Raleigh Waters, Carrie Jones, Michelle Wilmington Watkins, Mai Howard, Chad Charlotte Watson, Steve Clark, Robert Cary Weber, Jeffrey Hines, Marcono Smithfield West, Elizabeth Riedel, Richard Durham Whitaker, Ann Grossi, Peter Raleigh Whitaker, Ann Haglund, Michael Raleigh White, Hans Chodri, Tanvir Asheboro Whitley, Ashley Burnett, Tara Raleigh Whitley, Ashley Parnell, Jerome Raleigh Wiggins, Jeffrey Agner, David Albemarle Wilkins, Bobbi Fletcher, Robert Raleigh Williams, Denise Hall, Russell Fayetteville Williams, Ginika Peace, Robin Lumberton Williams, Kevin Harmaty, Myron Charlotte Williams, Rufus King-Thiele, Robin Goldsboro Winkel, Scott Wefald, Franklin Smithfield Woods, Edward Brown, Frank Asheville Wynn, Chileatha Partridge, James Burlington Wynn, Kimberly Peace, Robin Lumberton Young, Richard Kelley, Steven Clinton Yu, I-Ling Tuttle, Harrison Raleigh Zagon, Laura Cabral, Gonzalo Wilson

ALLIED HEALTH COMMITTEE REPORT Present: Peggy Robinson, PA-C, Chair, Thomas Hill, MD, William Foster, MD, Lori King, CPCS, Quanta Williams, Marcus Jimison, Christina Apperson, Erin Wilson, Melanie Phelps Open Session Summary: EMS Rehabilitation Program. Per Dr. Kanof’s e-mail of 06/22/09: “The Bill to create a rehab program for impaired EMTs passed the House and we fully expect, since no tax dollars are asked for, that it will pass the Senate and will be administered by the Nursing Board.” Board Action: Accept as information. AA Supervision Summary: Summary: As of January 1, 2010; by Board rulemaking; AA's may be supervised as 4 AAs to 1 physician. The current statute allows only 2 AAs per anesthesiologist. The statute also talks about changes to that supervision ratio, on January 1, 2010- but only by rule making.

July 15-17, 2009

BOARD ACTION: Move forward with rule change that will state that a supervising anesthesiologist may supervise up to four AAs. Also strike out wording regarding student AAs. 21 NCAC 32W .0109 SUPERVISION OF ANESTHESIOLOGIST ASSISTANTS (a) The Primary Supervising Anesthesiologist shall ensure that the Anesthesiologist Assistant's scope of practice is identified; that delegation of anesthesia services is appropriate to the level of competence of the Anesthesiologist Assistant; that the relationship of, and access to, each Supervising Anesthesiologist is defined; and that a process for evaluation of the Anesthesiologist Assistant's performance is established. (b) The Supervision Agreement defined in Rule .0101(10) of this Subchapter must be signed by the Primary Supervising Anesthesiologist(s) and Anesthesiologist Assistant and shall be made available upon request by the Board or its agents. A list of all Supervising Anesthesiologists, signed and dated by each Supervising Anesthesiologist, the Primary Supervising Anesthesiologist, and the Anesthesiologist Assistant, must be retained as part of the Supervision Agreement and shall be made available upon request by the Board or its representatives. (c) A Supervising Anesthesiologist, who need not be the Primary Supervising Anesthesiologist, shall supervise the Anesthesiologist Assistant and ensure that all anesthesia services delegated to the Anesthesiologist Assistant are consistent with the Anesthesiologist Assistant's Supervision Agreement. (d) A Supervising Anesthesiologist may supervise no more than two up to four Anesthesiologist Assistants or Student Anesthesiologist Assistants at one time. The limitation on the number of Anesthesiologist Assistants or Student Anesthesiologist Assistants that an anesthesiologist may supervise does not affect the number of other qualified anesthesia providers an anesthesiologist may concurrently supervise. (e) Entries by an Anesthesiologist Assistant into patient charts of inpatients (hospital, long term care institutions) must comply with the rules and regulations of the institution. History Note: Authority G.S. 90-18(c)(20); 90-18.5;

Temporary Adoption Eff. January 28, 2008; Eff. April 1, 2008.

Perfusionist Report Summary: Open session portion of PAC meeting minutes (May & June). BOARD ACTION: Accept as information Closed Sessions 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.

Written reports on nine cases were presented for the Board’s review. The specifics of the non-public matters in this report are not included.

A motion passed to return to open session

July 15-17, 2009

NP APPROVALS AA, LP & PLP LICENSES ISSUED

MAY 14 – JULY 08, 2009 List of Initial Applicants NAME PRIMARY SUPERVISOR PRACTICE CITY

NP WERT, CHRISTINA ROBSON, MICHAEL GREENSBORO WHEELER, ARNETTER SALISU, ADAMU GREENSBORO CHANEY, WANDA BURKETT, DONNA GREENSBORO DURNING, APRIL TURLINGTON, WADE JACKSONVILLE PINTO, ALICIA GRAHAM, MARK CARY SCHOOFF, DAVID HUSAIN, AATIF DURHAM BLAIR-RUTHERFORD, KRISTIE ANDERSON, CHRISTOPHER CONCORD GRAVES, MOLLY NICHOLS, JOHN ASHEVILLE GREEN, SUZANNE HEDGEPATH, LARRY FOREST CITY JUDGE, ERIN JUDGE, CATHY KERNERSVILLE LINTHICUM, BENJAMIN BROYLES, WILLIAM DURHAM LOCKMAN, CAROL ADAMS, ROBERT WILMINGTON MCLANE, JENNIFER GIROUARD, MICHAEL HUNTERSVILLE MEINHARDT, ANGELIQUE HUTCHINS, CHARLES CHARLOTTE O'GRADY, CLARE WROTH, THOMAS BURLINGTON PETERKIN, SONJA TAORMINA, VELMA GASTONIA TURNER, JOANNE ROS, JOSE JACKSONVILLE WAITE, KELLEY MAZZOCCHI, ANNMARIE GREENSBORO WILLIAMS-JOSEPH, SONYA HARRISON, MYLEME RALEIGH ALLEN, TIFFANY GENTRY, DANIEL THOMASVILLE BAUSCH, MARTHA HAYASHI, PAUL CHAPEL HILL FERRIS, LENA GARDNER, DONALD MOUNT AIRY FORMYDUVAL, ANDREA BERRY, RICHARD CHADBOURN HIGH, SUE MELTON, KENNETH FAYETTEVILLE HOLLINS, TABITHA NEWSOME, SAMUEL DANBURY LABRIOLA, BERNADETTE WILKE, LEE DURHAM MABE, DANA NEWSOME, SAMUEL DANBURY MCTAVISH, KEVEN WORRIAX, JAMES MAPEL HILL NEAL, DENISE SINGH, BRAJENDRA BURGAW OXENDINE, LESLIE PEACE, ROBIN LUMBERTON PROPST, DAVID CLARY, GREG MORGANTON QUEEN, COURTNEY PATTERSON, ROBERT SANFORD RICHARDSON, DAVID GEBRAIL, AYMAN WILMINGTON SHARP, JACQUELINE CORBIER, JEAN-RONEL CONCORD SHEELER, CORY ZBAN, WILLIAM CHARLOTTE THOMAS, JAN CLANCY, THOMAS WILMINGTON

July 15-17, 2009

THORNTON, CRYSTAL KETCHAM, WILLIAM GARNER WRIGHT, AMANDA IGHADE, ANDREW CHARLOTTE

NP ADDITIONAL SUPERVISOR LIST

ABBOTT, LATOYA CHAMOVITZ, ALLEN WINSTON SALEM ALBERSSEN, JAYME LUCCERINI, SILVIA CHARLOTTE BENSON, INGA KRUGER, KAROLYN THOMASVILLE BROOME, AUDREY POLESKI, MARTIN DURHAM BYRD, TEMPLE HUFF, WILLIAM CLINTON COOPER, RUTH DRAUGHN, ROLAND KENANSVILLE CORBETT, RENE REICHOW, KAREN WILMINGTON COUSART, TABITHA FITZGERALD, VERA YADKINVILLE EDINGER, AMY MOHANTY, SANJIB CHARLOTTE EFIRD, ALISON BRIDGES, LLOYD CHARLOTTE ELLWOOD, PAMELA JUBANE, ALAN SHELBY ELSEY, AMY DUNDEE, DAVID WINSTON SALEM EVERETT, MELINDA FRIED, MICHAEL CHAPEL HILL FULLER, SUSAN HALL, JOHN MCLEANSVILLE HENDERSON, CHERYL JOBE, ROBERT RALEIGH HUTCHINS, SHIRLEY MCEWEN, LUTHER CHARLOTTE JANUS, KATHLEEN CARR, JOSIAH RALEIGH JOHNSON, KATHRYN GAITHER, ANTHONY GOLDSBORO KASTEN, PAMELA FISHER, DAVID CHARLOTTE KNUCKLES, DEBRA TOSCANO, DARLENE SHELBY MOSELEY, KIMBERLY MOORE, KENNETH ROANOKE RAPIDS OAKLEY, ANNE ALEJANDRO, LUIS GREENSBORO PECKOUS, BEVERLY NORTON, DEBORAH RALEIGH PENN, ANGELA MONROE, CHARLES WINSTON-SALEM PRESLEY, MELISSA SWAD, SAMUEL GREENVILLE REARDON, LECIA PATE, CARL KENANSVILLE RETIS, LIZETTE OKAFOR, IFEANYICHUKW LINCOLNTON REVELS, JESSICA WESLEY, ROBERT RALEIGH RICE, LYNN BUTLER, LINDA RALEIGH RICHARDS, BETSY STOVER, PHILLIP LOUISBURG SHELTON, PENNY CANIPE, HILARY MURFREESBORO SMALL, ADRIENNE SWANSON, JENNIFER DURHAM SMITH, L'ANITA ARAIN, SHAZIA CHARLOTTE STEPHENS, CYNTHIA STEPHENS, MICHAEL ARDEN SUGG, BRINKLEY DEVALAPALLI, VANDANA RALEIGH SWAIN, PAMELA WAGGONER, KATHRYN MURPHY TURBYFILL, HOLLY ROSTAND, ROBERT HIGH POINT WILLIAMS, PATRICIA FITZGERALD, VERA YADKINVILLE WORRELL, TAMMY STAUB, CHRISTINE GREENSBORO BROCK, DONNA TOLEDO, CHARLES SYLVA BROOKS, TAMMY STRICKLAND, JAMES BURLINGTON

July 15-17, 2009

CAVILEER, DENISE SLOAN, RANDY HAMPSTEAD CHARTIER, LUCY BOYLE, JOSEPH WILMINGTON COLLINS, SUE COVERDALE, JANICE MARSHALL CUNHA, CHRISTINE REDDY, KESHAVPAL ALBEMARLE DOUGLAS, KEMI SEVILLA, MARIA-DORINA WINSTON SALEM EATON, CYNTHIA HENDLER, JAY CHARLOTTE GLAVIN, SONYA WILSON, RICHARD CARY GRACE, JANE PRICE, BILLY HICKORY HANOBECK VERVILLE, SUSAN SAILER, KAAREN CHARLOTTE HARRISON, DAWN ELLIOTT, ROBERT BURLINGTON HEILMAN, MICHAEL LIETZ, TIMOTHY CHARLOTTE HIGH, THOMAS BURNETT, TARA RALEIGH HOLDSWORTH, NOEL GIHWALA, RAMESH GASTONIA JOHNSON, CAMILLE DAMBECK, ALLYN GOLDSBORO JOHNSTON, HEATHER RUSSELL, KRAIG CHARLOTTE KOCKLER, HOLLY HOLT, ROBERT ELIZABETH CITY KORSZUN, BARBARA BRITTON, ALBERT WILMINGTON LYNCH, MARY MURINSON, DONALD GREENSBORO MCCAIN, KAREN BLAU, WILLIAM CHAPEL HILL MCCLUSKEY, SABRINA MAXWELL, JAMES WADE

MCNEIL HALL, AMANDA PINKERTON, JERRY NORTH WILKESBORO

MILLER, NORMA VOULGAROPOULOS, MENELAOS STATESVILLE

MILLER, KELLI TOSCANO, DARLENE DENVERY NILSON-TAYLOR, DIANA JOHNSON, BURT WILMINGTON OURSLER, THERESA HOWALD, THOMAS ASHEVILLE PAWLAK, COLLEEN SCHWARZ, KARL CARY PENN, ANGELA GERANCHER, KAREN WINSTON-SALEM PETTUS, KESHIA HOWARD, CHAD CHARLOTTE PIERCY, MARY VYBIRAL, TOMAS ELKIN PJETRAJ, JULIA SCHWARZ, KARL RALEIGH RAFSON, JUDY HINES, MARCONO NEW BERN RICE, LYNN MEDERO-ENG, MIRIAM RALEIGH ROGERS, JANET HOLT, ROBERT ELIZABETH CITY SCALLION, LYNN PEPPERCORN, JEFFREY DURHAM SCHEFFER, STEVEN CASTILLEJO, ALVARO ELKIN TATE, DONNA TATE, WILLIAM LINVILLE TODD, JANICE HOLT, ROBERT ELIZABETH CITY VANVIEGEN, MARK ELSTON, SCOTT RALEIGH WHALEY, JIMMY GILMER, PETER ROXBORO ZEIGLER, SONYA LAMOND, DAVID ARDEN BROCK, DONNA TOLEDO, CHARLES SYLVA BROOKS, TAMMY STRICKLAND, JAMES BURLINGTON CAVILEER, DENISE SLOAN, RANDY HAMPSTEAD CHARTIER, LUCY BOYLE, JOSEPH WILMINGTON

July 15-17, 2009

COLLINS, SUE COVERDALE, JANICE MARSHALL CUNHA, CHRISTINE REDDY, KESHAVPAL ALBEMARLE DOUGLAS, KEMI SEVILLA, MARIA-DORINA WINSTON SALEM EATON, CYNTHIA HENDLER, JAY CHARLOTTE GLAVIN, SONYA WILSON, RICHARD CARY GRACE, JANE PRICE, BILLY HICKORY HANOBECK VERVILLE, SUSAN SAILER, KAAREN CHARLOTTE HARRISON, DAWN ELLIOTT, ROBERT BURLINGTON HEILMAN, MICHAEL LIETZ, TIMOTHY CHARLOTTE HIGH, THOMAS BURNETT, TARA RALEIGH HOLDSWORTH, NOEL GIHWALA, RAMESH GASTONIA JOHNSON, CAMILLE DAMBECK, ALLYN GOLDSBORO JOHNSTON, HEATHER RUSSELL, KRAIG CHARLOTTE KOCKLER, HOLLY HOLT, ROBERT ELIZABETH CITY KORSZUN, BARBARA BRITTON, ALBERT WILMINGTON LYNCH, MARY MURINSON, DONALD GREENSBORO MCCAIN, KAREN BLAU, WILLIAM CHAPEL HILL MCCLUSKEY, SABRINA MAXWELL, JAMES WADE

MCNEIL HALL, AMANDA PINKERTON, JERRY NORTH WILKESBORO

MILLER, NORMA VOULGAROPOULOS, MENELAOS STATESVILLE

MILLER, KELLI TOSCANO, DARLENE DENVERY NILSON-TAYLOR, DIANA JOHNSON, BURT WILMINGTON OURSLER, THERESA HOWALD, THOMAS ASHEVILLE PAWLAK, COLLEEN SCHWARZ, KARL CARY PENN, ANGELA GERANCHER, KAREN WINSTON-SALEM PETTUS, KESHIA HOWARD, CHAD CHARLOTTE PIERCY, MARY VYBIRAL, TOMAS ELKIN PJETRAJ, JULIA SCHWARZ, KARL RALEIGH RAFSON, JUDY HINES, MARCONO NEW BERN RICE, LYNN MEDERO-ENG, MIRIAM RALEIGH ROGERS, JANET HOLT, ROBERT ELIZABETH CITY SCALLION, LYNN PEPPERCORN, JEFFREY DURHAM SCHEFFER, STEVEN CASTILLEJO, ALVARO ELKIN TATE, DONNA TATE, WILLIAM LINVILLE TODD, JANICE HOLT, ROBERT ELIZABETH CITY VANVIEGEN, MARK ELSTON, SCOTT RALEIGH WHALEY, JIMMY GILMER, PETER ROXBORO ZEIGLER, SONYA LAMOND, DAVID ARDEN ANDERSON, EILEEN TRIPP, HENRY KERNERSVILLE CHLEBOROWICZ, SARAH MOOREHEAD, KATHARINE MOREHEAD CITY COMER, ZOE HENDLER, JAY CHARLOTTE CORCORAN, MARGARET ALEJANDRO, LUIS GREENSBORO CULLINAN, SHARON AFZAL, ASMA RALEIGH DAVIS, EMILY OSENBACH, RICHARD FAYETTEVILL

July 15-17, 2009

DESAI, SHAKTI THIEL, JAMES WILSON DIGGINS, KRISTENE PARKER, THOMAS CHARLOTTE DOLLAR, PAMELA FINCK-ROTHMAN, DENISE MONROE DURNING, APRIL HEALY, ANNE NEW BERN ELLINGTON, HEATHER THIEL, JAMES WILSON GALLAGHER, AMANDA WOOD, TARA RALEIGH GINN, MARY BRASWELL, SHERRILL WINSTON-SALEM HALL, RENAY YOUNG, EDWIN CHARLOTTE HALL, RENAY DOMNINA, YULIYA CHARLOTTE HARRINGTON, CANDACE ALEJANDRO, LUIS GREENSBORO JOHNSON, BRIAN RISER, MARK SMITHFIELD KEEN, CRYSTAL FOSTER, JAMES RALEIGH LALOGGIA, VANESSA LOBDELL, KEVIN CHARLOTTE LOWE, KAREN ALEJANDRO, LUIS GREENSBORO MILLER, KATHRYN SAIR, FARRUKH CHARLOTTE MILLER, KELLI REDELSPERGER, RODNEY DENVER MINNICH, LOUISE WECHSLER, DANIEL DURHAM MONROE, MONTRICIA MURPHY, WILLIAM CHARLOTTE MOORE, MARK DOMNINA, YULIYA CHARLOTTE MOORE, MARK YOUNG, EDWIN CHARLOTTE MULHOLLAND, ANDREA FISHER, MICHAEL CHAPEL HILL NAKAYAMA, CATHERINE FATH, KENNETH BURLINGTON NELSON, LAURIE ROSTAN, ELIZABETH CHARLOTTE PACKHEISER, MARIGOLD ALEJANDRO, LUIS GREENSBORO PERKINS, JUANITA GARRETT, JAMES JACKSONVILLE PETTUS, KESHIA SWAD, SAMUEL SALISBURY POPLIN, ANN OBIAJA, CHARLES WADESBORO PRINZHORN, JOANNE GOLD, STUART CHAPEL HILL RAFSON, JUDY LOZANO, JOSEPH TRENTON RENDE, ELIZABETH MIKATI, MOHAMAD DURHAM RETIS, LIZETTE IGDAL, HENRY HICKORY ROGERS, ASHLEY GIRMAY, AREGAI GASTONIA ROSS, MEREDITH POOLE, JAMES RALEIGH RYAN, LISA LILLARD, PATRICK ASHEVILLE RYAN, LISA WELLS, ROBERT ASHEVILLE SCHMID, DONNA SCHMID, HERMAN WINSTON-SALEM SCHROEDER, CAROL ALEJANDRO, LUIS GREENSBORO SMALL, ADRIENNE ADOMONIS, HENRY DURHAM SMITH, ALEXIS LI, MICHAEL LEXINGTON STEVENS, VERONICA PRIDGEN, JAMES CLINTON STOKES, LAMONICA SEVILLA, MARIA-DORINA WINSTON SALEM VENABLE, CAROLE SOMSOOK, SAM HAMLET WADE, RENEE WILSON, RICHARD CARY WALLACE, MARLENE ZENG, GUANGBIN WAXAHW WINCHESTER, GLENDA DEUCHER, ROBERT SOUTHERN PINES WOODRUFF, SARAH PIEHL, MARK DURHAM

July 15-17, 2009

YANCEY, MELINDA ALEJANDRO, LUIS GREENSBORO YORK, REGINA ALEJANDRO, LUIS GREENSBORO

PERFUSIONISTS

DAVIS, Heather Marie – PLP converted to full license MAINE, Jeremy Ryan – provisional license issued SANDERSON, Derek Alan – provisional license issued ZELINKA, Edy Susan – full license issued

ANESTHESIOLOGIST ASSISTANTS

No AA licenses issued during this period.

REVIEW (COMPLAINT) COMMITTEE REPORT Thomas Hill, MD, Chair; Peggy Robinson; Thelma Lennon; William Foster, MD 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.

The Review (Complaint) Committee reported on thirty-five 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 Janelle Rhyne, MD, Chair; Donald Jablonski, DO; William Walker, MD; Pamela Blizzard; Paul Camnitz, MD 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.

The Disciplinary (Complaints) Committee reported on five 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.

July 15-17, 2009

DISCIPLINARY (MALPRACTICE) COMMITTEE REPORT Janelle Rhyne, MD, Chair; Donald Jablonski, DO; William Walker, MD; Pamela Blizzard; Paul Camnitz, MD 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.

The Disciplinary (Malpractice) Committee reported on 56 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. DISCIPLINARY (MEDICAL EXAMINER) COMMITTEE REPORT Janelle Rhyne, MD, Chair; Donald Jablonski, DO; William Walker, MD; Pamela Blizzard; Paul Camnitz, MD 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.

The Disciplinary (Medical Examiner) Committee reported on 7 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 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.

Twenty-six 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.

July 15-17, 2009

DISCIPLINARY (INVESTIGATIVE) COMMITTEE REPORT Janelle Rhyne, MD, Chair; Donald Jablonski, DO; William Walker, MD; Pamela Blizzard; Paul Camnitz, MD 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.

The Disciplinary (Investigative) Committee reported on 25 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 Thomas Hill, MD, Chair; Peggy Robinson; Thelma Lennon; William Foster, MD 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.

The Review (Investigative) Committee reported on 28 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; Thomas Hill, MD, Janice Huff, MD

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.

The Board reviewed 37 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.

July 15-17, 2009

COMMUNICATIONS WORK GROUP George L. Saunders, MD; Janelle A. Rhyne, MD; Janice E. Huff, MD, Mike Sheppa, MD & Peggy Robinson, PA-C. The group met last on June 16, to evaluate four proposals. In general, the group expressed a preference for using North Carolinians (local talent, employment, ease of arrangements, etc.) but expressed concern about how to evaluate whether such courses make a difference. Dr. Saunders asked the panel to raise positives and negatives for each presenter. Dr. Akwari / Positives Dr. Akwari / Negatives Experienced with individual physicians Reasonable cost Good curriculum Good presentation Responsive to Board Local All event planning done by Dr. Akwari; no board staff involvement necessary

Limited clinical experience Limited experience with group classes Geographic limitation (Duke)

Joe Kertesz / Positives Joe Kertesz/ Negatives Experienced & well regarded Warm & fuzzy Local Reasonable cost Well connected to state AHECs & GME programs throughout state Program may be offered at different locations around state

Not an MD Proposal requires NCMB staff work, but he may be able to revise that to use AHEC services Need clarification as to who does what

PACE/ U Cal SD/ Positives PACE/ Negatives Experienced, well regarded Good curriculum Good presentation Responsive & pleasant to NCMB staff

Requires NCMB involvement & expertise Geographic location is a negative More expensive

CASE WESTERN RESERVE/ Positives CASE WESTERN/ Negatives

Experienced, well regarded Reasonable price Proven track record Good follow- up to participants Most CME hours Emphasis on pre-course work On campus classes are good

Faculty does not necessarily include an MD Administratively difficult so far, in dealings with NCMB staff Geographic location

Discussion Go with Dr. Akwari and Mr. Kertesz for single day courses. Ask Mr. Kertesz to contact AHEC, get them to do the event planning so that NCMB is not involved in that. Thank PACE and Case Western and continue to refer licensees to their longer programs.

July 15-17, 2009

Have at least one clinician on NCMB, plus one MD on NCMB staff, attend each course initially, at the Board’s expense. If Board mandates attendance, ask for feedback from participants, both for their self assessment and evaluation of class. Note also that existence of local, reasonably priced courses will also lower the bar for referral by Board to classes. Inform Senior Staff about existence of classes. Once Board feels confident with quality of classes, use Board means to publicize: letter from Dr. Saunders to various groups (NCHA, NCMS, medical group managers, risk managers, medical schools) to “nourish” the classes and boost voluntary attendance. Notices could also be placed in the Forum and on the website. Academic paper: need data, statistics as to the classes, what difference they make. Dr. Huff suggested Warren Newton; others mentioned SHEPS Center; ask Mr. Kertesz. NCMB should be a catalyst rather than the researcher. Board Action: the NCMB affirmed the decision of the work group and asked them to proceed. ADJOURNMENT This meeting was adjourned at 4:00 p.m., July 17, 2009. _____________________________________________________ William A. Walker, MD Secretary/Treasurer ‘Pro-Tempore’