supplemental public agenda alabama board of …...adrienne elisa moul university of tennessee...

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ABME Public Agenda September 19, 2018 1 Supplemental Public Agenda Alabama Board of Medical Examiners September 19, 2018 I MINUTES (1) PUBLIC MINUTES OF AUGUST 14, 2018 – SPECIAL CALLED MEETING (6) PUBLIC MINUTES OF AUGUST 15, 2018 – REGULAR MEETING II ENDORSEMENT Name Medical School Endorsement 1. Alhamza Al-Bayati University Of Baghdad USMLE/CA 2. Danish Ali U of North Texas Health Science Center COMLEX/PA 3. Awab Ibrahim Ali`Ibrahim Weill Cornell Medical College in Qatar USMLE 4. Ronald John Alvarez Robert Wood Johnson Medical School USMLE/PA 5. Tim David Anderson Alabama College of Osteo Medicine COMLEX 6. * Toland Lanier Ash Meharry Medical College SOM USMLE/IL 7. Heather Kathryn Baumann Texas Tech Univ School Of Medicine USMLE 8. Jennifer Jane Bermudez Ohio State Univ COM & Public Health USMLE 9. Nirav Ravindra Bhatt C. U. Shah Medical College USMLE/PA 10. Ksenia Nikolayevna Blinnikova St. Petersburg State Pediatric Med Acad USMLE 11. Laura Victoria Bownes UASOM Birmingham USMLE 12. Josef Chemtob Technion Israel Institute of Technology USMLE/NY 13. Jasmine Lee Chiang Tufts University School of Medicine USMLE/ME 14. Daniel J. Cranford Lake Erie College of Osteo Medicine COMLEX/MI 15. Kristi Leigh Dreyer A T Still U School of Osteo Medicine COMLEX/MO 16. Justin Lee Ellerman University of South Carolina SOM USMLE/SC 17. Jacob Paul Elrod University of Mississippi SOM USMLE 18. Annabelle Leah Fonseca Padmashree Dr. D.Y. Patil Med College USMLE/TX 19. Pierre Galea University VT COM Maine Medical Center USMLE 20. Tom Tracey Gallaher University of TN Memphis COM FLEX/TN 21. Brian Scott Gavan Univ of Medicine and Health Sciences USMLE 22. Lucio Navarro Gordan U Estadual de Londrina (UEL) Fac de Med USMLE/FL 23. Nicholas Gregory Heyne University of TX - Houston Medical School USMLE/NC 24. Paul William Hixon USACOM USMLE 25. * Eric Edward Holt University of Pennsylvania SOM USMLE/LA 26. * Nayyer Ul Islam Sindh Medical College, Univ of Karachi USMLE/GA 27. Shanti Jampani Guntur Medical Col Nagarjuna University USMLE/FL 28. Thomas Ray Johnson SUNY Upstate Medical University COM NBME/FL

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Page 1: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 1

Supplemental Public Agenda Alabama Board of Medical Examiners

September 19, 2018

I MINUTES (1) PUBLIC MINUTES OF AUGUST 14, 2018 – SPECIAL CALLED MEETING (6) PUBLIC MINUTES OF AUGUST 15, 2018 – REGULAR MEETING II ENDORSEMENT Name Medical School Endorsement

1. Alhamza Al-Bayati University Of Baghdad USMLE/CA

2. Danish Ali U of North Texas Health Science Center COMLEX/PA

3. Awab Ibrahim Ali`Ibrahim Weill Cornell Medical College in Qatar USMLE

4. Ronald John Alvarez Robert Wood Johnson Medical School USMLE/PA

5. Tim David Anderson Alabama College of Osteo Medicine COMLEX

6. * Toland Lanier Ash Meharry Medical College SOM USMLE/IL

7. Heather Kathryn Baumann Texas Tech Univ School Of Medicine USMLE

8. Jennifer Jane Bermudez Ohio State Univ COM & Public Health USMLE

9. Nirav Ravindra Bhatt C. U. Shah Medical College USMLE/PA

10. Ksenia Nikolayevna Blinnikova St. Petersburg State Pediatric Med Acad USMLE

11. Laura Victoria Bownes UASOM Birmingham USMLE

12. Josef Chemtob Technion Israel Institute of Technology USMLE/NY

13. Jasmine Lee Chiang Tufts University School of Medicine USMLE/ME

14. Daniel J. Cranford Lake Erie College of Osteo Medicine COMLEX/MI

15. Kristi Leigh Dreyer A T Still U School of Osteo Medicine COMLEX/MO

16. Justin Lee Ellerman University of South Carolina SOM USMLE/SC

17. Jacob Paul Elrod University of Mississippi SOM USMLE

18. Annabelle Leah Fonseca Padmashree Dr. D.Y. Patil Med College USMLE/TX

19. Pierre Galea University VT COM Maine Medical Center USMLE

20. Tom Tracey Gallaher University of TN Memphis COM FLEX/TN

21. Brian Scott Gavan Univ of Medicine and Health Sciences USMLE

22. Lucio Navarro Gordan U Estadual de Londrina (UEL) Fac de Med USMLE/FL

23. Nicholas Gregory Heyne University of TX - Houston Medical School USMLE/NC

24. Paul William Hixon USACOM USMLE

25. * Eric Edward Holt University of Pennsylvania SOM USMLE/LA

26. * Nayyer Ul Islam Sindh Medical College, Univ of Karachi USMLE/GA

27. Shanti Jampani Guntur Medical Col Nagarjuna University USMLE/FL

28. Thomas Ray Johnson SUNY Upstate Medical University COM NBME/FL

Page 2: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 2

29. Alixandra Cozette Kale Univ of Texas Houston Medical School USMLE

30. * Douglas Scott Keith Mayo Medical School USMLE/MN

31. Goo Lee Korea University College of Medicine USMLE/IL

32. Shawn Patrick Moore University of Kansas School of Medicine USMLE/OK

33. Sherrie Faith Moore Charles E. Schmidt COM at FL Atlantic U USMLE

34. Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL

35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE

36. Paul Zachary Ottis U of Oklahoma Health Science Center USMLE

37. Lancing C. Patterson University of South Alabama COM NBME/NC

38. Pamela Kim Phillips University of Michigan Medical School NBME/MN

39. Ryan Mark Pond Georgetown University SOM USMLE/MS

40. * Joachim Michael Postel Goethe-U Frankfurt am Main Fac Med FLEX/KS

41. Joshu Alan Raiten University of New Mexico SOM USMLE/TX

42. Shweta Shalini Ramondo Tribhuvan University USMLE

43. Omar Ahmed Rokayak Edward Via Col of Osteo Med, Carolinas COMLEX/PA

44. * Kelly Lynn Rose Medical University of SC COM USMLE/GA

45. Cherisa Sandrow Philadelphia College of Osteo Medicine COMLEX/OR

46. David Theodore Sanford University of Michigan Medical School USMLE

47. Brandon Ryan Seaver E TN State U James H Quillen COM USMLE

48. Michael Avelino Tanael John A Burns SOM U of Hawaii SOM USMLE

49. * Masoud Mark Taslimi Teheran University of Medical Sciences FLEX/MI

50. * Cheryl Marie Tyler Univ of TX Medical School at Galveston FLEX/TX

51. Stephen Daniel Veideman Nova Southeastern University COM COMLEX

52. India Joy Weems-Murphy Rosalind Franklin U of Med and Science USMLE/IL

53. Gayle Wong Windsor University USMLE/GA

54. Alex Abdullayev University of Kansas School of Medicine USMLE

55. Jennifer Lyn Bepko University of Texas - Houston Medical School USMLE/TX

56. Nicolas Antonio Bianchi Univ Católica de Córdoba Fac de Medicina USMLE/FL

57. John Carl Biery Jr. University of North Texas Health Science Center COMLEX/OH

58. Samuel Saad Elias-Ausi University of Damascus USMLE/PA

59. Mohamed Mahmoud Elramah Alabama College of Osteopathic Medicine COMLEX

60. Amir Hosein Fallahian Shahid Beheshti University of Medical Sciences USMLE/WA

61. Marissa Ann Fiore University of Cincinnati College of Medicine NBME/GA

62. Melanie Donnelly Hicks Univ of Minnesota Medical School - Minneapolis USMLE

63. Maridith Jean Hollis USACOM USMLE

64. Hagop Jack Keleshian Western U of Hlth Sci, Col of Osteo Med of Pacific COMLEX/NY

65. Jeffrey Charles King Rush Medical College of Rush University NBME/IL

66. Simisola Elyon Kuye University of Missouri Kansas City SOM USMLE/AL

67. Louis Edward LaMancusa Tulane University School of Medicine FLEX/LA

68. Carissa Anne Lau Loma Linda University School Of Medicine USMLE

69. Bandy Xenobia Lee Yale University School Of Medicine USMLE/NY

70. Ankit Nayyar Saint Georges University USMLE/CA

71. Richard James Pearson Jr. Pikeville College of Osteopathic Medicine COMLEX/.OK

72. Richard Reams Powers Jr. University of Tennessee Memphis COM USMLE/TN

73. Cameron Mark Pywell Baylor College of Medicine USMLE

74. Marco Antonio Rodriguez CVWRU SOM LSU SOM New Orleans USMLE/LA

75. * Elizabeth Rosell Cespedes Inst Sup Ciencias Med Santiago Cuba U Basque USMLE

Page 3: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 3

76. Nahum Valentino Serio Pikeville College of Osteopathic Medicine COMLEX/OH

77. Brandi Mishel Shah University of Pittsburgh School of Medicine USMLE/WA

78. Christopher Timothy Sherman University of Texas Medical School at Galveston USMLE/TX

79. Peter B. Soh USACOM USMLE

80. Chad M Spencer University of Central Florida College of Medicine USMLE

81. Mohammad Ezzat Ateyeh Thawabi University of Jordan USMLE/NJ

82. Stephen Cole Wilkerson William Carey U College of Osteopathic Medicine COMLEX/MS

83. Jawad Zafar West Virginia School of Osteopathic Medicine COMLEX/WV

PROVISIONAL ENDORSEMENT Name Medical School Endorsement No Provisional Endorsement Applicants RETIRED SENIOR VOLUNTEER PROGRAM LICENSE (RSVP) Name Facility Location No RSVP License Applicants (789) SPECIAL PURPOSE LICENSE (Scanned with Endorsement Applicants)

Name Location Type of Practice

1. Matthew Ryan Prater Franklin, TN Teleradiology

2. Shemsu D Balker Irving, TX Internal Medicine

3. Marylynn Ritter San Antonio, TX Pathology

II LIMITED LICENSE Name Medical School Endorsement

1. Narendra Adhikari Bolan Medical College, U of Baluchistan LL/AL

2. Gabriel A. Bolanos Guzman Universidad Francisco Marraquin LL/AL

3. Michael Zachary Caposole Rowan U School of Osteopathic Medicine LL/AL

4. Vinod Rishi Edirisinghe King's Coll Sch Med & Den Univ Of London LL/AL

5. Fiona Hu Saba University School of Medicine LL/AL

6. Christopher George Johnston UASOM Birmingham LL/AL

7. Emily Claire Keeton Saba University School of Medicine LL/AL

Page 4: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 4

8. Courtney Royal University of Rochester School of Medicine LL/AL

9. Fnu Sameeta Peoples Med Col, Liaquat U Med & Hlth Sci LL/AL

10. Amritpal Singh Sidhu Saba University School of Medicine LL/AL

11. Farheen Surtie Univ of Medicine and Health Sciences LL/AL

12. Jeffrey Michael Tisch Lincoln Mem U Debusk Col of Osteo Med LL/AL

13. * Maria Del Pilar Valencia Velez Instituto De Ciencias De La Salud (Ces) LL/AL

14. Tyler Jordan Covington Univ of TX Southwestern Medical Center at Dallas LL/AL

15. Daisy Eduviges Escobar Universidad Autonoma De Guadalajara LL/AL

IV PHYSICIAN ASSISTANTS / ADVANCED PRACTICE NURSES (2) Cover Sheet P.A. License Name School NCCPA

1. Haley Basford, PA University of South Alabama 1150066 2. Cameron Bass, PA University of South Alabama 1150067 3. Colleen Crawford, PA Lock Haven-University of Pennsylvania 1081571 4. *Cora Kuhns, PA University of South Alabama 1150081 5. Jordan McNeil, PA University of South Alabama 1150087 6. Katie Morrison, PA University of South Alabama 1150088 7. Gowri Nagarajan, PA Touro College 1089954 8. Mallory Nottenkamper, PA University of South Alabama 1150090 9. Harley Oliver, PA University of South Alabama 1150091 10. Devika Patel, PA UAB 1150513 11. Elizabeth Penfield, PA UAB 1138985 12. Andrew Saurin, PA Moreno Valley College 1115416 13. Caitlyn Beals, PA University of New England 1153071 14. Katie Butler, PA Trevecca Nazarene University 1136062 15. Theresa Rehm-Hamilton, PA University of South Alabama 1150093 16. Allison Pauly, PA University of Mount Union 1120543 17. Kelsey Wright, PA University of Kentucky 1154202

A.A. License Name School NCCAA No AA License Applicants

Page 5: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 5

Temporary P.A. License Name School NCCPA No Temporary PA License Applicants Temporary P.A. License to Full License Name School NCCPA

1. Alexandra Averill, PA University of South Alabama 1150062 2. Sarah Guisinger, PA University of South Alabama 1150077 3. Michael Liljegren, PA University of South Alabama 1150082 4. James Lindsey, PA University of South Alabama 1150084 5. Lucy Johnston, PA Philadelphia College of Osteopathic Medicine 1155318

P.A. Registration Without additional duties; With Qualified Remote Sites; Formulary: #2, #21, #23

PA / Physician Registration, Remote Site, Formulary Requests Recommendation

1. David Bailey, PA Gregory Champion, M.D.

Registration Antineoplastic Agents Birth control drugs and devices

2. Haley Basford, PA Elizabeth Owings, M.D.

Registration Birth control drugs and devices

3. Dana Bekurs, PA Michael Ledet, M.D.

Registration Remote site Birth control drugs and devices

4. Jonathan Calvarese, PA William McNair, M.D.

Registration Remote site Birth control drugs and devices

5. William Davis, Jr. Sampson Ogbuchi, M.D.

Registration Birth control drugs and devices

6. Rebecca Drum, PA Benjamin Jones, M.D.

Registration Birth control drugs and devices

7. William Fallin, PA Michael Peter, M.D.

Registration Birth control drugs and devices

8. Chasity Gibson, PA Jamie Bishop, D.O.

Registration Antineoplastic Agents Oxytocics Birth control drugs and devices

9. Kayla Hennigar, PA Michael Donze, D.O.

Registration

10. Norman Hobbs, PA John McKinney, M.D.

Registration

Page 6: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 6

PA / Physician Registration, Remote Site, Formulary Requests Recommendation

11. Teresa Hodge, PA Gary McCulloch, M.D.

Registration

12. Steven Johnson, PA Holland Solano, M.D.

Registration Birth control drugs and devices

13. Kimberly Mills, PA Stephen Mallette, M.D.

Registration Birth control drugs and devices

14. Gowri Nagarajan, PA Michael Frankel, M.D.

Registration

15. Devika Patel, PA Jennifer Abt, D.O.

Registration Birth control drugs and devices

16. Andrew Saurin, PA Julie Gladsjo, M.D.

Registration

17. Lauren Smith, PA James Wilhite, MD.

Registration Remote site

18. Colleen Crawford, PA George Antonious, M.D.

Registration Birth control drugs and devices

19. Lucy Johnston, PA Roy Roddam, M.D.

Registration

20. Jordan McNeil, PA Daren Waters, M.D.

Registration Birth control drugs and devices

21. Elizabeth Penfield, PA Ryan Kissane, M.D.

Registration Birth control drugs and devices

22. Dennis Smoak, PA Steven Ramsey, M.D.

Registration

23. Benny Wilkerson, PA Steven Ramsey, M.D.

Registration

With additional duties; Remote site; Misc. Formulary requests

PA / Physician Registration, Remote Site, Formulary Requests

Recommendation

1. (21)

Rachel Brooks, PA Jeffrey Stricker, D.O.

Registration Formulary: Antineoplastic Agents- Methotrexate for Psoriasis; Birth Control Drugs and Devices; Other- Enbrel; Stelara; Humira; Cosentyx, Taltz; Apremilast; Cell Cept; Cyclosprorine Approval to train: Cryosurgery of benign, pre-cancerous and superficial cancerous (BCC and SCCIS) lesions; Punch biopsy of lesions; Shave and Punch biopsy of suspicious lesions on the face; Sciton Joule (IPL, Laser Hair Removal); Candela PicoWay (1064nm tattoo removal; PDT (Photodynamic Therapy)

Page 7: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 7

PA / Physician Registration, Remote Site, Formulary Requests

Recommendation

2. (41)

Carly Garvey, PA Matthew Bennett, M.D.

Registration Approval to train: Trigger Point Injections; Injections of the Shoulder Knee- Patellar ligament Elbow- Epicondylitis

3. (58)

Hannah Huffstutler, PA Grantham Shell, M.D.

Registration Approval to train: Arthrocentesis; Injections of the Shoulder; Injections of the Knee

4. (71)

Cora Kuhns, PA Daniel Matthews, M.D.

Registration Approval to train: Arthrocentesis; Injections of the Shoulder; Injections of the Elbow; Injections of the Knee; Injections of Greater Trochanteric Bursa

5. (86)

Stacey Moffitt, PA Bradley Bilton, M.D.

Registration Approval to train: Gastric Bypass, Open; Laparoscopic; Robotic with or without revision; Gastric Sleeve, Open; Laparoscopic; Robotic with or without revision; Laparoscopic Adjustable Gastric Band

6. (103)

Kelly Murray, PA Stephanie Anderson, M.D.

Registration Approval to train: Autism Diagnostic Observation Schedule (ADOS-2)

A.A. Registration No AA Registration Applicants P.A. / A.A. Miscellaneous Requests / Reports (Within Protocol)

PA / Physician Request Recommendation

1. (116)

Catherine Beckham, PA Jeffrey Davis, M.D.

Approval to train: Injection of the Greater Trochanteric Bursa

2. (120)

Christina Cyriac, PA Anthony Morlandt, M.D.

Approval to train: Flexible Nasopharyngoscopy

3. (122)

Ruchi Patel, PA Porcia Love, M.D.

Approval to train: CoolSculpting

4. (124)

Eric Pozzo, PA Joshua Smith, M.D.

Approve Supervise Practice: Central Venous Line- Internal Jugular

5. (129)

David Wood, PA Ronald Roan, M.D.

Approve to train: Central Venous Line Insertion- Internal Jugular; Central Venous Line Insertion- Femoral; Arterial Line Insertion- Femoral

6. (134)

Mason Chasteen, PA Peter Waite, M.D. Kathlyn Powell, M.D.

Additional Practice Site

7. (SA)

Jeremy Moujoodi, PA James Donahue, M.D.

Additional Practice Site

Page 8: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 8

P.A. / A.A. Miscellaneous Requests / Reports (Outside Protocol)

PA / Physician Request Recommendation 1. (137)

Catherine Beckman, PA Jeffrey Davis, M.D.

Request to train: Lovera Treatment (Cryoanalgesia); Ultrasound Guided Acromioclavicular Injections; Ultrasound Guided Iliopsoas Bursa Injections Ultrasound Guided Intra-articular Hip Injections

2. (157)

Mason Chasteen, PA Patrick Louis, M.D.

Request to train: Gastrostomy Tube Removal; Oral Orthotic Device for TMJ Disorders; Oral Lesion Biopsies; Donor Site Wound Repair, including Deep Closure; Skin Graft

3. (164)

Christina Cyriac, PA Anthony Morlandt, M.D.

Request to train: Oral Mucosa Biopsy

4. (166)

Daryl Flanagan, PA Andrew Cordover, M.D.

Approval to train: Arthrocentesis; Injections of the Shoulder; Injections of the Elbow; Injections of the Knee; Injections of Greater Trochanteric Bursa Ankle; Hand; and Wrist

5. (171)

Suzanne Haddock, PA Lawrence Lemak, M.D.

Approval to train: Joint Injections and Aspirations Tendon/Sheath Injections

6. (175)

Courtney Henderson, PA Robert Baird III, M.D.

Approval to train: Arthrocentesis; Injections of the Shoulder; Injections of the Elbow; Injections of the Knee; Injections of Greater Trochanteric Bursa Ankle

7. (SA)

Linda Langston, PA Wesley Winebrenner, PA Robert Cater, M.D.

Intracavernosal Injection Intracavernosal Injection / Penile Aspiration

P.A. QACSC Registration PA PHYSICIAN

1. William Fallin, PA Michael Peters, M.D.

2. Chasity Gibson, PA Jamie Bishop, D.O.

3. Jonathan Harbin, PA Mark Alan Prevost, M.D.

4. James Lombardo, PA Mary Rutherford, M.D.

P.A. Limited Purpose Special Permit No PA LPSP Applicants

Page 9: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 9

APN Miscellaneous Requests / Reports (180) Cover Sheet Skills Requests Within Protocol

Physician /NP Request Recommendation 1. (182)

Greg Edward Eudy, M.D. Leah C. Graves, CRNP

Approval to train: Orthopedic Specialty Protocol-joint injections of the shoulder and greater trochanteric bursa

2. (188)

Randall Lee Murphy, M.D. Nathan Evans, CRNP

Approval of supervised practice: shoulder, elbow, greater trochanteric bursa and knee

3. (193)

John Porter DO Emily Harris, CRNP

Approval to train: Orthopedic Specialty Protocol-arthrocentesis; shoulder, elbow, greater trochanteric bursa and knee

4. (198)

Richard C. Snouffer, M.D. Brandi N. Meads, CRNP

Approval of supervised practice: trigger point injections below T-12 Joint injections of shoulder, greater trochanteric bursa and knee

5. (211)

J. Randall Riehl, M.D. Jeremy K. Urban, CRNP

Approval to train: Orthopedic Specialty Protocol-arthrocentesis; injections of shoulder, elbow, greater trochanteric bursa and knee

6. (216)

Joseph Grant Zarzour, M.D. Samantha Catlett, CRNP

Approval to train: trigger point injections below T-12 Orthopedic Specialty Protocol-shoulder, elbow, greater trochanteric bursa and knee

Skills Requests Outside Protocol

Physician/ NP Request Recommendation

1. (225)

Ryan Christopher Aaron, M.D. Amber G. Mitchell, CRNP

Approve supervised practice: Trigger Point Injections below T-12 Request reconsideration of the request to train , CRNP to perform Trigger Point Injections above T-12

Page 10: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 10

Physician/ NP Request Recommendation

2. (232) (244)

Michael Allemand, M.D. Caitlin Shoemake, CRNP Megan Sarah Bush, CRNP

Approval to train outside standard protocol of , CRNP specialty certification: Endometrial Biopsy by pipelle (protocol present) Sonar insufflation study (protocol present)

3. (256)

Eugene Brabston, M.D. Alyssa Rice, CRNP

Approve supervised practice: Shoulder and Knee Approve updated protocol to add Hyaluronic Acid (Synvisc, Euflexxa, Gel One); or corticosteroid injection (4 ml Marcaine, 4 ml Lidocaine, and 1 ml Kenalog)

4. (264)

Celia Margarita Fernandez, M.D. Allison Plaster, CRNP

Approve supervised practice: joint injections of the shoulder, elbow, greater trochanteric bursa and knee 10 of which are outside the one year requirement

Collaborative Practice / APN QACSC Registration (SA) Collaborative Practice Registrations (SA) Collaborative Practice Modifications (SA) Collaborative Practice Covering Physician Applicants (SA) CRNP / CNM QACSC Registration Applicants

Page 11: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 11

APN Limited Purpose Special Permit (268) Cover Sheet

Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:

LPSP Formulary Request: Recommendation Approve:

Recommendation Deny:

1. (272)

Angelique Andrews, M.D. Pediatrician MD Current Practice: Pediatrics Meagan Gusmus, CRNP Family Nurse Practitioner (FNP)

ADHD Medications Hydrocodone SA Hydrocodone Cough Preps Oxycodone IR

Approve all

2. (273)

Jennifer Burdette, M.D. Family Medicine MD Current Practice: Family Medicine Gwendolyn Wilson, CRNP Adult Health NP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol SA Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER

ADHD Medications Hydrocodone SA Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol SA

Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER

3. (275)

Angela Clifton, M.D. Family Medicine MD Current Practice: Family Medicine/ Nursing home/ Hospice Jeffery Harris, CRNP FNP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol SA Fentanyl Hydromorphone Morphine LA Oxycodone LA

Approve all including the long-acting medications according to previously-approved standard language

Page 12: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 12

Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:

LPSP Formulary Request: Recommendation Approve:

Recommendation Deny:

4. (277)

Angela Clifton, M.D. Family Medicine MD Current Practice: Family Medicine/ Nursing home/ Robin Scott, CRNP FNP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations Morphine Sulfate IR Oxycodone IR Tapentadol SA Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone, Long-acting Oxymorphone Tapentadol ER

Approve all including the long-acting medications according to previously-approved standard language

5. (279)

Derrol Dawkins, M.D. Pediatrician MD Current Practice: Pediatrics Sheneka Campbell, CRNP Pediatric Primary Care NP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preps

Approve all

6. (280)

Charles Harkness, D.O. Family Medicine DO Current Practice: Family Medicine/ Urgent Care Wyndi Strength, CRNP FNP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preps

Approve all

7. (281)

Malachy Ijemere, M.D. Emergency Medicine MD Current Practice: Emergency Medicine Michelle Bevels, CRNP FNP

Hydrocodone SA Hydrocodone Cough Preps Oxycodone IR Tapentadol SA

Approve all

8. (283)

Bernard Kurecki III, M.D. Family Medicine MD Current Practice: Family Medicine Brian Wingate, CRNP FNP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preps Oxycodone IR

Approve all

9. (284)

Bernard Kurecki III, M.D. Family Medicine MD Current Practice: Family Medicine Amy Woods, CRNP FNP

ADHD Medications Approve all

Page 13: Supplemental Public Agenda Alabama Board of …...Adrienne Elisa Moul University of Tennessee Memphis COM USMLE/FL 35. Trupti Nadkar Med Col, Sri Venkatesvara U, Tirupati USMLE 36

ABME Public Agenda September 19, 2018 13

Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:

LPSP Formulary Request: Recommendation Approve:

Recommendation Deny:

10. (285)

Larry Parker, M.D. Orthopedic Surgeon MD Current Practice: Orthopedics Katrina Vanderford, CRNP FNP

Hydrocodone SA Morphine Sulfate IR Oxycodone IR

Approve all

11. (286)

Jay Pohl, M.D. Family Medicine MD Current Practice: Family Medicine/ Hospice Care Anna Lawler, CRNP FNP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol SA Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER

ADHD Medications Hydrocodone SA Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol SA

Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER

12. (288)

Mary Rutherford, M.D. Family Medicine MD Current Practice: Family Medicine Hallie McKnight, CRNP FNP

Hydrocodone SA Hydrocodone Cough Preparations Oxycodone IR

Approve all

13. (289)

Chrystal Rutledge, M.D. Pediatric Critical Care MD Current Practice: Pediatric Critical Care Kristen Waddell, CRNP Acute Care Pediatric NP

Hydrocodone SA Morphine Sulfate IR Oxycodone IR Fentanyl Hydromorphone Morphine LA Oxycodone LA

Approve all including the long-acting medications according to previously-approved standard language

14. (291)

Georgie Stanford Jr., M.D. Psychiatrist MD Current Practice: Psychiatry Susan Nix, CRNP Adult & Family Mental Health NP

ADHD Medications Approve all

15. (292)

Mary Patrenos, M.D. Pediatrician MD Current Practice: Pediatrics Holly Mays, CRNP Pediatric NP

Request to add to existing LPSP #448-12336: ADHD Medications Hydrocodone SA Hydrocodone Cough Preps

Approve all

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ABME Public Agenda September 19, 2018 14

Physician/ Specialty/ Current Clinical Practice, CRNP/ Specialty/ Current Practice:

LPSP Formulary Request: Recommendation Approve:

Recommendation Deny:

16. (296)

Mary Patrenos, M.D. Pediatrician MD Current Practice: Pediatrics Charles Thomas, CRNP Pediatric NP

Request to add to existing LPSP #190-11239: ADHD Medications Hydrocodone SA Hydrocodone Cough Preps

Approve all

17. (300)

Angelia Woodward, M.D. Emergency Medicine MD Current Practice: Emergency Medicine Janet Kay Heins, CRNP FNP

Request to add to existing LPSP #431-11686: Oxycodone IR Fentanyl Hydromorphone

Oxycodone IR Fentanyl Hydromorphone

Joint Committee for Advanced Practice Nursing Joint Committee for Advanced Practice Nursing Meeting – September 18, 2018, 6:00 p.m. CURRENT BUSINESS 1. ABME Annual Budget 2. APHP Contract 3. Lease Contract 4. Medical Association Contract for Educational Services 5. Medical Foundation Contract for Educational Services (3) 6. Administrative Rule 540-X-7-.04, Requirements for the Issuance of a PA license (6) 7. Administrative Rules 540-X-7-.07 and .41, PA / AA License Renewal (7) 8. Administrative Rule Chapter 540-X-8, Advance Practice Nurses (12) 9. Administrative Rules Chapter 540-X-11, Lasers – Request for Review and Modification (28) 10. CE Broker – Web-Cam Presentation, Wednesday, September 19, 2018, 10:00 a.m. (SA) 11. Administrative Rules 540-X-8-.04 and 540-X-8-.18, Qualifications for Physicians in Collaborative Practice with CRNPs and CNMs (SA) 12. Administrative Rule 540-X-8-.08, Requirements for Collaborative Practice by Physicians and CRNPs

Administrative Rule 540-X-8-.12, Limitations upon Utilization of CRNPs (SA) 13. Joint Committee for Advanced Practice Nurses

PERSONNEL Scanned with Current Business

(SA) Licensing Assistant

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ABME Public Agenda September 19, 2018 15

VI HEARINGS (2) ABME Hearing Schedule (3) 1. Mohammad Hazem Ibrahim Ahmad Sabry, M.D., McComb, MS Show Cause Hearing, Continued until October 17, 2018, 12:30 p.m. EXECUTIVE SESSION