MINUTES. North Carolina Medical Board

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...
Author: Theodora Dorsey
64 downloads 0 Views 169KB Size
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, PresidentElect; 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 July 15-17, 2009

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 July 15-17, 2009

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

July 15-17, 2009

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 nonpublic 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 21 NCAC 32O .0119 21 NCAC 32O .0120 21 NCAC 32O .0121 21 NCAC 32S .0101 21 NCAC 32S .0102 21 NCAC 32S .0104 21 NCAC 32S .0105 21 NCAC 32S .0106 21 NCAC 32S .0107 21 NCAC 32S .0108 21 NCAC 32S .0109 21 NCAC 32S .0110 21 NCAC 32S .0111 21 NCAC 32S .0112 21 NCAC 32S .0113 21 NCAC 32S .0115 21 NCAC 32S .0116 21 NCAC 32S .0117 21 NCAC 32S .0118

LOCUM TENENS PERMIT TITLE AND PRACTICE PROTECTION IDENTIFICATION REQUIREMENTS FEES DEFINITIONS QUALIFICATIONS FOR LICENSE INACTIVE LICENSE STATUS ANNUAL REGISTRATION CONTINUING MEDICAL EDUCATION EXEMPTION FROM LICENSE SCOPE OF PRACTICE PRESCRIPTIVE AUTHORITY SUPERVISION OF PHYSICIAN ASSISTANTS SUPERVISING PHYSICIANS NOTIFICATION OF INTENT TO PRACTICE VIOLATIONS TITLE AND PRACTICE PROTECTION IDENTIFICATION REQUIREMENTS FEES PRACTICE DURING A DISASTER

Rules to be adopted: SUBCHAPTER 32S - PHYSICIAN ASSISTANTS 21 NCAC 32S .0201 DEFINITIONS July 15-17, 2009

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; July 15-17, 2009

(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 July 15-17, 2009

(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 July 15-17, 2009

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, inkind, 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: July 15-17, 2009

(a) (b)

(6)

(7)

the physician assistant's name, practice address and telephone number; 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; 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 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 July 15-17, 2009

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. July 15-17, 2009

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. July 15-17, 2009

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.

July 15-17, 2009

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 teleneurology, 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: • •

3.

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.

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 Baird, Charlotte Leak Ballenger, Ann Chaney

05/08/2009 06/26/2009 06/23/2009 July 15-17, 2009

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

05/18/2009 05/18/2009 06/05/2009 05/19/2009 05/14/2009 05/18/2009 06/10/2009 06/05/2009 06/22/2009 05/08/2009 06/08/2009 06/10/2009 05/08/2009 06/08/2009 05/28/2009 06/10/2009 05/08/2009 05/06/2009 06/25/2009 05/21/2009 06/23/2009 06/10/2009 06/05/2009 06/26/2009 06/16/2009 06/10/2009 06/16/2009 05/08/2009 05/08/2009 05/08/2009 06/25/2009 06/23/2009 06/05/2009 06/10/2009 05/08/2009 05/01/2009 06/05/2009 06/05/2009 06/05/2009 05/08/2009 06/10/2009 06/11/2009 06/10/2009 05/28/2009 06/08/2009 06/05/2009 July 15-17, 2009

Watkins, Mai Tuyet Whitley, Ashley Brooke Young, Danny Francis Youngblood, Caleb Anthony

06/05/2009 06/10/2009 06/25/2009 06/10/2009

PA-Cs Reactivations/Reinstatements/Re-Entries

Baird, Charlotte Leak Clarke, James Albert Hamilton, Brianne Leslie Harper, Jill Diane LaCombe, Paula Simonne McNamee, Sheila Marie Shropshire-Atkins, Wendy Vawter, Heather Anne

06/26/2009 – Reinstatement w/Re-Entry 05/07/2009 – Reinstatement w/Re-Entry 06/15/2009 – Reactivation 06/04/2009 – Reinstatement w/Re-Entry 06/26/2009 - Reinstatement 05/21/2009 – Reinstatement w/Re-Entry 05/29/2009 – Reactivation w/PUBLOC 05/29/2009 - Reinstatement

Additional Supervisor List – 05/01/09 – 05/30/09

PA-Cs Name Adams, Deborah Albrecht, Ramona Alvarez, Osvaldo Alvarez, Osvaldo Ambroise, Marie-Jacques Arnold, Alison Asfaw, Melinda Asfaw, Melinda Astern, Laurie Baker, Wanda Bartlett, Whitney Bass Ransom, Julie Battle, Lydia Beaty, Donna Beeman, Sandra Bellaw, Ryan Benfield, Elizabeth Bennett, James Bergmark, Lisa Bernart, D. Bernier, Lisa

Primary Supervisor Elbeery, Joseph Evans, Michael Lee, Melvin Godfrey, Wanda Ordonez, Esperanza Bennett, Bernard Kois, Jean Pena, Jose Brundle, Scott Hoben, Michael Corder, John Kring, Susan Hong, Matthew Munavalli, Girish Glinski, Ronald Pence, James Bishop, Andrew Pridgen, James Kiratzis, Philip Swygard, Heidi Alexander, James

Practice City Greenville Smithfield Cary Garner Raleigh Chapel Hill Huntersville Huntersville Raleigh Charlotte Hickory Hendersonville Matthews Charlotte Whiteville Morehead City Wilmington Holly Ridge Asheville Raleigh Asheville July 15-17, 2009

Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Bernier, Lisa Blackwood, Robert Blazar, Melinda Blelloch, Lawrence Blelloch, Lawrence Bloedow, Becky Bonisa, Michael Boyd, Steven Bracken, Christy Bradshaw, Shanna Bronson, Jaclyn Bullard, Marian Burt, Hilary Burt, Hilary Buschemeyer, Kristin Buschemeyer, Kristin Capps, Sarah Carpenter, Iliana Cartledge, Michael Chance, Jeffery Clark, Deborah Clark, Deborah Clarke, James Clarke, Karen Clarke, Karen Clarke, Theresa Clarke, Theresa Cole, Neal Collins, Amanda Collins, Amanda Craig, Dinah

Beavers, Kimberly Bond, Thomas Cender, Craig Deering, Timothy Dukowicz, Andrew Garrett, John Grier, Michael Harlan, William Jeffries, Brentley May, David Meyer, Angela Newcomer, Michael Perez, Rodney Smith, Richard Weiser, Kirsten Wood, Matthew Wesley, Robert Gradison, Margaret Hines, Marcono Moran, Joseph Kring, Susan Hamilton, Brian Delbridge, Theodore Manning, James Meyer, Mitchell Maddox, William Evans, Michael Potti, Anil Vlahovic, Gordana Inge, Jack Mikles, Mark Zinner, Tanya Harden, William Isaacs, Steven Saltzman, Leonard Manuli, Steven Merritt, Karen Graf, Kenneth Hughes, Sarah McDaniels, Christopher Bookert, Lisa Lewis, Marvin Harris, Timothy Paracha, Muhammad Saini, Hari Quashie, Dawn

Asheville Asheville Asheville Asheville Asheville Asheville Asheville Asheville Asheville Asheville Asheville Asheville Asheville Asheville Asheville Asheville Raleigh Durham New Bern Raleigh Hendersonville Charlotte Greenville Greensboro Wallace Asheville Smithfield Durham Durham Raleigh Raleigh Chapel Hill Rocky Mount Elkin Albemarle Elizabeth City Elizabeth City Asheville Raleigh Raleigh Clayton Mamers Raleigh Fayetteville Fayetteville Fayetteville July 15-17, 2009

Crain, Carlton Crain, Carlton Cross, Harry Culbreth, Daniel Curtis, Denise Deakle, Mary Deeley, Beth Dewar, John Dolph, Elizabeth Doyle, Patricia Drinkwater, Don Drinkwater, Don Drinkwater, Don Drinkwater, Don Drinkwater, Don Drinkwater, Don Eakin, Marc Ehly, Nelson Elledge, Robin Ellis, Dale Enos, Fredrick Ervin, Andrew Ervin, Shannon Evans, Eric Fales, Amy Farmer, Kimberly Farmer, Kimberly Faulkner, John Fenstermacher, William Fitch, James Flynn, Charles Fox, James Futo, Jamie Gage, Shawn Galban, Carlos Galloway, Ayanna Garwood, Dawn Gonzalez, Eugenio Gonzalez, Eugenio Goodwin, Gregory Gordon, Brett Gordon-Escobar, Kathryn Gore, William Gore, William Greene, Kevin Gregory, Ginger

Maynard, Eugene Crisp, Laddie Garison, Gary Frueh, Walter Hargrove, Roderick Kirkland, Stephen Bishop, Andrew Hooper, Jeffrey Scott, Elisabeth Ann Pollock, Nelson Tortora, Frank Valea, Fidel Brown, Howard Adusumilli, Sankar Stephens, Tammi Bovard, Scott Wagner, David Avent, John Lee, Melvin Somani, Jagdish Allgood, Sara Pojol, Ricardo Genkins, Steven Clarke, Donald Scovill, David Pridgen, James Meyer, Mitchell Pickett, John Meyer, Mitchell Brown, Richard Beittel, Timothy Larson, Sean Puri, Sankalp Lawson, Jeffrey Koskinen, Kenneth Sapp, Amy Hunt, Karen Langston, Bernard Russell, Anthony Bridgers, Stephen Gootman, Aaron Gerardo, Charles Zinicola, Daniel Frankos, Mary Quillin, Shawn Lee, Melvin

Benson Kinston Southern Pines Wilmington Hickory Winston Salem Wilmington Asheboro Snow Hill High Point Cary Durham Fuquay Varina Raleigh Raleigh Wake Forest Lexington Rocky Mount Fuquay Varina Morganton Charlotte Lumberton Charlotte Goldsboro Charlotte Clinton Wilmington Enfield Wallace Wilson Wilmington Catawba Charlotte Durham Fayetteville Winston Salem Raleigh Shallote Wilmington NC Elizabethtown Fayetteville Durham Rocky Point Wilmington Charlotte Fuquay Varina July 15-17, 2009

Griffin, Donna Griffith, John Griffith, John Griffith, Michael Groomes, Debra Hall, Meghan Harihan, Thomas Harp, Wayne Harris, Victoria Hartman, Kristin Henderson-Nash, Alveta Hineline, Jennifer Hoard, John Hoffmann, Martha Hong, Holly Hong, Holly Horlick, Susan Horton, Ann Humphrey, Susan Ireton, Susan Irving, Richard Johnson, Curtis Johnson, Melissa Johnson, Sarah Kellerman, Mary Kenjale, Himanshu Kershaw, Erica Kirsch, Eric Kish, John Kozlow, Ayanna Kuhn, Lindsay Kurian, Mathew La Rocque, Paul Lands, Carol Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli

Carr, Josiah Pridgen, James Meyer, Mitchell Fisher, William Pfeiffer, Frederick Brooks, Kim DeVaul, Chanson Ocloo, Shirley Vaidya-Tank, Bhavna Hollenberg, Bennett Avbuere, Edwin Bishop, Andrew Beamer, Mark Littleton, Frederick Morrisey, Lemont Weber, David Lee, Melvin Peace, Robin Mullany, Sally Elsner, Henry Reed, John Nederostek, Douglas Kendall, Jayne Bodie, Barry Reyes, Rodolfo Cairns, Bruce Minior, Daniel Gingras, Jeannine Davis, Ryan Coxe, James Adkins, Samuel Strother, Byron Cargile, Leslie Kiefer, Mark Andersen, William Malik, Michael Cohen, Seth Valea, Fidel Brown, Howard Adusumilli, Sankar Carlino, Richard Carr, James Collins, Roger Edrington, Richard Longo, Christopher Lyle, William

Raleigh Clinton Wallace North Wilkesboro Charlotte Asheboro Elizabeth City Gastonia Clayton Charlotte Greensboro Wilmington Belhaven Asheville Burlington Chapel Hill Cary Pembroke Winston Salem Greensboro Fayetteville Laurinburg Gastonia Brevard Raleigh Chapel Hill Rocky Mount Charlotte Clyde Raleigh Charlotte Morganton Black Mountain Lincolnton Cary Cary Durham Durham Fuquay Varina Raleigh Raleigh Raleigh Raleigh Raleigh Raleigh Raleigh July 15-17, 2009

Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Lewis, Michael Lindsley, Alan Llaneza, Keiran Mahar, Suzanne Malanka, Phyllis Mangin, Ross Martin, Maida Martinelli, Kathleen Mashburn, Neil Mattera, Paul Maxwell, Jowanna McDowell, Edward McNamee, Sheila Migdon, Steven Minor, David Mitchell-Barnes, Donna Mollette, Vikki Mollette, Vikki Moore, Beth Moreno, Paula Moreno, Paula Morgan, Leslie Mundy, Jonathan Murphy, Michaela Myers, Pamela Nakos, Eleftheria Neunkirchner, Steven Noland, Katherine Noland, Katherine O'Brien, Sharon OKeefe, Shawn OKeefe, Shawn Olenowski, Brooke Oliver, Linda Olson, Scott Oravetz, Nicholas Paitsel, Lisa Paitsel, Lisa Parikh, Madhavi Patterson, Jimmy

MacPhee, Keelee Mikles, Mark Oschwald, Donald Roberts, Lee Russell, Roger Stephens, Tammi Pridgen, James Morris, Deborah Rhodes, Marsha Thomas, Jason Pence, James Fisher, David Price, Kevin Jones, Robert Griffin, Adrian Mackinnon, Christopher Ray, John Novembre, Emidio Knab, John Vu, Khanh Wolf, Jack Aul, Christopher Whitworth, Claude Thiemkey, William Shea, Thomas Boleman, Robert Henrichs, Charles Gardner, Todd Armour, Edouard Traylor, Henry Templeton, Bradley Moore, Michael Negron-Medina, Rafael Ng, Wing O'Brien, Patrick Sair, Farrukh Foster, James Meade, John Russo, Mark Kelling, Carmen Nederostek, Douglas Toothman, Donald Meyer, Mitchell Cromer, John Muniz, Felix D'Amico, Paul

Raleigh Raleigh Raleigh Raleigh Raleigh Raleigh Clinton Fayetteville Charlotte Ahoskie Carolina Beach High Point Leland Raleigh Winston Salem Wendell Fayetteville Elkin Wilmington Henderson Graham Fayetteville Forest City Hendersonville Chapel Hill Hendersonville Hendersonville Monroe Burlington Wilmington North Wilkesboro Chapel Hill Henderson Raleigh Raleigh Charlotte Charlotte Monroe Charlotte Brevard Laurinburg Charlotte Wallace Wilmington Charlotte Albemarle July 15-17, 2009

Person, Jennifer Pettit, Jerome Pfeil, Heather Phillips, Jason Picciocca, Colby Pitta, Jeffrey Polinsky, Rosemarie Poole, Michael Pratt, Eugene Pulliam, Charles Purcell, Craig Putnam, Marshall Quintero, Tammi Rayburn, Eric Regan, James Rice, Ralph Richards, Dick Robinson, Michael Rohde, Karen Rojas, Brian Rojas, Brian Rojas, Brian Rojas, Brian Salisbury, Steven Sanford, William Sapp, Lindsey Saunders, Sarah Schade, Jana Schade, Jana Schrum, Maribeth Setliff, Emily Shutak, Michael Simpson-Meek, Maleah Sims, Ginger Slate, Scottie Smith, David Smith, Frances Smith, Matthew Spalding, Thomas Sparks, Jessica Srikantha, Venayagaratnam Stephens, Laura Sterling, Anthony Stewart, Douglas Stone, Emily Sullivan, Colleen

Messec, Harry Rosenberg, Brian Singh, Paul Lee, Melvin Iruela, Maria Oak, Chang Gyarteng-Dakwa, Kwadwo Rizk, Victor Haviland, Julie DeVries, Abigail Lee, Melvin Kelley, Steven Strand, Terry Broughton, Justin Hensley, Terry Williams, Susan Shepherd, Jack Smith, Patricia Baugham, Leonard Valea, Fidel Brown, Howard Bhiwandiwalla, Pouruchis Stephens, Tammi Aul, Christopher Wolf, Matthew Frino, John Rosenberg, Beth Risk, Gregory Turlington, Wade Sutton, Linda Eskander, Essam Goubran, Michel Velasco, Luis Guerrini, James Smith, Sean Sethi, Pramodkumar Frere, Robert Lee, Melvin Andrews, Robert Kribbs, Scott Hussain, Khwaja Bregier, Charles Harris, Phillip Isaacs, Steven Hong, Matthew Vredenburgh, James

Jacksonville Columbus Cary Clayton Winston Salem Plymoth Durham Butner Asheboro Siler City Clayton Clinton Reidsville Clinton New Bern Winston Salem Matthews Dallas Mooresville Durham Fuquay Varina Raleigh Raleigh Fayetteville Durham Winston Salem Chapel Hill Elizabeth City Jacksonvillle Lumberton Chadbourn Emerald Isle Monroe Winston Salem Danbury Greensboro Greenville Garner Durham Winston Salem Goldsboro Matthews Windsor Statesville Matthews Durham July 15-17, 2009

Sumner, Lori Thompson, William Tilus, Jessicah Treat, Branigan Trzcienski, Michael Trzcienski, Michael Trzcienski, Michael Trzcienski, Michael Trzcienski, Michael Tshuma, Lisa Ulstad, Richard Underwood, Ashley Vawter, Heather Velazquez, Louis Ventrilla, James Wagner, Shawn Wall, Michelle Ware, Leslie Warren, Joseph Weaver-Bailey, Ellen Webb, Craig Weber, Jeffrey Weber, Wendy Weegar, James White, Sheneque White, Steven White, Steven White, Steven White, Steven White, Steven Whitmer, Kristin Williams, Krissi Wilson, Janet Woglom, Peter Wolf, Audrey Wyatt, Charles Zagon, Laura Zagon, Laura Ziady, Phillip Ziady, Phillip

Bernstein, Daniel Daymude, Marc Messec, Harry Cockrell, Wiley Gupta, Pankaj Valea, Fidel Brown, Howard Carlino, Richard Stephens, Tammi Kring, Susan Abraham, Victor Adkins, Heather Harris, Charles Harris, Phillip Staten, James Gerlach, Stephan Majure, David Outen, Ronnie Dambeck, Allyn Simpson, Patrick Bishop, Andrew Reyes, Rodolfo Pierce, Charles Cotton, Michael Fernando, Jay Whitmer, Gilbert Cornell, David Turlington, Wade Lacroix, Christopher Lozano, Joseph Singhi, Sushil Gallant, Roger Butler, Richard DeVaul, Chanson Joseph, Gregory Khan, Iqbal Howard, Chad Tarkington, Beth Grant, Terry King-Thiele, Robin

Charlotte Fort Bragg Jacksonville Whitakers Cary Durham fuquay varina Raleigh Raleigh Hendersonville Wilmington Durham Durham Windsor Laurinburg Roanoke Rapids Mount Airy Marshville Goldsboro Pinehurst Wilmington Lillington Ahoskie Hickory Charlotte Fayetteville Greensboro Jacksonville Mount Olive Mt. Olive Rock Hill Currituck Cary Windsor Charlotte Raeford Charlotte Stanley Goldsboro Goldsboro

Additional Supervisor List – 06/01/09 – 06/30/09

Name

Primary Supervisor

Practice City July 15-17, 2009

Acker, Shekitta Alcala, Jose Ambroise, Marie-Jacques Andrews, Maureene Bacon, Jenise Baker, David Ballenger, Ann Bass Ransom, Julie Binstock, Michael Blelloch, Lawrence Blumenthal, Susan Bolt, Carol Bolt, Carol Bolt, Carol Bost, Derek Bracken, Christy Brown, Jessica Bumgarner, Mary Kathryn Burnett, Kristin Buschemeyer, Kristin Buschemeyer, Kristin Buschemeyer, Kristin Campbell, Kimberly Carlson, William Carter, Alnissa Cawley, Kathryn Chambers, Gregory Chambers, Gregory Chance, Jeffery Chance, Jeffery Chavis, Anthony Chester, David Chester, David Chester, David Chester, David Clark, Adam Clark, Adam Clarke, Karen Clement, Ryan Coggin, Sharon Colley, Harvey Collins, Kristin Collins, Kristin Collins, Kristin Collins, Kristin Combs, Glen

Weigle, Nancy Coleman, Ralph Hooper, Jeffrey Kauth, Brian Hunt, Mary Kilby, Larry Wofford, Marcia Trani, Paul Sloan, Randy Burnett, Tara Lerro, Keith Allgood, Sara Runyon, Michael Vaden, Tracela Lowry, David Fisher, William Hinson, Thomas Hook, Matthew Howard, Chad Bullard, Dennis Carr, James Curzan, Mark Henry, Christy Dewees, Steven Elston, Scott Kuo, Paul Barnabei, Robert Barnabei, Robert Cannon, Brett D'Amico, Paul Burnett, Tara Dallis, James Rowley, Mark Rowley, Mark Thompson, David Ball, Frank Moore, Jeffrey O'Donnell, Timothy Michau, Kenneth Vassallo, Peter Dewees, Steven Duncan, Catherine Godbout, Christopher Reznik, Mark Singh, Paul Gardner, Donald

Durham Durham Durham Hickory Greensboro Taylorsville Winston Salem Hendersonville Hampstead Raleigh Wilson Charlotte Charlotte Charlotte Lenoir N. Wilkesboro Winston Salem Raleigh Charlotte Raleigh Raleigh Cary Raleigh Kannapolis Cary Durham Huntersville Hunterville Albemarle Albemarle Raleigh Highpoint High Point Highpoint High Point Laurinburg Laurinburg Durham Raleigh Pinehurst Lincolnton Raleigh Raleigh Raleigh Raleigh Mt. Airy July 15-17, 2009

Cooper, Donna Crenshaw, Sharon Crenshaw, Sharon Cvelic, Patrick Cvelic, Patrick Dale, Henry Dang, Kim Anh Davidson, Jeremy Davidson, Teresa Davis, Demetria Dawson, Melanie Day, Jerry Deakle, Mary DeRose, Sarah DeSantis-Wilcox, Maria Detrick, Joshua Dillard, Wilbert Dochow, Jeffre Dore, Mary Dore, Mary Drago, David Drinkwater, Don Drinkwater, Don Drinkwater, Don Drinkwater, Don Dudley, Gilian Dziminski, Veronica Eisenberg, Lindsey Eley, Katina Faircloth, Cristie Faircloth, Marisa Farmer, Joseph Farmer, Kimberly Fina, Jillian Forbes, Jennifer Freeman, Leigh Freeman, Leigh Freeman, Leigh Fricklas, Elizabeth Friedman, Erica Futh, Stephen Gadomski, Ann-Marie Gallagher, Claudia Garbia, Waseem Gentile, Elizabeth Giddings, Joseph

Bahner, Richard Griffin, Ashton O'Daniel, Mark Galaska, Piotr Keller, Mark Marshall, William Antony, Jose Highley, Timothy Highley, Timothy Ladapo, Jumoke Millard, Jonathan Beamer, Mark Holland, James Chao, Nelson Robinson, Lindwood Coles, Robert Dockery, Pamela Bush, Andrew Le, Mark Stowe, Mary Freidinger, Brad Alioto, Richard Bullard, Dennis Krupski, Tracey Visco, Anthony Fowlkes, William Cappola, James Corvino, Timothy Jones, Colin Boyle, Joseph Stonecipher, Karl Mattox, William Elston, Scott Kon, Neal Sutton, Sidney Bell, Joseph Harris, Glenn Harris, Glenn Vlahovic, Gordana Acharya, Anjana Oak, Chang Evans, Michael Kuo, Paul Lee, Melvin Price, Billy McCaleb, Jane

Wilmington Goldsboro Rocky Mount Thomasville Mocksville Clemmons Roanoke Rapids Hendersonville Hendersonville Fayetteville Charlotte Belhaven Winston Salem Durham Raleigh Morehead City Winston Salem Sanford Charlotte Charlotte Concord Smithfield, NC Raleigh Raleigh Durham Lousiburg Cary Gastonia Ahoskie Wilmington Greensboro Castle Hayne Wilmington Winston Salem Elizabeth City Pembroke Laurinburg Laurinburg Durham Durham Washington Smithfield Durham Cary Mt. Holly Scotland Neck July 15-17, 2009

Giglio, Michelle Gilbert, Tonya Goddard, Alan Goller, Linda Gomez, Victor Goodwin, Gregory Grafton, Nancy Granzow, Paul Gregory, Richard Grice, Jessica Grullon, Rosemary Gunter, Jane Hall, Laura Harrell, Mark Hedrick, Jessica Hemp, Antoinette Herlihy, Michelle Hiatt, Tiffany Hibbard, James Hipp, Karin Holt, Rebecca Hopkins, Shawn Hudson, Charles Hughes, Kristina Hunnings, Blakely Hunt, Hal Hunt, Hal Hunt, J. James, David Jung, Min Jin Kearney Sawyer, Elizabeth Kearns, Amy Kearns, Amy Kelley, Timothy Kelley, William Kern, Christopher Key, Kimberly Kirsch, Eric Kirsch, Eric Kish, John Kish, John Kish, John Kobuszewski, Shani Kozlow, Ayanna Kunz, Erin Kurtz, Harry

Overton, Edward Spooner, Linda Jones, Colin Morris, John Lowry, Terry Rich, Robert Lindsay, Maryanne Litwak, Joseph Kim, Ian Powell, Bayard Rish, Carlos Ajao, Olufolarin Brown, Stephanie Daly, Claudia Meier, John Wonsick, Melinda Taiwo, Adebukola Shepherd, Jack Sharma, Anuj Williams, Jennelle Elston, Scott Barsanti, Christopher Greenberg, Brent Kremers, Scott Evans, Michael Bethel, Bradley Rowson, Jonathan Hollar, Larry Lutz, Charles Nutz, Joseph Armstrong, Robert Applegate, Michael Pinyan, Clark Armistead, Hal Stroup, Daniel Branyon, David Connolley, Christopher Kanelos, Dino Neulander, Matthew Jaffe, Michael Ursin, Gabriela Zellner, Eric Revis, Sheley Azzi, Anthony Riedel, Richard Bullard, Dennis

Gastonia Fayetteville Ahoskie Flat Rock Lumberton Elizabethtown Winston Salem Rutherford Greenville Winston Salem Charlotte Gastonia Franklinton Greenville Raleigh Jefferson Fayetteville Matthews Weddington Chapel Hill Cary Greenville Greensboro Charlotte Smithfield Laurinburg Laurinburg Winston Salem Gastonia Morehead City Asheville Asheboro Asheboro Huntersville Murphy Taylorsville Winston Salem Charlotte Charlotte Clyde Clyde Clyde Concord Raleigh Durham Raleigh July 15-17, 2009

LaCombe, Paula LaFuria, Jeffrey Layman, Paul Leamy, Gregory Lechner, Jonathan Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Leiken, Shuli Lewis, Michael Liepins, Andrew Lloyd, John Lordeus, Tajuana Lupton, Amy Maddux, Joseph Maestas, Rebecca Mahar, Suzanne Mahiquez, Jose Mann, Karen Martin, Jennifer Martinelli, Kathleen Matkovich, Matthew Mattera, Paul McCarty, Martha McKnight, Susan Meincke, Stacy Melgar, Tammy Mercer, Christopher Mercer, Christopher Migdon, Steven Montgomery, Jeremiah Morelli, Scott Moreno, Paula Morgan, Leslie Murphy, Michael Murphy, Michaela Muse, Rochelle Muse, Rochelle Nazmi, Mehrnoush Newton, Meredith Nguyen, Brigitte Nguyen, Brigitte Niehues, Denise Nielsen, Alicia

Anthony, Meredith Reznik, Mark Dewees, Steven Burnett, Tara Hsu, Kevin Bhiwandiwalla, Pouruchis Bullard, Dennis Gupta, Pankaj Kagan, Steven Mong, James Oschwald, Donald Maultsby, James Burnett, Tara Requarth, Jay Glaser, Mark Daly, Claudia Henry, Christy Oak, Chang Reyes, Rodolfo Evans, Michael Daly, Claudia Lee, Melvin Law, Michael Outen, Ronnie McDaniels, Christopher Aiken, Christopher Oak, Chang Whitman, Bruce Antony, Jose Miller, Jon Rodger, Robert Vu, Khanh Riser, Mark Minior, Daniel Flitt, Bruce Davis, Ryan Spencer, Honnie Guse, Steven Andy, Camille Snider, Alison Kuo, Paul Cheesborough, John Pickering, Nathan Tucich, Peter Luckadoo, Laura Raj, Vishwa

Fort Bragg Raleigh Shelby Raleigh Charlotte Raleigh Raleigh Cary Raleigh Raleigh Raleigh Clinton Raleigh Winston Salem Fayetteville Greenville Raleigh Plymouth Holly Springs Smithfield Greenville Clayton Raleigh Wadesboro Raleigh Winston Salem Plymouth Lumberton Roanoke Rapids Wilmington Wilmington Henderson Smithfield Rocky Mount Gastonia Clyde Concord Wilmington Kernersville Kernersville Durham Sanford Greensboro Greensboro Hickory Charlotte July 15-17, 2009

Noland, Katherine Noland, Katherine Olson, Jennifer Page, Constance Parrish, Thomas Parrish, Thomas Parsons, Dean Patel, Tanaya Patterson, Jimmy Perkins, Alison Perrotta, Philip Pettit, Jerome Phillips, James Poovey, Leah Powell, Debra Powell-Boone, Karen Purcell, Craig Quillen, Rocky Ramm, Allen Randolph, Mark Reagan, Kathleen Reid, Aubrey Reuter, Eric Rice, Patricia Richards, Dick Riley, Elizabeth Robb, Sybil Roeser, Julie Rojas, Brian Rojas, Brian Rojas, Brian Rojas, Brian Rojas, Brian Romero, Veronica Royal, Ja-Na' Ruffian, William Russell, Karen Sanborn, Jane Satterfield, Sara Sax, Linda Sax, Linda Schlatter, Greta Schlatter, Greta Scotece, Cecelia Scott-Lavan, Dale Scott-Lavan, Dale

Burnett, Tara Henry, Christy DiOrio, Christopher Kelley, Steven Hill, Mary Lyons, Esther Crabtree, Thomas Go, Brian Lykins, Kimberly Skinner, Elizabeth Kuzma, Paul Rosner, Michael Kelley, Steven Rinehart, David Hoffman, Stanley Boyle, Joseph Godfrey, Wanda Demas, Ronald Hunt, Jason Brown, Richard Pridgen, James Evans, Michael Lawing, William Pancoast, Thomson Dagenhart, Timothy Partridge, James Seewaldt, Victoria Lestini, William Bovard, Scott Inge, Jack Lee, Paula Visco, Anthony Vulgaropulos, Spyro Chiodo, Mary Yarnall, Kimberly Williams, Jonathan Frankos, Mary St. Clair, Samuel Powell, Bayard Carreras, Jorge Wilson, Thomas Webster, Leslie Zbinden, Louis Howard, John Hines, Marcono Oak, Chang

Raleigh Raleigh Huntersville Clinton Ahoskie Ahoskie Avon Raleigh Albemarle Winston Salem pinehust Hendersonville Clinton Belmont Denver Wilmington Garner Wilmington Asheville Wilson Fayetteville Smithfield Winston Salem Greenville Salisbury Durham Durham Raleigh Wake Forest Raleigh Durham Durham Cary Dunn Durham Kinston Wilmington Raleigh Winston Salem Sylva Sylva Charlotte Charlotte Elizabeth City Smithfield Plymouth July 15-17, 2009

Scott-Lavan, Dale Setzler, Heather Sharpe, Katherine Shelton, Carla Sherburne, Emily Shinnick, Joseph Shipman, Jerry Shirlen, Andrew Simon, Spencer Sims, Ginger Smith, Delisa Smith, Laurie Smith, Ronald Smith, Sandra Stackhouse, Michael Stanley, Glenn Steimle, Theresa Sterling, David Sterling, David Stindt, Diana Stindt, Diana Stindt, Diana Sumner, Lori Swansiger, David Taylor, Allie Taylor, Brice Thomas, Whitney Thomas, Whitney Thomas, Whitney Thompson, Joel Thompson, William Timmons, Nikol Torres-Frias, Rebecca Torres-Frias, Rebecca Trombley, Richard Trzcienski, Michael Turrentine, Ennis Van Rhee, James Venkat, Vidya Venkat, Vidya Vinson, Breony Vinson, Keri Wagner, Shawn Wallace, Todd Walters, Thienkim Walton, Anna

Venable, Robert Pickett, Lisa Kuo, Paul Kuo, Paul Franco, Jorge Ruch, David Jones, Colin Chaudhry, Abdul Burnett, Tara Lue, Alvin Bagley, Carlos Howard, Willard Griner, Eugene Salahuddin, Abu Dancel, Jose Charlton, Glenn Lewis, Marvin Pence, James Riser, Mark Lawrence, Julia Lesser, Glenn Savage, Paul Kimball, Robert Jordan, Christopher Adams, Gregory Clancy, Thomas Ferris, Andrew Freidinger, Brad Ward, Marc Johnson, Marc Christopher, Frank Rhodes, Marsha Roth, Heidi Vaughn, Bradley Spillmann, Celia Krupski, Tracey Riedel, Richard Murinson, Donald Pershing, John Tokunboh, Julius Blackstone, Thomas Sharts, Michael Pacos, Andrew Almasri, Ghiath Griesen, Dawn Kendall, Jayne

Plymouth Durham Durham Durham Fayetteville Durham Colerain Raleigh Raleigh Winston Salem Durham Rutherfordton Burlington Fayetteville Fayetteville Henderson Spring Lake Morehead City Smithfield Winston Salem Winston Salem Winston Salem Statesville Smithfield Boone Wilmington Concord Concord Concord Charlotte Fort Bragg Charlotte Chapel Hill Chapel Hill Winston Salem Raleigh Durham Greensboro La Crosse Charlotte Wilmington Greenville Smithfield Greenville Hickory Gastonia July 15-17, 2009

Waltz, Nichole Wangerin-Lile, David Ward, Blythe Waters, Carrie Watkins, Mai Watson, Steve Weber, Jeffrey West, Elizabeth Whitaker, Ann Whitaker, Ann White, Hans Whitley, Ashley Whitley, Ashley Wiggins, Jeffrey Wilkins, Bobbi Williams, Denise Williams, Ginika Williams, Kevin Williams, Rufus Winkel, Scott Woods, Edward Wynn, Chileatha Wynn, Kimberly Young, Richard Yu, I-Ling Zagon, Laura

Bolin, Lewis Ardaman, Miles Wehbie, Charles Jones, Michelle Howard, Chad Clark, Robert Hines, Marcono Riedel, Richard Grossi, Peter Haglund, Michael Chodri, Tanvir Burnett, Tara Parnell, Jerome Agner, David Fletcher, Robert Hall, Russell Peace, Robin Harmaty, Myron King-Thiele, Robin Wefald, Franklin Brown, Frank Partridge, James Peace, Robin Kelley, Steven Tuttle, Harrison Cabral, Gonzalo

Gastonia Clyde Raleigh Wilmington Charlotte Cary Smithfield Durham Raleigh Raleigh Asheboro Raleigh Raleigh Albemarle Raleigh Fayetteville Lumberton Charlotte Goldsboro Smithfield Asheville Burlington Lumberton Clinton Raleigh 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 WHEELER, ARNETTER CHANEY, WANDA DURNING, APRIL PINTO, ALICIA SCHOOFF, DAVID BLAIR-RUTHERFORD, KRISTIE GRAVES, MOLLY GREEN, SUZANNE JUDGE, ERIN LINTHICUM, BENJAMIN LOCKMAN, CAROL MCLANE, JENNIFER MEINHARDT, ANGELIQUE O'GRADY, CLARE PETERKIN, SONJA TURNER, JOANNE WAITE, KELLEY WILLIAMS-JOSEPH, SONYA ALLEN, TIFFANY BAUSCH, MARTHA FERRIS, LENA FORMYDUVAL, ANDREA HIGH, SUE HOLLINS, TABITHA LABRIOLA, BERNADETTE MABE, DANA MCTAVISH, KEVEN NEAL, DENISE OXENDINE, LESLIE PROPST, DAVID QUEEN, COURTNEY RICHARDSON, DAVID SHARP, JACQUELINE SHEELER, CORY THOMAS, JAN

ROBSON, MICHAEL SALISU, ADAMU BURKETT, DONNA TURLINGTON, WADE GRAHAM, MARK HUSAIN, AATIF

GREENSBORO GREENSBORO GREENSBORO JACKSONVILLE CARY DURHAM

ANDERSON, CHRISTOPHER NICHOLS, JOHN HEDGEPATH, LARRY JUDGE, CATHY BROYLES, WILLIAM ADAMS, ROBERT GIROUARD, MICHAEL HUTCHINS, CHARLES WROTH, THOMAS TAORMINA, VELMA ROS, JOSE MAZZOCCHI, ANNMARIE HARRISON, MYLEME GENTRY, DANIEL HAYASHI, PAUL GARDNER, DONALD BERRY, RICHARD MELTON, KENNETH NEWSOME, SAMUEL WILKE, LEE NEWSOME, SAMUEL WORRIAX, JAMES SINGH, BRAJENDRA PEACE, ROBIN CLARY, GREG PATTERSON, ROBERT GEBRAIL, AYMAN CORBIER, JEAN-RONEL ZBAN, WILLIAM CLANCY, THOMAS

CONCORD ASHEVILLE FOREST CITY KERNERSVILLE DURHAM WILMINGTON HUNTERSVILLE CHARLOTTE BURLINGTON GASTONIA JACKSONVILLE GREENSBORO RALEIGH THOMASVILLE CHAPEL HILL MOUNT AIRY CHADBOURN FAYETTEVILLE DANBURY DURHAM DANBURY MAPEL HILL BURGAW LUMBERTON MORGANTON SANFORD WILMINGTON CONCORD CHARLOTTE WILMINGTON July 15-17, 2009

THORNTON, CRYSTAL WRIGHT, AMANDA

KETCHAM, WILLIAM IGHADE, ANDREW

GARNER CHARLOTTE

NP ADDITIONAL SUPERVISOR LIST ABBOTT, LATOYA ALBERSSEN, JAYME BENSON, INGA BROOME, AUDREY BYRD, TEMPLE COOPER, RUTH CORBETT, RENE COUSART, TABITHA EDINGER, AMY EFIRD, ALISON ELLWOOD, PAMELA ELSEY, AMY EVERETT, MELINDA FULLER, SUSAN HENDERSON, CHERYL HUTCHINS, SHIRLEY JANUS, KATHLEEN JOHNSON, KATHRYN KASTEN, PAMELA KNUCKLES, DEBRA MOSELEY, KIMBERLY OAKLEY, ANNE PECKOUS, BEVERLY PENN, ANGELA PRESLEY, MELISSA REARDON, LECIA RETIS, LIZETTE REVELS, JESSICA RICE, LYNN RICHARDS, BETSY SHELTON, PENNY SMALL, ADRIENNE SMITH, L'ANITA STEPHENS, CYNTHIA SUGG, BRINKLEY SWAIN, PAMELA TURBYFILL, HOLLY WILLIAMS, PATRICIA WORRELL, TAMMY BROCK, DONNA BROOKS, TAMMY

CHAMOVITZ, ALLEN LUCCERINI, SILVIA KRUGER, KAROLYN POLESKI, MARTIN HUFF, WILLIAM DRAUGHN, ROLAND REICHOW, KAREN FITZGERALD, VERA MOHANTY, SANJIB BRIDGES, LLOYD JUBANE, ALAN DUNDEE, DAVID FRIED, MICHAEL HALL, JOHN JOBE, ROBERT MCEWEN, LUTHER CARR, JOSIAH GAITHER, ANTHONY FISHER, DAVID TOSCANO, DARLENE MOORE, KENNETH ALEJANDRO, LUIS NORTON, DEBORAH MONROE, CHARLES SWAD, SAMUEL PATE, CARL OKAFOR, IFEANYICHUKW WESLEY, ROBERT BUTLER, LINDA STOVER, PHILLIP CANIPE, HILARY SWANSON, JENNIFER ARAIN, SHAZIA STEPHENS, MICHAEL DEVALAPALLI, VANDANA WAGGONER, KATHRYN ROSTAND, ROBERT FITZGERALD, VERA STAUB, CHRISTINE TOLEDO, CHARLES STRICKLAND, JAMES

WINSTON SALEM CHARLOTTE THOMASVILLE DURHAM CLINTON KENANSVILLE WILMINGTON YADKINVILLE CHARLOTTE CHARLOTTE SHELBY WINSTON SALEM CHAPEL HILL MCLEANSVILLE RALEIGH CHARLOTTE RALEIGH GOLDSBORO CHARLOTTE SHELBY ROANOKE RAPIDS GREENSBORO RALEIGH WINSTON-SALEM GREENVILLE KENANSVILLE LINCOLNTON RALEIGH RALEIGH LOUISBURG MURFREESBORO DURHAM CHARLOTTE ARDEN RALEIGH MURPHY HIGH POINT YADKINVILLE GREENSBORO SYLVA BURLINGTON July 15-17, 2009

CAVILEER, DENISE CHARTIER, LUCY COLLINS, SUE CUNHA, CHRISTINE DOUGLAS, KEMI EATON, CYNTHIA GLAVIN, SONYA GRACE, JANE HANOBECK VERVILLE, SUSAN HARRISON, DAWN HEILMAN, MICHAEL HIGH, THOMAS HOLDSWORTH, NOEL JOHNSON, CAMILLE JOHNSTON, HEATHER KOCKLER, HOLLY KORSZUN, BARBARA LYNCH, MARY MCCAIN, KAREN MCCLUSKEY, SABRINA

SLOAN, RANDY BOYLE, JOSEPH COVERDALE, JANICE REDDY, KESHAVPAL SEVILLA, MARIA-DORINA HENDLER, JAY WILSON, RICHARD PRICE, BILLY

HAMPSTEAD WILMINGTON MARSHALL ALBEMARLE WINSTON SALEM CHARLOTTE CARY HICKORY

SAILER, KAAREN ELLIOTT, ROBERT LIETZ, TIMOTHY BURNETT, TARA GIHWALA, RAMESH DAMBECK, ALLYN RUSSELL, KRAIG HOLT, ROBERT BRITTON, ALBERT MURINSON, DONALD BLAU, WILLIAM MAXWELL, JAMES

MCNEIL HALL, AMANDA

PINKERTON, JERRY VOULGAROPOULOS, MENELAOS TOSCANO, DARLENE JOHNSON, BURT HOWALD, THOMAS SCHWARZ, KARL GERANCHER, KAREN HOWARD, CHAD VYBIRAL, TOMAS SCHWARZ, KARL HINES, MARCONO MEDERO-ENG, MIRIAM HOLT, ROBERT PEPPERCORN, JEFFREY CASTILLEJO, ALVARO TATE, WILLIAM HOLT, ROBERT ELSTON, SCOTT GILMER, PETER LAMOND, DAVID TOLEDO, CHARLES STRICKLAND, JAMES SLOAN, RANDY BOYLE, JOSEPH

CHARLOTTE BURLINGTON CHARLOTTE RALEIGH GASTONIA GOLDSBORO CHARLOTTE ELIZABETH CITY WILMINGTON GREENSBORO CHAPEL HILL WADE NORTH WILKESBORO

MILLER, NORMA MILLER, KELLI NILSON-TAYLOR, DIANA OURSLER, THERESA PAWLAK, COLLEEN PENN, ANGELA PETTUS, KESHIA PIERCY, MARY PJETRAJ, JULIA RAFSON, JUDY RICE, LYNN ROGERS, JANET SCALLION, LYNN SCHEFFER, STEVEN TATE, DONNA TODD, JANICE VANVIEGEN, MARK WHALEY, JIMMY ZEIGLER, SONYA BROCK, DONNA BROOKS, TAMMY CAVILEER, DENISE CHARTIER, LUCY

STATESVILLE DENVERY WILMINGTON ASHEVILLE CARY WINSTON-SALEM CHARLOTTE ELKIN RALEIGH NEW BERN RALEIGH ELIZABETH CITY DURHAM ELKIN LINVILLE ELIZABETH CITY RALEIGH ROXBORO ARDEN SYLVA BURLINGTON HAMPSTEAD WILMINGTON July 15-17, 2009

COLLINS, SUE CUNHA, CHRISTINE DOUGLAS, KEMI EATON, CYNTHIA GLAVIN, SONYA GRACE, JANE HANOBECK VERVILLE, SUSAN HARRISON, DAWN HEILMAN, MICHAEL HIGH, THOMAS HOLDSWORTH, NOEL JOHNSON, CAMILLE JOHNSTON, HEATHER KOCKLER, HOLLY KORSZUN, BARBARA LYNCH, MARY MCCAIN, KAREN MCCLUSKEY, SABRINA

COVERDALE, JANICE REDDY, KESHAVPAL SEVILLA, MARIA-DORINA HENDLER, JAY WILSON, RICHARD PRICE, BILLY

MARSHALL ALBEMARLE WINSTON SALEM CHARLOTTE CARY HICKORY

SAILER, KAAREN ELLIOTT, ROBERT LIETZ, TIMOTHY BURNETT, TARA GIHWALA, RAMESH DAMBECK, ALLYN RUSSELL, KRAIG HOLT, ROBERT BRITTON, ALBERT MURINSON, DONALD BLAU, WILLIAM MAXWELL, JAMES

MCNEIL HALL, AMANDA

PINKERTON, JERRY VOULGAROPOULOS, MENELAOS TOSCANO, DARLENE JOHNSON, BURT HOWALD, THOMAS SCHWARZ, KARL GERANCHER, KAREN HOWARD, CHAD VYBIRAL, TOMAS SCHWARZ, KARL HINES, MARCONO MEDERO-ENG, MIRIAM HOLT, ROBERT PEPPERCORN, JEFFREY CASTILLEJO, ALVARO TATE, WILLIAM HOLT, ROBERT ELSTON, SCOTT GILMER, PETER LAMOND, DAVID TRIPP, HENRY MOOREHEAD, KATHARINE HENDLER, JAY ALEJANDRO, LUIS AFZAL, ASMA OSENBACH, RICHARD

CHARLOTTE BURLINGTON CHARLOTTE RALEIGH GASTONIA GOLDSBORO CHARLOTTE ELIZABETH CITY WILMINGTON GREENSBORO CHAPEL HILL WADE NORTH WILKESBORO

MILLER, NORMA MILLER, KELLI NILSON-TAYLOR, DIANA OURSLER, THERESA PAWLAK, COLLEEN PENN, ANGELA PETTUS, KESHIA PIERCY, MARY PJETRAJ, JULIA RAFSON, JUDY RICE, LYNN ROGERS, JANET SCALLION, LYNN SCHEFFER, STEVEN TATE, DONNA TODD, JANICE VANVIEGEN, MARK WHALEY, JIMMY ZEIGLER, SONYA ANDERSON, EILEEN CHLEBOROWICZ, SARAH COMER, ZOE CORCORAN, MARGARET CULLINAN, SHARON DAVIS, EMILY

STATESVILLE DENVERY WILMINGTON ASHEVILLE CARY WINSTON-SALEM CHARLOTTE ELKIN RALEIGH NEW BERN RALEIGH ELIZABETH CITY DURHAM ELKIN LINVILLE ELIZABETH CITY RALEIGH ROXBORO ARDEN KERNERSVILLE MOREHEAD CITY CHARLOTTE GREENSBORO RALEIGH FAYETTEVILL July 15-17, 2009

DESAI, SHAKTI DIGGINS, KRISTENE DOLLAR, PAMELA DURNING, APRIL ELLINGTON, HEATHER GALLAGHER, AMANDA GINN, MARY HALL, RENAY HALL, RENAY HARRINGTON, CANDACE JOHNSON, BRIAN KEEN, CRYSTAL LALOGGIA, VANESSA LOWE, KAREN MILLER, KATHRYN MILLER, KELLI MINNICH, LOUISE MONROE, MONTRICIA MOORE, MARK MOORE, MARK MULHOLLAND, ANDREA NAKAYAMA, CATHERINE NELSON, LAURIE PACKHEISER, MARIGOLD PERKINS, JUANITA PETTUS, KESHIA POPLIN, ANN PRINZHORN, JOANNE RAFSON, JUDY RENDE, ELIZABETH RETIS, LIZETTE ROGERS, ASHLEY ROSS, MEREDITH RYAN, LISA RYAN, LISA SCHMID, DONNA SCHROEDER, CAROL SMALL, ADRIENNE SMITH, ALEXIS STEVENS, VERONICA STOKES, LAMONICA VENABLE, CAROLE WADE, RENEE WALLACE, MARLENE WINCHESTER, GLENDA WOODRUFF, SARAH

THIEL, JAMES PARKER, THOMAS FINCK-ROTHMAN, DENISE HEALY, ANNE THIEL, JAMES WOOD, TARA BRASWELL, SHERRILL YOUNG, EDWIN DOMNINA, YULIYA ALEJANDRO, LUIS RISER, MARK FOSTER, JAMES LOBDELL, KEVIN ALEJANDRO, LUIS SAIR, FARRUKH REDELSPERGER, RODNEY WECHSLER, DANIEL MURPHY, WILLIAM DOMNINA, YULIYA YOUNG, EDWIN FISHER, MICHAEL FATH, KENNETH ROSTAN, ELIZABETH ALEJANDRO, LUIS GARRETT, JAMES SWAD, SAMUEL OBIAJA, CHARLES GOLD, STUART LOZANO, JOSEPH MIKATI, MOHAMAD IGDAL, HENRY GIRMAY, AREGAI POOLE, JAMES LILLARD, PATRICK WELLS, ROBERT SCHMID, HERMAN ALEJANDRO, LUIS ADOMONIS, HENRY LI, MICHAEL PRIDGEN, JAMES SEVILLA, MARIA-DORINA SOMSOOK, SAM WILSON, RICHARD ZENG, GUANGBIN DEUCHER, ROBERT PIEHL, MARK

WILSON CHARLOTTE MONROE NEW BERN WILSON RALEIGH WINSTON-SALEM CHARLOTTE CHARLOTTE GREENSBORO SMITHFIELD RALEIGH CHARLOTTE GREENSBORO CHARLOTTE DENVER DURHAM CHARLOTTE CHARLOTTE CHARLOTTE CHAPEL HILL BURLINGTON CHARLOTTE GREENSBORO JACKSONVILLE SALISBURY WADESBORO CHAPEL HILL TRENTON DURHAM HICKORY GASTONIA RALEIGH ASHEVILLE ASHEVILLE WINSTON-SALEM GREENSBORO DURHAM LEXINGTON CLINTON WINSTON SALEM HAMLET CARY WAXAHW SOUTHERN PINES DURHAM July 15-17, 2009

YANCEY, MELINDA YORK, REGINA

ALEJANDRO, LUIS ALEJANDRO, LUIS

GREENSBORO 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 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

Dr. Akwari / Negatives Limited clinical experience Limited experience with group classes Geographic limitation (Duke)

Joe Kertesz / Positives 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

Joe Kertesz/ Negatives 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 Experienced, well regarded Good curriculum Good presentation Responsive & pleasant to NCMB staff

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

CASE WESTERN RESERVE/ Positives 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

CASE WESTERN/ Negatives 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’

July 15-17, 2009

Suggest Documents