SUPPLEMENTAL PUBLIC AGENDA ALABAMA BOARD OF MEDICAL EXAMINERS AUGUST 19, 2015

I

PUBLIC MINUTES OF JULY 15, 2015

II ENDORSEMENT

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Name

Medical School

Endorsement

* Siraj Fajri Abdullah Shawanda Nechella Agnew * Fuad Yashar Aleskerov * Kenan Arnautovic * Debra Lynn Betow * David Paul Bick Erika Rachel Bishop * Jeffrey Lee Brewer John Charles Briggs Samuel Lucas Burleson Karyn Emmanuel Catt Stacey Ann Chavez Rajalakshmi Cheerla Nazrul Islam Chowdhury John Gibson Curington Dustin Cade Draughon Ryan William Dworaczyk Theodore Tom Faber * Ousama Ghaibeh Anna Barron Gray Soleyah Caridad Groves Chenoah Elise Gudel * Gary Clayton Harrington * Jonathan Michael Holmes Marianne Bernadette Jacobs * Ralf Joffe Aditi Kalla Vindhya Katpally * Patrick Francis Kelly Lauren Kropp Abhay Krishaji Kulkarni

Edward Via Virginia College of Osteo Medicine University of Mississippi School of Medicine Saint Georges University University of Sarajevo University of Iowa College of Medicine George Washington U SOM and Hlth Sciences Medical University of South Carolina COM University of Kansas School of Medicine University of South Florida College of Medicine University of Tennessee Memphis COM Indiana University SOM Indianapolis American University of Antigua Siddhartha Medical College Gunadala Sir Salimullah Medical College University of California Davis SOM Tulane University School of Medicine Univ of Texas Medical School at San Antonio Medical College of Georgia School of Medicine University of Damascus University of Tennessee Memphis COM University of Pittsburgh School of Medicine Midwestern University Arizona Campus Washington University School of Medicine American University of The Caribbean West U of Hlth Sci Col of Osteo Med of Pacific West U of Hlth Sci Col of Osteo Med of Pacific Medical College of Georgia School of Medicine Osmania Medical College Kirksville College of Osteopathic Medicine University of Florida College of Medicine UASOM Birmingham

USMLE/SC USMLE USMLE/NJ USMLE/AR FLEX/MN NBME/CT USMLE USMLE USMLE USMLE NBME/IN USMLE USMLE/AR USMLE/DE USMLE/CA USMLE USMLE NBME/MA SPEX/CO USMLE/PA USMLE/MD COMLEX/TN FLEX/VA USMLE NBOME/FL USMLE/PA USMLE/SC USMLE/OH NBOME/MO USMLE USMLE

ABME Public Agenda

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August 19, 2015

32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70

Sarah Latif Sarah Winter Lindley Erik Michael Maryniw * Alexis Tanishia Mason Thayer Galema Moor * Anthony Padula Sundip Somabhai Patel George Lycurglus Petty Neil Lewis Pitzer Stephen Lee Powell * Ilinca Cristina Prisacaru Katherine Marie Pyburn * Jeanne Ann Rea Pramod Puli Reddy Shelley Breanne Reynolds Hill John Thomas Riehl Brooke Ashley Robinson Marvin J. Romero * Morgan Dianne Schulz Yabiz Sedghi * Aasim Shaheen Sehbai * Mohammed Rashed Shareef * Tongii Lashelle Shavers Daniel Barber Sherling * Michael Teame Solomon Kristen Sicard Spruill * Ravi Srinivas David Scott St. John Jan Paul Szatkowski Ashley Jeanne Tarasen * Kaveh K. Tayebi Roberto Carlos Valentin Michael Jeffrey Vinikoor Nawal Weaver * Brandon Derek White William Bennett Wilson Theodore Woods Jr. Ruo Peng Zhu William Earl Zoesch

ABME Public Agenda

Meharry Medical College School of Medicine College of Medicine University of Arkansas University of Tennessee Memphis COM UASOM Birmingham Saba University School of Medicine Universita Di Rome La Sapienza Michigan State Univ College Of Osteo Medicine USACOM Dartmouth Medical School UASOM Birmingham Univ De Medicina Si Farmacie Carol Davila Louisiana State University SOM New Orleans University of Mississippi School of Medicine Siddhartha Medical College Gunadala West Virginia University School of Medicine Temple University School of Medicine Meharry Medical College School of Medicine Nova Southeastern University COM University of Kentucky College of Medicine American University of The Caribbean Rawalpindi Medical College Univ of the Punjab Deccan College of Medical Sciences University of Louisville School of Medicine Louisiana State University SOM New Orleans Saba University School of Medicine Louisiana State University SOM New Orleans University of Pittsburgh School of Medicine Northeastern Ohio Universities COM University of Chicago Pritzker SOM Saint Georges University Ross University Ponce School of Medicine Loyola University of Chicago Stritch SOM Univ d'Alger Faculte' des sciences Medicales West Virginia School of Osteopathic Medicine Univof Texas Medical School at San Antonio Ross University Stanford University School Of Medicine University of Nebraska College of Medicine

2

USMLE/TN USMLE/OK USMLE/WI USMLE/TN USMLE USMLE/NY NBOME/GA USMLE NBME/CO USMLE USMLE USMLE FLEX/MS FLEX/AR USMLE/WV USMLE/PA USMLE COMLEX/NY USMLE USMLE/LA USMLE/WV USMLE/NY USMLE/SC USMLE/LA USMLE/OH USMLE USMLE/GA USMLE/OH USMLE/MN USMLE/CA USMLE/IN USMLE/PR USMLE/NC USMLE COMLEX/FL USMLE USMLE/NY USMLE FLEX/TX

August 19, 2015

PROVISIONAL ENDORSEMENT Name

Medical School

Endorsement

No Provisional Endorsement Applicants

RETIRED SENIOR VOLUNTEER PROGRAM LICENSE (RSVP) Name

Facility

Location

No RSVP Licensure Applicants

SPECIAL PURPOSE LICENSE Name

Location

Type of Practice

No Special Purpose License Applicants

II LIMITED LICENSE

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Name

Medical School

Endorsement

Swetha Addagatla * Ihab Nader Tawfik Atallah Andrea Teresa Boettcher Edwin Enrigue Escorcia De Leon Amareswari Gottipati Omer Iqbal Bhavini Jitesh Kar Stephen James Kelton Vishnu Teja Kommineni Natalie Marie Kuijpers Aadil Muba Lodhi Jacquelynn Parks Luker Ichiro Nakano Swati Patel Caroline Howard Studdard Lisa Marie Tsugios Muhammad Usman Zafar

Kurnool Medical College NTR Univ of Hlth Sci University of Alexandria Saint Georges University Universidad Del Norte Osmania Medical College Philadelphia Col of Osteo Med - GA Campus Lady Hardinge Medical College Delhi University Medical University of the Americas (Nevis) Andhra Medical College Andhra University Saint Georges University Brody SOM at East Carolina University UASOM Birmingham Kyoto University Medical University of the Americas (Nevis) UASOM Birmingham Medical University of the Americas (Nevis) Services Institute of Medical Sciences

LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL LL/AL

ABME Public Agenda

3

August 19, 2015

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

1 2 3 4

Name

School

NCCPA

Derek Christensen Katie Joffe Mary Khalil Katherine McLaurin

Bethel University Mercer University Stony Brook University University of Nebraska

1122429 1104876 1093562 1127046

School

NCCAA

Name

School

NCCPA

Christopher Anderson Caitlin Baker Josephine Baumgarten Travis Buchanan Scott Hennigar Kayla Klumpp Alishia Moran * Nancy Taylor Elizabeth Hayes Emilija McNulty Amber Simmons Joanna Szulga Suzanne Tompkins Nicholas Vester Kacie Watson

USAM USAM USAM USAM USAM USAM USAM USAM Nova Southeastern USAM USAM Medical University of South Carolina USAM USAM USAM

Registered for Exam Registered for Exam Registered for Exam Registered for Exam Registered for Exam Registered for Exam Registered for Exam Registered for Exam Registered for Exam Registered for Exam Registered for Exam Registered for Exam Registered for Exam Awaiting Exam Results Registered for Exam

A.A. License Name No A.A. License applicants

Temporary P.A. License

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

ABME Public Agenda

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August 19, 2015

Temporary P.A. License to Full License Name

School

NCCPA

No Temporary License to Full License Applicants

P.A. Registration Without additional duties or remote site; Formulary: #2, #21, and #23

P.A. / Physician

Registration / Formulary Requests

(21)

1.

Chelsea Bares, PA Bruce Burns, M.D.

Registration Birth Control Drugs and Devices

(32)

2.

Chelsea Bares, PA Richard Smith, M.D.

Registration Birth Control Drugs and Devices

(46)

3.

Traci Billingsley, PA Glenn Beasley, M.D.

Registration Birth Control Drugs and Devices

(58)

4.

Jenny Carney, PA Robert Vickers, M.D.

Registration Birth Control Drugs and Devices

(69)

5.

Derek Christensen, PA Michael Davis, M.D.

Registration

(80)

6.

Kim Colburn, PA Glenn Beasley, M.D.

Registration Birth Control Drugs and Devices

(91)

7.

Sheryll Coleman, PA Glenn Beasley, M.D.

Registration Birth Control Drugs and Devices

(103)

8.

Ramona Hagmaier, PA Melissa Costello, M.D.

Registration Birth Control Drugs and Devices

(115)

9.

Ramona Hagmaier, PA Kevin Prewett, M.D.

Registration Birth Control Drugs and Devices

(127)

10.

Scott Hennigar, PA Davis Bains, M.D.

Registration

(137)

11.

Kathy Hintz, PA Madeleine Blancher, M.D.

Registration

(149)

12.

Phillip Jernigan, PA Steven Bobo, M.D.

Registration

(163)

13.

Phillip Jernigan, PA Deborah Trujillo, M.D.

Registration Birth Control Drugs and Devices

(175)

14.

Kayla Klumpp, PA Kevin O’Meara, M.D.

Registration

(185)

15.

Linda Langston, PA Glenn Beasley, M.D.

Registration Birth Control Drugs and Devices

ABME Public Agenda

5

Recommendation

August 19, 2015

P.A. / Physician

Registration / Formulary Requests

(197)

16.

Fletcher Little, PA Steven Bobo, M.D.

Registration

(211)

17.

James Lombardo, PA David Morton, M.D.

Registration

(223)

18.

Stephanie McGilvray, PA Rochelle Chijioke, M.D.

Registration Birth Control Drugs and Devices

(234)

19.

Alishia Moran, PA Frederick Pich, D.O.

Registration

(247)

20.

Rick Otwell, PA Abayami Oshinowo, M.D.

Registration Birth Control Drugs and Devices

(261)

21.

Stacy Richerson, PA Michael Ledet, M.D.

Registration Birth Control Drugs and Devices

(276)

22.

Brian Sarapin, PA Jeffrey Anderson, M.D.

Registration Birth Control Drugs and Devices

(288)

23.

Jennifer Sellers, PA Harold Cooley, M.D.

Registration Birth Control Drugs and Devices

(300)

24.

Jennifer Sellers, PA Jesus Perez, M.D.

Registration Birth Control Drugs and Devices

(313)

25.

Diana Tavener, PA J. Stanford Faulkner, M.D.

Registration Birth Control Drugs and Devices

(325)

26.

Harry Wheelock, PA Glenn Beasley, M.D.

Registration Birth Control Drugs and Devices

(337)

27.

Harry Wheelock, PA David Lemak, M.D.

Registration Birth Control Drugs and Devices

SA 12

28.

Katherine McLaurin, PA Jesusu Perex, M.D.

Registration Birth Control Drugs and Devices

SA 25

29.

Emilija McNulty, PA Howard Rubenstein, M.D.

Registration

SA 32

30.

Kacie Watson, PA Hugh Davis, M.D.

Registration

Recommendation

Additional duties, remote site, formulary requests P.A. / Physician

Registration / Skill / Remote Site / Formulary

(347)

1.

Kelli Heer, PA Bradley Marker, M.D.

Registration Remote site Lap band fills and adjustments

(361)

2.

Monica Sanchez, PA David Lotscher, M.D.

Registration Birth Control Drugs and Devices Teledermatology

ABME Public Agenda

6

Recommendation

August 19, 2015

A.A. Registration No AA registration applicants

P.A. Miscellaneous Requests / Reports P.A. / Physician

Skill; Formulary; Misc Requests

(388)

1.

Lauren Bannon, PA Christopher Heck, M.D.

Additional practice sites

(390)

2.

Claire Dodson, PA Allison Seamon, PA Joseph Sherrill, M.D.

PA formulary

(395)

3.

Suzanne Herrin, PA Lisle Nabell, M.D.

Approve bone marrow biopsies

(399)

4.

Derrick Johnson, PA Ronald Hester, m.D.

Additional practice sites

(402)

5.

Antoinette Love, PA Stephen Samuelson, M.D.

Additional practice sites

(404)

6.

Faith Mason, PA Stephen Cope, M.D.

Documentation of training: Joint injections

(407)

7.

Amy McCormick, PA Michael Harrington, M.D.

Arthrocentesis Joint injections of the knee

(419)

8.

Jaimee Sandlin, PA Kirk Withrow, M.D.

Letter of Clarification Flexible fiberoptic laryngoscopy

(422)

9.

Tamara Williams, PA Bryan King, M.D.

Transfer approved skill of joint injections from previous registration to current registration

Recommendation

P.A. QACSC Registration

1 2 3 4 5 6 7

P.A.

Physician

Mary Johnsten Mary Johnsten Stephanie McGilvray Stacy Richerson Karen Cox Chelsea Bares Chelsea Bares

Jonah McIntrye, M.D. Steven Sharp, M.D. Rochelle Chijioke, M.D. Michael Ledet, M.D. Michael Ederer, D.O. Bruce Burns, M.D. Jason Smith, M.D.

ABME Public Agenda

7

August 19, 2015

PA Limited Purpose Special Permit (426) Cover Sheet Physician / PA / Specialty 1. (427) (428)

Rochelle Chijioke, M.D. Lauren Tucker, PA Stephanie McGilvray, PA Emergency Medicine

(429)

2.

Mark Griffin, M.D. Leticia Buehl, PA

LPSP Formulary

Recommendation Approve Deny

Short Acting Hydrocodone Combinations meds Hydrocodone Cough Preparations Morphine Sulfate Immediate Release (MSIR) Oxycodone-Immediate Release meds Tapentadol-(Nucynta) Short Acting Hydrocodone Combination meds Hydrocodone Cough Preparations Oxycodone Immediate Release meds.

Emergency Medicine SA 45

3.

Bruce Burns, M.D. Chelsea Bares, PA Emergency Medicine

SA 46

4.

R. Jason Smith, M.D. Chelsea Bares, PA Emergency Medicine

Short Acting Hydrocodone Combinations meds Hydrocodone Cough Preparations Morphine Sulfate Immediate Release (MSIR) Oxycodone-Immediate Release meds Tapentadol-(Nucynta) Short Acting Hydrocodone Combinations meds Hydrocodone Cough Preparations Morphine Sulfate Immediate Release (MSIR) Oxycodone-Immediate Release meds Tapentadol-(Nucynta)

APN Miscellaneous Requests / Reports (430) Cover Sheet Skills Request Within Protocol Physician / APN

Skill; Restricted Drug; Misc Requests

(433)

1.

Gerald B. Belopolsky, M.D. April M. Lee, CRNP

Transfer Mid-Level Critical Care Protocol to current agreement

(446)

2.

Dieg B. A. de Toledo, M.D. Kristina D. Zuschlag, CRNP

Antineoplastic Agents

(450)

3.

Mark H. Deierhoi, M.D. Felisa Ann Lee, M.D.

Anti-Rheumatic Drugs: Non-Biolgic DMARDS Biologic DMARDS

(453)

4.

Harry P. Erba, M.D. Ellen D. Lazarre, CRNP

CVL: Remove and replace over guidewire

ABME Public Agenda

8

Recommendation

August 19, 2015

Physician / APN

Skill; Restricted Drug; Misc Requests

(456)

5.

Kelly N. Godby, M.D. Karen B. Draper, CRNP

Antineoplastic Agents

(459)

6.

T. Michael Harrington, M.D. Shannon Lewis, CRNP

Joint Aspirations Joint Injections of the Knee

(474)

7.

Jimmy S. Hankins, M.D. Amanda Brantley, CRNP

Orthopedic Specialty Protocol Trigger Point injections below T-12

(484)

8.

Justin Hovey, M.D. Jefferson Edgington, CRNP

Orthopedic Specialty Protocol

(490)

9.

Ralph Lee Irvin, M.D. Jennifer L. Byrd, CRNP

Trigger Point injections below T-12

(493)

10.

Joseph Reece Jones, M.D. Skyler Lane Sherrell, CRNP

Antineoplastic Agents

(497)

11.

Edmund G. LaCour, M.D. Emily Brooke Pettis, CRNP

Documentation of injection training: Subacromial Bursa Greater Trochanteric Bursa Knee

(503)

12.

Ramaswamy Kumar, M.D.

Mid-Level Critical Care Protocol Removal of pacing wires

Christopher Huffstutler, CRNP

(508)

13.

Adisesha B. Reddy, M.D. Clara R. Owings, CRNP

Anti-Rheumatic Drugs: Non-Biolgic DMARDS Biologic DMARDS Non-TNF Inhibitors

(511)

14.

Timothy S. Talbot, M.D. Charles S. Thornton, CRNP

CVL: Remove and replace over guidewire

Recommendation

Skills Requests Outside of Protocol / Miscellaneous Physician / APN

Skill; Restricted Drug; Misc Requests

(514)

1.

Benjamin M. McGrew, M.D.

Opinion Re: Laryngoscope and stroboscope procedures by CRNPs

(516)

2.

Franjo Siric, M.D. Benjamin Campbell, CRNP

Mid-Level Critical Care Specialty Protocol Swan Ganz catheter removal Intra-aortic balloon pump removal

(532)

3.

William Stewart, M.D. Jessical Voss, CRNP

Suprascapular nerve block Fracture reduction Hematoma block Layered closure

(547)

4.

Joseph G. Surber, M.D. Bobby G. Landrum, CRNP

CVL: Remove and replace over guidewire Mid-Level Critical Care Specialty Protocol CVL: IJ and Femoral

ABME Public Agenda

9

Recommendation

August 19, 2015

Physician / APN

Skill; Restricted Drug; Misc Requests

Recommendation

(557)

5.

Rebecca Cain, CRNP

CME course approval for QACSC renewal

(572)

6.

Stephen Walsh, M.D.

Request for exemption to readily available requirement

SA 48

7.

Tracy Wade, CRNP

Request FSMB prescribing course for QACSC renewal

APN QACSC Registration (SA 51)

CRNP / CNM QACSC Registration Applicants

APN Limited Purpose Special Permit (584) Cover Sheet Physician / APN / Specialty 1. (587) (588)

Bayani Abordo, M.D. Bridget Barnett, CRNP Delores Bray, CRNP

LPSP Formulary

Recommendation Approve Deny

ADHD Meds

Psychiatry / Mental health (589)

2.

James Devaney, III, M.D. Ameshia Bush-Taylor, CRNP

ADHD Meds Hydrocodone Meds SA Hydrocodone Cough Preparations

IM / FP (590)

3.

David Engle, M.D. Stacey Hill, CRNP Gyn / Oncology

(592)

4.

Pamela Gibbs, M.D. Kelly Lambeth, CRNP IM / FP / Geriatrics

ABME Public Agenda

Hydrocodone Meds SA MSIR Oxycodone IR Fentanyl LA Hydromorphone Morphine Sulfate LA Oxycodone LA Hydrocodone Meds SA Hydrocodone Cough Preparations MSIR Oxycodone IR Tapentadol Fentanyl LA Hydromorphone MSLA Oxycodone LA Oxymorphone LA

10

August 19, 2015

Physician / APN / Specialty

LPSP Formulary

(594)

Hydrocodone Meds SA

5.

Howard Woodford, M.D. Danielle Elliott, CRNP

Recommendation Approve Deny

OBGYN / Women’s Health (595)

SA 52

6.

7.

Francene Gayle, M.D. Jennifer Christopher, CRNP FP / Pain Management

Request to add to previously approved LPSP protocol : Hydrocodone ER/LA Oxycodone LA

Brandi Rudolph-Bolling, M.D.

ADHD Medications

Sarah Gilreath, CRNP Psychiatry / FP / Mental Hlth

Collaborative Practice (SA 53)

Collaborative Practice Covering Physician Applicants

Joint Committee for Advanced Practice Nursing Joint Committee for Advanced Practice Nursing Meeting - August 18, 2015, 6:00 p.m.

V CURRENT BUSINESS (2) (4) (5) (6) (7) (114) (121) (144)

1. 2. 3. 4. 5. 6. 7. 8.

Behavioral Medicine Institute Correspondence: Lloyd A. Manchikes, M.D. FSMB Medical Board Liaison Program NBOME Visitation Day Telehealth Overview Teleheatlh - Doctor on Demand Teleheath - Pocket Derm Telemedicine for Medicare Act of 2015

PERSONNEL No personnel items

ABME Public Agenda

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August 19, 2015

VI HEARINGS (2)

ABME Hearing Schedule

(3)

1. Richard Alan Bucci, M.D., Mobile Show Cause Hearing - August 19, 2015 - 12:30 p.m. 2. Lorn S. Miller, M.D., Jasper Show Cause Hearing - August 19, 2015 - 12:30 p.m.

(11)

ABME Public Agenda

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August 19, 2015