SUPPLEMENTAL PUBLIC AGENDA ALABAMA BOARD OF MEDICAL EXAMINERS May 16, 2012 10:00 a.m.

ELECTION OF OFFICERS

I

PUBLIC MINUTES OF APRIL 12, 2012

II ENDORSEMENT Name

Medical School

Endor. With

1

Alan Cleveland Aikens

UASOM Birm ingham

USMLE

2

* Dan Rafael Azar

Mount Sinai SOM of the City University of New York NBME/CA

3

* Richard H. Chin

Am erican University of The Caribbean

FLEX/MA

4

Jason David Derbort

University of Mississippi School of Medicine

USMLE/LA

5

Vishal Gujral

Louisiana State University SOM New Orleans

USMLE/FL

6

Aym an Haj Asaad

University of Aleppo

USMLE/ME

7

Jason Matthew Scott Heaton

Mercer University School of Medicine

USMLE/LA

8

Fadi Ahm ad Hijazi

Am erican University of Beirut

USMLE/NY

9

* Jeffrey Bauer Horton

U of Texas Southwestern Medical Center at Dallas

USMLE/NM

10

Kenneth Charles Iverson

University of South Carolina School of Medicine

USMLE

11

* Jam es M. Kiely

Em ory University School of Medicine

NBME/USMLE/VA

12

Matthew Darrell Kim ball

LSU Medical Center In Shreveport

USMLE

13

Tim othy Douglas Knudsen

Medical College of Georgia School of Medicine

NBME/VA

14

Sang-wahn Koo

Yonsei University

USMLE/OK

15

Ho W on Lee

Yonsei University

USMLE/NY

16

Jose Agustin Leon

Universidad Peruana Cayetano Heredia

USMLE

17

Jaym e Elizabeth Locke

Brody School of Medicine at East Carolina University USMLE/MD

18

* Todd Madison Loper

University of South Alabam a College of Medicine

USMLE

19

* Jam es Peter Martin

Kansas City University of Medicine & Biosciences

COMLEX/FL

20

Richard Keilean McHugh

Keck SOM of the University of Southern California

USMLE/CA

21

* Ray Harvey McLaughlin Jr.

UASOM Birm ingham

USMLE

22

Twyla Nash Norsworthy

College of Medicine University of Arkansas

USMLE/AR

23

Olugbem iga Adewole Osoba

University of Ibadan

USMLE/MI

24

* Haley Clark Overstreet

UASOM Birm ingham

USMLE

25

Deniz Peker

Medical Faculty Erciyes University

USMLE/FL

26

Jessica Lynn Rodriguez

University of Missouri Kansas City SOM

USMLE

27

Sam er Osam a Salhab

Ross University

USMLE/FL

28

Karen Leigh Sam ples

UASOM Birm ingham

USMLE

ABME Public Agenda

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May 16, 2012

29

Jennifer Michelle Scalici

UASOM Birm ingham

USMLE

30

Rachel Traylor Seam an

University of South Alabam a College of Medicine

USMLE

31

Raym attie Singh

Leningradskij Sanitarno-gigienceskij Med Inst

USMLE/OK

32

Jonathan Ashe Storey

University of South Florida College of Medicine

USMLE/NC

33

Sunil Sudarshan

Duke University School of Medicine

USMLE/SC

34

John David Tullos

University of Mississippi School of Medicine

USMLE

35

* Christopher Gene W ang

Drexel University College of Medicine

USMLE

36

Kexuan W ang

UASOM Birm ingham

USMLE/LA

37

Thom as Andrew W olfe

Indiana University School of Medicine Bloom ington

NBME/W I

38

Hayden John Zaccagni

University of Texas Medical School at San Antonio

USMLE/TN

39

Max W ayne Berry

Medical Faculty Univ Of Goteborg

USMLE/SC

40

* Jeffrey Randall Cole

UASOM Birm ingham

USMLE/NC

41

Etheldreda Lancaster Collins

East TN State University Jam es H Quillen COM

NBME/TN

42

Jeffrey Brian Dobyns

Ohio University College of Osteopathic Medicine

COMLEX/OH

43

Mason Neal Florence

Medical College of Georgia School of Medicine

USMLE

44

Brett Ram sey Forehand

Ohio State University COM & Public Health

USMLE/OH

45

Beatriz E. Garcia

Universidad Central Del Caribe School of Medicine

USMLE/PR

46

Sandhya Garg

University of Illinois College of Medicine Chicago

NBME/IL

47

John Vernon Houghtaling

Michigan State Univ College of Hum an Medicine

USMLE/MI

48

Lee Edward Johnson

Medical College of Georgia School of Medicine

USMLE/GA

49

Michael Carm en Jones

Jefferson Medical College of Thom as Jefferson U

USMLE/PA

50

Mark Allen Manning

UASOM Birm ingham

USMLE/KY

51

Ahm ed Marwan

Ain Sham s University Faculty of Medicine

USMLE/KY

52

Shahana Masood

Fatim a Jinnah Med Col for W om en U of the Punjab USMLE/OK

53

Kim Rudolph McGlothan

University of Tennessee Mem phis COM

USMLE

54

Steven Cryus Motarjem e

Loyola University of Chicago Stritch SOM

NBME/OH

55

Asad Z. Pathan

Dow Medical College University of Karachi

FLEX/TX

56

Lalit Kum ar Singh

Mahatm a Gandhi Missions Medical College

USMLE/W I

57

Deborah Vinson Spencer

Medical University of South Carolina COM

USMLE/SC

58

Janelle Marie Townes

Mercer University School of Medicine

USMLE/GA

59

Mercy Adaobi Udoji

Vanderbilt University School of Medicine

USMLE/NY

60

W illiam Christopher W atson

Des Moines Univ of Osteopathic Medical Center

COMLEX/IN

61

Kenneth Sherm an W urtz

Universidad De Guadalajara

NBME/GA

Medical School

Endor. With

III

LIMITED LICENSE

Name 1

Nessy Abraham

Kottayam Med Coll Univ Of Kerala

LL/AL

2

Sonali Devidas Advani

D. Y. Patil Medical College

LL/AL

3

Hicham Azzouzi

Fac Of Med & Phar Moham m ed V University

LL/AL

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May 16, 2012

4

Khushdeep Singh Chahal

SSR Medical College

LL/AL

5

Arka Chatterjee

Maulana Azad Medical College University of Delhi

LL/AL

6

Chasity Renee Ducksworth

Edward Via Virginia College of Osteopathic Medicine LL/AL

7

Nayf Edrees

University of Aleppo

LL/AL

8

Pallavi Ghuge

Grant Medical College University of Mam bai

LL/AL

9

Am ir Shahzad Kam ran

Khyber Medical College University of Peshawar

LL/AL

10

Swetha Rani Kanduri

Osm ania Medical College

LL/AL

11

Rakhshanda A. Khan

Dow Medical College University of Karachi

LL/AL

12

Shuaike Ma

Jilin University

LL/AL

13

Viengxay Malavong

A T Still University School of Osteopathic Medicine

LL/AL

14

Bhanu Prakash Maturi

Medical College Sri Venkatesvara U Tirupati

LL/AL

15

Sam antha Pollock McCaskill

Philadelphia College of Osteopathic Medicine

LL/AL

16

Sneha Ram esh Patel

Medical Univ of Silesia Medical Faculty in Katowice LL/AL

17

Bijal Jitendra Patel

Kansas City University of Medicine & Biosciences

LL/AL

18

Sita Paudel

Nepal Medical College

LL/AL

19

Razel Rem en

Escuela Lation Am ericana de Medicina

LL/AL

20

Jonathan Michael Shank

Philadelphia College of Osteopathic Medicine

LL/AL

21

Nivedita Tella

Mam ata Medical College

LL/AL

22

* Sara Thurgood

UASOM Birm ingham

23

Ali Abdulham eed K. Alhusseini University Of Baghdad

LL/AL

24

Am ir Azarbal

LL/AL

25

Miguel Angel Diaz

Universidad Iberoam ericana

LL/AL

26

Gregory Franklin Mayberry

Saba University School of Medicine

LL/AL

27

RaviKum ar Paluri

Kakatiya Medical College Osm ania University

LL/AL

28

Ilinca Cristina Prisacaru

Univ De Medicina Si Farm acie Iuliu Hatieganu

LL/AL

29

Aditi Puri

Lady Hardinge Medical College Delhi University

LL/AL

IV

Shahid Behesti University of Medical Sciences

LL/AL

PHYSICIAN ASSISTANTS / ADVANCE PRACTICE NURSES

(2) Cover Sheet P.A. License

1 2 3 4

Name

School

NCCPA

Troy Earl Higdon, Jr. Cristina Salazar * Anthony Paul Tkac Abby Bowen Melton

Trevecca Nazarene University UAB University of California, Davis Cornell University

1095734 1102713 1086626 1090743

A.A. License ABME Public Agenda

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May 16, 2012

Name

School

NCCAA

School

NCCPA

No A.A. License Applicants Temporary P.A. License Name No Temporary P.A. License Temporary P.A. License to Full License Name

School

NCCPA

No Temporary P.A. License to Full License Applicants

P.A. Registration No additional duties, no remote site, #23 (21) (33) (46) (58) (72) (83) (94) (106) (118) (129) (140) (153) (165) (174) (Add) (Add)

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

Helen Anne Alexander, PA / James O. Hill, D.O. April Crunk, PA / Ahmed Kamel Abdel Aal, M.D. Felix N. Dunkwu, PA / Andy Ellzey Kirk, M.D. #23 Ashley Taylor Greer, PA / Larkin Jeffrey Daniels, M.D. John B. Hurt, PA / Joseph Louis Lester, M.D. Rebecca McElroy, PA / Amy Morris, M.D. Beatrice McIver, PA / Bruce Romeo, M.D. Haley Elizabeth McLaughlin, PA / James O. Hill, D.O. Jeffrey Todd Norris, PA / Steven Rudd, M.D. #23 Jeffrey Todd Norris, PA / Arshad Yousuf, M.D. #23 Breeana Keegan Roche, PA / Jonas R. Salna, M.D. Kathleen Strickland, PA / Lance Kemberly Dyess, M.D. #23 Tonya Cauley Weidman, PA / Rosina Avila Connelly, M.D. #23 Margaret Whitehurst, PA / Richard Mazey, M.D. #23 Abby Bowen Melton, PA / Steven J. Thomas, M.D. #23 Sherri Lynn Ross, PA / Deidre Z. Joiner-Nichols, M.D. #23

No additional duties, no remote site and formulary requests (185) 1. (194) 2.

Darla Brittany Parker, PA / Thomas W. Bender, III, M.D. #2 #23 Noel Zvonar, PA / Dena Howell, M.D. #30

Remote site requested ABME Public Agenda

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May 16, 2012

(205) 1.

Tonya Cauley Weidman, PA / Druhan Howell, M.D. #23

Additional duties requested, formulary requests (216) 1.

Shelly Kendall Springer, PA / Mark Dayton, Herron, M.D. #2 #23

PA QACSC Registration No PA QACSC Registration Applicants

A.A. Registration No A.A. Registration Applicants

P.A. Miscellaneous Requests / Reports (225) 1. (228) 2. (Add) 3. (Add) 4.

Christopher Boyce, PA / Bradford Woodworth, M.D. - Request consideration of documentation of training to perform flexible laryngoscopy Wesley Pinto, PA / F. Anthony McLeod, M.D. - Request consideration of request to perform needle aspirations of peritonsillar abscesses Ashley Taylor Greer, PA / Larkin Jeffrey Daniels, M.D. - Request addition of two practice sites to original application Kimberly Pickett, PA - Requests clarification regarding PAs performing hormone replacement

APN Miscellaneous Requests/Reports (230) 1. (240) 2. (267) 3. (273) 4. (280) 5. (291) 6. (326) 7. (332) 8.

Naresh Bellam, M.D. / Mary Nell Winslow, CRNP - Request for additional skills and restricted drugs Mollie R. Deshazo, M.D. / Vlada Kent, CRNP - Request approval for CRNP to administer antineoplastics Meyer E. Dworsky, M.D. / Audra R. Colquitt, CRNP - Request approval for standard neo-natal protocol Charles Roland Hamm, Jr., M.D. / Jennifer Frego, CRNP - Request approval for standard neo-natal protocol Christopher Barry Harmon, M.D. / Stacy Lynn Davidson, CRNP - Request for additional duties Jody M. Hughes, M.D. / Douglas J. Stephens, CRNP / Whitney P. Bailey, CRNP - Request for additional skills Hamayun Imran, M.D. / Maegan Ann Miller, CRNP - Request for restricted drugs James E. Johnson, M.D. - Request to modify training and maintenance

ABME Public Agenda

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May 16, 2012

(338) 9. (392) 10. (396) 11. (413) 12. (423) 13. (429) 14. (Add) 15.

protocol for radial arterial line insertion James E. Johnson, M.D. / John P. Bernhard, III, CRNP / Stephanie B. Pruitt, CRNP / Robert S. Kopf, CRNP - Request for additional skills James E. Johnson, M.D. / Robert S. Kopf, CRNP - Request for approval of documentation of training Gaeton D. Lorino, M.D. / Mary B. Labriola, CRNP - Request for additional skills Robert A. Ruth, M.D. / Deborah L. McBride, CRNP - Request approval for CRNP to administer antineoplastics Thomas Donald Soltau, M.D. / Jennifer Pope, CRNP - Request approval for standard neo-natal protocol Michael M. Zayek, M.D. / Amanda L. Williams, CRNP - Request approval for standard neo-natal protocol Carl H. Coghill, Jr., M.D. / Michelle M. Keplinger, CRNP - Request approval for standard neo-natal protocol

Collaborative Practice Registration Physician

CRNP

No Collaborative Practice Registration Applicants

Collaborative Practice Covering Physician Applicants (Add) Collaborative Practice Covering Physician Applicants

Physician Assistant Advisory Committee Meeting PA Advisory Committee Meeting, May 15, 2012, 5:00 p.m.

Joint Committee on Advanced Practice Nursing Joint Committee on Advanced Practice Nursing, May 15, 2012, 6:00 p.m.

ABME Public Agenda

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May 16, 2012

V CURRENT BUSINESS (2) (4)

1. 2.

Administrative Rule 540-X-17-.06, Medical Records Administrative Rule Chapter 540-X-14, Continuing Medical Education, Minute Entry Amendment (6) 3. Administrative Rule Chapter 540-X-14, Continuing Medical Education (20) 4. Advancement of Oriental Medicine (21) 5. Alabama Physician Health Program Status Report (27) 6. American Board of Medical Specialities (35) 7. Office Based Surgery - Alternative Credentialing Standards (72) 8. Consultant Group for the Study of Telemedicine (74) 9. Vanderbilt University’s Center for Professional Health (76) 10. Article, Nurse Practitioners, Handmaidens No More (Add) 11. HB 638 Military Spouse Licensure Amendment (Add) 12. Telemedicine Rules

VI

HEARINGS

(2) (3) (13)

ABME Hearing Schedule 1. Ricky Joe Nelson, M.D., Hanceville - Reconvene Hearing Panel (Davis, Nagrodki, Smith, Johnson, Goetter) 2. John James Villaverde, M.D., Birmingham - Show Cause Hearing 12:30 p.m.

ABME Public Agenda

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May 16, 2012