minutes - North Carolina Medical Board

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MINUTES
North Carolina Medical Board
July 21-23, 2010
1203 Front Street
Raleigh, North Carolina
July 21-23, 2010
Minutes of the Open sessions of the North Carolina Medical
Board Meeting held July 21-23, 2010.
The July 21-23, 2010, 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 8:05 a.m.,
Wednesday, July 21, 2010, by Donald E. Jablonski, DO, President. Board members in
attendance were: George L. Saunders, III, MD, Past President; Janice E. Huff, MD, PresidentElect; William A. Walker, MD, Secretary/Treasurer; Ms. Pamela Blizzard; Thomas R. Hill, MD;
Dr. Ralph C. Loomis, MD; Ms. Thelma Lennon; John B. Lewis, Jr., LLB; Peggy R. Robinson,
PA-C; Paul S. Camnitz, MD and Karen R. Gerancher. Also attending were R. David
Henderson, Executive Director and Thom Mansfield, Board Attorney.
Presidential Remarks
Dr. Jablonski commenced the meeting by reading from the State Government Ethics Act,
“ethics awareness and conflict of interest reminder.” No conflicts were reported.
Dr. Jablonski explained the process to the Board members regarding the NCMB Officers and
Executive Committee recommendations.
Dr. Jablonski had Ms. Blizzard give a brief overview from the ”CPEP Learning Summit” she
attended.
Minute Approval
Motion: A motion passed that the May 19, 2010 Board Minutes and the June 17, 2010
Hearing minutes are approved as presented.
Executive Director’s Announcements
Mr. Henderson updated the Board members regarding Dr. Scott Kirby becoming the new NCMB
Medical Director. It was also noted that Dr. Sheppa would remain at the NCMB but on a parttime basis.
Ms. Judie Clark, Director of Complaints, recognized Amy Ingram on her 5 year anniversary at
the NCMB.
Mr. Henderson noted that the NCPHP Compliance & BOD meeting would be held today at the
Renaissance Hotel starting at 3:00pm.
Mr. Curt Ellis, Director of Investigations, presented David Hedgecock, NCMB Investigator, for
completion of the Certified Medical Board Investigator Certificate.
Mr. Henderson noted that Ms. Jean Fisher-Brinkley, Director of Public Affairs, would be doing a
Bi-annual program update for the Board on Friday morning.
July 21-23, 2010
EXECUTIVE COMMITTEE REPORT
The Executive Committee of the North Carolina Medical Board met beginning at 10:40 am,
Wednesday July 21, 2010 at the offices of the Board. Committee members present were:
Donald E. Jablonski, DO, Chair; Janice E. Huff, MD; George L. Saunders, MD; William A.
Walker, MD; and John B. Lewis, Jr. Also present were Ralph C. Loomis, MD, R. David
Henderson (Executive Director), Hari Gupta (Director of Operations) and Peter T. Celentano,
CPA (Comptroller).
Financial Statements
Monthly Accounting May 2010: Mr. Celentano, CPA, presented the May 2010 compiled
financial statements. May is the seventh month of fiscal year 2010. The Committee
recommends the Board accept the financial statements as reported.
Old Business
Fines: N.C. General Statute 90-14(a) permits the Board to fine a licensee who has
violated the Medical Practice Act. The Board previously approved the use of fines in cases
where there is other disciplinary action. Senior staff continues to work on the manner in which
fines, without accompanying discipline or other public action, should be published or reported.
This issue will be discussed further at the September meeting.
Change in Staff Privileges: N.C. General Statute Section 90-14.13 states that the chief
administrative officer of every licensed hospital shall report to the Board actions involving a
physician’s privileges to practice in that institution including any resignation from practice or
voluntary reduction of privileges. However, the Board’s online Change in Staff Privileges form
only requires hospitals to report “for cause” resignations or reductions in privileges.
The Committee believes the current law may be too broad and recommends the Board
seek a change to N.C. General Statute Section 90-14-13 to provide that changes in staff
privileges are reportable pursuant to rules to be adopted by the Board.
New Business
Proposed Changes to Rules Regarding Misdemeanor Convictions: The Committee
considered proposed changes to rule regarding publication of misdemeanor convictions on the
Board’s website.
The Committee preliminary approved the proposed changes and asked staff to forward
the latest draft to the other Board members for comment. This matter will be discussed further
at the September meeting.
2012 Meeting and Hearing Calendars: The Committee reviewed the proposed 2012
Board Meeting and Hearing schedule and recommends adoption.
Nomination of New Officers and Executive Committee Members: The Committee
nominates the following officers for 2010-2011: Dr. Ralph Loomis, President-Elect; Dr. William
Walker, Secretary/Treasurer; and Ms. Pamela Blizzard member at large of the Executive
Committee.
According to the Bylaws, the current President-Elect, Dr. Janice Huff, shall automatically
become President on November 1 and the current President, Dr. Donald Jablonski, will continue
to serve on the Executive Committee as Past President.
July 21-23, 2010
POLICY COMMITTEE REPORT
Committee Members: Dr. Loomis, Dr. Walker, Judge Lewis, and Dr. Camnitz
Staff: Todd Brosius, Christina Apperson, and Wanda Long
NEW BUSINESS:
POSITION STATEMENT REVIEW
1/2010 COMMITTEE RECOMMENDATION: (Loomis/Camnitz) Adopt a 4 year review
schedule as presented. All reviews will be offered to the full Board for input. Additionally
all reviews will be documented and will be reported to the full Board, even if no changes
are made.
1/2010 BOARD ACTION: Adopt the recommendation of the Policy Committee.
POSITION STATEMENT
Professional Obligation to
Report Incompetence,
Impairment, and
Unethical Conduct
Medical, Nursing,
Pharmacy Boards: Joint
Statement on Pain
Management in End-ofLife Care
What Are the Position
Statements of the Board
and To Whom Do They
Apply?
Contact With Patients
Before Prescribing
Guidelines for Avoiding
Misunderstandings
During Physical
Examinations
Office-Based Procedures
Access to Physician
Records
ADOPTED
SCHEDULED
FOR
REVIEW
LAST
REVISED/
REVIEWED/
ADOPTED
Nov-98
March 2010
Nov-98
Oct-99
May 2010
Oct-99
Nov-99
May 2010
Nov-99
Nov-99
July 2010
Feb-01
May-91
July 2010
Oct-02
REVISED/
REVIEWED
REVISED/
REVIEWED
REVISED/
REVIEWED
REVISED/
REVIEWED
Feb-01
Jan-01
May-96
May-93
Mar-02
Sep-97
May-96
Sep-00
Jan-03
Nov-93
Aug-03
Medical SupervisorTrainee Relationship
Apr-04
Apr-04
The Treatment of Obesity
Oct-87
Jan-05
Mar-96
HIV/HBV Infected Health
Care Workers
Nov-92
Jan-05
May-96
Writing of Prescriptions
May-91
Mar-05
Jul-02
Mar-02
May-96
Laser Surgery
Self- Treatment and
Treatment of Family
Members and Others
With Whom Significant
Emotional Relationships
Exist
Jul-99
Jul-05
Aug-02
Mar-02
Jan-00
May-91
Sep-05
Mar-02
May-00
May-96
Advertising and Publicity
Nov-99
Sep-05
Mar-01
July 21-23, 2010
Sep-92
Prescribing Legend or
Controlled Substances for
Other Than Valid Medical
or Therapeutic Purposes,
with Particular Reference
to Substances or
Preparations with
Anabolic Properties
Sale of Goods From
Physician Offices
Competence and Reentry
to the Active Practice of
Medicine
Availability of Physicians
to Their Patients
Referral Fees and Fee
Splitting
Sexual Exploitation of
Patients
Care of the Patient
Undergoing Surgery or
Other Invasive Procedure
The Physician-Patient
Relationship
May-98
Nov-05
Jan-01
Jul-98
Mar-01
Mar-06
Jul-06
Jul-06
Jul-93
Jul-06
Oct-03
Jan-01
Nov-93
Jul-06
May-96
May-91
Sep-06
Jan-01
Sep-91
Sep-06
Mar-01
Aug-03
Jul-95
Sep-06
The Retired Physician
Physician Supervision of
Other Licensed Health
Care Practitioners
Jan-97
Sep-06
Jul-07
Jul-07
Medical Testimony
Mar-08
Mar-08
Jul-93
Mar-08
May-96
Oct-99
Mar-08
May-07
Sep-08
Sep-08
Sep-96
Sep-08
Jul-05
May-94
May-09
May-96
May-98
May-09
Capital Punishment
Jan-07
Jul-09
Departures from or
Closings of Medical
Jan-00
Jul-09
Aug-03
Unethical Agreements in
Complaint Settlements
Nov-93
Mar-10
May-96
Advance Directives and
Patient Autonomy
End-of-Life
Responsibilities and
Palliative Care
Drug Overdose
Prevention
Policy for the Use of
Controlled Substances for
the Treatment of Pain
Medical Record
Documentation
Retention of Medical
Records
May-96
Apr-96
Mar-02
Jan-00
Contact with patients before prescribing
It is the position of the North Carolina Medical Board that prescribing drugs to an individual the
prescriber has not personally examined is inappropriate except as noted in the paragraphs
below. Before prescribing a drug, a licensee should make an informed medical judgment based
on the circumstances of the situation and on his or her training and experience. Ordinarily, this
will require that the licensee personally perform an appropriate history and physical
examination, make a diagnosis, and formulate a therapeutic plan, a part of which might be a
prescription. This process must be documented appropriately.
July 21-23, 2010
Jul-98
Prescribing for a patient whom the licensee has not personally examined may be suitable under
certain circumstances. These may include admission orders for a newly hospitalized patient,
prescribing for a patient of another licensee for whom the prescriber is taking call, or continuing
medication on a short-term basis for a new patient prior to the patient’s first appointment.
Established patients may not require a new history and physical examination for each new
prescription, depending on good medical practice.
Prescribing for an individual whom the licensee has not met or personally examined may also
be suitable when that individual is the partner of a patient whom the licensee is treating for
gonorrhea or chlamydia. Partner management of patients with gonorrhea or chlamydia should
include the following items:
a) Signed prescriptions of oral antibiotics of the appropriate quantity and strength
sufficient to provide curative treatment for each partner named by the infected
patient. Notation on the prescription should include the statement: “Expedited
partner therapy.”
b) Signed prescriptions to named partners should be accompanied by written material
that states that clinical evaluation is desirable; that prescriptions for medication or
related compounds to which the partner is allergic should not be accepted; and that
lists common medication side effects and the appropriate response to them.
c) Prescriptions and accompanying written material should be given to the licensee’s
patient for distribution to named partners.
d) The licensee should keep appropriate documentation of partner management.
Documentation should include the names of partners and a copy of the prescriptions
issued or an equivalent statement.
It is the position of the Board that prescribing drugs to individuals the licensee has never met
based solely on answers to a set of questions, as is common in Internet or toll-free telephone
prescribing, is inappropriate and unprofessional.
(Adopted November 1999) (Amended February 2001, November 2009)
7/2010 COMMITTEE RECOMMENDATION: No changes are recommended.
7/2010 BOARD ACTION: Adopt the Committee recommendation.
Guidelines for avoiding misunderstandings during physical examinations
It is the position of the North Carolina Medical Board that proper care and sensitivity are
needed during physical examinations to avoid misunderstandings that could lead to charges
of sexual misconduct against physicians licensees. In order to prevent such
misunderstandings, the Board offers the following guidelines.
1)
2)
Sensitivity to patient dignity should be considered by the physician licensee when
undertaking a physical examination. The patient should be assured of adequate
auditory and visual privacy and should never be asked to disrobe in the presence of
the physician licensee. Examining rooms should be safe, clean, and well
maintained, and should be equipped with appropriate furniture for examination and
treatment. Gowns, sheets and/or other appropriate apparel should be made
available to protect patient dignity and decrease embarrassment to the patient while
a thorough and professional examination is conducted.
Whatever the sex of the patient, a third party, a staff member, should be readily
available at all times during a physical examination, and it is strongly advised that a
third party be present when the physician licensee performs an examination of the
July 21-23, 2010
3)
4)
5)
breast(s), genitalia, or rectum. It is the physician’s licensee’s responsibility to have a
staff member available at any point during the examination.
The physician licensee should individualize the approach to physical examinations
so that each patient's apprehension, fear, and embarrassment are diminished as
much as possible. An explanation of the necessity of a complete physical
examination, the components of that examination, and the purpose of disrobing may
be necessary in order to minimize the patient's possible misunderstanding.
The physician licensee and staff should exercise the same degree of professionalism
and care when performing diagnostic procedures (eg, electro-cardiograms,
electromyograms, endoscopic procedures, and radiological studies, etc), as well as
during surgical procedures and postsurgical follow-up examinations when the patient
is in varying stages of consciousness.
The physician licensee should be on the alert for suggestive or flirtatious behavior or
mannerisms on the part of the patient and should not permit a compromising
situation to develop.
(Adopted May 1991) (Amended May 1993, May 1996, January 2001, February 2001, October
2002)
7/2010 COMMITTEE RECOMMENDATION: The Committee recommends that the word
“physician” be replaced with “licensee” to be consistent with previous changes made during the
Position Statement review process.
7/2010 BOARD ACTION: Adopt the Committee recommendation.
OLD BUSINESS:
POSITION STATEMENT CONTINUED REVIEW
Issue: In November 2009, the Board approved the Policy Committee’s recommendation
to review Position Statements at least once every four years. A review schedule has
been formulated for the Committee’s consideration.
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: Mr. Brosius 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.
July 21-23, 2010
7/2009 COMMITTEE RECOMMENDATION: Mr. Brosius is to continue to research this issue.
The Committee will report its findings at the September meeting.
7/2009 BOARD ACTION: No action required.
9/2009 COMMITTEE DISCUSSION: Mr. Brosius presented the following proposed Position
Statement. Comments were solicited from DHHS and their recommendations were considered
and incorporated where the Policy Committee deemed appropriate.
9/2009 COMMITTEE RECOMMENDATION: Present proposed Position Statement to the full
Board for consideration. This issue will be revisited at the November 2009 meeting.
9/2009 BOARD ACTION: Have proposed Position Statement published in Forum for comments
before final adoption by Board.
11/2009 COMMITTEE RECOMMENDATION: Continue to collect comments. Position
Statement and comments will be considered at the January 2010 meeting.
11/2009 BOARD ACTION: Continue to collect comments. Position Statement and comments
will be considered at the January 2010 meeting.
1/2010 COMMITTEE DISCUSSION: Comments received are on file and were provided for the
Committee’s review. The Committee discussed the need for informed consent. It was the
consensus of the Committee that the proposed Position Statement should not be changed.
1/2010 COMMITTEE RECOMMENDATION: (Loomis/Camnitz) Approve proposed Position
Statement. Present to full Board for approval.
1/2010 BOARD ACTION: After a full Board discussion, the Board voted to table this issue until
the staff could obtain additional information regarding informed consent.
3/2010 COMMITTEE DISCUSSION: The Committee received comments from Dr. Wu and Mr.
Bode regarding current standards in telemedicine as it related to radiology. Additional
comments were made from public guests, indicating their interest in monitoring the Board’s
activity on this issue.
3/2010 COMMITTEE RECOMMENDATION: Mr. Brosius is to prepare new language for the
informed consent section of the proposed Position Statement. The proposal will be presented
to the Policy Committee at the May meeting for further consideration.
3/2010 BOARD ACTION: Accept the Committee Recommendation.
5/2010 COMMITTEE DISCUSSION: The Committee heard from Dr. Brian S. Kuszyk, MD, Past
President, NC Chapter of the American College of Radiology. Dr. Kuszyk explained that the
nature of radiology is such that all or nearly all of radiology is teleradiology. He also indicated
that the specialty of radiology is not one that relies upon informed consent. The Board
discussed the fact that perhaps the section on informed consent is aimed at such a narrow
category of cases that it is in fact more distracting than helpful.
5/2010 COMMITTEE RECOMMENDATION: Remove Informed consent section of the position
statement as not necessary.
5/2010 BOARD ACTION: Adopt Committee recommendation.
July 21-23, 2010
7/2010 COMMITTEE DISCUSSION: Janice Ramquist, Executive Director, North Carolina
Integrative Medicine Society provided the Committee with a written statement regarding the
Telemedicine position statement. Dr. Walker recommended that the section on fees be deleted.
7/2010 COMMITTEE RECOMMENDATION: Allow full Board to review letter from NCIMS.
Approve proposed changes to Telemedicine position statement, which include deleting the
informed consent and fee sections.
7/2010 BOARD ACTION: Adopt the Committee recommendation.
Telemedicine
“Telemedicine” is the practice of medicine using electronic communication, information
technology or other means between a licensee in one location and a patient in another location
with or without an intervening health care provider.
The Board recognizes that technological advances have made it possible for licensees to
provide medical care to patients who are separated by some geographical distance. As a
result, telemedicine is a potentially useful tool that, if employed appropriately, can provide
important benefits to patients, including: increased access to health care, expanded utilization of
specialty expertise, rapid availability of patient records, and the reduced cost of patient care.
The Board cautions, however, that licensees practicing via telemedicine will be held to the same
standard of care as licensees employing more traditional in-person medical care. A failure to
conform to the appropriate standard of care, whether that care is rendered in-person or via
telemedicine, may subject the licensee to potential discipline by this Board.
The Board provides the following considerations to its licensees as guidance in providing
medical services via telemedicine:
Training of Staff -- Staff involved in the telemedicine visit should be trained in the use of the
telemedicine equipment and competent in its operation.
Examinations -- Licensees using telemedicine technologies to provide care to patients located in
North Carolina must provide an appropriate examination prior to diagnosing and/or treating the
patient. However, this examination need not be in-person if the technology is sufficient to
provide the same information to the licensee as if the exam had been performed face-to-face.
Other examinations may also be considered appropriate if the licensee is at a distance from the
patient, but a licensed health care professional is able to provide various physical findings that
the licensee needs to complete an adequate assessment. On the other hand, a simple
questionnaire without an appropriate examination may be a violation of law and/or subject the
licensee to discipline by the Board.1
Licensee-Patient Relationship – The licensee using telemedicine should have some means of
verifying that the person seeking treatment is in fact who he or she claims to be. A diagnosis
should be established through the use of accepted medical practices, i.e., a patient history,
mental status examination, physical examination and appropriate diagnostic and laboratory
testing. Licensees using telemedicine should also ensure the availability for appropriate followup care and maintain a complete medical record that is available to the patient and other
treating health care providers.
1
See also the Board’s Position Statement entitled “Contact with Patients before Prescribing.”
July 21-23, 2010
Medical Records -- The licensee treating a patient via telemedicine must maintain a complete
record of the telemedicine patient’s care according to prevailing medical record standards. The
medical record serves to document the analysis and plan of an episode of care for future
reference. It must reflect an appropriate evaluation of the patient's presenting symptoms, and
relevant components of the electronic professional interaction must be documented as with any
other encounter.
The licensee must maintain the record’s confidentiality and disclose the records to the patient
consistent with state and federal law. If the patient has a primary care provider and a
telemedicine provider for the same ailment, then the primary care provider’s medical record and
the telemedicine provider’s record constitute one complete patient record.
Licensure -- The practice of medicine is deemed to occur in the state in which the patient is
located. Therefore, any licensee using telemedicine to regularly provide medical services to
patients located in North Carolina should be licensed to practice medicine in North Carolina.2
Licensees need not reside in North Carolina, as long as they have a valid, current North
Carolina license.
North Carolina licensees intending to practice medicine via telemedicine technology to treat or
diagnose patients outside of North Carolina should check with other state licensing boards.
Most states require physicians to be licensed, and some have enacted limitations to
telemedicine practice or require or offer a special registration. A directory of all U.S. medical
boards may be accessed at the Federation of State Medical Boards Web site:
http://www.fsmb.org/directory_smb.html.
Fees – The Board’s licensees should be aware that third-party payors may have differing
requirements and definitions of telemedicine for the purpose of reimbursement.
Medical, Nursing, Pharmacy Boards: Joint Statement on Pain Management in End-of-Life Care
5/2010 COMMITTEE DISCUSSION: The Committee discussed whether changes should
be made to specify that the position statement applies to other licensees as well. It was
suggested that, since the position statement was initially propounded as a joint
statement, it might be helpful to discuss this matter with the other licensing boards.
5/2010 COMMITTEE RECOMMENDATION: Mr. Brosius to contact the Pharmacy Board
and the Nursing Board to determine if they object to the proposed changes and if they
will join in those changes.
5/2010 BOARD ACTION: Adopt the Committee recommendation.
7/2010 COMMITTEE RECOMMENDATION: Mr. Brosius to contact the Pharmacy Board
and the Nursing Board to determine if they object to the proposed changes and if they
will join in those changes.
N.C. Gen. Stat. § 90-18(c)(11) exempts from the requirement for licensure: “The practice of medicine or
surgery by any nonregistered reputable physician or surgeon who comes into this State, either in person
or by use of any electronic or other mediums, on an irregular basis, to consult with a resident registered
physician or to consult with personnel at a medical school about educational or medical training. This
proviso shall not apply to physicians resident in a neighboring state and regularly practicing in this State.”
2
The Board also notes that the North Carolina General Statutes define the practice of medicine as
including, “The performance of any act, within or without this State, described in this subdivision by use of
any electronic or other means, including the Internet or telephone.” N.C. Gen. Stat. § 90-1.1(5)f.
July 21-23, 2010
7/2010 BOARD ACTION: Adopt the Committee recommendation.
Joint Statement on Pain Management in End-of-Life Care
(Adopted by the North Carolina Medical, Nursing, and Pharmacy Boards)
Through dialogue with members of the healthcare community and consumers, a number of
perceived regulatory barriers to adequate pain management in end-of-life care have been
expressed to the Boards of Medicine, Nursing, and Pharmacy. The following statement
attempts to address these misperceptions by outlining practice expectations for physicians and
other health care professionals authorized to prescribe medications, as well as nurses and
pharmacists involved in this aspect of end-of-life care. The statement is based on:



the legal scope of practice for each of these licensed health professionals;
professional collaboration and communication among health professionals providing
palliative care; and
a standard of care that assures on-going pain assessment, a therapeutic plan for pain
management interventions; and evidence of adequate symptom management for the
dying patient.
It is the position of all three Boards that patients and their families should be assured of
competent, comprehensive palliative care at the end of their lives. Physicians, nurses and
pharmacists should be knowledgeable regarding effective and compassionate pain relief, and
patients and their families should be assured such relief will be provided.
Because of the overwhelming concern of patients about pain relief, the physician needs to give
special attention to the effective assessment of pain. It is particularly important that the
physician frankly but sensitively discuss with the patient and the family their concerns and
choices at the end of life. As part of this discussion, the physician should make clear that, in
some end of life care situations, there are inherent risks associated with effective pain relief.
The Medical Board will assume opioid use in such patients is appropriate if the responsible
physician is familiar with and abides by acceptable medical guidelines regarding such use, is
knowledgeable about effective and compassionate pain relief, and maintains an appropriate
medical record that details a pain management plan. Because the Board is aware of the
inherent risks associated with effective pain relief in such situations, it will not interpret their
occurrence as subject to discipline by the Board.
With regard to pharmacy practice, North Carolina has no quantity restrictions on dispensing
controlled substances including those in Schedule II. This is significant when utilizing the
federal rule that allows the partial filling of Schedule II prescriptions for up to 60 days. In these
situations it would minimize expenses and unnecessary waste of drugs if the prescriber would
note on the prescription that the patient is terminally ill and specify the largest anticipated
quantity that could be needed for the next two months. The pharmacist could then dispense
smaller quantities of the prescription to meet the patient’s needs up to the total quantity
authorized. Government-approved labeling for dosage level and frequency can be useful as
guidance for patient care. Health professionals may, on occasion, determine that higher levels
are justified in specific cases. However, these occasions would be exceptions to general
practice and would need to be properly documented to establish informed consent of the patient
and family.
Federal and state rules also allow the fax transmittal of an original prescription for Schedule II
drugs for hospice patients. If the prescriber notes the hospice status of the patient on the faxed
document, it serves as the original. Pharmacy rules also allow the emergency refilling of
prescriptions in Schedules III, IV, and V. While this does not apply to Schedule II drugs, it can
July 21-23, 2010
be useful in situations where the patient is using drugs such as Vicodin for pain or Xanax for
anxiety.
The nurse is often the health professional most involved in on-going pain assessment,
implementing the prescribed pain management plan, evaluating the patient’s response to such
interventions and adjusting medication levels based on patient status. In order to achieve
adequate pain management, the prescription must provide dosage ranges and frequency
parameters within which the nurse may adjust (titrate) medication in order to achieve adequate
pain control. Consistent with the licensee’s scope of practice, the RN or LPN is accountable for
implementing the pain management plan utilizing his/her knowledge base and documented
assessment of the patient’s needs. The nurse has the authority to adjust medication levels
within the dosage and frequency ranges stipulated by the prescriber and according to the
agency’s established protocols. However, the nurse does not have the authority to change the
medical pain management plan. When adequate pain management is not achieved under the
currently prescribed treatment plan, the nurse is responsible for reporting such findings to the
prescriber and documenting this communication. Only the physician or other health professional
with authority to prescribe may change the medical pain management plan.
Communication and collaboration between members of the healthcare team, and the patient
and family are essential in achieving adequate pain management in end-of-life care. Within this
interdisciplinary framework for end of life care, effective pain management should include:






thorough documentation of all aspects of the patient’s assessment and care;
a working diagnosis and therapeutic treatment plan including pharmacologic and
non-pharmacologic interventions;
regular and documented evaluation of response to the interventions and, as
appropriate, revisions to the treatment plan;
evidence of communication among care providers;
education of the patient and family; and
a clear understanding by the patient, the family and healthcare team of the
treatment goals.
It is important to remind health professionals that licensing boards hold each licensee
accountable for providing safe, effective care. Exercising this standard of care requires the
application of knowledge, skills, as well as ethical principles focused on optimum patient care
while taking all appropriate measures to relieve suffering. The healthcare team should give
primary importance to the expressed desires of the patient tempered by the judgment and legal
responsibilities of each licensed health professional as to what is in the patient’s best interest.
(October 1999)
OLD BUSINESS:
BOARD CERTIFICATION DISTINCTION
7/2009 BOARD ACTION: Approve proposed rule. Proceed with rule-making
process.
9/2009 COMMITTEE DISCUSSION: It was reported that the following rule has been
submitted to the Office of Administrative Hearings to be published in the NC
Register. A public hearing for the purpose of collecting any comments will be held at
the Board’s office on November 30, 2009 at 11:00 am. The proposed rule will be
submitted to the Board at its December meeting for adoption.
9/2009 BOARD ACTION: Accept as information.
July 21-23, 2010
11/2009 COMMITTEE DISCUSSION: It was reported that the following rule has
been submitted to the Office of Administrative Hearings and was published in the NC
Register. A public hearing for the purpose of collecting any comments will be held at
the Board’s office on November 30, 2009 at 11:00 am. The Board continues to
receive comments. The proposed rule and comments collected will be presented to
the Board at its January 2010 meeting for consideration.
11/2009 COMMITTEE RECOMMENDATION: No action necessary.
11/2009 BOARD ACTION: No action necessary.
1/2010 COMMITTEE DISCUSSION: A public hearing was held on November 30,
2009, for the purpose of receiving comments regarding the proposed rule. A
taskforce is currently being assembled to further research and consider this issue.
No action is necessary at this time.
1/2010 COMMITTEE RECOMMENDATION: For information only. No action
necessary at this time.
1/2010 BOARD ACTION: Dr. Jablonski is to appoint a taskforce to further research
and consider this issue.
5/2010 COMMITTEE DISCUSSION: The taskforce has been created and its first
meeting is scheduled for May 18th, 2010.
5/2010 COMMITTEE DISCUSSION: The taskforce has been created and held its
first meeting on May 18, 2010. The taskforce invited additional comments on the
issue to those present and will table this matter until sufficient time has transpired to
allow for additional comment.
5/2010 COMMITTEE RECOMMENDATION: For information only. No action
necessary at this time.
5/2010 BOARD ACTION: Adopt Committee recommendation.
7/2010 COMMITTEE DISCUSSION: Mrs. Apperson addressed the Committee
regarding the May 18, 2010, taskforce meeting. It was suggested that the
Committee consider adding criteria to the proposed rule in order to specify the
requirements that the Board could consider in determining which certifying boards
would be approved to use the term “Board Certified.” The Committee indicated that
there seemed to be a consensus that a licensee must specify what area they are
board certified in when advertising and identify the certifying Board. This would
prohibit a licensee from advertising as being board certified and the board
certification being in a field unrelated to the one being advertised. Additionally, the
Committee pointed out that reporting board certifications for hospital credentialing
purposes is not advertising. It was suggested that the Committee consider defining
advertising. A representative of the NCMS suggested that the rule might work better
in conjunction with a position statement. Dr. Walker pointed out that the Board
originally had a position statement and the proposed rule was an effort to establish
regulatory authority.
7/2010 COMMITTEE RECOMMENDATION: No action taken.
7/2010 BOARD ACTION: Adopt the Committee recommendation.
July 21-23, 2010
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.
LICENSE COMMITTEE 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.
Eleven licensure interviews were considered. 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.
July 21-23, 2010
OPEN SESSION
OLD BUSINESS:
1.
Statutory Requirement for Postgraduate Training
Issue: At the March 2009 meeting a motion was passed for staff to investigate the feasibility of
changing NCGS 90-9.1(a)(2)a to require completion of more than 1 year of postgraduate
education for graduates of a medical college approved by the Liaison Commission on Medical
Education, an osteopathic college approved by the American Osteopathic Association or The
Committee for the Accreditation of Canadian Medical Schools after graduation from medical
school. 11/09 Board Action: Have legal provide an update at the January 2010 meeting.
Tasked to legal 12/9/09
01/2010 Board Action: Recommend special project assignment to contact stake holders and
research the repercussions it will have on the medical community.
03/2010 Board Action: Legal to provide update at May 2010 meeting.
05/2010 Board Action: Thom Mansfield to continue to get input from stakeholders.
Update: Mr. Mansfield has not undertaken any additional meetings as of yet because it became
clear that the input process would be lengthy and that this session of the legislature was going
to end quickly without any realistic possibility of getting a bill considered this year.
Committee Recommendation: Dr. Kirby and Mr. Mansfield to pursue meetings with
stakeholders regarding the impact of changing the statue will have on the GME programs,
starting with Dr. Gerancher.
Board Action: Dr. Kirby and Mr. Mansfield to pursue meetings with stakeholders regarding the
impact of changing the statue will have on the GME programs, starting with Dr. Gerancher.
2.
Legal Residence Status – P. Balestrieri
Staff continues to investigate the most practical way to verify that an applicant is a legal resident
of the US. 11/09 Board Action:
Move forward with staff’s proposal. Legal and Licensing
Staff have submitted an application to participate in the SAVE program and are awaiting a
response to the request.
1/2010 Board Action: Accept as information – Staff to provide update at March meeting.
3/2010 Board Action: Department of Homeland Security has backlog. Legal to provide update
at May 2010 meeting.
05/20 10 Board Action: Staff will continue to request status updates from the Department of
Homeland Security every 2 months. Legal will provide updates at next committee meeting.
Update: No news from Save Program. Mr. Balestrieri will continue to check in with them
periodically and report at the September meeting.
Committee Recommendation: Staff will continue to contact the SAVE program every two
months and report back to the Board until a decision has been made on NCMB’s application.
July 21-23, 2010
Board Action: Accept as information.
NEW BUSINESS
3.
Criteria for PLOCs on “failure to disclose”
Issue: Dr. Sheppa requests clarification for consistency – see his 4/9 email to Dr. Huff. The
committee discussed setting the criteria for PLOCs.
Board Action: Table until July 2010 meeting.
Committee Recommendation: Accept as information. Continue to consider each application on
an individual basis.
Board Action: Accept as information. Continue to consider each application on an individual
basis.
4.
CME Rule Change
Issue: The following amendment to 32B .1303(b) (4) was approved during the June hearings
and submitted to Rules Review as a part of the licensing rules rewrite:
Issue (4) within the past three years, received a practice-relevant, three-year AMA Physician's
Recognition Award or AOA equivalent CME. years completed CME as required by 21 NCAC
32R .0101(a), .0101(b), and .0102
Committee Recommendation: Accept as information.
Board Action: Accept as information.
5.
Review of AMA/PRA CME by Board Members for applicants
Issue: Currently, otherwise clean applications which use the AMA/PRA certificate to satisfy the
ten-year rule are routed to Board members for review to make sure the CME is practice
relevant. Staff believes this can be handled by the OMD and Board members consulted on an
as needed basis.
Committee Recommendation: For clean applications in which AMA/PRA certificate is submitted
to satisfy the ten-year rule: OMD will review underlying CME to make sure it is practice relevant.
If so, staff will issue license. If not, or if there is any question, staff will send out for Board
member review.
Board Action: For clean applications in which AMA/PRA certificate is submitted to satisfy the
ten-year rule: OMD will review underlying CME to make sure it is practice relevant. If so, staff
will issue license. If not, or if there is any question, staff will send out for Board member review.
6.
Licensing Review Workgroup – Executive Summary
Issue: Mr. Henderson has put together an Executive Summary of the changes recently made to
the licensing requirements and on-line application. Changes include modifications to the
licensing rules.
July 21-23, 2010
Committee Recommendation: Accept as information. Send Amy Whitted at NCMS a copy of
the new license application and relative forms.
Board Action: Accept as information. Send Amy Whitted at NCMS a copy of the new license
application and relative forms.
7.
Prior out of state actions for applicants.
Issue: There was a discussion on whether staff should put prior out of state actions on the
licensee information page or allow the licensee to update.
Committee Recommendation: License committee will continue to monitor; a work in progress.
Board Action: Accept as Information.
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.
Ten 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.
PHYSICIAN APPLICANTS PRESENTED TO
THE JULY, 2010 MEETING
Abraham, William David
Abu Ahmed, Tahanie
Adamson, Megan Marie
Adegoroye, Adeyinka Abimbola
Ahiarah, Ahunna Ngozi
Ahmad, Tariq
Ahmad, Zeeshan Naseer
Aitken, Paul Vincent
Akbar, Farooq
July 21-23, 2010
Akbary, Hares
Akbary, Silvija
Alauddin, Kashif
Allaboun, Kadry Raji
Alm, Stephanie Shannon Morgan
Andrews, Thomas John
Anthony, Robert Ray
Appel, James Ziegler
Armenta Corona, Jorge Nicolas
Arts, Jeff Patrick
Ashraf, Muhammad Salman
Atisha, Dunya Mary
Atli, Aysel
Atluri, Tej Kumar
Auerbach, Amy Rebecca
Ayepah, Rina
Bacelieri, Rocky Evan
Bailey, Westly Adrian
Baillie, Daniel Robert
Bain, Jesse Colin
Baker, Scott Dillman
Balle, David Scott
Banks, Jeffrey Allan
Barber, Alfred Joseph
Barber, Joseph Richard
Barker, Joseph Uhalt
Barreda, Joyce Ileana
Bates, Shayne Ethan
Beasley, Benjamin Edward
Bellisari, Gregory Ernest
Berenzon, Dmitriy Petrovich
Berliner, Adam Michael
Berman, Lawrence Miller
Bermudez, Jennifer Jane
Bernacki, Gwen Marie
Betro, Joseph R
Beyer, Gregory Robert
Bigger, Elizabeth Sun-Mee
Biswas, Tithi
Black, Mitchell Collins
Block, Geoffrey Douglas
Bocook, Jessica Dawn
Boliek, William Gary
Bonner, James M
Bourjeily, Nabil Abdallah
Bowman, Natalie McCarter
July 21-23, 2010
Braithwaite, Mary Fox
Brown, Angel Aleatha
Brown, Caroline Thomas
Brumit, James Mark
Bruner, David Ingram
Buchanan, Cynthia Elton
Buckingham, Lisa Caroline
Bulsiewicz, William John
Bumgarner, Elizabeth Jane
Bunch, Jennifer Bucci
Butt, Abid Shahzad
Callahan, Kathryn Elizabeth
Campeau, Lysanne
Cannon, Jennifer
Cardell, Deborah Lynn
Carey, Erin Teeter
Carroll, Nicole Summerour
Carter, Kevin Sterling
Cassidy, Amy Lucille
Caudill, Terra Celeste
Chaudhary, Nusrat Ahmad
Cheng, Sybil K
Chia, Stephanie Ming-Way
Chiasson, Melissa Ann
Choudhary, Varun
Clanton, Pamela Anne
Clark, Andrew Douglas
Clark, Aundrea Lynn
Clay, E. Leila Jerome
Clements, Wilson Monroe
Cohen, Jennifer Diane
Collins, Deborah
Connelly, Scott Vincent
Constant, Douglas Lionel
Constant, Peggy
Contreras, Jamie Jaqua
Coopey, Adrienne Ruth
Cox, Natravis Ramon
Dailey, Natalie Janine Miriam
Dartey-Hayford, Samuel Kwame
Daud, Faisal Ahmad
Davidson, Deanna Starr
Dawkins, John Graves
Day, Jonathan Michael
De Guzman, Joy Imperial
Del Rio Munoz, Jose Mauricio
July 21-23, 2010
Demetri, Charalambos
Denny, Gerald Blalock
D'haenens, Joseph Paul
Dickey, Marcy Lynn
Dickinson, Jeri Elizabeth
Dieter, Benjamin Scott
DiGiacomo, Philip John
Dimitrova Koutleva, Dobrinka Velikova
Dodis, Regina
Dolhun, Rachel Marin
Dorfman, Todd Andrew
Dormois, John Carl
Duncan, Scott Meacham
D'Urso, Francis Anthony
Dusek, David Andrew
Eads, Emily Dawn
Ebong, Imo Asuquo
Edwin, Micah Boaz Obadiah
Eichelberger, Kacey Young
Elhaimer, Ahmed
Elssner, Paul Andreas
Erickson, Kimberly McCrudden
Farel, Claire Elise
Fasina, Abiola Abodunrin
Feyissa, Girum Ketema
Fisher, David Andrew
Foltz, Gretchen Marie
Forsha, Daniel Eric
Fortgang, Kenneth
Francis, Geoffrey Alan
Fuller, Lance Robert
Gallagher, Meera Patel
Ghanami, Racheed Joseph
Ghimire, Shanker Mani
Gocke, Ryan Thomas
Goldblatt, Mark Robert
Graham, Rose Corinne
Gray, Alice Lee
Green, Thomas John
Grezaffi, John Adam
Grider, Douglas James
Gutierrez, Javier
Hahn, Paul Sang Do
Hampson, Mary Suzanne
Hart-Unger, Sarah
Hartz, Douglas Joseph
July 21-23, 2010
Hash, Kendall Sibley
Hash, Thomas Walter
Havas, Jeremy D
Hayashi, Masanori
Helm, David Scott
Henderson, Jessica Lynn
Hensley, Justin Paul
Hensley, Katherine Hampshire
Hiestand, Brian Charles
Higgins, Ashantice Kenyana
Hill, Becki Sue
Hines, Chesley
Hinton, Joseph Bryan
Hollrah, Scott Allen
Holmsten, Walter Russell
Howell, Diane Michelle
Hudson, Christopher John
Hudson, Timothy Craig
Hulett, Cidney Scott
Humsi, Juliette Ann
Huneycutt, Benjamin Stuart
Hurwitz, Jennie Rachel
Hussain, Farid M
Ibazebo, Wesley
Ivey, Noel
Jain-Rodriguez, Anitha Kamla
Jakstys, Rima Eleonora
James, Jehana Asaidra
Janjua, Nadia Khan
Jarvis, Amber Marie
Jernigan, Nicholas Allen
Jha, Shivkumar
Johnson, Amy Brook
Jolly, Trevor Augustus
Jones, Jason Matthew
Jonnalagadda, Venkata Ramanamba
Jose, Folashade Adebisi Mueenot
Jou, Janice Hsiao-Lun
Kajoian, Armineh Babaian
Kaldas, Amir Ishak
Kalisetti, Radhika
Kandra, Ajay Kumar
Kansara, Sanjay Chinubhai
Kanyi, Emmanuel
Kaplan, Keith Jacob
Kapural, Leonardo
July 21-23, 2010
Karim, Zakiya Sultana
Karpenko, Matthew J
Kelmenson, Robin Deston
Khan-Hudson, Alia
Khawaja, Fawad Naeem
Khazanie, Prateeti Prabhaker
Khera-McRackan, Naina
Khode, Renu
King, Jeffrey Bryan
Kipikasa, Joseph Henry
Kite, Lisa Lea
Klahr, Phillip D
Knightshead, Kandi Terell
Koch, Spencer Robison
Koreen, Irina V.
Korrapati, Vinod
Kosko, John Herrington
Koul, Sharat
Krishnamurthy, Ashok Subramanian
Krishnan, Pranay
Kuzma, Kevin Robert
Lacap, Anton Peter
Lark, Robert Kamiel
Laudate, James Darrell
Lee, Rusty Joe
Lee, Teng Chun
Li, Jing
Lipata, Fredilyn Manalo
Logan, Scott Donovan
Lowery, Ashlei Williams
Lowery, William Jeffrey
Lustig, David Michael
Lynch, Christopher Raymond
Machado, Ricardo
Maguire, Jennifer Marie
Mahmood, Kamran
Mahoney, Joseph Peter
Makhija, Kanishk
Manning, Rebecca Anna
Manning, Steven Mark
Marshall, Shirley Ann
Martin, Daniel John
Mathers, Keith Jeffrey
Matley, Ryan Christopher
Mautner, James F
Maximin, Suresh Thomas
July 21-23, 2010
May, Monique Danielle
Mayans, Laura Christine
Mayer, Stephanie Brigitte
Mays, Rhett Churchill
McCanta, Anthony Charles
McConahy, Melissa Lynn
McConnell, Stephen David
McHale, Robert James
McLemore, Jerri Lynn
Melvin, James Stuart
Meuse, Megan Clare
Meuse, Michael Anthony
Miller, Thomas Davis
Miller, Timothy Bryan
Ming, David Yung
Mirmow, Dwight Paul
Misra, Dipika
Missick, Benjamin James
Mitchell, Kate Lawrence
Mody, Vaishali R
Moise, Duane Marvin
Mooney, Kimberly L. M.
Moore, Robin Michelle
Moore, Scott Matthew
Moran, Louis Jeffrey
Morgan, Justin Wade
Morris, Deborah Alissa
Moseley, Jonathan Allan
Mostak, Richard Grant
Mourad, Mervat
Mufarrij, Patrick Walid
Mullins, Amanda Catherine
Munford, Loreli Robin
Murphy, James Thomas
Murphy, Robert Bryan
Murphy, Timothy Daniel
Musunuru, Sandeepa
Mynster, Christopher John
Nakhla, Sammy Ghobrial
Nebab, Emmanuel Guillermo
Nguyen, Vu Huu
Niceler, Brock James
Nightingale, Daniel Ray
O'Connor, Siobhan Marie
Ogugua, Chukwuma Stephen
O'Hara, Peggy Elizabeth
July 21-23, 2010
Oliver, Lanta Christine
Ordman, Stanley Allen
Orkubi, Ghada Abdullah
Owens-Sloan, Natalie Christina
Oyelami, Ifeyemi Oyerinsola
Pabon-Ramos, Waleska Michelle
Paolillo, Joseph Anthony
Pappalardi, Jill M
Paquette, Edmond Laurent
Parcel, Ted William
Park, Chan Woo
Paschke, Joshua Kane
Patel, Gautam Ghanshyambhai
Patel, Pranav Dhaneshkumar
Pence, Billy Jack
Pepper, Matthew Daniel
Peragallo, Rachel Marie
Pharr, Emily Poole
Pieleanu, Adrian
Pieleanu, Irina
Pires, Emanuel Lino
Pirozzi, Donald J
Rabb, Forte Calloway
Rahbar, Reza
Rathnam, Punitha Ida
Rauls, Russell Barnes
Ravish, Matthew Edward
Ray, Adrienne Phillips
Ray, Vincent Lavalles Gills
Reece Hartz, Jennifer Leigh
Reisenauer, Christopher Scott
Rhee, Richard Jinho
Riley, Celeste Rita
Ro, Richard Youshin
Roberson, Diana Combs
Rocha, Sean Brian
Rodriguez, Raul
Rojas Balcazar, Juan Manuel
Roman, Philip Emanuel Francois
Rosdahl, Jullia Ann
Rose-Jones, Lisa Jeannette
Rosen, Leslie Bruce
Rosenzweig, Laura Beth
Ross, Robert R
Rossi, Paul Christopher
Rubio, Ruth Castro
July 21-23, 2010
Rudd, Joshua David
Rumbaugh, Christopher Allan
Russell, Gregory Alan
Russell, Mary Catherine
Saenz, Rodrigo Ernesto
Sailey, Charles Joseph
Salama, April Kelly Scott
Salama, Joseph Kamel
Salicru, Adriano Nussa
Samaropoulos, Xanthia Fallon
Sampat, Keeran Ravin
Samuel, Colleen Rochelle
Say, Emil Anthony Ty
Schonberg, Dana Beth
Schroeder, Kristin Marie
Selser, Helen Gordon
Selwane, Pierre Sami
Seward, James Bernard
Sewell, Kia Renece
Shah, Binit Prabhulal
Shah, Tilak Upendra
Shaikh, Khawar Mushtaq
Sharpe, Brent Alexander
Shaw, Jeremy Walter
Sheppard, John Edward
Sherwood, Matthew William
Shipley, Melissa Faith Game
Shoffeitt, John Paul
Sillings, Christine Norton
Sincock, Matthew Curren
Smith, Mackenzie Marie
Smith, Ronald Douglas
Smith, Trent William
Smrtka, Michael Patrick-Bousson
Sodhi, Santosh
Spandorfer, Philip Robert
Spratt, Donna Lee
Stanczak, Jeffrey
Steinberg, Benjamin Adam
Stepp, Kevin James Edward
Sterk, Troy Michael
Stevenson, Marvaretta Miesha
Stewart, Richard McBee
Stokes, Russell Brent
Stoutamire, Barney Daniel
Strayhorn, Shakonda
July 21-23, 2010
Strollo, Stephanie Lauren
Subla, Mir Rauf
Summers, Aerica Sadler
Sumrall, Ashley Love
Sweeney, Alison Evelyn
Swenson, Jason Alan
Syed, Tauseef Gilani
Szekeresh, Linda Ann
Tacktill, Norman
Taylor, Richard Stephen
Tepper, Bryan Kenneth
Terlecki, Ryan Patrick
Theall, Gary Wayne
Thekdi, Ashish Dinesh
Thiyagarajan, Thanigaiarsu
Thomas, Brooke Burkart
Thomas, Cherisse Jamala
Thomas, J George
Thomas, Julian Manuel
Thompson, Corey Adam
Torres-Sy, Maria Aurora Rivera
Trobbiani, Dina Marie
Tsirline, Victor B
Tunks, Robert Daniel
Turakhia, Palak Bipin
Ungerleider, Ross Michael
Uniat, Reuben Wayne
Valentine, Brandon James
Van Tassel, Pamela
Velasco-Trujillo, Juan Carlos
Verdura, Nicholas
Vieages, Ananda Leah
Viechnicki, Tara Marie
Villar, Carlos Eugenio
Villarosa, Leonardo Leopando
Volk, Matthew John
Von Klar, John Lowell
Vu, Thuy L.
Wajida, Ghousia
Walker, Jennifer Azbell
Wallace, Suemoy Solone
Walsh, Michael Joseph
Ware, Patrick Lyle
Warner, Kristin Kay
Watford, John Wesley
Watts, Jonathan Michael
July 21-23, 2010
Weatherall, Justin Madison
Webb-Wood, Sarah
Wei, Benjamin
Weiss, Jared
Weitenberner, Nicholas Alan
Wells, Hamilton Jason
Welsh, Ian Robert
Wendell, Jonathan Craig
Wershba, Elisa Cheryl
Westervelt, Justin David
Westwater, Joseph James
Whitehead, Lisa Ann
Whitlock, Sandra Nasrallah
Whitlock, Tom Lee
Wick, Mark Robert
Wilkins, John Jasper
Williams, Amy Halbert
Williams, Jefferson Gary
Willinger, Samuel Michael
Wilson, George Dean
Woolard, Douglas Winfield
Workman, James Leonard
Wright, Jean A.
Wroblewska-Shah, Joanna Monika
Xie, Qingmei
Yanagi, Grant Jeffrey
Young, Michael Peter
Yuan, John Qing
Zacharias, Julie Anne
Zamor, Philippe Jude
Zani, Sabino
Zhou, Li
Reinstatement
Anthony, Robert Ray
Barber, Alfred Joseph
Bermudez, Jennifer Jane
Boliek, William Gary
Fisher, David Andrew
Fuller, Lance Robert
Hill, Becki Sue
Hines, Chesley
Huneycutt, Benjamin Stuart
May, Monique Danielle
Mirmow, Dwight Paul
Oliver, Lanta Christine
July 21-23, 2010
Orkubi, Ghada Abdullah
Samuel, Colleen Rochelle
Taylor, Richard Stephen
Ungerleider, Ross Michael
Uniat, Reuben Wayne
Reactivation
Clanton, Pamela Anne
Faculty Limited License
Carey, Erin Teeter
Francis, Geoffrey Alan
Say, Emil Anthony Ty
Retired Volunteer License
Wilson, George Dean
Special Volunteer License
Spandorfer, Philip Robert
Initial PA Applicants Licensed
05/01/10 – 06/30/10
PA-Cs
Name
Alston, Veronica Lynn
Belabin, Jeffrey Howard
Bender, Jenna Daggett
Bennett, Kelly Anne
Bernal, Lindsay Scales
Boles, Katharine Olivia
Bortner, Stephanie June
Bosley, Jeffrey Scott
Boyce, Clifford Vernon
Boykin, Ryan Elizabeth
Butler, Eric Ryan
Cabaniss, William Carlton
Chan, Kate Wai-Ki
Cockerham, Jessica Danyel
Connell, Jennifer
Dammen, Peter Scott
Davis, TraVonda
Downs, Marc Andrew
Drabik, Joanna K
Entzi, Emily Suzanne
05/26/2010
05/12/2010
05/28/2010
05/03/2010
06/11/2010
06/15/2010
06/23/2010
06/02/2010
05/13/2010
06/08/2010
06/17/2010
06/21/2010
05/21/2010
06/04/2010
06/14/2010
06/11/2010
06/14/2010
06/30/2010
05/21/2010
06/04/2010
July 21-23, 2010
Everidge, Julie
Foley, Brianne
Galli, Lindsay Marie
Geiple, Joshua Scott
Girocco, Susanna Lee
Halla, Brian Louis
Haynes, Elizabeth Miles
Heggerick, Gretchen Elizabeth Austin
Heins, James Florian
Heslep, Mallory Gwen
House, Ashley Renee
Huber, Tracey Nicole
Hunt, Bethany Jordan
Ide, Christina Marie
Imboden, Lauren Whisenant
Jackson, Brittany Amber
Kiehle, Adrienne Marie
Kline, Britney Dawn
Koepp, Peter Christopher
Kreger, Edward Lance
LaFayette, Sara
Lamberson, Faith Nicole
Lauer, Thomas M
Lyon, Christopher
Lyons, Jennings DeWayne
McClure, Erin Louise
McCutcheon, Leslie Ann
McDaniel, Denise Wilson
McLamb, Michael Andrew
Miedema, Marcia Garris
Nordbladh, Louise Ingegerd Charlotta
O'Neil, Brianna Jean
Parmley, Deidre Jannell
Peacock, Brian Barkley
Plate, Anne C
Reed, Courtnay Works
Reese, Niki
Rezac, Darcy Jo
Rice, Easton Martin
RockWiley, Keith Steele
Roczniak, Regina Jo
Rogers, Samantha Deviney
Rutherford, Annie
Scott, Rachelle Ranee
Shaffer, Simon-Peter
Smith, Matthew Thomas
06/17/2010
06/11/2010
06/15/2010
06/07/2010
06/30/2010
06/30/2010
06/04/2010
06/14/2010
06/01/2010
06/04/2010
06/30/2010
06/14/2010
06/07/2010
06/17/2010
06/21/2010
06/11/2010
06/15/2010
06/29/2010
05/24/2010
06/11/2010
06/23/2010
05/26/2010
05/26/2010
06/11/2010
06/24/2010
05/03/2010
06/30/2010
06/11/2010
05/21/2010
06/11/2010
06/18/2010
06/14/2010
06/17/2010
06/18/2010
06/15/2010
06/04/2010
06/28/2010
06/11/2010
05/26/2010
06/23/2010
05/26/2010
06/07/2010
05/26/2010
06/24/2010
05/06/2010
06/23/2010
July 21-23, 2010
Speight, Jamie Leigh
Steerman, James G
Turner, Lauren Blake
Von, Karla Virginia
Wall, Philly Marie
Weiland, Daniel Mark
Wheeler, Kevin Lynn
Wilkens, Lyndsay
Williams, Mathew Wade
Wood, Charles Christopher
Zachman, Melissa Clare
Zastudil, Amanda Sue
06/23/2010
06/15/2010
06/01/2010
05/04/2010
06/28/2010
06/22/2010
05/24/2010
06/23/2010
06/04/2010
06/22/2010
06/28/2010
05/03/2010
PA-Cs Reactivations/Reinstatements/Re-Entries
Johnson, Betty Lynne Wallace
Nicholson, Janice
Pixton, Jan Maree
Seal, James Hargett
06/10/2010
06/16/2010
06/23/2010
06/03/2010
Additional Supervisor List – 05/01/10 – 05/31/10
PA-Cs
Name
Amos, Clifford
Arbogast, Tanya
Arbogast, Tanya
Babb, Richard
Balsly, Josh
Barboza, Bryan
Barrow, Kern
Bath, Deanna
Bath, Deanna
Belabin, Jeffrey
Bennett, Kelly
Bonito, Jeffrey
Branstetter, Annie
Buchanan, Misty
Burkes, Cynthia
Burns, Tricia
Carpenter, Iliana
Collins, Amanda
Collins, Ann
Craig, Dinah
Primary Supervisor
Blyth, Stacey
Burnett, Tara
Feinson, Theodore
Fogartie, James
Idrissi, Rachid
Lostetter, Stephen
Palega, Gregory
Cantuaria, Guilherme
McDonald, John
Minior, Daniel
Vesa, Allin
Unks, Dennis
Carroll, Eben
Nnadi, Victoria
Lee, Melvin
Lacin, Robert
Perez-Navarro, Paul
Young, Carol
Smith, Jarvis
Saini, Hari
Practice City
Tarboro
Raleigh
Raleigh
Raleigh
Benson
Gastonia
Wallace
Charlotte
Charlotte
Dunn
Statesville
Asheville
Winston Salem
Kernersville
Fuquay-Varina
Raleigh
Wilson
Fort Bragg
Burlington
Fayetteville
July 21-23, 2010
Craver, Amelia
Del Rosario, Josephine
Downing, Karol
Downing, Karol
Driebeek, Mary
Drinkwater, Don
Dugliss, Malcolm
Dye, Jennifer
Efird, Mark
Emler, Sherlynn
Ensign, Todd
Farmer, Kimberly
Franklin, Amy
Galban, Carlos
Gocke, Thomas
Godwin, Anita
Gonzalez, Eugenio
Gore, William
Hage, Suzanne
Harris, Brenda
Hayes, Kathleen
Hendrix, Anne
Herlihy, Michelle
Hill, Sylvie
Hinds, David
Holland, Geoffrey
Holler, Teresa
Hollingsworth, Robert
Hudak, Nicholas
Hudak, Nicholas
Hudak, Nicholas
Hughes, Jo
Huynh, Tam
Izaj, Nicholas
Johannes, Julie
Keller, Michael
Kellermeyer, Angela
Kerchner, Bryan
Kerchner, Bryan
Kirsch, Eric
Kirsch, Eric
Kowaleski, Jennie
Laws, Steven
Lawyer, Christopher
Leaman, Jason
Lee, Allyson
Lee, Melvin
Williams, Jonathan
Almirall, Peter
Forstner, James
Keenan, Robert
Collins, Roger
Groh, Mark
Henry, Christy
Lutz, Charles
Saltz, James
Richardson, Wendell
Frankos, Mary
Aklilu, Mebea
Grossell, Michael
Messerly, David
Wilson, Lisa
Lacroix, Christopher
Meyer, Mitchell
Smithson, Robert
Faison, Vanosia
King, Lunsford
Silver, Marc
Okonkwo, Ifeyinwa
Daubert, James
Broadwell, Richard
Harris, William
McCann, Shawn
Stuart, Dennis
Massey, Edward
Morgenlander, Joel
Skeen, Mark
Sena, Carol
Olmedo, Mario
Le, Tri
Naziri, Wade
Ballard, William
Croland, David
Barron, Jerry
Homesley, Howard
Braunstein, Andrew
Giallanza, Peterson
Israel, Rodger
Moyer, Frank
Elmahdy, Wagdy
Gibbons, Gregory
Barnes-Durity, Monica
Clayton
Kinston
Oak Island
Southport
Durham
Cary
Asheville
Raleigh
Gastonia
Snow Hill
Emerald Isle
Wilmington
Winston Salem
Shelby
Raleigh
Kings Mountain
Warsaw
Wilmington
Raleigh
Durham
Wilmington
Raleigh
Fayetteville
Durham
Goldsboro
High Point
Carolina Beach
Lumberton
Durham
Durham
Durham
Greensboro
Durham
High Point
Greenville
Dobson
Waxhaw
Charlotte
Charlotte
Mooresville
Mooresville
Raleigh
Winston Salem
Winston Salem
Raleigh
Newton Grove
July 21-23, 2010
Lee, Allyson
Lentz, Jennifer
Lockett, Amy
Lowder, Richard
Malivuk, William
Marion, Wade
Martin, Patrick
Martin, Patrick
McClure, Erin
McHatton, Timothy
McLaughlin, Thomas
Melgar, Tammy
Migdon, Steven
Miller, Kevyn
Minor, David
Mitchell, Russell
Mitchell-Barnes, Donna
Moretz, Katherine
Munn, William
Ochs, Jeffrey
Paris, Melissa
Patel, Roshni
Peifer, Jennifer
Pennell, Shannon
Person, Jennifer
Polk, Aimee
Porter, Allison
Quintero, Tammi
Rabon, Patricia
Rabon, Patricia
Ramsey, Pamela
Randolph, Mark
Renn, Amber
Richardson, Keri
Rigsbee, William
Rigsbee, William
Robb, Sybil
Roczniak, Regina
Roth, Samuel
Russell, Douglas
Rutledge-Holt, Debbie
Sawyer, Lindsay
Schade, Jana
Scott, Tracy
Shanton, Gregory
Sheehan, James
Subedi, Rajesh
Kelley, Michael
Morris, Deborah
Tatter, Stephen
Forstner, James
Rhyne, Darryl
Freed, Cindy
Hayes, Laneau
Zinicola, Daniel
DeVirgiliis, Juan
Freund, Victor
Gootman, Aaron
Guha, Subrata
Kaminski, David
Nanjagowder, Velukumar
Hoski, James
Ainolhayat, Cecilia
Glenn, David
Lobao, Celso
Cromer, John
Hudson, Jennifer
Lin, Shu
Stouffer, George
Hamilton-Brandon, Luredean
Playford, Scott
Mattox, William
Borchelt, Bret
Andy, Camille
Morris, Deborah
Ogunwo, Susannah
Fleury, Robert
Hooper, Thomas
Butler, Brad
Chaudhry, Abdul
Palega, Gregory
Zinicola, Daniel
Benitez-Graham, Ana
Dickson, Christopher
Khoudary, Kevin
Elston, Scott
Richards, Michael
Gibbons, Gregory
Williams, Jonathan
Shadad, Firas
Whitlock, Gary
Sullivan, David
Newton Grove
Charlotte
Fayetteville
Winston Salem
Southport
Elkin
Murphy
Murphy
Rocky Point
Boone
High Point
Fayetteville
Wilson
Burlington
Winston Salem
Asheville
Fayetteville
Brevard
Rocky Mount
Wilmington
Salisbury
Durham
Chapel Hill
Lenoir
Jacksonville
Castle Hayne
Winston Salem
Oak Ridge
Fayetteville
Fayetteville
Pinehurst
Wilson
Angier
Raleigh
Wallace
Rocky Point
Mebane
Greensboro
Cary
Burlington
Fort Mill
Knightdale
Kinston
Greensboro
New Bern
Charlotte
July 21-23, 2010
Sherron, Katherine
Shier, Trilby
Shirlen, Andrew
Skaggs, Bethany
Skulavik, Patricia
Steimle, Theresa
Stephens, Robert
Swierz, Jennifer
Trent, Margie
Turner, Donald
Van Vooren, Amy
Von, Karla
Wallace, Connie
Walls, Linda
Ward, Tod
Weiss, Stanley
Wheeler, Merritt
White, Dale
Williams, Clifton
Wrenn, Cynthia
Wypych, Kelly
Law, Michael
Albert, Deborah
Kiser, Andy
Brezicki, Paul
Zellinger, Michael
Choi, Jiho
Flanders, Paul
Young, Carol
League-Sobon, Jennifer
Pathan, Ayaz
Riser, Mark
Meyer, Clinton
Saltzman, Leonard
Rose, Gregory
Wiggins, David
Palega, Gregory
Luoma, David
Rehfield, Amy
Taylor, Marshall
Gootman, Aaron
McGinnis, LaMar
Raleigh
Wilmington
Pinehurst
Concord
Dunn
Spring Lake
Asheville
Ft Bragg
High Point
Sanford
Louisburg
Wilmington
Albemarle
Raleigh
Thomasville
Wallace
Dallas
Knightdale
Greenville
Fayetteville
Charlotte
Additional Supervisor List – 06/01/10 – 06/30/10
PA-Cs
Name
Acker, Shekitta
Adams, Jason
Agresta, Dominic
Alcala, Jose
Alfano, Brian
Alves, Leonilde
Ambroise, Marie-Jacques
Andrews, Maureene
Avery, Leanne
Babb, Richard
Bacon, Jenise
Baker, David
Ballenger, Ann
Bass Ransom, Julie
Beard, Christina
Beauman, Glenn
Beauman, Glenn
Beauman, Glenn
Bennett, Kelly
Primary Supervisor
Weigle, Nancy
Gootman, Aaron
Frankos, Mary
Coleman, Ralph
Prather, Trina
Epling, Carol
Hooper, Jeffrey
Kauth, Brian
Steinl, Kevin
Baule, Raymond
Hunt, Mary
Kilby, Larry
Wofford, Marcia
Trani, Paul
Aul, Christopher
Clark, Edward
Clark, Eilis
Jones, Jeffrey
Thompson, Donovan
Practice City
Durham
Fayetteville
Wilmington
Durham
Durham
Durham
Durham
Hickory
Greensboro
Rocky Mount
Greensboro
Taylorsville
Winston Salem
Hendersonville
Fayetteville,
Wilson
Wilson
Wilson
Lincolnton
July 21-23, 2010
Bennett, Rachel
Bernal, Lindsay
Binstock, Michael
Blelloch, Lawrence
Blumenthal, Susan
Blumenthal, Susan
Bogdanova, Galina
Boles, Katharine
Bolt, Carol
Bolt, Carol
Bolt, Carol
Bortner, Stephanie
Bost, Derek
Boykin, Ryan
Bradshaw, Johnnie
Branum, Stephen
Briggs, Melvania
Brothers, Shaun
Brown, Jennifer
Brown, Jessica
Buck, Philip
Bumgarner, Mary Kathryn
Burnett, Kristin
Buschemeyer, Kristin
Buschemeyer, Kristin
Buschemeyer, Kristin
Bush, Kenneth
Bush, Kenneth
Campbell, Kimberly
Carlson, William
Carter, Alnissa
Carter, Paula
Carter-Adkins, Danielle
Carter-Adkins, Danielle
Cawley, Kathryn
Chambers, Gregory
Chambers, Gregory
Chance, Jeffery
Chance, Jeffery
Chavis, Anthony
Chen, Yuegang
Chen, Yuegang
Chester, David
Chester, David
Chester, David
Chester, David
Sloan, Randy
Kon, Neal
Sloan, Randy
Burnett, Tara
Graham, Mark
Lerro, Keith
Cabral, Gonzalo
Aklilu, Mebea
Allgood, Sara
Runyon, Michael
Vaden, Tracela
Whitman, Bruce
Lowry, David
Kon, Neal
Ohl, Matthew
McKaraher, Charles
Graddy, Logan
Guha, Subrata
Sinden, John
Hinson, Thomas
Gagliano, Louis
Hook, Matthew
Howard, Chad
Bullard, Dennis
Carr, James
Curzan, Mark
Guerrini, James
Lue, Alvin
Henry, Christy
Dewees, Steven
Elston, Scott
Goad, Bradley
Helman, Steven
Toborg, Robert
Kuo, Paul
Barnabei, Robert
Barnabei, Robert
Cannon, Brett
D'Amico, Paul
Burnett, Tara
Marterre, William
Stuart, Samuel
Dallis, James
Rowley, Mark
Rowley, Mark
Thompson, David
Hampstead
Winston Salem
Hampstead
Raleigh
Cary
Wilson
Wilson
Winston Salem
Charlotte
Charlotte
Charlotte
Lumberton
Lenoir
Winston Salem
Charlotte
Hickory
Durham
Raleigh
Raleigh
Winston Salem
Fayetteville
Raleigh
Charlotte
Raleigh
Raleigh
Cary
Winston Salem
Winston Salem
Raleigh
Kannapolis
Cary
Galax
Winston Salem
Winston Salem
Durham
Huntersville
Huntersville
Albemarle
Albemarle
Raleigh
Winston Salem
Winston Salem
Highpoint
High Point
Highpoint
High Point
July 21-23, 2010
Clark, Adam
Clark, Adam
Clarke, Karen
Clarke, Theresa
Clement, Ryan
Cockerham, Jessica
Coggin, Sharon
Colley, Harvey
Collins, George
Collins, Kristin
Collins, Kristin
Collins, Kristin
Collins, Kristin
Combs, Glen
Connell, Jennifer
Connor-Riddick, Tracy
Connor-Riddick, Tracy
Connot, Tony
Cooper, Donna
Copeland, Chanel
Cowen, Christopher
Crenshaw, Sharon
Crenshaw, Sharon
Cvelic, Patrick
Cvelic, Patrick
Dale, Henry
Dammen, Peter
Ball, Frank
Moore, Jeffrey
O'Donnell, Timothy
Oseki, Collins
Michau, Kenneth
Morgan, Amy
Vassallo, Peter
Dewees, Steven
Gullickson, Matthew
Duncan, Catherine
Godbout, Christopher
Reznik, Mark
Singh, Paul
Gardner, Donald
Elston, Scott
Menscer, Darlyne
Sullivan, David
Gullickson, Matthew
Bahner, Richard
McCorry, James
McFadden, John
Griffin, Ashton
O'Daniel, Mark
Galaska, Piotr
Keller, Mark
Marshall, William
Jacubowitz, Sam
Dang, Kim Anh
Davidson, Jeremy
Davidson, Teresa
Davis, Demetria
Dawson, Melanie
Day, Jerry
Deakle, Mary
Dec, Brandon
DeMio, Brian
DeMio, Brian
Denton, Ronald
DeRose, Sarah
DeSantis-Wilcox, Maria
Detrick, Joshua
Dillard, Wilbert
Dillon, Lindsay
Dillon, Lindsay
Dillon, Lindsay
Dochow, Jeffre
Antony, Jose
Highley, Timothy
Highley, Timothy
Ladapo, Jumoke
Millard, Jonathan
Beamer, Mark
Holland, James
Kirby, Alex
Krull, Ronald
Palega, Gregory
Bowman, Robley
Chao, Nelson
Robinson, Lindwood
Coles, Robert
Dockery, Pamela
Gioffre, Ronald
Gioffre, Ronald
Jacubowitz, Sam
Bush, Andrew
Laurinburg
Laurinburg
Durham
Angier
Raleigh
Concord
Pinehurst
Lincolnton
Matthews
Raleigh
Raleigh
Raleigh
Raleigh
Mt. Airy
Morrisville
Charlotte
Charlotte
Matthews
Wilmington
Oxford
High Point
Goldsboro
Rocky Mount
Thomasville
Mocksville
Clemmons
Greensboro
Roanoke
Rapids
Hendersonville
Hendersonville
Fayetteville
Charlotte
Belhaven
Winston Salem
New Bern
Clinton
Wallace
Morganton
Durham
Raleigh
Morehead City
Winston Salem
Greensboro
Greensboro
Greensboro
Sanford
July 21-23, 2010
Dore, Mary
Dore, Mary
Downing, Karol
Drago, David
Drinkwater, Don
Drinkwater, Don
Drinkwater, Don
Drinkwater, Don
Drinkwater, Don
Dudley, Gilian
Dye, Jennifer
Dziminski, Veronica
Edwards, Amanda
Eisenberg, Lindsey
Eley, Katina
Ellingwood, Jamie
Ellingwood, Jamie
Eng, John
English, Joan
Entzi, Emily
Entzi, Emily
Evans, Shannon
Faircloth, Cristie
Faircloth, Marisa
Farmer, Joseph
Farmer, Kimberly
Field, Ronald
Fina, Jillian
Fisher, Jessica
Forbes, Jennifer
Forgach, Mary
Fox, Elaine
Freeman, Leigh
Freeman, Leigh
Freeman, Leigh
Fricklas, Elizabeth
Friedman, Erica
Fuqua, Mandria
Futh, Stephen
Gadomski, Ann-Marie
Gallagher, Claudia
Galli, Lindsay
Garbia, Waseem
Gatlin, Stephen
Geiple, Joshua
Gentile, Elizabeth
Le, Mark
Stowe, Mary
Jones, Michelle
Freidinger, Brad
Alioto, Richard
Bullard, Dennis
Jones, Monica
Krupski, Tracey
Visco, Anthony
Fowlkes, William
Burnett, Tara
Cappola, James
Holt, Elizabeth
Corvino, Timothy
Jones, Colin
Mahar, Matthew
Moretz, Christian
Wright, Eugene
Shaw, James
Neulander, Matthew
Okonkwo, Ifeyinwa
Whitman, Bruce
Boyle, Joseph
Stonecipher, Karl
Mattox, William
Elston, Scott
Gullickson, Matthew
Kon, Neal
Williams, Matthew
Sutton, Sidney
Gupta, Manoj
Harvey, Henry
Bell, Joseph
Harris, Glenn
Harris, Glenn
Vlahovic, Gordana
Acharya, Anjana
Seward, Daniel
Oak, Chang
Evans, Michael
Kuo, Paul
LeCroy, Charles
Lee, Melvin
McCutchen, Jeffrey
Steinl, Kevin
Price, Billy
Charlotte
Charlotte
Leland
Concord
Smithfield
Raleigh
Raleigh
Raleigh
Durham
Louisburg
Raleigh
Cary
Raleigh
Gastonia
Ahoskie
Sylva
Sylva
Fayetteville
Pisgah Forest
Charlotte
Fayetteville
Lumberton
Wilmington
Greensboro
Castle Hayne
Wilmington
Matthews
Winston Salem
Wilmington
Elizabeth City
Fayetteville
Greensboro
Pembroke
Laurinburg
Laurinburg
Durham
Durham
Charlotte
Washington
Smithfield
Durham
Asheville
Cary
Monroe
Greensboro
Mt. Holly
July 21-23, 2010
Giddings, Joseph
Giglio, Michelle
Gilbert, Tonya
Gilbert, Tonya
Goddard, Alan
Goller, Linda
Gomes, Alvaro
Gomez, Victor
Goodwin, Gregory
Gould, Laura
Grafton, Nancy
Granzow, Paul
Graudons, Douglas
Gregory, Richard
Gregory, Richard
Grice, Jessica
Grosshans, Christina
Grullon, Rosemary
Gunter, Jane
Haikal, Melissa
Hall, Laura
Harper, John
Harrell, Mark
Hayes, Kathleen
Haynes, Elizabeth
Heath, Jerry
Hedrick, Jessica
Heggerick, Gretchen
Hemp, Antoinette
Herlihy, Michelle
Heslep, Mallory
Heslep, Mallory
Hiatt, Tiffany
Hibbard, James
Hipp, Karin
Hlavacek, Sarah
Hoag, David
Hollingsworth, Robert
Holmes, Debra
Holt, Rebecca
Hopkins, Shawn
Horton, Ann
Horton, Tiffany
Horton, Tiffany
Horton, Tiffany
Hudson, Charles
McCaleb, Jane
Overton, Edward
Sloan, Douglas
Spooner, Linda
Jones, Colin
Morris, John
Doohan, Thomas
Lowry, Terry
Rich, Robert
Lee, Kenneth
Lindsay, Maryanne
Litwak, Joseph
Ohl, Matthew
Bunn, Barry
Kim, Ian
Powell, Bayard
Seitz, Kent
Rish, Carlos
Ajao, Olufolarin
Schmitz, Todd
Brown, Stephanie
Rosen, Robert
Daly, Claudia
Davenport, Barbara
Nycum, Lawrence
Hubbard, Laura
Meier, John
Kostuchenko, Paul
Wonsick, Melinda
Taiwo, Adebukola
O'Brien, David
OBrien, David
Shepherd, Jack
Sharma, Anuj
Williams, Jennelle
Law, Michael
Vesa, Allin
Gupta, Madhur
Jennette, Albert
Elston, Scott
Barsanti, Christopher
Rader, Dale
Forstner, James
Langston, Bernard
Njapa, Anthony
Greenberg, Brent
Scotland Neck
Gastonia
Fayetteville
Fayetteville
Ahoskie
Flat Rock
Monroe
Lumberton
Elizabethtown
Greenville
Winston Salem
Rutherford
Charlotte
Tarboro
Greenville
Winston Salem
Winston Salem
Charlotte
Gastonia
Charlotte
Franklinton
Winston Salem
Greenville
Wilmington
Winston Salem
Hays
Raleigh
Winston Salem
Jefferson
Fayetteville
Winston Salem
Winston Salem
Matthews
Weddington
Chapel Hill
Raleigh
Statesville
Red Springs
Durham
Cary
Greenville
Statesville
Southport
Shallotte
Wilmington
Greensboro
July 21-23, 2010
Hughes, Kristina
Hughes, Kristina
Hunnings, Blakely
Hunt, Bethany
Hunt, Hal
Hunt, Hal
Hunt, J.
Hurst, Kathleen
Jackson, Kierney
James, David
Jones, Kathy
Jung, Min Jin
Kearney Sawyer, Elizabeth
Kearns, Amy
Kearns, Amy
Keeler, Nancy
Kelley, Timothy
Kelley, William
Kern, Christopher
Kinnally, Steven
Kirsch, Eric
Kirsch, Eric
Kish, John
Kish, John
Kish, John
Kish, John
Knowles, Carol
Kobuszewski, Shani
Kobuszewski, Shani
Kobuszewski, Shani
Kobuszewski, Shani
Kobuszewski, Shani
Kobuszewski, Shani
Kowaleski, Jennie
Kozlow, Ayanna
Kramer, Clifford
Kreger, Edward
Kunz, Erin
Kurtz, Harry
LaCombe, Paula
LaFayette, Sara
LaFuria, Jeffrey
Layman, Paul
Leamy, Gregory
Lechner, Jonathan
Leiken, Shuli
Kadiev, Steven
Kremers, Scott
Evans, Michael
Wentz, Elliott
Bethel, Bradley
Rowson, Jonathan
Hollar, Larry
Shaheen, Nicholas
Luoma, David
Lutz, Charles
Miekley, Scott
Nutz, Joseph
Armstrong, Robert
Applegate, Michael
Pinyan, Clark
Gibbons, Gregory
Armistead, Hal
Stroup, Daniel
Branyon, David
Saunders, George
Kanelos, Dino
Neulander, Matthew
Flanders, Paul
Jaffe, Michael
Ursin, Gabriela
Zellner, Eric
Ramos, Richard
Adcock, Jimmie
Albright, Harold
Bullock, William
Edwards, Jonathan
Resto, Wilma
Revis, Sheley
Ajmani, Ajay
Azzi, Anthony
Ohl, Matthew
Campos, Kevin
Riedel, Richard
Bullard, Dennis
Anthony, Meredith
Faulkenberry, Bradford
Reznik, Mark
Dewees, Steven
Burnett, Tara
Hsu, Kevin
Bhiwandiwalla, Pouruchis
Charlotte
Charlotte
Smithfield
Greensboro
Laurinburg
Laurinburg
Winston Salem
Chapel Hill
Dallas
Gastonia
Raeford
Morehead City
Asheville
Asheboro
Asheboro
Cary
Huntersville
Murphy
Taylorsville
Calabash
Charlotte
Charlotte
Asheville
Clyde
Clyde
Clyde
Greensboro
Charlotte
Charlotte
Charlotte
Charlotte
Charlotte
Concord
Apex
Raleigh
Charlotte
Greensboro
Durham
Raleigh
Fort Bragg
Laurinburg
Raleigh
Shelby
Raleigh
Charlotte
Raleigh
July 21-23, 2010
Leiken, Shuli
Leiken, Shuli
Leiken, Shuli
Leiken, Shuli
Leiken, Shuli
LeSuer, Hayley
Levan Elbel, Stephanie
Lewis, Michael
Liepins, Andrew
Lloyd, John
Long, Ashley
Long, Ashley
Long, Michael
Loper, Courtney
Lordeus, Tajuana
Lupton, Amy
Lyon, Christopher
Mabout, Sonia
Mabout, Sonia
Maddux, Joseph
Maestas, Rebecca
Mahar, Suzanne
Mahiquez, Jose
Mann, Karen
Manno, Salvatore
Marion, Gail
Marion, Wade
Martin, Jennifer
Martinelli, Kathleen
Matkovich, Matthew
Mattera, Paul
McCaffrey, James
McCarty, Martha
McDaniel, Denise
McDaniel, Denise
McIntosh, Dale
McKnight, Susan
McLaughlin, Todd
McNaught, Noelle
Bullard, Dennis
Gupta, Pankaj
Kagan, Steven
Mong, James
Oschwald, Donald
D'Amico, Paul
Bowling, Mark
Maultsby, James
Burnett, Tara
Requarth, Jay
Jacubowitz, Sam
Thomas, Christopher
Ohl, Matthew
West, Thaddeus
Glaser, Mark
Daly, Claudia
Groh, Gordon
Caddick, William
Danis, Henry
Henry, Christy
Oak, Chang
Reyes, Rodolfo
Evans, Michael
Daly, Claudia
Flanders, Paul
Lichstein, Peter
Vargas, Ramon
Lee, Melvin
Law, Michael
Outen, Ronnie
McDaniels, Christopher
Toborg, Robert
Aiken, Christopher
Orlowski, Richard
Tate, Michael
Kincaid, Edward
Oak, Chang
Ohl, Matthew
Kadiev, Steven
Melgar, Tammy
Melgar, Tammy
Melgar, Tammy
Mercer, Christopher
Mercer, Christopher
Miedema, Marcia
Migdon, Steven
Antony, Jose
Ballenger, Clarence
Richardson, Wendell
Miller, Jon
Rodger, Robert
Locklear, Jimmy
Vu, Khanh
Raleigh
Cary
Raleigh
Raleigh
Raleigh
Albemarle
Clayton
Clinton
Raleigh
Winston Salem
Greensboro
Winston Salem
Charlotte
Goldsboro
Fayetteville
Greenville
Asheville
Gastonia
Gastonia
Raleigh
Plymouth
Holly Springs
Smithfield
Greenville
Asheville
Winston Salem
Elkin
Clayton
Raleigh
Wadesboro
Raleigh
Winston Salem
Winston Salem
Hickory
Hickory
Winston Salem
Plymouth
Charlotte
Charlotte
Roanoke
Rapids
Jacksonville
Jacksonville
Wilmington
Wilmington
Raleigh
Henderson
July 21-23, 2010
Miller, Richard
Montgomery, Jeremiah
Morcos, Greta
Morcos, Greta
Morelli, Scott
Moreno, Paula
Morgan, Leslie
Munching, Aaron
Mundy, Jonathan
Munn, William
Murphy, Michael
Murphy, Michaela
Muse, Rochelle
Muse, Rochelle
Muse, Rochelle
Muse, Rochelle
Nazmi, Mehrnoush
Nelson, Stacy
Newton, Meredith
Nguyen, Brigitte
Nguyen, Brigitte
Nguyen, Brigitte
Nicholson, Janice
Niehues, Denise
Nielsen, Alicia
Ogunwale, Michelle
Ogunwale, Michelle
OKeefe, Shawn
Oles, James
Olson, Jennifer
Orji, Nneka
O'Sullivan, Robert
Pace, S.
Page, Constance
Parrish, Thomas
Parrish, Thomas
Parsons, Dean
Patel, Tanaya
Patterson, Jimmy
Patterson, Miriam
Peacock, Brian
Perkins, Alison
Perrotta, Philip
Pettit, Jerome
Phillips, James
Pineiro, Miguel
Zackowski, Scott
Riser, Mark
Webster, Leslie
Zbinden, Louis
Minior, Daniel
Flitt, Bruce
Davis, Ryan
Warden, Kendall
Malinda, Paul
Dauda, Mohamed
Spencer, Honnie
Guse, Steven
Andy, Camille
Miller, Stephen
Orr, Richard
Snider, Alison
Kuo, Paul
Whitman, Bruce
Cheesborough, John
Campos, Kevin
Pickering, Nathan
Tucich, Peter
Gerardo, Charles
Luckadoo, Laura
Raj, Vishwa
Semeko, Eric
Sunderland, Brent
Gullickson, Matthew
Clark, David
DiOrio, Christopher
Gammon, Gary
Drake, Almond
Brown, Howard
Kelley, Steven
Hill, Mary
Lyons, Esther
Crabtree, Thomas
Go, Brian
Lykins, Kimberly
Velez, Ramon
Waters, Gregory
Skinner, Elizabeth
Kuzma, Paul
Rosner, Michael
Kelley, Steven
Norton, Deborah
Greensboro
Smithfield
Charlotte
Charlotte
Rocky Mount
Gastonia
Clyde
Durham
Burlington
Rocky Mount
Concord
Wilmington
Kernersville
Reston
High Point
Kernersville
Durham
Lumberton
Sanford
Greensboro
Greensboro
Greensboro
Durham
Hickory
Charlotte
Charlotte
Charlotte
Charlotte
Whiteville
Huntersville
Gastonia
Greenville
Jacksonville
Clinton
Ahoskie
Ahoskie
Avon
Raleigh
Albemarle
Winston Salem
Winston Salem
Winston Salem
Pinehurst
Hendersonville
Clinton
Fuquay-Varina
July 21-23, 2010
Poovey, Leah
Powell, Debra
Powell-Boone, Karen
Primak, Michael
Pulliam, Charles
Purcell, Craig
Queen, Julie
Quillen, Rocky
Ramm, Allen
Randolph, Mark
Rathey, Kenneth
Ray, Kimberly
Reagan, Kathleen
Reid, Aubrey
Reuter, Eric
Rezac, Darcy
Rice, Easton
Rice, Patricia
Richards, Dick
Rigsbee, William
Riley, Elizabeth
Rippel, Janet
Robb, Sybil
RockWiley, Keith
Roeser, Julie
Rojas, Brian
Rojas, Brian
Rojas, Brian
Rojas, Brian
Rojas, Brian
Romblad, Katrina
Romero, Veronica
Royal, Ja-Na'
Ruffian, William
Ruliffson, Kathryn
Russell, Karen
Rutherford, Althea
Sanborn, Jane
Sanders, Gregory
Sanford, Frances
Santiago, Sarah
Satterfield, Sara
Sax, Linda
Sax, Linda
Schuette, Nora
Schuette, Nora
Rinehart, David
Hoffman, Stanley
Boyle, Joseph
Campbell, Sausan
Hester, Laura
Godfrey, Wanda
Zia, Shams
Demas, Ronald
Hunt, Jason
Brown, Richard
Wiener, Dana
Connolley, Christopher
Pridgen, James
Evans, Michael
Lawing, William
Dickerson, Janice
Leggett, Kelly
Pancoast, Thomson
Dagenhart, Timothy
Sloan, Randy
Partridge, James
Parnell, Jerome
Seewaldt, Victoria
Nederostek, Douglas
Lestini, William
Bovard, Scott
Inge, Jack
Lee, Paula
Visco, Anthony
Vulgaropulos, Spyro
Morgan, Gary
Chiodo, Mary
Yarnall, Kimberly
Williams, Jonathan
Ajmani, Ajay
Frankos, Mary
Singh, Paramjeet
St. Clair, Samuel
Gullickson, Matthew
Campos, Kevin
Knapp, Jon
Powell, Bayard
Carreras, Jorge
Wilson, Thomas
Bowman, Michael
Tim, Richard
Belmont
Denver
Wilmington
Asheville
Siler City
Garner
Wilson
Wilmington
Asheville
Wilson
Durham
Winston Salem
Fayetteville
Smithfield
Winston Salem
Wilmington
Greensboro
Greenville
Salisbury
Holly Ridge
Durham
Raleigh
Durham
Laurinburg
Raleigh
Wake Forest
Raleigh
Durham
Durham
Cary
Winston Salem
Dunn
Durham
Kinston
Apex
Wilmington
Cary
Raleigh
Charlotte
Greensboro
Greensboro
Winston Salem
Sylva
Sylva
Raleigh
Raleigh
July 21-23, 2010
Schuster, Rikki
Scotece, Cecelia
Scott-Lavan, Dale
Scott-Lavan, Dale
Scott-Lavan, Dale
Seal, James
Lyons, Esther
Howard, John
Hines, Marcono
Oak, Chang
Venable, Robert
Young, Jordan
Sears, Mary Frances
Setzler, Heather
Shaffer, James
Sharpe, Katherine
Shaver, Robin
Shelton, Carla
Sherburne, Emily
Sherron, Katherine
Sherron, Katherine
Shinnick, Joseph
Shipman, Jerry
Shirlen, Andrew
Simon, Spencer
Sims, Ginger
Smith, Delisa
Smith, Laurie
Smith, Laurie
Smith, Ronald
Smith, Sandra
Srikantha, Venayagaratnam
Stackhouse, Michael
Stanley, Glenn
Stauffer, Christian
Steerman, James
Steimle, Theresa
Sterling, David
Sterling, David
Stindt, Diana
Stindt, Diana
Stindt, Diana
Stoltzfus, Ryan
Sumner, Lori
Svedberg, Kelly
Swansiger, David
Taylor, Allie
Taylor, Brice
Thomas, Whitney
Thomas, Whitney
Thomas, Whitney
Thomas, William
Betancourt, John
Pickett, Lisa
Barnes, Daniel
Kuo, Paul
Harmaty, Myron
Kuo, Paul
Franco, Jorge
Burnett, Tara
Henry, Christy
Ruch, David
Jones, Colin
Chaudhry, Abdul
Burnett, Tara
Lue, Alvin
Bagley, Carlos
Cargile, Leslie
Howard, Willard
Griner, Eugene
Salahuddin, Abu
Gagliano, Louis
Dancel, Jose
Charlton, Glenn
Schmitz, Todd
Campos, Kevin
Lewis, Marvin
Pence, James
Riser, Mark
Lawrence, Julia
Lesser, Glenn
Savage, Paul
Flanders, Paul
Kimball, Robert
Nami, Alireza
Jordan, Christopher
Adams, Gregory
Clancy, Thomas
Ferris, Andrew
Freidinger, Brad
Ward, Marc
Ohl, Matthew
Nags Head
Elizabeth City
Smithfield
Plymouth
Plymouth
Goldsboro
Rutherford
College
Durham
Pinehurst
Durham
Gastonia
Durham
Fayetteville
Raleigh
Raleigh
Durham
Colerain
Raleigh
Raleigh
Winston Salem
Durham
Black Mountain
Rutherfordton
Burlington
Fayetteville
Goldsboro
Fayetteville
Henderson
Charlotte
Greensboro
Spring Lake
Morehead City
Smithfield
Winston Salem
Winston Salem
Winston Salem
Asheville
Statesville
Charlotte
Smithfield
Boone
Wilmington
Concord
Concord
Concord
Charlotte
July 21-23, 2010
Thompson, Amy
Thompson, Joel
Thompson, William
Timmons, Nikol
Torres-Frias, Rebecca
Torres-Frias, Rebecca
Triplett, Tammy
Trombley, Richard
Trzcienski, Michael
Turrentine, Ennis
Upah, Nicole
Upstill, Shari
Van Rhee, James
Velazquez, Louis
Venkat, Vidya
Venkat, Vidya
Vilmann, LeAnn
Vinson, Breony
Vinson, Keri
Wagner, Shawn
Wallace, Todd
Walters, Thienkim
Walton, Anna
Waltz, Nichole
Wangerin-Lile, David
Ward, Blythe
Waters, Carrie
Watkins, Mai
Watson, Steve
Weaver, Scott
Webber, Sarah
Weber, Jeffrey
West, Elizabeth
Whitaker, Ann
Whitaker, Ann
White, Hans
Whitley, Ashley
Whitley, Ashley
Whitley, Megan
Wiggins, Jeffrey
Wilkins, Bobbi
Williams, Denise
Williams, Ginika
Williams, Glenn
Williams, Kevin
Williams, Mathew
Jobe, Robert
Johnson, Marc
Christopher, Frank
Rhodes, Marsha
Roth, Heidi
Vaughn, Bradley
Zackowski, Scott
Spillmann, Celia
Krupski, Tracey
Riedel, Richard
Miekley, Scott
Jacubowitz, Sam
Murinson, Donald
Gerlach, Stephan
Pershing, John
Tokunboh, Julius
Harmaty, Myron
Blackstone, Thomas
Sharts, Michael
Pacos, Andrew
Almasri, Ghiath
Griesen, Dawn
Kendall, Jayne
Bolin, Lewis
Ardaman, Miles
Wehbie, Charles
Jones, Michelle
Howard, Chad
Clark, Robert
Talbot, David
Kelley, Michael
Hines, Marcono
Riedel, Richard
Grossi, Peter
Haglund, Michael
Chodri, Tanvir
Burnett, Tara
Parnell, Jerome
Harper, James
Agner, David
Fletcher, Robert
Hall, Russell
Peace, Robin
Dambeck, Allyn
Harmaty, Myron
Knapp, Jon
Raleigh
Charlotte
Fort Bragg
Charlotte
Chapel Hill
Chapel Hill
Greensboro
Winston Salem
Raleigh
Durham
Fayetteville
Greensboro
Greensboro
Roanoke Rapids
La Crosse
Charlotte
Charlotte
Wilmington
Greenville
Smithfield
Greenville
Hickory
Gastonia
Gastonia
Clyde
Raleigh
Wilmington
Charlotte
Cary
Greensboro
Charlotte
Smithfield
Durham
Raleigh
Raleigh
Asheboro
Raleigh
Raleigh
Wilmington
Albemarle
Raleigh
Fayetteville
Lumberton
Goldsboro
Charlotte
Greensboro
July 21-23, 2010
Williams, Rufus
Winkel, Scott
Winn, Jennifer
Winter, Monica
Woods, Edward
Wynn, Chileatha
Wynn, Kimberly
York, Marianne
Young, Danny
Young, Danny
Young, Richard
Yu, I-Ling
Zagon, Laura
Zastudil, Amanda
King-Thiele, Robin
Wefald, Franklin
Hunt, Jason
Campos, Kevin
Brown, Frank
Partridge, James
Peace, Robin
Taylor, Melissa
Foster, James
Gullickson, Matthew
Kelley, Steven
Tuttle, Harrison
Cabral, Gonzalo
Ogunwo, Susannah
Goldsboro
Smithfield
Asheville
Greensboro
Asheville
Burlington
Lumberton
Reidsville
Charlotte
Charlotte
Clinton
Raleigh
Wilson
Fayetteville
ALLIED HEALTH COMMITTEE REPORT
Present: Thomas Hill, MD, Chairperson, Peggy Robinson PA-C, George Saunders, MD, Lori
King, CPCS, Quanta Williams, Jane Paige, Marcus Jimison, Nancy Hemphill, Katharine Kovacs,
Audrey Tuttle
Open Session Physician Assistants
21 NCAC 32S.0219. Limited Physician Assistant License For Disasters and Emergencies
During the May 2010 Board Meeting, the Board heard comments from PAs at the PA Advisory
Committee and the Allied Health Committee about concerns they had that the rule regarding PA
licensure during a disaster would prevent a PA from being paid even if responding to the
disaster was a requirement of his or her employment. Originally, the Board drafted the attached
rule to prevent gouging and exploitation of patients during a disaster. However, the Board did
not intend PA responders to forego their usual compensation if responding to a disaster was
part of their employment. Marcus Jimison, Nancy Hemphill and the Committee discussed.
Board Action: Adopt proposed changes to Rule 21 NCAC 32S.0219.
21 NCAC 32S.0202. Qualifications and Requirements for License
Immigration Status – Addition to PA Licensure Rule. Nancy Hemphill, Marcus Jimison and the
Committee discussed.
Board Action: Adopt proposed addition to Rule 21 NCAC 32S.0202.
July 21-23, 2010
Open Session NC Emergency Medical Services
No items for discussion.
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 Committee reported on one 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.
Open Session Anesthesiologist Assistants
Immigration Status Addition to 21 NCAC 32W.0102
Summary: Immigration Status – Addition to AA Licensure Rule. N. Hemphill and M. Jimison to
discuss.
Committee Recommendation: Approve proposed addition to Rule 21 NCAC 32W.0102
BOARD ACTION: Approve proposed addition to Rule 21 NCAC 32W.0102
Open Session Nurse Practitioners
No items for discussion
Open Session Clinical Pharmacist Practitioners
Protocol Approval Process
Summary: In May, the Board approved a new process for approving protocols. They decided
to wait until after the CPP Joint Subcommittee meeting on July 20 to implement the process.
Board Action: Accept the policy change and begin using the new procedure with applications
received on and after August 1, 2010. Mr. Jimison will draft a letter and send it to Dr. Loomis for
approval. The letter, which will explain the statutory scope for a CPP, that the CPP is
encouraged to keep his or her protocols current, and that practicing outside of the scope of the
CPP’s written agreement will subject the CPP to discipline, will be mailed out with CPP
approvals.
Open Session Perfusionists
Immigration Status Addition to 21 NCAC 32V.0103
July 21-23, 2010
Summary: Immigration Status Addition to Rule – Addition to Perfusionist Licensure Rule. N.
Hemphill and M. Jimison to discuss.
Committee Recommendation: Preemptive approval of proposed addition to Rule 21 NCAC
32V.0103. The PAC will review and discuss this at its August meeting.
BOARD ACTION: Preemptive approval of proposed addition to Rule 21 NCAC 32V.0103. The
PAC will review and discuss this at its August meeting.
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 Committee reported on one case. 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.
NURSE PRACTITIONER APPROVALS
ANESTHESIOLOGIST ASSISTANT, PERFUSIONIST & PROVISIONAL PERFUSIONIST
LICENSES ISSUED
MAY 14 – JULY 08, 2010
List of Initial NP Applicants
NAME
CONCIA, CAROLYN
CONLIN, JEAN
DOUGLAS, TECONDA
EVERETT, ARNETTE
HOPKINS, KRISTY
HSU, BILLIE
KUNKEL, JUDITH
LAMBERTUS, VIKI
LOVINGS, TINA
MCDANIEL, CATHERINE
PETRUNEY, JENNIE
SULLIVAN, PATRICIA
TAVAZIVA, PATRICIA
TERRELL, KYLE
WHALEY, BRIAN
PRIMARY SUPERVISOR
KLINE, THOMAS
STEINWEG, KENNETH
NTIMBA, FRANCIS
COLSON, LACY
SEAGO, JUDITH
SMITH, DOUGLAS
ROUGEOU, GLENDON
LANGSTON, BERNARD
RAYMOND, LAWRENCE
CRUTCHER, KENNETH
DAALEMAN, TIMOTHY
WHEELER, ANTHONY
CHITTENDEN, TAMARA
VEERAMACHANENI, NIRMAL
PRICE, WAYNE
PRACTICE CITY
WILSON
GREENVILLE
ST. LOUIS
RALEIGH
SYLVA
GASTONIA
MURPHY
SHALLOTTE
GASTONIA
COLLETTSVILLE
CHAPEL HILL
CHARLOTTE
CHARLOTTE
CHAPEL HILL
CHAPEL HILL
July 21-23, 2010
ZEKONIS, DONNA
AMBA, KATHERYNE
BAILEY, ANN
BLACK, KAREN
BREWER, ALLISON
CASEBOLT, KRISTA
GORDON, CATHERINE
HENDLEY, KEDRON
HUFFMAN, DIEDRA
JOHNSON, JANE
LEONARD, KELLI
PARKER, MARY
PATEL, SWATIBEN
PRATHER, CHRISTIN
SANDERS, TARA
SMITH, KIM
TATE, STACIA
WALL, DEBORAH
WILLIAMS, TRACY
WILLIS, SHADERIKA
EARHART, MEGAN
HASKINS, LORI
HOUSE, KAREN
HULME, ARUNA
JONES, COURTNEY
KEATING, CAROLYN
KELL, TIMOTHY
MCCABE, ASHLEY
PATTON, RONDA
PORTER, EVELYN
PRICE, RENEA
RAULS, AMANDA
YOUNGER, ALICIA
ELBEERY, JOSEPH
KOPEC, ISABELLE
CLARK, MICHAEL
KRISHNAN, SENDIL
ABBOTT, THOMAS
CLAGNAZ, PETER
CHURCH, SAMUEL
FOWLER, WILLIAM
ALBRITTON, MARK
ROBERTSON, JOHN
FERNANDEZ, GONZALO
MCQUISTON, CHRISTINA
GAMMON, GARY
NTIMBA, FRANCIS
RUSSELL, MICHAEL
BLAND, VEITA
MCLANAHAN, CHARLES
BENTSEN, BIRGER
ANDERSON, JOSEPH
HALL, ANDRE
STEFFENS, THOMAS
MONAHAN, MICHAEL
HOWARD, KEVIN
HANSEN, KIMBERLEY
JORDAN, JOSEPH
NICHOLS, JOHN
KOPEC, ISABELLE
ELBEERY, JOSEPH
HEDGEPATH, LARRY
MINTZER, MELANIE
OAK, CHANG
GROSSI, PETER
RUSSELL, LARRY
GREENVILLE
ST. LOUIS
GREENSBORO
GREENSBORO
WINSTON SALEM
AHOSKIE
HAYESVILLE
MARION
MARION
NEW BERN
GARNER
ASHEVILLE
GASTONIA
ST. LOUIS
RALEIGH
GREENSBORO
CHARLOTTE
WILMINGTON
ASHEVILLE
FAYETTEVILLE
CONCORD
RALEIGH
WENTWORTH
WINSTON-SALEM
CHAPEL HILL
ASHEVILLE
ST. LOUIS
GREENVILLE
FOREST CITY
CARY
PLYMOUTH
RALEIGH
HENDERSONVILLE
NP ADDITIONAL SUPERVISOR LIST
BENBOW, DEBRA
BOYKIN, WILLIAM
CLINE, KIMBERLY
CONDON, CHRISTINA
COUSINS, MELISSA
DAY, TERESA
DESAI, SHAKTI
DOYLE, MELISSA
EASTERWOOD, LAURA
FERREE, BETTE
JONES, EDWARD
BAULE, RAYMOND
MYLES, SIDNEY
ANDY, CAMILLE
ANDY, CAMILLE
MCCALL, WILLIAM
TYSON, TREVA
PHILLIPS, THIRSTON
KRISHNAN, SENDIL
ANDY, CAMILLE
WINSTON SALEM
ROCKY MOUNT
HICKORY
KERNERSVILLE
GREENSBORO
WINSTON-SALEM
RALEIGH
FAYETTEVILLE
GREENSBORO
KERNERSVILLE
July 21-23, 2010
GANT, APRIL
GRAHAM, JAMIE
HARRIS-COLEMAN, JUDITH
HAVEN, SHERRI
HILL, DORIS
HOULIHAN, SANDRA
HOWARD, DENISE
HUTTO, CHRISTINE
JEFFERY, JANIS
JNAH, AMY
JOHN, WENDELL
JORDAN, KATHLEEN
KEIGER, JENNIFER
LAU, KAREN
LEWIS, CHERYL
LUMSDEN, LO
LYALL, MONICA
MCCLAIN, DAMARIS
MCCLURE, CHRISTINE
MCCULLEN, GINGER
METIKO, ESTHER
MEYER, DIANE
MITCHELL, SUSAN
MORRIS, DIANN
MORRIS, DIANN
NAYLOR, TRACY
PAWLAK, COLLEEN
PERKINS, JUANITA
PROPST, DAVID
QUILTY, EILEEN
RAGAN, MICHAEL
ROSEBROCK, KELLEY
ROUNTREE, JANE
SNYDER, STEVEN
SOLOMON, LORA
SPURBECK, BRENDA
STEVENS, VERONICA
STUBBS, CARLA
THACKER, JANET
TOLLEY, MARGARET
VACHON, LEONIE
VERNON, ANN
VOGRINC, ASHLEY
WATSON, JULIA
ADLER, DEBORAH
ALEXANDER, TAMARA
UBA, DANIEL
KIGER, TARA
MUNOZ, RIGARDY
MACDIARMID, SCOTT
VORWALD, FREDERICK
SHA, RONALD
GARMON-BROWN, OPHELIA
WILKINSON, JAMES
MORGENSTERN, EVA
PRICE, WAYNE
KATHARD, HARESH
MATKINS, PREETI
MURPHY, MARTIN
SWYGARD, HEIDI
DAVIS, ALONZO
KEMP, PETER
BYRD, TERRI
TRIPP, HENRY
BURISHKIN, DANIEL
HERRING, RUFUS
SWYGARD, HEIDI
GONZALEZ, ANNE
ANDY, CAMILLE
ANDY, CAMILLE
JONES, ENRICO
RAY, JOHN
NACOUZI, VINCENT
GIBBS, CAROL
COCHRANE, JOSHUA
ALEJANDRO, LUIS
OSTA, ELIE
BARRON, ANGELA
BALLARD, WILLIAM
BREZINSKI, DAMIAN
NEULANDER, MATTHEW
BYRD, TERRI
SESSOMS, RODNEY
BLEVINS, MARY
IRION, JAMES
VAN DEUSEN, LINDA
NIEMEYER, MEINDERT
ANDY, CAMILLE
ANDY, CAMILLE
ALAHARI, DURGA
CARLOUGH, MARTHA
ESCAJEDA, RICHARD
FAYETTEVILLE
NEW BERN
HICKORY
GREENSBORO
MOOREVILLE
DURHAM
CHARLOTTE
KITTY HAWK
ASHEVILLE
CHAPEL HILL
LOUISBURG
CHARLOTTE
WINSTON-SALEM
CHAPEL HILL
MOREHEAD CITY
ENDENTON
WILSON
KERNERSVILLE
ASHEVILLE
CLINTON
RALEIGH
HICKORY
CLEMMONS
KERNERSVILLE
GREENSBORO
FAYETTEVILLE
RALEIGH
DURHAM
HICKORY
GREENSBORO
SNOW HILL
MONROE
DOBSON
WILMINGTON
CHARLOTTE
WILSON
CLINTON
ASHEVILLE
CLEMMONS
BRYSON CITY
ELON
OAK RIDGE
OAK RIDGE
FUQUAY VARINA
CHAPEL HILL
ARCHDALE
July 21-23, 2010
AMOAKO, EMELIA
ASKEW-JACKSON, TERI
BLEVINS, RONDA
BLEVINS SPRINKLE, JULIE
BROPHY, NOREEN
BROWN, CAROL
BRUCE, ELIZABETH
CARPENTER, LALISA
CARTER, ANGELA
CAVILEER, DENISE
CHILTON, LINDA
CLARKE, SUSAN
CRATER, SUZANNE
CRAWFORD, KARI
CRAWFORD, KARI
CUDDY, SHERRI
CURRY, ROSEMARY
DANIELS, MELISSA
DANIELS, JULIE
DAVIS, DONNA
DAVIS, AMANDA
DRIGGERS, MILDRED
DUPUIS, MONICA
EMMERT, KATY
FERNANDEZ, ANA-MARIA
GANNOTTA, RICHARD
GAUGER, SARAH
GAULDEN, LAURA
GETTELFINGER, JOAN
GORECKI, AMANDA
GRAHAM, KIMBERLY
HAAS, MARILYN
HARDY, KIMBERLY
HARRISON, DAWN
HENDERSON, CHERYL
HOBAN, CAROL
HOUGH, JENNIFER
HUGHES, JANET
ISAACS, JANE
JONES, ELLEN
JORDAN, LINDA
KILLGORE, JOHN
KOONTS, HEATHER
LEE, TRACEY
LIEM, GRACE
LOHSE, ELIZABETH
OSEI-BONSU, GEORGE
WRIGHT, JOSEPH
TURNER, LINDA
TURNER, LINDA
VARGAS, CARLOS
AGUNOBI, CHARLES
BLUE, DEBRA
WINKER, GUYTON
CATAPANO, GERARD
PRIDGEN, JAMES
TWERSKY, JACK
DAVIS, ALONZO
MCQUISTON, CHRISTINA
HERLONG, JAMES
PEELER, BENJAMIN
WALKER, CHERYL
HEALY, PAUL
FISHER, DAVID
MOYA, FERNANDO
HANSEN, ROGER
ANDERSEN, SUSAN
DAVIS, ELLEN
JOHNSON, DAVID
WALTER, KAREN
RAYNOR, EILEEN
HODGES, CHARLES
LIEN, LILLIAN
CHARLESWORTH, AMY
GAMBINO, JOHN
MILLER, JASON
CHEN, HSIUPEI
VARGAS, CARLOS
BRINN, NATHAN
OH, PAUL
DAUD, SHAHNAZ
TRIMBLE, STEWART
CHEN, HSIUPEI
SMITH, LARRY
KOCH, KENNETH
JORGE, CARLOS
KINDSCHUH, PETER
GERLACH, STEPHAN
KROWCHUK, DANIEL
BLAKNEY, SANDRA
RUPE, CAROL
CASERIO, JAMES
HIGH POINT
KINSTON
SPARTA
SPARTA
ASHEVILLE
GASTONIA
RALEIGH
SPINDALE
FAYETTEVILLE
WHITEVILLE
DURHAM
MOREHEAD CITY
ASHEVILLE
CHARLOTTE
CHARLOTTE
CHARLOTTE
HAVELOCK
CHARLOTTE
WILMINGTON
WINSTON SALEM
WILSON
GASTONIA
RALEIGH
ASHEVILLE
DURHAM
RALEIGH
DURHAM
BEAUFORT
WINSTON-SALEM
DURHAM
RALEIGH
ASHEVILLE
GREENVILLE
BURLINGTON
CARY
ROSMAN
RALEIGH
SHELBY
WINSTON-SALEM
CORNELIUS
WHITEVILLE
ROANOKE RAPIDS
WINSTON SALEM
CARY
CHARLOTTE
HENDERSONVILLE
July 21-23, 2010
MARTIN, TERESA
MONTGOMERY, SONYA
MORTON, REBECCA
OXFORD, WILLIAM
PAQUIN, VICTOR
PAWLAK, COLLEEN
PENNELL, TODD
PINTO, ALICIA
RAVENSCRAFT, AMY
REILLY, JOYCE
REPEDE, ELIZABETH
REVELS, TIFFANY
RICHARDSON, STACY
ROCK, ELLA
ROWE, VEDA
SHARPE, DAPHNE
SHORT, JOAN
SHUFORD, RICHELLE
SINGER, MEREDITH
SKAKEY, JOSETTE
SMITH, JOYCE
SMITH, ALEXIS
STEVENS, MARK
TASHAKKORI, ZAHRA
TERRY, JEVITA
THOMPSON, ELIZABETH
THOMPSON, SHANNON
TIGNER, JENNIFER
VACHON, LEONIE
VAUGHAN, ANITA
VIVIANO, ROBIN
WINTERS, ADAM
WOOD, BROOKIE
WORRELL, TAMMY
ANTHONY, ARENNETTE
AUTRY, JEFFREY
BARNES, MARTHA
BROCK, WENDY
BYRD, SARAH
CALLAHAN, ANGELA
CARR, CARLYE
COOK, LADONNA
CUNNINGHAM, PATRICIA
EDINGER, AMY
FOSTER, JENNIFER
GREENE, NATASHA
JOHANSON, WILLIAM
GUALTIERI, CAMILLO
HALSTENBERG, WILLIAM
ROGERS, GARRETT
SLADICKA, STEPHEN
KANN, JOEL
DUBOW, RONALD
BLUE, DEBRA
MILLSAPS, DAVID
GILPIN, ALLEN
GARMON-BROWN, OPHELIA
GUHA, SUBRATA
SHAW, ANDREW
NEDEROSTEK, DOUGLAS
PETERSON, ERIC
HUNT, MARY
JORGE, CARLOS
DUBOW, RONALD
BRADLEY, DIANA
GREENBERG, RICHARD
HAVERKAMP, JOHN
ALMASRI, GHIATH
CHARLESWORTH, AMY
KISHBAUGH, DAVID
WILSON, THEODORE
RODRIGUEZ, FABIAN
YOUNG, STEPHEN
IGHADE, ANDREW
BHATTI, MOHAMMAD
NEULANDER, MATTHEW
MINTZER, MELANIE
MORELOCK, SANDRA
CHEN, HSIUPEI
ZANARD, ROBYN
SANDERS, ROBYN
KRULL, RONALD
DYE, HILARY
GALLAHER, KEITH
MCDANIELS, CHRISTOPHER
LACEY, DAVID
MORROW, JASON
WALKER, ORRIN
MURRAY, MICHAEL
HENDLER, JAY
HAMP, DIRK
BLAKNEY, SANDRA
MORGANTON
CHAPEL HILL
CONCORD
GOLDSBORO
TAYLORSVILLE
RALEIGH
LENOIR
RALEIGH
HICKORY
ASHEVILLE
CHARLOTTE
RALEIGH
SPARTA
LAURINBURG
NEBO
GREENSBORO
CORNELIUS
LENOIR
ASHEVILLE
HUNTERSVILLE
GOLDSBORO
GREENVILLE
BEAUFORT
FAYETTEVILLE
ROCKY MOUNT
SOUTHERN PINES
WILMINGTON
CHARLOTTE
ELON
CHARLOTTE
CARY
ASHEVILLE
RALEIGH
GREENSBORO
GREENSBORO
CLINTON
WINSTON-SALEM
FAYETTEVILLE
RALEIGH
WINSTON-SALEM
DURHAM
CHINA GROVE
ASHEVILLE
CHARLOTTE
WAKE FOREST
MEMPHIS
July 21-23, 2010
GREGORY, DEBORAH
HARDEE, CAMERON
HENRICKSON, STACY
HERRERA, ALIDA
HOUGH, JENNIFER
HOUGH, JENNIFER
HOWARD, SANDY
JAWORSKI, ANN
KING, ROBIN
KOSKO, DEBRA
LAY III, HARRY
MARTIN, KATHY
MORAN, KELLY
NOONE, ANGELA
POTTER, ANN
REVELS, TIFFANY
ROBINSON, MELISSA
SCHNEIDER, KAREN
SPELL, SUSAN
TOLBERT, APRIL
WARREN, LENA
WHISNANT ROPER,
REGINA
JOHNSON, JAMES
DESSAUER, KATI
SCHMIDT, BRIAN
LAWRENCE, MARK
GULLEY, PAUL
CANUPP, TONY
HOLMES, MATTHEW
WRIGHT, BRENT
LAWRENCE, MARK
INGRAM, CHRISTOPHER
REARDON, DAVID
MCMAHON, DANIEL
GASTON, KRIS
STEGMAN, JOSEPH
DYE, HILARY
MINIOR, DANIEL
DY, MARC
ALEJANDRO, LUIS
GUHA, SUBRATA
GUPTA, MANOJ
KRULL, RONALD
ASHEVILLE
CARY
CONCORD
WAYNESVILLE
ELKIN
ELKIN
SYLVA
WILMINGTON
WAYNESVILLE
RALEIGH
DURHAM
CHARLOTTE
CHARLOTTE
CONCORD
WINSTON-SALEM
DUNN
MIDLAND
GREENSBORO
WILSON
SMITHFIELD
CLINTON
DOWNS, BRIAN
MORGANTON
PERFUSIONISTS
BENNETT, Mia Eugenia, LP
KLIMA, Alan William, LP
ALEXANDER, Stanlin, PLP
SANIUK, Rachel, PLP
SCOTT, Chelsea Lee, PLP
ANESTHESIOLOGIST ASSISTANTS
BARNETT, Kari Chappell, AA-C
CLINICAL PHARMACIST PRACTITIONER JOINT SUBCOMMITTEE
Members Present: Ralph Loomis, MD (NCMB); George Saunders, MD (NCMB); Donald
Jablonski, MD (NCMB); Thomas Hill, MD (NCMB); Rebecca Chater (NCBOP); Joey
McLaughlin (NCBOP); and Gene Minton (NCBOP)
Absent Members: Betty Dennis, CPP (NCBOP)
Staff Present: Jay Campbell, David Henderson, Marcus Jimison, and Quanta Williams
Welcome and Introductions
July 21-23, 2010
Dr. Loomis opened the meeting with introductions and thanked everyone for coming.
Election of Chair
Dr. Loomis asked for motions for a new chair. Since there were none, Dr. Loomis will continue
on as Chair of the Committee.
Approval of Minutes
A motion passed to accept the minutes of the October 2007 meeting.
Protocol Approval Process
Dr. Hill gave a brief summary of the appearance of and types of protocols that have been
received since 2001 when CPP approval began. He also discussed the current process for
approving CPP protocols and the logic behind changing the approval process. The Board no
longer reviews the protocols for PAs and NPs. This seems to be a natural evolution for the
CPPs as well.
CPP applicants will no longer be required to submit the written agreements between themselves
and their supervising physicians (or protocols) with their applications for review and approval by
the two boards. If an application is approved, a letter will be sent out to each CPP that will
explain the statutory scope of practice for a CPP, that the CPP is encouraged to keep his or her
protocols current, and that practicing outside of the scope of the CPP’s written agreement will
subject the CPP to discipline. CPPs will no longer have to submit Change of Status forms
requesting additional protocols.
There will be a compliance program similar to the one used by the Nurse Practitioner Joint
Subcommittee for compliance reviews of CPP protocols. An investigator from each Board will
work together to conduct compliance reviews of about 5 CPPs per year.
MAD-ID Certification Program
This program is not approved by the North Carolina Center for Pharmaceutical Care (NCCPC)
or the American Council on Pharmaceutical Education (ACPE). Therefore, it does not meet the
requirements stated in the rules for CPP approval. This information will be communicated to the
pharmacist that inquired about this program. The pharmacist may direct her inquiry to the two
credentialing bodies for information about the process by which a program may be approved by
the credentialing body.
Future Meetings
A motion passed that all future agendas be dictated by Dr. Loomis and that Mr. Henderson and
Mr. Campbell will let the Chair know when sufficient need arises for a meeting.
Miscellaneous
Dr. Saunders thanked the Board of Pharmacy for its spirit of collegial cooperation with the
Medical Board.
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
July 21-23, 2010
considered a public record within the meaning of Chapter 132 of the General Statutes and/or to
preserve attorney/client privilege.
The Committee reported on one case. 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.
REVIEW (COMPLAINT) COMMITTEE REPORT
Peggy Robinson, Chair; Thelma Lennon; George L. Saunders, III, 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 forty two 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
William Walker, MD, Chair; Dr. Thomas R. Hill, MD; Pamela Blizzard; Paul Camnitz, MD; Karen
R. Gerancher, MD; Ralph C. Loomis, 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 ten 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 21-23, 2010
DISCIPLINARY (MALPRACTICE) COMMITTEE REPORT
William Walker, MD, Chair; Dr. Thomas R. Hill, MD; Pamela Blizzard; Paul Camnitz, MD; Karen
R. Gerancher, MD; Ralph C. Loomis, 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 57 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.
Thirteen 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.
DISCIPLINARY (INVESTIGATIVE) COMMITTEE REPORT
William Walker, MD, Chair; Dr. Thomas R. Hill, MD; Pamela Blizzard; Paul Camnitz, MD; Karen
R. Gerancher, MD; Ralph C. Loomis, 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 35 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.
July 21-23, 2010
REVIEW (INVESTIGATIVE) COMMITTEE REPORT
Peggy Robinson, Chair; Thelma Lennon; George L. Saunders, III, 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 37 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; Janice Huff, MD; Karen R. Gerancher, 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 57 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.
HEARINGS – July 23, 2010
REECE, Donald, MD – Morehead City, NC
Disciplinary
Dr. Reece was charged with unprofessional conduct for allegedly practicing below the
standard of care with regard to his treatment of eight patients, lack of professional
competence to practice medicine with a reasonable degree of skill and safety based on
a comprehensive evaluation by CPEP, and failing to provide adequate coverage for his
patients at times when he planned to be unavailable.
A Panel Hearing was held on April 15, 2010.
Members of the Panel were: Dr. Jablonski, Dr. Camnitz and Ms. Blizzard. Thomas
Moffitt served as Independent Counsel.
Dr. Reece was represented by Daniel Flebotte during the Hearing.
The Board was represented by Todd Brosius during the Hearing.
July 21-23, 2010
PANEL FINDINGS: The Panel found that Dr. Reece’s care of patients A through H
departed from or failed to conform to the standards of acceptable and prevailing medical
practice within the meaning of NC Gen. Stat. § 90-14(a)(6). The Panel also found that
Dr. Reece’s lack of medical knowledge and clinical reasoning constituted a lack of
professional competence to practice medicine with a reasonable degree of skill and
safety to patients and failure to maintain acceptable standards of one or more areas of
professional physician practice with the meaning of NC Gen. Stat. § 90-14(a)(11).
Additionally, the Panel found that by failing to provide adequate coverage for his patients
in times that he planned to be unavailable, Dr. Reece engaged in unprofessional
conduct within the meaning of NC Gen. Stat. § 90-14(a)(6).
PANEL RECOMMENDATION: The Panel recommended that Dr. Reece’s medical
license be revoked.
A Motion by the Respondent to reopen the case to allow further evidence was heard on
July 22, 2010, by Dr. Jablonski and Ms. Blizzard.
The Motion was denied.
Final Arguments before a Quorum of the Board were heard on July 23, 2010.
Members of the Quorum were: Dr. Huff, Dr. Saunders, Dr. Loomis, Dr. Walker, Dr. Hill,
Ms. Lennon, Dr. Gerancher, Judge Lewis, and Ms. Robinson.
Dr. Reece was represented by K. Edward Greene and Tobias Hampson.
The Board was represented by Todd Brosius.
BOARD ACTION: To allow 30 days for Dr. Reece to close his practice, his medical
license will be indefinitely suspended effective August 26, 2010. Dr. Reece may not
reapply for a medical license for one year.
ADJOURNMENT
This meeting was adjourned at 1:00 p.m., July 23, 2010.
_____________________________________________________
William A. Walker, MD
Secretary/Treasurer
July 21-23, 2010
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