15-18,1995 1203 St....MCELLIGOTT, James Brendan, MD — Grimesland, NC a. 8/21/95 — Charges executed b. 8/23/95 — Charges served on MD c. 11/95 — Should have proposed Consent

MINUTES

The North Carolina

Medical Board

November 15-18, 1995

1203 Front St.Raleigh, NC

NOV 1995

IVlinutes of the Open Sessions of the North Carolina Medical Board Meeting November

15-18, 1995

The November 1995 meeting of the North Carolina Medical Board was held at theBoard's office, 1203 Front Street, Raleigh, NC 27609. The meeting was called toorder at 6:35 pm, November 15, 1995, by Ernest B. Spangler, MD, President. Boardmembers in attendance were: George C. Barrett, MD, Vice President; Mr. Paul

Saperstein, Secretary/Treasurer; F. Danford Burroughs, MD; Harold L. Godwin, MD;

Hector H. Henry, II, MD; Mr. David L. Howe; George Johnson, Jr. , MD, Walter M.

Roufail, MD; Charles E. Trado, Jr. , MD; Wayne W. VonSeggen, PA-C; and Mrs.Martha K. Walston.

Staff members present were: Mr. Bryant D. Paris, Jr. , Executive Director; Ms. Helen

Diane Meelheim, Assistant Executive Director; Mr. James A. Wilson, Board Attorney;Mr. William H. Breeze, Jr. , Staff Counsel; Mr. Don R. Pittman, Investigative Director;Mr. Edmond Kirby-Smith, Investigator; Mr. Dale E. Lear, Investigator; Mr. Alan M.

Evans, Investigator; Mrs. Therese Dembroski, Investigator; Ms. Barbara Brame,Investigator; Mrs. Jenny Olmstead, Senior Investigative Secretary; Ms. Anne Goding,Investigative Secretary; Ms. Pearlina Dowling, Complaint Coordinator; Mr. Dale

Breaden, Director of Communications and Public Affairs; Mrs. Wanda A. Long, LegalAssistant; Mrs. Terresa Wrenn, PA/NP Coordinator; Ms. Tiajuana Jackson,Administrative Assistant; Mr. Jeff Denton, Operations Assistant; Mrs. Sharon Squibb-Denslow, Receptionist; Mrs. Joy D. Cooke, Licensing Director; Ms. Michelle Lee, Asst.Director of Licensing; Mr. Jeff A. Peake, Licensing Assistant I; Mrs. Ann Z. Norris,Verification Secretary; and Mr. Peter Celentano, Controller.

AGENDA - Public

Education Evaluators

Summary: Donna Harwood, Educational Consultant, UNC-Office ofEducational Development and Emil Petrusa, Associate Dean ofMedical Education, Duke University presented a video on theirorganizations program for clinical evaluations and examinations,and answered questions from Board members.

BOARD ACTION: Accept as information.

Nomination for Federation Board of DirectorsThe Board adopted a motion by George Johnson, MD, seconded by Paul Saperstein,that George Barrett, MD be submitted as a candidate for nomination to the Federation

NOV 1995

Board of Directors.

Summary: Diane Meelheim presented a update on the Datalink program. Thereport included information regarding hardware recently installedin the Board office, the number of subscribers, and the cost of theprogram to the Board and to subscribers.

BOARD ACTION: A motion was passed to send a letter re: Datalink to theorganizations that were sent the original Datalinknotification.

Board Publication Re ort

Summary: Dale Breaden presented an update on public affairs activities.

BOARD ACTION: (1) A motion was passed to allow Dale Breaden to researchand subscribe to a clipping service.

(2) A motion was passed to change the name of the Boardpublication "the Bulletin" to "Forum. "

Board RetreatErnest Spangler, MD announced there would be no Board Retreat as previously plannedfor February 1996.

EXECUTIVE DIRECTOR'S REPORT

Bryant D. Paris, Jr. , Executive Director, presented the following information as his

November Executive Director's Report:

License b Endorsement flexibilit

As a follow-up to the Board's request for amending its rules to provide greaterflexibility to the Board in licensing physicians on the basis of endorsement ofcredentials, various necessary staff persons have assisted in the development of a

proposed regulation that could satisfy the Board's wishes yet maintain the integrity ofpatient safety in this state.

License b Endorsement credentialinOn September 20, 1995, a day long work session was held with directors to analyze

NOV 1995

the process of credentialing physicians applying for a license by endorsement. As a

result, a reasoned recommendation for re-engineering the credentialing process wasdeveloped. It is the group's belief that the proposed credentialing process canfacilitate the ease of application, the timeliness of licensure, and a reduction ofunnecessary paper handling by the licensing staff.

A meeting was held Monday, October 30, 1995, to present the director'srecommendations to the Board's Licensing Committee.

Mana ement EvaluationAs the Board staff continues its management evaluation, the next work session is

scheduled for November 29, 1995, at which time the area of Public Affairs will beevaluated. From the current retreat and our two earlier retreats, the staff has comeaway with a sense of accomplishment and a spirit of teamwork while arriving at waysand means of improving staff functions.

TelemedicineConsiderable time and energy has been devoted to assist the Telemedicine Ad HocCommittee in developing some system to allow the appropriate expansion of theconcept of telemedicine, yet maintain the integrity of patient safety in the state. Theissue of telemedicine was discussed with physicians in and out of the state, some whoare currently involved in telemedicine.

Mr. Paris has not pursued the issue of confidentiality because, it is his understandingthat the transmission of telecommunications can be sufficiently scrambled.

Memorandum of A reement - Medical Review of North Carolina Inc. and the NCMB

On Thursday October 12, 1995, Mr. Charles Riddick the Executive Director of MedicalReview of North Carolina Inc. , and Mr. Paris executed the Memorandum of Agreementbetween Medical Review of North Carolina Inc. and the North Carolina Medical Board.

Activities of the Board staff since the Se tember Board meetinMr. Paris reported on the activities of the Board staff since the September meeting.Some of the activities included the number of licensing, PA, and NP applicationsreceived, complaints received, corporations approved.

Hi hli hts of Accom lishments Over the Past Year1) Re-engineered the filing system — expanded capacity by 60%2) Developed a legal library including automated legal research using CD-Rom (used

daily).3) Finalizing activity regarding Datalink (at which time Diane Meelheim gave a

current status report on Datalink).

NOV 1995

-5-

4)5)67)

Scheduled retreats for directors to analyze core processesTwo 8u//etins published, the latest number with a new standard of contentInstallation of new server for computer network providing four gigabytesDeveloped a public and professional affairs program for a consistent voice for theBoard (at which time Dale Breaden gave an update on this public affairs activity)

8) Total investigator utilization of modem for interface with office computer9) Continued fine tuning of the Residency Training application process10) Step III of the USMLE administered by the Federation (previously, Board staff was

responsible for test facility, employment of proctor, and staff time away fromoffice)

11) Reorganized and consolidated the licensing department (incorporating PA/NP

application matters in this department)12) Significant change in Board rules to equalize application requirements for DO' s.13) Board Licensure Committee became formalized.14) Developed regularly scheduled meetings for investigative staff15) Western part of state (Asheville), now covered by a resident investigator16) Significant legislative effort resulted in various changes in the Medical Practice

Act (including Board name change)17) Volunteer license rules adopted (at which time Bill Breeze gave an update on

legislative activities)18) Automated the preparation of consent orders19) Prepared and adopted Board by-laws20) Consolidated the legal department (physically and organizationally)21) Implementated departmental legal file

22) Implementated departmental word processing23) Ongoing representation on joint meetings of medication error reporting with the

NC Board of Pharmacy and the NC Nursing Board24) Implementated computer tracking system for formal actions

Mr. Paris also submitted his letter of intent to retire from the position of ExecutiveDirector. Mr. Paris has set the date for January 3, 1999.

LEGISLATIVE REPORT

Mr. Breeze reported on legislative interactions, rules arising out of legislation, andresponded to questions regarding legislative issues.

Significant legislative interactions included requests from several legislators forsuggestions to strengthen the Medical Practice Act and laws relating to public health.Mr. Breeze has dealt with two Senators regarding concerns brought by constituents.Mr. Breeze attends the monthly meetings of the Health Care Reform Commission.

NOV 1995

-6-

Since the September 1995 meeting of the Board, Doctors Henry and Spangler and Mr.

Breeze have invested much time and effort in a legislatively established committeemade up of two members of the Medical Board and two members of the PodiatryBoard. This committee succeeded in defining soft tissue procedures that can beperformed by a qualified podiatrist in an outpatient setting.

In response to a proposal for the Board to endorse a proposed pharmacy rule to permitauthorization of a pharmacist to administer drugs pursuant to G.S. 90-85.3(r), theBoard asked Mr. Paris, and Dr. Burroughs to meet with members of the pharmacy and

nursing boards to address board concerns.

ATTORNEY'S REPORT

ADOPTION OF BY-LAWS

Summary: Mr. Wilson recommended the Board adopt a "clean" set of bylaws, as it

had adopted, at the September meeting, a set with changes to be madein a draft document.

BOARD ACTION: A motion was passed that the Bylaws (appendix 1) be adopted.

C-SPEX Contract

Summary: Mr. Wilson requested the Board authorize Mr. Paris to sign the C-SPEXContract on behalf of the Board.

BOARD ACTION: A motion was passeed authorizing Mr. Paris to sign the C-SPEXContract on behalf of the Board

A motion was adopted to close the session to prevent disclosure of information madeconfidential by sections 90-8 and 90-16 of the General Statutes and not a public recordwithin the meaning of Chapter 132 of the General Statutes.

A motion was passed to return to open session.

FORMAL ACTION - 11/95 - PUBLIC

CHARGES EXECUTED.,

NOV 1995

MCELLIGOTT, James Brendan, MD — Grimesland, NCa. 8/21/95 — Charges executedb. 8/23/95 — Charges served on MDc. 11/95 — Should have proposed Consent Order to submit to Board

A motion was adopted to close the session to prevent disclosure of information madeconfidential by sections 90-8 and 90-16 of the General Statutes and not a public recordwithin the meaning of Chapter 132 of the General Statutes.


CONSENT ORDERS EXECUTED

MARTIN, Gerald Randall, M. D. - Brevard, NCa. 9/95 BOARD ACTION — Consent Orderb. 10/10/95 — Consent Order mailed to MDc. CONSENT ORDER EXECUTED

ANGGELIS, Connie Lee Petett, M. D. — Louisville, KY

a. 5/95 BOARD ACTION — Consent Orderb. 6/29/95 — consent order mailed to MD

BELFORD, Paul Douglas, M. D. - North Wilkesboro, NC

a. 9/95 BOARD ACTION - Consent Orderb. 10/6/95 — CONSENT ORDER EXECUTED

HOWELL, David Alexander, M. D. — Latta, SCa. 9/95 BOARD ACTION — Consent Orderb. 10/31/95 — CONSENT ORDER EXECUTED

LESTER, Allan John, M. D. — Cary, NC

a. 9/95 BOARD ACTION — Consent Orderb. 9/29/95 — CONSENT ORDER EXECUTED

TAYLOR, Stanley Douglas, M. D. — Youngstown, OH

a. 9/95 BOARD ACTION — Modify Consent Orderb. 10/31/95 — CONSENT ORDER EXECUTED

VAN DYKE, Allen Holstead, M. D. — Asheville, NC

a. 9/95 BOARD ACTION — Consent Orderb. 10/23/95 — CONSENT ORDER EXECUTED

NOV 1995

CONSENT ORDERS TERMINATED

TRENT, Lee Royal, III, M. D. — Greenville, NC

a. 9/95 BOARD ACTION — Terminate Consent Orderb. 10/23/95 — ORDER EXECUTED

VERROSS, William Edward, M. D. — Charlotte, NC

a. 9/95 BOARD ACTION - Terminate Consent Orderb. 10/29/95 - ORDER EXECUTED

SURRENDERS

SHORE, Thomas Ray, P.A. - Durham, NC

a. 11/1/95 Surrendered PA license

McCALL, Michael Alvin, M. D. - Hendersonville, NC

a. 11/16/95 Surrendered MD Licenseb. 11/95 BOARD ACTION: (DH, WV) Accept surrender

HEARINGS - 11/95

LEVITT, Michael K. , MD - Flagstaff, AZ

1 1/1 6/95

BOARD ACTION:

Public Hearing

Revoke license

GORDON, Mark Anthony, P.A. - Wilmington, NC

1 1/1 6/95

BOARD ACTION:

Public Hearing

Revoke license

LUMSDEN, Lo M. - Virginia Beach, VA

NOV 1995

-9-

1 1/1 6/95

BOARD ACTION:

Public Hearing

Refer back to the Nurse Practitioner Committee

STAAB, Michael Eugene - Rochester, MN

1 1/1 6/95 Request for previous action of the Board to suspend MD'slicense for failure to register be revisited.

BOARD ACTION: Reopen case and consider at the January 1996 meeting

POLICY COMMITTEE REPORT

S m osium re: Treatment of Obesit

Summary: Dr. Burroughs presented to the Board his report on the Symposium on theuse of Anorectic Drugs in the treatment of obesity sponsored by theFlorida Medical Board, October 28, 1995, in Orlando, Fl.

BOARD ACTION: A motion was passed changing the wording on the use ofAnorectics to state (in the appropriate paragraph) "If used,anorectics should be used according to published prescribingguidelines. " Motion carried, policy amended.

TELEMEDICINE AD HOC COMMITTEE REPORT

Summary: Dr. Barrett reported on the committee's progress. Members of theCommittee and staff met to discuss the medical and legal implicationsattendant to the interstate practice of medicine, both in consultation withphysicians licensed in North Carolina and otherwise. A consensusdeveloped that the Committee should gather information on interstatepractice currently conducted in North Carolina. In an effort to get a feelfor the direction the Board wants to go in, a motion was made from thecommittee as follows: "Medicine practiced by electronic means by aphysician residing, living, or sitting in another state, when practiced ona patient in North Carolina is 'the practice of medicine in North Carolina. '"After much discussion this motion was withdrawn. It was noted that theFederation has created a Telemedicine Task Force which will be meetingin January 1996. A motion was then made "to send a representative to

NOV 1995

-10-

the Federation meeting on this subject. "

BOARD ACTION: Dr. Spangler, President of the Board, approved sendingrepresentation to the Federation meeting on Telemedicine.

NOV 1995

OPERATIONS COMMITTEE REPORT

Present: E.B. Spangler, President; George Barrett, Vice President; Paul Saperstein, Secretary Treasurer;Walter Roufail; Bryant D. Paris, Jr. , Executive Director; and Diane Meelheim.

The meeting was called to order by Dr. Spangler at 2:10 PM on Thursday November 9, 1995 in Greensboro,NC at the home of Mr. Paul Saperstein. Minutes from the previous committee meeting were presented andformally approved by the committee.

The meeting was adjourned at 5:30 PM.

TOPIC DISCUSSION ACTION ITEMS

I. Financial

a. MonthlyAccounting

Financial Statements for June, July and Augustwere reviewed by committee members beforearriving.

September financial statement was reviewed in

detail.

1. Staff to alter the assets report toinclude all cash accounts on one line.2. Narrative summary should include acombined analysis of the two monthsbetween meetings rather than a onemonth summary.3. Staff to budget for capitalreplacements.

b. Cashf low

plan

Depreciation theory was discussed

The proposed cashflow plan was reviewed andthe investments of November 9, 1995 of$2,033,500 were discussed.

4. Staff is to insert actual numbers forthe preceding month cash flow plan.5. Staff is to show contingency fundreturning to accessible cash when notUsed.

c. Yearly audit

II. Facilitiesa. Lease

Field work by Lynch and Howard commenced onNovember 3, 1995. Report to be available forJanuary Board meeting.

Proposal submitted by Landlord for increasing theleased space to include the front lobby and thefront conference room. Negotiations areunderway with the state property office.

6. Keep Board informed

Option for renewal of lease for 9/96 wasdiscussed.

b. Improvements Soundproofing and proposals for increasingseating and waiting space will be requested froman architect.

7. Keep chairman of operationscommittee informed.

NOV 1995


4 c. Security Discussion of the ProTek recommendationsfollowed. Decision was made to not use metaldetector or guards at this time. Concealedweapons will be prohibited.

A card keyed entry for the employee entrancewas discussed

8. Staff to post a notice regardingconcealed weapons at the entrance ofthe Board office.

9. Staff to obtain quotes for a cardkeyed entry system.

d. Insurance All policies were reviewed and decisions weremade to drop auto policy after all autos are sold,bond the Secretary, Executive director, AssistantExecutive Director and Controller with $250, 000bond.

Accident income loss insurance was discussedfor Board members.

10. Staff was asked to survey Boardmembers for interest in making a policyavailable for their purchase.

III. Equipmenta. Telephone

Staff dental insurance and life insurance wasdiscussed and tabled until a salary consultant hadbeen obtained for the Board staff.

Telephone log summary was reviewed and moredetail was requested.

11. More detail will be specified by theoperations committee

12.Staff was asked to make sure that all

voicemail message paths are endedwith "dial 0 to return to the operator. "

b. Mail Mail equipment has been installed

c.Computers Datalink update and detailed description werereviewed.

13. Staff was asked to provide a morecomprehensible summary of theworking of datalink.

14. Staff instructed to mail materials .

regarding datalink to all hospital staffcredentialing offices.

d. FAX Fax for licensing department has been a timesaver.

A network fax is being installed in conjunction with

datalink.

NOV 1995


e. Copier

f. Software

Copier requiring service on weekly basis,replacement is needed before February at anestimated cost of $15,000.

Upgrade of word processing package to occur assoon as work stations are upgraded to 486.

15. Staff to bring proposals forreplacement to committee.

g. Automobiles Proposal submitted for investigators to becompensated by one time cash amount fordiscontinuing Board automobiles.

IV. Budget

V. QualityAssurance

Budget has not been approved by full Board.

Assistant Executive Director should have a formal

quality assurance program in place.

16. Staff to include budget in full boardhandout for approval by full Board.

17. Staff to present a QA report at eachoperations committee.

Vl. Retreat Discussion regarding the purpose, proposedfacilitator and dates for the retreat werediscussed. Facilitator once decided upon shouldinterview each Board member before the retreat(January meeting). Staff should attend the retreaton Saturday morning. Proposed date is February9,10,11 and a proposed site is the RTP.

18. Policy committee to proposeagenda.

19. Facilitator to be chosen by thepresident and then should be scheduledto meet with each Board member at theJanuary 1996 meeting.

20. Staff to make meeting arrangementsincluding dinner for Friday evening,rooms for slee in and meetin .

NOV 1995


Vll. Old Business:a. CME policy for Board members 21. Policy committee to write CME

guidelines for Board members.

b. Mr. Paris Course in Chapel Hill

22. Mr. Paris should prepare a writtenreport regarding his two weekmanagement course in Chapel Hill.

c. Dr. Barrett reported on his meeting with Dr.Duckett in Greenville.

23. Dr. Barrett asked for endorsement ofhis continuing involvement with thegroup and the committee gave itsendorsement.

a. Dukeendowment

b. Personnelwith poorperformanceevaluations

c. Educationalbooth

Dr. Barrett brought committee up to date on theprogress of the grant application. The Board hasbeen asked to contribute money to the applicationas seed money.

Management was asked to bring committee up todate on any remediation efforts.

Discussion regarding the possibility of Mr.

Breaden preparing an educational booth forprofessional medical meetings regarding theactivities of the Medical Board

24. Staff to research the methodology offunding a grant at a private institution.

25. Staff to report on personnelprogress at next meeting.

26. Mr. Breaden to be asked to react tosuggestion.

A motion was passed to accept the Operations Committee Report as presented.

EMERGENCY MEDICAL SERVICE COMMITTEE REPORTGeorge Johnson, MD; Danford Burroughs, MD; Wayne Vonseggen, PAC

Medication List U dateSeveral requests have been received to update the current medication lists for advanced lite FMSprograms by July 1, 1996 (see item 1 materials). The Board adopted a motion presented by Dr.

Burroughs, seconded by Mr. VonSeggen to approve the initiation of rulemaking procedures to modify21 NCAC 32H to permit the use of additional intravenous fluids and medications to include the antidotefor Versed and medications by advanced life support EMS professionals.

EMS Directors HandbookThe Office of Emergency Medical Services has developed a document entitled "North CarolinaAdvanced Life Support Medical Director's handbook" for EMS Medical Directors. The Board adopteda motion presented by Dr. Burroughs, seconded by Mr. VonSeggen to approve the North CarolinaAdvanced Life Support Medical Director's Handbook, for use by the EMS medical directors.

NOV 1995

EMS in Knotts Island NC

EMS in Knotts Island, NC have been provided by persons who are currently certified in Virginia since1980. Request is made that the Board again approve the above referenced option. The Board adopteda motion presented by Dr. Burroughs, seconded by Mr. VonSeggen to approve the request of Dr,Craven and Mr. Edwards and the Knots Island Fire Department and Rescue Squad to provide EMS tocitizens of Knots Island for the next four years.

PA's issue orders to EMS ersonnelRequest that EMS Advanced Life Support EMS rules be revised to allow physicians assistants to issueorders to EMS personnel following guidelines similar to those which govern the practice of MobileIntensive Care Nurses. The Board adopted a motion presented by Dr. Burroughs, seconded by Mr.

VonSeggen to approve the initiation of rulemaking procedures to modify 21 NCAC 32H to permitphysician assistants and nurse practitioners to issue orders to advanced life support EMS professionalsupon completion of an educational program similar to the program required of mobile intensive carenurses according to protocol set by the local EMS program.

Chains of CommunicationInclude an option to contact the physician or MICN in the emergency department after theimplementation of standing orders based upon the protocols of the local EMS program which couldaddress the patient's condition, estimated time of arrival to the emergency department, etc. The Boardadopted a motion presented by Dr. Burroughs, seconded by Mr. VonSeggen to permit local programsto designate a chain of communication through which the EMS professional in the field notifies theappropriate personnel at the hospital that standing orders have been implemented.

EMS First Res onder Stud Pro ect extensionRequest was made to extend the project for a minimum of one year. The Board adopted a motionpresented by Dr. Burroughs, seconded by Mr. VonSeggen to approve the first responder study projectof Wake and Orange counties through March 1997.

Pro'ect artici ant addition - First Res onder/Earl Defibrillation

Request from the Alamance County EMS First Responder and Early Defibrillation Study Project to addMr. don Starling with Glen Raven Mills, Inc. as a study project participant. The Board adopted a motion

presented by Dr. Burroughs, seconded by Mr. VonSeggen to approve the participation of Mr. DonStarling in the Alamance County EMS First Responder and Early Defibrillation Study Project.

EMS Certification Re ortDate Range: 08/01/95 to 09/30/95

Certification Level Initial

EMT-D 66EMT-I 28EMT-AI 0EMT-P 14MICN 25

Total 133Epinephrine Certificate Total

Recert01

0247

101

Total6629

01629

140

Motion: A motion was passed to accept the EMS Certification report as presented.

Motion: A motion was passed to accept the EMS report as presented.

NOV 1995

PHYSICIAN ASSISTANT COMMITTEE REPORTWayne Vonseggen, PAC; George Johnson, MD; Danford Burroughs, MD

A motion was passed to close the session to investigate, examine, or determine the character and otherqualifications of applicants for professional licenses or certificates while meeting with respect to individual

applicants of such licenses or certificates.

I. PA Full License Applications-provisional license approval issued between 8/28/95 - 10/23/95

Board Action: Approve

PA NAME

PROVISIONAL APPROVAL FORINTENT TO PRACTICE ISSUED

BALLARD, Paul D. , PA-CBAXTER, Marvin, PA-CBEALL, David C. , PA-CBITTNER, Robert, PA-C

BURNS, Andrea, PA-C

COPE, Don E., PA-CDONNELLY, William, PA-CKENDALL, Ann, PA-CLINDSLEY, Alan, PA-C

MEEK, Andrea, PA-CMEEKER, William, PA-C

MOORE, Helen, PA-CMORRIS, Charlene, PA-CMUOLO, Charlotte, PA-C

ORTON, William, PA-CPETERS, Mark, PA-C

PURVIS, Elizabeth, PA-CRUNDELL, Jason, PA-CSWEENEY-KUSTRA, KarenTIMM, Timothy, PA-CWERNER. Devorah, PA-C

, PA-C

SAENGER, Paul, M. D.O' BRIEN, Patrick, M. D.ATKINSON, Alvan, M. D.WATSTON, James S., M. D.OAKLEY, Ward, M. D.FREEMAN, Tyler, M. D.REIDA, Ronald, M. D.DEHORITY, Dixon, M. D.RICH, Robert, M. D.PENNINGTON, Glenn, M. D.JENSEN, Kirk, M. D.

DUNN, Ernest, M. D.POWELL, Ronald, M. D.CROSSWELL, James, M. D.GROH, Mara, M. D.JACKSON, Rosemary, M. D.KARDON, Evan, M. D.KOLAR, Edward, M. D.ROWLAND, Michael, M. D.GREENE, Phillip, M. D.

(******IndicatesPA has not submitted Intent to Practice Application)

NOV 1995

PA Temporary License Applications-provisional license approval issued between 8/28/95 -10/23/95

Board Action: Approve

PA NAMEPROVISIONAL APPROVAL FORINTENT TO PRACTICE ISSUED

ADAMS, Patricia, PABAIRD, Charlotte, PACASTILLO, Rose, PADOSSENBACH, Memory, PAEDWARDS, Ann Y. , PAEFIRD, Mark A. , PAERWIN, Mack E., PAEVERHART, Michael, PAFEDDE, Vicki, PA

FITCH, Jacqueline, PAGUNN, Matthew P. , PAHAYES, Carol L. , PAHEBERT, Lisa G. , PAJOYNER, Debra, PA

LAWS, Steven, PAMARCUS, Carolyn, PAQUINN-LOPEZ, Karen, PAREARDON, Kenneth, PARICKETTS, Bill A. PAROBINSON, Darlene, PARORIE, Brandon, PARUSH, Molly, PASETZLER, Heather, PASHAVER, Karen L. , PASPEAR, Sharon, PASTEINKE, Mark M. , PASTREILEIN, Annamarie, PASTRYKER, Jean E., PATROYON, Ricahrd, PATURMAN, Amie, PAVOORHEES, Maureen, PAWARNER, Deborah, PAWHITLEY, Harriett, PAWILSON, Jennifer, PA

BLOOMFIELD, Robert, M. D.HUBBARD, Stephen, M. D.REID, Robert, M. D.SPEER, Kevin, M. D.WILLIAMS, William, M. D.QUINN, Rayford, M. D.JONES, Jerry A. , M. D.GARRISON, Michael, M. D.ADAMS, Charles H. , M. D.SINCOX, Frank, M. D.MANNING, Stuart, M. D.CARPENTER, Harry Mitten, M. D.NEAL, John W. , M. D.WILSON, Joanne, M. D.STOUT, William, M. D.KALISH, Michael, M. D.

CREWS, Denniston, M. D.TAYAL, Vivek, M. D.WALKER, Kirk, M. D.QUARLES, Dru T. , M. D.GRUBB, Stephen, M. D.HALE, Lynn M. , M. D.JOLLIS, James, M. D.FERGUSON, Amy, M. D.HARRINGTON, Robert, M. D.CHANG, John, M. D.STRATTON, Janice, M. D.MCGUIRE, John, M. D.ROUSE, John L, M. D.MCNEILL, Robert, M. D.DREILING, Dale, M. D.HOLT, Williams, M. D.CABUGWASON, Lucila, M. D.MORETZ, Joseph, M. D.

(******IndicatesPA has not submitted Intent to Practice Application)

NOV 1995

The following physician assistants hold a temporary license and are requesting anextension-

BOARD ACTION: Approve

AVANCE, David, PA

HELMS, Van C. , PA

PA Intent to Practice Application for Committee Review-


HACKNEY, C. Landis, PAKALARICKAL, Cyriac, PASCOTT, Tina L, PABRANCH, Robert, PA

KARDON, Evan, M. D.OWENS, Robert C. , M. D.BRADFORD, Arthur L. , M. D.DUMAS, Mark N. , M. D.

PA Intent to Practice applications Provisionally approved-


ADAMS, Pamela, PA

AKERS, Kelly A. , PA

ALDRIDGE, Ronald, PA

BALL, Richard, PABANNER, Phyllis, PABARDEN, Lucy, PA

BAUMER, David, PABEAMISH, Michele, PA

BEACH, Joyce. PABEERS, Charles, PA

BIBB, Philip, PABOETTGER, Peter, PABROWN, Richard, PABUCK, Phillip, PABYNUM, Gerald, PACADWALLADER, Daniel, PACHAINTREUIL, Colette, PACOX, Frank, PACRAWLEY, John, PACUDD, Mary, PACULLER, Micheal, PACURTIS, L. Gail, PA

DIXON, April, PADOWNEY, Mary, PADRUMMOND, Michael, PAEVERSON, Phillip, PA

TIDLER, James, M. D.WHEATLEY, Samuel, M. D.RICHARDSON, David, M. D.JOHNSON, Harry, M. D.MACGUIRE, Osborne, M. D.READE, Robert A. , M. D.BELK, Harold, M. D.GRAINGER, Wade, M. D.MCCAULEY, Rober, M.D.MARTINEZ, Jose, M. D.JACKSON, Alan, M. D.ANEJA, Bela, M. D.ROWLETT, Joseph, M. D.FLETCHER, Robert, M. D.MEYERS, Allan, M. D.MEARNS, Thomas, M. D.COIN, Wendy, M. D.TURPIN, James, M. D.RICHARDSON, David, M. D.GASKINS, Raymond, M. D.FRANCE, Aaron, M. D.PEARCE, Kevin, M. D.MEEHAN, David, M. D.FISHER, Samule, M. D.PINKERTON, Gregory, M. D.PINKERTON, Jerry, M. D.

NOV 1995

FAULKNER, John, PAFENN, Peter, PAFERRAND, Linda, PAFINLEY, Christine, PAFISHER, Margaret, PAFOGARTY, T. Christine, PA

FORBES, Valerie, PAGAMBLE, Phinzy, PAGASKINS, Steven, PAGILL, Burgo, PAGRZYWACZ, Dona, PAHARKNESS, Gale, PAHARP, Wayne, PAHARRIS, Phyllis, PAHEDT, Stephen, PAHENDERSON, David, PAHENDERSON, Sharon, PA

HENDRIX, Paul, PAHUMPHREY, Susan, PAKATZ, Mark, PAKENNEY, Albert, PAKOZEL, Janet, PALANGE, David, PALARGAY, Joseph, PALEONE, Janet, PALILLIE, Chris, PALONG, Michael, PALUBKEMANN, Michelle, PA

LUTZ, Michael, PAMASHBURN, Neil, PAMCCABE, Corey, PAMIDYETTE, Debra, PAOEHMLER, Christy, PAPENNELL, Shannon, PAPFEIFFER, Susan, PAPHILLIPS, Kimberly, PA

POWERS, Laurie, PARICHARDSON, Lorenzo, PARINEHULS, David, PAROLEY, Edwin, PAROTH, Samuel, PASECREST, Jon, PASEELY, Dennis, PA

SEPKA, Richard, PASILER, Gwendolyn, PASMITH, Angela, PASMITH, Harold, PASTRAND, Justine, PASTROUD, Joan, PASTRUPP, Matthew, PA

CRAIG, William, M. D.GRIGSBY, George, M. D.VU, Khanh, M. D.SMITH, Paula, M. D.MAXWELL, Keith, M. D.KHAN, Khalid, M. D.HILTON, Amy, M. D.ARMOUR, Ross, M. D.HAYES, Terry, M. D.CLEARY, Jim, M. D.MELTON, Gwenesta, M. D.ROSEN, Robert, M. D.SEARLES, Anhtony, M. D.TURRENTINE, John, M. D.HARROW, Jeffrey, M. D.GREENWOOD, William, M. D.WEATHERLY-JONES, Cathi, M. D.ANDERSON, Robert, M. D.ROBINSON, Deirdre, M. D.CLEARY, Jim, M. D.PHILLIPS, Bruce, M. D.ERON, Joseph, M. D.RATCLIFFE, Robert, M. D.BUSE, John, M. D.CLAUDIUS, Pushp, M. D.THOMAS, Gayle, M. D.KALDY, Patricia, M. D.ZIMMERMANN, Clinton, M. D.HOOVER, Don, M. D.ROSS, C. Alan, M. D.SNYDER, Benedict, M. D.LESSANE, Beverly, M. D.YANCEY, Cynthia, M. D.CRUTCHER, Kenneth, M. D.BERRYHILL, Bruce, M. D.EVANS, Charlotte, M. D.KHUANAN, Rajesh, M. D.RATCLIFFE, Robert, M. D.KELLY, Thomas, M. D.COOK, Robert, M. D.BEVERLY-RUDIDEL, Yvette, M. D.PRIBANICH, Steven, M. D.SIDO, Obukohwo, M. D.DAVIS, Cara L. , M. D.HALL, Willliam, M. D.STARKENBURG, Robert, M. D.LOCKLEAR, David. M. D.STRATTON, Ida, M. D.MARTIN, Jeffrey, M. D.PANOSH, Wanda, M. D.

NOV 1995

-20-

STRUVE, Adona, PASUMMERS, Rhonda, PA

THOMAS, Robert, PATIGNOR, Gayle, PATURNER, Douglas, PA

TRUBE, Gary, PAVANDYCK, Ursula, PAVAUGHN, James, PAWALKER, Elaine, PAWALKER, Kathy, PAWHEELER, Roy, PAWINSTED, Beverly, PAWYNN, Kimberly, PABLEMINGS, Ginger, PA

DODDS, George, M. D.MCNEILL, Robert, M. D.AYERS, Dwayne, M. D.ONWUKWE, Augustine, M. D.KOUBA, Stephen, M. D.GOODIIAN, Peggy, M. D.NEWMAN, Joseph, M. D.STITT, Van, M. D.MILL, Michael, M. D.MCLAIN, Linda, M. D.KESSEL, John, M. D.MCGANN, Paul, M. D.HUDSON, Tonya, M. D.PRIBANICH, Steven, M. D.

VIII. PA Locum Tenens applications Provisionally approved-


1. DAVIS, Richard C. , PA9/05/95-3/05/96

BENNETT, John M. , M. D.


XI Public Agenda Items For Committee Discussion-

1. Suggestions for reducing PA annual registration delinquencies. (currently 78 Pas with

delinquent 95/96 registration)

Amended Motion: That each licensed PA whose 1995 registration is delinquent on 11/30/95be sent a certified return receipt requested letter stating:

a. Your N. C. PA registration is delinquent five months past the due date of 6/30/95, so youare required to appear before the N. C. Medical Board's PA Committee for an InformalInterview on January 17, 1996 at 9:00am.

b. You are required to provide a copy of all documents to be kept on-site as required under21 NCAC 320 to the N. C Medical Board by January 2, 1996 via mail to: N. C. Medical Board,P.O. Box 20007, Raleigh, NC 27619 for examination by the Board under 21 NCAC 320.0016(9)

c. You will provide a completed 1995 PA Annual Registration form (enclosed) and $75.00annual registration fee by 12/31/95, or give written explanation for reason you are not re-registering your PA license.

Further, you may elect to send payment of your 1995 PA annual registration fee of $75.00and a completed PA registration form before 12/31/95 to the Board's office to remove theneed (a) for your appearance at an informal interview on 1/17/96.

NOV 1995

Should you elect to pay the delinquent 1995 PA annual registration fee before 12/31/95 andregister your license, you will still be required to provide (b) copies of your on-site PAdocuments as required by 21 NCAC 320.

BOARD ACTION: A motion was passed that this be referred to the legal section for furtherconsideration.

2. Volunteer PA License ongoing discussion.Proposal to Amend 21 NCAC 320:

VOLUNTEER LICENSE FOR PHYSICIAN ASSISTANTS

The Volunteer License limits its holder to the practice as a physician assistant as follows:

services rendered, or any payment or compensation to the Volunteer Licensee, either director indirect, monetary, in-kind, or otherwise for the provision of volunteer medical services.The entities which sponsors the provision of volunteer medicalservices shall be clearly described on application forms, and approved by the Board.2) practice within confines of specific locations approved by the Board as specified onapplication forms.

3) shall meet all requirements for licensure as a physician assistant pursuant to 21 NCAC 21).0001 through .0021 with the following exceptions:

a) Under .0002: (see section .0021 for new volunteer license fee and registration. )b) Under .0004: (practicing in a volunteer setting as a physician assistant would be an

exception to this section, provided all requirements of the Volunteer License are met.c) Under .0009: (that physicians assistants practicing in volunteer setting may dispense

medication at no cost to the patient (following the N. C. Board of Pharmacy rules regardinglabeling and patient information) from a stock of medication approved by the supervising andprovided by the individual or organization operating the volunteer setting. )

d. ) Under .0016: (misused or misrepresented the services, financial interrelationships, orpurpose of the volunteer medical situations as described to the Board in application forVolunteer License. )

e) Under .0021: (Add the following: (3) Volunteer Physician Assistant License Fee: twenty-five dollars ($25.00), and (4) Annual Registration Fee for Volunteer Physician Assistantlicense: ten dollars ($10.00).4) The Volunteer Licensee may be a physician assistant who:

a) holds an active and unencumbered license, temporary license, or inactive license as aPhysician Assistant approved by the North Carolina Medical Board.

b) holds an active and unencumbered license or approval to practice as a PA by anyfederal agency

f~or exam ie: Bureau of Indian Affairs, N. D. Dept. ofCorrections, N. C. Dept. of Public Health, or any branch of the U.S. military.

c) holds an active and unencumbered license as a PA approved by another state.

BOARD ACTION: The board adopted a motion by Wayne VonSeggen and seconded byDanford Burroughs, that this be referred to the legal section for further consideration.

NOV 1995

3. Amending PA rules to allow prescription of medications for ABB ADHD Attention DeficitH eractivi Disorder and Narcole s up to 30 day supply to parallel recent NP rules.

BOARD ACTION: Approve with changes

4. Guidelines for the staff for issuing provisional approval for a PA license application or PAIntent to Practice/Locum Tenens application.

BOARD ACTION: Approve with changes

Issue provisional approval on applications revealing no grounds on which the Board mightdeny an application-

PA License a lication-

~ do not issue provisional approval if there are any affirmative answers on the Licenseapplication (with the exception of question ¹5regarding the "lapse of a license" if thisinformation is verified on the Licensure Biography Sheet)

~ do not issue provisional approval if Licensure Biography Sheet has derogatory informationlisted.

~ do not issue provisional approval if any recommendation letter has derogatory information.

PA Intent to Practice/Locum Tenens a lication-

~ do not issue provisional approval if there is any new guestionable information in the PAs file

that has not been previously reviewed by the Board since the last approval and/or there isnew guestionable information in the Primary MDs file that has not been previously reviewed

by the Board since the last approval as a supervisor

~ do not issue provisional approval if the applying Primary Supervising Physician has beeninterviewed since 5/95 and the Board indicated on the Board Action sheet nMD should notbe a supervising physician"

~ do not issue provisional approval if the PAs annual registration is delinquent (after June 30)

~ do not issue provisional approval if the applying Primary Supervising Physicians biannualregistration is delinquent (after December 31)

NURSE PRACTITIONER COMIIITTEE REPORT-Harold Godwin, MD; Ernest Spangler, MD



NP initial applications recommended for approval after staff review-

NOV 1995

-23-


BENNETT, Sandra O. , NP-applicantBORUFF, Linda D. , NP-applicantBOYD-HARRELL, Mary O. , NP-applicantBRUMMEL, Deborah, NP-applicantCARPS, Kristine, NP-applicantCLARK, Kay M. , NP-applicantCOPE, Diane G. , NP-applicantCUDWORTH, Judith, NP-applicantDORNEY, Jewel L. , NP-applicantENDRES, Rebecca, NP-applicantFIELDS, Sue F. , NP-applicantGILLIAM, Stephen, NP-applicantHAWTHORNE, Mary H. , NP-applicantHAYNES, Ava, NP-applicantHAYNES, Heidi J., NP-applicantHUNTER, Sue E. , NP-applicantLEE, Martha B., NP-applicantMCLELLAN, Cynthia L. , NP-applicantOLSHINSKI, Philip, NP-applicantSAXON, Susan R. , NP-applicantSELLERS, Mary A. , NP-applicant

SHAW, Elizabeth, NP-applicantWAZENEGGER, Wanda, NP-applicantWEATHERFORD, Anne M. , NP-applicant

BUSTARD, Victor, M. D.KELLY, William, M. D.OHADUGHA, Godfrey, M. D.SHORE, Cathy H. , M. D.RANSOME, James, M. D.TURPIN, James, M. D.BOYD, James F. , M. D.SIMONS, Stephen, M. D.WILLIFORD, J.K. , M. D.MCGEARY, Scott, M. D.TEMPEST, David, M. D.HART, Robert E., M. D.SULLIVAN, Martin, M. D.BULLOCK, Ann K. , M. D.GANT, James, M. D.JOHNSTON, John G. , M. D.ROBERTS, John M. , M. D.CISZEK, Thomas, M. D.BAKER, Clifton A. , M. D.HALE, Wayne, M. D.CALIFF, Robert, M. D.LONG, Clifford, M. D.BRIGGS, John L. , M. D.LYLES, Evelyn, M. D.

NP Initial Applications for Committee Review-


BACKUS, Lucinda, NP-applicantMILLER, Karen, NP-applicantODEM, Donna S., NP-applicantRYAN, Janis A. , NP-applicantWELCH, Vivian, NP-applicantWHIDDON, Suzanne, NP-applicant

COOK, Steven, M. D.CREECH, Joseph, M.D.WADE, Eugene H. , M. D.FRIEDMAN, Henry S., M. D.OLSON, Paul R. , M. D.WATSON, James S., M. D.

NP applications for Adding Practice Sites administratively approved-


GORDON, Carolyn, NP FOY, Jane, M. D.additional site: Grimsley High School Student Health, 801 Westover Terrace, Greensboro

RUPPERT, Nancy, NP SMITH, Christopher, M. D.additonal site: Candor Family Healthcare, 210 E. Main St. , Candor

SKILES, Elizabeth, NP HYDE, Lee S., M. D.

NOV 1995

additional site: Pisgah View Comm. Ctr. , 1 Granada St. , Asheville

WACHOWIAK, Wilma, NP SMITH, Alleyne, M. D.additional site: HealthWays Family Medical Ctr. , 1700 Matthews Township, Matthews

NP applications for Job Change administratively approved-


CANADY, Melanic, NP

DOBSON, Betty L. , NP

EZZELL, Debra, NPFELTS, Eva J., NPGOODWIN, Bonnie, NP

GRIFFITH, Nancy, NP

MORGAN, Jamie T., NPOSTROWSKI, Connie, NPSMOTHERS, Deborah, NP

GANT, James C. , M. D.FRETWELL, Marsha, M. D.LARSEN, Lars, M. D.CREQUE, H. Monte, M. D.QUINN, Robert, M. D.MARTIN, Wayne, M. D.NEWSOME, Samual, M. D.COLEMAN, Robert, M. D.CHALFA, Nicolai, M. D.

NP applications for Additional Job/Add'I Primary MD administratively approved-


GHIANNI, Claudina, NP

GREENE, Jacquelin, NP

MANNINO, Angela, NP

MUIR, Patricia, NPROWE, Veda, NP

IBE, Eleana G. , M. D.DERRICK, William, M. D.KLEIN, David, M. D.RUNYAN, Desmond, M. D.BARTELS, Pamela, M. D.

NP applications for Change of Primary Supervisor administratively approved-


BURKE, Gail M. , NPMCDOWELL, Peggy, NP

MORGAN, Carolyn, NP

NORTON, Peggy, NPSMITH-OVERMAN, Patricia, NPTEDDER, Betty, NPWHALEY, Jimmiy R. , NP

YUHASZ, Beverly, NP

BROWN, Gail, M. D.SUMMERS, Shane, M. D.FERNANDEZ, Eldaliz, M. D.WRIGHT, Lydia, M. D.BROADHEAD, Walter, M. D.THIGPEN, F. Ray, M. D.BENNETT, Ward E. , M. D.WRIGHT, Lydia, M. D.

NOV 1995

-25-

LICENSURE INTERVIEWS

The Board conducted 23 licensure interviews. A written report was presented to the Board for review. TheBoard adopted the committee's recommendation to approve the written report.

LICENSE COMMITTEE - NOVEMBER 1995

The committee reviewed six cases. A written report was presented to the Board for review.


RULES REVIEW

November 18, 1995 License Committee

(a) Because the Board has set a precedent by issuing license to physicians who did not satisfy the 3year postgraduate training requiiement but were certified by an American Medical Specialty Boardit is felt a Rule is needed stating Certification by an American Medical Specialty Board is equivalentto 3 years postgraduate training.

BOARD ACTION: Have staff prepare a rule stating the 3 year postgraduate training requirement may besatisfied by a combination of less than 3 years training in conjunction with certification

by an ABMS or AOA specialty board.

(b) Proposed Rule change .0305 Examination Basis For Endorsement (tabled from Septembermeeting)

BOARD ACTION: Accept recommendation to alter rules as presented in "mark up" copy. Include a list ofexams the Board considers "written exams" and keep the 10 year qualification as a "10year rule" not the proposed "6 year rule".

LICENSE CERTIFICATES


(a) Full License - Proposal to have machine printed and on smaller scale, as opposed to the currentlarge "hand drawn" document, in an effort to save money and time.

BOARD ACTION: A motion was passed to wait until a "sample" is ready to present to the Board. Intentionis to keep the quality high & looking good. Board will have final review.

NOV 1995

-26-

(b) RTL - Recommend adding registration year (1997) and physician's ID¹;change Board's name, Mr.Paris' title, and change the State Seal to the Board's Seal

BOARD ACTION: Add physician's ID¹,change Board's name, Mr. Paris' title and change the State Sealto the Board's Seal. Do not have the registration date pre-printed on the license.

CSPEX UPDATE


Attempts to contact Dave Hill at the Federation of State Medical Boards - No information availableas of 11/3/95. He suggested the possibility of the Board Members visiting a test center to observehow the exam is administered.

BOARD ACTION: Accept as information.

LICENSE BY ENDORSEMENT STREAMLINING PROCESS


(a) Proposed application package

BOARD ACTION: Accept the proposal of restructuring the license by endorsement process by

having the physician submit all application credentials in one package.

(b) Use of "Forms" for letters of recommendation

BOARD ACTION: Abstract a "form" for letters of recommendation to include in the newapplication process and have the Committee revisit this topic. Dr. Burroughs suggested we lookat the letter Kaiser uses.

ORAL QUESTIONS


Change ¹5from "Have you ever used any drugs or any controlled substances during the pastyear that were not prescribed for you by your physician or dentist?"

to "Have you used any drugs or any controlled substances during the past 3years that were not prescribed for you by your physician or dentist?"

BOARD ACTION: Change the question to read "Have you used any drugs or any controlledsubstances during the past 5 years that were not prescribed for you by yourphysician or dentist?"

NOV 1995

-27-

Abstract the oral questions and consider rewriting.

LEGAL OPINION


Get a legal opinion on restricting physician's to geographic areas

BOARD ACTION: Accept Jim Wilson's explanation that G.S. 90-12 gives the Board authority toissue a license limited geographically when conditions make it advisable.

ASSIGNING LICENSE NUMBERS


lt has been requested by some members of the Board that a system be established to issuelicense numbers more expeditiously following a Board Meeting.

BOARD ACTION Accept as information —Instruct staff to develop a system to accomplish thistask.




"Suspension for Failure to Register"


Have staff develop different terminology for licensesees who choose not to register their license."Suspended for failure to register" seems too harsh.

BOARD ACTION: Have staff take this to the Legislature to have the wording changed in the law

(G.S. 90-15.1).

LICENSED BY ENDORSMENT OR EXAMINATION

ALEMAN, MicaelaAMIR, ImranARCHER, Thomas PatrickARNOLD, Malcolm R.S.ARNOLD, Richard EvanATTKISSON, Sallie Ann

ATWELL, Darryl Munroe

95-0147495-0147595-0147695-0171295-0147795-0147895-01479

NOV 1995

-28-

AUSTIN, Jonathan GregoryAXTMAYER, Robert William

BABB, Jeffrey DeanBAHTIARIAN, Gregory Armen

BAIG, Nighat MughalBAKER, William Arthur

BALAICUIS, Charles William

BARSTAD, Brian Keith

BASILE, VitoBASS, Kirsten Noelle

BEAL, Alicia PauleyBENITEZ, Gary TaguiamBERGH, Arthur FrancisBERNAL, RuthBIRD IV, Antonio ModestoBLACKWELL, Kimberly Lynn

BOINEAU, Robin ElizabethBOND, Julia PrestonBORTOFF, Gregory AlexanderBOSLEY, Larry LeeBOTTOMS JR., William ThomasBRACE, Ronald JohnBRAHEN, Leonard SamuelBRANNON, Ronald Hoffman

BRENNAN JR., William JamesBREWER, Martha JohnstonBRIDGES, Lindsay Caldwell

BRODERICK, Denise Ann

BYRD, Vernon DaleCAVAZOS-TREVINO, Jose EnriqueCHAMBERLIN, Martin RossCHIN, Hsiao-PinCHISSELL, Hugh

CHU, Peter TiceCLEMENT, Kevin BryanCLEVELAND, Brett StandardCOHEN, Alan BruceCOLON-EMERIC, Cathleen SellnerCOLVIN, Oliver MichaelCORLETTE SR., Adrian PaulCORNEJO, Juan AntonioCORNELL, Floyd MichaelCOVINGTON JR., Alfred JenkinsCRISTESCU, Mircea GeorgeGRUM JR., Paul Miller

DAGGETT, Alison Martin

DAUKAS, CharlesDEBEUS, Anthony MauriceDEAS, Rebekah Ann

DECH, Philip James

95-0148095-0148195-0148295-0148395-0148495-0148595-0148695-0148795-0148895-0148995-0149095-0149195-0149295-0149395-0149495-0149595-0149695-0149795-0149895-0169895-0149995-0150095-0150195-0150295-0150395-0170095-0150495-0150595-0150695-0150795-0169695-0150895-0116495-0150995-0151095-0151195-0170195-0151295-0151395-0151495-0151595-0151695-0151795-0151895-0151995-0152095-0152195-0152295-0152395-01524

NOV 1995

-29-

DEV, GautamDICKERSON, Bryon AnthonyDOMBROWSKI, Edwin HenryDOSS III, William LafayetteEGNATZ, Dennis GrantEHRLICH, Vickie Lynn

EZEMA, James Ntadimma

FAREBROTHER, Suzanne IreneFARMER, Shauna Suzanne Tilly

FILES, Douglas ScottFORSTER, Robert Allen

FOWLER II, Vance GarrisonGARCIA, Frank GeorgeGITTLESON, Stacy DaraGIUNTOLI II, Robert LawrenceGLAZEBROOK, Katrina NestaGOLDBERG, Jeffrey RobertGOLDBERG, Kenneth CharlesGOODMAN, Eli GottliebGRAYSON JR., David Dillard

GREENBERG, Jordan William

GRIMM, Beverley KayGUTHRIE, Barbara Ruth

HABERMEIER, Hans Karl

HARDIGREE, Gregory Keith

HAROON, Muhammad SalmanHARTER, Josephine Miriam

HARVEY, David ChristopherHASSAN, Sami AbdusHENDRIX, Ernest LeeHENLINE, Donald William

HERMAN, Lee EdwardHERMAN, Page SeckmanHILL, David Lloyd

HILMI, Sausan Ann

HIPONA, Maria LuisaHOUGH, David Maitland

HOVENDON, Jennifer Hollis

HUPPMANN, Joseph FrancisHUYNH, Tam Thi ThanhJABLONSKI, Donald EdwardJACOBSEN, Robert RayJANOSKO, Mark RichardJIMENEZ, John LawrenceJONES, Amy EileenJONES, Kimberly Herrman

JOYNER, William LawrenceKAFER, Jeffrey CharlesKANAKESWARAN, KanagasabaiKEATINGE, Daniel Wilson

95-0152595-0152695-0169995-0152795-0169495-0152895-0152995-0153095-0153195-0153295-0153395-0153495-0153595-0153695-0153795-0153895-0169795-0153995-0154095-0154195-0154295-0154395-0154495-0154595-0154695-0154795-0154895-0171195-0170495-0170295-0154995-0155095-0155195-0155395-0155495-0155595-0155695-0155795-0155895-0155995-0166995-0156095-0156195-0155295-0156295-0156395-0156495-0156595-0156695-01567

NOV 1995

-30-

KIHIRA, MasayasuKIM, Ho JinKISSINGER, James MichaelKLAAS, John RichardKNOWLES, Jarol BoanKOEHLER, Anthony JamesKOHL, Jan Ellen

KONG, Li KuoKURZ JR., James EckhardtKUZMYK, Susan MarieLANDERS, SharonLANDMAN, Michael JosephLANE II, Richard GaryLANIER, Vickie MarieLARSEN, Alan Norman

LE, Thu Huy

LEE, James FredericLEE, Lawrence Hou-ChungLOGAN JR., William GarisonLOPEZ, AlbertoLORIA, Elvira LoveresLOWE-ROACHE, Nanetta BonitaLUX, Mary B. BancroftMACARTHUR JR., Robert DouglasIIAHMOOD, Khalid

MALATY, Wail

MALCHOW, Steven CarlMALLETT, Holly Ann

MARSHALL, Diane Duvall

MARSHALL, Sheila FryerMASCENIK, Thomas JosephMATHUR, SumeetMCARTHUR, Holly Kristin

MCBRIDE, Gary Lyn

MCCORMICK, Keith Lyndon

MCGEE III, Lawrence StoneMCGEE JR., Robert SaundersMCMAHON, Timothy JosephMEDLEY, Mark FrederickMERTES, Christopher Paul

MIMS, Susan RuppMITCHELL, Edmund MansfieldMITCHELL, Stephen BasilMOGABGAB, Edward RoddyMOHAMED, M. Hisham Abdel-Aziz

MONTAG, Thomas William

MONTELEONE JR., Gaetano PeterMORENO, Linda BeatrizMULCAHY, Edward RichardMULLICK, Mmonowar Hussain

95-0156995-0157095-0157195-0157295-0157395-0157495-0157595-0157695-0157795-0157895-0157995-0158095-0158195-0171095-0170795-0158295-0158395-0158495-0158595-0158695-0158795-0158895-0158995-0159095-0159195-0159295-0159395-0159495-0159595-0159695-0170395-0159795-0159895-0159995-0160095-0160195-0160295-0160395-0160495-0160595-0160695-0160795-0160895-0160995-0161095-0170695-0161195-0161295-0161395-01614

NOV 1995

MUMBAUER, Steven WayneMURPHY, Bettina Ann

MYERS, Veresa TroutmanNADKARNI, Anand DayanandNEWTON, Edward Marshall

NICHOLSON, John Dailey

NORRIS, Cynthia MaeNYCUM, Lawrence RossOKPALAOKA, Osita EjikeONGJOCO, Rita RosalieONWUKWE, Augustine Nnana

OSBORNE, David FranklinOWENS-JARRELL, Susan Leigh

OYLER, Rebekah Marie

PATEL, Divyang RambhaiPATEL, Haresh JhaverbhaiPATEL, Kalpen Navin

PATEL, Pravinkumar Kantilal

PATEL, Sandip SubhashbhaiPAWLOSKI, John RobertPERKINS IV, Alvin ThomasPERRON, Andrew Davol

PERSON, Robert GoodwinPINKNEY, Roland LouisPORTER, David JoelPORTNER, Bruce StephenPOWERS, Thomas Anthony

PUGH, Joseph RobertRAGSDALE, Anne BarrettRANDOLPH, Byron RichardRENFROW, Juliette LangnerRINEHART, Tracy TaylorRIVELL, James Paul

ROSA, Miguel AngelROSSHEIM, Brooke WeingerRUBENS, Jonathan SamuelSAMBORSCHI, Valentin

SANDLAND, HelenSANVILLE, Kevin ChristopherSAVITSKY, Ivan

SAWICKI, Carole Caldwell

SCHABERG, John William

SCHERLAG, Michael Ara

SCHRADER, Guillermo Trujillo

SCHULTZ, Sandra BethSCOTT, Jessica SharonSHANDER, Gregg StuartSHANDILYA, Loknath

SHARMA, Ramesh MysoreSHI, Patricia Ann

95-0161595-0161695-0161795-0161895-0161995-0162095-0162195-0162295-0162395-0162495-0162595-0162695-0162795-0162895-0162995-0163095-0163195-0163295-0163395-0163495-0163595-0163695-0163795-0163895-0163995-0164095-0164195-0164295-0164395-0170595-0164495-0164595-0164695-0164795-0169595-0164895-0164995-0165095-0165195-0165295-0165395-0165495-0165595-0165695-0165795-0165895-0165995-0156895-0166095-01661

NOV 1995

-32-

SHY, Kathy ElaineSIEGEL, Stacy Lynn

SIKICH, LinmarieSLIZ JR., Nicholas BernardSORIANO, Ariel FernandoSTEINBACHER, Erika Anu

STRANGE, Kristin Kirk

SUSEC JR., Otto CharlesSWEENEY II, Thomas Medrick

TALBOT, Elizabeth AnneTANKERSLEY, James ConstantTAYLOR, Linda Morris

TAYLOR, Melinda CatherineTEE, Steven TeksanTERMAN, Eric William

THOMAS-KING, Pamela YvetteTUNNESSEN JR., Walter William

URICCHIO JR., Joseph VincentVALENTEEN, John WalterVENDEL, Lisa Marie

VESY, Christopher JohnVIJH, VijayNEIDA, Anne Elizabeth Von

THRON, James Carl Von

WAGNER, Jill MichelleWHITSON, Michael LeeWILLIAMS, Christopher DavisWITTIG, Robert MichaelYACYNYCH, Robert MichaelYEATON, William LeeZAHIR, Khalique SyedZENN, Michael RobertZWENG, Thomas Nelson

95-0166295-0166395-0166495-0166595-0166695-0166795-0166895-0167095-0167195-0167295-0167395-0167495-0167595-0167695-0167795-0167895-0167995-0168095-0170895-0168195-0168295-0168395-0168495-0168595-0168695-0168795-0168895-0168995-0169095-0169195-0169295-0169395-01709

A motion was passed to close the session to preserve information confidential under NC General Statute 90-21.22.

NCPHP COMMITTEE REPORTCharles Trado, MD; Martha Walston; Harold Godwin, MD

The Board reviewed 20 cases involving participants in the North Carolina Physicians Health Program. A

wirtten report was presented for the Board's review. The Board adopted the committee's recommendationto approve the written report.

A motion was made to return to open session.

NOV 1995

%33%

A motion was passed to close the session to preserve confidential information under the NC General Statute90-8 and 90-16.

COMPLAINT COMMITTEE REPORTCharles Trado, MD; David Howe; Danford Burroughs, MD; Hector Henry, MD

The committee reported on 99 complaint cases. A written report was presented to the Board for review. TheBoard adopted the committee's recommendation to approve the written report. The specifics of this reportare not included as these actions are not public information.

A motion was made to return to open session.

A motion was passed to close the session to take disciplinary actions against persons holding licenses orcertificates while meeting with respect to individual holders of such licenses or certificates and to preventdisclosure of information that is confidential pursuant to sections 90-8 and 90-16 of the North Carolina GeneralStatutes and not considered public record within the meaning of Chapter 132 of the General Statute.

INVESTIGATIVE COMMITTEE REPORTHector Henry, MD, George Barrett, MD; Harold Godwin, MD; Wayne VonSeggen, PAC; Martha Walston

The committee reported on 60 investigative cases. A written report was presented to the Board for review.The Board adopted the committee's recommendation to approve the wirtten report. The specifics on this

report are not included as they are not public information.


POLICY: CHECKLIST FOR CLOSING MEDICAL PRACTICE

Staff is seeking an official policy that could be added to others contained in the Board's brochure.

BOARD ACTION: Refer to Policy Committee

POLICY: RETIREMENT LETTER TO SEND TO PHYSICIANS ANNOUNCINGRETIREMENT (NEWSPAPER ETC.)

BOARD ACTION: Refer to Policy Committee

MEDICAL MISADVENTURE REPORT

BOARD ACTION: Investigate specific cases pointed out during Investigative Committee Meeting.

A motion was passed to close the session to take disciplinary actions against persons holding licenses orcertificates while meeting with respect to individual holders of such licenses or certificates and to

NOV 1995

prevent disclosure of information that is confidential pursuant to sections 90-8 and 90-16 of the North CarolinaGeneral Statutes and not considered public record within the meaning of Chapter 132 of the General Statute.

INFORMAL INTERVIEWS

The Board conducted 40 Informal Interviews to discuss specific issued which concerned the Board. A written

report was presented to the Board for review. The Board adopted the committee's recommendation toapprove the written report. The specifics of this report are not included as these actions are not publicinformation.

A motion was passed to return to open sessin.

MALPRACTICE REPORTWalter Roufail, MD; David Howe; Hector Henry, MD

A motion was passed to close the session to preserve confidential information under the NC General Statute90-8 and 90-16.

The committee reported on 38 cases. A written report was presented to the Board for review. The Boardadopted the committee's recommendation to approve the written report. The specifics of this report are notincluded as these actions are not public information,


Minutes of additional items:

1. Staff to change CME form to reflect a column for Category 1 CME totals and Category 2 CME totals.

2. Issue of CME requirements to be brought up with the Policy Committee.

3, All forms and documents should have a date on the form or document indicating the date of preparation.

4. Copy the physical therapy practice act for review by the malpractice committee at the Board meeting.

5. Staff to ask medical malpractice carriers if they have statistics regarding the frequency of suits for thosewho have medicaid versus those who are not.

6. Ask the Division of Facilities Services (with a CC to the Hospital Association) what recommendations theygive regarding individual medical staff rules on requiring specialists to respond to consults from theemergency room physician. Must the specialist respond and are there penalties if they do not?

7. Staff should inquire of the Board when the instruction is given to "monitor" the frequency and the level ofscrutiny.

8. Issue was raised on how to get more reports from the insurance companies of cases settled.

NOV 1995

A motion was passed to close the session to consider the qualification, competence, performance, character,fitness, conditions of appointment, or conditions of initial employment of individual public officers or cemloyees.


AD JOURNMENTThis meeting was adjourned on November 18, 1995.

Secretary/Treasurer

NOV 1995

Documents

15-18,1995 1203 St....MCELLIGOTT, James Brendan, MD — Grimesland, NC a. 8/21/95 — Charges executed b. 8/23/95 — Charges served on MD c. 11/95 — Should have proposed Consent