ALABAMA STATE BOARD OF MEDICAL EXAMINERS PUBLIC … Agenda.pdf · ABME Public Agenda May 15, 2019 1 ALABAMA STATE BOARD OF MEDICAL EXAMINERS PUBLIC AGENDA MAY 15, 2019 Credentials

ABME Public Agenda May 15, 2019 1

ALABAMA STATE BOARD OF MEDICAL EXAMINERS PUBLIC AGENDA

MAY 15, 2019

Credentials Committee Meeting - Tuesday, May 14, 2019

Executive Director’s Report

MINUTES (1) Public Minutes of April 11, 2019 (1) Special Called Meeting Minutes of April 13, 2019

CURRENT BUSINESS Administrative Rules for Final Adoption (1) 1. Administrative Rule 540-X-2-.01, Definitions Other (1) 1. Resolution: Request for Attorney General’s Opinion Re: Ala. Code § 34-24- 337(d)-(j) and Ala. Code § 34-24-524 (4) 2. Tianeptine – ADPH Correspondence Requests for Board Opinion (SA) 1. Autopsy Licensing Requirement (SA) 2. Coolsculpting and Exilis (SA) 3. Examination via Telemedicine Prior to Non-Ablative Treatment


LICENSURE

APPLICANTS FOR CERTIFICATE OF QUALIFICATION FULL LICENSE APPLICANTS Name Medical School Endorsement

1. Brian Lee Abbott University of Tennessee Memphis COM USMLE/TN 2. Faris Ahmed University of Khartoum USMLE/IL 3. Syed Hassan Abbas Akbari Washington University SOM USMLE/MO 4. Adanna Amanze Michigan State Univ Lansing USMLE/WI 5. Robert Anthony Annibale Univ of Medicine and Health Sciences, St. Kitts USMLE 6. Jaclyn Margaret Arquiette Virginia Commonwealth University SOM USMLE 7. Rizwan Afzal Assad U of Science, Arts, Tech (USAT) Faculty of Med USMLE/FL 8. Dominique Josee Beaudry University of Texas - Houston Medical School USMLE/TX 9. Omar Bibi Howard University COM USMLE

10. Tonya Amber Bolton Nova SE U, Patel College of Osteopathic Medicine COMLEX/FL 11. Grant Alexander Bond Meharry Medical College SOM USMLE 12. Andres Elias Borrero-Mendoza Universidad Iberoamericana SOM USMLE 13. Mitchell Hobson Bowman University of Tennessee Memphis COM USMLE/VA 14. Alexander Monarch Brown University of Louisville SOM USMLE 15. Andrew Joseph Burandt Michigan State Univ College Of Osteo Medicine COMLEX/MI 16. Maricelina Doreley Caro Kimmel Medical College at Thomas Jefferson Univ USMLE/IN 17. Shoujun Chen Tongji Medical University USMLE/LA 18. Joe William Chiles III University of Kentucky COM USMLE/OH 19. Cameron Townsend Corte University of South Alabama COM USMLE/FL 20. Vistasp Jimmy Daruwalla Padmashree Dr. D.Y. Patil Med Col for Women USMLE 21. Travis Scott Davis University of Tennessee Memphis COM USMLE/TN 22. Heidi Frutchy Deblock Univ of Buffalo SUNY SOM & Biomedical Sciences FLEX/NY 23. Ujjwala Shah Dheeriya University of Virginia SOM USMLE/CA 24. Daniel Dimitri Droukas UASOM Birmingham USMLE 25. Holly A. Dunn University of NC School at Chapel Hill SOM FLEX/VT 26. Stacy Ifeoma Ejem University of Alabama SOM Birmingham USMLE/MO 27. Justen Hani Elbayar New York Medical College USMLE/NY 28. Ahmed S. Mohamed Eltelbany Ain Shams University Faculty of Medicine USMLE/OH 29. Joseph Raymond Esparaz University of Illinois COM Chicago USMLE 30. Jessica Marie Fazendin Medical College of Wisconsin USMLE/PA 31. Edward Andrew Fazendin Medical College of Wisconsin USMLE/PA 32. John David Feltenberger Touro University College Of Osteopathic Medicine COMLEX 33. Timothy John Fernstrom University of New England College of Osteo Med COMLEX/OR 34. Molly Erin Fleece USACOM USMLE 35. Brian Paul Fletcher USACOM USMLE/VA 36. Lindsay Schaefer Flynn University of Florida COM USMLE 37. Robert Campbell Foster University of Alabama SOM Birmingham USMLE/MN 38. Andrew Richard Fuson LSU Medical Center In Shreveport USMLE/MO 39. Rahul Garg Duke University SOM USMLE/MD 40. William Hunter Garrett University of Tennessee Memphis COM USMLE 41. Nicholas Garrett Geagan Lake Erie College of Osteopathic Medicine COMLEX 42. Louis Arsenio Gerena Florida State University COM USMLE/SC


43. William Marshall Gilbert University of Mississippi SOM USMLE 44. Jeffrey Jerome Richard Grondin Saba University SOM USMLE/MS 45. Nathan Thomas Hadley University of Alabama SOM Birmingham USMLE 46. Josh Adams Hammel Emory University SOM USMLE/IN 47. Karen Emily Hand University of Mississippi SOM USMLE/NC 48. Karin Marie Hardiman University of Alabama SOM USMLE/OR 49. Michael Henry Harris San Beda COM USMLE 50. Spencer Thomas Hatch William Carey University College of Osteo Med COMLEX 51. Aparna Madhukeshwar Hegde J.J.M. Medical College USMLE/TX 52. Jonathan Wynn Hemmert University of Chicago Pritzker SOM USMLE/IN 53. Christopher Bryant Hendrickson Pikeville College of Osteopathic Medicine COMLEX 54. Andrea Verburg Hill U of Louisville SOM TX A&M U Hlth Sci Ctr COM USMLE/GA 55. Amanda Nicole Hopkins University of Missouri SOM Columbia USMLE 56. Chibuzo Churchill Ilonze University of Nigeria COM USMLE/OK 57. Ramy Ismail Ain Shams University Faculty of Medicine USMLE/FL 58. Gaurav Jain Medical College of Georgia SOM USMLE/NV 59. Carl Anthony Johnson Jr. University of Pittsburgh SOM USMLE 60. Natalie Lynn Johnson A T Still University School of Osteopathic Medicine COMLEX/OH 61. Alex Arden Johnson Emory University SOM USMLE 62. Rachel Michelle Jones Lincoln Memorial Univ Debusk Col of Osteo Med COMLEX/GA 63. Jonathan E Jones Mercer University SOM USMLE/KY 64. Anatoli Frances Karas Rush Medical College of Rush University USMLE 65. Nitasha Khullar University of Missouri Kansas City SOM USMLE 66. Anna Mullenix Knight LSU Medical Center In Shreveport USMLE/MI 67. Casey Adam Kramer William Carey University College of Osteo Med COMLEX/OH 68. Rohail Kumar Aga Khan Medical College, Aga Khan University USMLE/LA 69. Petra Simone Lynch Ludwigs U Freiburg Medizinische FakultÃ¤t USMLE/NY 70. Mohamed Abdelfatah Magdy University of Cairo USMLE/GA 71. Foy Glen Mann III Philadelphia College of Osteopathic Medicine COMLEX/OK 72. Brian Andrew May University of Alabama SOM USMLE/OH 73. Katherine Stolle McClellan Pennsylvania State University COM USMLE 74. Adam Robert McKinney UASOM USMLE 75. Daniel Patrick McMahon UASOM USMLE/VA 76. Jose Medina-Smester Medical College of Georgia SOM USMLE/FL 77. Geh Meh Chu Meharry Medical College SOM USMLE/DE 78. Richard Philip Menger Georgetown University SOM USMLE/NY 79. Delmer A. Montoya Motino U Catolica Honduras Nuestra Senora Reina la Paz USMLE 80. Evan Reed Morgan Lincoln Memorial Univ Debusk Col of Osteo Med COMLEX/OH 81. Michael Wyatt Morris Louisiana State University SOM New Orleans USMLE/MS 82. Ari Mosenkis Albert Einstein COM of Yeshiva University USMLE/OH 83. Sumanth Mulamalla Eastern Virginia Medical School USMLE/IL 84. Jonathan Osita Nwiloh University of Nigeria COM FLEX/NJ 85. Joanna Ellen Pan Loyola University of Chicago Stritch SOM USMLE 86. Siva Prasad Parcha Osmania Medical College USMLE/IL 87. Eric Matthew Perry Creighton University SOM USMLE/OR 88. Rachel Teat Pflederer Indiana University SOM Indianapolis USMLE/MO 89. Ryan David Poling FL International Univ Herbert Wertheim COM USMLE 90. Sneha Nanjundiah Raghunath Sri Deva Raj Urs Medical College USMLE/WV 91. Amarabalan Rajendran Sri Ramachandran Med Col & Research Institute USMLE/GA 92. Gina Elizabeth Rebesco Indiana University SOM Evansville USMLE 93. Peter Forrest Resnick University of Pittsburgh SOM USMLE/PA 94. David Andrew Reynolds University of Pikeville Kentucky Col of Osteo Med COMLEX/VA


95. Maki Kuraoka Rheaume Hyogo Medical College USMLE/GA 96. Ali Khalil Riba University of Tishreen FLEX/CT 97. Jefferson Lee Graham Rogers University of Mississippi SOM USMLE 98. Rachel Elise Schutt Lincoln Memorial Univ Debusk Col of Osteo Med COMLEX 99. Mukul Sehgal Seth GS Medical College USMLE/FL

100. Thomas Rutherford Sellers UASOM USMLE 101. Kathryn Ann Six University of South Carolina SOM USMLE 102. Zachary Michael Smith Philadelphia College of Osteopathic Medicine COMLEX 103. Michael Henry Soike Wake Forest University SOM USMLE 104. Brett Russell Sprouse Kansas City University of Medicine & Biosciences COMLEX/GA 105. Michael Trace Stafford West Virginia School of Osteopathic Medicine COMLEX 106. Sasha Anne Still University of Texas Medical School at Galveston USMLE 107. Benjamin K. Stoff Univ of TX Southwestern Medical Center at Dallas USMLE/GA 108. Peter Justin Sumner Nova Southeastern University COM COMLEX/DC 109. Joshua Zane Symes Loyola University of Chicago Stritch SOM USMLE/MS 110. Jose David Tafur Soto Universidad Del Valle, Cali USMLE/LA 111. Christian Hok-Bing Tan University of Central Florida COM USMLE 112. Michael Blake Taylor A T Still University School of Osteopathic Medicine COMLEX/FL 113. Bart Thaci University of Tirana USMLE/CA 114. Katherine Adelle Thaggard University of Mississippi SOM USMLE 115. Abdi Tinwalla University of Toledo COM USMLE/IL 116. Thomas Albert Turnage II University of Texas - Houston Medical School USMLE/LA 117. Kevin Alan Tyler Augusta University USMLE 118. Ralph Brooks Vance University of Mississippi SOM USMLE/TX 119. Joshua Thomas VanderWall Michigan State Univ Grand Rapids USMLE/OK 120. Pedro Tomas Vieco State U of New York Syracuse COM Binghamton NBME/WA 121. Carlos S. Villar-Gosalvez Virginia Commonwealth University SOM USMLE/VA 122. Sheree Evette Walker University of South Alabama COM USMLE/GA 123. Paulisa Haroldine Ward University of The West Indies, Jamaica USMLE 124. Lece Viva Lephelia Evadne Webb University of Louisville SOM USMLE/SC 125. Benjamin Record Whitehouse Virginia Commonwealth University SOM USMLE 126. Carl Rogaston Willis University of Alabama SOM Birmingham NBME/USMLE/PA 127. Harry Lynnwood Wingate III Augusta University NBME/GA 128. Meng-Jun Xiong University of Missouri Kansas City SOM USMLE/GA 129. Michael Yaxian Xu University of Alabama SOM Birmingham USMLE/TN

(1) Certificate of Qualification for Ratification Name Medical School Endorsement

1. Phillip Eugene Carron Saint Georges University USMLE/WY

2. Jonathan Ho-Yin Law Ohio State U COM & Public Health USMLE/TN

3. Thomas Markus Roesch Vanderbilt University SOM NBME/GA


Special Purpose License Applicants Name Location Type of Practice

1. (1) Shannon Michelle Haas Troendle Mandeville, LA Family Medicine

2. Madhava S. Abburi Austin, TX Teleradiology 3. Barry Eugene Allen Nashville, TN Teleradiology 4. Dominique Bernard Caovan Independence, OH Teleradiology

LIMITED LICENSE APPLICANTS

Name Medical School Endors. Practice Location Suffix

1. Zviadi Aburjania Tbilisi State Medical University LL/AL UAB Dpt. of Psychiatry R

2. Ammar Ali Mubarak Asban Aden University Faculty of Medicine LL/AL UAB Dpt. of Surgery R

3. Angel D. Gonzalez Rodriguez U de Ciencias Medicas de la Habana LL/AL USA Dpt. of IM and Pediatrics R

4. Giuseppe Flavio LaSpina St. James SOM St. Vincent Grenadines LL/AL St. Vincent's FM Residency R

5. Juan A. Munoz Largacha Pontificia Universidad Javeriana LL/AL UAB Dpt. of Surgery R

6. Veronica Rodriguez Saint Georges University LL/AL South Baldwin FM Residency R

7. John David Roveda Jr. USACOM LL/AL USA IM Residency Program R

8. Vivek Vishwanath Shukla Pramukswami Medical College LL/AL UAB Pediatrics Residency F

9. Omidreza Tabatabaie Teheran Univ of Medical Sciences LL/AL UAB General Surgery Residency R

Interstate Medical Licensure Compact Reports (1) 1. Interstate Medical Licensure Compact Licensees (3) 2. Interstate Medical Licensure Compact Letters of Qualification

PHYSICIAN ASSISTANTS P.A. License Name School NCCPA

1. Ethan Brubaker, PA South University 1162342 2. Dara Garces, PA Jefferson College of Health Sciences 1073148 3. Megan McKown, PA University of Texas Southwestern 1096680 4. Meghan Neary, PA Jefferson College of Health Sciences 1158845 5. Bradley Noland, PA UAB 1160705 6. Lea Pace, PA University of Saint Francis 1090538 7. Rachel Stearns, PA University of New York at Stony Brook 1120360 8. Robert Stickler, PA Eastern Virginia Medical School 1118342 9. Eleanor Stone, PA Louisiana State University 1148364


P.A. / A.A. Registration and Requests Within Protocol

PA / Physician Registration Recommendation

1.

Rebecca Brown, PA Robert Howell, M.D. Orthopedic Surgery

Approval for Supervised Practice: Joint Injection: Olecranon Bursa

2. Ethan Brubaker, PA James McGrory, M.D. Orthopedic Surgery

Registration Approval to Train Arthrocentesis; Injections to the Knee and Greater Trochanteric Bursa

3. Mason Chasteen, PA Patrick Louis, M.D. Oral and Maxillofacial Surgery

Approval of Supervised Practice: Oral Orthotic Device for TMJ Disorders

4. Jeffrey Davis, PA Trent Howard, D.O. Cardiovascular Surgery

Approval to Train: Endoscopic Vessel Harvest

5. Lindsey Guill, PA Patrick O’Neill, M.D. Family Medicine

Registration Birth Control Drugs and Devices

6. John Keeling, PA Ramesh Peramsetty, M.D. Family Medicine

Registration Remote site Antineoplastic Birth Control Drugs and Devices

7. Kenya Kidd, PA Coleridge Franklin, Jr., M.D. Family Medicine


8. Michael Liljegren, PA Beverly Boyd, M.D. Emergency Medicine

Registration

9. Cheri Livingston, PA Ashlen Aggen, M.D. Family Medicine

Registration Remote site Birth Control Drugs and Devices

10. Megan Mathews, PA Vasudeva Goli, M.D. Cardiology

Registration

11. Sandra McCord, PA Steven Sprayberry, Jr., D.O. Emergency Medicine


12. Lily Nizam, PA Sami Nizam II, M.D. Oral and Maxillofacial Surgery

Approval for Supervised Practice: Non-Ablative Lasers

13. Bradley Noland, PA Kenneth Moore, M.D. Orthopedic Surgery

Registration Approval to Train: Arthrocentesis Injections of the Knee and Greater Trochanteric Bursa

14. Lea Pace, PA Julie Gladsjo, M.D. Dermatology

Registration


PA / Physician Registration Recommendation

15. Cecilia Porter, PA Michael Palmer, M.D. Gastroenterology


16. Harmony Savage, PA Rachel Kruspe, M.D. Hematology and Oncology

Registration Antineoplastic

17. Kathleen Sentell, PA Michael Solomon, M.D. Family Medicine

Registration

18. Tammie Smith, PA Edwin Matthews, M.D. Family Medicine

Registration Remote site Birth Control Drugs and Devices

19. Robert Stickler, PA David Lortscher, M.D. Dermatology

Registration

20. Lauren Tucker, PA Ahmed Kamel Abdel Aal, M.D. Diagnostic Radiology

Approval for Supervised Practice: Lumbar puncture with or without intrathecal chemotherapy Nephrostomy drainage catheter check and change Abscess drainage catheter check and change

21. Juliet Walker, PA Michael Gorum, M.D. Neurological Surgery

Registration

22. Katie Winfrey, PA Shelley Ray, M.D. Dermatology

Registration Formulary: Antineoplastic Birth Control Drugs and Devices Approval to Train: Biopsies of the face Blue Light (Photodynamic Therapy) Cryosurgery Electrodessication and Curettage Intra lesional injection of steroids Sclerotherapy Wound Closure XTRAC


P.A. Registration and Requests Outside Protocol

PA / Physician Registration/Remote site/Formulary, Etc.

Recommendation

1. (13)

Mona Barlow, PA Zachary Reardon, M.D. Urology

Request to Train Cystourethroscopy Approval to Train IV Therapy Testopel Implantation

2. (15)

Chelsi Davis, PA Jonathan Cappel, M.D. Dermatology

Registration Antineoplastic Birth Control Drugs and Devices Approval to Train Skin Biopsies (shave and punch) Cryosurgery Electrodessication and Curettage of benign and malignant non-facial lesionsRemote sites Montgomery, AL Huntsville, AL

3. (16)

Catherine Harris, PA Charles Hunt, M.D. Thoracic Surgery

Registration Birth Control and DevicesApproval to Train Sclerotherapy of telangiectasias, small varicose and reticular veinsRemote sites Tuscaloosa Cullman Oxford Prattville

4. (19)

Kristin Landham, PA Jarrod Roberts, M.D. Emergency/Urgent Care

Registration Birth Control and DevicesRemote site Vestavia Hills

5. (20)

Laura Morrison, PA Robert Vickers, M.D. Emergency Medicine

Registration Birth Control and DevicesScope of Practice Fluorescein dye/wood’s lamp exam

6. (25)

(27)

Tamara Richardson, PA Carlton Randleman, Jr., M.D. Cardiovascular Surgery Benjamin Wirt, PA Carlton Randleman, Jr., M.D. Cardiovascular Surgery

RegistrationRequest to Train Endovenous Laser Ablation Limited Phlebectomy Approval to Train Sclerotherapy


PA / Physician Registration/Remote site/Formulary, Etc.

Recommendation

7. (29)

Nathanael Stuck, PA Anthony Martino, M.D. Neurological Surgery

Standard Language Request Removal of ICP monitor / ventriculostomy CSF Shunt Tap CSF Shunt Interrogation and Programming

P.A. QACSC Registration PA Physician

1. Corbin Burns, PA Malcolm Nelson, M.D. 2. Kristin Landham, PA Jarrod Roberts, M.D. 3. Jamie Sievers, PA Nicholas Patellis, M.D. 4. Dennis Smoak, PA Mark Choquette, M.D. 5. Alexandria Stedry, PA Sanat Dixit, M.D.

P.A. Limited Purpose Special Permit Within Protocol

PA / Physician / Specialty Formulary Request Recommendation Approve Deny

1. Stephanie Aikin, PA Ladonna Crews, M.D. Pediatrics

ADHD Medications

2. Elizabeth Giles, PA Willaim Haller III, M.D. Orthopedic Surgery

Hydrocodone Combinations Oxycodone- Immediate Release

3. Kristin Landham, PA Jarrod Stewart Roberts, M.D. Emergency/Urgent Care

Hydrocodone Combinations Hydrocodone Cough Preps

4. Mohammad Qayyum, PA Shakir Meghani, M.D. Psychiatry

ADHD Medications

5.

Lauren Smith, PA James Wilhite, M.D. Internal Medicine

Hydrocodone Combinations Morphine Sulfate IR Oxycodone IRFentanyl LA


ADVANCED PRACTICE NURSES Collaborative Practice / APN QACSC Registration (SA) Collaborative Practice Registrations (SA) Collaborative Practice Modifications (SA) Collaborative Practice Covering Physician Applicants (SA) Limited Protocol Applicants (SA) CRNP / CNM QACSC Registration Applicants APN Miscellaneous Requests / Reports Within Protocol Request to Train or Transfer: Critical Care Specialty Protocol

Physician CRNP

Physician Specialty CRNP Specialty

Specific Skill Request Recommendation

1. Daniel Kelmenson M.D. April Lee, CRNP

Pulmonary Disease Acute Care CRNP

Transfer: Critical Care Specialty Protocol and previously approved supervised practice Transfer: Critical Care- Advanced Protocol and supervised practice being approved today

Request to Train or Transfer: Orthopedic Specialty Protocol

Physician CRNP


Specific Skills Request Recommendation

2. Steven T. Coppock M.D. David C. Bailey, CRNP

Emergency Medicine Family CRNP

Transfer: Orthopedic Specialty Protocol and previously approved supervised practice : all joints

3. Richard Cunningham DO Jeffrey Sanders, CRNP

Family Med Family CRNP

To Train: Orthopedic Specialty Protocol-Arthrocentesis; joint injections of shoulders and knees

4. Charles Edward Hall M.D. Jennifer M. Davis, CRNP

Physical Med & Rehab Family CRNP

To train: Orthopedic Specialty Protocol- Arthrocentesis; Joint Injections: shoulder, olecranon


Physician CRNP


Specific Skills Request Recommendation

bursa; greater trochanteric bursa and knee To train: Trigger Point Injections below T-12

5. James Murrah Tuck M.D. Tonya Kinard-Cottman, CRNP

Family Medicine Family CRNP; Neonatal CRNP

To Train : Orthopedic Specialty Protocol-all To Train: Trigger Point Injections below T-12

Request Approval: Supervised Practice

Physician CRNP


Supervised Practice for Recommendation

6. Gerald Bolopolsky M.D. April Lee, CRNP

Critical Care/Pulmonary Acute Care CRNP

Critical Care Advanced Protocol: CVL, Internal Jugular (11); Femoral (6) and Subclavian (3) Total of 20 procedures

7. James E. Johnson M.D. Kacy Dunaway, CRNP

Int. Med, Pulmonary AGACNP

Critical Care Specialty Protocol: CVL, internal jugular only (5 live, 10 sim) Request to continue training to complete the remaining skills

8. James E. Johnson M.D. Robert Scott Kopf, CRNP

Int. Med, Pulmonary Acute Care CRNP

Critical Care Advanced Protocol: CVL, Internal Jugular (10); Femoral (7) and Subclavian (3) Total of 20 procedures

9. John Mark Vermillion M.D. Carlie L. Peacock, CRNP

Surgeon, Critical Care Surgeon Family CRNP

Central Venous Line, Femoral (11) Arterial Line, Femoral (11)

10. Joseph Wu M.D. Alexandria Crumpton, CRNP

Internal Medicine Family CRNP

Orthopedic Specialty Protocol: greater trochanteric bursa (6) and knee (19)

11. Hayden Zaccagni M.D. Ashley Moellinger, CRNP

Critical Care, Pediatrics Acute Care, Pediatrics

Critical Care Specialty Protocol: removal of mediastinal chest tubes (15); removal of pacing wires (30)

Request to Train: Miscellaneous Skills

Physician CRNP


Specific Skill Request Recommendation

12. John C. Davis M.D. Laura C. Feld, CRNP

Otolaryngology Acute Care CRNP

To Train: Diagnostic Nasal Endoscopy(Flexible and Rigid)


APN Miscellaneous Requests / Reports Outside Protocol Request to Train: Orthopedic Specialty Protocol

Physician CRNP


Specific Skills Recommendation

1. (13)

Lawrence J. Lemak, M.D. Rodney Huffstutler, CRNP

Orthopedic Sports Med; Orthopedic Surgery Family NP

Requesting extension of approval to train: Trigger point injections below T-12

Request: Approval of Supervised Practice

Physician CRNP


Supervised Practice for Recommendation

2. (15)

Racquel Innis-Shelton, M.D. Emily Plews, CRNP

Hematology/Int. Med AGACNP

Removal of tunneled central venous lines (10) outside one year

Request: Miscellaneous

Physician CRNP


Specific Skills/Request Recommendation

3. (20)

Staff Request Clarification regarding Orthopedic Protocol approval grid

4. (22)

W. George Rusyniak, M.D. Tracy Bartel, CRNP

Neurological Surgery Family NP

Removal of intracranial/intraventricular pressure monitor/drain Shunt interrogation and programming CSF shunt tap Removal of Halo Pin fixation

5. (41)

Priya Prabhakaran, M.D. Jeremy Jordan, CRNP

Pediatric Critical Care Pediatric Acute Care

Extension of approval to train (1 year) - Critical Care Skills- CVL insertion, IJ, Femoral and Subclavian; Arterial Line insertion, Femoral; CVL remove and replace over guide wire; removal of CVL, percutaneous and tunneled.

6. (45)

Boyde J. Harrison, M.D.

Family Practice FTE Expansion for nursing home facilities

7. (47)

Limited Protocol for Long-term Care and Skilled Nursing Home Facilities

8. (Add)

Jenna Morgan Pfleeger, M.D. Practice Waiver for Covering Physician


APN Limited Purpose Special Permit Within Protocol

Physician / APN / Specialty Formulary Request Recommendation Approve Deny

1.

Jennifer Burdette, M.D. Jodi Lauren Fields, CRNP Physician Specialty: Family Medicine NP Specialty: Family NP

ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER

2.

Jennifer Burdette, M.D. Sarah Pate, CRNP Physician Specialty: Family Medicine NP Specialty: Adult NP


3. Justin Cooke, M.D. Julia Renae Jones, CRNP Physician Specialty: Family Medicine NP Specialty: Family NP

ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps

4. Harish Doppalapudi, M.D. Gloria Griffin, CRNP Physician Specialty: Cardiology/ Electrophysiology NP Specialty: Family NP

Hydrocodone Combinations Morphine Sulfate IR Oxycodone IR Fentanyl Hydromorphone Morphine LA Oxycodone LA

5. Janaki Earla, M.D. Darlene Santamour, CRNP

ADHD Medications Hydrocodone Combinations



Physician Specialty: Internal Medicine NP Specialty: Adult NP

Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol

6. Angelia Elliott , M.D. Ashley Drake, CRNP Physician Specialty: Family Medicine NP Specialty: Adult-Gerontological Acute Care NP

Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR

7. Sarah Fulghum , M.D. Aretha Mahan, CRNP Physician Specialty: Family Medicine Current Practice: VA Medical Center Geriatrics and Extended Care NP Specialty: Adult-Gerontological Primary Care NP

Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA

8. Brian Heller, M.D. Alicia Land, CRNP Physician Specialty: Medical Oncology NP Specialty: Adult-Gerontological Primary Care NP


9. Joseph R. Jones MD Skyler Sherrell CRNP Physician Specialty: Medical Oncology NP Specialty: Family NP




10. Fred McLeod MD Jennifer McLeod CRNP Physician Specialty: Otolaryngology and Sleep Medicine NP Specialty: Family NP

ADHD Medications

11. Richard Mullins Jr. MD Meaghan Baxley CRNP Physician Specialty: Surgery NP Specialty: Family NP

Hydrocodone Combinations Oxycodone IR

12. Richard Oyler MD Stanley Clayton CRNP Physician Specialty: Family Medicine NP Specialty: Family NP


13. David Shupe DO Katherine Mann CRNP Physician Specialty: Family Medicine NP Specialty: Adult-Gerontological Acute Care NP

Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR

14. Joshua Adam Stephens DO Donna Fay Grace CRNP Physician Specialty: Psychiatry NP Specialty: Adult Psychiatric & Mental Health NP

ADHD Medications

15. Pallavi Sunkavalli MD Michelle Bevels CRNP Physician Specialty: Emergency Medicine NP Specialty: Family NP

Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR Tapentadol

16. Faizullah Syed MD Misty Maxwell CRNP Physician Specialty: Internal Medicine NP Specialty: Family NP


17. Sara Thurgood MD Pamela Lolley CRNP Physician Specialty: Family Medicine NP Specialty: Family NP

ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps

18. Curtis Wade Turner MD Belinda Mose CRNP Physician Specialty: Pediatrics NP Specialty: Pediatric NP

ADHD Medications

19. Jeffrey Whitehurst MD Hydrocodone Combinations



Kimberly Phillips CRNP Physician Specialty: Surgery NP Specialty: Family NP

Hydrocodone Cough Preps Oxycodone IR

Expansion Requests for Existing LPSPs:

Physician / APN / Specialty Formulary Request Brief Indication Approve Deny

1. David Jon Dueland, M.D. Denise Gardner, CRNP Physician Specialty: Orthopedics NP Specialty: Family NP and Acute Care NP

Request to expand existing LPSP to include: Hydrocodone combinations Oxycodone IR

Acute orthopedic practice

APN Limited Purpose Special Permit Outside Protocol

Physician / APN / Specialty Formulary Request Brief Indication Recommendation Approve Deny

1. (1)

P. Caudill Miller, M.D. Paige Harris, CRNP Physician Specialty: Neurology CRNP Specialty: Acute Care

ADHD Medications

Majority of patients are multiple sclerosis patients

Physician Assistant Advisory Committee Physician Assistant Advisory Committee Meeting – May 14, 2019, 5:30 p.m. Joint Committee for Advanced Practice Nursing Joint Committee for Advanced Practice Nursing Meeting – May 14, 2019, 6:00 p.m. Location: Alabama Board of Nursing (SA) Minutes of the Joint Committee, March 19, 2019.


PERSONNEL 1. Director of Licensure

HEARINGS (1) ABME Hearing Schedule (2) 1. Edith Helga Gubler McCreadie, M.D., Mobile - Hearing Continued (11) 2. Leonides V. Santos, M.D., Russellville Show Cause Hearing, Wednesday, May 15, 2019, 1:00 p.m.

EXECUTIVE SESSION

Documents

ALABAMA STATE BOARD OF MEDICAL EXAMINERS PUBLIC … Agenda.pdf · ABME Public Agenda May 15, 2019 1 ALABAMA STATE BOARD OF MEDICAL EXAMINERS PUBLIC AGENDA MAY 15, 2019 Credentials