ABME Public Agenda December 12, 2018 1

PUBLIC AGENDA ALABAMA BOARD OF MEDICAL EXAMINERS

DECEMBER 12, 2018

I MINUTES PUBLIC MINUTES OF NOVEMBER 15, 2018 II ENDORSEMENT Name Medical School Endorsement

1 Abeera Ali U of the Punjab, Kind Edward Medical College USMLE/OK

2 * Robert James Anderson Medical College of Wisconsin USMLE/WI

3 Hannah Lynn Bahakel University of South Alabama College of Medicine USMLE

4 Bethany Sheryl Beauchamp TX Tech University Health Sciences Center SOM USMLE

5 Aneeta Bhatia Gandhi Medical College, Secunderabad FLEX/WI

6 * Annette Magnant Brenner Virginia Commonwealth University SOM NBME/VA

7 Daniel Kim Broderick Eastern Virginia Medical School USMLE/GA

8 Stephen Rodes Brown University of Louisville School of Medicine USMLE

9 Rachel Elizabeth Calhoun Augusta University USMLE

10 Sean Phillip Carter Central Michigan University College of Medicine USMLE

11 * David Mansour Filsoof New York Medical College USMLE/TX

12 Elizabeth Page Fix UASOM Birmingham USMLE

13 Richard Curtis Godby University of Cincinnati College of Medicine USMLE

14 Marilyn Fern Grams University of Utah School of Medicine NBME/CA

15 Tao Guo Jiamusi Medical College USMLE/AL

16 Kevin Richard Gutermuth Eastern Virginia Medical School USMLE

17 Eric Morgan Hanson George Washington U SOM and Health Sciences USMLE/MN

18 James Wyatt Hicks Augusta University USMLE

19 * Lauren Ashley Hutton Indiana University School of Medicine Indianapolis USMLE/OH

20 Rabia Jamy Aga Khan Medical College, Aga Khan University USMLE

21 Donna Jean Lager University of Iowa College of Medicine FLEX/IA

22 Michael Scott Lawrence University of South Alabama College of Medicine USMLE

23 * Francois Daniel Lesage University of Texas Medical School at Galveston USMLE/KY

24 Yelena Lindenbaum Kharkov Medical Institute FLEX/USMLE/NY

25 Stephanie Mitchell Lockett Howard University College of Medicine USMLE/FL

26 Michelle Yee Lu U of Texas Southwestern Medical Center at Dallas USMLE

27 * Hugh Stuart MacGuire UASOM Birmingham NBME/OH

28 Katherine Louise Mascia UASOM Birmingham USMLE

29 Eleanor K. Isbell Mathews UASOM Birmingham USMLE

ABME Public Agenda December 12, 2018 2

30 Cornelia Tisher McDonald UASOM Birmingham USMLE

31 * Hieu Pham Gia Nguyen William Carey Univ College of Osteo Medicine COMLEX/MO

32 Margi Bharatbhai Patel N H L Municipal Medical College, Gujarat Univ USMLE

33 * Robyn Jamese Stiff UASOM Birmingham USMLE

34 Adam Douglas Taylor Ohio State University COM & Public Health USMLE

35 * Gregory Lee Thalken University of Nebraska College of Medicine USMLE/IA

36 Julie Kanter Washko Tulane University School of Medicine USMLE/LA

37 Charlies Liu Xie University of Tennessee Memphis COM USMLE

PROVISIONAL ENDORSEMENT Name Medical School Endorsement No Provisional Endorsement Applicants RETIRED SENIOR VOLUNTEER PROGRAM LICENSE (RSVP) Name Facility Location No RSVP License Applicants SPECIAL PURPOSE LICENSE Name Location Type of Practice

1 Marcus Christopher San Antonio, TX General Medicine 2 Maria Isabel Colome Brentwood, TN Pathology

II LIMITED LICENSE Name Medical School Endorsement

1 Ian Bojerquez Gillingham Saba U SOM American U St. Maarten SOM LL/AL

ABME Public Agenda December 12, 2018 3

IV PHYSICIAN ASSISTANTS / ADVANCED PRACTICE NURSES (10) Cover Sheet P.A. License Name School NCCPA

1 Sarah Sloop, PA Trevecca Nazarene University 1151347

A.A. License Name School NCCAA No AA License Applicants Temporary P.A. License Name School NCCPA

1 Katherine Ivey UAB Pending Exam Results 2 Katie Robinson UAB Pending Exam Results 3 Allen Veren UAB Pending Exam Results

Temporary P.A. License to Full License Name School NCCPA No Temporary PA License to Full License Applicants P.A. Registration Without additional duties; With Qualified Remote Sites; Formulary: #2, #21, #23

PA / Physician Registration / Remote Site / Formulary Recommendation

1 Caitlyn Whiteside Beals, PA Daryl Ellis, M.D.

Registration Birth Control Drugs and Devices

2 Bradley Cantley, PA Charles Brentnall, M.D.

Registration Remote site Birth Control Drugs and Devices

3 Jessie Coffey, PA Malcolm Nelson, M.D.

Registration Birth Control Drugs and Devices

ABME Public Agenda December 12, 2018 4

PA / Physician Registration / Remote Site / Formulary Recommendation

4 Katie Joffe, PA Ronald O’Gorman, M.D.

Registration Birth Control Drugs and Devices

5 Rachel Kain, PA Charles Hoopes, M.D.

Registration

6 Michael Palmer, PA John Boyett, D.O.

Registration Remote site

7 Michael Palmer, PA John Rodriguez-Feo M.D

Registration Remote site

8 Michael Palmer, PA Murray Spruiell, M.D.

Registration Remote site

9 Michael Pugh, PA Charles Hoopes, M.D.

Registration

10 Suzanne Tompkins, PA Peter DiChiara, M.D.

Registration Birth Control Drugs and Devices

11 LeAllen Alexander, Jr., PA William Gammill, D.O.

Registration Antineoplastic Agents Birth Control Drugs and Devices

12 Jacob Dobbs, PA Katherine Montgomery, M.D.

Registration Remote site Birth Control Drugs and Devices

13 Kelly Fordham, PA Jenny Sobera, M.D.

Registration Remote site Antineoplastic Agents Birth Control Drugs and Devices

14 Theresa Rehm-Hamilton, PA Mark Haygood, D.O.

Registration

15 Katherine Ivey, PA Billy McGough, Jr., M.D.

Registration

16 Steven Johnson, PA Charles Brentnall, M.D.

Registration Remote site Birth Control Drugs and Devices

17 Morgan Lowry, PA Katherine Montgomery, M.D.

Registration Remote site Birth Control Drugs and Devices

18 Arthur McAdams, PA Victor Theriault, M.D.

Registration Remote site Birth Control Drugs and Devices

19 Larry Norris, PA Robert Williams, M.D.

Registration Birth Control Drugs and Devices

20 Olivia Shumake, PA Jarrod Roberts, M.D.

Registration Birth Control Drugs and Devices

21 Sarah Sloop, PA Bradley Marker, M.D.

Registration

ABME Public Agenda December 12, 2018 5

PA / Physician Registration / Remote Site / Formulary Recommendation

22 Howard Tackett, PA Mark Griffin, M.D.

Registration Birth Control Drugs and Devices

23 Kayla Travis, PA Vincent Valentine, M.D.

Registration Antineoplastic Agents

24 Allen Veren, PA Robert Sorrell, M.D.

Registration

With additional duties; Remote site; Misc. Formulary requests

PA / Physician Registration / Remote Site / Formulary Recommendation

1 (14)

Adam Bevis, PA Edward Daugherty, D.O.

Registration Remote Site Outside of Protocol: Remote Site is 1 hour and 19 minutes away from the supervising physician’s primary site location

A.A. Registration No AA Registration Applicants P.A. / A.A. Miscellaneous Requests / Reports Within Protocol

PA / Physician Request Recommendation

1 (25)

Paul Brown, PA Steven Johnson, M.D.

Request to train: Arterial Line Insertion: Radial (PA Only) Arterial Line Insertion: Femoral Intra‐Aortic Balloon insertion (Cardiac Surgery Only) Radial Artery Harvest (Cardiac Surgery Only) Sternal Closure (Cardiac Surgery Only) Primary Sternotomy (Cardiac Surgery Only) Primary Thoracotomy (Cardiac Surgery Only) Thoracostomy tube insertion (Intra‐operative only) Removal of Pacing Wires Removal of Left Atrial Catheter

ABME Public Agenda December 12, 2018 6

PA / Physician Request Recommendation

Continued: Paul Brown, PA Steven Johnson, M.D.

Removal of Mediastinal Chest Tubes Removal of Pulmonary Artery Catheter (Swan‐Ganz catheter) Removal of Intra‐Aortic Balloon Pump

2 (39)

Amy Christensen,PA James Stu Booth, M.D.

Request to train: Central Venous Line Insertion and Removal: IJ, Femoral, Subclavian Standard Language is available

3 (42)

Thomas Gauldin, PA Steven Johnson, M.D.

Request to train: Arterial Line Insertion: Radial (PA Only) Arterial Line Insertion: Femoral Intra‐Aortic Balloon insertion Radial Artery Harvest (Cardiac Surgery Only) Sternal Closure (Cardiac Surgery Only) Primary Sternotomy (Cardiac Surgery Only) Primary Thoracotomy (Cardiac Surgery Only) Thoracostomy tube insertion (Intra‐operative only) Removal of Pacing Wires Removal of Left Atrial Catheter Removal of Mediastinal Chest Tubes Removal of Pulmonary Artery Catheter (Swan‐Ganz catheter) Removal of Intra‐Aortic Balloon Pump Standard Language is available

4 (56)

Sabrina Reeves, PA Fulton Defour, M.D.

Request to train: Cryosurgery Standard Language is available

5 (59)

Elizabeth Simpson, PA James Ruble, M.D.

Request to Add Additional Practice Site Location: Providence Medical Group Cottage Hill 5621 Cottage Hill Road Mobile, AL 36695

6 (61)

Lori Stockdale, PA Steven Johnson, M.D.

Request to train: Arterial Line Insertion: Radial (PA Only) Arterial Line Insertion: Femoral Intra‐Aortic Balloon insertion Radial Artery Harvest (Cardiac Surgery Only) Sternal Closure (Cardiac Surgery Only) Primary Sternotomy

ABME Public Agenda December 12, 2018 7

PA / Physician Request Recommendation

Continued: Lori Stockdale, PA Steven Johnson, M.D.

(Cardiac Surgery Only) Primary Thoracotomy (Cardiac Surgery Only) Thoracostomy tube insertion (Intra‐operative only) Removal of Pacing Wires Removal of Left Atrial Catheter Removal of Mediastinal Chest Tubes Removal of Pulmonary Artery Catheter (Swan‐Ganz catheter) Removal of Intra‐Aortic Balloon Pump Standard Language is available

Outside Protocol

PA / Physician Requests Recommendation

1 (75)

Wesley Pinto, PA Fred McLeod, M.D.

Request to Add Additional Remote Site Location: Southern Head and Neck Surgery Elmore Community Hospital 500 Hospital Dr. Wetumpka, AL 36092

2 (82)

Michael Pugh, PA Erik Hernandez, M.D.

Request for Supervised Practice: Arterial Line Insertion: Radial Direct supervision was conducted by Advanced Practice Practitioners without approval from the Board.

P.A. QACSC Registration

PA Physician

1 Adam Bevis, PA Edward Daugherty, D.O.

2 Jonathan Calvarese, PA William McNair, M.D.

3 Jessica Marshman, PA Matthew Bennett, M.D.

4 Michael Palmer, PA John Boyett, D.O.

5 Michael Palmer, PA John Rodriguez-Feo, M.D.

6 Michael Palmer, PA Murray Spruiell, M.D.

7 Lia Timmel, PA Eric Hedberg, M.D.

8 Larry Norris, PA Robert Williams, M.D.

9 Caroline Stadler, PA Michael Smith, M.D.

10 Howard Tackett, PA Mark Griffin, M.D.

ABME Public Agenda December 12, 2018 8

P.A. Limited Purpose Special Permit (94) PA LPSP Cover Sheet

PA / Physician / Specialty Formulary Request Recommendation Approve Deny

1 (95)

Ralph Irvin, M.D. Karen Cox, PA Specialty: Pain Management

Hydrocodone Combinations MSIR Oxycodone IR Tapentadol

2 (97)

Mary Rutherford, M.D. James Lombardo, PA Specialty: Family Medicine

Hydrocodone Combinations Hydrocodone Cough Preps

3 (99)

Robert Serio, M.D. James Kisner, Jr., PA Specialty: Sleep Medicine

Request to Add to Existing LPSP Application: Oxycodone-Long Acting Methadone

4 (101)

Steven Johnson, M.D. Lori Stockdale, PA Specialty: Surgery/ Cardiovascular Surgery

Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR

Collaborative Practice / APN QACSC Registration (SA) Collaborative Practice Registrations (SA) Collaborative Practice Modifications (SA) Collaborative Practice Covering Physician Applicants (SA) CRNP / CNM QACSC Registration Applicants APN Miscellaneous Requests / Reports (105) Cover Sheet Skills Requests Within Protocol

Physician /NP Request Recommendation

1 (106)

Ryan Christopher Aaron, M.D. Amber Griggs Mitchell, CRNP

Additional supervised practice of seven (7) Tigger Point Injections below T-12 requested by the Board

2 (113)

Robert Buckingham, M.D. Sakeena Spencer, CRNP

To train for Orthopedic Specialty Protocol: arthrocentesis

3 (123)

William C. Ferguson, M.D. Autumn Zuchelli, CRNP

To train for Orthopedic Specialty Protocol: arthrocentesis

ABME Public Agenda December 12, 2018 9

4 (134)

Willie Gilford, M.D. Rachael Bruce, CRNP

To train for Orthopedic Specialty Protocol: arthrocentesis

5 (144)

Russell A. Hudgens, M.D. Andrea L. Brantley, CRNP

To train for Orthopedic Specialty Protocol: arthrocentesis; joint injection of the knee

6 (150)

Richard Oyler, M.D. Crystal Morgan, CRNP

To train for Orthopedic Specialty Protocol: arthrocentesis; joint injections of shoulder, greater trochanteric bursa and knee

7 (156)

Brian Perry, M.D. Haley Trammell, CRNP

To train for Orthopedic Specialty Protocol: arthrocentesis; joint injections of the shoulder, elbow (olecranon bursa only), greater trochanteric bursa, and knee

8 (164)

John Kenneth Porter DO Emily Harris, CRNP

Approval of supervised practice for joint injections of the shoulder (3); greater trochanteric bursa (3) and Knee (19)

9 (169)

Christopher Roney, M.D. Jessica M. Jones, CRNP

To train for Critical Care Specialty Protocol: central venous lines, internal jugular and femoral

10 (175)

Jaynce Sanford, M.D. Peter C. Blankenhorn, CRNP

To train for Orthopedic Specialty Protocol: arthrocentesis

11 (185)

Grace Thomas, M.D. Ellen Cody, CRNP

Subdermal Contraceptive Implant, insertion and removal outside standard protocol of national certification

12 (190)

Raymond Ufford, M.D. Angela Cunningham, CRNP

To train for trigger point injections below T-12

13 (193)

Lauren Walter, M.D. Andi Wright, CRNP

To train for Orthopedic Specialty Protocol: arthrocentesis

14 (203)

Tracey Wilson, M.D. John Patrick Selph, M.D. (Covering) Morgan Burke, CRNP

Approve supervised practice for Xiaflex injections (12)

15 (208)

Neil C. Yeager, M.D. Katie E. Basch, CRNP

Transfer approval of Orthopedic Specialty Protocol and previously approved supervised practice

16 (218)

Limited Protocol Applications for Approval

Applicants one thru thirty-three

Skills Requests Outside Protocol / Miscellaneous

Physician /NP Request Recommendation

1 (221)

Christine Scheibe, CRNP Zeiad Hussain, M.D.

Covering Physician

2 (239)

QACSC CME Approval: ASAM: Treatment of Opioid Use Disorder - 8 hours AMA Category 1 credit ODPHP / APHA: Pathways to Safer Opioid Use - 1 hour AMA Category 1 credit

ABME Public Agenda December 12, 2018 10

APN Limited Purpose Special Permit (267) Cover Sheet

Physician/Specialty/Current Practice, CRNP/ Specialty/ Current Practice:

LPSP formulary request: Recommendation Approve Deny

1 (270)

Rip Alexander, D.O. Family Medicine Rural Health Clinic Charles Stephens, CRNP FNP

Hydrocodone SA Hydrocodone Cough Preparations MSIR

2 (271)

Muhammed Ata, M.D. Internal Medicine Primary Care Rachelle Key, CRNP FNP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations MSIR Oxycodone IR

3 (272)

Mike Chen, M.D. General Pediatric Surgery Children’s of Alabama Tracy Threet, CRNP Pediatric Acute Care NP and Pediatric NP

Hydrocodone SA MSIR Oxycodone IR Hydromorphone Oxycodone LA

4 (274) (275) (276)

David Cole, M.D. Occupational Health Medicine Occupational Health Group Linore Bouska, CRNP/ Adult Lisa Rhodes, CRNP/ FNP Zandra Potter, CRNP/ Acute

Hydrocodone SA Hydrocodone Cough Preparations

5 (277)

Kathleen Duryea, D.O. Family Medicine Primary Care Farrah Gardner, CRNP FNP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations Oxycodone IR

6 (278)

Gilbert Holland, M.D. Orthopedic Surgeon Orthopedic Outpatient Clinic and Hospital Pamela Ingram, CRNP FNP

Hydrocodone SA MSIR Oxycodone IR

7 (279)

Marshall Plotka, M.D. Emergency Medicine Phoenix Emergency Care Andrea Glasgow, CRNP Adult-Gerontological Primary Care NP and Women’s Health Care NP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations MSIR Oxycodone IR Tapentadol SA

ABME Public Agenda December 12, 2018 11

8 (280)

John Sumners, M.D. Pediatrician Pediatric Clinic Katie Jones, CRNP Pediatric NP

ADHD Medications

9 (281)

Gerald Sweeney, M.D. Physical Medicine and Rehab/ Emergency Medicine Urgent Care and Hospital ER Marlene Wilson-LaValley, CRNP FNP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations MSIR Oxycodone IR Hydromorphone

10 (283)

Faizullah Syed, M.D. Internal Medicine Primary Care and Hospital Medicine Baylee Corsbie, CRNP Adult-Gerontological Primary Care NP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations Oxycodone IR Hydrocodone LA

11 (285)

Ronald Tiamco, M.D. Pediatrician Pediatric Clinic Holly Willoughby, CRNP Pediatric NP

ADHD Medication

12 (286)

John Mark Vermillion, M.D. Trauma Surgeon Outpatient Surgery Clinic and Hospital Amy Martin, CRNP FNP

Hydrocodone SA Oxycodone IR

13 (287)

Andreia White, D.O. Family Medicine Rural Health Clinic Christy Hunter, CRNP FNP

ADHD Medications Hydrocodone SA Hydrocodone Cough Preparations Oxycodone IR Tapentadol SA

CURRENT BUSINESS (2) 1. FSMB Call for Resolutions (SA) 2. Administrative Rules Chapter 540-X-3, Appendices B and E PERSONNEL No Personnel Items

ABME Public Agenda December 12, 2018 12

VI HEARINGS (2) ABME Hearing Schedule (3) 1. James H. Edwards, M.D., Montgomery Show Cause Hearing - CONTINUED (8) 2. William T. Hall, Jr., M.D., Birmingham Show Cause Hearing, Wednesday, December 12, 2018, 12:30 p.m. EXECUTIVE SESSION