COMMONWEALTH OF PENNSYLVANIA...13 from all angles. Dr. Castle read a report from FSMB 14 on this...

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Sargent's Court Reporting Service, Inc. (814) 536-8908 1 COMMONWEALTH OF PENNSYLVANIA 1 DEPARTMENT OF STATE 2 BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS 3 4 F I N A L M I N U T E S 5 6 MEETING OF: 7 8 STATE BOARD OF MEDICINE 9 10 TIME: 9:06 A.M. 11 12 BOARD ROOM C 13 One Penn Center 14 2601 North Third Street 15 Harrisburg, Pennsylvania 17110 16 17 Tuesday, March 20, 2018 18 19 20 21 22 23 24 25

Transcript of COMMONWEALTH OF PENNSYLVANIA...13 from all angles. Dr. Castle read a report from FSMB 14 on this...

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COMMONWEALTH OF PENNSYLVANIA 1

DEPARTMENT OF STATE 2

BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS 3

4

F I N A L M I N U T E S 5

6

MEETING OF: 7

8

STATE BOARD OF MEDICINE 9

10

TIME: 9:06 A.M. 11

12

BOARD ROOM C 13

One Penn Center 14

2601 North Third Street 15

Harrisburg, Pennsylvania 17110 16

17

Tuesday, March 20, 2018 18

19

20

21

22

23

24

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State Board of Medicine 1 March 20, 2018 2

3 BOARD MEMBERS: 4 5 Bruce A. Brod, M.D., Chairman 6 Ian J. Harlow, Commissioner of Professional and 7 Occupational Affairs - Absent 8 Keith E. Loiselle, Vice Chairman, Public Member – 9 Absent 10 Charles A. Castle, M.D. 11 Cary Cummings III, M.D. 12

Marilyn J. Heine, M.D. - Absent 13 Loren Robinson, M.D., Deputy Secretary for Health 14 Promotion and Disease Prevention, PA Department 15 of Health, present on behalf of Rachel Levine, 16 M.D., Physician General 17 John M. Mitchell, L.P., C.C.P. 18 Anna M. Moran, M.D. - Absent 19 Sukh Dev Sharma, M.D. - Absent 20 Evon Sutton, Public Member 21 22 23 BUREAU PERSONNEL: 24 25 Peter D. Kovach, Esquire, Board Counsel 26

Wesley J. Rish, Esquire, Board Counsel 27 Anita P. Shekletski, Esquire, Board Prosecution 28 Liaison 29 Tara J. Smith, Esquire, Board Prosecutor 30 Andrea L. Costello, Esquire, Board Prosecutor 31 Keith E. Bashore, Esquire, Board Prosecutor 32 Jason T. Anderson, Esquire, Board Prosecutor 33 Suzanne Zerbe, Board Administrator 34 35 36 ALSO PRESENT: 37 38 Angie Armbrust, The Winter Group 39 Tanya Miller, MS, LAT, ATC, Pennsylvania Athletic 40

Trainers’ Society 41 Susan DeSantis, PA-C, Pennsylvania Society of 42 Physician Assistants 43 Randy Stevens, Pennsylvania Orthotic & Prosthetic 44 Society 45 Andrew Harvan, Pennsylvania Medical Society 46 Christina W. Kotsalos, Director, Investor Education 47 and Consumer Outreach, Department of Banking and 48 Securities 49 Kansky Jean Delisma, M.D., Miami, Florida 50

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*** 1

State Board of Medicine 2

March 20, 2018 3

*** 4

The regularly scheduled meeting of the State 5

Board of Medicine was held on Tuesday, March 20, 2018. 6

Bruce A. Brod, M.D., Chairman, called the meeting to 7

order at 9:06 a.m. Chairman Brod stated a quorum was 8

not present. 9

Loren Robinson, M.D., Deputy Secretary for Health 10

Promotion and Disease Prevention, on behalf of Rachel 11

Levine, Physician General, was not present at the 12

commencement of the meeting. 13

*** 14

Acknowledge Public - Turn Off Electronic Devices 15

[Chairman Brod requested that all electronic devices 16

be turned off. The introduction of audience members 17

in attendance was requested.] 18

*** 19

Roll Call 20

[Roll call was taken.] 21

*** 22

Report of Prosecutorial Division 23

[Anita P. Shekletski, Esquire, Board Prosecution 24

Liaison, presented a Consent Agreement for File No. 25

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15-49-06407.] 1

*** 2

[Tara J. Smith, Esquire, Board Prosecutor, presented 3

Consent Agreements for File No. 16-49-03930 and File 4

No. 16-49-07096.] 5

*** 6

[Keith E. Bashore, Esquire, Board Prosecutor, 7

presented a Consent Agreement for File No. 16-49-8

07914.] 9

*** 10

[Andrea L. Costello, Esquire, Board Prosecutor, 11

presented the following VRP Consent Agreements: File 12

No. 17-49-12327, File No. 18-49-00980, and File No. 13

18-49-00981.] 14

*** 15

[Jason T. Anderson, Esquire, Board Prosecutor, 16

presented a Consent Agreement for File No. 16-49-17

08759.] 18

*** 19

[Kansky Jean Delisma, M.D., Miami, Florida, identified 20

himself and offered to answer any questions by the 21

Board prior the discussion of his initial application 22

to practice in Pennsylvania during the closed 23

session.] 24

*** 25

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Report of Commissioner – No Report 1

*** 2

Report of Department of Health – No Report 3

*** 4

Report of Committee on Health-Related 5

Professionals – No Report 6

*** 7

Report of Committee on Legislation/Professional 8

Liability 9

[Bruce A. Brod, M.D., on behalf of Keith E. Loiselle, 10

discussed the Pennsylvania telemedicine bill requiring 11

coverage and also defining certain standards for 12

telemedicine, such as detailing a physician-patient 13

relationship, appropriate consent, and liability. 14

Chairman Brod indicated the bill still has many 15

obstacles before passage. He noted the concerns of 16

the insurance companies and insurers that are 17

reluctant to agree to telemedicine coverage due to the 18

possible risks.] 19

*** 20

Report of Committee on Continuous Professional 21

Development 22

[Bruce A. Brod, M.D., requested the Board to consider 23

the Interprofessional Continuing Education (IPCE) to 24

provide approved CMEs for physicians, nurses, and 25

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pharmacists as it offers additional connectivity and 1

teambuilding. He stated currently the American 2

Medical Association (AMA) approves CMEs. 3

Chairman Brod indicated IPCE as another 4

legitimate avenue to obtain CMEs and something to keep 5

in mind as the Board finds a pathway to approved 6

courses for licensees, not just AMA-approved courses. 7

Chairman Brod stated the Federation of State 8

Medical Boards (FSMB) appointed him to be on the 9

accreditation review council for the ACCME. He 10

referred Board members to the attachment on the agenda 11

related to the validity of CME courses for further 12

review. He explained the careful evaluation of the 13

programs. 14

Chairman Brod offered to be a resource to the 15

Board on IPCE with regard to licensees moving 16

forward.] 17

*** 18

Report of Committee on Finance and Personnel – No 19

Report 20

*** 21

Report of Committee on Policy Development 22

and Review 23

[Bruce A. Brod, M.D. discussed the issue of reentry 24

applications by applicants who have not practiced 25

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clinical medicine for a number of years. He noted 1

that many of those applications come from 2

pharmaceutical executives and insurance medical 3

directors who need active licenses. 4

Chairman Brod indicated that currently there is 5

no mechanism for an administrative license category in 6

Pennsylvania. The current policy is to refer those 7

applicants to reentry programs if they had not been in 8

practice for four-plus years. 9

He requested the Board to assign evaluation of 10

our reentry policy to the Committee on Policy 11

Development and Review, which would review the policy 12

from all angles. Dr. Castle read a report from FSMB 13

on this subject, which included numerous useful 14

recommendations and education for licensees. 15

He also suggested the Board re-examine some of 16

its current policies regarding sensible approaches to 17

practice. There should be a mechanism by which 18

individuals with an MD degree can regain an active 19

license. Dr. Castle asked the committee to review the 20

report and that the Board re-examine its current 21

policy for reentry. 22

Chairman Brod encouraged noncommittee members as 23

well as the entire Board to participate but noted that 24

committee members would have more specific tasks as 25

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members. 1

Chairman Brod thanked Dr. Castle "for always 2

thinking about the well-being of the citizens of the 3

Commonwealth" and how it can improve on its 4

processes.] 5

*** 6

Report of Board Vice Chairman – No Report 7

*** 8

Report of Board Chairman 9

[Bruce A. Brod, M.D., Chairman, commented on his 10

pleasure and privilege to be on the Board, as well as 11

his appreciation to the Commissioner’s Office and the 12

Governor’s Office for being very proactive and 13

nominating three new Board members, who will hopefully 14

be confirmed shortly. 15

Mr. Kovach noted the nominations include Joseph 16

E. Losee, M.D., Pittsburgh; Barbara E. Ostrov, M.D., 17

Hershey; and Paul J. Valigorsky II, M.D., DuBois.] 18

*** 19

Appointment - Department of Banking and Securities - 20

Elder Financial Abuse Prevention 21

[Christina W. Kotsalos, Director, Investor Education 22

and Consumer Outreach, PA Department of Banking and 23

Securities, and Denise Getgen as well, Director, 24

Protective Services Office, PA Department of Aging, 25

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presented before the Board to discuss elder financial 1

exploitation. 2

Ms. Kotsalos noted the Elder Investment Fraud and 3

Financial Exploitation (EIFFE) Program as created by 4

Baylor College of Medicine. 5

A video which summarized the program 6

malfunctioned and could not be shown to the Board 7

members. 8

Ms. Kotsalos and Ms. Getgen discussed the role of 9

the Department of Banking and Securities as it 10

pertains to elder investment fraud. Statistics for 11

allegations of elder abuse were summarized as well as 12

the types of abuse cases, including self-neglect, 13

caregiver neglect, emotional abuse, and financial 14

exploitation. 15

It was noted that "red flags" for abuse include 16

impaired decision-making, isolation, missed 17

appointments, medication issues, and changes in 18

behavior and physical appearance. 19

Voluntary and mandated reporting was discussed. 20

The existence of a 1-800 line was available 24 hours a 21

day, 7 days a week, 365 days a year to report abuse, 22

and an investigation will commence within 72 hours of 23

the report. Brochures and fliers regarding the matter 24

could be placed in offices for distribution to 25

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patients. Training sessions are available for 1

continuing education credits, as well as conference 2

presentations conferences. 3

The Board offered to provide assistance by 4

encouraging discussions on elder abuse with patients, 5

friends and families as well as hospitals.] 6

*** 7

[Loren Robinson, M.D., Deputy Secretary for Health 8

Promotion and Disease Prevention, entered the meeting 9

at 9:45 a.m.] 10

*** 11

[Chairman Brod welcomed Dr. Robinson. A quorum was 12

noted to be present.] 13

*** 14

[Cary Cummings III, M.D., exited the meeting at 10:01 15

a.m. and reentered the meeting at 10:03 a.m.] 16

*** 17

Report of Board Counsel 18

[Wesley J. Rish, Esquire, noted matters for discussion 19

during Executive Session.] 20

*** 21

Report of Regulatory Counsel – Regulatory Status 22

Report 23

[Peter D. Kovach, Esquire, Board Counsel, referred to 24

regulatory meeting recently held regarding the 25

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regulation of naturopathic doctors. There was 1

discussion pertaining to scheduling the next 2

regulatory meeting. 3

Dr. Castle noted the committee would only be 4

comprised of two members with three vacancies. It was 5

agreed to defer the meeting until May. 6

Mr. Kovach noted a couple regulations that would 7

not really require input or a lot of discussion.] 8

*** 9

For the Board’s Information/Discussion 10

Board Committee List 11

[Chairman Brod encouraged members to sign up for 12

committees.] 13

*** 14

Board Meeting Dates 15

[Chairman Brod noted the next Board meeting scheduled 16

for April 17, 2018, and encouraged Board members to 17

review the 2019 meeting dates.] 18

*** 19

Approval of Minutes of the February 6, 2018 meeting 20

CHAIRMAN BROD: 21

Approval of the minutes? 22

DR. CASTLE: 23

Motion to approve. 24

CHAIRMAN BROD: 25

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Dr. Castle moves. 1

DR. ROBINSON: 2

Second. 3

CHAIRMAN BROD: 4

Dr. Castle moves. Dr. Robinson seconds. 5

All those in favor? The minutes are 6

approved. 7

[The motion carried unanimously.] 8

*** 9

Old Business/New Business 10

[Chairman Brod discussed a comprehensive evaluation of 11

policies by the Committee on Policy Development and 12

Review related to the approval of applications for re-13

entry to assure the safety of the Commonwealth and 14

corresponding to the needs and policies of the 15

Federation of State Medical Boards (FSMB) and other 16

states.] 17

CHAIRMAN BROD: 18

We are asking that committee to do that 19

with no specific date to be set at this 20

point, but we need a quorum to approve 21

this. 22

DR. CASTLE: 23

So moved. 24

MS. SUTTON: 25

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Second. 1

CHAIRMAN BROD: 2

Dr. Castle moves. Ms. Sutton seconds. 3

All those in favor of tasking this to 4

the Committee on Policy Development and 5

Review? Opposed, same sign? 6

[The motion carried unanimously.] 7

*** 8

[Chairman Brod noted the importance of FSMB 9

representatives as they vote on various resolutions 10

that set policy for the FSMB. Dr. Heine is the 11

current delegate, but her term would expire after this 12

meeting. He proposed Dr. Castle be nominated as the 13

new delegate.] 14

CHAIRMAN BROD: 15

I would propose Dr. Castle, and we need 16

a motion. 17

MR. MITCHELL: 18

So moved. 19

MR. ROBINSON: 20

Second. 21

CHAIRMAN BROD: 22

Mr. Mitchell moves. Dr. Robinson 23

seconds. All those in favor of 24

Dr. Castle being the FSMB delegate for 25

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the PA State Board of Medicine, say aye? 1

Opposed, same sign? 2

[The motion carried unanimously. Dr. Castle was 3

congratulated as the new FSMB delegate.] 4

*** 5

[There was discussion about sending a delegate to an 6

upcoming meeting. Ms. Zerbe noted the wait for 7

approval of travel arrangements.] 8

*** 9

[Chairman Brod referred Board members to resolutions 10

submitted for discussion at the FSMB Meeting. He 11

noted a resolution related to artificial intelligence 12

that Dr. Heine helped to draft for submission on 13

behalf of the Board. Chairman Brod noted the 14

resolution calls for the FSMB to further study the 15

impact of artificial intelligence. 16

Chairman Brod stated the Board's request for 17

amendments to the proposed bylaw changes on creating a 18

position at the FSMB for executive staff was politely 19

rejected by the FSMB. 20

It was noted that Dr. Castle and Mr. Loiselle 21

would be attending the FSMB Meeting. Chairman Brod 22

referred members to the six resolutions that would be 23

presented, including guidelines for opioids, physician 24

time constraints, supervision of physician assistants 25

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and physicians on state boards, reciprocity with 1

regard to telemedicine, examining the new 2

accreditation modality and IPCE and artificial 3

intelligence. 4

Chairman Brod reviewed his concern with regard to 5

Resolution 18-3, Wellness and Burnout. He discussed a 6

lack of consistency with Pennsylvania's current 7

Medical Practice Act and the resolution. 8

Mr. Mitchell commented on advocating for a Board 9

member position as a physician assistant. He 10

recommended the Board support that position. 11

Chairman Brod discussed one of the resolves 12

noting FSMB support to state medical boards to amend 13

laws to permit voluntary full and independent practice 14

of physician assistants. Chairman Brod requested 15

feedback from the Board on whether to stay silent or 16

support that determination. 17

Susan DeSantis, PA-C, Pennsylvania Society of 18

Physician Assistants, commented on discussion of the 19

American Academy of Physician Assistants House of 20

Delegates on a portion of Optimal Team Practice (OTP) 21

in May 2017, which included physician assistant 22

presence on Medical Boards, reimbursement for 23

physician assistants directly, determining the 24

practice of a physician assistant at the practice 25

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level, and collaboration versus supervision in terms 1

of that relationship. Ms. DeSantis indicated the 2

physician assistants recognize the team practice model 3

as their number one model. 4

Dr. Castle questioned the language in Resolution 5

18-4, Guidelines for the Structure and Function of 6

State Medical and Osteopathic Board, as it pertained 7

to out-of-state practitioners providing continuity of 8

care in limited situations. 9

Mr. Kovach explained the reference in the 10

Interstate Medical Licensure Compact is that the 11

practice of medicine occurs where the patient is 12

located. He stated the Attorney General has to 13

authorize the Governor to enter into the agreement, 14

and thus far, no word has been received from the 15

Attorney General’s Office that it has authorized the 16

Governor to sign a compact with another state. There 17

was further discussion regarding the resolve. 18

Dr. Castle discussed Integration of Midwifery 19

Linked to Improved Birth Outcomes. There was further 20

discussion regarding this article and another article 21

in FSMB's journal concerning ob/gyn practice in New 22

Mexico.] 23

*** 24

[The Board recessed from 10:37 a.m. until 10:42 a.m.] 25

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*** 1

[Pursuant to Section 708(a)(5) of the Sunshine Act, at 2

10:42 a.m. the Board entered into Executive Session 3

with Peter D. Kovach, Esquire, Board Counsel, and 4

Wesley J. Rich, Esquire, Board Counsel, for the 5

purpose of conducting quasi-judicial deliberations and 6

to receive legal advice from Board Counsel. The Board 7

returned to open session at 11:41 a.m.] 8

*** 9

MOTIONS 10

MR. RISH: 11

The State Board of Medicine held an 12

Executive Session to conduct 13

quasi-judicial deliberations and receive 14

legal advice regarding the following 15

matters: 16

The first matter is Item No. 2 on 17

the Board’s agenda, File No. 15-49-18

06407. 19

Based upon discussions in Executive 20

Session, the Board would entertain a 21

motion approving the proposed Consent 22

Agreement and Order. 23

DR. CASTLE: 24

So moved. 25

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MR. MITCHELL: 1

Second. 2

CHAIRMAN BROD: 3

Dr. Castle moves. Mr. Mitchell seconds. 4

Those in favor? Opposed, same sign? 5

[The motion carried unanimously. The Respondent's 6

name is Raihanahmed Ahmed Chowdhury, M.D.] 7

*** 8

MR. KOVACH: 9

The next matter is No. 3 on the agenda. 10

It is File No. 16-49-03930. 11

Based on the Board’s discussions in 12

Executive Session, I believe the Board 13

would accept a motion to approve the 14

Consent Agreement in that matter. 15

DR. CASTLE: 16

So moved. 17

DR. CUMMINGS: 18

Second. 19

CHAIRMAN BROD: 20

Dr. Castle moves. Dr. Cummings seconds. 21

All those in favor? Opposed, same sign? 22

[The motion carried unanimously. The Respondent's 23

name is Craig Alan Reigel, M.D.] 24

*** 25

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MR. KOVACH: 1

The next matter is File No. 16-49-07096. 2

Based upon discussions in Executive 3

Session, I understand the Board would 4

entertain a motion approving the 5

proposed Consent Agreement and Order. 6

MS. SUTTON: 7

So moved. 8

MR. MITCHELL: 9

Second. 10

CHAIRMAN BROD: 11

Ms. Sutton moves. Mr. Mitchell seconds. 12

All those in favor? Opposed, same sign? 13

[The motion carried unanimously. The Respondent's 14

name is Devender Kumar Batra, M.D.] 15

*** 16

MR. KOVACH: 17

The next matter on the agenda is File 18

No. 16-49-07914. 19

Based on the Board’s discussions in 20

Executive Session, I believe the Chair 21

would accept a motion to accept the 22

Consent Agreement in that matter. 23

DR. CASTLE: 24

So moved. 25

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DR. CUMMINGS: 1

Second. 2

CHAIRMAN BROD: 3

Dr. Castle moves. Dr. Cummings seconds. 4

All those in favor? Opposed, same sign? 5

[The motion carried unanimously. The Respondent's 6

name is Timothy Emeigh.] 7

*** 8

MR. KOVACH: 9

The next three matters we can take as a 10

group. They are VRP File No. 17-49-11

12327, VRP File No. 18-49-00980 and VRP 12

File No. 18-49-00981. 13

Based on the Board’s discussions in 14

Executive Session, I believe the Chair 15

would accept a motion to approve those 16

Consent Agreements. 17

DR. CASTLE: 18

So moved. 19

MR. MITCHELL: 20

Second. 21

CHAIRMAN BROD: 22

Dr. Castle moves. Mr. Mitchell seconds. 23

All those in favor? Opposed, same sign? 24

[The motion carried unanimously.] 25

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*** 1

MR. RISH: 2

The next matter is File No. 16-49-08759. 3

It is No. 9 on the Board’s agenda. 4

Based upon discussions in Executive 5

Session, I understand the Board would 6

entertain a motion approving the 7

proposed Consent Agreement and Order. 8

DR. CUMMINGS: 9

So moved. 10

MR. MITCHELL: 11

Second. 12

CHAIRMAN BROD: 13

Dr. Cummings moves. Mr. Mitchell 14

seconds. All those in favor? Opposed, 15

same sign? 16

[The motion carried unanimously. The Respondent's 17

name is Elizabeth N. Kuh, M.D.] 18

*** 19

MR. RISH: 20

The next matter is Item 18, and that 21

matter has been tabled due to a lack of 22

quorum and will be addressed at the next 23

Board meeting. 24

*** 25

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MR. KOVACH: 1

The next matter is No. 19 on the agenda. 2

That is File No. 17-49-02451. 3

Based on the Board’s discussions in 4

Executive Session, I believe the Chair 5

would accept the motion authorizing 6

Counsel to draft an Adjudication and 7

Order consistent with the Board’s 8

discussions for that matter. 9

DR. CASTLE: 10

So moved. 11

MS. SUTTON: 12

Second. 13

CHAIRMAN BROD: 14

Dr. Castle moves. Ms. Sutton seconds. 15

All those in favor? Opposed, same sign? 16

[The motion carried unanimously. The Respondent's 17

name is Saroj Kumar Parida, M.D.] 18

*** 19

MR. RISH: 20

The next matter is Item No. 20. It is 21

File No. 17-49-09656. It is the matter 22

of the Petition for Reinstatement of 23

George Y. Chalhoub, M.D. 24

Based upon discussions in Executive 25

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Session, I understand the Board would 1

entertain a motion directing Counsel to 2

draft a final Adjudication and Order in 3

accordance with the Board’s 4

instructions. 5

DR. CASTLE: 6

So moved. 7

MS. SUTTON: 8

Second. 9

CHAIRMAN BROD: 10

Dr. Castle moves. Ms. Sutton seconds. 11

All those in favor? Opposed, same sign? 12

[The motion carried unanimously.] 13

*** 14

MR. RISH: 15

Item 21 was tabled due to a lack of 16

quorum, and the Board will address it at 17

the next meeting. 18

Additionally, Item 22 was also 19

tabled due to a lack of quorum, and the 20

Board will address it at the next 21

meeting. 22

*** 23

MR. RISH: 24

The next matter the Board considered is 25

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Item 23. It is File No. 16-49-14180. 1

It is the Bureau of Professional and 2

Occupational Affairs vs. Renita Bey, 3

EMD, aka Vallahra El Bey, EMD, aka 4

Vallahara Renita Elharabey, EMD, aka 5

Vallhara Reintia Elharrebey, EMD, aka 6

Dr. V. Renita Bey, MD, EMD, aka Dr. V. 7

Bey, MD, EMD. 8

Based upon discussions in Executive 9

Session, I understand the Board would 10

entertain a motion approving the final 11

Adjudication and Order. 12

DR. ROBINSON: 13

So moved. 14

MR. MITCHELL: 15

Second. 16

CHAIRMAN BROD: 17

Dr. Robinson moves. Mr. Mitchell 18

seconds. All those in favor? Opposed, 19

same sign? 20

[The motion carried unanimously.] 21

*** 22

MR. KOVACH: 23

The next matter is No. 24 on the agenda. 24

It is the Reactivation Application of 25

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Florence Unuigbe, M.D. 1

Based on the Board’s discussions in 2

Executive Session, I believe the Chair 3

would accept a motion approving the 4

application. 5

DR. CASTLE: 6

So moved. 7

MR. MITCHELL: 8

Second. 9

CHAIRMAN BROD: 10

Dr. Castle moves. Mr. Mitchell seconds. 11

All those in favor? Opposed, same sign? 12

[The motion carried unanimously.] 13

*** 14

MR. RISH: 15

The next two matters are items 25 and 26 16

on the Board’s agenda. This is the 17

Reactivation Applications of Najam Ul 18

Kazmi, M.D. and Marat Goldenberg, M.D. 19

Based upon discussions in Executive 20

Session, I understand that the Board 21

would entertain a motion approving the 22

applications. 23

DR. CASTLE: 24

So moved. 25

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MR. MITCHELL: 1

Second. 2

CHAIRMAN BROD: 3

Dr. Castle moves. Mr. Mitchell seconds. 4

All those in favor? Opposed, same sign? 5

[The motion carried unanimously.] 6

*** 7

MR. KOVACH: 8

It looks like we could take the next 9

four as a group. It is No. 27 on the 10

agenda. The Initial Unrestricted 11

License Application filed by Erik Robert 12

Washburn, M.D.; No. 28, the Initial 13

Unrestricted License Application filed 14

by Kansky Jean Delisma, M.D.; No. 29, 15

the Initial Unrestricted License 16

Application filed by Jay E. Allard, 17

M.D.; and No. 30, the Initial 18

Unrestricted License Application filed 19

by Eugene Rost, M.D. 20

Based on the Board’s discussions in 21

Executive Session, I believe the Board 22

Chair would accept a motion approving 23

those applications. 24

DR. ROBINSON: 25

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So moved. 1

DR. CASTLE: 2

Second. 3

CHAIRMAN BROD: 4

Dr. Robinson moves. Dr. Castle seconds. 5

All those in favor? Opposed, same sign? 6

[The motion carried unanimously.] 7

*** 8

MR. RISH: 9

The next matter is Item 31. It is the 10

Initial Application for an Unrestricted 11

License by Endorsement of Omar Nady 12

Ghosn, M.D. 13

Based upon discussions in Executive 14

Session, I understand that the Board 15

would entertain a motion tabling the 16

matter and directing the Board 17

Administrator to issue a discrepancy 18

letter requesting additional 19

information. 20

DR. CASTLE: 21

So moved. 22

DR. CUMMINGS: 23

Second. 24

CHAIRMAN BROD: 25

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Dr. Castle moves. Dr. Cummings seconds. 1

All those in favor? Opposed, same sign? 2

[The motion carried unanimously.] 3

*** 4

MR. RISH: 5

The next matter is Item 32. It is the 6

Reconsideration of the Written Agreement 7

Change Form of Andrew Ku, M.D. and 8

Patrick James Offi, PA-C. 9

Based upon discussions in Executive 10

Session, I understand the Board would 11

entertain a motion tabling the matter 12

and directing the Board Administrator to 13

issue a discrepancy letter requesting 14

additional information. 15

DR. CUMMINGS: 16

So moved. 17

MR. MITCHELL: 18

Second. 19

CHAIRMAN BROD: 20

Dr. Cummings moves. Dr. Mitchell 21

seconds. All those in favor? Opposed, 22

same sign? 23

[The motion carried unanimously.] 24

*** 25

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MR. RISH: 1

The next matter is Item 33. This is the 2

Reconsideration of the Written Agreement 3

Change Form Application of Kamyar 4

Ilkhanipour, M.D. and Courtney Burgess, 5

PA-C. 6

Based upon discussions in Executive 7

Session, I understand the Board would 8

entertain a motion tabling the matter 9

and directing the Board Administrator to 10

issue a discrepancy letter seeking 11

additional information. 12

DR. CASTLE: 13

So moved. 14

MR. MITCHELL: 15

Second. 16

CHAIRMAN BROD: 17

Dr. Castle moves. Mr. Mitchell seconds. 18

All those in favor? Opposed, same sign? 19

[The motion carried unanimously.] 20

*** 21

MR. RISH: 22

The next matter is Item 34, the Initial 23

Unrestricted License Application of Carl 24

Erwin Johnson, M.D. 25

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Based upon discussions in Executive 1

Session, I understand the Board would 2

entertain a motion directing the Board 3

Administrator to issue the standard 4

letter requesting completion of a 5

reentry program. 6

DR. ROBINSON: 7

So moved. 8

MS. SUTTON: 9

Second. 10

CHAIRMAN BROD: 11

Dr. Robinson moves. Ms. Sutton seconds. 12

All those in favor? Opposed, same sign? 13

[The motion carried unanimously.] 14

*** 15

MR. KOVACH: 16

The next one is No. 35, the 17

Reconsideration of the Reactivation 18

Application for a Physician & Surgeon 19

License filed by Timothy Malone 20

Whitaker, M.D. 21

Based on the Board’s discussions in 22

Executive Session, I believe the Board 23

Chair would accept a motion tabling this 24

matter and directing the Board 25

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Administrator to issue the standard 1

reentry letter. 2

DR. CASTLE: 3

So moved. 4

DR. CUMMINGS: 5

Second. 6

CHAIRMAN BROD: 7

Dr. Castle moves. Dr. Cummings seconds. 8

All those in favor? Opposed, same sign? 9

[The motion carried unanimously.] 10

*** 11

MR. KOVACH: 12

We could take the next two together. It 13

is No. 36, the Reactivation Application 14

for a Physician & Surgeon License filed 15

by Harnish Vinaychandra Shah, M.D. and 16

Dorothy Young Fisher, M.D. at No. 37. 17

Based on the Board’s discussions in 18

Executive Session, I believe the Board 19

Chair would accept a motion tabling the 20

matter and directing the Board’s 21

Administrator to issue the standard 22

reentry letter. 23

DR. CASTLE: 24

So moved. 25

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DR. ROBINSON: 1

Second. 2

CHAIRMAN BROD: 3

Dr. Castle moves. Dr. Robinson seconds. 4

All those in favor? Opposed, same sign? 5

[The motion carried unanimously.] 6

*** 7

MR. RISH: 8

The next matter is Item 38, the Status 9

Change Application of Debra Ann 10

Cipriani, M.D. 11

Based upon discussions in Executive 12

Session, I understand the Board would 13

entertain a motion tabling the 14

application and directing the Board 15

Administrator to issue the standard 16

reentry letter. 17

DR. CUMMINGS: 18

So moved. 19

MR. MITCHELL: 20

Second. 21

CHAIRMAN BROD: 22

Dr. Cummings moves. Mr. Mitchell 23

seconds. All those in favor? Opposed, 24

same sign? 25

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[The motion carried unanimously.] 1

*** 2

MR. KOVACH: 3

The next matter is No. 39. It is the 4

reconsideration of the Reactivation 5

Application filed by Randy Lee 6

McCracken, RCP. 7

Based on the Board’s discussions in 8

Executive Session, I believe the Board 9

Chair would accept a motion tabling this 10

matter and directing the Board 11

Administrator to advise the applicant to 12

take the required test. 13

DR. CASTLE: 14

So moved. 15

MR. MITCHELL: 16

Second. 17

CHAIRMAN BROD: 18

Dr. Castle moves. Mr. Mitchell seconds. 19

All those in favor? Opposed, same sign? 20

[The motion carried unanimously.] 21

*** 22

MR. RISH: 23

The next matter, the final matter, is 24

Item No. 40, the Reactivation 25

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Application of Adrienne R. Bukovsky, 1

RCP. 2

Based upon discussions in Executive 3

Session, I understand the Board would 4

entertain a motion tabling the matter 5

and directing the Board Administrator to 6

issue the standard recertification 7

letter. 8

DR. CASTLE: 9

So moved. 10

MR. MITCHELL: 11

Second. 12

CHAIRMAN BROD: 13

Dr. Castle moves. Mr. Mitchell seconds. 14

All those in favor? Opposed, same sign? 15

[The motion carried unanimously.] 16

*** 17

Adjournment 18

[Having no other business, Chairman Brod adjourned the 19

State Board of Medicine Meeting at 11:54 a.m.] 20

*** 21

22

23

24

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1

CERTIFICATE 2

3

I hereby certify that the foregoing summary 4

minutes of the State Board of Medicine meeting, was 5

reduced to writing by me or under my supervision, and 6

that the minutes accurately summarize the substance of 7

the State Board of Medicine meeting. 8

9

10

11

12

Haley J. Neumeister, 13

Minute Clerk 14

Sargent’s Court Reporting 15

Service, Inc. 16

17

18

19

20

21

22

23

24

25

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STATE BOARD OF MEDICINE 1 REFERENCE INDEX 2 March 20, 2018 3

4 TIME AGENDA 5 6 9:06 Official Call to Order 7 8 9:07 Introduction of Audience Members 9 10 9:08 Roll Call 11 12

9:08 Report of Prosecutorial Division 13 14 9:15 Report of Committees 15 16 9:36 Report of Board Chairman 17 18 9:45 Appointment – Department of Banking and 19 Securities/Elder Financial Abuse 20 21 10:02 Report of Board Counsel 22 23 10:02 Report of Regulatory Counsel 24 25 10:04 For the Board’s Information/Discussion 26

27 10:05 Approval of Minutes 28 29 10:06 Old Business/New Business 30 31 10:37 Recess 32 10:42 Return to Open Session 33 34 10:42 Executive Session 35 11:41 Return to Open Session 36 37 11:42 Motions 38 39 11:53 Adjournment 40 41

42 43 44 45 46 47 48 49 50