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MINUTES

North Carolina Medical Board

July 21-23, 2004

1203 Front Street Raleigh, North Carolina

July 21-23, 2004

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Minutes of the Open Sessions of the North Carolina Medical Board Meeting July 21-23, 2004. The July 21-23, 2004, meeting of the North Carolina Medical Board was held at the Board's Office, 1203 Front Street, Raleigh, NC 27609. The meeting was called to order at 8:07 a.m., Wednesday, July 21, 2004, by Stephen M. Herring, MD, President. Board members in attendance were: Charles L. Garrett, MD, President Elect; Robert C. Moffatt, MD, Secretary; H. Arthur McCulloch, MD, Treasurer; E. K. Fretwell, PhD; Robin N. Hunter Buskey, PA-C; Michael E. Norins, MD; Janelle A. Rhyne, MD; George L. Saunders, III, MD; Ms. Shikha Sinha; Edwin R. Swann, MD; and Mr. Aloysius P. Walsh. Staff members present were: R. David Henderson, JD, Executive Director; Thomas W. Mansfield, JD, Legal Department Director; Mary Wells, JD, Board Attorney; Brian Blankenship, JD, Board Attorney; Marcus Jimison, JD, Board Attorney; Amy Bason, JD, Board Attorney; Ms. Wanda Long, Legal Assistant; Ms. Lynne Edwards, Legal Assistant; Mr. Curtis Ellis, Investigative Department Director; Don R. Pittman, Investigator/Compliance Coordinator; Mr. Edmund Kirby-Smith, Investigator; Mrs. Therese Dembroski, Investigator; Mr. Loy C. Ingold, Investigator, Mr. Bruce B. Jarvis, Investigator; Mr. Robert Ayala, Investigator; Mr. Richard Sims, Investigator; Ms. Jenny Olmstead, Senior Investigative Coordinator; Ms. Myriam Hopson, Investigative Coordinator; Mr. Dale Breaden, Director of Communications and Public Affairs; Ms. Dena Marshall, Public Affairs Assistant; Mrs. Joy D. Cooke, Licensing Director; Ms. Alexa Mallard, PA/NP Coordinator; Ms. Michelle Allen, Licensing Assistant; Ms. Kelli Singleton, GME Coordinator; Carol Puryear, Licensing Assistant; Jesse Roberts, MD, Medical Director; Kevin Yow, MD, Assistant Medical Director; Ms. Judie Clark, Complaint Department Director; Mrs. Sharon Squibb-Denslow, Complaint Department Assistant; Ms. Sherry Hyder, Complaint Summary Coordinator; Ms. Patricia Paulson, Malpractice/Medical Examiner Coordinator; Mr. Hari Gupta, Operations Department Director; Mrs. Deborah Aycock, Registration Coordinator; Ms. Rebecca L. Manning, Database Coordinator; Mrs. Janice Fowler, Operations Assistant; Mr. Peter Celentano, Comptroller; Mr. David Shere, Receptionist; Mr. Donald Smelcer, Technology Department Director; Ms. Pamela Rose, Human Resources Director; and Mr. Jeffery Denton, Executive Assistant/Verification Coordinator. MISCELLANEOUS Presidential Remarks

Dr. Herring commenced the meeting by reading from Governor Easley’s Executive Order No. 1, the “ethics awareness and conflict of interest reminder.” No conflicts were reported.

Staff/Personnel Announcements New Hires (Robert Ayala and Richard Sims) Mr. Henderson introduced the Board’s two new investigators and gave a summary of their

background/qualifications. They will be receiving orientation at this Board Meeting. Mr. Ayala will begin work in August and is assigned primarily to the Wilmington area. Mr. Sims will begin work in September and is assigned primarily to the Raleigh/Durham area.

Departure (Deborah Aycock) Mr. Henderson announced that Ms. Aycock will be leaving the Board to return to a familiar

setting, Fort Bragg. She has accepted a training instructor position there. Mr. Shere will be assuming her position at the Board. The Human Resource Director, Pam Rose, is accepting applications for the receptionist position.

July 21-23, 2004

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Legislative Update Mr. Henderson gave a brief summary of how Senate Bill 1414, Medical Board Fees,

transpired during this legislative session. Though it eventually died, he felt the Board was represented well at the legislature. He thanked Mr. Mansfield, the Board’s Legislative Liaison, and any others that may have been available for questions from their representatives or the Legislature. Dr. Garrett stated in part, “We need to look at what is best to serve our public even if that means a fee increase. We need to keep looking to the true nature of why we need the fee increase.”

Health Law Forum Dr. Garrett announced that the Board’s Medical Director, Dr. Jesse Roberts, was selected to

give The Edward E. Hollowell Distinguished Lecture in Medical Jurisprudence – Medical Errors at the Twenty-Sixth Annual Health Law Forum to be held September 15, 2004 and sponsored by the Brody School of Medicine at East Carolina University.

U. S. Federation of State Medical Boards Visit/Presentation James N. Thompson, MD, President/CEO, FSMB Freda McKissic Bush, MD, Board of Directors, FSMB On Thursday, July 22, 2004, representatives of the Federation of State Medical Boards

visited the Board and gave a short presentation. Dr. Herring kicked-off the visit and made appropriate introductions.

Dr. Bush stated, “good evening, I like this” (referring to the Board Room layout). She

explained that for Federation purposes she is assigned as the Board Liaison. She supported Ms. Hunter Buskey’s campaign at the recent Federation Annual Meeting. She commended the Board Members for what they do. Dr. Bush stated the Federation appreciates all you do but is not sure the public fully understands this. She then introduced Dr. Thompson.

Dr. Thompson stated it was a pleasure to be here with Dr. Bush and it was an “absolute

pleasure to back in North Carolina.” He continued, “It is good to be here with folks I have known for many years and some I even knew as medical students.” He then proceeded with a PowerPoint presentation overview of the Federation of State Medical Boards’ services. He emphasized that the Federation’s mission is “continual improvement in the quality, safety and integrity of health care through the development and promotion of high standards for physician licensure and practice.” Following the presentation Dr. Thompson took questions from Board Members. He stated in part that the Federation exists to make member boards’ lives easier.

Dr. Herring thanked Dr. Thompson and Dr. Bush for the presentation. Board Meeting Dates

Motion: A motion passed to approve the following Board Meeting dates for the year 2006.

January 18-20, 2006 February 15-16, 2006 March 15-17, 2006

July 21-23, 2004

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April 12-13, 2006 May 17-19, 2006 June 14-15, 2006 July 19-21, 2006 August 16-17, 2006 September 20-22, 2006 October 18-19, 2006 November 15-17, 2006 December 20-21, 2006

EXECUTIVE COMMITTEE NOMINATION REPORT Stephen Herring, MD; Charles Garrett, MD; Robert Moffatt, MD; Arthur McCulloch, MD; Aloysius Walsh

The Executive Committee of the North Carolina Medical Board was called to order at 10:40

a.m., Wednesday July 21, 2004 at the office of the Board. Present were: Stephen M. Herring, MD, Chair; Charles L. Garrett, MD; H. Arthur McCulloch, MD; Robert C. Moffatt, MD and Aloysius P. Walsh. Members of the staff in attendance were R. David Henderson, (Executive Director), Hari Gupta (Director of Operations), and Peter T. Celentano, CPA (Comptroller). The following slate of candidates for the term beginning November 1, 2004 were made to the Board:

President Elect - Robert Moffatt, MD Secretary - Arthur McCulloch, MD Treasurer - Janelle A. Rhyne, MD Member At Large - Aloysius Walsh

There were no nominations from the floor.

Motion: A motion passed to approve the Executive Committee Nomination Report as presented to the Board; the following Board Members were elected for the noted positions for 2005: President Elect - Robert Moffatt, MD; Secretary - Arthur McCulloch, MD; Treasurer - Janelle Rhyne, MD and Member At Large - Aloysius Walsh. It is noted that as current President Elect, Charles Garrett, MD will become the President effective November 1, 2004.

MINUTE APPROVAL Motion: A motion passed that the June 16-17, 2004, Board Minutes are approved as presented.

ATTORNEY’S REPORT A motion passed to close the session to prevent the disclosure of information that is confidential pursuant to sections 90-8, 90-14, 90-16, 90-21.22 and 143-318.11(a) of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and to preserve attorney/client privilege.

July 21-23, 2004

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A written report on 186 cases was presented for the Board’s review. The specifics of this report are not included as these actions are not public information.

A motion passed to return to open session. EXECUTED CASES (PUBLIC) AARON, Maureen Margaret, MD

Consent Order executed 7/2/2004 ALLEN, Aaron Russell MD

Consent Order executed 5/21/2004 BERRY, David Don MD

Order Terminating Consent Order executed 4/21/2004 BOVELLE, Renee Claudia MD

Consent Order executed 7/1/2004

BOX, James Brent MD Consent Order executed 7/2/2004

BRAY, Anthony David MD

Notice of Charges and Allegations executed 6/30/2004 BROWN, Michael Osborne MD

Consent Order executed 6/16/2004 BRYSON, Gary Keith MD

Order Terminating Consent Order executed 5/7/2004 CIRILLO, Robert L. MD

Consent Order executed 6/16/2004 CROSS, Harry Giles Jr. PA

Consent Order executed 6/17/2004

ECHOLS, Everett Raphael II MD Summary Suspension and Notice of Charges executed 6/16/2004

EDGE, Kendra Dian PA

Consent Order executed 6/18/2004 ENGLISH, Thaddeus D. PA

Consent Order executed 5/20/2004 FOLKERTS, AnnaMaria PA

Consent Order executed 5/20/2004 FORD, Angela Borden PA

Order Terminating Consent Order executed 7/2/2004

July 21-23, 2004

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GAFFNEY, Mary Elizabeth DO

Consent Order executed 3/19/2004 HALL, Bruce Parker MD

Consent Order executed 6/9/2004 HAMBLETON, Scott Lewis MD

Consent Order executed 6/2/2004 HATCHER, James Jackson MD

Consent Order executed 5/26/2004 HODA, Syed Tanweeful MD

Findings of Fact, Conclusions of Law and Order executed 6/22/2004 HOOPER, Jeffrey Curtis MD

Consent Order executed 5/27/2004 HUNLEY, Steve Orby MD

Consent Order executed 4/7/2004 JOHNSON, Welburne Dewitt II MD

Consent Order executed 6/16/2004 JONES, Miles James MD

Final Agency Decision executed 5/28/2004

KELL, Michael Jon MD Findings of Fact, Conclusions of Law and Order executed 7/2/2004

KEYES, Booker T. Jr. MD

Consent Order executed 6/21/2004 KOMJATHY, Steven Ferenc MD

Consent Order executed 7/2/2004 MACCARTHY, Justin Daniel MD

Consent Order executed 6/2/2004 MACKEY, William Frederick Jr. MD

Order executed 5/28/2004 MARTIN, Wayne Robert MD

Consent Order executed 6/16/2004 MILTON, Bernard Gerald MD

Consent Order executed 6/3/2004

July 21-23, 2004

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MURNANE, John Eugene MD Findings of Fact, Conclusions of Law and Order executed 6/14/2004

NIEMEYER, Meindert Albert MD

Consent Order executed 5/20/2004 PATEL, Rakesh MD

Consent Order executed 5/20/2004 PHILIPS, Sherif Antoun MD

Consent Order executed 5/21/2004 POLLACK, Sheldon Victor MD

Consent Order executed 5/27/2004 RODINE, Mary Kim MD

Order Terminating Consent Order executed 6/14/2004 TAYLOR, Bobbie Michelle NP

Consent Order executed 6/3/2004 TAYLOR, David Howarth MD

Consent Order executed 6/16/2004 THOMPSON, Robert Bruce MD

Consent Order executed 6/23/2004 WADDELL, Roger Dale MD

Consent Order executed 6/23/2004 WALL, ShellyAnn PA-C

Consent Order executed 4/14/2004 WODECKI, Tadeusz Kazimierz MD

Order Terminating Consent Order executed 6/30/2004 EXECUTIVE COMMITTEE REPORT

Stephen Herring, MD; Charles Garrett, MD; Robert Moffatt, MD; Arthur McCulloch, MD; Aloysius Walsh The Executive Committee of the North Carolina Medical Board was called to order at 10:40 am, Wednesday July 19, 2004 at the offices of the Board. Members present were: Stephen M. Herring, MD, Chair; Charles L. Garrett, MD; Harlan A. McCulloch, MD; Robert C. Moffatt, MD; and Aloysius P. Walsh. Also present were R. David Henderson (Executive Director), Hari Gupta (Director of Operations), and Peter T. Celentano, CPA (Comptroller). Financials Mr. Celentano, CPA, presented to the committee the May 2004 compiled financial statements. May is the seventh month of fiscal year 2004.

The Board’s deficit continues to decrease for fiscal year 2004 and should approach breakeven by the end of this fiscal year. The Board had small surpluses for the months of April

July 21-23, 2004

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and May of 2004. Mr. Celentano explained to the Committee about several income items that are seasonal and which historically peak in the spring and early summer months, including Temporary License, License by Endorsement, Resident Training Licenses and Datalink Income. Mr. Walsh inquired about the current level of cash that we are holding and whether it would be sufficient to meet our requirements for the remainder of the fiscal year and on into fiscal year 2005. Mr. Celentano explained to the Committee that he does not foresee a problem in this area as our cash receipts just about match our cash disbursements month after month. Mr. Celentano reminded the Committee that the Boards’ Certificate of Deposit matures in February of 2005. Current interest rates were discussed as well as the rate of return on our current certificate. Dr. Garrett made a motion to accept the financial statements as reported. Dr. Moffatt seconded the motion and the motion was approved unanimously. The May 2004 Investment Summary was reviewed and accepted as presented. Old Business There was no old business to discuss. New Business Board Meeting Dates - 2006: The schedule for Board Meeting Dates for 2006 were presented and discussed. Dr. Moffatt raised a question about the December Board Meeting and its close proximity to the holidays. Dr. Garrett suggested the Board could make a motion in the future to reschedule or cancel the December Board Meeting. Dr. Garrett made a motion to accept the 2006 Board Meeting Dates as outlined. Dr. Moffatt seconded the motion and the motion was approved unanimously.

Personnel: Dr. Garrett presented to the Committee a proposal to hire an Attorney and a Paralegal in the Legal Department to help address the large backlog of disciplinary cases. Dr. Garrett presented to the Committee a graph that illustrates the financial impact of these additions. Dr. Moffatt raised a question about possibly being over-staffed once the backlog of cases has been eliminated. Dr. Garrett felt that the Board would continue to have an increase in disciplinary cases. Also, the hiring of an Attorney and a Paralegal would allow the Director of the Legal Department time to better manage and supervise the department. Mr. Gupta inquired about the necessity for renovating office space and the purchase of equipment and furniture. Dr. Garrett made a motion to add a new Attorney position and Paralegal position and to permit the expenditure of funds reasonably necessary to renovate the office and purchase equipment and furniture. The motion was seconded and approved unanimously.

CME Status Report: Mr. Gupta updated the Committee on the status of the work involved in communicating with physicians who are currently deficient in reporting CME hours for the three-year period from 2001 thru 2003. Dr. Garrett wished to commend the staff for the work done in this area. Dr. Garrett and Dr. Moffatt also expressed concern about physicians who have administrative assistants register their licenses for them on-line. Dr. Garrett suggested the possibility of a Forum article reminding physicians of their responsibility for the answers contained on their registration.

Security – Bill Smith: Mr. Henderson informed the Committee that the July Board Meeting would be the last meeting for Mr. Bill Smith, our Security Officer. Mr. Henderson requested time on Friday afternoon to recognize Mr. Smith for his years of service with the Board.

July 21-23, 2004

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Rule Changes: Mr. Henderson informed the Committee of his desire to move forward with plans to have various Rules amended to increase some of the fees charged by the Board. Dr. Garrett expressed his approval and asked that the proposed rule changes be submitted at the August Board Meeting. Mr. Henderson stated he would proceed with working up proposed changes for the next Board Meeting.

Nominations of New Officers: A motion was made to nominate Dr. Robert Moffatt as President-Elect, Dr. H. Arthur McCulloch as Secretary, Dr. Janelle Rhyne as Treasurer and Mr. Aloysius Walsh as a member at-large of the Executive Committee. The meeting was adjourned at 12:00pm. POLICY COMMITTEE REPORT

Robert Moffatt, MD, Chair; Aloysius Walsh; Arthur McCulloch, MD; George Saunders, MD; Janelle Rhyne; MD The Policy Committee of the North Carolina Medical Board was called to order at 3:14 p.m., Wednesday, July 21, 2004, at the office of the Board. Present were: Robert Moffatt, MD, Chair; Aloysius P. Walsh; Arthur McCulloch, MD; George L. Saunders, MD; and Janelle A. Rhyne, MD. Also attending were: Thomas Mansfield, JD, Director, Legal Department, NCMB (PC Staff); Amy Bason, JD (PC Staff); Melanie Phelps, JD, North Carolina Medical Society; Dale G Breaden, Public Affairs Director, NCMB; and Mr. Jeffery T. Denton, Board Recorder (PC Staff). Notes: (1) Recommendation to Board is the Committee’s request for Board consideration of an

item. (2) Action items are related to the Committee’s own work or deliberations. (3) [ ] Information within these brackets denotes background information Review of Position Statements [ Dr. Moffatt stated that the Board position statements should be formally reviewed

periodically by the Board, and that the review date should be included with the position statement, much like the revision dates.

Dr. Saunders agreed that the 3-year review cycle made more sense to him. He then

proceeded to discuss his memo to the committee members regarding his review of the current position statements.

Dr. Rhyne disseminated and discussed her proposal for the reordering of the position

statements and a possible numbering system. Mr. Breaden explained that the current order is based on like topics being put together.

The action was for the July Committee Meeting: (1) Dr. Moffatt, Dr. Rhyne and Dr.

McCulloch will review ‘Management of Chronic Non-Malignant Pain’; (2) Dr. Saunders and Mr. Walsh will review ‘The Use of Anorectics in Treatment of Obesity’; and (3) Dr. Saunders and Dr. Rhyne will work together to formulate a numbering system and a rotation/review schedule for the position statements. ]

July 21-23, 2004

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The Use of Anorectics in Treatment of Obesity (Saunders, Walsh) Dr. Saunders presented a proposed rough draft of a revised position statement. He stated that the current statement was good but may be too specific with regard to medications. He indicated that this was appropriate at the time this position statement was last updated but it has changed over time. There was a general consensus supporting approval of Dr. Saunders’ draft. Action: Dr. Saunders will further his draft by consulting with Dr. Walter Pories as an expert and possibly another medical expert and email other committee members as necessary with the goal of bringing a final copy back to the next meeting.

Management of Chronic Non-Malignant Pain (Moffatt, Rhyne, McCulloch) Dr. Moffatt stated that this is still a good pain statement but certain aspects may need

reworking and it may be helpful to get comments from certain individuals and/or groups around the State. Dr. Rhyne stated that our statement was good but the Federation of State Medical Boards’ (FSMB) guidelines were very thorough, and should be consulted

Mr. Breaden provided some background on this position statement. The Board’s statement

was developed before the FSMB took any type of position. North Carolina was trail blazing at the time and certain definitions were necessary then that might not be necessary now. To pattern ours after the FSMB’s would be a logical progression.

Dr. Moffatt introduced Matt Gainey, PhD, and Pharmacologist who is associated with a pain

management task force. Dr. Gainey stated the group was not active at the present time but could be revived. He initially put the group together to address pain management and is sure the group would be happy to be a resource for the Board

Dr. McCulloch stated that he had asked some of his partners who are specialists in this area

for their opinions. He offered several comments for revising the current position statement and would like to bring a draft to the next meeting after reviewing the FSMB guidelines.

Action: Dr. McCulloch will bring a draft revision back to the next committee meeting. Position Statement Numbering System (Saunders, Rhyne) Dr. Rhyne suggested either numbering the Board’s Position Statements as listed in the Forum

or categorizing them much like the Texas Board does. Dr. Saunders thinks it would be useful to categorize and number as well. Ms. Phelps suggested that the Board look at the way the American Medical Association’s Council on Ethical and Judicial Affairs (CEJA) handles their positions as a possible alternative.

Action: Dr. Saunders stated that he could have a proposal ready during this Board meeting with collaboration via email. Dr. Moffatt encouraged all committee members to look at a numbering system and collaborate with each other.

Statement For The Record Dr. Saunders stated for the record that during his recent research on position statements he

went through quite a few web pages of other states. He stated that we should be proud that the Texas site is the only one that came close to ours. He reiterated that North Carolina’s web site is well above most other states.

There being no further business, the meeting adjourned at 4:02 p.m. The next meeting of the Policy Committee is tentatively set for 3:00 p.m. Wednesday, September 22, 2004. Motion: A motion passed to accept the Policy Committee report as presented.

July 21-23, 2004

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ALLIED HEALTH COMMITTEE REPORT

Arthur McCulloch, MD; Robin Hunter-Buskey, PA-C; E. K. Fretwell, PhD Also in attendance were: E.K. Fretwell, PhD, Robin Hunter-Buskey, PA, Jennifer Hedgepeth, Melanie Phelps, Marcus Jimison, and Alexa Mallard. PA Rules Review Task Force – A task force is to be created to discuss potential PA rule changes. The task force members would include the members of the Allied Health committee, one PA in education, one PA from the NCAPA, one PA from the Medical Society and one PA at large. A list of items to discuss will include reinstatement/reactivation of PA licenses after a lapse in practice, the requirement for a PA who wishes to prescribe using his/her DEA number to have a supervising physician hold a DEA number, the PA Intent to Practice approval process (21 NCAC 32S.0104), and an interim status. This task force is expected to conduct its first meeting at the September 2004 Board meeting. Nurse Practitioner Protocols for Alternative and Discipline Programs – The Allied Health Committee discussed the NP Alternative Program. Mr. Jimison gave a detailed the creation of the protocols. The differences and similarities between the terms “surrendered” and “held in abeyance” were discussed. The committee decided to continue working on a solution with the protocols for the Alternative and Discipline Programs. The committee would like the statistics on how many NP’s have entered these programs in the last two years. Discussion will continue at the September 2004 Board meeting. Board of Pharmacy Emergency Rule – The Board of Pharmacy emergency rule for Administration of Vaccinations by Pharmacists was accepted as information. The staff has been asked to review for correctness. EMS reports – Accepted as information. NP Joint SubCommittee Report – Ms. Hunter Buskey gave a verbal report to the Full Board.

APPLICANTS LICENSED PA – Applicants (***Indicates PA has not submitted Intent to Practice Forms)

PHYSICIAN ASSISTANT PRIMARY SUPERVISOR PRACTICE CITY Bertrand, David Barsanti, Chris Greenville

Blackshire, Deborah *** Gage, Shawn Tuttle-Newhall, Janet Durham

Howard, Joy Lee, K Stuart Greenville Langston, Dante *** Murphy, Michael *** Rosado, Eddie ***

Sharpe, Sarah *** Yarbrough, Amanda *** PA Applicants to be licensed after receipt of acceptable SBI report-

Austin, Holly *** Carlon, Ruth ***

July 21-23, 2004

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Epps, Sean Crocker, Daniel Rocky Mount Galisin, Thomas D’Empaire, Alberto Tarboro Garris, Erin ***

Giordano, Michelle Tuttle-Newhall, Janet Durham Hall, April *** Isenhower, Dennis *** Leddy, Michael *** Smith, Gerald Woodall, LS Smithfield Sprange, Brent *** Thomas, Kimberly *** Vang, Mai Khou *** Weaver, Arlondra ***

PA Applicants to be licensed after receipt of passing PANCE scores and acceptable SBI report-

Henry, Jennifer *** Reith, Christie *** Turnage, Stephanie ***

PA Applicants to be licensed after receipt of PA Program Certification Form, passing PANCE scores and acceptable SBI report- Kurtz, Harry Tuttle-Newhall, Janet Durham PA - Intent to Practice Forms Acknowledged

PHYSICIAN ASSISTANT PRIMARY SUPERVISOR PRACTICE CITY Bauman, Karol K. Thomas, Charles Carroll II Clyde Beard, Christina Perry Jones, John Richard Fayetteville Beers, Charles Michael Barnhill, Peggy Sue Chadbourn Blackwelder, Karen H Jones, Robert Lee Jr. Charlotte Blankenship, Kelly Dawn Entwistle, Celia Bennett Charlotte Bracken, Christy Tucker Porter, John Arthur Harris Winston-Salem Brosamer, Kimberly Marie Bradner, Richard Le Queux Charlotte Brown, Richard Wayne Wase, Raymond Edward Jr. Morehead City Buckland, David Nelson Mead, Robert J. Burlington Castelvecchi, Michelle M Lindsay, John Walter High Point Chavis, Anthony Darnell Kavde, Uday Shashikant Raleigh Chavis, Robert Michal Ugah, Nwannadiya Glory Lumberton Clevenger, George Jason MacDonald, Carolyn Fayetteville Clifton, Stevan Michael Jones, Robert Lee Jr. Charlotte Cline, Franklin S Jr. Kessel, John Woodruff Hickory Cole, Katrina Leann Evans, James Harvey Winston-Salem Crawley, John Cromartie Raval, Raju Bhikhubhai Fayetteville Crenshaw, Sharon G. O'Brien, Patrick James Raleigh Denton, Ronald Charles Mohiuddin, Masood Morganton Denton, Ronald Charles Russ, Donald Barnard Marion Dickerson, Frank M McKean, Thomas Kevin Hickory Dillow, Michael Lee Davenport, Barbara Mary Morganton Donovan, Christina Marie Leithe, Mark Earl Raleigh Donovin, Christopher Pence, James Jerome Jr. Wilmington Dore, Mary Graham Scholz, David George Charlotte

July 21-23, 2004

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Doss, Brian Wesley Gallemore, Warren Gholson High Point Dossenbach, Memory E. Hayward, Thomas Zander III Durham Drew, Justin John Barnett, Ley Imboden Lillington Durbin, Michael B Sarett, Joshua Daniel Charlotte England, Michael Allen Hamerski, Douglas Andrew Wilmington Ensign, Todd Daniel Quick, John Buster Jr. Swansboro Ervin, Andrew Ephraim Whitman, Bruce Steven Lumberton Ferron, Christopher Brian Dearie, Joseph Charles Atlanta Folkerts, AnnaMaria Kapur, Kamlesh Madhodas Elon Gage, Shawn Pickett, Lisa Durham Gaines, Jeremy Alan Majors, Roy Alan Charlotte Garver, Gloria Joy Hsieh Udekwu, Pascal Osita Raleigh Giancarlo, Gina Marie Rounds, John Carson Wake Forest Giordano, Michelle Pickett, Lisa Durham Gocke, Thomas Vincent III Ehlert, Kurt Jonathan Raleigh Graham, Barry Gerard Carter, Ralph Edward III Laurinburg Gregory, Ginger Dobbins Godfrey, Wanda Lee Garner Gregory, Richard Blaine Duncan, Hazel Vanessa Windsor Gwinn, David Henry Foster, Bobby Maxwell Southern Pines Hage, Suzanne Michele Vu, Khanh Tuan Henderson Harkness, Gale Lynn Porchey, Carl Joseph Jr. Yadkinville Hart, David Allen Elston, Scott Cody Cary Hatefi, Reza John Godfrey, Wanda Lee Garner Hawley, John Patrick Jonnalagadda, M. R. Jacksonville Heath, Jerry Anderson McKean, Thomas Kevin Hickory Hermick, Sean Morgan Guha, Subrata Clayton Hills, Karen Jane Sha, Ronald Steven Durham Homiak, Phornphan M Tse, Alex Yu-Chow Jacksonville Huie, Phillip Andre Sears, Victor Wilson Jr. Winston-Salem Johnson, Andrea Marie Gehris, John Martin High Point Jones, Charles Bernard Jr. Bradley, Elizabeth Leigh Jefferson Kurtz, Harry Pickett, Lisa Durham Leamy, Gregory Joseph Kavde, Uday Shashikant Raleigh Lloyd, Douglas David Jackson, Anita Louise Whiteville Locklear, Arbus Earl Bell, Joseph Tryon Pembroke Lord, Deborah Hiatt Newsome, Samuel Carl Danbury Lord, Deborah Hiatt Nichols, Michelle Rogers Pilot Mtn Lucas, John Michael Parker, John Ashley Rocky Mount Malivuk, William Joseph Kruger, Karolyn Sue Thomasville Marion, Wade Ashley Ellis, Randy Sue Elkin Marks, Carol Conley Sevier, Robert English Greensboro Mazor, Michelle Elaine Dixon, David Rodolph Mt Airy McKeel, Cameron Roberts Whitaker, Gary Randall Hendersonville Meador, Anthony Aaron Apgar, Robert George Wilkesboro Melgar, Tammy Strickland Pridgen, James Henry Wilmington Melia, Emily Suzanne Cook, David Martin Huntersville Midyette, Debra Kay Jones, Robert Lee Jr. Charlotte Minor, David Francis Baker, Clifton Ayres Thomasville Minor, David Francis McKenzie, William Marshall Lexington Minor, David Francis Zacco, Arthur Apex Moore, Helen Miller Fowler, William Varn Marion

July 21-23, 2004

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O'Connell, Kristy Marie Andrews, Robert William Durham O'Connell, Kristy Marie Buckley, Niall John Durham O'Connell, Kristy Marie Huang, Samuel Fong-yin Durham O'Connell, Kristy Marie Kim, Jay Han Durham O'Connell, Kristy Marie Reagan, Robert William Jr. Durham O'Connell, Kristy Marie Whitehurst, Arthur Wellington Durham Pedacchio, Misty Hochrein Pollock, Nelson Earl High Point Perkins, Cameron Luther Godfrey, Wanda Lee Garner Pressler, Cindy Ann Radiontchenko, Alexei Hickory Purcell, Craig Sumner Godfrey, Wanda Lee Garner Rainwater, Marvin Keith Seroska, Phillip John Whiteville Rapalje, James John Elston, Scott Cody Fayetteville Revels, Christina Locklear Woriax, Frank Pembroke Rheinecker, Scot Bradley Hendrix, James Grant Concord Ricard, Denis Philip McCaskill, Lloyd Curtis Pembroke Rush, Dale Johns Riser, Mark Randolph Dunn Saldutti, Steven Ross Whitaker, Gary Randall Hendersonville Schmidt, Jamie Morgan Godfrey, Wanda Lee Garner Schroder, Melissa Tesh Goldberg, Richard Miles Chapel Hill Schwartz, Adam David Sheline, Barbara LaTowsky Durham Scott, Kelly Jacobus Meyer, Paul Fredrick Lexington Smith, Joshua Franklyn Kirtley, Thomas Lloyd Jr. Salisbury Snider, Gina Murph Hinson, Jonathan Cordell Lexington Spain, Victoria Ann Chitwood, Walter Randolph Jr. Greenville Sparks, Jessica Teague Rubens, Jonathan Samuel High Point Stanley, Glenn Martin Seroska, Phillip John Whiteville Starr, Dorothy Elizabeth Taormina, Velma Villalon Gastonia Stirewalt, Frederick Keith Barry, Paul Douglas Winston-Salem Stratmann, John Kenneth Reed, John Joseph Jr. Fayetteville Stratmann, John Kenneth Riser, Mark Randolph Dunn Trenery, Franklin George III Sarett, Joshua Daniel Charlotte Ventrilla, James Joseph Miller, James Arthur Burlington Ventrilla, James Joseph Thomas, Millard Brady III Asheboro Wagner, Shawn Michael Deese, Joseph Earl Selma Webb, Craig Elbert Helak, Joseph Walter Wilmington White, Dale E. Deese, Joseph Earl Knightdale White, Sheneque Montell Covington, Valencia Pressley Charlotte Wiggins, Jeffrey Mark Nguyen, Vu Quoc Chi Charlotte Willard, Jennifer Susanne R Golding, John Cabot Jr. Reidsville Williams, Lynne Baheyeah Miller, James Arthur Burlington

Woglom, Peter B. Lassiter, Gaddy Matheson Harrellsville NP – Initial Applications Recommended for Approval after Staff Review- NURSE PRACTITIONER PRIMARY SUPERVISOR PRACTICE CITY Benton, Cindy Taylor, Reid Asheville

Bukala, Phyllis Thriveri, Nice Myrtle Beach, SC Elliott, Cheryl McClure, Mark Raleigh Goley, April Jenkins, Grant Wake Forest Hairston, Tawanna Beauford, Wayne High Point Henry, Shawna Tanaka, David Durham

July 21-23, 2004

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Palmer, Carrie Tuccero, Donna Cary Ragan, Victoria Unger, Henry Cary Robarge, Joyce Farrell, Susan Greensboro Rucho, Susan Heniford, B Todd Charlotte Saunders, Rosalyn Moore, Barry Wilmington Schulz, Gail Yarborough, Kimberly Roxboro Shelton, Burton Jones, John Durham Sinclair, Lisa Garmon-Brown, Ophelia Charlotte Smith, Anita Sabio, Hernon Winston-Salem Smith, Deborah Stack, Philip Sylva Weaver, Debra Hart, Carolyn Charlotte Wilson, Angela Hill, Dennis Salisbury

NP - Subsequent Applications administratively approved-

Abraham, Kannimariammal Spurney, Robert Durham Andrews, Elizabeth Fritchman, Larry Roanoke Rapids Baker, Joyce Hart, Robert Hickory Baker-Wood, Pammela Ricci, Daniel Wallace Bierwirth Wendy Bengtson, Mary Kay Raleigh Blue, Laura Hernandez, Adrian Durham Brown, Carla Rao, Lakshman Erwin Burgett, Shelly Zimmerman, Sherri Durham Cameron, Nancy Portner, Bruce Eden Christopher, Kandice Rehman, Najeeb Reidsville Cline, Kimberly Jacks, Alan Valdese Cockerham, Amy Bosse, Michael Charlotte Coyle, Regina Daus, Patrick Greenville Deans, Joanne Jones, Enrico Greensboro Donaldson-Glinski, Dianne Glinski, Ronald Whiteville Donta, Robin Forcier, Michelle Raleigh Erikson, Dawn Hannapel, Andrew Chapel Hill Everett, Gilda Kendrick, William Greenville Farringer, Gina Moore, Jeffrey Knightdale Fisher, Sandra Steelman, Sara Charlotte Gemaz, Kristi Bonin, Andrew Durham Gilbert, Katie Kahai, Jugta Oaks Island Hauser, Sally Levine, Edward Winston-Salem Henley, Marlene Finch, Sudnir Charlotte Kenny, Maria Watson, Maria Fayetteville Knight, Traci Davant, Charles III Banner Elk Krissak, Ruth Herman, Christopher Winston-Salem Laurent, Christopher Kubley, James Roanoke Rapids Lewis, Ann Ahmed, Maqsood Clinton Lewis, Karen Piland, John Taylorsville Long, Joseph Patel, Yogesh Concord Macy, Erin Zellinger, Michael Raleigh Martin, Nanette Raymond, Lawrence Charlotte McLaughlin, Colleen Martin, Paul Durham Morelle, Lea Adcock, Jimmie Charlotte Morelle, Lea Hanrahan, Philip Charlotte Morse, Deborah Jaffe, Glen Durham

July 21-23, 2004

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Norris, Leslie Hyman, Miles Franklin O’Hanlon, Loretta Dill, Gregory Asheville Pickett-Williams, Amy Husain, Aatif Durham Quinn, Norma Pasquarette, Mark Wilmington Scheuring, Susan Joyner, William Wilmington Shamek, Helen Lawrence, Mark Waynesville Simpson, Gregory Bennett, Bernard Garner Smith, Marilyn Garmon-Brown, Ophelia Charlotte Sproul, Beverly Serene, James Statesville Stahlman, John Dill, Gregory Asheville Stemen-Gallagher, Mary Moore, Barry Wilmington Sumner, Paula Jaffe, Glenn Durham Switalski, Sharon Coppage, Kevin Gastonia Tate, Donna Brandon, Henry Jr. Boone Taylor, Jennifer Coles, Debra Charlotte Thompson, Julie Kenney, James Norlina Vogel, Nicki Kim, Ian Kinston Waldrop, Julee Lewis, Stacy Jr. Oxford Welch, Vivian Miller, James Burlington Werner, Margaret Iruela, Maria Winston-Salem Yewcic, Stephanie Speight, Mark Charlotte Zawodniak, Susan Zawodniak, Mark Jefferson

Motion: A motion passed to approve the Committee report and the vote list as presented. LICENSING COMMITTEE REPORT

Robert Moffatt, MD, Chair; Robin Hunter-Buskey, PAC; George Saunders, MD; Michael Norins, MD NCMB Application Question 12 Catchline: The question currently reads: Have you ever been a defendant in a legal action involving professional liability (malpractice); have you ever been named in a malpractice suit, had a professional liability claim paid on your behalf or paid such a claim on yourself? Committee Recommendation: Change the question to read: Have you ever been a defendant in a legal action involving professional liability (malpractice); have you ever been named in a malpractice suit, had a professional liability claim paid on your behalf or paid such a claim on yourself including suits dismissed or dropped? BOARD ACTION: Change the question to read: Have you ever been a defendant in a legal action involving professional liability (malpractice); have you ever been named in a malpractice suit, had a professional liability claim paid on your behalf or paid such a claim on yourself including suits dismissed or dropped? Re-Entry Sub-committee Catchline: Minutes from the May 19th meeting are included at the end of this agenda. Committee Recommendation: Accept as information minutes from the May 19 and July 22 meetings (copies of which follow the Licensing Committee Report).

July 21-23, 2004

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BOARD ACTION: Accept as information minutes from the May 19 and July 22 meetings as reported by Dr. Fretwell. License Interview Criteria Catchline: Establish criteria to determine whether an applicant for license is required to appear in person for an interview prior to approving license. Committee Recommendation: Effective September 1, 2004, all applications will be reviewed by a Board member in addition to staff review with a compensation of $25.00 per hour. As a result Board agents will be used less. Notify Agents of the change in procedure and what will happen once it is implemented. BOARD ACTION: Effective September 1, 2004, all applications will be reviewed by a Board member in addition to staff review with a compensation of $25.00 per hour. As a result Board agents will be used less. Notify Agents of the change in procedure and what to expect once it is implemented. The Board was polled as to which Board Members would not be able to participate in this procedure – all Board Members indicated they would participate – with the exception of Dr. McCulloch who was absent. 2004 Resident Training Licenses Catchline: The Board requested staff to periodically provide a list of resident training licenses issued. A listing is included as part of this report of all resident training licenses issued since 1/1/2004. Committee Recommendation: Accept as information. BOARD ACTION: Accept as information. A motion passed to close the session to investigate, examine, or determine the character and other qualifications of applicants for professional licenses or certificates while meeting with respect to individual applicants for such licenses or certificates.

The Board reviewed 12 license applications. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

SPLIT BOARD LICENSURE INTERVIEWS A motion passed to close the session to investigate, examine, or determine the character and other qualifications of applicants for professional licenses or certificates while meeting with respect to individual applicants for such licenses or certificates.

Fourteen licensure interviews were conducted. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

July 21-23, 2004

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A motion passed to return to open session.

APPLICANTS PRESENTED TO THE BOARD

Elizabeth Ila Abernathy Mebea Aklilu Sasan Saedi Araghi Anuradha Narender Arcot Katherine Dawson Atala Rony Avritscher Hosan Menanya Azomani Victoria Lin Bae-Jump Charanjit Singh Bahniwa Robert Anthony Barberl David Robert Barron Angela Nicole Bartley Tara Kopp Bastek Jane Marie Baughman Rainer Siegfried Beck Eric Wayne Beck Patricia Dargis Beliveau Michael Ernest Bennett William Scott Berger Ramesh Bhoothapuri Mohamad Reza Bidgoli Lisa Ellen Binhammer Garyun Bliss Blackmon Karen Beth Bleich Ricardo Mauricio Bonnor Paulina Adobea Essah Boohene Haritha Boppana Britt Michael Borden Kamran Borhanian Allan Neal Boruszak Edward Paul Patrick Bridgeford Michael Cory Brodsky James Brull Thomas James Bryce Vincent Todd Buckman Tara Topoleski Byer Timothy James Cahill Charles Bennett Cairns Benjamin Carlisle Calhoun Frederick Anthony Campos Mary Traylor Capps Yovanni Casablanca Joseph Eugene Cassara Michelle Karen Cassara Francisco Antonio Castillos III Gerard A. Catapano Darren Caudill

Anson YinSung Cheng Eric Wayne Coates Cristin Mulderig Colford Katherine Linnen Czarnik Manojpal Singh Dahuja Richard Concezio D'Alonzo Rebecca Anne Delaney Charles Arthur Delcambre Jon Eric Derksen Ravi Veeranagouda Desai Andre Latura Dobson Laura Erin Dressel Kimberly Lundgren Dulaney Sitaram Manohar Emani Daniel William Entrikin Detlev Erdman Richard Bruce Esack Fanny Estela Espinal Alison Marie Fecher Kirsten Brantley Feiereisel Christopher Dean Ferris Steven James Filby Daniel Joseph Fitzsimmons Raymond Todd Foster Sr. Michael John France Patrick Michael Francke Charles Eugene Frankum Jr. Lisa Holbrook Free Michael Howard Fronstin Venugopal Naidu Gadipudi Danielle Marie Gleason Rosa Anitza Gomez Kamalinder Kaur Goraya Charles Dean Grant Jarrett Preston Greer Dale Leonard Haggman Brian Neal Hagler Anjum Anwar Haque Charles Christopher Harootunian Anthony Michael Harris Janet Elizabeth Harris-Hicks Jeffery Edward Heck Michael Lee Hendrixson William Arthur Herring, Jr. Kristin Denise Hicks Daron Cecil Hitt

Sarah Holste Hodges David Stewart Hodges Hercilia Mayumi Homi Patricia Shannon Hopson Ian Christin Horkheimer Shelley Adkins Houston Michael Andrew Huening Lukas Jantac Thomas Lemuel Pahang Javelona Jamie Latham Jeffrey Wendy Pilar Jones Sarah Turner Jordan Suleman Ahmad Khawaja Pravin Khemani Peter Matthew Kilbridge Alexander P. Kim Sandy Jean Kimmel Monica Kraft Sendil Kumar Krishnan Geoffrey Todd Lamke Nicole Alison Larrier Mitchell Williams Larsen Richard Brian Lawdahl Holly Marie Layman Sherman Christopher Lee Glenn Taylor Leonard, Jr. Michael Angelo LePore Jr. Denise Angelique Levitan David Owen Lewis Kevin Wallace Lobdell Donald Russell Locke Alejandro Norberto Lopez Adam Jason Marcovitch Frank Foster Martin Lucie Christine Martin Yanire Cristobalina Martinez Wendy Allison Mason Kevin Eugene McCarthy Bryan Andrew McCluer Therese Ann McCullough Brion Lemar McCutcheon Timothy Neil McGlaughlin Philip Batson Mellen Mohammed Amin Memon Margaret Cabell Metts Eva Ramzy Michael

July 21-23, 2004

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James Alistair Mitchell Ishtiaque Hossain Mohiuddin Mary Lee Morehouse Susan Elizabeth Murphey Cris Patrick Myers Suresh Nagappan Parvin Dokht Hassan Rayat Nazari Meindert Niemeyer George Dudley Nelson Cuong Dinh Nguyen Douglas Matthew Okay Joseph Chiso Okoye Oludamilola Abidemi Olajide Gregory John Oleksy David Enoch Oppenheim William Marcus Outlaw Edward Anthony Overton Donald Okechukwu Ozumba Ulrika Sofia Pahlm-Webb Vernon Martin Pais Jr. Navin Chimanlal Pancholy John Joseph Pape Shantala Akhil Parulkar Ajay Tribhovanbhai Patel Kevin Howard Peacock Clifford Robert Peck Thomas Michael Penders Martin Ira Perlmutter Marianna Helena Pernia James Wilson Peterson Westell Carew Phelan Harvey Gene Phillips Jr. Caroline Case Pierce David Lee Prisk Benjamin Dale Quenzer

Deborah Suzanne Quint James Wayne Rackley Ravi Ramsamooj Samuel Fitzsimons Ravenel II Gregory Thomas Ray Michael Douglas Richards Elizabeth Cate Roede Barbee Karen Annette Rose Abbe Fay Rosenbaum Angel Rafael Roure Teresa Lynn Rutledge Azeem Saeed Joumana Hassani Sallah Eric Vincent Samson Ronald Merle Sayers Tina Marie Schade Willis Robert John Schlosser Robert Hill Schosser John Robert Schottland Lauren Faith Schwartz Robert Eugene Searle Berhan Sebhat Pramodkumar Pishorilal Sethi Nimesh Bhupendra Shah Sabiha Shahnaz Ayaz Shaikh Kennedy Clare Sharrock, II Ketan Ramesh Sheth Michael Lawrence Shomaker Kerrilene Elizabeth Sinapi Jason Dennis Sinclair Nadine Beach Skinner Joseph Aloysius Smith, Jr. Timothy Dwight Smith Bethany July South Christopher Frederic Sulzer

Ann Cara Sumners Vyvyan Ye-Lin Sun Ewa Anna Susfal Victor Ivan Suvillaga Grace Tang John Anthony Tata Douglas Scott Tice William Leon Tingler II Jason Wyatt Todd Marshall Edward Tolbert Vesna Tomovich Carl Wei-Chan Tong Analyn Medina Torres Dimitri George Trembath Thomas William Tully Jr. Mark Edward Vaughn Janice Debra Victor Carmen Luz Villaveces Mikhail Vinogradov Bhanu Visvalingam Gloria Ruth Somers Vreeland Saiqua Akbar Waien Christopher Ronald Walters Grace Maria Wesolow Dennis Patrick White Alton Leroy Williams Sharrona Sherree Williams Steven Wu Han Xu Angela Yerdon McCleod Steven Lawrence Young Terica Natasha Young Mohammed Youshauddin Francis Joesph Zidar Charles McKinley Zollicoffer

LICENSES APPROVED BY ENDORSEMENT AND EXAM

Elizabeth Ila Abernathy Mebea Aklilu Sasan Saedi Araghi Katherine Dawson Atala Rony Avritscher Hosan Menanya Azomani Victoria Lin Bae-Jump Charanjit Singh Bahniwal David Robert Barron Angela Nicole Bartley Rainer Siegfried Beck Eric Wayne Beck

Patricia Dargis Beliveau Michael Ernest Bennett William Scott Berger Ramesh Bhoothapuri Mohamad Reza Bidgoli Lisa Ellen Binhammer Garyun Bliss Blackmon Karen Beth Bleich Ricardo Mauricio Bonnor Paulina Adobea Essah Boohene Haritha Boppana Kamran Borhanian

July 21-23, 2004

–20–

Allan Neal Boruszak Edward Paul Patrick Bridgeford Michael Cory Brodsky James Brull Thomas James Bryce Vincent Todd Buckman Tara Topoleski Byer Timothy James Cahill Charles Bennett Cairns Benjamin Carlisle Calhoun Frederick Anthony Campos Mary Traylor Capps Yovanni Casablanca Joseph Eugene Cassara Michelle Karen Cassara Francisco Antonio Castillos III Darren Caudill Anson YinSung Cheng Eric Wayne Coates Cristin Mulderig Colford Katherine Linnen Czarnik Richard Concezio D'Alonzo Rebecca Anne Delaney Jon Eric Derksen Ravi Veeranagouda Desai Andre Latura Dobson Laura Erin Dressel Kimberly Lundgren Dulaney Sitaram Manohar Emani Daniel William Entrikin Richard Bruce Esack Fanny Estela Espinal Alison Marie Fecher Kirsten Brantley Feiereisel Christopher Dean Ferris Steven James Filby Daniel Joseph Fitzsimmons Raymond Todd Foster Sr. Charles Eugene Frankum Jr. Lisa Holbrook Free Danielle Marie Gleason Rosa Anitza Gomez Kamalinder Kaur Goraya Charles Dean Grant Jarrett Preston Greer Brian Neal Hagler Charles Christopher Harootunian Anthony Michael Harris Janet Elizabeth Harris-Hicks Jeffery Edward Heck Michael Lee Hendrixson

Kristin Denise Hicks Daron Cecil Hitt Sarah Holste Hodges David Stewart Hodges Patricia Shannon Hopson Ian Christin Horkheimer Shelley Adkins Houston Michael Andrew Huening Lukas Jantac Thomas Lemuel Pahang Javelona Jamie Latham Jeffrey Wendy Pilar Jones Sarah Turner Jordan Suleman Ahmad Khawaja Pravin Khemani Alexander P. Kim Sandy Jean Kimmel Monica Kraft Sendil Kumar Krishnan Geoffrey Todd Lamke Nicole Alison Larrier Mitchell Williams Larsen Richard Brian Lawdahl Holly Marie Layman Sherman Christopher Lee Glenn Taylor Leonard, Jr. Michael Angelo LePore Jr. Denise Angelique Levitan David Owen Lewis Kevin Wallace Lobdell Donald Russell Locke Alejandro Norberto Lopez Adam Jason Marcovitch Lucie Christine Martin Yanire Cristobalina Martinez Wendy Allison Mason Kevin Eugene McCarthy Bryan Andrew McCluer Therese Ann McCullough Timothy Neil McGlaughlin Philip Batson Mellen Mohammed Amin Memon Margaret Cabell Metts Eva Ramzy Michael James Alistair Mitchell Ishtiaque Hossain Mohiuddin Susan Elizabeth Murphey Cris Patrick Myers Suresh Nagappan Parvin Dokht Hassan Rayat Nazari Cuong Dinh Nguyen

July 21-23, 2004

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Douglas Matthew Okay Joseph Chiso Okoye Oludamilola Abidemi Olajide Gregory John Oleksy David Enoch Oppenheim William Marcus Outlaw Edward Anthony Overton Ulrika Sofia Pahlm-Webb Vernon Martin Pais Jr. Navin Chimanlal Pancholy John Joseph Pape Kevin Howard Peacock Clifford Robert Peck Thomas Michael Penders Marianna Helena Pernia James Wilson Peterson Harvey Gene Phillips Jr. Caroline Case Pierce David Lee Prisk Benjamin Dale Quenzer Deborah Suzanne Quint Ravi Ramsamooj Samuel Fitzsimons Ravenel II Gregory Thomas Ray Michael Douglas Richards Elizabeth Cate Roede Barbee Karen Annette Rose Angel Rafael Roure Teresa Lynn Rutledge Azeem Saeed Joumana Hassani Sallah Eric Vincent Samson Ronald Merle Sayers Tina Marie Schade Willis Robert John Schlosser John Robert Schottland Lauren Faith Schwartz Pramodkumar Pishorilal Sethi Nimesh Bhupendra Shah Sabiha Shahnaz Ayaz Shaikh Kennedy Clare Sharrock, II Ketan Ramesh Sheth Michael Lawrence Shomaker Kerrilene Elizabeth Sinapi Jason Dennis Sinclair Nadine Beach Skinner Timothy Dwight Smith Bethany July South Ann Cara Sumners Vyvyan Ye-Lin Sun

Ewa Anna Susfal Grace Tang John Anthony Tata Douglas Scott Tice William Leon Tingler II Jason Wyatt Todd Marshall Edward Tolbert Vesna Tomovich Carl Wei-Chan Tong Analyn Medina Torres Dimitri George Trembath Thomas William Tully Jr. Mark Edward Vaughn Janice Debra Victor Carmen Luz Villaveces Mikhail Vinogradov Bhanu Visvalingam Gloria Ruth Somers Vreeland Christopher Ronald Walters Grace Maria Wesolow Dennis Patrick White Alton Leroy Williams Sharrona Sherree Williams Steven Wu Han Xu Terica Natasha Young Mohammed Youshauddin Francis Joesph Zidar INTERVIEW FORMS NOT RECEIVED Robert Eugene Searle APPLICANTS FOR SPECIAL VOLUNTEER LICENSE Abbe Fay Rosenbaum – Limited to Camp Judaea – Hendersonville, NC APPLICANTS FOR REACTIVATION Patrick Michael Francke Mary Lee Morehouse APPLICANTS FOR REINSTATEMENT Tara Kopp Bastek Westell Carew Phelan Ajay Tribhovanbhai Patel Steven Lawrence Young CONVERSION FROM FULL TO RETIRED VOLUNTEER (Limited to Indigent Clinics) William Arthur Herring, Jr. George Dudley Nelson

July 21-23, 2004

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APPLICANTS FOR FACULTY LIMITED LICENSE Michael John France

UNC/Surgery Hercilia Mayumi Homi

DUMC/Anesthesiology Robert Hill Schosser

ECU/Internal Medicine Christopher Frederic Sulzer

DUMC/Anesthesiology

RE-ENTRY SUBCOMMITTEE REPORT

EK Fretwell, PhD, Chair; Robert Moffatt, MD; Michael Norins, MD The first meeting of the Reentry SubCommittee of the North Carolina Medical Board was called to order at 11:30 a.m., Wednesday, May 19, 2004, at the office of the Board. Members present were: EK Fretwell, PhD, Chair; Robert Moffatt, MD; and Michael Norins, MD. Also attending were: David Henderson, Executive Director; Dale Breaden, Public Affairs Director; Jesse Roberts, MD, Medical Director (Staff); Joy Cooke, Licensing Director (Staff); Thomas Mansfield, JD, Director, Legal Department (Staff); and Mr. Jeffery T. Denton, Board Recorder (Staff). Dr. Norins had previously submitted an outline for licensure reactivation, which will be studied more closely. He stated we need a two-track system – cognitive and manual (surgeon and internist). He would like to see a program set up using existing resources and looking at a possible statute that would require some type of reentry process. He has discussed this with Dr. Pories (a past Board president) who has volunteered to act as a consultant and suggests getting the chiefs of surgical training programs involved specifically. Dr. Moffatt stated he had discussed this subject with internist and surgeon friends. He asked them how long it took to forget. Most said, “It depends.” For example, most said they would never forget how to do a physical exam. However, the majority said medications would be a real problem. Another major concern is retraining in the use of diagnostic tools. Dr. Moffatt is not sure you can “nail down everyone with one statement.” Some may need refresher training after being out of active practice two years and some may need it after being out six months. One possible solution is to let them pay for their own malpractice insurance; give them some type of license limited to the hospital they have privileges and let them assist on surgeries for 3-6 months. At the end of this period review evaluations from his supervisors. Dr. Fretwell passed out an outline suggesting procedures and issues. It included attention to (a) purpose of the reentry study, (b) a process for information gathering, (c) identification of most likely approaches, (d) & (e) drafting of a plan to be tried out on the Board, (f) practical questions we need to consider, and (g) a plan of work. There was agreement on several points: • Keep the committee small. Solicit input from many sources (other boards, organizations,

associations, etc.) by such means as email. • Cover all licensees except NP’s at this time. (The Nursing Board is currently looking at

ongoing competency.) • Basic work will be done by staff members between regular meetings.

July 21-23, 2004

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• Early-on reactivations in discipline cases will not be included in the current study. • Mini-residencies, where they exist, are one example but we should look for a range of

other workable examples. The next steps will be to prepare two separate “messages” to be sent out over the President’s signature. (1) Mr. Mansfield is to draft a message to be sent to a list prepared with Mr. Henderson of other boards, associations, organizations and the Federation of State Medical Boards. (2) Dr. Norins is to draft a message to a select list of foundations (such as Duke, Reynolds, Robert Wood Johnson, etc.) informing them of what we are doing but not seeking funds at this time. RE-ENTRY SUBCOMMITTEE REPORT

EK Fretwell, PhD, Chair; Robert Moffatt, MD; Michael Norins, MD The Re-entry SubCommittee of the North Carolina Medical Board was called to order at 7:36 a.m., Thursday, July 22, 2004, at the office of the Board. Members present were: EK Fretwell, PhD, Chair; Robert Moffatt, MD; and Michael Norins, MD. Also attending were: Stephen Herring, MD, Board President; Jesse Roberts, MD, Medical Director (Staff); Joy Cooke, Licensing Director (Staff); Thomas Mansfield, JD, Director, Legal Department (Staff); and Mr. Jeffery T. Denton, Board Recorder (Staff). Dr. Fretwell kicked off this meeting by reviewing this subcommittee’s purpose. He then went directly into the work at hand. At the July 2004 meeting it was decided that the next steps would be to prepare two separate “messages” to be sent out over the President’s signature. One would be to other boards, associations, organizations and the Federation of State Medical Boards, and the other would be to a select list of foundations (such as Duke, Reynolds, Robert Wood Johnson, etc.) informing them of what we are doing but not seeking funds at this time. Dr. Fretwell asked if the above could be accomplished with one letter vs. two separate letters. Thus, the committee proceeded to review the informational letter draft to the Foundation(s) provided by Dr. Norins and the request for information letter draft to the other state regulatory entities provided by Mr. Mansfield. It was ultimately decided that two different letters were appropriate. Both letters were adopted with only minor changes. Dr. Moffatt noted that he recently interviewed an applicant that had set up re-entry and re-training programs for physicians in Russia. He believes this physician will be a good resource for the subcommittee and there was agreement that he may be invited as a guest of the subcommittee in the near future. Action:

July 21-23, 2004

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(1) Dr. Norins will work with Ms. Marshall, Public Affairs Assistant, to develop further the list of foundations to receive that letter and to work with Mr. Mansfield to get the letter out ASAP. (2) A condensed version of the information-gathering letter will be sent by email to other state regulatory boards via the AIM Exec Net (an email forum request that has seen good and rapid response in the past). Mr. Mansfield will facilitate. Replies will be sought, which will be directed to Mr. Mansfield for compilation and sharing with the subcommittee at the next meeting in September. (3) Mr. Mansfield and Dr. Roberts will collaborate to develop further the list of other related organizations to receive the information-gathering letter. (4) Dr. Pories will be provided copies of committee materials and be invited to all future committee meetings. (5) Staff will look at scheduling more meeting time when guests are invited. (6) Staff are authorized to add additional recipients to the mailing lists for the two letters as appropriate. (7) All communications are to go out under Dr. Herring’s signature. There being no further business, the meeting adjourned at 8:25 a.m. The next meeting of the Re-Entry SubCommittee is tentatively set for 7:30 a.m., Thursday, September 23, 2004. COMPLAINT COMMITTEE REPORT

Aloysius Walsh; Edwin Swann, MD; Shikha Sinha; Michael Norins, MD A motion passed to close the session to prevent the disclosure of information that is confidential pursuant to sections 90-8, 90-14, 90-16, and 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes.

The Complaint Committee reported on 103 complaint cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

Motion: A motion passed to approve the Complaint Committee Report as amended. A motion passed to return to open session.

July 21-23, 2004

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MALPRACTICE COMMITTEE REPORT Aloysius Walsh; Edwin Swann, MD; Shikha Sinha; Michael Norins, MD

A motion passed to close the session to prevent the disclosure of information that is confidential pursuant to sections 90-8, 90-14, 90-16, and 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes.

The Malpractice Committee reported on 52 cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

Motion: A motion passed to approve the Malpractice Committee Report. A motion passed to return to open session. MEDICAL EXAMINER COMMITTEE REPORT

Aloysius Walsh; Edwin Swann, MD; Shikha Sinha; Michael Norins, MD A motion passed to close the session to prevent the disclosure of information that is confidential pursuant to sections 90-8, 90-14, 90-16, and 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes.

The Medical Examiner Committee reported on eight cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

Motion: a motion passed to approve the Medical Examiner Committee report. A motion passed to return to open session. NORTH CAROLINA PHYSICIANS HEALTH PROGRAM (NCPHP) COMMITTEE REPORT

Edwin Swann, MD; Michael Norins, MD; E. K. Fretwell, PhD A motion passed to close the session to prevent the disclosure of information that is confidential pursuant to section 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes.

The Board reviewed 57 cases involving participants in the NC Physicians Health Program. The Board adopted the committee’s recommendation to approve the written report. The specifics of this report are not included as these actions are not public information.

A motion passed to return to open session.

July 21-23, 2004

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INVESTIGATIVE COMMITTEE REPORT

Charles Garrett, MD; Arthur McCulloch; Shikha Sinha; Janelle Rhyne, MD A motion passed to close the session to prevent the disclosure of information that is confidential pursuant to sections 90-8, 90-14, 90-16, and 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes.

The Investigative Committee reported on 75 investigative cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

INFORMAL INTERVIEW REPORT

A motion passed to close the session to prevent the disclosure of information that is confidential pursuant to sections 90-8, 90-14, 90-16 and 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes.

Twelve informal interviews were conducted. A written report was presented for the Board’s review. The Board adopted the Split Boards’ recommendations and approved the written report as modified. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session. ADJOURNMENT This meeting was adjourned on July 23, 2004. _____________________________________________________ Robert C. Moffatt, MD Secretary

July 21-23, 2004