November 20-22, 2013 1203 Front Street Raleigh, North Carolina

MINUTES

North Carolina Medical Board

November 20-22, 2013

1203 Front Street Raleigh, North Carolina

1 November 20-22, 2013

The November 20-22, 2013 meeting of the North Carolina Medical Board was held at the Board's Office, 1203 Front Street, Raleigh, NC 27609. Paul S. Camnitz, MD, President, called the meeting to order. Board members in attendance were: Cheryl L. Walker-McGill, MD, President-Elect; Pascal O. Udekwu, MD, Secretary/Treasurer; Ms. Thelma Lennon; Eleanor E. Greene, MD; Subhash C. Gumber, MD; Mr. Michael Arnold; Ms. H. Diane Meelheim, FNP; Debra A. Bolick, MD; Timothy E. Lietz, MD; Barbara E. Walker, DO; Mr. A. Wayne Holloman.

Presidential Remarks

Dr. Camnitz commenced the meeting by reminding the Board members of their duty to avoid conflicts of interest with respect to any matters coming before the Board as required by the State Government Ethics Act. No conflicts were reported.

Minute Approval

Motion: A motion passed to approve the September 18, 2013 Board Minutes, the October 17, 2013 Hearing Minutes.

Instillation Ceremony and New Officers Oath

Ms. Lennon administered the Oath of Office for President of the NC Medical Board to Dr. Paul S. Camnitz.

Dr. Camnitz administered the Oath of Office for President-Elect to Dr. Cheryl L. Walker-McGill and Secretary/Treasurer to Dr. Pascal O. Udekwu. He also administered the Oath of Office to Dr. Debra A. Bolick, MD, Dr. Timothy E. Lietz, Dr. Barbara E. Walker, DO and Mr. A. Wayne Holloman as members of the NC Medical Board.

Announcements

1. Dr. Walker-McGill gave a report on the “Learning Summit” she attended at the Center for Personalized Education for Physicians in Denver, Colorado on November 7 and 8, 2013.

EXECUTIVE COMMITTEE REPORT

Members present were: Paul S. Camnitz, MD, Chairperson; Cheryl L. Walker-McGill, MD; Pascal O. Udekwu, MD; Eleanor E. Greene, MD; and Mr. Michael J. Arnold. Also present were R. David Henderson (Executive Director), Hari Gupta (Director of Operations) and April F. Pearce, CPA (Comptroller).

1) Financial Statements

a) Monthly Accounting

The Committee reviewed the compiled financial statements for August and September 2013. September is the eleventh month of fiscal year 2013.

Committee Recommendation: Accept the financial statements as reported.

Board Action: The Board accepted the Committee recommendation.

2 November 20-22, 2013 b) Investment Account Statements

The Committee reviewed the investment statements for September and October 2013.

Committee Recommendation: Accept the investment statements as reported.

Board Action: The Board accepted the Committee recommendation.

2) Old Business

a) Property Update

Mr. Harold Rich, Rich Commercial Realty (RCR), is assisting the Board with its search for a new office location. Mr. Rich met with the Committee to discuss his efforts in this regard. The next step in the property search is to identify the top three properties and engage an architectural firm to perform site studies on these to evaluate building options and feasibility for each property.

Mr. John Kerr, York Properties, has been selected to assist the Board with its sale or lease of the current office location. Mr. Kerr met with the Committee to discuss his efforts in this regard. The next step is to enter into a listing agreement to formally engage Mr. Kerr and York Properties.

Committee Recommendation: Accept as information.

Board Action: The Board accepted the Committee recommendation.

b) Task Tracker

The Committee reviewed outstanding items on the Task Tracker report.

Committee Recommendations: (1) Add training on the Medical Practice Act, Rules and Position Statements to the Task Tracker (to begin in January), (2) Instead of a strategic planning retreat, set aside time during Executive Committee meetings for strategic planning discussions, and (3) investigate appropriate benchmarks for key performance indicators.

Board Action: The Board accepted the Committee recommendations.

3) New Business

a) NCMB Bylaws

The Board is undergoing a review of its Bylaws. Proposed changes are below. (APPENDIX I)

Committee Recommendation: Table Board discussion until January 2014 to allow all Board members time to review the proposed changes.

Board Action: The Board accepted the Committee recommendation.

3 November 20-22, 2013 b) Trustee Appointment

The NC Medical Board offers two deferred compensation plans to its employees: a 401(k) retirement plan and a 457(b) retirement plan. The Committee reviewed resolutions which would add April Pearce, NCMB Comptroller, as an additional trustee to these plans.

Committee Recommendation: Approve adding April Pearce as an additional trustee to the NCMB retirement plans.

Board Action: The Board accepted the Committee recommendation.

c) FTC v. Board of Dental Examiners

Earlier this year, the Fourth Circuit Court of Appeals affirmed a FTC ruling that the Board of Dental Examiners (BODE) was subject to federal antitrust laws and that it engaged in anti-competitive activity by sending cease and desist letters to teeth-whitening companies. The BODE has asked the US Supreme Court to review the Fourth Circuit’s opinion. The NC Attorney General (AG) has decided to file an amicus brief in support of the BODE’s petition. Various NC occupational licensing boards (OLBs) might be asked to sign on as a party to the AG’s brief. Also, various OLBs have been asked to help with the cost of preparing the brief (which will be prepared by a private law firm).

Committee Recommendation: Approve NCMB signing on as a party to the AG’s brief (subject to approval of NCMB attorneys) and contributing $2,500 to the cost of preparing the brief.

Board Action: The Board accepted the Committee recommendation.

d) FSMB Resolution – Collateral Consequences Roundtable

On June 19, 2013, the Board held a Collateral Consequences Roundtable with numerous interested parties to discuss the consequences of public board actions relating to board certification, hospital privileging, employment, medical liability coverage, inclusion on insurance panels, and membership in professional societies. Ultimately, the Board produced a report which is posted on the Board’s website and which includes several recommendations - including submitting a resolution to the 2014 Federation of State Medical Boards (FSMB) House of Delegates. Staff submitted a proposed resolution for the Committee’s review.

Committee Recommendation: Submit the proposed resolution to the 2014 FSMB House of Delegates.

Board Action: The Board accepted the Committee recommendation.

e) NCMB Review Panel Appointment

The NCMB Review Panel was established to review candidates for positions on the Board and make recommendations to the Governor. The Review Panel consists of nine members including a public member of the Board. Ms. Thelma C. Lennon currently serves as the Board’s representative on the Review Panel and is eligible for reappointment. 4 November 20-22, 2013

Committee Recommendation: Reappoint Ms. Thelma C. Lennon to serve as the Board’s representative on the Review Panel for 2014.

Board Action: The Board accepted the Committee recommendation.

ATTORNEY’S REPORT

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 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 and/or to preserve attorney/client privilege.

The Board’s attorneys gave a report and advice regarding two non-public attorney-client privileged matters.

A motion passed to return to open session.

POLICY COMMITTEE REPORT

Committee Members: Dr. Udekwu, Chairperson; Mr. Arnold, Dr. Walker-McGill and Ms. Lennon Staff: Todd Brosius and Wanda Long

1. Old Business a. Position Statement Review i. Departures from or Closings of Medical Practices (APPENDIX A)

Committee Discussion: Dr. Camnitz reported that he and Ms. Hemphill are in the process of gathering information and hope to be able to report to the Committee in January whether there is a need for a Task Force study of the issue. Dr. Kirby reported that he receives numerous calls from employed physicians trying to determine what their obligations are when they change practice locations.

Committee Recommendation: Table matter until January 2014 matter.

Board Action: Approve the Committee Recommendation.

1. Old Business: b. Private Letters of Concern (PLOC) (APPENDIX B)

Committee Discussion: The Committee discussed the letters approved by the licensing committee that address concerns related to Administrative Medicine, Scope of Practice, Telemedicine.

Committee Recommendation: Close matter as it has been addressed by Licensing Committee.

Board Action: Approve the Committee Recommendation.

5 November 20-22, 2013

2. New Business: a. Position Statement Review (APPENDIX C)

Committee Recommendation: (Loomis/Camnitz) Adopt a 4 year review schedule as presented. All reviews will be offered to the full Board for input. Additionally all reviews will be documented and will be reported to the full Board, even if no changes are made.

Board Action: Adopt the recommendation of the Policy Committee.

2. New Business: a. Position Statement Review i. Telemedicine (APPENDIX D)

Committee Discussion: Mr. Arnold reported on the developments by FSMB’s SMART group regarding a telemedicine policy statement. The SMART group is seeking comments from licensing boards by December 6 and are hoping to have an approved version prior to the FSMB’s annual meeting in April 2014. Dr. Udekwu discussed the need for the Board to give the FSMB direction regarding topics such as scope of practice and the need to have studies that demonstrate the effectiveness of telemedicine in particular instances. Dr. Udekwu commented on the pending legislation, the focuses on easing the licensing burden, reducing the need for face to face encounters. It was also noted that federal legislation is beginning to blur the jurisdictional boundaries regarding licensure requirements as they apply to telemedicine.

Committee Recommendation: Request full Board to review the FSMB’s draft of policy on telemedicine so that the Board can give targeted input by the December 6 deadline. Table consideration of Board’s Position Statement until January meeting.

Board Action: Approve the Committee Recommendation.

2. New Business:

b. Application to Register as a Foreign Professional Corporation by Online Care Network, P.C. (APPENDIX E)

Committee Discussion: The Committee discussed the procedural history of the matter that brought it to the Policy Committee as well as its expectations of a presentation by OCN in January. The Committee instructed Mr. Brosius to contact OCN and invite it to present information requested by the Committee at the January 2014 Committee meeting.

Committee Recommendation: Table matter until January meeting.

Board Action: Approve the Committee Recommendation.

LICENSE COMMITTEE REPORT

The License Committee of the North Carolina Medical Board was called to order at 10:30 a.m., November 21, 2013, at the office of the Medical Board. Members present were: Mr. Michael Arnold, Chairperson, Subhash Gumber, MD, Diane Meelheim, FNP-BC, and Timothy Leitz, MD. Also present were Paul Camnitz, MD, Scott Kirby, MD, Thom Mansfield, Patrick Balestrieri, Marcus Jimison, Carren Mackiewicz, Kathrine Kovacs, PA-C, Nancy Hemphill, Christina Apperson, Joy Cooke, Michelle Allen, and Mary Rogers.

6 November 20-22, 2013 A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 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 and/or to preserve attorney/client privilege.

Seven licensure cases were discussed. 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.

LICENSE INTERVIEW REPORT

Six 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.

A motion passed to return to open session.

ALLIED HEALTH COMMITTEE REPORT

Committee Members present were: H. Diane Meelheim, FNP-BC, Chairperson; Subhash C. Gumber, MD and Barbara E. Walker, DO. Also present were Marcus Jimison, Lori King, CPCS, Quanta Williams, Jane Paige, Katharine Kovacs, PA and Cathie Feild.

OPEN SESSION

PHYSICIAN ASSISTANTS

1. No items for discussion.

NC EMERGENCY MEDICAL SERVICES

1. No items for discussion.

ANESTHESIOLOGIST ASSISTANTS

1. No items for discussion

7 November 20-22, 2013

NURSE PRACTITIONERS

1. No items for discussion

CLINICAL PHARMACIST PRACTITIONERS

1. No items for discussion

PERFUSIONISTS

1. Open session portion of the September Perfusionist Advisory Committee (PAC) minutes

Issue: The open session minutes of the September PAC meeting have been sent to the Committee members for review.

Committee Recommendation: Accept the report of the open session minutes as information.

Board Action: Accept the report of the open session minutes as information.

2. Proposed Rule Change

Issue: The PAC recently discussed how to handle applications from individuals who graduated from a perfusion program prior to the program becoming accredited. Mr. Jimison composed language for an amendment to 21 NCAC 32V .0102. The Committee has approved the language for the proposed rule change.

21 NCAC 32V .0102 DEFINITIONS The following definitions apply to this Subchapter:

(1) Approved educational program – Any program within the United States which, at the time of the Applicant’s attendance, was approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accreditation Committee for Perfusion Education (AC-PE), or any Canadian educational program recognized by the Conjoint Committee on Accreditation of the Canadian Medical Association (CMA); or any program, attended by Applicant, that was subsequently approved by CAAHEP, ACPE or CMA within seven years of the Applicant’s graduation.

PAC Recommendation: Approve the amendment to 21 NCAC 32V .0102

Committee Recommendation: Approve the amendment to 21 NCAC 32V .0102

Board Action: Approve the amendment to 21 NCAC 32V .0102

3. PAC Vacancy

Issue: We have received letters of interest from three perfusionists. If the Committee is satisfied with the candidates, the names may be submitted to the Allied Health Committee at the November meeting. 8 November 20-22, 2013

i. Englehart, Mercedes, LP ii. Houston, Lori, LP iii. Walczak, Richard, LP

PAC Recommendation: Interview candidates.

Committee Recommendation: Interview candidates at the January Allied Health Committee meeting.

Board Action: Interview candidates at the January Allied Health Committee meeting.

POLYSOMNOGRAPHIC TECHNOLOGISTS

1. No items for discussion

Two licensee applications were reviewed. 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.

MIDWIFERY COMMITTEE REPORT

The Midwifery Committee was called to order at 6:00 pm November 19, 2013 at the office of the NC Board of Nursing. Members present were: Bobby Lowery, NP, Chair (NCBON); Beth Korb, RN, CNM; Ami Goldstein, CNM; Diane Meelheim, NP (NCMB); Subhash Gumber, MD (NCMB); Barbara Walker, MD (NCMB); Keith Nelson, MD; Peggy Walters, RN EdD (NCBON); and Cheryl Duke, RN, PhD (NCBON). Frank Harrison, Jr. MD was absent. Staff present was: David Henderson (NCMB); Paulette Hampton (NCBON); Donna Mooney (NCBON); Eileen Kugler (NCBON); Jack Nichols (NCBON); Brenda McDougal (NCBON); and Quanta Williams (NCMB).

1. Approval of Minutes a. November 14, 2012

i. Motion: Approve the minutes with a correction on page 2 to Anna Choi’s name.

2. Financial Statements – October 31, 2011 and 2012 a. Board of Nursing staff reported that the Committee had received a “clean audit report”. Funds are being used to purchase insurance for the Midwifery Committee. However, director’s and officer’s insurance cannot be secured until the MJC is recognized as a Board. The BON has submitted reporting requirements to the state in accordance with GS 93B and submitted a letter 9 November 20-22, 2013 of engagement to the statue auditor. They have also implemented an online application system for both initial and renewal applications.

3. Ratification of Mail Referendum a. The Committee reviewed the information in the mail referendum.

i. Motion: Accept the mail referendum.

4. Approval to Practice Packets a. Due to a change in administrative support, approval information was omitted from the mail referendum. This will be mailed out to the members.

One case was reviewed. 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

DISCIPLINARY (COMPLAINTS) COMMITTEE REPORT

Board Members present were: Cheryl Walker-McGill, MD (chairperson), Paul Camnitz, MD, Mr. A. Wayne Holloman, Timothy Lietz, MD, H. Diane Meelheim, FNP, Pascal Udekwu, MD, and Barbara Walker, DO. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Amy Ingram, Carol Puryear, Sherry Hyder, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri and Marcus Jimison.

The Disciplinary (Complaints) Committee reported on twenty-five 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.

A motion passed to return to open session.

10 November 20-22, 2013 DISCIPLINARY (MALPRACTICE) COMMITTEE REPORT

The Disciplinary (Malpractice) Committee reported on twenty-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.

A motion passed to return to open session.

DISCIPLINARY (MEDICAL EXAMINER) COMMITTEE REPORT

The Disciplinary (Medical Examiner) Committee reported on one case. 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.

INVESTIGATIVE INTERVIEW REPORT

11 November 20-22, 2013 Nine informal interviews were conducted. A written report was presented for the Board’s review. The Board adopted the recommendations and approved 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.

DISCIPLINARY (INVESTIGATIVE) COMMITTEE REPORT

Members present were Chairperson Cheryl Walker-McGill, MD, Paul Camnitz, MD, Timothy Lietz, MD, NP Helen Diane Meelheim, Mr. A. Wayne Holloman, Pascal Udekwu, MD, and Barbara Walker, MD

Also present: Jerry Weaver, Dave Allen, Lee Allen, Therese Babcock, Loy Ingold, Don Pittman, Rick Sims, Jerry Weaver, Jenny Olmstead, Barbara Rodrigues, Sharon Denslow, Thom Mansfield, Todd Brosius, Patrick Balestrieri, Brian Blankenship, Marcus Jimison

The Disciplinary (Investigative) Committee reported on fifty-six 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.

NORTH CAROLINA PHYSICIANS HEALTH PROGRAM (NCPHP) COMMITTEE REPORT

Present: David Collins MD, Chair, Scott Elson MD, Charles Harpe MD, Eleanor Greene MD, Wayne Holloman, Debra Bolick MD, Daniel Mattingly PA-C, Clark Gaither MD NCPHP Staff: Warren Pendergast MD, Joseph Jordan PhD, Kim Lamando, Carsten Thuesen, Keenan Glasgow, Sid Kitchens, Michael Moore, Mary Agnes Rawlings, Deborah Hill

The Board reviewed forty-five 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.

12 November 20-22, 2013 OUTREACH COMMITTEE

Members present were: Subhash Gumber, MD, Chairperson, Debra Bolick, MD, Eleanor Greene, MD, and Ms. Thelma Lennon. Also present were Paul Camnitz, MD, Board President, Jean Fisher Brinkley, Public Affairs Director, Dena Konkel, Assistant Public Affairs Director, and Nancy Hemphill, Special Projects Coordinator

1. Committee description, mission statement

Review Committee description; Discuss vision for and scope of Committee’s work with the aim of creating a Committee mission statement

Committee Recommendation: Mrs. Brinkley will draft a committee mission statement and circulate to committee members

Board Action: Accept Committee recommendation

a. Licensee Information Compliance Program

Discuss Public Affairs’ recommendation to begin limited random audits to encourage broader licensee compliance with the requirements of NCGS 90-5.2-5.3 (Licensee Information)

Committee Recommendation: Approve Public Affairs department recommendation; report compliance review results to Committee after program has been in place for one year.

Board Action: Accept Committee recommendation

b. Public Affairs PSA concept

The Board budgeted money for the current fiscal year to produce one or more public service announcements for TV and radio distribution; Review and discuss planned campaign.

Committee Recommendation: Approve Public Affairs department recommendation to proceed with PSA campaign; provide draft scripts for planned video spots to Committee for discussion before beginning video production.

Board Action: Accept Committee recommendation c. NCMB Annual Report

Discuss Public Affairs plans to reinvent the Board’s current Board Actions Report

Background: The Public Affairs Department currently produces an annual Board Actions Report that focuses primarily on the public actions taken by the Board. Public Affairs recommends that the NCMB discontinue this report in its current form and produce a new report that provides a more full account of the Board’s work in a given year (some financials, licensing activity, complaint and investigations activity, plus public actions. 13 November 20-22, 2013

Committee Recommendation: Approve Public Affairs department recommendation to replace the existing Board Actions Report with a broader Annual Report that includes detailed licensee demographics, an executive summary of the Board activities for the year, information on public and private Board actions and other information that highlights Board activities for the year.

Board Action: Accept Committee recommendation

a. SESSION LAW 2013-23 (911 Good Samaritan/Nalaxone Access Law)

Discuss whether to publicize/ ways to publicize Session Law 2013-23, which provides limited immunity for certain drug-related offenses to individuals who seek medical attention for an individual experiencing a drug-related overdose. The law also ensures that minors engaged in underage drinking will not be prosecuted for possession or consumption if they seek medical attention for another individual.

Committee action: The committee did not have time to discuss this agenda item; It will be placed on the January committee agenda.

Board Action: None required.

FINES The NCMB issued non-disciplinary administrative fines in the following cases.

Perry, Victor Inadequate response to Board $1,000.00 request for information Kilde, John Error/omission on license $500.00 application or annual renewal

ADJOURNMENT This meeting was adjourned at 9:50 a.m., November 22, 2013.

______Pascal O. Udekwu, MD Secretary/Treasurer

14 November 20-22, 2013 APPENDIX A

CURRENT POSITION STATEMENT:

Departures from or closings of medical practices

Departures from or closings of medical practices are trying times. If mishandled, they can significantly disrupt continuity of care and endanger patients.

Provide Continuity of Care Practitioners continue to have obligations toward their patients during and after the departure from or closing of a medical practice. Practitioners may not abandon a patient or abruptly withdraw from the care of a patient. Patients should therefore be given reasonable advance notice (at least 30 days) to allow other medical care to be secured. Good continuity of care includes preserving and providing appropriate access to medical records.* Also, good continuity of care may often include making appropriate referrals. The practitioner(s) and other parties that may be involved should ensure that the requirements for continuity of care are effectively addressed.

It is the position of the North Carolina Medical Board that during such times practitioners and other parties that may be involved in such processes must consider how their actions affect patients. In particular, practitioners and other parties that may be involved have the following obligations.

Permit Patient Choice It is the patient’s decision from whom to receive care. Therefore, it is the responsibility of all practitioners and other parties that may be involved to ensure that:

• Patients are notified in a timely fashion of changes in the practice and given the opportunity to seek other medical care, sufficiently far in advance (at least 30 days) to allow other medical care to be secured, which is often done by newspaper advertisement and by letters to patients currently under care; • Patients clearly understand that they have a choice of health care providers; • Patients are told how to reach any practitioner(s) remaining in practice, and when specifically requested, are told how to contact departing practitioners; and • Patients are told how to obtain copies of or transfer their medical records.

No practitioner, group of practitioners, or other parties involved should interfere with the fulfillment of these obligations, nor should practitioners put themselves in a position where they cannot be assured these obligations can be met.

Written Policies The Board recommends that practitioners and practices prepare written policies regarding the secure storage, transfer and retrieval of patient medical records. Practitioners and practices should notify patients of these policies. At a minimum, the Board recommends that such written policies specify:

• A procedure and timeline that describes how the practitioner or practice will notify each patient when appropriate about (1) a pending practice closure or practitioner departure, (2) how medical records are to be accessed, and (3) how future notices of the location of the practice’s medical records will be provided; • How long medical records will be retained; • The procedure by which the practitioner or practice will dispose of unclaimed medical records after a specified period of time; 15 November 20-22, 2013 • How the practitioner or practice shall timely respond to requests from patients for copies of their medical records or to access to their medical records; In the event of the practitioner’s death or incapacity, how the deceased practitioner’s executor, administrator, personal representative or survivor will notify patients of the location of their medical records and how patients can access those records; and • The procedure by which the deceased or incapacitated practitioner’s executor, administrator, personal representative or survivor will dispose of unclaimed medical records after a specified period of time.

The Board further expects that its licensees comply with any applicable state and/or federal law or regulation pertaining to a patient’s protected healthcare information.

*NOTE: The Board’s Position Statement on the Retention of Medical Records applies, even when practices close permanently due to the retirement or death of the practitioner.

(Adopted January 2000) (Amended August 2003, July 2009)

16 November 20-22, 2013

APPENDIX B

Extracted from License Committee Report - September 2013:

Old Business

1. Private Letters of Concern (PLOCs)

Issue: As a result of Board Action at the July 2013 meeting Dr. Kirby has put together a proposal on whether the Administrative Medicine PLOC, Scope of Practice PLOC, Telemedicine PLOC and PA/MD PLOC should remain PLOCs. Additionally, staff has put together an example of how the message in these PLOCs can be incorporated into the “Now Licensed” letter that is sent to all new licensees, when applicable.

Committee Recommendation: Accept Dr. Kirby’s proposal to include language regarding telemedicine, scope of practice and administrative medicine in the now license letter. Include copies of respective board position statements with the letter. Keep the MD/PA letter as a preapproved PLOC.

Board Action: Accept Dr. Kirby’s proposal to include language regarding telemedicine, scope of practice and administrative medicine in the now license letter. Include copies of respective board position statements with the letter. Keep the MD/PA letter as a preapproved PLOC.

17 November 20-22, 2013

APPENDIX C

LAST REVISED/ SCHEDULED REVIEWED/ REVISED/ REVISED/ REVISED/ REVISED/ POSITION STATEMENT ADOPTED FOR REVIEW ADOPTED REVIEWED REVIEWED REVIEWED REVIEWED Policy for the Use of Controlled Substances for the Treatment of Pain Sep-96 Jan-13 Sep-08 Jul-05 Departures from or Closings of Medical Jan-00 Jul-13 Jul-09 Aug-03 Telemedicine May-10 Nov-13 May-10 Guidelines for Avoiding Misunderstandings During Physical Examinations May-91 Jul-10 Oct-02 Feb-01 Jan-01 May-96 Access to Physician Records Nov-93 Sep-10 Aug-03 Mar-02 Sep-97 May-96 Medical Supervisor- Trainee Relationship Apr-04 Nov-10 Apr-04 Advertising and Publicity Nov-99 Nov-10 Sep-05 Mar-01 Medical, Nursing, Pharmacy Boards: Joint Statement on Pain Management in End-of-Life Care Oct-99 Jan-11 Oct-99 HIV/HBV Infected Health Care Workers Nov-92 Jan-11 Jan-05 May-96 Writing of Prescriptions May-91 Mar-11 Mar-05 Jul-02 Mar-02 May-96 Laser Surgery Jul-99 Mar-11 Jul-05 Aug-02 Mar-02 Jan-00 Office-Based Procedures Sep-00 May-11 Jan-03 Sale of Goods From Physician Offices Mar-01 May-11 Mar-06 Competence and Reentry to the Active Practice of Medicine Jul-06 Jul-11 Jul-06 Prescribing Controlled Substances for Other Than Valid Medical or Therapeutic Purposes, with Particular Reference to Substances or Preparations with Anabolic Properties May-98 Sept-11 Nov-05 Jan-01 Jul-98 Referral Fees and Fee Splitting Nov-93 Jan-12 Jul-06 May-96 Self- Treatment and Treatment of Family Members and Others With Whom Significant Emotional Relationships Exist May-91 Mar-12 Sep-05 Mar-02 May-00 May 96

Availability of Physicians to Their Patients Jul-93 May-12 Nov-11 Jul-06 Oct-03 Jan-01 Sexual Exploitation of Patients May-91 May-12 Sep-06 Jan-01 Apr-96 Care of the Patient Undergoing Surgery or Other Invasive Procedure Sep-91 Jul-12 Sep-06 Mar-01 The Physician-Patient Relationship Jul-95 Jul-12 Sep-06 Aug-03 Mar-02 Jan-00 The Retired Physician Jan-97 Jul-12 Sep-06 Physician Supervision of Other Licensed Health Care Practitioners Jul-07 Sep-12 Jul-07 Medical Testimony Mar-08 Sep-12 Mar-08 Advance Directives and Patient Autonomy Jul-93 Nov-12 Mar-08 May-96

18 November 20-22, 2013 End-of-Life Responsibilities and Palliative Care Oct-99 Jan-13 Mar-08 May-07 Drug Overdose Prevention Sep-08 Mar-13 Sep-08 Professional Use of Social Media Mar-13 Mar-13 The Treatment of Obesity Oct-87 May-13 Nov-10 Jan-05 Mar-96 Contact With Patients Before Prescribing Nov-99 May-13 Jul-10 Feb-01 Medical Record Documentation May-94 May-13 May-09 May-96 Retention of Medical Records May-98 Jul-13 May-09 Capital Punishment Jan-07 Jul-13 Jul-09 Professional Obligations pertaining to incompetence, impairment, and unethical conduct of healthcare providers Nov-98 Sept-13 Mar-10 Nov-98 Unethical Agreements in Complaint Settlements Nov-93 Sept-13 Mar-10 May-96

19 November 20-22, 2013

APPENDIX D

CURRENT POSITION STATEMENT Telemedicine

“Telemedicine” is the practice of medicine using electronic communication, information technology or other means between a licensee in one location and a patient in another location with or without an intervening health care provider.

The Board recognizes that technological advances have made it possible for licensees to provide medical care to patients who are separated by some geographical distance. As a result, telemedicine is a potentially useful tool that, if employed appropriately, can provide important benefits to patients, including: increased access to health care, expanded utilization of specialty expertise, rapid availability of patient records, and the reduced cost of patient care.

The Board cautions, however, that licensees practicing via telemedicine will be held to the same standard of care as licensees employing more traditional in-person medical care. A failure to conform to the appropriate standard of care, whether that care is rendered in-person or via telemedicine, may subject the licensee to potential discipline by this Board.

The Board provides the following considerations to its licensees as guidance in providing medical services via telemedicine:

Training of Staff -- Staff involved in the telemedicine visit should be trained in the use of the telemedicine equipment and competent in its operation.

Examinations -- Licensees using telemedicine technologies to provide care to patients located in North Carolina must provide an appropriate examination prior to diagnosing and/or treating the patient. However, this examination need not be in-person if the technology is sufficient to provide the same information to the licensee as if the exam had been performed face-to-face.

Other examinations may also be considered appropriate if the licensee is at a distance from the patient, but a licensed health care professional is able to provide various physical findings that the licensee needs to complete an adequate assessment. On the other hand, a simple questionnaire without an appropriate examination may be a violation of law and/or subject the licensee to discipline by the Board.1

Licensee-Patient Relationship – The licensee using telemedicine should have some means of verifying that the person seeking treatment is in fact who he or she claims to be. A diagnosis should be established through the use of accepted medical practices, i.e., a patient history, mental status examination, physical examination and appropriate diagnostic and laboratory testing. Licensees using telemedicine should also ensure the availability for appropriate follow- up care and maintain a complete medical record that is available to the patient and other treating health care providers.

Medical Records -- The licensee treating a patient via telemedicine must maintain a complete record of the telemedicine patient’s care according to prevailing medical record standards. The medical record serves to document the analysis and plan of an episode of care for future reference. It must reflect an appropriate evaluation of the patient's presenting symptoms, and relevant components of the electronic professional interaction must be documented as with any other encounter.

The licensee must maintain the record’s confidentiality and disclose the records to the patient consistent with state and federal law. If the patient has a primary care provider and a 20 November 20-22, 2013 telemedicine provider for the same ailment, then the primary care provider’s medical record and the telemedicine provider’s record constitute one complete patient record.

Licensure -- The practice of medicine is deemed to occur in the state in which the patient is located. Therefore, any licensee using telemedicine to regularly provide medical services to patients located in North Carolina should be licensed to practice medicine in North Carolina.2 Licensees need not reside in North Carolina, as long as they have a valid, current North Carolina license.

North Carolina licensees intending to practice medicine via telemedicine technology to treat or diagnose patients outside of North Carolina should check with other state licensing boards. Most states require physicians to be licensed, and some have enacted limitations to telemedicine practice or require or offer a special registration. A directory of all U.S. medical boards may be accessed at the Federation of State Medical Boards Web site: http://www.fsmb.org/directory_smb.html.

(Adopted July 2010) ______1 See also the Board’s Position Statement entitled “Contact with Patients before Prescribing.” 2 N.C. Gen. Stat. § 90-18(c)(11) exempts from the requirement for licensure: “The practice of medicine or surgery by any nonregistered reputable physician or surgeon who comes into this State, either in person or by use of any electronic or other mediums, on an irregular basis, to consult with a resident registered physician or to consult with personnel at a medical school about educational or medical training. This proviso shall not apply to physicians resident in a neighboring state and regularly practicing in this State.”

The Board also notes that the North Carolina General Statutes define the practice of medicine as including, “The performance of any act, within or without this State, described in this subdivision by use of any electronic or other means, including the Internet or telephone.” N.C. Gen. Stat. § 90- 1.1(5)f

21 November 20-22, 2013

APPENDIX E

Applicable Professional Corporation Statute

§ 55B-10. Registration with licensing board. No professional corporation shall open, operate, or maintain an establishment for any of the purposes set forth in this Chapter without first having obtained a certificate of registration from the licensing board or boards. Applications for such registration shall be made to the licensing board or boards in writing and shall contain the name and address of the corporation and such other information as may be required by the licensing board or boards. If the board finds that no disciplinary action is pending before the board against any of the licensed incorporators, officers, directors, shareholders or employees of such corporation, and if it appears that such corporation will be conducted in compliance with the law and the regulations of the board, the board shall issue, upon the payment of a registration fee, not to exceed fifty dollars ($50.00), a certificate of registration which shall remain effective until January 1 following the date of such registration or until such other expiration or renewal date as may be established by law or by the regulations of the licensing board.

22 November 20-22, 2013 APPENDIX F

PHYSICIANS PRESENTED AT THE NOVEMBER 2013 BOARD MEETING

Aaron, Ronee DO Abbott, David Rex MD Abbruzzese, James Lewis MD Ahmed, Yasmin Zanjabil MD Ali, Ahmed Maher MD Ally, Insaf MD Alsbrook, Everett Harold MD Anwar, Khawaja Nauman MD Arteh, Jihad Omer MD Ayers, Gregory Wayne MD Aziem, Saiyyed Oomer DO Bailey Salary, Cheryl Yvonne MD Bakhtiani, Parkash Ashoke MD Balasubramanian, Harinarayan MD Barrier, Angela Kimbrell MD Barron, Mark Timothy MD Barton, John Homer MD Bass, Margarita MD Bennett, Kyla Megan MD Bhagalia, Parul Pradeep MD Bier, Steven Jeffrey MD Bishop, Christine E MD Bishop, Jonathan Michael MD Blackwood, Robert Sean MD Borich, Shawn Martin MD Borja, Charlene Estrada DO Boyd, Brian Adam MD Boyd, Erin Nicole DO Brash, Douglas Whitted DO Briggs, Katrina Brown MD Brintzenhoff Brown, Rita Anne MD Bristol, Tyrone Gary MD Brown, Rachel Elizabeth MD Bryant, Casey Daniel MD Bullin, Joy Maria MD Burke, Andrew Garrett MD Calderon-Arnulphi, Mateo MD Caldwell, Scott Emerson MD Cannon, Jimmie Dale MD Carabello, John Franco Anthony DO Castillo, Rodrigo Augusto MD

23 November 20-22, 2013 Chandrasekhar, Geetha Devi MD Choubey, Sudhendu MD Chow, Tsz-Ming MD Chung, James Kwanil DO Clayton, Yocunda MD Cohen, Daniel Harris MD Cole, James Charles MD Conner, Dana McBrayer MD Cooper, Daaiyah Rajeeyah MD Cope, Jude Joanna DO Copeland, John Nathan MD Costantino, David Alan MD Cousineau, Mark Daniel MD Covington, Christopher David DO Curtin, Brian Matthew MD Darville, Lee Antoinette MD Davis, James McDowell MD Dayer, Robert John MD De Simone, Ralph Stephen MD Debsikdar, Jaideep MD Dierks, Kristin Patricia MD Doyle, John Edward MD Dunlap, Kathleen Beach Jackson MD Dwyer, Richard Gregg MD Eckstein, Barbara MD Eisenberg, Seth Gregg MD Eklund, Jennifer Lee MD El Hennawy, Hany Mohamed MD Eppihimer, Brandon Michael MD Farhad, Bamdad DO Feng, Wuwei MD Finney, Sean Derrick MD Fleming, Peter Simon MD Flynn, Herbert Eugene MD Fowler, David Franklin MD Garcia-Baran, Dynela Louise MD George, Jacob MD Gober, Guy David MD Gordon, George Richard MD Graves, Jennifer Jean MD Greenfield, Paula Randolph MD Grossman, Peter Daniel MD Hamby, Kenneth Jerome DO Harrison, Forrest Steven March MD Hart, Cherrie Crowder MD Hauser, Steven Saul MD

24 November 20-22, 2013 Hawkins, John Anthony MD Hellams, Robert Michael MD Hill, Becki Sue MD Ho, Pui-Nn MD Holbert, Brenda Lee MD Holbert, John Michael MD Horstmann, James Nathan MD Horstmann, Sara Elizabeth Howland MD Horton, Lauren Kyle MD Horton, Rodney Paul MD Hosseinzadeh, Keyanoosh MD Hourigan, Jamey Paul DO Houston, Caroline Marie MD Hulkower, Jonathan Lee MD Hunt, Darrell Lamont MD Husain, Sayed Mohammad MD Ijaz, Sadaf Sultana MD Jackson, JoAnna DO Jessup, David Blackwell MD Kailes, Steven Benjamin MD Kamran, Muhammad Tariq MD Kang, James MD Khan, Irtaza Iqbal MD Kilburn, Jeremy Michael MD Kim, Lawrence Thomas MD Kinney, Karen Anne MD Kinon, Merritt Drew MD Kirkhart, Molly Carroll MD Kokseng, Stephanie Lara MD Koss, Lawrence MD Kottoor, Vinayak MD Krakowski, James Christopher MD Lampman, Robert William MD Lee, Timothy Navero MD Lehmann, Amber Gayle DO Lindstrom, Bret Edward DO London, Genevieve Stern MD Lonergan, Cheryl Lundeberg MD Lunney, Kevin Michael MD Maglente, Henry Castro MD Mallavarapu, Ravi Kiran MD Marcu, Constantin Bogdan MD Marion, Susan Mae MD Marquess, Joel Stephen MD Mathew, Subash Cheriyan MD McClure, Jeremiah Ramos MD

25 November 20-22, 2013 McGirt, Laura Young MD Melby, Derek Arthur DO Messer, Virgil Marvin MD Mikhailova, Elena MD Miles, Merrick MD Mogili, Kalyan Kumar Reddy MD Mohammed Masood, Wajeed MD Morgan, Robin Lynne MD Morris, Clayborn John MD Morris, Walter Glenn DO Musselman, Rodney Jay MD Myles, Darlene Marie DO Nance, Larry Allen MD Nega, Elizabeth MD Ney, Marshall James MD Nguyen, Steve Minh Thanh MD O'Connell, Brian James MD Ojha, Shishir MD Orli, Tom MD Paladugu, Madhu Babu MD Panda, Kunal MD Pandey, Swati MD Parmer, Michael Daniel DO Patel, Nirali Mahendrakumar MD Patel, Samip MD Patel, Tanmay Rameshbhai MD Patil, Shivajirao Prakash MD Paviol, Scott Maurice MD Pearson, Adam MacKay MD Peck, Clifford Robert MD Pendergraft, William Franklin MD Peter, Joseph Philip MD Peterson, Drew Campbell MD Pham, Anson MD Phillips, Gordon L. MD Plotkin, Adam Scott MD Pokorney, Sean David MD Powers, William Farley MD Prince-Fiocco, Marilynn Ann MD Purrington, Peter Russell MD Qureshi, Anwer MD Ramoso, Wesley Theodore MD Randolph-Jackson, Pamela Dawn MD Rasmussen, David Michael MD Raza, Syed Asad MD Ricciardelli, John James MD

26 November 20-22, 2013 Rice, Charles David MD Rimmerman, Maria Simon MD Rivas, Delia Maria MD Rosado, Norberto Rafael MD Rotolo, Sean David MD Rybak, Shaun Richard MD Ryu, Jiyoung MD Sanghi, Swathi MD Saunders, Amanda Audrey Vaughn DO Savage, James Edward MD Sawyer, Elizabeth Marie MD Sayed, Hiba-tul-Kareem MD Scott, Ardeis DeMarques MD Segal, Scott Daniel MD Sensenig, Jeff Travis DO Sensenig, Rebekah Ann Vreeland DO Seth, Raman MD Shadani, Shazia Sabahat DO Shah, Syed Asad Ali MD Shelton, Charles Hendrix MD Singareddy, Shyam Sunder MD Sleasman, John William MD Slocum, Karen MD Smith, Lenwood Perkins MD Snapp, Meredith MD Spieker, Sreelatha Singaswamy MD Stabile, Kathryne Judith MD Stallings, Rayvelle Antoinette MD Stroud, Zachary Blaine MD Swain, Katherine L MD Sydney, Anna MD Sydney, William James MD Takaki, Kristi Sumie Michele MD Targino, Marcelo Cordeiro MD Tausch, Gilbert Stephan MD Teplick, Alexis Faye MD Thirumalai, Shanti S MD Thompson, Roderick O'Hara MD Todd, Sheel Patel MD Torre, Matthew Stephen DO Tu, Song-Yih MD Urban, Derek Kurt MD VanPala, Henry Joseph MD Varady, Adam Erno MD Venuti, Susan Elizabeth MD Walden, William Blair MD

27 November 20-22, 2013 Walker, Ashley Marie DO Wallis, Gonzalo Alberto MD Wan, Grace MD Wang, Norman C MD Warmouth, Grant Michael MD Waters, Tammi Michele DO Wax, Arnold MD Weeks, Mary Katharine MD Wells, Gregory Eric MD White, Matthew Stedman MD Wildemore, Bernadette MD Wilson, Farra Martin DO Wilson, Karen Lynn MD Wilson, Tara Daye MD Wolfe, William Ralph MD Woods, LaToya Nicole DO Yalden, Laura Lee MD Zorrilla, Karen Lisa MD

28 November 20-22, 2013 APPENDIX G

Nurse Practitioner & Clinical Pharmacist Practitioner Approvals Issued As of November 2013

Nurse Practitioners

NAME PRIMARY SUPERVISOR PRACTICE CITY

Sarah Stoudemire Mohammed Donald Edward Jablonski Etowah Heather Carter Parrish John Vaughn Ferguson Reidsville Nicole Lynette Frost Joseph Frank Nutz Morehead City Robert Christopher Salter Edward Parker Hays Charlotte Shawn Christie Destasio David Nathaniel Smith Charlotte Shannon Michelle Keef Rebecca Almeyda Ruiz Mint Hill Kathleen Tully Murphy Lisa Marie Piglia Ferrari Durham Julie Diana Baker John Joseph Hart Knightdale Renata Anne Conde Kenneth William Kotz Wilmington Renee Dodson Mosley David Mann Kaplan Danbury Siri Smith Thomas Kimberly Anne Case Charlotte Laura Kalichak Mcgowan Dawn Valaire Quashie Cary Yu Kevin Zeng Charles Edmond Murphy Durham Jane Owens Norman Francis Fain Melbourne Rebecca Scoggin Clark Daniel Michael Strickland Lansing Robin Morris Gillikin Katharine Sayeko Moorehead Morehead City Lucinda Cannon Smith David Yu-Yiao Huang Chapel Hill George Leroy Naylor Sitara Jabeen Alam Morganton Cynthia Ranee Cherry Paul Raymond Walker Greenville Samantha Kathleen Cole Joseph Raymond Elbeery Greenville Rachel Elizabeth Ferrell Timothy Charles Madigan Edenton Sherece Antonnette Dyer Lan Tran-Phu Fayetteville Hanaan Abdel Fatah Salamah Kathleen Marilyn Elliott Winston-Salem Christopher D. Breuer Charles Edward Jahrsdorfer Greenville Andrew Lewis Bates Iii Brett Harden Waibel Greenville Ashley Batten Vallery Clucas Sharon Buckwald Greenville Courtney Bass Clarkson Joseph Ray Haskett Edenton Crystal Rogers Newton Kimberly Fayette Jean Hensley Elizabethtown Cynthia Denise Dalton James Jason Hoth Winston-Salem Victoria M Ramsey David Yu-Yiao Huang Chapel Hill Holly Deanna Smith Meredith Davis Bowen Midland Stephanie Linville Hodges Joel Robert Kann Morrisville Katarzyna Ewa Rela Adam Steven Asch Greenville Erin Margaret Lafferty Jude David Kotsko Elizabeth City Nisha Kotecha Craig A. Stevens Cary Elizabeth Marie Zechinati Roberta Virginia Turner Durham Regina Maria Newton Michael Edward Halligan New Bern Marlene Blizzard Whaley James Royall Lambert Mount Olive 29 November 20-22, 2013 Raquel Mercedes Rey Teresa Louise Tullo Burlington Rebecca Elizabeth Salomon Samantha Graves Suffren Salisbury Mary Dene Cohen John Christian Haasis Asheville Jerry Keith Edwards Robert Leonard Deucher Vass Adrien Juliana Gupton Desiree Batrice Johnson Salisbury Erin Hope Weant Charles Edmond Murphy Durham Melissa Danielle Bishop Gary Gene Leonhardt Greenville Jennifer Lynn Brantley Donald Alan Ribeiro Greenville Ramona Ann Sowers Aatif Mairaj Husain Durham Laurence S. Holman Anita Louise Jackson Clayton Sarah Elizabeth Roberts William Towers Maddox Asheville Laura Beth Reevey Thomas Stanley Marlowe Charlotte Robert Edward Clark Scott Joseph Spillmann Winston-Salem Amanda Sue Boardman Kevin Wallace Lobdell Charlotte Erica Hope Randolph Donovan Aaron Thompson Charlotte Elyse Michel Kleidon Chad Daniel Howard Charlotte Timothy Wayne Henkels Karen Mylenek Reichow Wilmington Alexandria Nicole Montgomery Lan Tran-Phu Fayetteville Charley Cowan Tyre Denzil Dean Patton Greenville Thomas Newton Santa Jr Susan Kimberly Ziglar Moyock Heather Mccance Mcghee Robert Lee Ferguson Fayetteville Catherine Hill Blair Sachin Surendra Mody Matthews Christina Marie Dodge Richard Krumdieck Mooresville Julia B Barnette Rogers Edwin Houng Fayetteville Brian Harris Sealy Brian Andrew Farah High Point Maria Grace Oldre Daniel Frederick Cannon Asheville Camille Rice Glidden David McIver Millsaps Hickory Amanda Catherine Haynes Durga Alahari Dunn Tamiqua Shaunte Jackson Robert Dale Wadley Raleigh Millicent Joy Locklear Karen Yvonne Robinson Lumberton Letha Mullamkuzhy Joseph Gary Norman Greenberg Raleigh Donna Gayle Buist Terry Glen Daniel Eden Kimberly Hall Caggiano Daryhl Lindsay Johnson Chapel Hill Eugenia Sytnyk Viren Dinkerrai Desai Fayetteville Karen Renee Treasure Saeed Aflatooni Gastonia Gregory Joseph Auber Richard Brian Drimalla Gastonia Lauren Marie Morasch Dawn Valaire Quashie Cary Lisa E Curtis Bradley Jackson Goad Woodlawn Tracy Elizabeth Busch Nihan Gurcanlar Charlotte Candice Halle Kessler James Thomas Bohmer Charlotte Jessica Hollar Lanier Mark Damien Marilley Kinston Jane Alden Becker Scott Cody Elston Durham Michelle Srijayanta Richard Wolcott Bock Asheville Rebecca Baker Tom Robert Kepler Matlack Fayetteville Lindsey Hill Wooten Randy Lee Swackhammer Goldsboro Audrey Clark Driskill Chawki Assaad Lahoud Raleigh

30 November 20-22, 2013 Audrey Clark Driskill Chawki Assaad Lahoud Raleigh Amy Elizabeth Mitchell Catherine Anne Rolih Winston-Salem Amy Elizabeth Mitchell Catherine Anne Rolih Winston-Salem Lindsay Fagan Schalles Paige Bua Tomcho Waxhaw Hannah Alyse Carraway Joel Robert Kann Fuquay-Varina David Collado Estabillo Benedict Onwukwe Okwara Monroe Karen Marie Hatch Ronald William Glinski Whiteville Deborah Dobrota Moyer David Michael Johnson Ocean Isle Beach Emily Suzanne Fox Efrain Alberto Sanchez-Rivera Fayetteville Traci Lynn Slaughter Karen Denise Jones Huntersville Ashley Noele Rieger Peter Eugene Morris Winston Salem Mary Louise Cherry Hans Lucas Crumpler Greenville Delisha Renee Broadhurst Thomas Edward Thielen Greenville Tracy Delvon Norwood Stephen Szu-Heng Hsieh Lexington Amy Sue Pleaugh Derek Brandon Pyles Durham Chelsea Choquette Furbish Julius I. Kehinde Tokunboh Charlotte Christine Pfeifer Endia Cherese Johnson-Pitts Wilmington Karol Patel Delani Lenore Mann-Johnson Durham Nellie Sue Chamblee David Nathaniel Smith Kernersville Mary-Joyce Beasley Gibson Robert William Bynum Wilson Olga Shalaurova Krystol Johnston O'rourke Garner Regina Williams Baity Valerie Ann Leschber Greensboro Caitlin Elizabeth Hurdle Abdul Karim Garuba Matthews Robyn Danielle Grice Pamela Lin Hord Elizabethtown Monica Nicole Bartorelli Joel Robert Kann Archdale Alisha Shanelle Carter James Jason Hoth Winston Salem Catherine Mary Swain Christopher Brian Isenhour Shallotte Heidi Marie Mcneill Jaspal Singh Charlotte Rocky Blue Readling William Anthony Calabria Shelby Vibhaben Nishant Dholakia Shobana Senthilnathan Apex Lindsey Malcolm Miller Randolph Nicholas Brown Burlington Sarah Ruth Schooley Kimberly Anne Case Charlotte Steffanie Deniece Sullivan Abdul Karim Garuba Matthews Marc Wesley Shuler Anthony Crozat Smith Greenville Elisa Kirkpatrick Edgerton Sachin Surendra Mody Waxhaw Tiffany Humphreys Rose Martin James Murphy Winston-Salem Jessica Elizabeth Salyer Brian Ginsberg Durham Suzanne Elaine Bohnker Jayashree Krantinath Raikhelkar New York Jennifer Lynn Gatten William Scherer Miles Charlotte Katherine Elizabeth Kennedy James Earl Radford Hendersonville Megan Reklis Caudle Robert Duncan Hite Winston Salem Sophia Nadine Stephens-Peck Allyn Benard Dambeck Faison Jessica Elizabeth Edwards Raghuveer Vallabhaneni Chapel Hill Leann M. Cathcart James Allen Wayne Henderson Mika Lynn Johnson Alexander Ong Sy Winston-Salem Danielle Angel Deoliveira Jeffrey Louis Snow Cary

31 November 20-22, 2013 Megan Lynn Monroe Slade Alan Suchecki Southport Adam James Cheyunski Robert James Mchale Raleigh Kelly Thornton Flynt Linda Morris Taylor High Point Casey Janae Smith Daniel Nelson Pistone Wilmington Kristen Lynne Pawlowski Jerome Thomas Watson Statesville Patricia Pyland Gilliam Endia Cherese Johnson-Pitts Gastonia Emily Hunter Sellars Sascha Alexander Tuchman Durham Laura Bethany Richter Jaspal Singh Charlotte Kandace Burnette Page Orrin Abraham Walker China Grove Christina Torres Dunbar Dipika Misra Charlotte Bich-Tuyen Thi Nguyen Damon Scott Tweedy Durham Elizabeth Jane Watson Timothy Andrew Gajewski Charlotte Dana Nichols Smith Jennifer Auer Sutter Greenville Solace Elikplim Ninyeh Assimeh Sharmarke Magan Gastonia Mary Trimigan Holmes Melissa Elizabeth Bishop Moncure Lee-Marie Davis Hinson Christopher Snyder Charlotte Jamison Yvonne Lord Edwin Owsley Walker Greensboro Lynn Barrier Barringer John Peter Gambino Winston-Salem Alicja Erazo Sundblade Walter Wallace Johnson Charlotte Christopher Todd Coltrain Richard Preston Rawl Greenville Hannah J Dodson John Daniel Corey Pittsboro Lauren Elizabeth Herlihy Brian Patrick Vickery Chapel Hill Ann Marie Gardner Hammond Mark Wesley Burton Marion Carrie Edwards Bush Richard Henry Capps Cornelius Kristin Jean Nomides Linda Irene Greenspan Burgaw Lourdes Cu Ramos James Alexis Macdonald Winston Salem Lourdes Cu Ramos James Alexis Macdonald Winston Salem Emily Cheek Tuthill Michael Ray Miller Statesville Staci Beth Shafer Virginia Cecile Duany Jimenez Newton Elizabeth Johnston Averill Larry Joe Russell Hendersonville Daria Delores Lewis Dawn Valaire Quashie Durham Jonathan Lynwood White William Scherer Miles Charlotte Jonathan Lynwood White William Scherer Miles Charlotte Heather Hamstra Charles Edward Jahrsdorfer Greenville Amy Smith Howard Gary Gene Leonhardt Greenville Audrey Meskill Wisner Jasmin Cornette Daniels Durham Erin Rushing Kersey William Lee Thomas Indian Land Dianna Vickery Rhodes Curtis Donald Schultz Newton Josephine Ochulo Onuoha Brian Andrew Farah High Point Mary Beth Barna Koehler Joanne Yonkondy Peck Supply Hillary Yabo Yu Rodney Allan Radtke Dutham Mollie Carter Alfred Eugene Kendrick Indian Trial Angela Grace Mercier Sachin Surendra Mody Concord Kamala Lakeshia Goode Rajan Mitchell Asheboro Jessica Tripp Page Lillian Frances Lien Durham Amanda Frazier Gammon Jaspal Singh Charlotte

32 November 20-22, 2013 Nicole Cara Brown Thomas Payson Thompson Morrisville Teresa Nell Duncan Robert Stanley Wells Asheville Lindsey Megan Carpenter Rafael Augusto Calabria Shelby Anna Collins Norman Terry Douglas Hess Lewisville Megan Peabody Hulen Nizar Darwish Noureddine Winston Salem Erica Gustavson Howard Arilus Dawan Gunter Holly Springs Susan Renee Folk Boris Michael Krivitsky Charlotte Amanda Michelle Young Harvey Edwin Marshall Durham Rebecca Ann Fairchild Karen Elizabeth Wood Southport Tracy Porter Sachin Surendra Mody Monroe Charlene Shandell Weaver Kamal Ahmed Khan Charlotte Sharmetris Keiwynne Watkins Louise Cree Rogers Charlotte Priti Dubey Benedict Onwukwe Okwara Monroe Sarah Shadle Tomas Vybiral Elkin Christina Rose Perry John Hinnes Tinga New Bern Tanisha Vonchere Harmon Melissa Ann Schutt Charlotte Rebecca Spring Travers Larry Joe Russell Hendersnville Melanie Blankenship White Martin Tyler Deal Henderson Melanie Blankenship White Martin Tyler Deal Henderson Melanie Blankenship White Martin Tyler Deal Henderson Lisa Anne Thomas Thomas Lee Mason Charlotte Leah Cole Hughes Jaspal Singh Charlotte Trisha Marie Bischoff Wooten Edward Alan Copelan Charlotte

CLINICAL PHARMACIST PRACTITIONERS

Sheehan, Lindsay Logan Rickards, Jamie Elizabeth Reel, Jenna Evans McCarty, Delilah Jackson Hopson, Jennifer Lee Carson, Jaclyn Paige High Simon, Jennifer Lauren Ducker, Megan Lee

33 November 20-22, 2013 APPENDIX H

North Carolina Medical Board PA Licenses Approved November 2013

Initial PA Applicants Licensed 09/01/13 – 10/31/13

PA-Cs

Name

Adams, Lance Edward Jedidiah 09/30/2013 Adili, Joshua Paul 10/30/2013 Anglin, Lorraine Elizabeth 10/30/2013 Bailey, Rebecca Vannoy 09/17/2013 Baker, Leah McKinney 09/17/2013 Berkley, Jaime 09/05/2013 Berry, Karen 09/27/2013 Bode, Sarah May 09/17/2013 Bollenbach, Kathie Ella 10/30/2013 Brewer, Justin Michael 09/05/2013 Brown, Deborah Jean 10/24/2013 Buckner, Rebekah Jane 09/10/2013 Carducci, Afton Marie 09/11/2013 Cariello, Rachelle Lynn 10/22/2013 Carson, Rochelle Lorraine 09/06/2013 Childers, Zesta Shirelle 10/30/2013 Cordes, Luciel Pryor 09/03/2013 Cottings, Bethany Ann 09/27/2013 Dort, Megan N 09/25/2013 Driver, Lindsay Gayle 09/10/2013 Egan, Eleanore Elizabeth 09/03/2013 Eggers, Erin Alycia 10/17/2013 Erlien, Janna Beth 09/05/2013 Erpenbeck, Annelise Eileen 10/30/2013 Ethier, Julie Nicole 09/24/2013 Falkenstein, David Stuart 09/04/2013 Forsee, Donna Michele 09/18/2013 Fromal, Kristen 10/16/2013 Gandhi, Meera M. 09/05/2013 Gartman, Truman Adolf 09/25/2013 Haas, Andrea Lee 09/17/2013 Haas, Kevan 09/06/2013 Hancock, Savanna Rae 10/22/2013 Harbert, Kenneth 10/07/2013 Harrison, Roger Leon 10/29/2013 34 November 20-22, 2013 Hemmings, Abigail Lynn 10/29/2013 Hooker, Kristen Leigh 09/25/2013 Howard, Erin G 09/16/2013 Johnson, Caitlyn Veit 10/16/2013 Kapat, Chetan Dilip 10/30/2013 Kendlehart, Erin Ruth 09/03/2013 King, Emily Michelle 09/06/2013 Knudsen, Joshua Travis 09/26/2013 Kolasa, Samantha Marie 10/03/2013 Lambdin, Shelly 09/16/2013 Lavoie, Bryan 09/17/2013 Luansing, Jean Carla 10/16/2013 Ludwick, Tiffany Anne 10/03/2013 Ludwin, Samantha Rae 09/24/2013 Mannion, Julie 09/10/2013 McClorey, Erin 09/09/2013 McDaniel, Heyward Cruce 09/30/2013 McGuire, Terri Y. 09/16/2013 McKenna, Justin E 09/06/2013 McKenzie, Kayla Jo 09/20/2013 McKnight, Catherine Casey 09/06/2013 Molina, Elvin 09/03/2013 Neel, Beth Ann 09/20/2013 Newman, Kathryn 09/16/2013 Nguyen, Minhdan 09/06/2013 Otteson, Paul 09/20/2013 Pagel, Frank Carl 10/01/2013 Pavlovic, Megan Marie 09/16/2013 Perkins, Jeremy 10/16/2013 Pilachowski, Emily Suzanne 09/19/2013 Prafka, Michael Richardson 09/27/2013 Reed, Justin A 09/16/2013 Ritz, Frank William 09/27/2013 Robertson, Anthony Tyler 09/06/2013 Robertson, Rachel 09/17/2013 Rockhold, Amy Marie 10/31/2013 Sartorius, Jacquelyn Noel 09/25/2013 Scarpelli, Peter Anthony 09/20/2013 Schafer, Pamela Mae 10/15/2013 Schenk, Amber Kay 10/15/2013 Seitz, Zachary David 10/17/2013 Simmons, Brittainy Marie 09/12/2013 Sivertsen, Erik Peter 10/31/2013 Smith, Angelo Damien 10/04/2013 Smith, Elaine Britt 10/31/2013 Smith, Joshua Andrew 09/23/2013

35 November 20-22, 2013 Smith, Joy Loraine 10/01/2013 Snow, Chad Allen 09/17/2013 Stowell, Karina Jane 09/06/2013 Sullivan, Laura Nastassja 09/06/2013 Surovchak, David John 09/12/2013 Tamok, Miranda Gail 09/30/2013 Taylor, Megan 10/04/2013 Tonsor, Tracey 09/12/2013 Vahala, Alyssa Danielle 09/23/2013 Vanco, Catherine Marie 10/30/2013 Vuong, Jenny Le 09/27/2013 Watkins, Erin Lynn 09/17/2013 Weaver, Rachel Batchelor 09/09/2013 Weiss, Lindsey Anne 10/01/2013 Williams, Mallory B 10/16/2013 Worthington, Morgan Ashley 10/15/2013

PA-Cs Reactivations/Reinstatements/Re-Entries

Name

Cogswell, William C. 10/04/2013 DePalma, Rebecca Denise 10/04/2013 Holgorsen, Kelle Nicole 10/08/2013 Rinehuls, David L. 10/21/2013

Additional Supervisor List 09/01/13 – 10/31/13

PA-Cs

Name Primary Supervisor Practice City

Allshouse, Krista Shugoll, Richard Charlotte Aloian, Samuel Thakkar, Madhvi Raleigh Alsaedi, Tamim Patel, Arvindkumar Fayetteville Alsaedi, Tamim Soliman, Safi Fayetteville Amoni, Emily Reyes, Rodolfo Lillington Anderson, Elizabeth Behrens, Nancy Charlotte Anspach, Susan Panter, James Sylva Ardelean, Rhonda Mohindroo, Krishan Charlotte Arguello, Bethany Hamad, Mazen Cary Astern, Laurie Davis, Arthur Raleigh Astern, Laurie McKelvey, John Henderson Bailey, Rebecca Taavoni, Shohreh Durham Bair, Bruce Moon, Richard Durham Baker, Amanda Morton, Terrence Wilmington Baker, Leah Spence, Frank Dobson

36 November 20-22, 2013 Baker, Leah Ballard, William Dobson Ballard, Marquiez Italia, Hirenkumar Charlotte Barlow, Adriane Patel, Hiren Brevard Barringer, Kathi Abulatifa, Khalil Washington Barrow, Kern Blackmore, Jonathan Wilmington Bastide, Kimberly Appert, Gregory Raleigh Beaman, Carlton Jones, Gary Greenville Bentley, Lindsay Pleasant, Henry Raleigh Berryhill, Grover Brooks-Fernandez, Connie Fayetteville Bhojani, Mahendrakumar Patel, Arvindkumar Fayetteville Bissell, Jaclyn Beane, Jeffrey Greensboro Bissette, Branigan Nickel, Marshall Greenville Bloedow, Becky Bate, David Hendersonville Bloedow, Becky McCarty, Elizabeth Asheville Boatwright, Jennifer Cefalu, Joseph Wake Forest Bordeaux, Justin Rodriguez, Luis Rocky Mount Bost, Kristin Sutherland, Carisa Charlotte Brenneman, Gerald Ladapo, Jumoke Lillington Briggs, Steven Hansen, Todd Gastonia Briggs, Steven Brown, Aaron Gastonia Brillant, Kelly Rosen, Robert Winston Salem Britt, Ashley Tripp, Joseph Ahoskie Bronson, Jaclyn Owen, Kristine Asheville Brown, Deborah Wiggins, David Thomasville Brown, Jessica Morris, Peter Winston Salem Buchkovich, Jennie Macomber, Joshua Cary Buckley, Georgia Nickel, Marshall Fayetteville Buckner, Rebekah Skinner, Nadine Wilson Bullard, Remus Corder, John Hickory Camastra, Danielle Clary, Bryan Durham Carlson, William Frank, Harrison Cleveland Cassetto, Lesley Carney, David Wilmington Cavedo, Colleen Hall, Russell Durham Cavedo, Colleen Pavlis, Michelle Durham Cavedo, Colleen Rao, Caroline Durham Cavedo, Colleen Cardones, Adela Rambi Durham Cavedo, Colleen Lesesky, Erin Hillsborough Cavedo, Colleen Sidhu-Malik, Navjeet Durham Cavedo, Colleen Nelson, Kelly Durham Cavedo, Colleen Wolfe, Sarah Durham Chazan, Jennifer Stanley, Samuel Durham Cheney, David Schoenfeldt, Brent Albemarle Cheney, David Olson, Carroll Spruce Pine Choe, Charles Ballard, Harry New Bern Choe, Charles Block, Leonard New Bern Chyu, Carolyn Riedel, Richard Durham

37 November 20-22, 2013 Clancy, Kerry Nickel, Marshall Lumberton Clark, Adam Atkinson, Clinton Pinehurst Clarke, Jeffrey Martin, David Whiteville Clarke, Theresa Meyer, Graham Dunn Coburn, Lindsay Almasri, Ghiath Greenville Cogswell, William Fisher, Anthony Brevard Collins, Ann Burgert, Woodward Pittsboro Collins, Cameran Verma, Lalit Durham Cooper, Michelle Taavoni, Shohreh Durham Copeland, Chanel Harrell, Russell Durham Cottings, Bethany Burgess, Shawn Charlotte Courtney, Amy Bullard, Dennis Raleigh Crabtree, Ami Strittmatter, John Oxford Craig, Lindsey Austen, Michael Charlotte Crain, Whitney Rudyk, Mary Wilmington Cummings, David Noneman, Jack Raleigh Curry, Brenton Schorr, David Valdese Daniel, Selwyn Keen, Stephen Rocky Mount Dendy, Kevin Hage, William Raleigh Dixon, Mary Pickard, Warren Brown Summit Dorsam, Benedict Netrebko, Pavlo Cary Dort, Megan Hoxworth, Benjamin Greensboro Dunn, Ryan Smith, Kristi Greensboro Dunne, Stacy Johnson, Daryhl Chapel Hill Eckert, Lynn Gavazov, Miroslav Raleigh Edgerton, Ann Croffy, Bruce Pinehurst Egan, Eleanore Smith, Kristi Greensboro Emler, Sherlynn Darovsky, Boris Eden Eng, John Yu, Hong Chapel Hill Everhart, Franklin Reynolds, Eugene Lexington Everhart, Michael Aderoju, Ademola North Wilkesboro Falkenstein, David Mann, Scott Butner Farroch, Carol Hess, Suzanne Advance Filsinger, Michael Casingal, Vincent Charlotte Fisher, Jessica Exposito, Andres Wilmington Forsee, Donna Doty, Heather Cornelius Foster, Darryl Allen, Robert Sanford Foster, Tanaya Hranitzky, Patrick Raleigh Fowler, Cindy Majure, David Mount Airy Franklin, Dennis Blackmore, Jonathan Wilmington Fromal, Kristen Smith, Stephen Morganton Funk, Tracy Carney, Roderic Clinton Funk, Tracy Morris, Deborah Fayetteville Funk, Tracy Krull, Ronald Clinton Galgano, Christopher Joshi, Sangeeta Durham Galgano, Christopher Bryant, Michael Fayetteville

38 November 20-22, 2013 Gandhi, Meera Ramchandani, Geeta Morrisville Gandhi, Safal Hashmi, Masud Raleigh Gardner, Katie Long, James Mooresville Gardner, Katie Hoffman, Jeffrey Concord Garris, Anna Rich, Charles Charlotte Gartman, Jennifer Duggal, Sonia Raeford Gartman, Truman Dalvi, Sumedha Fayetteville Gauthier, Cherie Manos, Heather Huntersville Gauthier, Cherie Armistead, Hal Huntersville Georger, Andrea Dewey, Elizabeth Greensboro Gerould, Jeanette Gilbert, Brett Raleigh Gindoff, Alan Foltz, Jason Greenville Ginsburg, Justin Almasri, Ghiath Greenville Gomarko, Victoria Rogers, Joseph Durham Goolsby, Kirsten Culler, Christopher High Point Gottsch, Elizabeth Muzaffar, Mahvish Greenville Granzow, Paul McGriff, Gregory Rutherfordton Gray, Theresa Urash, Joseph Shelby Griffith, John Fernz, Miriam Whiteville Gunter, Jane Vaden, Tracela Charlotte Hammond, Jane Sewanyana, Steven Charlotte Hancock, Savanna Cosenza, David Bessemer City Hanlon, Kathleen Yaeger, Edwin Angier Hanlon, Kathleen Hansen, Samantha Raleigh Hansen, Jason Reed, John Lumberton Harless, Jeremy Netrebko, Pavlo Cary Harris, Michael Cox, Christopher Durham Harris, Sheena Torrey, Richard Durham Hart, Ryan Mayer, Katherine Charlotte Hassler, Heather Kirse, Daniel Winston Salem Haymond, Alvin Meade, John Monroe Hedrick, Christina Guerrini, James Clemmons Heim, Robert Fote, Bertrand Salisbury Hendrix, Anne Netrebko, Pavlo Cary Hensler, Rachel Daily, Celine Wilmington Herrmann, Erin Foster, James Charlotte Hill, Jana Frank, Anthony Greenville Hill, Jana Daly, Claudia Greenville Hill, Sylvie Quashie, Dawn Durham Ho, Eric Madduri, Murthy Morganton Hoepner, Lance Messner, Keith Fayetteville Holgorsen, Kelle Rish, Carlos Charlotte Hollo, Mark Brant, Thomas Statesville Hooker, Kristen Jeffers, Robert Raleigh Hooker, Kristen Mann, Larry Raleigh Hooker, Kristen Overcash, Harold Raleigh

39 November 20-22, 2013 Hopkins, Michelle McCutchen, Jeffrey Charlotte Horton, Amy Abulatifa, Khalil Washington Horton, Ann Kilpatrick, Michaux High Point Horton, Matthew Glenn, David Winston Salem Horton, Tiffany Bunn, Barry Kenansville Howard, Erin Dailey, Timothy Boone Huddleston, Coe Garimella, Rama Raleigh Hulbert, Harry Parks, Jennifer Winnston Salem Hunter, Paula Smith, Robert Mills River Ingle, George Melvin, Eric Winston Salem Ingold, Tiffany Amin, Chetan Salisbury Jackson, Kierney Hayes, Daniel Charlotte Jackson, Kierney Casingal, Vincent Charlotte Jackson, Mark Byrd, Eric Hendersonville Jennette, Millicent Hodges, Ana Fayetteville Jennings, Kip Teasley, Barry Goldsboro Jennings, Kip Forrest, Terry Goldsboro Jethro, Virginia Bowman, Michael Raleigh Johnson, Melissa O'Connor, Kevin Gastonia Johnson, Sarah Bradley, Teresa Asheville Jones, Kathy Manning, Kenneth Fayetteville Joshi, Dimple Hillman, Jason Charlotte Karr, Christina Hranitzky, Patrick Raleigh Keavey, Sandra Nickel, Marshall Fayetteville Kellermeyer, Angela Foulks, Carl Statesville Kendlehart, Erin Harrison, Myleme Raleigh King, Emily Maroof, Shaheda Raleigh Kirk, John Messner, Keith Fayetteville Kirong, Bridget Dimkpa, Okechukwu Kannapolis Kish, John Panter, James Sylva Knauber-McInturf, Katherine Steiner, Beat Raleigh Kolasa, Samantha Dyer, Emmet Charlotte Kopp, Aaron Macomber, Joshua Cary Kovalev, Vitaley Bryant, Michael Fayetteville Lacey, Donna Faircloth, Jackie Charlotte Lake, Kenneth Young, Cynthia Cary Langmesser, Lisa Rampersaud, Edward Durham Lawrence, Leo Olson, Carroll Spruce Pine Laws, Steven Lue, Alvin Winston Salem Lee, Allyson Burks, April Salemburg Lee, James Johnson, Ronald Hendersonville Lee, Laurie Olson, Ronald Durham Lee, Winnie Verma, Lalit Durham Lee, Young Peace, Robin Lumberton Lewis, Bryan Graddy, Logan Sanford Lewis, Randall Watson, Stanley Clayton

40 November 20-22, 2013 Lindsay, Katherine Jayatilaka, Suresh Roxboro Lindsay, Katherine Patel, Bakul Roxboro Lishchynsky, Michael Ferguson, Robert Fayetteville Llaneza, Keiran Levy, Jay Charlotte Locklear, Ashley Oxendine, Toni Pembroke Lohnes, John Garrett, William Durham Lordeus, Tajuana L'Italien, Anita Raleigh Ludwin, Samantha Callaway, Jennifer Charlotte Luthra, Raina Messner, Keith Fayetteville Lyon, Lindsay Gilpin, Allen Asheville Malley, Paul Toth, Alison Durham Mann, Karen Crawford, Michael Washington Mann, Karen Ruffolo, Thomas Washington Mannion, Julie Minior, Daniel Dunn Martin, Ashley O'Connor, Kevin Gastonia Martin, Kevin Johnson, John Morehead City Mattera, Paul Nederostek, Douglas Laurinburg Maurer, Katelyn Lacin, Robert Raleigh McCann, Raquel Laurence, William Raeford McClorey, Erin Flaherty, Stephen Fayetteville McClough, Rebecca DePietro, Perry Charlotte McConnell, Patrick Akiwumi, Benjamin Wilmington McDaniel, Heyward Vasudevan, Arvind Concord McDunnah, Heidi Haworth, Charles Pinehurst McGrath, Kelly Rucker, Tinsley Fayetteville McKenzie, Kayla Dumonski, Mark Greensboro McKinzie, Tracey Temple, Rufus Wilmington McLamb, Michael Killinger, William Raleigh McLaren, Christopher Harrell, Russell Sanford Medlin, Laura Keen, Stephen Rocky Mount Melgar, Tammy Cabral, Gonzalo Wilson Merinar, Audrey Johnson, Daryhl Chapel Hill Messer, Alexzandria Casingal, Vincent Charlotte Meyers, Samuel Blackmore, Jonathan Wilmington Michaels, Ashley Badger, Michael Oak Ridge Miller, Jennifer McNabb, James Mooresville Milliam, Kimberiey Chao, Nelson Durham Mimken, Nicole Brown, Lester Kannapolis Minor, David Huynh, Phi Charlotte Mitchell, Matthew Crilly, Adam Valdese Mitchell-Barnes, Donna Idrissi, Rachid Benson Modesto, Jennifer Grine, Reynold Pinehurst Moench, Carolyn Summers, Erik Mocksville Molina, Elvin Flaherty, Stephen Fayetteville Molina, Elvin Nederostek, Douglas Laurinburg Molina, Elvin Wells, Matthew Fayetteville

41 November 20-22, 2013 Moore, John Royals, Hoover LaGrange Moraitis, Laura Taavoni, Shohreh Durham Moretz, Katherine Glenn, David Brevard Morgan, Jamie Peace, Robin Lumberton Morgan, Leslie Olson, Carroll Spruce Pine Morris, Delton Gupta, Manoj Smithfield Mossow, Emily Gray, Lee Burlington Murphy, Michaela Morton, Terrence Wilmington Myers, Brittany Fortkort, Peter Greensboro Myers, Brittany Okocha, Chiedu Winston Salem Myers, Brittany Eyo, Unwana Greensboro Myers, Brittany Hijazi, Ali Greensboro Narciso, Emily Sloan, Douglas Fayetteville Neal, Amanda Olson, Ronald Durham Neel, Beth Lane, Robert Hertford Newkirk, Ketoyia Scales, Jeffrey Durham Newman, Jason Vaidya-Tank, Bhavna Clayton Newman, Kathryn Coxe, James Raleigh Norman, Carla Francis, Robert Asheville Ortiz Pate, Nathalie Patel, Prashant Cary Ortiz Pate, Nathalie Juneja, Vijay Cary Osalvo, Nicomedes Netrebko, Pavlo Raleigh Otteson, Paul Pojol, Ricardo Lumberton Pagel, Frank Temple, John Matthews Paitsel, Lisa Rawls, William Wilmington Palma, Elizabeth Myles, Sidney Hickory Panos, Constantina Koewler, Thomas Salisbury Pardue, Lori Eskew, Thomas Wilmington Patel, Roshni Joshi, Sangeeta Durham Patel, Surahi D'Mello, Justino Salisbury Pavlovic, Megan Henihan, Robert Wilmington Payne, Andrea Maultsby, James Wilmington Peregrin, Peter Rosenbaum, David Raleigh Perkins, Cameron Stewart, Jessica Durham Perkins, Jeremy Groh, Gordon Asheville Perry, Jayme Brant, Thomas Wilkesboro Pessetti, Staci Kelly, Catherine Fayetteville Petrash, Priscilla Kodumagulla, Mrinalini Cary Petrie, Meg Rodriguez, Luis Rocky Mount Pfitzer, Melissa Graham, Linda Wilmington Pilachowski, Emily Kotsko, Jude Elizabeth City Pilgrim, Ciara Luoma, David Dallas Poole, Elliot Mosteller, Gregory Raleigh Prafka, Michael Crocker, Daniel Rocky Mount Prentice, Cassidy Emanuel, Shandal Nashville Prescott, Jessica Elbeery, Joseph Greenville

42 November 20-22, 2013 Prescott, Jessica Joshi, Sangeeta Durham Putts, Kristy Anonick, Patrick Concord Qadri, Ishtyaq Frasca, Anthony Morganton Qadri, Ishtyaq Breiter, Eric Morganton Qadri, Ishtyaq Ahsanuddin, Khaja Morganton Qadri, Ishtyaq Ahsanuddin, Rasheda Morganton Qadri, Ishtyaq Mohiuddin, Masood Morganton Qadri, Ishtyaq Bianco, Anthony Morganton Qadri, Ishtyaq Schmitt, Philip Morganton Raby, Bernadette Conner, Dana Murphy Rader, Nancy O'Connor, Kevin Gastonia Ragard, Rebecca Mayer, Katherine Charlotte Raine, Caleb Copelan, Edward Charlotte Readling, Wendy Langley, Emily Charlotte Rebowe, Danielle Gilmore, Christopher Winston Salem Reed, Justin Kommu, Chandrasekhar Fayetteville Rich, Marva Allen, Robert Laurinburg Richard, James Gaskins, Raymond Fayetteville Rinehuls, David Reynolds, Leslie Greensboro Roberts, Jane Beane, Jeffrey Greensboro Robertson, Anthony Berger, Martin Yanceyville Robertson, Anthony Comstock, Lloyd Yanceyville Robertson, Rachel Batley, Jason Statesville Roche, Kimberlee Miller, Brian Greensboro Rodriguez, Jessica Keen, Stephen Rocky Mount Rohde, Karen Simmons, Benjamin Mooresville Sanders, David Manson, Paul Danbury Santiago, Sarah Waibel, Brett Greenville Santos, Eileen Khurana, Rajesh Fayetteville Sartorius, Jacquelyn Rudyk, Mary Wilmington Savoie, Shanee Swiber, Matthew Morehead City Scheib, Aaron Covington, Alfred Rocky Mount Schenk, Amber Haviland, Julie Asheboro Scherer, Christine Moore, George Elizabeth City Schnoll, Michelle Jacobs, Ronnie Asheville Schwarz, John Brower, Jonathan Southern Pines Schwarz, John Rucker, Tinsley Fayetteville Seamans, Phillip Gerald, Melvin Whiteville Shepherd, Angela Kolasch, Craig Charlotte Shutak, Michael Nickel, Marshall Greenville Sikod, Sega May, Monique Charlotte Simmons, Brittainy Berry, Jonathan Greensboro Simmons-Vann, Teresa MacGuire, Osborne Hickory Simmons-Vann, Teresa O'Connor, Kevin Gastonia Simon, Spencer Garimella, Rama Raleigh Skinner, Ann Thiemkey, William Hendersonville

43 November 20-22, 2013 Slate, Scottie Sanders, Kirk Walnut Cove Small, Natalie Dessauer, Kati Cary Smiley, Kathryn Arko, Frank Charlotte Smith, Angelo Kotsko, Jude Elizabeth City Smith, Erich Royals, Hoover LaGrange Solosko, Stephanie Rodriguez, Luis Rocky Mount Spada, Deborah Kish, Inga Shelby Sparks, Jessica Shields, Thomas Winston Salem Sparks, Shannon Stewart, John Jacksonville Spicer, Blai Aluko, Gbenga Charlotte Sterling, David Venable, Robert Plymouth Stiles, Michelle Haag, Jason Raleigh Stoltzfus, Ryan Panter, James Sylva Stott, Elizabeth Zawodniak, Mark New bern Stowell, Karina Greenspan, Linda Burgaw Stritch, Megan Howard, Chad Charlotte Sullivan, Laura Blackwell, Samuel Apex Surovchak, David Richardson, Claudia Rocky Mount Swaim, Blythe Garriga, Joshua Raleigh Talbert, Karen Smith, Douglas Albemarle Talley, Courtney Bachmann, Laura Winston Salem Tallmer, Enid Baum, Stephan Durham Tamok, Miranda Kotsko, Jude Elizabeth City Taylor, Jacob Charles, Kirk Raleigh Taylor, Megan Dyer, Emmet Charlotte Taylor, Stuart Vrooman, Peter Mount Airy Tennant, Sara Batish, Sanjay Castle Hayne Theiss, Paul Clancy, Thomas Wilmington Thomas, Aaron Kim, Jason Raleigh Thomas, Aaron Ford, Peter Raleigh Thomas, Aaron Fulton, Joseph Raleigh Thompson, Amy Desai, Sunil Cary Trenner, James Goff, David Fuquay Varina Tripp, Glenn Lopez, Fernando Oxford Ulstad, Melissa Musselwhite, Neill Wilmington Vahala, Alyssa Gaskin, Steve Concord Van Houten, Valorie Bird, Nicholas Durham Van Houten, Valorie Rodriguez, Luis Rocky Mount Vecellio, Richard Vaden, Tracela Mooresville Venkat, Vidya Mayer, Katherine Charlotte Vuong, Jenny Krishna, Kalpana Fayetteville Wagner, Shawn Tripp, Joseph Ahoskie Wagner, Shawn Bunn, Barry Tarboro Walden, Emily Martin, Patrick Wilmington Walton, Charles Blackmore, Jonathan Wilmington Waltz, Nichole Herbert, Allison Charlotte

44 November 20-22, 2013 Ward, Joanna Stackhouse, Daniel Charlotte Ward, Joanna Meuse, Michael Charlotte Ward, Mark Conner, Dana Murphy Waronsky, Roy Fernando, Jay Salisbury Warren, Karen Goldsborough, Kellie Greensboro Watkins, Erin Wever, Aaron Concord Watkins, Mai O'Connor, Kevin Gastonia Weaver, Rachel Guerrini, James Clemmons Weber, Jeffrey Wadley, Robert Rocky Mount Weber, Jeffrey Kim, Seung Won Rocky Mount West, Elizabeth Nelson, Kelly Durham White, Susannah Kirk, Steve Durham Whitley, Andrea Morris, Peter Winston Salem Wille, Jessica Ros, Jose Jacksonville Williams, Barbara Smith, Mackenzie Snow Hill Williams, Ginika Terryberry, Daniel Gatesville Williams, Kyra Reese, Kevin Wilmington Wohrle, Connie Heter, Michael Wilmington Wolf, Teresa Sharts, Michael Greenville Worley, Charley Newell, Howard Raleigh Worthington, Morgan Biggers, William Kinston Worthington, Morgan Kiger, Tara New Bern Wright, James Rodriguez, Luis Rocky Mount Wyatt, Charles Okons, Toby Hope Mills Zimmerman, Amanda Roux, Jennifer Clemmons

45 November 20-22, 2013 APPENDIX I

BYLAWS of the NORTH CAROLINA MEDICAL BOARD

TABLE OF CONTENTS

BYLAW S of the NORTH CAROLINA MEDICAL BOARD

TABLE OF CONTENTS

Article I. Offices...... 2

Section 1. Principal Office...... 2 Section 2. Other Offices ...... 2

Article II. Board Powers, Committees, and Compensation...... 2

Section 1. General Powers...... 2 Section 2. Committees...... 2 Section 3. Executive Committee...... 2 Section 4. Compensation...... 2

Article III. Meetings of the Board...... 3

Section 1. Regular Meetings...... 3 Section 2. Special or Emergency Meetings...... 3 Section 3. Notice of Meetings...... 3 Section 4. Quorum...... 3 Section 5. Manner of Acting...... 3 Section 6. Participation by Conference Telephone...... 3

Article IV. Officers...... 4

Section 1. Officers of the Board...... 4 Section 2. Election and Term...... 4 Section 3. Vacancies...... 4 Section 4. Removal...... 4 Section 5. President...... 4 Section 6. President-Elect...... 4 Section 7. Secretary/Treasurer...... 4

Article V. Professional Staff...... 5

Section 1. Professional Staff...... 5 Section 2. Executive Director...... 5

Article VI. General Provisions...... 5

Section 1. Seal...... 5 Section 2. Fiscal Year...... 5 Section 3. Amendments...... 5 Section 4. Rules of Order...... 5

46 November 20-22, 2013

ARTICLE I

OFFICES Section 1. Principal Office. The Board shall have a principal office in North Carolina. Section 2. Other Offices. The Board may have other offices. ARTICLE II BOARD POWERS, COMMITTEES, AND COMPENSATION Section 1. General Powers. The Board itself has all its general powers. Section 2. Committees. The Board may designate one or more Committees. The President shall appoint Committee members. Committees have no powers other than: (a) to review matters and recommend actions to the Board;, (b) to initiate or continue investigations or inquiries, including, in the cCommittees’ sole discretion, the use of Board process (subpoenas, orders, or the like) in furtherance thereof;, (c) to empower staff, either generally or in a specific instance, to initiate or continue investigations or inquiries, including, in the cCommittees’ sole discretion, the use of Board orders to produce documents or things;, (d) to employ experts to evaluate evidence in matter under investigation or inquiry;, and (e)those powers authorized by the Board. The President shall serve as ex-officio member of all cCommittees. Section 3. Executive Committee. There shall be an Executive Committee comprised of the Officers of the Board, who are chosen in accordance with Article IV of these Bylaws, along with the Immediate Past President of the Board and a member at large. The member at large shall be nominated and elected as provided in Article IV, Section 2. In the event the Immediate Past President is not available to serve on the Executive Committee, that position mayshall be filled as provided in Article IV, Section 2 by electing another member at large in accordance with Article IV, Section 2. Section 4. Compensation. The Board may pay per diem and expenses to the maximum extent permitted by law. 47 November 20-22, 2013

ARTICLE III MEETINGS OF THE BOARD

Section 1. Regular Meetings. Regular meetings will occur as scheduled. Section 2. Special or Emergency Meetings. Special or Emergency meetings of the Board may be called by the President or in the event of the unavailability of the President by the President-Elect. Section 3. Notice of Meetings. Notices of meetings shall be given as required by law. Section 4. Quorum. A quorum of the Board is a majority of the members. Section 5. Manner of Acting. Except as otherwise provided herein, the Board acts by simple majority vote of the members present at a meeting at which there is a quorum. There shall be no proxy voting. Section 6. Participation by Conference Telephone. The Board may meet by electronic means to the maximum extent permitted by law.

ARTICLE IV OFFICERS

Section 1. Officers of the Board. The officers of the Board shall consist of a President, a President-Elect, and a Secretary/Treasurer. Section 2. Election and Term. The President-Elect shall become President at the end of the President’s term. The remaining officers of the Board shall be elected as follows: During the July Board meeting, the Executive Committee shall meet with the other members of the Board to solicit recommendations for the President-Elect, and Secretary/Treasurer and Member(s) at large positions. Thereafter, the Executive Committee shall retire to discuss a slate of candidates. The Executive Committee shall nominate to the Board a slate of candidates for the above offices for the coming term. The Board shall vote on the entire slate. The 48 November 20-22, 2013 slate is approved when a majority of the total membership of the Board votes in favor of the slate. This process shall continue at the Board's July meeting until a slate is elected. The term of office is November 1st to October 31st. Officers shall serve until a replacement is elected. Section 3. Vacancies. In the event that the President fails to serve out his or her term as provided in this Article for whatever reason, then the President-Elect shall assume the office of President and hold the office of President for the remainder of the departed President’s term. The President completing the term of the departed President shall be eligible to serve a full term as President after completing the term of the departed President. In the event an officer other than the President fails to serve out his or her term as provided in this Article for whatever reason, the vacancy shall be filled as provided in Article IV, Section 2, at the next regularly scheduled Board meeting. Section 4. Removal. Any officer may be removed from office by a vote of two-thirds a majority of the total membership of the Board at any time. Section 5. President. The President shall be the principal executive officer of the Board and shall, when present, preside at all meetings of the Board. The President shall sign documents for the Board. The President may designate in writing three or more hearing officers to conduct hearings and shall assign cases to each hearing committee. Section 6. President-Elect. The President-Elect shall, in the absence or disability of the President, have all the authority and perform the duties of the President. Section 7. Secretary/Treasurer. The Secretary/Treasurer shall have the responsibility and authority to maintain and authenticate the recordsminutes of the Board meetings. And shall have charge and custody of all funds and securities belonging to the Board and shall keep, or cause to be kept, full and accurate records of the finances of the Board. At each January meeting of the Board, the Secretary/Treasurer shall make a full report of receipts and disbursements since the previous annual report, together with a list of all outstanding 49 November 20-22, 2013 obligations of the Board. The Secretary/Treasurer shall, in the absence or disability of the President and the President-Elect, have all the authority and perform the duties of the President.

ARTICLE V PROFESSIONAL STAFF

Section 1. Professional Staff. The Board shall employ a Professional Staff to assist it, in whatever lawful way it may prescribe, in the discharge of its duties under and to enforce the laws regulating the practice of medicine or surgery. Section 2. Executive Director. The Board shall employ an Executive Director who shall lead and manage, hire and dismiss, the Professional Staff. The Executive Director shall have the authority to execute all contracts on behalf of the Board. He or she shall have custody of the seal of the Board, and shall affix it to all documents executed on behalf of the Board or certified as emanating from the Board. The Executive Director shall take charge of all funds paid into the Board and deposit them in some bank selected by the Board; he or she shall cause books of accounts to be kept, which shall be the property of the Board. The officers of the Board shall evaluate the Executive Director annually and report to the Board.

ARTICLE VI GENERAL

PROVISIONS

Section 1. Seal. The seal of the Board shall consist of two concentric circles between or within which is the name of the Board. Section 2. Fiscal Year. The fiscal year of the Board shall be fixed by resolution of the Board of Directorsfrom November 1 to October 31. Section 3. Amendments. Except as otherwise provided herein or by applicable law, these Bylaws may be amended or repealed and new bylaws may be adopted after a thirty (30) day notice by a vote of two-thirds (2/3) of the total membership of the Board. 50 November 20-22, 2013 Section 4. Rules of Order. To the extent that matters of procedure are not addressed in these Bylaws or in applicable sections of the North Carolina General Statutes or North Carolina Administrative Code, the Board shall follow parliamentary procedure as set forth in The Standard Code of th Parliamentary Procedure, 4 Edition, by Alice Sturges (McGraw Hill, Inc. 2001)

51 November 20-22, 2013