Post on 15-Nov-2019
ABME Public Agenda May 15, 2019 1
ALABAMA STATE BOARD OF MEDICAL EXAMINERS PUBLIC AGENDA
MAY 15, 2019
Credentials Committee Meeting - Tuesday, May 14, 2019
Executive Director’s Report
MINUTES (1) Public Minutes of April 11, 2019 (1) Special Called Meeting Minutes of April 13, 2019
CURRENT BUSINESS Administrative Rules for Final Adoption (1) 1. Administrative Rule 540-X-2-.01, Definitions Other (1) 1. Resolution: Request for Attorney General’s Opinion Re: Ala. Code § 34-24- 337(d)-(j) and Ala. Code § 34-24-524 (4) 2. Tianeptine – ADPH Correspondence Requests for Board Opinion (SA) 1. Autopsy Licensing Requirement (SA) 2. Coolsculpting and Exilis (SA) 3. Examination via Telemedicine Prior to Non-Ablative Treatment
ABME Public Agenda May 15, 2019 2
LICENSURE
APPLICANTS FOR CERTIFICATE OF QUALIFICATION FULL LICENSE APPLICANTS Name Medical School Endorsement
1. Brian Lee Abbott University of Tennessee Memphis COM USMLE/TN 2. Faris Ahmed University of Khartoum USMLE/IL 3. Syed Hassan Abbas Akbari Washington University SOM USMLE/MO 4. Adanna Amanze Michigan State Univ Lansing USMLE/WI 5. Robert Anthony Annibale Univ of Medicine and Health Sciences, St. Kitts USMLE 6. Jaclyn Margaret Arquiette Virginia Commonwealth University SOM USMLE 7. Rizwan Afzal Assad U of Science, Arts, Tech (USAT) Faculty of Med USMLE/FL 8. Dominique Josee Beaudry University of Texas - Houston Medical School USMLE/TX 9. Omar Bibi Howard University COM USMLE
10. Tonya Amber Bolton Nova SE U, Patel College of Osteopathic Medicine COMLEX/FL 11. Grant Alexander Bond Meharry Medical College SOM USMLE 12. Andres Elias Borrero-Mendoza Universidad Iberoamericana SOM USMLE 13. Mitchell Hobson Bowman University of Tennessee Memphis COM USMLE/VA 14. Alexander Monarch Brown University of Louisville SOM USMLE 15. Andrew Joseph Burandt Michigan State Univ College Of Osteo Medicine COMLEX/MI 16. Maricelina Doreley Caro Kimmel Medical College at Thomas Jefferson Univ USMLE/IN 17. Shoujun Chen Tongji Medical University USMLE/LA 18. Joe William Chiles III University of Kentucky COM USMLE/OH 19. Cameron Townsend Corte University of South Alabama COM USMLE/FL 20. Vistasp Jimmy Daruwalla Padmashree Dr. D.Y. Patil Med Col for Women USMLE 21. Travis Scott Davis University of Tennessee Memphis COM USMLE/TN 22. Heidi Frutchy Deblock Univ of Buffalo SUNY SOM & Biomedical Sciences FLEX/NY 23. Ujjwala Shah Dheeriya University of Virginia SOM USMLE/CA 24. Daniel Dimitri Droukas UASOM Birmingham USMLE 25. Holly A. Dunn University of NC School at Chapel Hill SOM FLEX/VT 26. Stacy Ifeoma Ejem University of Alabama SOM Birmingham USMLE/MO 27. Justen Hani Elbayar New York Medical College USMLE/NY 28. Ahmed S. Mohamed Eltelbany Ain Shams University Faculty of Medicine USMLE/OH 29. Joseph Raymond Esparaz University of Illinois COM Chicago USMLE 30. Jessica Marie Fazendin Medical College of Wisconsin USMLE/PA 31. Edward Andrew Fazendin Medical College of Wisconsin USMLE/PA 32. John David Feltenberger Touro University College Of Osteopathic Medicine COMLEX 33. Timothy John Fernstrom University of New England College of Osteo Med COMLEX/OR 34. Molly Erin Fleece USACOM USMLE 35. Brian Paul Fletcher USACOM USMLE/VA 36. Lindsay Schaefer Flynn University of Florida COM USMLE 37. Robert Campbell Foster University of Alabama SOM Birmingham USMLE/MN 38. Andrew Richard Fuson LSU Medical Center In Shreveport USMLE/MO 39. Rahul Garg Duke University SOM USMLE/MD 40. William Hunter Garrett University of Tennessee Memphis COM USMLE 41. Nicholas Garrett Geagan Lake Erie College of Osteopathic Medicine COMLEX 42. Louis Arsenio Gerena Florida State University COM USMLE/SC
ABME Public Agenda May 15, 2019 3
43. William Marshall Gilbert University of Mississippi SOM USMLE 44. Jeffrey Jerome Richard Grondin Saba University SOM USMLE/MS 45. Nathan Thomas Hadley University of Alabama SOM Birmingham USMLE 46. Josh Adams Hammel Emory University SOM USMLE/IN 47. Karen Emily Hand University of Mississippi SOM USMLE/NC 48. Karin Marie Hardiman University of Alabama SOM USMLE/OR 49. Michael Henry Harris San Beda COM USMLE 50. Spencer Thomas Hatch William Carey University College of Osteo Med COMLEX 51. Aparna Madhukeshwar Hegde J.J.M. Medical College USMLE/TX 52. Jonathan Wynn Hemmert University of Chicago Pritzker SOM USMLE/IN 53. Christopher Bryant Hendrickson Pikeville College of Osteopathic Medicine COMLEX 54. Andrea Verburg Hill U of Louisville SOM TX A&M U Hlth Sci Ctr COM USMLE/GA 55. Amanda Nicole Hopkins University of Missouri SOM Columbia USMLE 56. Chibuzo Churchill Ilonze University of Nigeria COM USMLE/OK 57. Ramy Ismail Ain Shams University Faculty of Medicine USMLE/FL 58. Gaurav Jain Medical College of Georgia SOM USMLE/NV 59. Carl Anthony Johnson Jr. University of Pittsburgh SOM USMLE 60. Natalie Lynn Johnson A T Still University School of Osteopathic Medicine COMLEX/OH 61. Alex Arden Johnson Emory University SOM USMLE 62. Rachel Michelle Jones Lincoln Memorial Univ Debusk Col of Osteo Med COMLEX/GA 63. Jonathan E Jones Mercer University SOM USMLE/KY 64. Anatoli Frances Karas Rush Medical College of Rush University USMLE 65. Nitasha Khullar University of Missouri Kansas City SOM USMLE 66. Anna Mullenix Knight LSU Medical Center In Shreveport USMLE/MI 67. Casey Adam Kramer William Carey University College of Osteo Med COMLEX/OH 68. Rohail Kumar Aga Khan Medical College, Aga Khan University USMLE/LA 69. Petra Simone Lynch Ludwigs U Freiburg Medizinische Fakultät USMLE/NY 70. Mohamed Abdelfatah Magdy University of Cairo USMLE/GA 71. Foy Glen Mann III Philadelphia College of Osteopathic Medicine COMLEX/OK 72. Brian Andrew May University of Alabama SOM USMLE/OH 73. Katherine Stolle McClellan Pennsylvania State University COM USMLE 74. Adam Robert McKinney UASOM USMLE 75. Daniel Patrick McMahon UASOM USMLE/VA 76. Jose Medina-Smester Medical College of Georgia SOM USMLE/FL 77. Geh Meh Chu Meharry Medical College SOM USMLE/DE 78. Richard Philip Menger Georgetown University SOM USMLE/NY 79. Delmer A. Montoya Motino U Catolica Honduras Nuestra Senora Reina la Paz USMLE 80. Evan Reed Morgan Lincoln Memorial Univ Debusk Col of Osteo Med COMLEX/OH 81. Michael Wyatt Morris Louisiana State University SOM New Orleans USMLE/MS 82. Ari Mosenkis Albert Einstein COM of Yeshiva University USMLE/OH 83. Sumanth Mulamalla Eastern Virginia Medical School USMLE/IL 84. Jonathan Osita Nwiloh University of Nigeria COM FLEX/NJ 85. Joanna Ellen Pan Loyola University of Chicago Stritch SOM USMLE 86. Siva Prasad Parcha Osmania Medical College USMLE/IL 87. Eric Matthew Perry Creighton University SOM USMLE/OR 88. Rachel Teat Pflederer Indiana University SOM Indianapolis USMLE/MO 89. Ryan David Poling FL International Univ Herbert Wertheim COM USMLE 90. Sneha Nanjundiah Raghunath Sri Deva Raj Urs Medical College USMLE/WV 91. Amarabalan Rajendran Sri Ramachandran Med Col & Research Institute USMLE/GA 92. Gina Elizabeth Rebesco Indiana University SOM Evansville USMLE 93. Peter Forrest Resnick University of Pittsburgh SOM USMLE/PA 94. David Andrew Reynolds University of Pikeville Kentucky Col of Osteo Med COMLEX/VA
ABME Public Agenda May 15, 2019 4
95. Maki Kuraoka Rheaume Hyogo Medical College USMLE/GA 96. Ali Khalil Riba University of Tishreen FLEX/CT 97. Jefferson Lee Graham Rogers University of Mississippi SOM USMLE 98. Rachel Elise Schutt Lincoln Memorial Univ Debusk Col of Osteo Med COMLEX 99. Mukul Sehgal Seth GS Medical College USMLE/FL
100. Thomas Rutherford Sellers UASOM USMLE 101. Kathryn Ann Six University of South Carolina SOM USMLE 102. Zachary Michael Smith Philadelphia College of Osteopathic Medicine COMLEX 103. Michael Henry Soike Wake Forest University SOM USMLE 104. Brett Russell Sprouse Kansas City University of Medicine & Biosciences COMLEX/GA 105. Michael Trace Stafford West Virginia School of Osteopathic Medicine COMLEX 106. Sasha Anne Still University of Texas Medical School at Galveston USMLE 107. Benjamin K. Stoff Univ of TX Southwestern Medical Center at Dallas USMLE/GA 108. Peter Justin Sumner Nova Southeastern University COM COMLEX/DC 109. Joshua Zane Symes Loyola University of Chicago Stritch SOM USMLE/MS 110. Jose David Tafur Soto Universidad Del Valle, Cali USMLE/LA 111. Christian Hok-Bing Tan University of Central Florida COM USMLE 112. Michael Blake Taylor A T Still University School of Osteopathic Medicine COMLEX/FL 113. Bart Thaci University of Tirana USMLE/CA 114. Katherine Adelle Thaggard University of Mississippi SOM USMLE 115. Abdi Tinwalla University of Toledo COM USMLE/IL 116. Thomas Albert Turnage II University of Texas - Houston Medical School USMLE/LA 117. Kevin Alan Tyler Augusta University USMLE 118. Ralph Brooks Vance University of Mississippi SOM USMLE/TX 119. Joshua Thomas VanderWall Michigan State Univ Grand Rapids USMLE/OK 120. Pedro Tomas Vieco State U of New York Syracuse COM Binghamton NBME/WA 121. Carlos S. Villar-Gosalvez Virginia Commonwealth University SOM USMLE/VA 122. Sheree Evette Walker University of South Alabama COM USMLE/GA 123. Paulisa Haroldine Ward University of The West Indies, Jamaica USMLE 124. Lece Viva Lephelia Evadne Webb University of Louisville SOM USMLE/SC 125. Benjamin Record Whitehouse Virginia Commonwealth University SOM USMLE 126. Carl Rogaston Willis University of Alabama SOM Birmingham NBME/USMLE/PA 127. Harry Lynnwood Wingate III Augusta University NBME/GA 128. Meng-Jun Xiong University of Missouri Kansas City SOM USMLE/GA 129. Michael Yaxian Xu University of Alabama SOM Birmingham USMLE/TN
(1) Certificate of Qualification for Ratification Name Medical School Endorsement
1. Phillip Eugene Carron Saint Georges University USMLE/WY
2. Jonathan Ho-Yin Law Ohio State U COM & Public Health USMLE/TN
3. Thomas Markus Roesch Vanderbilt University SOM NBME/GA
ABME Public Agenda May 15, 2019 5
Special Purpose License Applicants Name Location Type of Practice
1. (1) Shannon Michelle Haas Troendle Mandeville, LA Family Medicine
2. Madhava S. Abburi Austin, TX Teleradiology 3. Barry Eugene Allen Nashville, TN Teleradiology 4. Dominique Bernard Caovan Independence, OH Teleradiology
LIMITED LICENSE APPLICANTS
Name Medical School Endors. Practice Location Suffix
1. Zviadi Aburjania Tbilisi State Medical University LL/AL UAB Dpt. of Psychiatry R
2. Ammar Ali Mubarak Asban Aden University Faculty of Medicine LL/AL UAB Dpt. of Surgery R
3. Angel D. Gonzalez Rodriguez U de Ciencias Medicas de la Habana LL/AL USA Dpt. of IM and Pediatrics R
4. Giuseppe Flavio LaSpina St. James SOM St. Vincent Grenadines LL/AL St. Vincent's FM Residency R
5. Juan A. Munoz Largacha Pontificia Universidad Javeriana LL/AL UAB Dpt. of Surgery R
6. Veronica Rodriguez Saint Georges University LL/AL South Baldwin FM Residency R
7. John David Roveda Jr. USACOM LL/AL USA IM Residency Program R
8. Vivek Vishwanath Shukla Pramukswami Medical College LL/AL UAB Pediatrics Residency F
9. Omidreza Tabatabaie Teheran Univ of Medical Sciences LL/AL UAB General Surgery Residency R
Interstate Medical Licensure Compact Reports (1) 1. Interstate Medical Licensure Compact Licensees (3) 2. Interstate Medical Licensure Compact Letters of Qualification
PHYSICIAN ASSISTANTS P.A. License Name School NCCPA
1. Ethan Brubaker, PA South University 1162342 2. Dara Garces, PA Jefferson College of Health Sciences 1073148 3. Megan McKown, PA University of Texas Southwestern 1096680 4. Meghan Neary, PA Jefferson College of Health Sciences 1158845 5. Bradley Noland, PA UAB 1160705 6. Lea Pace, PA University of Saint Francis 1090538 7. Rachel Stearns, PA University of New York at Stony Brook 1120360 8. Robert Stickler, PA Eastern Virginia Medical School 1118342 9. Eleanor Stone, PA Louisiana State University 1148364
ABME Public Agenda May 15, 2019 6
P.A. / A.A. Registration and Requests Within Protocol
PA / Physician Registration Recommendation
1.
Rebecca Brown, PA Robert Howell, M.D. Orthopedic Surgery
Approval for Supervised Practice: Joint Injection: Olecranon Bursa
2. Ethan Brubaker, PA James McGrory, M.D. Orthopedic Surgery
Registration Approval to Train Arthrocentesis; Injections to the Knee and Greater Trochanteric Bursa
3. Mason Chasteen, PA Patrick Louis, M.D. Oral and Maxillofacial Surgery
Approval of Supervised Practice: Oral Orthotic Device for TMJ Disorders
4. Jeffrey Davis, PA Trent Howard, D.O. Cardiovascular Surgery
Approval to Train: Endoscopic Vessel Harvest
5. Lindsey Guill, PA Patrick O’Neill, M.D. Family Medicine
Registration Birth Control Drugs and Devices
6. John Keeling, PA Ramesh Peramsetty, M.D. Family Medicine
Registration Remote site Antineoplastic Birth Control Drugs and Devices
7. Kenya Kidd, PA Coleridge Franklin, Jr., M.D. Family Medicine
Registration Birth Control Drugs and Devices
8. Michael Liljegren, PA Beverly Boyd, M.D. Emergency Medicine
Registration
9. Cheri Livingston, PA Ashlen Aggen, M.D. Family Medicine
Registration Remote site Birth Control Drugs and Devices
10. Megan Mathews, PA Vasudeva Goli, M.D. Cardiology
Registration
11. Sandra McCord, PA Steven Sprayberry, Jr., D.O. Emergency Medicine
Registration Birth Control Drugs and Devices
12. Lily Nizam, PA Sami Nizam II, M.D. Oral and Maxillofacial Surgery
Approval for Supervised Practice: Non-Ablative Lasers
13. Bradley Noland, PA Kenneth Moore, M.D. Orthopedic Surgery
Registration Approval to Train: Arthrocentesis Injections of the Knee and Greater Trochanteric Bursa
14. Lea Pace, PA Julie Gladsjo, M.D. Dermatology
Registration
ABME Public Agenda May 15, 2019 7
PA / Physician Registration Recommendation
15. Cecilia Porter, PA Michael Palmer, M.D. Gastroenterology
Registration Birth Control Drugs and Devices
16. Harmony Savage, PA Rachel Kruspe, M.D. Hematology and Oncology
Registration Antineoplastic
17. Kathleen Sentell, PA Michael Solomon, M.D. Family Medicine
Registration
18. Tammie Smith, PA Edwin Matthews, M.D. Family Medicine
Registration Remote site Birth Control Drugs and Devices
19. Robert Stickler, PA David Lortscher, M.D. Dermatology
Registration
20. Lauren Tucker, PA Ahmed Kamel Abdel Aal, M.D. Diagnostic Radiology
Approval for Supervised Practice: Lumbar puncture with or without intrathecal chemotherapy Nephrostomy drainage catheter check and change Abscess drainage catheter check and change
21. Juliet Walker, PA Michael Gorum, M.D. Neurological Surgery
Registration
22. Katie Winfrey, PA Shelley Ray, M.D. Dermatology
Registration Formulary: Antineoplastic Birth Control Drugs and Devices Approval to Train: Biopsies of the face Blue Light (Photodynamic Therapy) Cryosurgery Electrodessication and Curettage Intra lesional injection of steroids Sclerotherapy Wound Closure XTRAC
ABME Public Agenda May 15, 2019 8
P.A. Registration and Requests Outside Protocol
PA / Physician Registration/Remote site/Formulary, Etc.
Recommendation
1. (13)
Mona Barlow, PA Zachary Reardon, M.D. Urology
Request to Train Cystourethroscopy Approval to Train IV Therapy Testopel Implantation
2. (15)
Chelsi Davis, PA Jonathan Cappel, M.D. Dermatology
Registration Antineoplastic Birth Control Drugs and Devices Approval to Train Skin Biopsies (shave and punch) Cryosurgery Electrodessication and Curettage of benign and malignant non-facial lesionsRemote sites Montgomery, AL Huntsville, AL
3. (16)
Catherine Harris, PA Charles Hunt, M.D. Thoracic Surgery
Registration Birth Control and DevicesApproval to Train Sclerotherapy of telangiectasias, small varicose and reticular veinsRemote sites Tuscaloosa Cullman Oxford Prattville
4. (19)
Kristin Landham, PA Jarrod Roberts, M.D. Emergency/Urgent Care
Registration Birth Control and DevicesRemote site Vestavia Hills
5. (20)
Laura Morrison, PA Robert Vickers, M.D. Emergency Medicine
Registration Birth Control and DevicesScope of Practice Fluorescein dye/wood’s lamp exam
6. (25)
(27)
Tamara Richardson, PA Carlton Randleman, Jr., M.D. Cardiovascular Surgery Benjamin Wirt, PA Carlton Randleman, Jr., M.D. Cardiovascular Surgery
RegistrationRequest to Train Endovenous Laser Ablation Limited Phlebectomy Approval to Train Sclerotherapy
ABME Public Agenda May 15, 2019 9
PA / Physician Registration/Remote site/Formulary, Etc.
Recommendation
7. (29)
Nathanael Stuck, PA Anthony Martino, M.D. Neurological Surgery
Standard Language Request Removal of ICP monitor / ventriculostomy CSF Shunt Tap CSF Shunt Interrogation and Programming
P.A. QACSC Registration PA Physician
1. Corbin Burns, PA Malcolm Nelson, M.D. 2. Kristin Landham, PA Jarrod Roberts, M.D. 3. Jamie Sievers, PA Nicholas Patellis, M.D. 4. Dennis Smoak, PA Mark Choquette, M.D. 5. Alexandria Stedry, PA Sanat Dixit, M.D.
P.A. Limited Purpose Special Permit Within Protocol
PA / Physician / Specialty Formulary Request Recommendation Approve Deny
1. Stephanie Aikin, PA Ladonna Crews, M.D. Pediatrics
ADHD Medications
2. Elizabeth Giles, PA Willaim Haller III, M.D. Orthopedic Surgery
Hydrocodone Combinations Oxycodone- Immediate Release
3. Kristin Landham, PA Jarrod Stewart Roberts, M.D. Emergency/Urgent Care
Hydrocodone Combinations Hydrocodone Cough Preps
4. Mohammad Qayyum, PA Shakir Meghani, M.D. Psychiatry
ADHD Medications
5.
Lauren Smith, PA James Wilhite, M.D. Internal Medicine
Hydrocodone Combinations Morphine Sulfate IR Oxycodone IRFentanyl LA
ABME Public Agenda May 15, 2019 10
ADVANCED PRACTICE NURSES Collaborative Practice / APN QACSC Registration (SA) Collaborative Practice Registrations (SA) Collaborative Practice Modifications (SA) Collaborative Practice Covering Physician Applicants (SA) Limited Protocol Applicants (SA) CRNP / CNM QACSC Registration Applicants APN Miscellaneous Requests / Reports Within Protocol Request to Train or Transfer: Critical Care Specialty Protocol
Physician CRNP
Physician Specialty CRNP Specialty
Specific Skill Request Recommendation
1. Daniel Kelmenson M.D. April Lee, CRNP
Pulmonary Disease Acute Care CRNP
Transfer: Critical Care Specialty Protocol and previously approved supervised practice Transfer: Critical Care- Advanced Protocol and supervised practice being approved today
Request to Train or Transfer: Orthopedic Specialty Protocol
Physician CRNP
Physician Specialty CRNP Specialty
Specific Skills Request Recommendation
2. Steven T. Coppock M.D. David C. Bailey, CRNP
Emergency Medicine Family CRNP
Transfer: Orthopedic Specialty Protocol and previously approved supervised practice : all joints
3. Richard Cunningham DO Jeffrey Sanders, CRNP
Family Med Family CRNP
To Train: Orthopedic Specialty Protocol-Arthrocentesis; joint injections of shoulders and knees
4. Charles Edward Hall M.D. Jennifer M. Davis, CRNP
Physical Med & Rehab Family CRNP
To train: Orthopedic Specialty Protocol- Arthrocentesis; Joint Injections: shoulder, olecranon
ABME Public Agenda May 15, 2019 11
Physician CRNP
Physician Specialty CRNP Specialty
Specific Skills Request Recommendation
bursa; greater trochanteric bursa and knee To train: Trigger Point Injections below T-12
5. James Murrah Tuck M.D. Tonya Kinard-Cottman, CRNP
Family Medicine Family CRNP; Neonatal CRNP
To Train : Orthopedic Specialty Protocol-all To Train: Trigger Point Injections below T-12
Request Approval: Supervised Practice
Physician CRNP
Physician Specialty CRNP Specialty
Supervised Practice for Recommendation
6. Gerald Bolopolsky M.D. April Lee, CRNP
Critical Care/Pulmonary Acute Care CRNP
Critical Care Advanced Protocol: CVL, Internal Jugular (11); Femoral (6) and Subclavian (3) Total of 20 procedures
7. James E. Johnson M.D. Kacy Dunaway, CRNP
Int. Med, Pulmonary AGACNP
Critical Care Specialty Protocol: CVL, internal jugular only (5 live, 10 sim) Request to continue training to complete the remaining skills
8. James E. Johnson M.D. Robert Scott Kopf, CRNP
Int. Med, Pulmonary Acute Care CRNP
Critical Care Advanced Protocol: CVL, Internal Jugular (10); Femoral (7) and Subclavian (3) Total of 20 procedures
9. John Mark Vermillion M.D. Carlie L. Peacock, CRNP
Surgeon, Critical Care Surgeon Family CRNP
Central Venous Line, Femoral (11) Arterial Line, Femoral (11)
10. Joseph Wu M.D. Alexandria Crumpton, CRNP
Internal Medicine Family CRNP
Orthopedic Specialty Protocol: greater trochanteric bursa (6) and knee (19)
11. Hayden Zaccagni M.D. Ashley Moellinger, CRNP
Critical Care, Pediatrics Acute Care, Pediatrics
Critical Care Specialty Protocol: removal of mediastinal chest tubes (15); removal of pacing wires (30)
Request to Train: Miscellaneous Skills
Physician CRNP
Physician Specialty CRNP Specialty
Specific Skill Request Recommendation
12. John C. Davis M.D. Laura C. Feld, CRNP
Otolaryngology Acute Care CRNP
To Train: Diagnostic Nasal Endoscopy(Flexible and Rigid)
ABME Public Agenda May 15, 2019 12
APN Miscellaneous Requests / Reports Outside Protocol Request to Train: Orthopedic Specialty Protocol
Physician CRNP
Physician Specialty CRNP Specialty
Specific Skills Recommendation
1. (13)
Lawrence J. Lemak, M.D. Rodney Huffstutler, CRNP
Orthopedic Sports Med; Orthopedic Surgery Family NP
Requesting extension of approval to train: Trigger point injections below T-12
Request: Approval of Supervised Practice
Physician CRNP
Physician Specialty CRNP Specialty
Supervised Practice for Recommendation
2. (15)
Racquel Innis-Shelton, M.D. Emily Plews, CRNP
Hematology/Int. Med AGACNP
Removal of tunneled central venous lines (10) outside one year
Request: Miscellaneous
Physician CRNP
Physician Specialty CRNP Specialty
Specific Skills/Request Recommendation
3. (20)
Staff Request Clarification regarding Orthopedic Protocol approval grid
4. (22)
W. George Rusyniak, M.D. Tracy Bartel, CRNP
Neurological Surgery Family NP
Removal of intracranial/intraventricular pressure monitor/drain Shunt interrogation and programming CSF shunt tap Removal of Halo Pin fixation
5. (41)
Priya Prabhakaran, M.D. Jeremy Jordan, CRNP
Pediatric Critical Care Pediatric Acute Care
Extension of approval to train (1 year) - Critical Care Skills- CVL insertion, IJ, Femoral and Subclavian; Arterial Line insertion, Femoral; CVL remove and replace over guide wire; removal of CVL, percutaneous and tunneled.
6. (45)
Boyde J. Harrison, M.D.
Family Practice FTE Expansion for nursing home facilities
7. (47)
Limited Protocol for Long-term Care and Skilled Nursing Home Facilities
8. (Add)
Jenna Morgan Pfleeger, M.D. Practice Waiver for Covering Physician
ABME Public Agenda May 15, 2019 13
APN Limited Purpose Special Permit Within Protocol
Physician / APN / Specialty Formulary Request Recommendation Approve Deny
1.
Jennifer Burdette, M.D. Jodi Lauren Fields, CRNP Physician Specialty: Family Medicine NP Specialty: Family NP
ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER
2.
Jennifer Burdette, M.D. Sarah Pate, CRNP Physician Specialty: Family Medicine NP Specialty: Adult NP
ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER
3. Justin Cooke, M.D. Julia Renae Jones, CRNP Physician Specialty: Family Medicine NP Specialty: Family NP
ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps
4. Harish Doppalapudi, M.D. Gloria Griffin, CRNP Physician Specialty: Cardiology/ Electrophysiology NP Specialty: Family NP
Hydrocodone Combinations Morphine Sulfate IR Oxycodone IR Fentanyl Hydromorphone Morphine LA Oxycodone LA
5. Janaki Earla, M.D. Darlene Santamour, CRNP
ADHD Medications Hydrocodone Combinations
ABME Public Agenda May 15, 2019 14
Physician / APN / Specialty Formulary Request Recommendation Approve Deny
Physician Specialty: Internal Medicine NP Specialty: Adult NP
Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol
6. Angelia Elliott , M.D. Ashley Drake, CRNP Physician Specialty: Family Medicine NP Specialty: Adult-Gerontological Acute Care NP
Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR
7. Sarah Fulghum , M.D. Aretha Mahan, CRNP Physician Specialty: Family Medicine Current Practice: VA Medical Center Geriatrics and Extended Care NP Specialty: Adult-Gerontological Primary Care NP
Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA
8. Brian Heller, M.D. Alicia Land, CRNP Physician Specialty: Medical Oncology NP Specialty: Adult-Gerontological Primary Care NP
ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER
9. Joseph R. Jones MD Skyler Sherrell CRNP Physician Specialty: Medical Oncology NP Specialty: Family NP
ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone Tapentadol ER
ABME Public Agenda May 15, 2019 15
Physician / APN / Specialty Formulary Request Recommendation Approve Deny
10. Fred McLeod MD Jennifer McLeod CRNP Physician Specialty: Otolaryngology and Sleep Medicine NP Specialty: Family NP
ADHD Medications
11. Richard Mullins Jr. MD Meaghan Baxley CRNP Physician Specialty: Surgery NP Specialty: Family NP
Hydrocodone Combinations Oxycodone IR
12. Richard Oyler MD Stanley Clayton CRNP Physician Specialty: Family Medicine NP Specialty: Family NP
Hydrocodone Combinations Hydrocodone Cough Preps
13. David Shupe DO Katherine Mann CRNP Physician Specialty: Family Medicine NP Specialty: Adult-Gerontological Acute Care NP
Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR
14. Joshua Adam Stephens DO Donna Fay Grace CRNP Physician Specialty: Psychiatry NP Specialty: Adult Psychiatric & Mental Health NP
ADHD Medications
15. Pallavi Sunkavalli MD Michelle Bevels CRNP Physician Specialty: Emergency Medicine NP Specialty: Family NP
Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR Tapentadol
16. Faizullah Syed MD Misty Maxwell CRNP Physician Specialty: Internal Medicine NP Specialty: Family NP
Hydrocodone Combinations Hydrocodone Cough Preps
17. Sara Thurgood MD Pamela Lolley CRNP Physician Specialty: Family Medicine NP Specialty: Family NP
ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps
18. Curtis Wade Turner MD Belinda Mose CRNP Physician Specialty: Pediatrics NP Specialty: Pediatric NP
ADHD Medications
19. Jeffrey Whitehurst MD Hydrocodone Combinations
ABME Public Agenda May 15, 2019 16
Physician / APN / Specialty Formulary Request Recommendation Approve Deny
Kimberly Phillips CRNP Physician Specialty: Surgery NP Specialty: Family NP
Hydrocodone Cough Preps Oxycodone IR
Expansion Requests for Existing LPSPs:
Physician / APN / Specialty Formulary Request Brief Indication Approve Deny
1. David Jon Dueland, M.D. Denise Gardner, CRNP Physician Specialty: Orthopedics NP Specialty: Family NP and Acute Care NP
Request to expand existing LPSP to include: Hydrocodone combinations Oxycodone IR
Acute orthopedic practice
APN Limited Purpose Special Permit Outside Protocol
Physician / APN / Specialty Formulary Request Brief Indication Recommendation Approve Deny
1. (1)
P. Caudill Miller, M.D. Paige Harris, CRNP Physician Specialty: Neurology CRNP Specialty: Acute Care
ADHD Medications
Majority of patients are multiple sclerosis patients
Physician Assistant Advisory Committee Physician Assistant Advisory Committee Meeting – May 14, 2019, 5:30 p.m. Joint Committee for Advanced Practice Nursing Joint Committee for Advanced Practice Nursing Meeting – May 14, 2019, 6:00 p.m. Location: Alabama Board of Nursing (SA) Minutes of the Joint Committee, March 19, 2019.
ABME Public Agenda May 15, 2019 17
PERSONNEL 1. Director of Licensure
HEARINGS (1) ABME Hearing Schedule (2) 1. Edith Helga Gubler McCreadie, M.D., Mobile - Hearing Continued (11) 2. Leonides V. Santos, M.D., Russellville Show Cause Hearing, Wednesday, May 15, 2019, 1:00 p.m.
EXECUTIVE SESSION