MINUTES, AUGUST, 1985,MEETING OF THE BOARD OF

MEDICAL EXAMINERS OF THE

STATE OF NORTH CAROL I NA

RALE IGH HILTON, RALE I GH

AUGUST 8-11, 1 985

INDEX

Adjournment

Administrative Procedures Hearing

Appiah, Augustine, M. D.

August, 1986, Meeting

Barron, Elaine Margaret, M. D.

Bennett, John Robert, M. D.

Berrios, Oswald, M. D.

Cabarrus County Health Department

Call to Order

Carlan, Susanne Stanley, M. D.

Charlotte Memorial Hospital Study Project

Charlton, Anthony Warwick, M. D.

Chiropractor (}uestion

Clinical Clerkships, Public Hearing on

Desai, Nina C. , M. D.

Disclosure of Patient/Physician Confidence

Ditmore, Harry B. , M. D.

Eastern Carolina Eye Specialists, PA

Edens, Clarence, M. D.

Eld und, Lars C. , M. D.

Election of Officers for 1985-1986

26

13

14

14

10

12

15

Emergency Medical Services, Meeting with

Emergency Medical Services Report

Energy Medicine Institute

FLEX Applicants and New Legislation

FLEX Fee for Separate Components

Form Letters

Glaser, Marilyn Knoll, M. D.

Guilford County Study Project

Hanham, Milli am, M. D.

Johnstone, Thomas K. , III, PA

Kucinski, Stefan, N. D.

Landau, Steven Edward, N. DE

Lay, William R. , III, M. D.

Levitt, Stephen, M. D. , Data Request

Licensed by Endorsement and Examination

Ludgrove, T. M. , M. D.

Magee, Archibald Carter, M. D.

Mansoor, Azra, N. D.

Martin, Howard C. , M. D.

Morton, Joseph L. , M. DE

Nurse Practitioner Subcommittee Report

Opthalmologists/Optometrists

Optometri sts' Violation of Medical Practice Act

Outer Banks Medical Center

13

14

12

10

20

10

14

18

Physician Assistant Subcommittee Report

Reinstatement of Suspended Licenses

Rigdon, Henry Lewis, M. D.

Rubi n, Richard Bennett, M. D.

15

12

Seamon, Judy, R. N. , and Johnson, Judy, RN, Letter 6

Sebel, Peter Simon, M. D.

Seghal, Pragma, M. D.

10

Self-Prescribing and Prescribing forFamily Members

Suppal, Sushir Kumal, M. D.

Sykes, John Richardson, M. D.

Thomas, John Evans, M. D.

Wailer, Louis Cli nton, M. D. 13

Call to Order

Thomas E. Fitz, M. D. , President of the Board of MedicalExaminers of the State of North Carolina, called the meeting toorder at 8:00 p. m. , Thursday, August ll, 1985. Board members

present at thi s meeting are: Jack A. Koontz, M. D. ,Secretary-Treasurer; Eben Al exander, Jr. , M. D. ; Davi d S.Citron, N. D. ; John Thomas Daniel, M. D. ; Charles H. Duckett,M. D. ; Rose Pully, N. D. ; and Nrs. Martha Kirkland Walston.

Staff members present at this meeting are: Bryant D. Paris,Jr. , Executive Secretary; Nrs. Betty Joe Barick, AssistantExec uti ve Secretary; Don Pi ttman and Wi 1 1 i am H. Breeze, Jr. ,Investigators; Kathy Burke, Administrative Secretary; and SibylLamoreaux, Secretary. .AGENDA ITEMS FOR DISCUSSION

' Violation of Medical Practice Act

The Board adopted a motion made by Dr. Koontz that the Board ofMedical Examiners refer this matter to the Attorney General forthe purpose of resolving the differences between the twoBoards. The Board adopted an additional motion made by Dr.Koontz that the Board of Medical Examiners inform the AttorneyGeneral that the Board believes the acts i n question constitutethe practice of medicine.

Administrative Procedures ~Hearin

The President of the Board of Medical Examiners, Thomas Edmunds

Fitz, M. D. , presided at this hearing held at 9:00 a.m. , Sunday,August ll, at the Raleigh Hilton, Raleigh, North Carolina. No

one appeared to speak regarding the proposed regul ationchanges: (1) to change the Board's regulations to conform tostatutory provisions of Chapter 739 of the General Assembly ofNorth Carol i na, Sessi on 1985, by: (a) increasing fees forresi dent' s training 1 i cense, 1 i cense by endorsement, and1 imi ted license; and by (b) changing regul ations regardingpostgraduate training requirements for licensure; (2) todelete the regulation regarding special limited license to work

in state mental hospital while applying for FLEX exam; and (3)to change regulations to conform both to current statutes and

to Board policy and to correct typographical errors.

The Board recommended the following amendments to the proposedregulation changes:

Page 1: hyphenate "rule-making. "

Page 2: Change "Grade A Medical Schools" to "AOA or LCME

approved medical schools. "

Page 3 (3): Insert "or. "

Page 4 .0104: add "section"

Page 4 .0105: insert "at least" before "75."

Page 5 0106: insert "of State Medical Boards" after"Federation. "

Page 5 01 11: insert "within seven years" after "Component I."

Page 6 0113: change "foreign medical graduates" in this sectionand throughout the proposed regulation changes to "graduates ofmedical schools other than those approved by the AOA or LCME.

"

Page 6 0113 last paragraph: change "foreign medical graduates"to "such graduates. "

Page 3: include in all CAPS: "BURDEN OF PROOF OF MEDICAL

EDUCATION IS ON THE APPLICANT."

Page 8, 0201: include wording added to Page 3.

Page 10, 0208: include "at least 2 x 2" before "photograph. "

Page 10, 0208: include "or the application withdrawn" after"declined. "

Page 1 1, .0209: underline "must"; include "Failure to presentthis card constitutes an incomplete application" after"interview. " Also, in the information which the Board sends toapplicants who are not citizens of the United States includethe following statement: "The application i s complete only when

the physician presents his Alien Registration Receipt Card tothe Board. "

Page ll, .0212: change "Applicants" to "Each applicant. "Add

"ever " before "been. " Delete "whether current or not. " Changelast sentence in the fi rst paragraph to: "This i nformationmust be mailed directly from other state Boards to the NorthCarolina Board of Medical Examiners. "

Page 12, .0213: As noted earlier, change "foreign medicalgraduates" to the appropriate designation.

Page 15, 0508: DPM's will appear before the full Board to bei ntervi ewed.

Page 16, 0605: Visiting Professors will appear before the fullBoard to be interviewed.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners approve the proposed changes in the rules andr egul ations as amended wi th instructions that, af tercoordinating the amended changes with the Board's attorney, thestaff file these proposed changes in accordance with theAdministrative Procedures Act and furnish this information inan appropri ate manner to appl i cants for 1 i censure.The President declared the hearing concluded at 10:10 a.m.

Public ~Hearin on Clinical Clerksbi p s

The Board adopted a motion that the staff, with all haste andas rapidly as possible, institute proceedings to hold a hearingon regulatory provisions for residents' training licenses; thatthe staff adverti se thi s hearing appropri ately; and that theBoard change its regul ations to require all applicants forresidents' training licenses who have graduated from medicalschools not approved by the AOA or the LCME to furnish evidencethat they have satisfactorily completed clinical clerkshipsrequired by their medical schools at teaching hospitals in theUnited States with residency programs in the areas of thecl inical cl er kships.

Sykes, John Richardson, M. D.

The Executive Secretary contacted the eight Board members bytelephone and Thomas E. Fitz, M. D. ; Jack A. Koontz; M. D. ;Charles H. Duckett, M. D. ; Rose Pully, M. D. ; Mrs. MarthaWalston; David S. Citron, M. D. ; Eben Alexander, M. D. ; and JohnDaniel, M. D. , voted in favor approving Dr. Sykes' applicationfor a resident's training license.

Bennett, John Robert, M. D.

The Executive Secretary contacted the eight Board members bytelephone and Thomas E. Fitz, M. D. ; Jack A. Koontz, M. D. ;Charles H. Duckett, M. D. ; Rose Pully, M. D. ; Mrs. MarthaWalston; David S. Citron, M. D. ; Eben Alexander, M. D. ; and JohnDaniel, M. D. , voted in favor of approving Dr. Bennett'sapplication for a resident's trai ni ng license.

Charlton, Warwick Anthony, M. D.

The Board adopted a motion made by Dr. Duckett that the Boardof Medical Examiners approve Dr. Charlton's postgraduatetraining and issue him a license to practice medicine in thestate of North Carolina.

Hanham, William, M. D.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners instruct its attorney to prepare a ConsentAgreement for Dr. Hanham's signature containing the followingstipul ations:

1. that he surrender his Schedule 2 and 2N prescribingpri vi1 eges;

2. that he participate in an active,structured continuing medical education program; and

3. that he take and pass Component II of FLEX by the date ofthe August, 1986, Board meeting;

Ber rios, Oswald, M. D.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners instruct its attorney to prepare a ConsentDecree for Dr. Berrios' signature containing the followingstipulations:

1. that he surrender his Schedule 2 and 2N prescribingpri vi1 eges;

2. that he participate in an active,structured continuing medical education program; and

3. that he take and pass Component II of FLEX by the date ofthe August, 1986, Board meeting;

The Board adopted a motion made by Dr. Koontz that the Board ofMedical Examiners request an opinion from the Attorney Generalconcerning this matter and that the Board inform FLEX

applicants it has requested an opinion from the AttorneyGeneral of the State of North Carolina concerni ng the effect ofthe new legislation on their applications.

Form Letters

The Board requested that the staff provide a form lettersection for Board members' notebooks'

Emergency Medical Services, ~Meetin with Representatives of

The Board of Medical Examiners adopted a motion made by Dr.Daniel that the Board approve these proposed changes with thefollowing modifications:

(1) To be certified as an MICN, an individual mustcomplete the Emergency Nurse Education Program to includeACLS and BTLS materials.

(23 EMT-Intermediate Advanced certification entitles EMS

personnel to prescribe Lydocaine, Atropine, SodiumBicarbonate, and Epinepherine.

Guilford County Study Project

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners approve this study project for a period oftwo years and strongly recommend that Guilford County alternatethe cases randomly.

Charlotte Memorial ~Hos ital Study Project

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners approve a study project using thepharyngeo-tracheal lumen airway at Charlotte Memorial Hospitalfor a period of one year with the request that the Boardreceive a report on this study project at the end of a year.

Letters to be Sent to Judy Seamon, R. N. , and Judy Johnson, R. N.

The Board adopted a motion made by Dr. Alexander that the Boardof Medical Examiners approve the proposed response to Ms.Seamon, that the Office of EMS prepare a similar response toMs. Johnson; that the letter to Ms. Seamon include a statementindicating the Office of Emergency Medical Services mailed ahearing notice to the home address of each MICN in NorthCarolina; that this letter include an additional statement tothe effect that the Board of Medical Examiners believes 39% tobe a commendable response; and that the Office of EMS furni shthe Board with a copy of the response it prepares to Ms.Johnson.

AGENDA ITEMS FOR DISCUSSION CONTINUED

~Ma ee, Archibald CarterM. D. ,

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners inform thi s physi ci an it has denied hi srequest for reinstatement of his North Carolina medical license.

Martin, Howard C. , M. D.

The Board adopted a motion made by Dr. Alexander that the Boardof Medical Examiners prefer charges against this physicianbased upon immoral and dishonorable conduct, indecent assault,and adultery.

Di tmore, Harry B. , M. D.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners send the following letter to this physician.

Information has reached this Board concerning an investigationconducted by the United States Air Force relating to yourprofessional competence. The Board of Medical Examiners'records show that you presently have a lecense to practicemedicine in this state. In order to maintain this license, itwil 1 be necessary for you to regi ster it for the bienniumbeginning in 1986.

If you wish to apply for registration, you should so indicateto the Board at this time. Upon receipt of such a request, theBoard will consider what measures to take in evaluating thisrequest.

Kucinski, Stefan, M. D.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners send the following letter to this physician.

Information has reached this Board concerning an investigationconducted by the United States Air Force relating to yourprofessional competence. The Board of Medical Examiners'records show that you presently have a lecense to practicemedicine in this state. In order to maintain this license, itwill be necessary for you to register it for the bienniumbeg i nni ng i n 1 986.

If you wish to apply for registration, you should so indicateto the Board at this time. Upon receipt of such a request, theBoard will consider what measures to take in evaluating thi srequest.AGENDA ITEMS FOR DISCUSSION CONTINUED

0 hthalmolo i sts/0 tometri sts

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners notify all licensed Ophthalmologi sts in NorthCarolina, the Ophthalmologists' Association, and the NorthCarolina Medical Society that it has come to the attention ofthe Board of Medical Examiners that there are a growing numberof situations in North Carolina in which ophthalmologi sts haveentered i nto arrangements with optometri sts whereby theoptometri sts refer to the ophthalmologi sts patients forcataract surgery and that following such surgery these patientsare then returned by the ophthalmologi sts to the care of theref erri ng optometri sts for post-operati ve care and fol 1 owing.Because i t i s the vi ew of the Board that such post-operati vecare and following con sti tutes the practice of medicine, thepractice of permitting persons who are not licensed to practicemedicine in the State of North Carolina to provide such care isspecifically disapproved by the Board.

Carlan, Susanne Stanley, M. D.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners not approve Dr. Carlan's request forlicensure reinstatement.

FLEX Fee for Separate Components

The Board adopted a motion made by Dr. Duckett that aregulation be adopted to provide, if a physician takes FLEXcomponents separately, the Board of Medical Examiners willcharge a fee of $250. 00 for Component I and a fee of $250. 00for Component II

Thomas, John Evans, N. D.

The Board adopted a motion made by Dr. Duckett that the Boardof Medical Examiners issue this physician a temporary licensefor a period of one year and that the Board request Dr. Thomasto appear for an informal interview prior to the expiration ofthi s temporary license.

Outer Banks Medical Center

The Board of Medical Examiners adopted a motion made by Dr.Citron that it approve Thomas John Byrne, M. D. , to act as aback-up supervi sing physician at the Outer Banks MedicalCenter, but that it not approve Thomas Janney Roberts, M. D. , tosupervi se medical acts performed by a physician extender atthi s practi ce site.

The Board of Medical Examiners adopted a motion made by Dr.Citron that the Board send the following letter to Dr. Buoni:

At its August, 1985, meeting, the Board of Medical Examiners ofthe State of North Carolina reviewed your letter dated June 7,1985, concerning physicians' countersigning chart entries ofnurse practitioners.

As a result of its review, the Board advises you that a nursepractitioner's chart entries documenting the performance ofnursing acts do not require countersignature by a physician;however, when a nurse practitioner performs a medical act,physician supervision is necessary and must be documented bycountersi gnature.

The Board of Medical Examiners cannot exempt you from the risksinvol ved in the supervi sion of nurse practitioners. If youhave questions about these ri sks, the Board suggests that youconsul t your attorney. If you do not wi sh to foll ow

regulations, you shoul d rel inqui sh your supervi soryresponsibility for nurse practitioners and so advise the NorthCarolina Board of Medical Examiners.

~Su al Sushir Kernel, M. D.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners initiate the proper procedures to invalidateDr. Suppal 's examination because of irregularities during theadministration of the FLEX, and that the North Carolina Boardof Medical Examiners report thi s matter to the Board of theFederation of State Medical Boards.

Mansoor, Azra, M. D,

The Board adopted a moti on made by Dr. Pul ly that, af terconsul ting wi th i ts attorney, the Board of Medical Exami nersinform Dr. Mansoor that the Board does not have the authorityto reimburse her for travel expenses.

Barren, Elaine ~Mar aret, M. D.

The Board adopted a motion made by Dr. Duckett that the Boardof Medical Examiners notify Dr. Barron that her medicaleducation does not meed the Board's requirements.

Ekelund, Lars C. , M. D.

The Board adopted a motion made by Dr. Pully that the Boardissue Dr. Ekelund a license limited to the University of NorthCarolina and Duke University Medical Center and hospitalsaffiliated with these institutions.

Desai, Mina C. , M. D.

The Board adopted a motion made by Dr. Alexander that the Boardinform this physician she needs to complete two additionalyears of postgraduate training to be eligible for licensure.

Levitt, ~Ste hen, M. D. , Data ~Re uest

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners not approve this request.

August, 1986, ~Meetin

The Board adopted a motion that the Board hold this meeting atthe Raleigh Hilton beginning August 7, 1985.

~Ener y Medicine Institute

The Board adopted a motion made by Dr. Pully that the Board ofMedical Examiners refer information concerning this instituteto the Attorney General.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners advi se Dr. Chri stensen, before the NorthCarolina Board of Medical Examiners can make a decision on therequest for approval of a corporate name, it must know thegeographical location of this practice. The Board also adopteda motion made by Dr. Citron that the Board of Medical Examinersfurther advise Dr. Christensen, upon receipt of additionalinformation, the Board will act upon his request.

Lay, William R. , III, M. D.

The Board adopted a motion that the Board of Medical Examinersapprove the issuance of a resident's training license to Dr.Lay for a peri od of one year and that the Board of MedicalExaminers request a letter from the Chairman of the Departmentof Psychiatry prior to the expiration of this temporary license.

Sebel, Peter Simon, M. D.

The full Board interviewed this physician and issued him avisiting professor's certificate of registration.

~Lud roveT. M, . , M. O.

The full Board i ntervi ewed thi s physi c i an and i ssued him avisiting professor's certificate of registration.

Serehal, ~Pr a ma, M. D.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners not approve Dr. Sehgal 's application prior tothis physician's taking and passing FLEX.

~i&idon, Henry Lewis, M. D.

Dr . Dani el inter vi ewed thi s physic i an who has appl i ed forlicense by endorsement of credentials. He stated that he is arecovering alcoholic. Dr. Rigdon told the Board that he plansto work at the Charlotte Treatment Center. He stated that he

has abstained from alcohol for almost four years. "There weretimes I took drugs when I could not get alcohol. " Dr. Rigdonstated he became addicted to narcotics in 1955 and went fortreatment in 1959. He indicated that he became an alcoholic atsixty-three and that he is now seventy-two. Dr. Citron askedDr. Rigdon if he realized that his work at Charlotte TreatmentCenter will be emotionally demanding. Dr. Rigdon responded, "Iwant to pass my serenity

one�

"

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners issue Dr. Rigdon a temporary license for aperiod of one year limited to the practice of medici ne withinthe Charlotte Treatment Center; and that the Board request him

to appear prior to the expiration of this temporary, limitedlicense.

Rubin, Richard Bennett, M. D.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners issue this physician a temporary license fora peri od of two years until Regi strati on in 1988, to expireFebruary 1, 1988, at which time he should contact the Board ifhe wishes to extend his licensure.

Glaser, Marilyn Knoll, M. D.

The Board adopted a motion that it issue Dr. Glaser a two yeartemporary license; that the Board advise her to request Dr.Clark and Dr. Bullen to provide progress reports during thistwo year period; that the Board i nform Dr. Glaser it is herresponsibility to request licensure extension; and that, if shedoes so, the Board interview Dr. Glaser prior to the expi rationof this temporary license.

12

Landau, Steven Edward, M. D.

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners issue Dr. Landau a temporary license for aperi od of two years and that it interview him prior to theexpiration of this temporary license.

Edens, Clarence, M. D.

The Board adopted a motion made by Dr. Koontz that the Board ofMedical Examiners not reinstate Dr. Edens' license. Mrs.Walston added that the Board has not taken this action becauseof his controlled substance prescribing in the past but becauseit believes evidence exists which indicates Dr. Edens cannotcurrently practice medicine with reasonable skill and safety topatients.

Reinstatement of Licenses ~Sus ended for Failure to ~Re i ster

The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners reinstate the 1 icenses of the fol lowingphysicians:

l. Eugene Alman Moore, M. D.Suspended 6/10/84

67th Evan Hosp. WurzburgReinstated 6/10/85 $35.00

APO ¹09801

2. Wilson Pedrick Smith, Jr. , M. D.Suspended 6/1 0/84

Route 1 Box 132-AReinstated 6/21/85 $35.00

Roebuck, SC 29376

3. Charles Wayne Plummer, M. D.Suspended 6/10/84

50 E. Main StreetReinstated 7/17/85

Suite 111Thomasvi lie, NC 27360

4. James Leonard Biesecker, M. D.Suspended 6/10/84

Skagit Valley LaboratoriesReinstated 8/05/85

1310 E. Division StreetMt. Vernon, WA 98273

5. Donald Palmer White, Jr.Never registered

Route 2 - Box 174JReinstated 8/5/85

Highlands, NC 28741

13

6. Charles Dwight HedgepethSuspended 6/15/82

1701 Walker AvenueReinstated 7/23/85

Greensboro, NC 27403

7. John Scott Miller, Jr.Suspended 6/15/82

Director - Medical ServicesReinstated 7/1/85

US Naval HospitalFPO San Francisco, CA 96652

8. Patrick Joseph BreenSuspended 6//10/85

106 York StreetReinstated 7/22/85

York, Maine 03309

9. Donna Risk ShepsSuspended 6/10/85

715 Fraser StreetReinstated 7/8/85

~Ap iah, Augustine, M. D.

The Board adopted a motion made by Dr. Duckett that the Boardof Medical Examiners institute the proper procedures to preferformal charges agai nst Dr. Appiah, that it so advise Him inwriting, and that it further advise him the Board will hold ahearing on the charges preferred agai nst him.

Wailer, Louis Clinton, M. D.

The Board adopted a motion made by Dr. Fitz that the Board ofMedical Examiners i nstitute the proper procedures to prefercharges agai nst Dr. Wailer, that it so notify this physician inwriting, and that it further notify Dr. Wailer the Board ofMedical Examiners will hold a hearing on the charges preferredagainst him. The Board also adopted a motion made by Dr. Fitzthat the hearing be held in Asheville, if possible; and thatthe basis for the charges be immoral conduct, aiding andabetting a known addict, unprofessional conduct, andprescribing controlled substances for no medical indication.

Emergency Medical Services Report

Dr. Daniel presented this report.

e oar

The Board adopted a motion made by Dr. Daniel that it approvethe twenty-five EMT-P applications submitted.

by the Board

The Board adopted a motion made by Dr. Daniel that the Boardapprove the seventy-four EMT-I applications submitted.

The Board adopted a motion made by Dr. Daniel that it approvethe twenty-two MICN applications submitted.

Bee ~Stin Certifications ~Aroved by the Board

The Board adopted a motion made by Dr. Dani el that the Board ofMedical Examiners approve the 335 Bee Sting Certificationappl i cati ons submi tted. The Board al so i ndi cated that Dr.Daniel and the Office of EMS may process these applications.The Board adopted a motion made by Dr. Citron that the Board ofMedical Examiners write a letter to Dr. Frazier requesting thathe provide the Board with anecdotal statistics documenting thebenefits of the "Bee Sting" legislation.

Routine LetterFamily Members

Dr. Koontz i nstructed that the Board omit the word "defi ni te"from this letter.

Morton, ~Jose h L. , Si. b.

The Board adopted a motion made by Dr. Fitz that the Board ofMedical Examiners extend his temporary license for one year.

Johnstone, Thomas K, III, PA

The Board adopted a motion made by Dr. Citron that the Board'sattorney prepare a Consent Order with a reprimand for Mr.Johnstone's signature.

Disclosure of Patient/Physician Confidence

The President indicated that the Board declines to make astatement concerning this matter.

(}uestion

The Board adopted a motion made by Dr. Koontz that theExecutive Secretary and Attorney for the Board appropriatelycommunicate a statement indicating that a chiropractor may callhimself by whatever title he wishes so long as he does notviolate North Carolina General Statute 90-18.

15

Election of Officers for 1985 - 1986

The Board elected by acclamation Jack A. Koontz, M. D. s

President, and Charles H. Duckett, M. D. , Secretary-Treasurer.

Physician Assistant Subcommittee ~Re ort

Mrs. Walston presented this report to the Board.

A. Applications approved by the Board:

1. BRUNO, AudreyJohn Burkart, M. D. Walston

Winston-Salem

2. CAMPBELL, Katharine K.William E. Mitchell, M. D.

Bryson City

3. CLARK, Terry GenePaul R. G. Cunningham, M. D.

Greenville

4. CUTLER, Robert BurwellJohn Findley Barr, M. D.

Cleveland (2nd job)

5. EMERSON, Linda SueRobert H. Peter, M. D.

Durham

6. FREEMAN, Wayne E.Fred T ~ Owens, M. D.

Hickory

7. BRUNO, Craig GeorgeCharles W. Scarantino, M. D.

Greenville

8. FLYNN, Michael O.Richard R. Rawl, M. D.

Greenvi 1 1 e

9. McMORROW, Carol D.Martha J. Bennett, M. D.

Durham

10. JONES, Melinda D.Victor W. Bustard, M. D.

New Bern/Trenton

ll. STAMPER, Elmer F. e Jr.Telezee L. Foster, M. D.

Gastonia/Belmont

16

12. WALDES, Deborah L.Howard L. Armi stead, Jr. , M. D.

Wi lmi ngton (2nd job)

13. WATSON, Ann SheffieldKenneth G. Morris, M. D.

Durham

14. ZIMMERMAN, DianeGeorge Maughan, M. D.

Prospect Hill

15. BRUNO, Craig G.Charles W. Scarantino, M. D.

GreenvilleB. Applications approved by the Board if and when complete:

l. ANDERSON, Timothy RayDonald B. Recce, II, M. D.

Atlantic Beach Morehead City

2. HILL, Thomas RobertsKip L. Larson, M. D.

Mt. Airy/Winston-SalemMt. Airy

3. HUGHES, Charles E.George N. Boyer, M. D.

Morganton Morganton

4. KELLY, Charles R.Donald R. Schulte, M. D.

Pinehurst (2nd job)Pi nehurst (2nd primary MD)

5. KELLY, Charles R.John R. Lina, M. D.Pinehurst (3rd job)Pinehurst (3rd primary MD

6. NICHOLS, James C. , IIIE. Wilson Staub, M. D.

Pinehurst Pinehurst

7. NICHOLS, James C. , IIIJohn R. Lina, M. D.Pinehurst (2nd job)Pinehurst (2nd primary MD)

8. MELTON, Brenda C.William Francis Finn, M. D.

Chapel Hill Chapel Hill

17

Administrative ~Aroval s of Physician Assistants

Changes in primary supervising physicians:

2.

3.

4.

Physician Assistant

MORE, Bruce A. , PA

Wi 1 1 i amston

JOHNSON, Jimmy E. , PA

Stovall

MATTOX, Thomas K. , PA

Ashevi 1 1 e

HERNANDEZ, Jose E. , PA

Asheville

New Primary Physician

Carl Thomas Dover, Jr. ,M. D.Williamston

Samuel Stucker Weir, M. D.Stovall

Kenneth K ~ Hoelscher, M. DE

Ashevi 1 1 e

Kenneth K. Hoel scher, M. D.Asheville

~Aroved

5/3/85

5/20/85

5/22/85

5/22/85

5. GILBOY, Joseph E. , PA

Whi tevi 1 1 eDavid Garces, M. D.Whi tevi 1 1 e

5/22/85

6.

7.

8.

9.

10.

WAGONER, Sarah H. , PA

Nags Head

HALLOWELL, John Francis, PA

Gastoni a

STOWE, Jasper Carl, I I I, PA

Gastonia

ALEXANDER, Lovest T. , PA

Durham

JOHNSON, Adrena E. , PA

Durham

McCOY, Susan Westphal, PA

Durham

Thomas C. Camp, M. D.Nags Head

Robert J. Ladd, M. D.Gastoni a

Robert J ~ Ladd, M. D.Gastonia

Linda Frazier, M. D.Durham

Linda Frazier, M. D.Durham

Martha J. Bennett, M. D.Durham

5/24/85

5/29/85

5/29/85

5/31/85

5/31/85

6/4/85

12. WALKER, Michael Dale, PA

Winston-Salem

13. HARKNESS, Gale Lynn, PA

Winston-Salem

14. HEMSATH, Robert Neal, PA

Skyland

15. RICHARDSON, Lorenzo Nie PA

Morganton

16 ' DONNELLY, William J. , III, PA

Atlantic Beach

Jacob A. Orbock, M. D.Winston-Salem

Robert Bloomfield, M. D.Winston-Salem

Ronald L. Plemmons, M. D.Skyl and

Arthur R. Basel, M. D.Morganton

Donald B. Recce, II, M. D.Morehead City

6/11/85

6/11/85

6/14/85

6/20/85

6/6/85

18

Ph sician Assistant New Primary Phy si c i a n ~Aroved

17 ~ SMITH, June Durell, PA

SalisburyMal colm Parada, M. D.Sal i sbury

6/24/85

18. WESTBROOK, James Edgar, PA

El ki n

Christopher W. Groner, N. D. 7/1/85El kin

19.

20.

21.

22.

BARDEN, Lucy Pinson, PA

Greensboro

STOVALL, Vanessa Miller, PA

Goldsboro

LOONEY, Glenn R , PA

Goldsboro

MARSHALL, Barbara J. , PA

Ashevi 1 1 e

Dale Dreiling, M. D.Greensboro

John A. Fisher, N. D.Goldsboro

John A. Fisher, M. D.Goldsboro

Charles R. Shields, M. D.Ashevi 1 1 e

7/8/85

7/9/85

7/9/85

7/11/85

23. COLE, Spencer Herbert, PA

AshevilleWilliam Hampton Bowers, N. D. 7/15/85Ashevi 1 1 e

24.

25.

26.

27.

28.

29.

INGLE, Carolyn Collins, PA

Winston-Salem

SCUDDER, David Allyn, PA

Winston-Salem

DALY, Leila A. , PA

Durham

ESTES, Craig Norman, PA

Fayettevi 1 1 e

NATTINGLY, Daniel E. , PA

Durham

KELLY, Charles Rse Jr. , PA

Pinehurst

Kimball Johnson, M. D.Winston-Salem

Tad W. Lowdermilk, M. D.Winston-Salem

Paul E. Klotman, N. D.Durham

David B. Narcotte, N. D.Fayettevi lie

James Finch, M. D.Durham

John L. Monroe, N. D.Pinehurst

7/1 5/85

7/15/85

7/15/85

7/17/85

8/1/85

7/17/85

Nurse Practitioner Subcommittee ~Re ort

NURSE PRACTITIONER APPLICATIONS APPROVED BY THE BOARD

Nurse Practitioner Primary Physician

19

2.

3.

4

5.

6.

7.

8.

9.

10.

BEASLEY, Teresa Haggard, FNP

Collettsville

BLACKBURN, Linda Diane, FNP

Waynesvi lie

COLLINS, Deloris Bull, FNP

Asheboro

KEITH, Ernestine Mann, FNP

Raleigh

KENYEAR, Stephanye Ann, FNP

New Bern

LINDER, Ann Allsbrook, FNP

Beulahvi lie

MERKEL, Thomas Edward, FNP

Raleigh

PHILLIPS, Sara Johnson, FNP

Wi lmi ng ton

ROWE, Janice Faye Hall, FNP

Lenoi r

SUMNER, Paula Joan, FNP

Morri svi1 le

VAN HOOSE, Alice Pinnell, OGNP

Loui sburg

David Lee Abernathy, M. D.Lenoi r

Robert S. Roberson, M. D.Waynesvi 1 1 e

Hugh Fitzpatrick, M. D.Jamestown

Harry Fagan, M. D.Ral ei gh

Joseph Peterson Rowlett, M. D.New Bern

Carl Daniel Pate, Jr. , M. D.Beulahvi lie

Edwin Scott Thomas, M. D.Cary

Siew-Jyu Wong, M. D.Wilmington

John Henry Bowen, M. D.Lenoir

Richard Dale Wilson, M. D.Raleigh

Allen Page Killam, M. D.Durham

REQUESTS FOR EXTENSION OF DUTIES APPROVED:

KISER, Nancy G. , FNP

CarthageDouglas E. Lam, M AD.

Southern Pines

PRIMARY SUPERVISING PHYSICIAN CHANGE REVIEWED AND APPROVED:

ROYAL, Ann S. , PNP

Fayettevi 1 1 eRobert L. Young, Jr. , M. D.Lumberton

ADMINISTRATIVE APPROVALS OF NURSE PRACTITIONERS

A. Changes in primary supervising physicians:

Nurse Practitioner New Primary Physician

1. BARNARD, Perla P. , FNP

4/25/85Williamston

Abdul A. Mogazi, M. D.

Williamston

20

2. DANIELS, Nona Jeanette, FNP

5/2/85Rocky Mount

3. JOHNSON, Kathryn Schmidt, FNP

5/20/85Stovall

4. SEVERNS, Catherine F. , FNP

5/20/85Durham

5. THOMPSON, Laura Teague, FNP

6/26/85Burlington

6. GULDEN, Jane Wywrot, FNP

6/27/85N. Wilkesboro

7. RUPP, Sharon Lynn, OGNP

7/1/85Durham

8. MARTIN, Charlene, GNP

7/1/85Madison

9. HELMS, Shirley E. , FNP

7/5/85Durham

10. GIBBS, Vernelle 8 ' , FPNP

7/10/85Whi tevi 1 1 e

ll. HAMBRIGHT, Mary Shaw, OGNP

7/15/85Laurinburg

12. STROUD, Susan J. , FNP

7/25/85Oak City

Licensed by Endorsement and Examination

MANJEET KAUR ACHREJA

ROBERT EDWIN ALBRIGHT, JR.DAVID EMMIT ALLIETHOMAS JAMES ANDREWS

KEVIN CHARLES ANGERT

CHRIS NICK ANGGELISCONNIE LEE PETETT ANGGELIS

Lester David Nave, Jr. , M. D.

Rocky Mount

Samuel S. Weir, M. D.

Stovall

Howard J. Ei senson, M. D.

Durham

Constance A. Kincius, M. D.

Burlington

Jeffrey M. Deric k, M. D.

N. Wilkesboro

John Francis Steege, M. D.

Durham

Mohammad S. Anwar, M. D.

Eden

Keith A. Frey, M. D.

Durham

Robert H. Holbrook, M. D.

Whi tevi 1 1 e

Murdock McKeithen, M. D.

Lauri nburg

Ernest E. Martin, Jr. , M. D.

Oak City

21

MICHAEL LAWRENCE ASSEVERO

ALFRED SANTIAGO AUCAR

RICHARD GEORGE AZIZKHAN

ROBERT GWATHMEY BADGETT

RAVI KANT BAJAJROLLAND JOHN BARRETT, IIJERRY LYNN BARRON

JEFFREY HOWARD BAYBICK

WILLIAM OSGOOD BELLRAYE LYNN BELLINGERSIDNEY JOSEPH BENNETT

JOSEPH ELLIOTT BENSON, JR.FRANK ARTHUR BETCHART

EROL MARTIN BEYTASPATTE JAYNE BISHOPRICHARD THOMAS BOISDAVID SCOTT BORISLOWWILLIAM DAVID BOWERS

THOMAS ALBERT BRANDON

MARK MOSSMAN BRASSFIELDWILLIAM FRASER BREMNER

DOUGLAS EARL BRICKERRANDALL JAMES BRILEYTERRY MICHAEL BROWN

GEORGE MINSON BULLARD, JR.PATRICK JOSEPH BURKE

PHILIP DOUGLAS BURTON

JOHN FAUNTLEROY BUTTERWORTH IVGRAHAM VANCE BYRUM, JR.DIANE JANE CAMPBELL

SAMUEL WILLIAM CAPRA, JR.FREDERICK JAMES CARPENTER, JR.WILLIAM CURTIS CARR

ANTHONY GLENN CARRAWAY

SAMUEL JOSEPH CASELLAALFRED RICHARD CATENACCI

STEVEN FREDRICK CHAPMAN

NANCY JEAN CHAREST

WARWICK ANTONY CHARLTON

DOUGLAS WINSTON CLARK

HOWARD JAY COHEN

WILLIAM LORD COLEMAN

MARIA RAVELLI CONSTIENEUGENE CARLO CONTI

DAVID OWEN COOK

DANIEL LEWIS COX

AMY RUTH CSORBA

22

CYNTHIA KAY DAVISJEFFREY EARL DAVISJOHN BLEVINS DAVISWHITNEY KENT DAVISCHARLIESE MAXWELL DEAN

JOSEPH CARL DELL'ARIAJAMES MICHAEL DE MESA

RUSSELL FOSTER DE VORE, IIIDONALD EVERETT DE WITT

DONALD CLARK DONAHUE

GWENDOLYN ELIZABETH DOTTS

LUCY MCMASTER BIDDLE DOWNEY

LARS-GORAN CHRISTIAN EKELUND

HOPE ELIZABETH ELIOTTIMOTHY JOE EMERSON

REED ALAN ERICKSONMARC DAVID FELDMAN

JAMES THOMAS FINK, JR.JEREMY PHILLIP FINKLEMICHAEL RAY FORD

ARTHUR SEARLE FOREMAN, JR.ARTHUR EDWARD FRANKEL

RAY MICHAEL FREEMAN

CHARLES JOSEPH GAINOR

JERROLD T. GALE

GREGORY CHARLES GARDNER

LEE ANN GEKAS

RICHARD GELLAR

MARTHA SUSAN GERRITYDENNIS MICHAEL GETTELFINGER

WILLIAM LARRY GLUCK

DAVID STANTON GOLDBERG

NATHAN PAUL GOLDIN

DOUGLAS LEE GOLLEHON

LEONCIO GUSTAVO GONZALEZ

JOHN WINFRED GRAVES

CHARMAINE DELORES GRAY

ANTHONY NEAL GREGORY

CARLOS FIACRO HAAS-WESTON

AMOS EARL HADDOCK

JOAN ELIZABETH HAMBLIN

MARK BENJAMIN HAMNER

HELEN EASTER HARMON

SCOTT BENNETT HARTER

PAUL ROBERT HARTMANN

JOSEPH PATRICK HATEM

EDWARD LEE HAWKINS

JAMES WAYNARD HAYESCHARLES NATHANIEL HEGGENRICHARD CLARK HENDERSON

ALAN LEE HINDERLITERMATHIEU LANE HINZEPHILLIP FRANKLIN HOFFERJAMES DAVID HOLT

23

AGNES HORVATH

KAREN MARIE HUNDEMER

DAVID GEORGE IKEEDWARD CLAIBORNE IRBY, JR.KIM LUISE ISAACSPAUL GARRETT ISRAELDENNIS WAYNE JACKSFREDERICK PETER JAECKLEINDAVID EDWARD JOHNSON

JOHN WILLIAM JOHNSON

JOY MOORING JOHNSON

LILLY MARIE GARDNER JOHNSON

RICHARD BAILEY JOHNSON

STEPHEN GEORGE JUSTUSCHRISTEEN SAMAI KAGA

PETER WOLFE KAPLAN

HANS GORAN KARLSSON

JULIAN FAISON KEITH, I IITED STEVEN KELLERSHANNON CELESTE KENNEY

THOMAS CHARLES KEYSERLINGROGER KHALIL KHOURI

HARRY JAY KICHERERKURT LEWIS KLINEPETERARTHUR GORDON KLOSEMARY ELLEN KNIFFINMARCIA ANNE KOOMEN

JEFFREY ALLEN KOPP

MAURICE KOBLA KPEGLO

VIRGINIA BYERS KRAUS

WILLIAM ERLE KRAUS

KAROLYN SUE KRUGER

CARY JAKE LAMBERT, JR.BERNADETTE MARIE LANGE

DEAN EDWARD LAP INELLAWRENCE ALBERT LEAKE

VUN ING LEONG

MELVIN DAVID LEVINELAWRENCE MAX LINETTMARK LINZERRICHARD FRANK LOESER, JR.VICKI E WEST LOVIN

BARBARA GAIL MACIK

THOMAS WILBUR MADDOX

PETER JOSEPH MANNON

JOHN CAMPBELL MARTIN

HERMAN BENNO MARX

ERIC WAYNE MASON

KIM JAMES MASTERSJEFFREY ALAN MATSONHUITT EVERETT MATTOX, IIIJOHN DAVID MAUNEY, IIIJACQUELINE JOAN MAUS

RANDALL LEE MCALLISTER

24

WILLIAM VAUGHN MCCALL

DAVID HUGHES MCCORD

THOMAS PATRICK MCMAHON

JAMES WILLIAM MCNABB

JEANNINE MARIE MEECE

HRAIR-GEORGE OHANNES MESROBIAN

CATHERINE HICKS MESSICKWILLIAM JOSEPH MESSICKPATRICIA LOUISE MIDDLETON

FABIAN MATTHEW MIHELICMARY IRENE MILLERMICHAEL PAUL MILLIGAN

JOHN LAWRENCE MINARD

ROBERT EDGAR MITCHELL, IIIJEFFERY JAMES MOLEDOR

ELLEN MOONEY

ROBERT ALEXANDER MOORE, IIIDEXTER L. MORRISPAMELA BOWE MORRIS

ANDRE ALBERT MUELENAER, JR.PENELOPE ANN MUELENAER

DAVID WALTER NELSON

HOWARD WILSON NEWELL, JR.DAVID HAROLD NEWMAN

ERIC DOUGLAS NEWMAN

SANDRA JO NEWTON

CHRISTOPHER CHEUK-HO NG

KEITH CAMERON NICHOLSFRANK RICHARD NOODLEMAN

RACHEL ANN NUNN

JAMES JOSEPH ONORATO

JEFFRY ORDOVER

CHARLTON NORMAN OWENSBY

PARIKSHIT PUSHPENDRA PANDYA

WILLIAM MARSHALL PARKS

WILLIAM JONATHAN PARSONS

LARRY HOWARD PASTOR

ERWIN MAURICE PATLAK

PAUL ZLATKO PAVLOVIC

JOSEPH MINTER PAYNE, JR.HUGH ANDREW PENNINGTON

LENIN JOSEPH PETERSGEORGE BURDETTE PIERSONBARRY OSCAR PINKUS

DAVID MARK POORBAUGH

LANCE DEWITT POTOCKIJAMES HENRY PRIDGEN

RONALD EDWARD PRUITTSUSAN JOYNER PRUITTTHOMAS JACKSON PULLIAMALAN WESLEY PURVISJULIE ANN QUAKENBUSH

MILTON BARRY RANDALL

VERNA GAIL RAY

25

ROBERT ALEXANDER READE, JR.GARY DEAN REYNOLDS

ALFRED LEONARD RHYNE, IIIDOUGLAS SPENCER RICHARDS

LEE ANN ROBERTSHAROLD THEODORE RODENBIKER, JRSTEPHEN ERNEST ROGERSCHESTER PALMOUR ROLLINSGREGORY WAYNE ROSSWILLIAM WESTEL ROWE

RONNIE HARRY RUFF

MACK THOMAS RUFFIN, IVNATALIE DEE RUSSO

RICHARD GIBRAN SALEEBY, JR.ROBERT ARDEL SAMMONS, JR.STEPHEN BRIAN SANDERS

WILLIAM EARL SANDERSON

DAVID CHESTER SANE

DAVID LUTHER SAPPENFIELDSTEPHEN CLAYTON SARISPAUL WILLIAM SASSERCARL JAMES SCHARF

STEPHEN BALL SCHEIBNERDAVID JOHN SCH IF EL I NG

MICHAEL PHILIP SCHNEIDERPAUL ALBERT SCHNEIDER

SUSAN SCHOOLEY

JAMES JOSEPH SCHULTE

RONALD ALAN SCOTTMARK WADE SCROGGS

BRIAN ANDREW SEEMAN

DAVID WAYNE SEIGNIOUSCLIVE HAMILTON SELLROBERT SEEDLOCK SEXTON

CAROLYN SEYMORE

JAYA Y. C. SHANKAR

ROBERT GENE SHELLMAN

WILLIAM BRUCE SHINGLETON

HOKE HAROLD SHIRLEY, I I IJAMES DAVID SIDMAN

JOSEPH DANIEL SIEFKERSTEVEN MORRIS SILVERAVTAR SINGHPHILIP JOHN SMERASKI

DAVID ALDEN SMITHEDDIE LOUIS SMITH

ERIC PETER SMITHMICHAEL LEE SMITH

PHILIP ARDEN SNELLDAVID KEITH SNYDERSIMONE SHULAMITH SOMMER

WILLIAM WOEHLING SPANGLER

CHARLES STEENBERGEN, JR.JOHN PHILIP STELLA

26

RANDLE HENRY STORM

MYRON SCOTT STRICKLAND

CLAIRE STROKERRICHARD CLARK STUNTZ, JR.STEVEN KARL SUSSMAN

MANUEL ELLIS TANCER

DENNY COOK TATE

KAMLESH BABUBHAI THAKER

JANE L.H. C. THIRD

CHAD RANDAL THOMPSON

GEORGE MICHAEL TOSKY

ARCHIE ALEXANDER TYSON, JR.JOSEPH ALAN UTZ

GERALD C. VANDEN BOSCH

TIMOTHY LEE VANDERSLICEJAMES LUTHER VAN DYKE

ALBERT ALEXANDER VERRILLI, IIIVINCENT EUGENE VOCI

STEPHANIE LYNN WAIN

ROBERT ALAN WAINER

TONY LEE WALDEN

ROLF BOLIN WALL IN

CLARK GERARD WARDEN

CHARLES SAM WEHBIE

ARMISTEAD LANDON WELLFORD, IVKARL CONRAD WENNER

JOHN MARCUS WHARTON

DAVID ARTHUR HADLEY WHITEMAN

DANIEL BAXTER WHITESIDESGREGORY JAMES WIENER

SAMUEL HABECKER WIESTROBERT EARL WIGGINS, JR.JAMES SPENCER WILKINSON, JR.DANIEL WALTER WILLIAMS, IIIJAMES MATTHEWS WILLIAMS

LARRY THOMAS WILLIAMS

ROBERT MAC LEARN WILLIAMSWILLIAM CAMERON WILLIAMS

SUSAN ANN KIDWELL WILLIFORDGUYTON JOEL WINKER

PHYLLIS MCGEE WOODRING

JEFFREY WARREN WRIGHT

ELIZABETH LANE YORK

MICHAEL NAKHLEH ZARZAR

DAVID ZINKE

Adjournment

As the Board of Medical Examiners had no further business toconsider at this meeting, the President declared the meetingadjourned at 12:55 p. m. , August ll, 1985.

27

AROLINA

JAK:BDPjr:s0064S