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MINUTES OF THE MEETING OF THE BOARD OF MED ICAL EXAMINERS OF THE STATE OF NORTH CAROL INA DECEMBER 1-4, 1 985 RALE I GH HILTON, RALE IGH

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MINUTES OF

THE MEETING OF THE BOARD

OF MED ICAL

EXAMINERS OF THE STATE

OF NORTH CAROL INA

DECEMBER 1-4, 1 985

RALE I GH HILTON, RALE IGH

INDEX

AdjournmentAiken, George Stephen, M. D.Amphetamines, ResolutionAnderson, James D. , M. D.Appiah, Augustine, M. D.Barnes, James Allan, M. D.Barrett, Deborah, Nurse PractitionerBoard Members, Newly AppointedBranly, Louis Phillip, M. D.Bravy, Stan Boris, M. D.Brewer, Thomas Edmund, M. D.Bri nton, Lewis Floyd, M. D.Call to OrderCampbell, John Duane, M. DE

Cromer, William Browning, M AD.

DeHaven, Harry E. , Jr. , M. D.Documentation and Signatures on EMS FormsDuffy, Eileen Teresa, M. D.Emergency Medical Services ReportFederation NominationsFoote, Charles Pennock, M. DE

Ginsberg, Brian, M. D.Gl atz, Frank Robert Jr. , M. D.Guess, George Albert, M. D.Holderness, Howard, Jr. , M. D.Johnstone, Thomas, III, PA

Joint Committee on Midwifery ReportJune, 1985, MinutesKay, Burns Wen-Fun, M. D.Legislation, Proposed DisciplinaryLeonhardt, Hannah, M. D.Lester, Allan John, M. D.Licensed by Endorsement and ExaminationMICN RegulationsMagee, Archibald Carter, M. D.McConvi lie, Robert H. , Jr. , M. D.Monder, Chet Singh, M. D.Nurse Practitioner Joint Subcommittee ReportOB/Gyn Representatives to JC on MidwiferyPeisel, Francis James Jr. , M. D.Perkerson, Ralph Benton, M. D.Phoenix -"Chiropractic Orthopedist"Physician Assistant Subcommittee ReportRatcliffe, Robert Richard, III, M. D.

21582

142019

213141010

212

6141813171513

512

7884

1813

9201415

8ll8

134566

1426

Recce, Donald Brooks, N. D.Rein statementsRetainer for 1986 Fiscal YearRoutine (}uestionsShaf tner, Kimberly K. , M. D.Sonek, Mojmir George, m. D.Spi vey, Davi d Lee, N. D ~

Spivey, David Lee, M. D.Thompson, G. R. C. , M. D.Verwoerdt, Adriaan, M. D.Wallace, Raymond Dewey, Jr. , M. D.Wolk, Michael L. , N. D.Woodside, Jack, M. D.

1917151910

2020

71020

720

MINUTES

Call to Order

Jack A. Koontz, M. D. , President of the Board of MedicalExaminers of the State of North Carolina, called this meetingto order at the Raleigh Hilton at 8:00 p. m. , December 1, 1985.Board members present incl uded: Charl es H. Duckett, M. D. ,Secretary; Eben Alexander, Jr. , M. D. ; Davi d S. Ci tron, M. D. ;John Thomas Daniel, Jr. , M ~ D. ; Thomas Edmunds Fi tz, M. D. ;Harold L. Godwin, M. D. ; and Mrs. Martha Kirkland Walston.

Staff members present included: Bryant D. Pari s, Jr. ,Executi ve Secretary; Betty Joe Barick, Assi stant ExecutiveSecretary; Don Pittman and William H. Breeze, Jr. ,Investigators; Kathy Burke, Administrative Secretary; and SibylLamoreaux, Secretary.

Newly ~A ointed Board Members

The Executi ve Secretary reported to the Board of MedicalExaminers that Charles Howard Duckett, M. D. , and Harold LacyGodwin, M. D. , have been confirmed by the Governor and havereceived the proper credentialling to be members of the Boardof Medical Examiners of the State of North Carolina.

AGENDA ITEMS FOR DISCUSSION

Anderson, James D. , M. D.

The Board of Medical Examiners unanimously adopted a motionmade by Dr. Fitz and seconded by Dr. Koontz that the Boardinstruct its Attorney to devise a Consent Order indicating thatDr. Anderson has unknowingly violated the law and hassubsequently agreed not to perform in-office pregnancytermi nations'

Physician Assistant Subcommittee ~Re ort

Mrs. Wal ston, Chairperson of thi s Subcommittee, presented areport to the full Board.

PA APPLICATIONS APPROVED BY THE BOARD:

l.2.3.45.6.

CAFFREY, Bri an

CLARK, Katherine M.CORNWALL, Richard O.FERGUSON, TanyaJORDAN, John PaulRINEHULS, Davi d L.

Wendell F. Rosse, M. D.Jeffrey Kent Russell, M. D.David Stephen Nelson, M. D.Vieta Bland, M. D.Alice M. Inouye, M. D.Salvatore J. Pelligra, M. D.

The Board directed that a letter be sent along with the Statementof Approval reminding a primary supervising physician that a physician in agraduatemedical education si tuation, whether fully licensed or holding onlya resident' s trai ni ng license, is not permitted to supervise physicianassistants.

7. SASH, Cindy Ann

8. WALCH, Anne Germai neFrancis T. Thomas, M. D.Howard J. Eisenson, M. D.

ADMINISTRATIVE APPROVALS OF PHYSICIAN ASSISTANTS APPROVED BY THE BOARD:

A. Changes in primary supervising physicians:

Physician Assistant

1. MOONEY, E. Diane, PA

B. Additional practice sites approved:

Physician Assistant

1. FERRIS, Joan E. , PA

Andrews

Additional Site:

2. KAUFFMAN, Gary D. , PA

Andrews

Additional Site:

New Primary Physician

Michael S. Garrison, M. D.

Primary Physician

Floyd E. Blalock, M. D.Andrews

Murphy Medical Center ER

Murphy

Floyd E. Blalock, M. D.Andrews

Murphy Medical Center ER

Murphy

~Aroved

11/13/85

~Aroved

10/22/85

10/22/85

3. MARCUS, Carolyn H. , PA

Winston-Salem

Additional Site:

Mercedes M. de Rivers, M. DE 11/13/85Winston-Salem

Adult Outpatient ClinicForsyth County Mental Health CenterWinston-Salem

4. KINLEY, Arnold W. , PA

Parkton

Additional Site:

Kenneth E. Locklear, M. D.Parkton

Southeastern General HospitalLumberton

11/19/85

Joi nt Commi ttee on Mi dwi f cry Report

Dr. Ci tron Presented thi s Report to the ful 1 Boar d. He statedthat, in the future, there will be two reviewers for eachapplication: one OB/Gyn representative and one Nurse Midwiferyrepresentati ve who wi 1 1 summari ze their recommendations pri orto action by the Joint Committee on Midwifery.

Dr. Ci tron al so reported that El i zabeth Dickson, CNM, wi1 1

serve as President and Huitt Mattox, Jr. , M. D. , will serve asVice-President of this Joint Committee which has agreed to meetagain in June, 1986.

Nurse Practitioner Joint Subcommittee ~Re ort

Dr . Ci tron, Chairman of thi s Joint Subcommi ttee, presented areport to the Board.

NP APPLICATIONS APPROVED BY THE BOARD:

l.2.3.4.5.6.7.9

GLOVER, Barbara R. , FNP

VAUGHAN-KEENER, Leli a, FNP

JONES, Linda W. , FNP

RANDALL, Nancy Jane, FNP

McCLEARY, Winifred S. , FNP

LANG, Jennifer M ~ , FNP

PARRIS, Sharon C. , FNP

GORECKI, Jean A. , FNP

John S. Howie, M. D.John S. Howi e, M. D.Henry V. Vick, M. D.Robert C. Crawford, M. D.Albert R. Hartness, M. DE

Walter J. Pories, M. D.Carol Diane Navsky, M. D.James E. McGrath, M. D.

NP APPLICATION APPROVED IF AND WHEN:

1. BOWMAN, Kathryn June, FNP Christian J. Lambertsen, M. D.

NP APPLICATION FOR WHICH CONSIDERATION WAS DELAYED:

l. EBERT, Cynthia H. , FNP Joyce A. Copeland, M. D.

NURSE PRACTITIONER TRAINING PROGRAMS APPROVED BY THE BOARD:

1. California State University at Long Beach, Department of Nursing,Adult Nurse Pr acti ti oner Program. (Reviewers: Dr. Citron, ElaineMartin, RN, of Joint Subcommittee. )

2. Georgia Southern College, Department of Nursing, Family NursePractitioner Program, Statesboro, Georgia. (Reviewers: Dr.Citron, Olga Hoski ns, RN, of Joint Subcommittee. )

ADMINISTRATIVE APPROVALS APPROVED BY THE BOARD:

A. Changes in primary supervising physicians approved:

Nurse Practitioner

1. MORRIS, Nancy W. , FNP

Pinetops

B. Additional practice sites approved:

NP/MD

New Primary Physician

Steven S. Leblang, M. D.Pinetops

New Site

~Aroved

10/21/85

1. REDDING, William, FNP

James G. Jones, M. D.

2. YOW, Robert Neal, FNP

James G. Jones, M. D.

2 Greenvi lie nursi ng homes

2 Greenville nursing homes

11/19/85

11/19/85

OB/Gyn to the Joint Committee on Midwifery

The Board unanimously adopted a motion made by Dr. Citron and seconded byDr. Duckett that the Board of Medical Examiners write letters to each ofthese physicians thanki ng them for thei r participation, asking if onewould be willing to serve for two additional years and if the other wouldbe willing to serve for another three years, and informing them that theseadditional terms would be subject to renewal should the physicians wish toserve again. Dr. Duckett commented that the Joint Committee on Midwiferymay wi sh to di scuss the terms of the physician members of thi s JointCommittee at its meeting in December.

AGENDA ITEMS FOR DISCUSSION CONTINUED

Aiken, George ~Ste ben, M. O.

Dr. Alexander reported that Dr. Aiken completed the FLEX examination andfailed to obtain a passing score. The Board unanimously adopted a motionmade by Dr. Citron and seconded by Dr. Daniel that the Board of MedicalExaminers not approve Dr. Aiken's request for additional time to completea FLEX examination; that the Board so inform Dr. Aiken; and that the Boardfurther inform this physician, if there is additional information which hewi shes the Board to consi der and i f he provi des thi s addi ti onal materi al,the Board of Medical Examiners may reconsider his request.

~Ginsber, Brian M. O.

The Board unanimously adopted a motion made by Dr. Duckett andseconded by Dr. Alexander that the Board of Medical Examinersaccept Dr. Ginsberg's graduate medical training as adequate formeeting the requi rements in thi s state and permit him to beinterviewed for licensure.

Cromer, Milliam ~Brownin , M. D.

The Board unanimously adopted a motion made by Dr. Duckett andseconded by Mrs. Wal ston that the Board of Medical Examinersapprove a request from Dr. Cromer to work at a "Willie M" typefacility in Kinston.

Peisel, Francis James Jr. , N. D.

The Board reviewed a letter from Dr. Pei sel stating his reasonfor not providing the Board with a current psychiatric report.The Board unanimously adopted a motion made by Dr. Fitz andseconded by Dr. Duckett that the Board of Medical Examinersaccept thi s 1 etter from Dr. Pei sel as i nformati on; and that i trequest thi s physi ci an to provi de the Board wi th wri ttencurrent status reports from the Vi rg i ni a Board of Medi calExaminers, from the Virgini a Impaired Professional s Progr am,and from his personal physician Tom Douglas, N. D. , specificallyregarding Dr. Pei sel 's psychiatric treatment. The Boardunanimously adopted a further motion made by Dr. Fitz andseconded by Dr. Duckett that the Board advise Dr. Peisel, if hewi shes to practice in North Carolina, to notify the Board ofMedical Examiners prior to engaging in such practice, in orderthat the Board may request thi s physi ci an to appear for ani nformal i ntervi ew.

Perkerson, ~Ral h Benton, M. D.

The Board unanimously adopted a motion made by Mrs. Walston andseconded by Dr. Citron that the Board accept a report from theGeorgia Board as information and that it require Dr. Perkersonto appear for an informal interview prior to entering thepractice of medicine in North Carolina.

Ratcliffe, Robert Richard, III, N. D.

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Fitz that the Board of Medical Examinerscontinue to monitor this physician under the provisions of thesuspension of Dr e Ratcliffe's licensure revocation; that theBoard not require Dr. Ratcli ffe to remain in therapy for fiveyears unless the treating psychiatrist decides that this periodof therapy i s necessary; and that the Board of MedicalExaminers interview Dr. Ratcliffe at its August, 1986 meeting.

Wolk, Michael L. , M. D.

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Godwi n that the Board i nform Dr. Wolk it hasdismissed all charges preferred against him and that it furtherinform Dr. Wolk he has a license to practice medicine in thi sstate without encumberances of any kind.

~Tham soo, G. R. C. , M. D.

The Board unanimously adopted a motion made by Dr. Duckett andseconded by Dr. Citron that the Board of Medical Examinersaccept notification of Dr. Thompson's retirement as information.

HEARINGS

Guess, ~Geor e Albert, M. D.

The Board of Medical Examiners of the State of North Carolinaheld a Continuation Hearing on charges preferred against GeorgeAlbert Guess, M. D. , at 1:OO p. m. , Monday December 2, 1985, atthe Raleigh Hilton, Raleigh, North Carolina. Dr. Godwi n didnot participate. Both George Albert Guess, M. D ~ , and hisattorney attended this Continuation Hearing.

At the conclusion of thi s Conti nuation Hearing, the Board ofMedical Examiners of the State of North Carolina, on the basisof six affirmative votes and one abstention, found that Dr.Guess' utilization of certain preparations known generally as"homeopathic medicines" in his practice of medicine departsfrom and does not conform to the standards of acceptable andprevailing medical practice in this state; and concluded thatthe utilization of certai n preparations known generally as"homeopathic medicines" constitutes unprofessional conductwithin the meaning of N. C.G.S. 90-14(a) (6).

The Board of Medical Examiners ordered that the license issuedby the Board to Dr. Guess be revoked effective fi ve days fromthe date the President of the Board of Medical Examiners signsthi s Order and that the revocation be stayed for a temporaryperi od of three years, after which such stay of revocationshall become permanent provided that:

1. Dr. Guess refrains from the use in his practice of medicineof certain preparations known generally as "homeopathicmedicines";

2. Dr. Guess conducts his practice of medicine in accordancewith the standards of acceptable and prevailing medicalpractice in North Carolina;

3. Dr. Guess continues to be of high moral character; and

4. Dr. Guess violates no state or federal laws.

AGENDA ITEMS CONTINUED

Johnstone, Thomas, III, PA

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Daniel that it accept as information a reportindicating the Board of Medical Examiners has received a signedConsent Order from Thomas Johnstone, III, PA; Paul A. Mabe,Jr. , M. D. ; and Angus G. McGinni s, M. D.

The Board of Medical Examiners unanimously adopted a motionmade by Dr. Citron and seconded by Dr. Alexander that the Boardaccept an opinion from the Attorney General concerning theseregulations as information.

, North Carolina Medical Society Resolution on

The Board of Medical Examiners unanimously adopted a motionmade by Dr. Duckett and seconded by Dr. Godwin that the Boardaccept this Resolution as information and include it in afuture "Board Bulletin. "

l. From Robert H. McConvi lie, Jr. , M. D. , P.A. , to Sandhi llsFamily Practice and Obstetrics, P.A.

The Board unanimously adopted a motion made by Dr. Citronand seconded by Dr. Duckett that the Board of MedicalExaminers not approve this requested name change as itis confusing. Dr. Citron commented that, if Dr. McConvilleis in Family Practice, the Obstetrics i s redundant; and, ifthere is a change to Sandhills Family Practice, P.A. , thi sname could be confused with Sandhi lls Family HealthCenter, P.A.

Change

2. From Howard Holderness, Jr. , M. D. , P.A. , to North CarolinaPlastic Surgery Center, P.A.

The Board unanimously adopted a motion made by Dr. Citronand seconded by Mrs. Walston that the Board of MedicalExaminers allow the Executive Secretary to approve thisproposed name change provided the corporation i s notin the same county as Carolina Plastic SurgerySpecialists, P.A.

Functions

By consensus, the Board agreed to support proposed legislativechanges which would provide for:

a. six year staggered terms of office in existenceprior to changes made by the Sunset Commission

b. investigators' reviewing prescriptions withoutsubpoenas

c. broader authority in subpoena power

d. final judgement of felony conviction, unless the Boardorders otherwise, to result in automatic revocation oflicensure

e. substitution of "may be" instead of "shallbe" reinstated

g.

authorizing the Board to assess fines andrecover costs pending Dr. Citron' s report to the Boardon Federation Committee's recommendations regarding thisissue

authorizing the Board to require restitution of fees topatients when such fees are excessive.

LICENSE BY ENDORSEMENT INTERVIEWS

Sonek, Mojmi r George, M. D.

The Board unanimously adopted a motion made by Dr. Fitz andseconded by Dr. Duckett that the Board of Medical Examinersissue Dr. Sonek a temporary license for a period of two yearsand that it advise him, if he wishes to retain licensure inNorth Carolina, he must appear before the Board prior to theexpiration of this temporary license.

Brinton, Lewis Floyd, M. D.

The Board accepted Dr. Fitz's recommendation that the Board ofMedical Examiners prefer charges against Lewis Floyd Brinton,M. D. ; that it so notify him in writing; and that the Boardfurther notify Dr. Brinton it will hold a Hearing on thecharges preferred against him. Dr. Fitz stated that the basisof these charges i s 90-14 (a) (1): immoral, di shonest, andunethical conduct. He recommended that this Hearing be held assoon as possible — preferably in Charlotte.

Shaftner, Kimberly K. , M. D.

The Board accepted a recommendation made by Mrs. Walston thatthe Board of Medical Examiners prefer charges against KimberlyK. Shaf tner, M. D. ; that i t so noti fy him in wri ting; and thatit further notify him the Board will hold a hearing on thecharges preferred against him. Mrs. Wal ston stated that thebasis of these charges is 90-14 (1) (5): inability to practicemedicine with reasonable skill and safety to patients and drugabuse.

Brewer, Thomas Edmund, M. D.

The Board accepted a recommendation from Dr. Koontz that aninvestigator determine whether the Winston-Salem PoliceDepartment has completed its investigation and, if so, that theBoard prefer charges against Brewer; that it so notify him inwriting; and that it further notify Dr. Brewer that the Boardwill hold a hearing on the charges preferred against him. Dr.Koontz stated that the basis for these charges should beCocaine Possession Dr. Duckett will preside at the Hearing.

Verwoerdt, Adri aan, M. D.

The Board of Medical Examiners of the State of North Carolinaheld a Hearing on charges preferred against Dr. Verwoerdt at1:00 p. m. , Tuesday, December 3, 1985, at the Raleigh Hilton,Raleigh, North Carolina. Dr. Verwoerdt attended this Hearingwith his attorney.

At the conc 1 usi on of the Hearing, the Board of Medi calExaminers of the State of North Carolina unanimously adopted amotion that it finds over the course of time during which Dr.Verwoerdt had a physician-patient relationship with a female heal so developed, encouraged, and failed to discourage anon-professional personal relationship with this individual, toinclude numerous instances of sexual relations with her; thatthe patient al so encouraged and fail ed to di scourage anon-professional personal relationship with Dr. Verwoerdt andwas a non-objecting participant in sexual relations with thisphysician; but that Dr. Verwoerdt did not represent or intend

that the sexual relationship between himself and this femalewas a part of any professional medical services or advice herendered to her.

The Board of Medical Examiners further concludes that thenon-professional personal sexual relationship between Dr.Verwoerdt and this female constitutes dishonorable andunprofessional conduct on his part and orders that Dr.Verwoerdt's license to practice medicine in NorthCarolina be revoked effective ten days after receipt of theOrder by Dr. Verwoerdt.

However, the Board also orders that such revocation shall besuspended after an active period of ninety days with Dr.Verwoerdt's being on probation for a period of five yearsduring which time he shall violate no state or federal laws;shal 1 abi de stri ctly by the ethical precepts of the medicalprofession in general and of his special ty of psychiatry inparticular; shall continue his periodic monitoring as requiredby the decision of the Ethics Committee of the North CarolinaNeuropsychiatric Association; and shall provide the Board withan annual report from the individual conducting suchmonitoring. During thi s period of probation, shoul d Dr.Verwoerdt fail to abide by any of the conditions of probation,the Board may vacate the suspension of the revocation of hislicense to practice medicine in North Carolina following noticeand a further hearing.

Magee, Archibald Carter, M. D.

At the request of Dr. Magee, the Board of Medical Examiners ofthe State of North Carolina held a Hearing at 3:00 p. m. ,December 2, 1985, at the Raleigh Hilton. Dr. Magee and hisattorney appeared at this Hearing.

At the conclusion of the Hearing, the Board unanimously adopteda motion that it finds:

1. The Board automatically suspended Dr. Magee's license byvirtue of his adjudication of mentalincompetency and involuntary commitment;

2. Dr. Magee was involved in a shoot-out with Wayne CountySheriff's deputies who were attempting to serve awarrant upon him in connection with his having fireda shotgun at a nei ghbor;

3. Dr. Magee, although he has undergone treatment for hissubstance abuse and presently appears to be abuse-free,has a lengthy history of substance abuse:including amphetamines, barbiturates, and alcohol;

4. Dr. Magee has not regularly practiced medicine fora considerable length of time and is not current ineither his medical knowledge or clinical skill;

5. Evidence shows that Dr. Fleury, even though hetestified that, in his opinion, reinstatement ofDr. Magee's license to practice medicine would bereasonable, has seen Dr. Magee on only twooccasions, has not taken a longitidunal history ofDr. Magee, and was essentially unaware of Dr. Magee'slengthy history of antisocial behavior;

6. Dr. Magee appears to suffer from a chronic personalitydisorder which renders him unfit for the practiceof medicine;

7. Dr. Magee has not carried his burden of satisfying theBoard of his current qualifications for licensure topractice medicine in North Carolina.

Based on these findings, the Board of Medical Examinersconcludes that grounds exist to deny issuance of a license topractice medicine to Dr. Magee and orders that his request forreinstatement of a license to practice medicine in NorthCarolina be denied.

Glatz, Frank Robert Jr. , M. D.

The Board accepted Dr. Fitz's recommendation to prefer chargesagainst Frank Robert Glatz, Jree M. D. , to so notify him inwri ting, and to further notify Dr. Glatz that the Boar d willhold a hearing on the charges preferred against him. Dr. Fitzstated that the basis for these charges is 90-14 (a) (1) and(6), sexual misconduct. He further stated that this Hearingshould be scheduled during a meeting in Winston-Salem.

~Cata bell, John Duane, M. D.

The Board accepted a recommendation made by Dr. Duckett thatthe Board of Medical Examiners prefer charges against JohnDuane Campbell, N. D. , that i t so noti fy him in wri ting, andthat the Board further notify Dr. Campbell it will hold ahearing on the charges preferred against him. Dr. Duckettstated that the basis for these charges is licensure revocationin Florida because of unethical practice.

Kay, Burns Wen-Fun, N. D.

The Board unanimously adopted a motion made by Dr. Duckett andseconded by Dr. Godwin that the Board of Medical Examiners notapprove Dr. Kay's licensure application.

Duffy, Eileen Teresa, M. D.

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Duckett that the Board of Medical Examinersissue Dr. Duffy a two year temporary license limited toBroughton Hospital, renewable, should no difficulties affectinglicensure occur during this two year period, upon review of herrequest by the Board wi thout the necessi ty of a personalinterview.

Mender, Chat ~Sin h, M. D.

The Board unanimously adopted a motion made by Dr. Godwin andseconded by Dr. Duckett that Dr. Monder does not meet thestatutory requirement of three years approved graduate medicaleducation.

Foote, Charles Pennock, N. D.

The Board unanimously adopted a motion made by Dr. Fitz andseconded by Dr. Duckett that the Board of Medical Examiners notapprove Dr. Foote's application for licensure; that the Boardinform him in writing of its deci sion; and that the Boardfurther inform Dr. Foote that the Board of Medical Examinershas based this decision on 90-14 (a) (3), willfully concealingfrom the Board information concerning a licensure application.

Branly, Louis ~Philli , M. D.

The President instructed that the Board of Medical Examinersobtain a complete medical report from the Medical College ofVirginia; a copy of Dr. Branly's discharge summary from WalterReed Hospi tal; a copy, i f avail abl e, of the acti on of themi 1 i tary medical eval uati on board, to include a copy of hi smedical di scharge; and documentation of sleep apnea and

narcolepsy. The Presi dent instructed that he, Mrs. Wal ston,and Mr. Paris review this information and recommend appropriateaction. The President also stated that, if and when thissubcommittee recommends temporary licensure, the full Board ofMedical Examiners act upon this recommendation.

Bra vy, Stan Bori s, M. D.

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Duckett that, upon verification of completionof three years of graduate medical training in the UnitedStates, the Board of Medical Examiners will reconsider Dr.Bravy' s application. The Board unanimously adopted a furthermotion made by Dr. Ci tron and seconded by Dr. Duckett that,should Dr. Bravy provide this verification, he must answer theroutine questions again but will not need to have anotherpersonal interview.

Lester, Allan John, M. D.

Dr. Lester Surrendered his license to practice medicine inNorth Carolina on December 3, 1985.

Phoenix - "

The Board unanimously adopted a motion made by Dr. Fitz andseconded by Dr. Duckett that the Board of Medical Examinersrefer this advertisement to the Attorney General and to theConsumer Protection Division si nce it indicates the practice ofmedicine, represents false advertising since there are no"Board qualified Chiropractic Orthopaedists, " and misleads thepublic since "Orthopaedic" refers to surgery.

DeHaven, Harry E. , Jr. , M. D.

The Board accepted Dr. Koontz's recommendation that the Boardof Medical Examiners institute the proper procedures to prefercharges agai nst Dr. DeHaven; that it so notify him in writing;and that the Board further notify this physician it will hold ahearing on the charges preferred agai nst him. Dr . Koontzindicated that the basis for these charges is licensurerevocation in California, 90-14 (13).

~Aiah, ~Au ustine, M. D.

The Board agreed by common consent to instruct its attorney todevise a Consent Order stating that Dr. Appiah agrees to meetwith the Board of Medical Examiners prior to entering medicalpractice in this state; that he agrees to his license beingsuspended and the suspension stayed for a period of five yearsprovided he remains of good moral character during thi s timeperiod and violates no state or federal laws; and that, if Dr.Appiah refuses to agree to these conditions, the Board willproceed with the charges preferred against this physician.

AGENDA CONTINUED

Retainer for 1986 Fiscal Year

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Duckett that the Board of Medical Examinersapprove this proposed retainer and express its appreciation toMr. Weddington.

Federation Nominations

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Daniel that Dr. Duckett be the North CarolinaBoard of Medical Examiners' nominee to the FLEX Board. Dr.Ci tron wi shed to support Mr. Pari s as Executi ve Secretarynominee to the Board. Mr. Paris expressed his appreciation butindicated his inability to accept. The Board discussed askingDr. Alexander if he would accept a nomination.

License by Endorsement and Examination ~A roved by the Board

KAMAL FALTAS ABADIRJOHN KENNETH APPELBAUM

JAYANT HARIDAS BARAI

ALESSANDRO BARCHIESICRAIG RANDALL BENNETT

JAN BERNHISEL-BROADBENTRICHARD FREDERICK BRAILEYPAUL ALEXANDER BREZICKIJOHN MARK BROWN

MICHAEL OSBORNE BROWN

BRENT ALAN BURNETT

NEIL JAMES CLENDENINN

LARRY LEE CONRAD

JOHN CHARLES CONTE

MARY HELD CORNISH

GARNET ROY CRADDOCK, JR.WILLIAM AUGUSTINE DE LACEY

VASANT NAROTTAM DOSHIZEV ELIASWILSON JOSEPH FERGUSON, JR.JOSEPH ANTHONY FERNANDEZ

RICHARD FLORY FERNANDEZ

JOHN WILLIAM GARRETT

LINDA CAROL GLAUBITZWINSTON YUVAWN GODWIN, JR.RICKI FRIEDMAN GOLDSTEINTHOMAS JOHN GRESALFIALI EKREM HAAS

DAVID NYE HAVLIN

JAMES ALAN HAZLEHURST

JOHN PRESTON HENDRICK

CARROLL NORMAN HESSLILLIAN RAE HORNE

MARY PATRICIA HOWSON

DELBERT GENE HUELSKOETTER

PETER ALLEN HUMPHREY

JULIA ANNE TATUM HUNTER

VERDA JOSEPHINE HUNTER

MARIA EUGENIA IRUELADONALD JAMES JACOBSYDNEY JOY JAFFEDAVID RANDALL JOHNSON

JOSEPH SHAW JONESROY STEVEN JONESTHOMAS EDGAR JORDAN

MARK G. KAUFMANN

CLARENCE BURTON KEPPLERSTEPHEN HOWARD KOUBA

JAMES JOSEPH LA POLLA

STEVEN NATHAN LICHTMAN

GERALD ANTHONY MACCIOLI

WALTER FRANCIS MARCHLEWSKI JR'L ISA GAYLE MARSHALL

JOHN GARY MAXWELL

DONALD LEE MCALEXANDER

DOUG! AS ARTHUR MCDOWELL

ROBERT JOHN MCMAHON

AILEEN HERITAGE MILLERCLORINDE WATSON MILLERRENE BARBARA MINZ

JONATHAN BEN MORRISMERRI BETH MORRISSALLY NEWTON MORROW

ALEXANDER VANCE MURRAY

ALAN MILTON NICHOLS

JAMES MEREDITH NOEL, JR.HUGH NEAL NORTHCUTT

WILLIAM RUSSELL OLIVERHOWARD OZER, JR.RONALD EVERETT PEACOCK

JOSE LUIS PEREZROSS BRIAN POLLACK

KEVIN RANDALL PORTERALTHEA JEFFERS RAMSEUR

KRISHNAIAH RAYASAM

JOHN PERCIVAL REASONER, JR.VERA ANNETTE REAVES

RANDA INEZ REITMAN

DANIEL CARL RENDLEMAN

Reinstatements

DAVID ROBINSON

ARAN SAFIRJEFFREY JAY SCHMIDT

BERNARD MICHAEL SMITHGEORGE ROBERT SMITHTHOMAS RAYFORD SPRUILLTHOMAS DALE TATEHERBERT ARTHUR TOPPERGAYLE KATHLEEN TRIPLETTNALLUR HALAPPA VISHWANATH

BRADFORD BLAIR WALTERS

MICHAEL FORRESTER WARREN

WILLIAM ALLEN WHITE

SUSIE YIN-PENG WONG

DEBRA JANE WRIGHT

SALLY LAWSON CARPENTER

JAMES THADDEUS COIN

RICK JAY CORNELLA

GARY CHRISTOPHER JONESDEEPA KHUSHALANI KHIANEY

COSME Y. MANZARBEITIA

The Board unanimously adopted a motion made by Dr. Fitz andseconded by Dr. Citron that the Board of Medical Examinersreinstate the licenses of the following physicians:

1. John Russell Hoverman, M. D.800 East 30th Street - Suite 206Austin, TX 78703

2. Anna Maria A. Kupszyk, M. D.PO Box 011691Miami, FL 33101

3. Kuther V. Shankar, M. D.7800 Cloughy CircleIdlewild SouthCharlotte, NC 28212

4. Hal Harris McNair, M. D.3536 Interlachen DriveAugusta, GA 30917

5. Allen Hoyt Moore, Jr. , M. D.1710 Ed Carey DriveHarli ngen, TX 78550

Emer&mency Medical Services Report

Suspended 6/10/85Reinstated ll/7/85

Suspended 6/10/85Reinstated 10/21/85

Suspended 6/10/85Reinstated 10/17/85

Suspended 6/13/72Reinstated 10/18/85

Suspended 6/15/85Reinstated 11/20/85

Dr. Daniel, Board Liaison to the Office of Emergency MedicalServices, presented a report to the full Board.

by the Board

The Board unanimously adopted a motion made by Dr. Daniel andseconded by Dr. Citron that it approve 7 ENT-I applications.

The Board unanimously adopted a motion made by Dr. Daniel andseconded by Dr. Citron that it approve 10 MICN applications.

the Board

The Board unanimously adopted a motion made by Dr. Daniel andseconded by Dr. Citron that it approve 12 EMT-P applications.

Bee Stinq Certifications

The Board unanimously adopted a motion made by Dr. Daniel andseconded by Dr. Ci tron that i t approve 245 Bee Sti ngCerti f i cati ons.

MICN Rea royal Requirements

The Board unanimously adopted a motion made by Dr. Daniel andseconded by Dr. Duckett that the Board of Medical Examinersallow NI CN' s to be reappr oved through March, 1986, i n

accordance with the previous requirements.

The Board unanimously adopted a motion made by Dr. Daniel andseconded by Dr. Duckett that Medical Directors and/or PhysicianLiaisons may perform documentation functions and sign EMS forms.

June, 1985, Minutes

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Alexander that the Board of Medical Examinersapprove the June, 1985, Minutes.

Routine guestions

The Board requested Mr. Pari s and Bill Breeze to revi se thewording on the r outi ne questions, parti cul arly thoseconcerning controlled substances and alcohol to reflect thefollowing concerns:

l. Answer honestly.

2. Don't judge the questions.

3. Do you use Marijuana at the present time?

4. Have alcohol and/or controlled substances, to includeMarijuana, caused problems at any time inyour life?

Barrett, Deborah, Nurse Practitioner

The Board unanimously accepted the President's recommendationthat the Board of Medical Examiners approve this nursepractitioner to perform medical acts under a primarysupervising physician and at a site requested in herapplication.

3. The Board members attending the Medical Society Meetingin Asheville during May will function as the Board ofMedical Examiners. As it has routinely done in thepast, the staff should handle reservations.Dr. Alexander suggested that, as usual, the Board shouldmeet with the Deans during this meeting.

4. The June, 1986, meeting will be held at the Velvet Cloakand will begin Friday night with dinner.

5. The August, 1986, meeting will be held at Greylandsin Winston-Salem; Dr. Alexander has arranged for sixteenrooms. This meeting will begin with a dinner meetingand the Board also discussed beginning earlier toaccommodate additional hearings.

6. The October, 1986, meeting will be held at the Green Parkin Blowing Rock.

The Board instructed the staff to make these arrangements assoon as possibl e and to furnish the members with revi sedmeeting schedules.

Recce, Donald Brooks, M. D.

Dr. Recce attended this meeting and discussed his understandingof a Consent Order which he signed.

20

Wallace, Raymond Dewey, Jr. , M. D.

The Board unanimously adopted motion made by Mrs. Walston andseconded by Dr. Duckett that:

the Board request Dr. Wallace to surrender his Schedule 2 and2N prescribing privileges;

the Board continue to monitor his practice activities;

the Board schedul e another informal i ntervi ew wi th thi sphysician;

the Board discuss proper record-keeping procedures with thisDr. Wallace;

the Board inform Dr. Wallace he should pursue learning modulesin pharmotherapeutics;

the Board inform Dr. Wallace that he must take and successfullypass Component II of FLEX in June, 1986;

Woodside, Jack, M. D.

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Duckett that the Board of Medical Examinersobtain a Consent Order stating Dr. Woodside will abide by thestipulations of the Virginia Board of Medical Examiners'Consent Order and further stating any failure to comply will beconsidered by the Board of Medical Examiners of the State ofNorth Carolina, at which time it will take the same action asthe Virginia Board.

Barnes, James Allan, M. D.

The Board unanimously accepted Mrs. Walston's recommendation toobtain specific information from the West Virginia Board forher review prior to writing a letter to Dr. Barnes stating thatthe Board is aware of the action taken by the West VirginiaBoard and requesting him to appear for an informal interviewprior to engaging in the practice of medicine in North Carolina.

Spivey, David Lee, M. D.

The Board unanimously adopted a motion made by Dr. Citron andseconded by Dr. Duckett that the Board issue him a temporarylicense for one year.

Leonhardt, Hannah, M. D.

The Board unanimously adopted a motion made by Mrs. Walston andseconded by Dr. Fitz that the Board request Dr. Leonhardt

to surrender her license; that it issue her a temporary 1 i censefor a period of three years 1 imi ted to the practice ofPathology at facilities with approved Pathology laboratories;that the Board prepare a Consent Order based on the sameconditions as those stipulated by the Virginia Board; and thatthe Board interview Dr. Leonhardt to re-evaluate her licensurestatus prior to the expiration of this temporary license.

Adjournment

As the Board of Medical Examiners had no further business toconsider, the President declared the meeting adjournedWednesday afternoon, December, 4, 1985.

BOARD OF MEDICAL EXAMINERS OF THE STATE OF NORTH

CAROLINA

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