MINUTES OF THE

BOARD OF MEDICAL EXAMINERS

OF THE STATE OF NORTH CAROLINA

Sheraton HighwoodsRaleigh, North Carolina

November 27-December 2, 1981

The Board of Medical Examiners of the State of North Carolina met at theSheraton Highwoods, Raleigh, North Carolina, November 27-December 2,1981, for the purpose of interviewing applicants for license by endorse-ment of credentials and other business.

Joyce H. Reynolds, M. D. , President; Bruce B. Blackmon, M. D. , Secretary;Thomas Edmunds Fitz, M. D. ; Louis Todd Kermon, M. D. ; Jack A. Koontz,M. D. , A. T. Pagter, Jr. , M. D. ; and Frank Noble Sullivan, M. D. , were pre-sent. Also present were Bryant D. Paris, Jr. , Executive Secretary; Ms.Betty Joe Barick, Assistant Executive Secretary; Lee A. Denney, Investi-gator; Don Pittman, Investigator, Sibyl Lamoreaux, Secretary; and KathyBurke, Administrative Secretary.

Friday, November 27, 19818:00 p. m.

Physician Assistant Applications

Physician Assistant Applications Approved by the Board

J. H. McCallum, Jr. , M. D. , Greenville, NC — Bridget Roxanne Taylor, PA

Earl J. Epps, Jr. , M. D. , Charlotte, NC - Esther Mae Vaughn, PA

Edward B. Crosby, M. D. , Asheville, NC — Ronald W. LaVallee, PA

Francis X. Fallon, M. D. , Dunn, NC — James L. Mountcastle, PA

E. Jackson Allison, Jr. , M. D. , Greenville, NC — James Dennis Blessing, PA

Physician Assistant Follow-up Applications Approved b the Board

Gregg Warshaw, M. D. , Durham, NC — James Carney Irion, PA

Physician Assistant Follow-up Applications Approved by the Board with Sti ulations

Basil Delta, M. D. , Charlotte, NC - Karl Dean Blankenship, PA

Physician Assistant Applications Ap roved by the Board with Stipulations

Michael A. Kutcher, M. D. , Winston-Salem, NC — Laura Leigh Elliott, PA

Donald A. Dewhurst, M. D. , Franklin, NC — Alice Watters Dewhurst, PA

Physician Assistant Applications Approved by the Board if and whenCertain Credentials are Submitted or Certain Conditions are Met

R. Randall Bollinger, M. D. , Durham, NC — Brenda C. Melton, PA

Leo Vocalan, M. D. , Goldsboro, NC - David M. Hinds, PA

James T. Best, M. D. , Sea Level, NC — William James Donnelly, III, PA

Physician Assistant Requests for Extension of Duties Acce ted as Information

James S. Forrester, M. D. , Gastonia, NC — Gary Richard Reynolds, PA

Physician Assistant Re uests for Extension of Duties Approved by theBoard if and when Certain Credentials are Submitted or Certain Conditionsare Met

J. H. Peedin, M. D. , Burgaw, NC — Shirley G. Smith, PA

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Physician Assistant Requests for Extension of Duties Not Approved by the Board

C. Tate Holbrook, I I I, M. D. , Greenvi 1 le, NC — Linda Lee Willis, PA

John T. Lancaster, M. D. , Rockingham, NC — Robert C. Mi 1 ls, PA

Request for Change in Primary Supervising Ph sician Onl Approved with

David E. Denekas, M. D. , Swan Quarter, NC — Sandra E. Cantrell, PA

Physician Assistant Changes in Primary Supervisin Physicians Only Approvedby the Board

Michael W. Knoelke, M. D. — Wallace Burton Moncrief, PA

David L. Hoeppner, M. D. — Luther Wayne Freas, PA

David L. Hoeppner, M. D. — Paul E. Stout, PA

Nurse Practitioners Joint Subcommittee Report

Dr. Kermon reported on the Joint Subcommittee meeting

Nurse Practitioner Applications for which the Joint SubcommitteeRecommended Approval

James R. Markello, M. D. , Greenville, NC — Carol Gordon Cox, NP

W. R. Turlington, M. D. , Jacksonville, NC — Alisa Davidson, NP

I rvin Bonnin, M. D. , Gastonia, NC — Jenne C rutchley, NP

Ralph Kramer, M. D. , Siler City, NC — Maureen Darcey, NP

Arthur Chesson, M. D. , Wilmington, NC — Brenda Potter, NP

Richard Spencer, M. D. , Winston-Salem, NC — Vicky Surratt, NP

Hugh Derby, M. D. , Burlington, NC — Laura Thompson, NP

Frank C. Sheldon, M. D. , Washington, NC — Janet Rhem Mercer, NP

Nurse Practitioner Re uests for Extension of Duties for which the Joint SubcommitteeRecommended Approval

James S. Forrester,James S. Forrester,James S. Forrester,Anne McLaurin, M. D.

M. D. , Gastonia, NC — Joyce L. Nixon, NP

M. D. , Gastonia, NC — Jacqueline R. Burr, NP

M. D. , Gastonia, NC — Wanda Kaye Clark, NP

Raleigh, NC — Lois MacDonald, NP

Nurse Practitioner Applications which the Joint Subcommittee Recommendedbe Approved if and when Certain Credentials are Submitted or CertainConditions are Met

James McCallum, M. D. , Greenville, NC — Cynthia McCloskey, NP

Nurse Practitioner Applications which the Joint Subcommittee Recommendednot be Approved

Robert Hagberg, M. D. , Robbinsville, NC — Jane Barwick, NP

Nurse Practitioner Follow-up Applications which the Joint SubcommitteeRecommended be Approved if and when Certain Credentials are Submittedor Certain Conditions are Met

Gary T. Mutch, D. O. , Madison, NC — Carol Miller Alala, R. N.

Nurse Practitioner Applications for Changes in Primary Supervising PhysiciansOnly which the Joint Subcommittee Recommended be Approved

David E. Denekas, M. D. — Geraldine Lucas, NP

Elaine Hart-Brothers, M. D. — Glenda Hargraves, NP

Elaine Hart-Brothers, M. D. — Marjorie Land, NP

Elaine Hart-Brothers, M. D. — Sandra Hogan, NP

Nurse Practi ti oner Fol low-up Appl i cat ions for whi ch the Joint Subcommi tteeRecommended Approval

John Woodward Baker, M. D. , Charlotte, NC — J immi Keatley Beard, NP

James W. Turpin, M. D. , Research Triangle Park, NC — Saddie Hannah Gi 1 lespie, NP

Raymond F. Bianchi, M. D. , Charlotte, NC — Penny Wilde Sparks, NP

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MICN A 1 ications for which the Joint Subcommittee Recommended A royal

Four Mobile Intensive Care Nurse applications

The Board adopted a motion that the recommendations of the JointSubcommittee be approved.

Interviews for License by Endorsement of Credentials

The following physicians applied for license by endorsement of credentials,were interviewed individually by the Board, a Board member, or the Exe-cutive Secretary, and were approved for licensure on December 1, 1981:

Maureen Margaret AaronJames Charles Alexander, Jr.Clarence Eugene Ballenger, I I I

Lawrence Curtis BandyJohn Louis Be 1 1

Linda Joyce BilbraJanne Emlyn Bowen-WilliamsGertrude BrownClaude Shreve Burton, I I I

William Wilson Samuel ButlerArthur Matthew CalabrettaCarole Marie ChesinLarry Gi 1 roy Di cksonPatrick Thomas DoodyNeal Patrick Dunn

Robert Scott EdenPatricia Teague EdkinsGeorge Joseph Ellis, Jr.Ali Akbar EsfahaniRuth Ann EtzelTyler Ira FreemanJo Francis Garner, IIJohn Frederi ck GingerBryan Lance GoodardLeonard Al lyn Greenberg

Dennis Eugene HanneyCarl Lewis Haynes, Jr.Patrick Kevin HealyKhin Mae HlaEdgar Vaston Howell, Jr.Steven Kenneth JonesClark McLaughlin KerrGregory Charles KhouryArthur Law KnightHarry Arvin KoplemanElie Yao LaoKathryn Jean LucasGary James LustgartenCharles Hayes MannLuther Milton MaysFrederick John McElieceWalter Copley McLean, Jr.Augusto Ernesto MidoloMark Bolton MoellerRobert Wiley MonroeJohn Eugene Murnane, IIIJames Harvey NelsonRichard Stuart NelsonHelen Mary O'DonnellMorakinyo Anthony Oyewole

Patricia Mercado PerrySalvatore Michael PulverentiJohn Malcolm ReauxVictor Fawzy RizkJeffrey Wallace RobbRobert Bruce RosequistJanet Young RussellJan ShawNeal Luther ShealyMark Watkins SimpsonStanley Bernard SmithThomas Budi SulistioSteven Lynn TracyKi-Bong Um

Rosalind Marie VazRobert Wells WarrenRufus Walter WatkinsDouglas Kirk WaysRo'bert Arnold WellsWilliam Nettles WessingerRobert Marion WilsonRobert WitriolDuane George WomboltJohn Victor ZeokSuzanne Springer Zeok

Temporary Licenses

The following physicians were issued temporary licenses:

Edwin Sims Mize James George Sa 1 e rno

The following physicians appeared at previous Board meetings and wereapproved for 1 i censure thi s date:

Mohammad Haroon Ba loch Edward Krohn Gr i f f i ths Davi d Hutchi son

The fol lowing physicians appeared at this Board meeting; their 1 icensureis pending:

Javad Deganian Milton Fineman James Doug 1 as Mede i ros

The Board adopted a motion that al 1 applicants applying for license byendorsement of credentials who were interviewed by a Board member or bythe Executive Secretary be approved by the ful 1 Board.

The Board adopted a motion that the actions of the two groups of Boardmembers taken whi le interviewing applicants for license by endorsementof credentials be approved by the ful 1 Board.

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A plicants for License b Examination

The following physicians were licensed to practice medicine upon submissionof required credentials and successfully passing the North Carolina Examina-tion for Licensure (FLEX):

Doris Jean BattsKevin Patrick Rankin

Michele Dieu ThietFlotillo Bruce Watkins, Jr.

Biennial Registration Reinstatements Approved by the Board

The following physicians' licenses were suspended for failure to registeras required by General Statute 90- 15. They have now registered:

John Frederick Whalley, M. D. Don B. Kim, M. D.Erie E. Peacock, Jr. , M. D. Philip Mark Blatt, M. D.

Emergency Medical Services Applications

Emergency Medical Technicians-Intermediate Ap lications Approved by the Board

Catawba County: 1; Orange County: 13, Mecklenburg County: 1; HarnettCounty: 10; Iredell County: 2; Guilford County: 6

Emergency Medical Technicians-Paramedic Applications Approved by the Board

Durham County: 3; Surry County: 3; Guilford County: 2; McDowell County: 1

Mobile Intensive Care Nurse Applications Ap roved by the Board

Iredell County: 1; Guilford County: 3

Letter from Woodhall Stopford, M. D.

The Board reviewed a letter from this physician. The Board adopted amotion that Dr. Stopford be informed that his teaching request requires noaction on the part of the Board.

Emergency Medical Services Hearing Report

Dr. Sullivan reported on the hearing concerning Emergency Medical Servicesheld in Raleigh, on November 13, 1981. The Board adopted a motion thatRule 21 NCAC 32H .0405 TECHNICIAN PERFORMANCE IN THE PRESENCE OF A PHYSICIANbe amended as follows: When there is a physician licensed to practicemedicine present at the scene of a medical traumatic emergency and thatphysician chooses to assume medical responsibility for the patient(s), theEmergency Medical Technician-Paramedics and Emergency Medical Technician-Intermediates at the scene shall: (1) require and allow that physicianto contact the sponsor hospital and the physician who receives the call atthe sponsor hospiital shall make the decision as to whether or not the physicianon the scene is to be allowed to take charge of the patient(s) and give orders,(2) if the physician on the scene is allowed to take charge, EMT-P's and EMT-I's on thescene shall permit that physician's orders to take precedence over all otherprocedures and/or protocol normally utilized within that emergency care program,(3) follow the orders of that physician within the limits enumerated in Rules.0402 and .0403 of this Section. The Board also adopted a motion that theother amendments to the EMS regulations presented at the hearing be approved bythe Board.

Review of Li fe Support EMS Programs Regarding Compl iance with Requirements of New

Regu 1 a t i on s

The Board adopted a motion that the recommendations of the Office of EmergencyMedical Services concerning the programs reviewed with reference to requirementsof the new regulations be approved by the Board of Medical Examiners, and thatthe Office of Emergency Medical Services draft the letter concerning theserequirements, to be sent to Dr. Reynolds for her review and signature.

Drug Li st Requirement for Telemetry

The Board members held a discussion concerning this drug 1 i st. I t was decidedthat i f any of these drugs are used the paramedics would have to be in touchwith the physician at the hospital.

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i6The Boar8'adopte a motion ad t that EMS be instructed to draw up regulations for training

d a rovin individuals to administer epinephrine for insect stings and that the1 t'ons in the same manner as it now considers

Board then consider these app ica ions in

applications for other Emergency Medical Services personnel.

Emergenc Medical Services Catawba Count ALS Program

The Board adopted a motion that a proposed letter regarding thisprogram be approved and sent out with Dr. Reynolds' signature.

Ri chard Dal 1 as Hamer, M. D. , Charlotte, North Carol ina

The Board reviewed a request for reinstatement of Dr. Hamer's license.The Board adopted a motion that this request not be approved.

John P. U. McLeod, M. D. , Marshvi 1 le, North Carolina

The Board reviewed a report indicating that Dr. McLeod has retiredfrom the practi ce of medi cine and that the revocation of Dr. McLeod' s1 icense to practice medicine in the state of North Carol ina is now in force.The Board adopted a motion that this report be accepted as information.

Robert Donald Capel 1, M. D. , Rock Hi 1 1, South Carolina

The Board reviewed a report that this physician surrendered his 1 i censeon October 15, 1981. The Board adopted a motion that this report beaccepted as information.

Durham, North Carolina

The Board adopted a motion that Dr. Fleenor's resident's traininglicense be extended to March 31, 1982.

Data Requests

The Board adopted a motion that the data requests from Wesley C. Fowler,Jr. , M. D. , Liz Cullington, and Alice M. Delancy not be approved.

St. Georges University School of Medicine

The Board adopted a motion that Dr. Ginn be written a letter advisinghim that the Board is studying this school and lacks sufficient infor-mation to make an evaluation of the St. Georges University School ofMedicine at this time.

Proposal for Executive Secretary to Interview Ap licants for Licensurewho have Graduated from Medical School within a Ten Year Period

The Board adopted a motion that this proposal be accepted as information.

Proposed Nominations to Federation Board of Directors

The Board adopted a motion that Howard McKory, M. D. , and MichaelVitek be nominated as members of the Federation Board of Directors.

Fayettevi 1 le Ambulatory Surgery, Inc. , and Physician Ambulatory Surgery, Inc.

The Board adopted a motion that these proposed names appear to the Boardto be professional corporation names, but that the Board prefers Fayettevi 1 leAmbulatory Surgery, Inc. , as Physi ci an Ambul atory Surgery, Inc. , does not indi catea specific location.

December, 1982, Board Meeting

The Board adopted a mot i on that thi s meet ing be he 1 d in Rale i gh at theSheraton Highwoods during the period that the FLEX examination is beingadmi n i s te

red�.

Bennie Brooks Ward, M. D. , Shal lotte, North Carolina

Dr. Ward appeared as requested. The Board adopted a motion that the sus-pension of Dr. Ward's revocation be continued under the same conditions, thathis Schedule 2 and 2N prescribing privileges not be reinstated, that he berequested to appear before the Board again in one year, and that he furni sh a reporton hi s physi cal condi tion from hi s physi cian before appearing before theBoard next year.

Karl Lander Lawing, M. D. , Lincolnton, North Carolina

Dr. Lawing appeared as requested. The Board adopted a motion that Dr. Lawingbe requested to appear in one year, and that the suspension of his revo-cation be continued under the same conditions.

Proposal for Nurse to Insert Venous Catheter

The Board adopted a motion that a letter be written to Mr. Adams withcopies to the Board of Directors and the Chairman of the Medical Staffof Wilson Memorial Hospital stating that the Board of Medical Examinersconsiders the insertion of venous catheters to be a medical act.

John E. Littman, New Bern, North Carolina

The Board adopted a motion that the proper procedures be instituted toprefer charges against John E. Littman, M. D. , that he be so notified inwriting, and that he be advised he will be given a hearing on suchcharges that will be presented against him.

DEA Regulations and Public Health Laws

The Board adopted a motion that the Executive Secretary secure informationconcerning DEA Regulations and Public Health Laws and distribute it toall Board members.

Board of Pharmacy Questions

The Board adopted a motion that the Board of Pharmacy be requested todevelop an instructional pamphlet before the Board considers sendingthese questions to applicants for licensure.

North Carolina Board of Medical Examiners Committee Appointments 1981-1982

The President announced the following committee appointments:

Nurse Practitioners Subcommittee Members: Dr. Pagter, Chairman; Dr.Koontz; and Dr. Blackmon

Physician Assistants Subcommittee Members: Dr. Fitz, Chairman; Dr. Kermon;Dr. Reynolds

EMS Subcommittee Member: Dr. Reynolds and Dr. SullivanBudget Subcommittee Member: Dr. Kermon

Additional Board Meetings

The Board adopted a motion that the staff choose a hearing that can becompleted in one afternoon to be held January 22, 1982, at 1:00 p. m. ,that the staff choose a weekend in the middle of February, 1982, tohold Dr. Corpening's hearing beginning on a Saturday morning at 9:00 a.m. ,in Raleigh at a specific location to be determined in January, thatthe staff also choose possible dates and locations for additional meetingsto be held for the purpose of conducting hearings, and that at theJanuary, 1982, meeting the Board consider these proposals as well asthe meeting schedule for 1983-1984.

Ph sician Extenders Problem Applications

The Board adopted a motion that all directors of physician extenderprograms in North Carolina be requested to review twenty-five problemphysician extender applications and that these directors also berequested to recommend solutions to these problems.

There being no further business to come before the Board, the meeting adjournedat 4:30 p. m. , Wednesday, December 2, 1981.

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Bruce B. B1ackm n, M. D. , Secretary-TreasurerBOARD OF MEDICAL EXAMINERS OF THE STATE OF NORTH CAROLINA

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