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ALABAMA STATE BOARD OF MEDICAL EXAMINERS PUBLIC MINUTES

REGULAR MEETING 848 Washington Avenue, Montgomery, AL 36104

July 17, 2019

Members Present

Mark H. LeQuire, M.D., Chairman Michael T. Flanagan, M.D., Vice-Chairman Aruna T. Arora, M.D. Eli L. Brown, M.D. Hernando D. Carter, M.D. Beverly F. Jordan, M.D. Gary F. Leung, M.D. John S. Meigs, Jr., M.D. Patrick J. O'Neill, M.D. Dick Owens, M.D. Charles M.A. Rogers, IV, M.D. Jefferson Underwood, Ill, M.D. Amanda J. Williams, M.D.

Members Not Present

Gregory W. Ayers, M.D. William J. Suggs, M.D. Jane A. Weida, M.D.

Call to Order: 10:30 a.m.

Recording Secretary

Amy T. Dorminey

Staff Present

Buddy Chavez Lynde Crowder Becky Daniels Randy Dixon Trey Flowers Ashley Hamlett Greg Hardy Matt Hart Wilson Hunter Stan Ingram Roland Johnson Donna Jordan Carla Kruger Stephen Lavender Brandi Madderra William Perkins Virginia Reeves Edwin Rogers Trish Shaner Bob Steelman Pat Ward Amy Wybenga

Others Present

Dawn Daniels

With prior notice given in accordance with the Alabama Open Meetings Act, and with a

quorum of thirteen members present, Board Chairman Mark H. LeQuire, M.D., convened the

public portion of the meeting of the Alabama State Board of Medical Examiners.

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July 17, 2019

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EXECUTIVE DIRECTOR'S REPORT

Associate Executive Director Williams Perkins gave the Mid-Year Executive Director's

Report on the following items: 1) agency processes, personnel, and communication have been

the focus; 2) additional personnel have been added: four investigators, a Director of Licensing,

and a Director of Communications; 3) regularly scheduled staff meetings have been implemented

to improve internal communication; 4) Executive Summaries have been implemented as a means

to convert Board meeting data to information; 5) Board member access to agenda material has

transitioned from the electronic "Board Book" to DropBox with the goal of converting to

ShareFile by the end of 2019; 6) an agency satellite office is now open in Birmingham; 7)

additional space in the Montgomery office has been leased to accommodate staff; 8) payroll and

financial accounting have been outsourced, and vendor files and contracts have been updated;

9) IT developments: fiber installation has been completed, iGov database has been revised to

fully automate renewals and allow for e-checks, online applications for new licensees will soon

be implemented, and the email system has been upgraded; 10) the Executive Director and

Associate Executive Director now serve on the Leadership Committee of the Alabama Association

of Regulatory Boards; 11) approximately thirty bills with potential to impact the agency were

tracked during the legislative session; 12) looking forward: focus on external communication;

update design and branding of website, newsletters, and annual report; convert toe-newsletter;

develop consistent imaging and messaging through all media platforms including social media

and email blasts; 13) Heather Lindemann will be joining the staff of the Medical Licensure

Commission as an administrative assistant; and 14) William D. Flowers, Ill, Director of

Communications, was introduced to the Board.

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Senior Investigator Edwin Rogers was called upon to give a brief biography of the four

new investigators, Sam Aiken, Rebecca Daniels, Stephen Lavender, and Devin Whittle, and to

introduce those who were present to the Board.

Board Secretary Amy Dorminey gave an overview of the 2019-2020 Alabama State Board

of Medical Examiners Information Guide, reported on the recent changes to the agenda layout,

and announced that official board portraits will be taken at the August meeting.

MINUTES

Public Minutes of June 19, 2019 The Credentials Committee recommended that the

Public Minutes of June 19, 2019, be approved. The motion was adopted without objection.

CURRENT BUSINESS

Alabama State Board of Midwifery The Credentials Committee recommended that the

report of the meeting of the Alabama State Board of Midwifery be received as information. The

motion was adopted without objection.

Alabama Medical Directors Association Annual Conference The Credentials Committee

recommended that the appointment of Dick Owens, M.D., to represent the Board at the Alabama

Medical Directors Association Annual Conference be ratified. The motion was adopted without

objection.

Executive Committee The Credentials Committee recommended that the Board form an

Executive Committee comprised of the Chairman and Vice-Chairman of the Board, and one at-

large member, to be appointed by the Chairman. Any actions of the Executive Committee will be

July 17, 2019 3

presented for ratification by the full Board at the next official meeting of the Board. The motion

was adopted without objection.

MAT Act Standing Working Group The Credentials Committee recommended that the

report of the organizational meeting of the MAT Act Standing Working Group be received as

information. The motion was adopted without objection.

Physician Assistant Advisory Committee Appointment The Credentials Committee

recommended that the appointment of William J. Suggs, M.D., to the P.A. Advisory Committee

be ratified. The motion was adopted without objection.

State Board of Genetic Counseling Pursuant to Act 2019-224, the Alabama Genetic

Counselor Act, the Credentials Committee recommended that Sheri McClellan Jenkins, M.D., be

appointed to the State Board of Genetic Counseling. The motion was adopted without objection.

Items Being Considered by the Joint Committee

Collaborative Practice FTE Limits a. Lift FTE Limits for NPs with more than 2 years (4,000 hours) experience b. Increase FTE from 160 hours to 320 hours The Credentials Committee recommended

deferring to the full Board pending a report from the meeting of the Joint Committee.

After consideration of a report from the meeting of the Joint Committee, these items

remain tabled.

Request for Opinion

Plasma Fibroblast Pen After consideration of a request for a Board opinion, the

Credentials Committee recommended that the Board issue the following opinion: The Plasma

Fibroblast Pen is a device that affects living tissue; therefore, the utilization of the Plasma

July 17, 2019 4

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Fibroblast Pen is considered the practice of medicine, and its use is regulated under

Administrative Rule Chapter 540-X-11, Guidelines for the Use of Lasers and Other Modalities

Affecting Living Tissue. Any utilization of the Plasma Fibroblast Pen outside the regulation of

Chapter 540-X-11 would be considered the unlicensed practice of medicine. The motion was

adopted without objection.

Qu-Bit 300 After consideration of a request for a Board opinion, the Credentials

Committee recommended deferring a decision on this request. The motion was adopted without

objection.

LICENSURE

Full License Applicants

1. Ugochukwu Obumneme Aghazu

2. Janet Lynn Amundson

3. Shawnta Speer Anakwah

4. Heather Sehnert Baldwin

5. Arnab Basu

6. Guraman Bhullar

7. Nathan Edward Boles

8. Britney Haynes Bowling

9. Jeffrey Alan Bradley

10. Amy Elizabeth Brown

11. Amy Lyn Brunt

12. Thomas James Capasso

13. John Berkley Chambers

14. Hajra Shahbaz Cheema

15. Amanda Lynn Cheshire

16. Jerry Clarence Childs, Jr.

17. Siva Chiranjeevi

18. Joshua Franklin Coy

19. Kenneth Alan Deaver

20. Grant Anthony DeFrancisco

21. Daniel Allen Deighton

Medical School

University of Medicine and Health Sciences

University of Wisconsin Medical School

USACOM

University of Tennessee Health Science Center COM

Calcutta National Medical College, Univ of Calcutta

University of South Florida COM

William Carey Univ College of Osteopathic Medicine

UASOM Tuscaloosa

Medical University of South Carolina SOM

Ross University

University of Arkansas COM

Florida International Univ Herbert Wertheim COM

University of Louisville School of Medicine

Shifa COM

University of Louisville School of Medicine

Oklahoma State Univ Col of Osteo Med

St. Matthew's University

St. Georges University

Trinity School of Medicine

Alabama College of Osteopathic Medicine

Northeastern Ohio Universities COM

5

Endorsement

USMLE

USMLE/MD

USM LE/GA

USM LE/TN

USM LE/CA

USM LE/NY

COMLEX

USMLE

NBME/SC

USMLE

USMLE/AR

USMLE

NBME/GA

USMLE

USM LE/OH

COM LEX/OK

USMLE

USMLE

USMLE

COMLEX

NBME/OH

July 17, 2019

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Name Medical School Endorsement

22. Martin A. Duclos Saint Georges Univ New York Medical Col USMLE/PA

23. Nordeli Estronza Ponce School of Medicine USMLE/NBME/PR

24. Kimberly Teresa Fountain University of Utah School of Medicine USM LE/GA

25. Ronald Dean Franz Ohio University College of Osteopathic Medicine COM LEX/OH

26. Richard Francis Garri Albert Einstein COM of Yeshiva University USMLE/NY

27. Haley Virginia Gates UASOM Birmingham USMLE

28. Richard Anthony Giovane Saint Georges University USMLE

29. Bryan Benjamin Grissett Philadelphia Col of Osteopathic Medicine - GA Campus COMLEX

30. Tyler James Hansen Edward Via Col of Osteo Medicine, Carolinas Campus COMLEX

31. Helen Yu How Far Eastern Univ - Nicanor Reyes Medical Foundation USMLE/IL

32. David Lyon Hudson University of Arkansas COM USMLE/OK

33. Sara Claire Hutchins University of Mississippi School of Medicine USMLE

34. Shekeab Jauhari University of Miami School of Medicine USMLE/PA

35. Gregory William Jones University of Southern California Keck SOM USMLE/IN

36. Gregory Joslin Washington University School of Medicine USMLE/MO

37. Mohammad Yashar Sorena Kalani Stanford University School Of Medicine USMLE/AZ

38. Andrea Freeman Kane Indiana University School of Medicine Indianapolis USM LE/GA

39. Brian Emory Kinard Emory University School of Medicine USMLE/GA

40. Russell Anthony Knight University of Mississippi School of Medicine USM LE/MS

41. Jonathan Edward Kroeker Saint Georges University USMLE

42. Tarun Kukkadapu Kamineni Institute of Medical Sciences USMLE

43. Kathryn Bowdoin Lalor USACOM USMLE/TN

44. Christa Sikes Littrell William Carey University Col of Osteopathic Medicine COM LEX/OK

45. Randall Drew Madison University of Kansas School of Medicine USMLE/NY

46. Shoaib Yousaf Mahmood Windsor University USMLE

47. Madan Kumar Nanjunde Gowda Adichunchanagiri Inst of Med Sciences, U of Mysore USMLE/OH

48. Matthew E. Negem University of North Texas Health Science Center COM LEX/NY

49. Andrea Morgan Olofson University of South Florida COM USM LE/FL

so. Cynthia Denise Owens Michigan State Univ Col Of Osteo Medicine COM LEX/TN

51. Kyle Andrew Packer Lake Erie College of Osteopathic Medicine COMLEX/MD

52. Carter Austin Pelham University of Tennessee Health Science Center COM USM LE/MS

53. Rozaleen Edward Phaltas Ross University USMLE

54. Hector Rafael Picon Harvard Medical School NBME/VA

55. Atif Rasheed Alla ma Iqbal Medical College, University of the Punjab USM LE/VA

56. Jon Holland Risley Wake Forest University School of Medicine NBME/GA

57. Kimberly Waynette Roman Medical University of South Carolina COM USM LE/CA

58. Samuel William S'Doia State U of New York at Buffalo SOM & Biomedical Sci USM LE/FL

59. Clifton Shane Scott St. Matthews University (Grand Cayman) USM LE/FL

60. Mingxia Michelle Shi Tongii Med Col of Huazhong U of Science & Technology USMLE/LA

61. Neelima Singh Rajendra Institute of Medical Sciences USMLE/MA

62. Mitchell Stotland Saint Louis University School of Medicine USMLE/IN

E;n,tes July 17, 2019

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63. Yasmine Latrice Cargill Strickland

64. Khalisa lsrat Jahan Syeda

65. Weihua Tang

66. Charles Roden Terry Ill

67. Frans Shukri van Wagenberg

68. Rocio Vazquez Do Campo

69. Michael Wasef

70. Adam Christopher Wilberger

71. Bart D. Wilkison

72. Edward Dickson Williams Ill

73. Christopher Harris Wilfiams

74. Brandon James Wolff

75. Jun Zhao

Medical School

USACOM

University of North Texas Health Science Center

Shandong Medical University

UASOM Birmingham

University of Maryland School of Medicine

Universidad Santiago De Compostela

University of South Florida COM

Drexel University COM

Uniformed Services University of Health Sciences

International University of The Health Sciences

LSU School of Medicine New Orleans

Eastern Virginia Medical School

Fourth Military Medical University

Endorsement

USMLE

USMLE/TX

USMLE/VA

USMLE

USMLE/TX

USMLE/MN

USM LE/FL

USMLE/PA

USMLE/NE

USMLE

USMLE/LA

USMLE

USMLE/VA

The Credentials Committee recommended approval of applicants one through seventy

five. The motion was adopted without objection.

Special Purpose License Applicants

Type of Practice

1. Leslie McDougall Tele-Neurology

2. Whitaker Michael Smith Family Medicine; Men's Health

Location

Tennessee

Tennessee

The Credentials Committee recommended approval of applicants one and two. The


Limited License Applicants


1. Toby Muthirakalayil Abraham Oklahoma State Univ Col of Osteo Medicine LL/AL

2. Hassan Alawieh U of Damascus LL/AL

3. Shirin Bashir Amlani Philadelphia Col of Osteo Medicine LL/AL

4. Jonathan Daniel Bernard Univ of Kansas SOM LL/AL

5. Jose Alejandro Bregni Universidad Francisco Marraquin LL/AL

6. Thomas Witter Brim Alabama Col of Osteo Medicine LL/AL

7. Natalie Brooke Carlisle USACOM LL/AL

8. James Case Saint Georges Univ LL/AL

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9. Charles Crawford Cox USACOM LL/AL

10. Christopher W. Daniel Morehouse SOM LL/AL

11. Andrew Hiran Dep Brody SOM at East Carolina Univ LL/AL

12. Gideon Tolulope Dosunmu Oba Okunade Sijuade Col of Hlth Sci lgbinedion LL/AL

13. Lyndsay Elizabeth Ewing Alabama Col of Osteo Medicine LL/AL

14. Andre Fallavollita American Univ of The Caribbean LL/AL

15. Kateryna Feldman Bogomolets National Medical Univ LL/AL

16. Jason Charles Fleming Imperial Col London LL/AL

17. Luke Andrew Foshee Edward Via Col of Osteo Med Carolinas LL/AL

18. Deepthi Ganta Saint Georges Univ LL/AL

19. Alexandru Matei Ghilezan Alabama Col of Osteo Medicine LL/AL

20. John Mark Andrew Gingerich Universidad De San Carlos LL/AL

21. Sheila Denniss Hernandez U Catolica Nordestana Fae de Ciencias Medicas LL/AL

22. Jeffrey Paul Jackson St Georges Univ of London LL/AL

23. Mohamed Taha Jasser Alabama Col of Osteo Medicine LL/AL

24. Jared Micah Jones LSU Medical Center In Shreveport LL/AL

25. Ronald Scott Jordan Edward Via Col of Osteo Med Carolinas LL/AL

26. Lucas Thurman Kane Edward Via Col of Osteo Med Virginia Campus LL/AL

27. Samantha L. Johnson Lawson Alabama Col of Osteo Medicine LL/AL

28. Peter Yong Joon Lee USACOM LL/AL

29. Asia Dionne McIntosh Trinity SOM LL/AL

30. John Rhodes Murfee East TN State Univ James H Quillen COM LL/AL

31. Philip Omozogie Ojeabulu Univ of Benin LL/AL

32. Mazen Bassam Omar USACOM LL/AL

33. Sana Ozair USACOM LL/AL

34. Joel Henry Page IV Medical Col of Georgia SOM LL/AL

35. Devang Bharat Patel Alabama Col of Osteo Medicine LL/AL

36. Jasal Patel American Univ of Antigua LL/AL

37. Jordan Thomas Pharris Univ of Pikeville KY Col of Osteo Medicine LL/AL

38. Sriharsha Rallapalle USACOM LL/AL

39. Logan Brown Rogers USACOM LL/AL

40. Simi Tina Roy Saint Georges Univ LL/AL

41. Emily Morgan Smith USACOM LL/AL

42. Celeste Sullivan Trice Alabama Col of Osteo Medicine LL/AL

43. Rongzhi Wang China Medical Univ LL/AL

44. Tehmina Zafar Avalon Univ SOM LL/AL

The Credentials Committee recommended approval of applicants one through forty

four. The motion was adopted without objection.

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July 17, 2019

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1.

2.

3.

4.

5.

1. 2. 3. 4. 5. 6.

CERTIFICATE OF QUALIFICATION FOR RATIFICATION


Stephanie Diane Bauerle Kansas City University of Medicine and Biosciences COM LEX/MO

Myrtle Ann Delgado Tulane University SOM USMLE/LA

Mohini Agarwal Gunnett UASOM Birmingham USMLE

Donald Philip Megison LSU Medical Center In Shreveport USMLE/LA

Lindsey Shae Merritt AT Still Univ School of Osteo Med COMLEX

The Credentials Committee recommended that the issuance of a Certificate of

Qualification to applicants one through five be ratified. The motion was adopted without

objection.

PHYSICIAN ASSISTANTS

P.A. License

Name School NCCPA

Holly Anderson, P.A. Nova Southeastern University 1124265 Victoria Howell, P.A. University of the Cumberlands 1162292 Luke Robinson, P.A. Bethel University 1148810 Cody Thomas, P.A. University of Nebraska 1161398 Jana Villanueva, P.A. Wake Forest University 1134658 Zeina Ziade, P.A. UAB 1160774

The Credentials Committee recommended approval of applicants one through six. The


P.A. Registration and Requests

PA/ Physician Registration Recommendation

1. Heather Alexander, P.A. Registration Approve with standard Christine Fouty, M.D. Birth Control Drugs and Devices language

2. Tamara Austin, P.A. Registration Approve with standard Eric Hatfield, D.0. Approval to Train language

Arthrocentesis; Injections to the Elbow, Knee, Shoulder, and Greater Trochanteric Bursa

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3. Tamara Austin, P.A. Registration Approve with standard James Stanford, D.O. Approval to Train language

Arthrocentesis; Injections to the Elbow, Knee, Shoulder, and Greater Trochanteric Bursa

4. Chelsea Bares, P.A. Approval to Train Approve with standard Bruce Burns, M.D. Central Venous Line Insertion-Internal language

Jugular; Central Venous Line Insertion- Femoral

5. Alexandra Clifton, P.A. Registration Approve with standard Arnelya Chatman, M.D. Anti neoplastic Agents language

Birth Control Drugs and Devices Oxytocics

6. Kerry Coomer, AA Registration Approve Mark Crowell, M.D.

7. Wendy Cornelius, P.A. Registration Approve Trent Howard, D.O.

8. ltia Dowdell, P.A. Approval to Train Approve with standard Ashley Thomas, M.D. Vagal Nerve Stimulation Interrogation and language

Programming

9. Cherita Garcia, P.A. Registration Approve with standard Adolfo Robledo, M.D. Birth Control Drugs and Devices language

10. Catherine Harris Gillespie, P.A. Approval for Supervised Practice Approve Charles Hunt II, M.D. Sclerotherapy

11. Sarah Guisinger, P.A. Remote Site Approve Lynn McDonnell, M.D. Greater Mobile Urgent Care

19355 N 3rd Street Citronelle, AL 36522

12. Theresa Rehm-Hamilton, P.A. • Remote Site Approve Mark Haygood, D.O. 3719 Dauphin Street

Mobile, AL 36608 13. Jonathan Harbin, P.A. Registration Approve

Dean Naden, D.O.

14. Kelli Heer, P.A. Registration Approve with standard

Tonia Ruddock, M.D. Anti neoplastic Agents language Birth Control Drugs and Devices Biologics Approval to Train Shave and Punch Biopsy

15. Alexandra Huett, P.A. Approval for Supervised Practice Approve

Heather Haley, M.D. Cryotherapy on the body and face; lntralesional and intramuscular steroid injection on the body and face; Non-ablative laser treatments; Single layer closure on the body; Skin biopsies on the body (including the face)

ABx11f1c Minutes

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July 17, 2019

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16. Mary Johnsten, P.A. Remote Site Approve Julia Ellison, D.0. Providence Medical- Semmes

8010 Moffett Road Semmes, AL 36575

17. Rachael Kain, P.A. Transfer of Training Approve with standard Erik Hernandez, M.D. Femoral Artery and Vein Cutdown; language

Intra-Aortic Balloon Insertion; and Radial Artery Harvest Transfer of Supervised Practice Approve Sternal Closure

18. Katherine Koshofer, P.A. Registration Approve with standard John Nall, Ill, M.D. Birth Control Drugs and Devices language

Biologics

19. Sara Lambert, P.A. Remote Site Approve Patrick McGuire, M.D. Greater Mobile Urgent Care


20. Angela Martinsen, P.A. Registration Approve with standard Gary Eberly, M.D. Birth Control Drugs and Devices language

21. James McNeely, Jr., P.A. Approval to Train Approve with standard David Lemak, M.D. Knee Injections language

22. Laura Morrison, P.A. Remote Site Approve Robert Vickers, M.D. Greater Mobile Urgent Care


23. Jeremy Moujoodi, P.A. Registration Approve with standard Kenneth Moore, M.D. Approval to Train language

Arthrocentesis; Injections to the Knee and Greater Trochanteric Bursa

24. Emily Mullady Southall, P.A. Approval for Supervised Practice Approve Michael Blum, M.D. Arthrocentesis

Joint Injections: Knee, Shoulder, and Greater Trochanteric Bursa

25. Bradley Noland, P.A. Registration Approve Jeffrey Cuomo, M.D.

26. Michael Pugh, P.A. Transfer of Training Approve with standard Charles Hoopes, M.D. Femoral Cutdown; language

Intra-Aortic Balloon Insertion; Sternal Closure; Thoracostomy Transfer of Supervised Practice Approve Central Venous Line Insertion- Femoral; Arterial Line Insertion- Radial

27. Francis Purvis, P.A. Registration Approve with standard Frederick Pich, Ill, D.0. Birth Control Drugs and Devices language

July 17, 2019 11


28. Samuel Sellers, P.A. Remote Site Approve William McAlexander, M.D. Shelby Baptist Medical Center

1000 1'1 Street N. Alabaster, AL 35007

29. Daniel Tucker, P.A. Registration Approve with standard Shikha Mehta, M.D. Anti neoplastic Agents language

30. Wesley Winebrenner, P.A. Registration Approve with standard Rupa Shivalingaiah, M.D. Birth Control Drugs and Devices language

31. Linda Langston, P.A. Penile aspiration Deny Rodney Dennis, M.D.

The recommendations of the Credentials Committee for items one through thirty-one

were adopted without objection. The motion was adopted without objection.

ADVANCED PRACTICE NURSES

Collaborative Practice Applicants

Collaborative Practice Registration Applicants The Credentials Committee recommended

approval of applicants one through one hundred ninety-seven. The motion was adopted without

objection. The list of applicants shall be made a part of these Minutes and shall be attached

hereto as Exhibit "A."

Collaborative Practice Modification Applicants The Credentials Committee recommended

approval of applicants one through sixty-two. The motion was adopted without objection. The

list of applicants shall be made a part of these Minutes and shall be attached hereto as Exhibit

"B."

Collaborative Practice Covering Physician Applicants The Credentials Committee

recommended approval of applicants one through seventy-seven. The motion was adopted

without objection. The list of applicants shall be made a part of these Minutes and shall be

attached hereto as Exhibit "C."

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July 17, 2019

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Limited Protocol Applicants The Credentials Committee recommended approval of

applicants one through five. The motion was adopted without objection. The list of applicants

shall be made a part of these Minutes and shall be attached hereto as Exhibit "D."

APN Miscellaneous Requests/ Reports

Physician Specific Skill Request Recommendation CRNP 1. Victor S. Dreicer, M.D. To Train: Critical Care Specialty Approve with standard language

Jason Lee Cox, CRNP Protocol-All skills in the protocol

2. William McAlexander, M.D. To Train: Critical Care Specialty Approve with standard language Jessica Horsley, CRNP Protocol- Removal of percutaneous

central venous lines, pacing wires, mediastinal chest tubes, pulmonary artery catheters (Swan Ganz) and intra-aortic balloon pump catheters.

3. William McAlexander, M.D. To Train: Critical Care Specialty Approve with standard language Raymond Mock, CRNP Protocol- Central venous line

insertion, internal jugular and femoral; central venous line remove and replace over guide wire; arterial line insertion, femoral; sternal closure(cardiac surgery only); primary sternotomy (cardiac surgery only) and intra operative thoracostomy tube insertion

4. Sarah L. McCormick, M.D. To Train: Critical Care Specialty Approve with standard language Jadella Mickler, CRNP Protocol- Central venous line

insertion, internal jugular and femoral; arterial line insertion, femoral; central venous line removal, percutaneous and tunneled; removal of pacing wires, left atrial catheter, mediastinal chest tubes, pulmonary artery catheter (Swan Ganz) and removal of intra-aortic balloon pump catheters

5. David B Griffin, M.D. To Train: Orthopedic Specialty Approve with standard language

Candace Webb-Taylor, CRNP Protocol - all skills

6. Jeremiah J. Maddox, M.D. To Train: Orthopedic Specialty Approve with standard language

Cidney Merritt, CRNP Protocol- all skills

7. Raymond Ufford, M.D. To Train: Orthopedic Specialty Approve with standard language

Melissa R. Mayfield, CRNP Protocol- all skills

8. David A. Disanto, M.D. To Train: Trigger Point Injections Approve with standard language

Jessica R. Lee, CRNP belowT-12 Aptes H

July 17, 2019 13

Physician Specific Skill Request Recommendation CRNP 9. Charles E. Hall, M.D. To Train: Trigger Point Injections Approve with standard language

Tambra Middleton, CRNP belowT-12

10. David A. Disanto, M.D. To Train: Trigger Point Injections Approve with standard language Selma Mehmedovic, CRNP belowT-12

11. William F. Sullivan, M.D. To Train: Trigger Point Injections Approve with standard language Freda R. Smith, CRNP belowT-12

12. Jeffrey A. Walker, M.D. To Train: Trigger Point Injections Approve with standard language Tiffany H. Sparks, CRNP belowT-12

13. Richard E. Jones, Ill, M.D. Joint Injections: Shoulder (6); Approve Lisa C. Ryan, CRNP Greater Trochanteric Bursa (9) and

Knee (12)

14. Daniel Kelmenson, M.D. Central Venous Line, Internal Approve Chad Lynch, CRNP Jugular (10)

15. Jonathan Clay Rainer, M.D. Joint Injections: Shoulder (12); Approve Daniel Lee Rohrer, CRNP Greater Trochanteric Bursa (8);

Knee (16). Total 36

16. Porcia B. Love, M.D. To Train: Narrow Band Ultraviolet B. Approve with standard language Brittany Boylan, CRNP Phototherapy

17. Enrico D. Gaspar, M.D. Additional FTE hours - outside Deny Limited Protocol for Long Term Care

The recommendations of the Credentials Committee for items one through seventeen

were adopted without objection.

Ultraviolet Therapy - Maintenance and Direction Standard Language The Credentials

Committee recommended approval of the following standard language: Initial evaluation and

treatment plan established by physician with documentation of five observed procedures and

ten supervised procedures performed for submission to the Board for approval. The motion was

adopted without objection.

David Askenazi, M.D. / Kara Short, CRNP - To train: Assessment and measurement of

Inferior Vena Cava using ultrasound by CRNP The Credentials Committee recommended

deferring to the full Board pending a report from the Joint Committee.

AM~~inutes

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July 17, 2019

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After consideration of a report from the meeting of the Joint Committee, the

recommendation from the Joint Committee to allow Dr. Askenazi to train Ms. Short to assess and

measure the inferior vena cava using ultrasound was adopted without objection.

Tyler D. Sexton, M.D. / Amanda Wood, CRNP - To train: Hyperbaric Oxygen Therapy The

Credentials Committee recommended deferring to the full Board pending a report from the Joint

Committee.

After consideration of a report from the meeting of the Joint Committee, the

recommendation from the Joint Committee to defer this request pending further information

concerning the qualifications of the covering physicians was adopted without objection.

APN Request for FTE Exception

Mark A. Woods, M.D. 1 Medical Director, AL Dept. of Mental Health The Credentials

Committee recommended that Dr. Woods be granted a one year personal exemption to the FTE

limit and be allowed 6 FTEs / 240 hours. The motion was adopted without objection.

APN and PA QACSC and LPSP Applicants

CRNP / CNM / PA QACSC Registration Applicants The Credentials Committee

recommended approval of applicants one through twenty-four, excluding applicant number

fourteen, Tanyiska Fonda, CRNP with Shakir Meghani, M.D., whose application the Committee

recommends be deferred. Michael T. Flanagan, M.D., recused himself from discussion,

deliberation, and determination of item fourteen. The motion was adopted without objection.

The list of applicants shall be made a part of these Minutes and shall be attached hereto as Exhibit

"E."

July 17, 2019 15

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APN Limited Purpose Special Permit

Physician/ APN / Specialty

1. Carolyn Allman, M.D. Lindsey Barton, CRNP

2. Diego Bedoya, M.D. Karen Mann-Brown, CRNP

3. Thomas J. Davidson, Ill, M.D. Diane Teal, CRNP

AAJl&~utes ~

Formulary Request ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Oxycodone IR

Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone LA TapentadolER

ADHD Medications Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR OxycodonelR Tapentadol Hyd romorphone

16

Recommendation Approve Deny ADHD Medications Hydrocodone -

Combinations Hydrocodone Cough Preps Oxycodone IR

Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol Approve the following with standard LA language for Hospice/ Palliative/ Nursing home/ Oncology patients only: Fentanyl Hydrocodone LA Hydromorphone Morphine LA Oxycodone LA Oxymorphone LA Tapentadol ER ADHD Medications Hydromorphone Hydrocodone Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR Tapentadol

July 17, 2019

Physician/ APN / Specialty Formulary Recommendation Request Approve Deny

4. Naveen Lobo, M.D. Hydrocodone Hydrocodone Layla Beverly, CRNP Combinations Combinations

Hydrocodone Cough Hydrocodone Cough Preps Preps Morphine Sulfate IR Morphine Sulfate IR Oxycodone IR OxycodonelR Fentanyl Approve the following Hydromorphone with standard long-acting Morphine LA language for Hospice/ Oxycodone LA Palliative/ Nursing home/

Oncology patients only: Fentanyl Hydromorphone Morphine LA Oxycodone LA

5. Daniel McDonald, M.D. Hydrocodone Hydrocodone Nicole Walton, CRNP Combinations Combinations

Hydrocodone Cough Hydrocodone Cough Preps Preps Oxycodone IR Oxycodone IR

6. Brian Mathews, M.D. Hydrocodone Hydrocodone Ashley Wright, CRNP Combinations Combinations

Hydrocodone Cough Hydrocodone Cough Preps Preps Morphine Sulfate IR Morphine Sulfate IR Oxycodone IR Oxycodone IR Tapentadol Tapentadol Fentanyl Approve the following Hydrocodone LA with standard long-acting Hydromorphone language for Hospice/ Morphine LA Palliative/ Nursing home/ Oxycodone LA Oncology patients only: Oxymorphone LA Fentanyl Tapentadol ER Hydrocodone LA

Hydromorphone Morphine LA Oxycodone LA Oxymorphone LA Tapentadol ER

7. Brian McCoy, M.D. ADHD Medications Hydrocodone ADHD Medications Jennifer L. Taylor, CRNP Hydrocodone Combinations

Combinations Hydrocodone Cough Hydrocodone Cough Preps Preps Morphine Sulfate IR Morphine Sulfate IR Oxycodone IR Oxycodone IR Tapentadol Tapentadol

Aw Minutes

~ 17

July 17, 2019

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8. David McMillion, M.D. ADHD Medications ADHD Medications Jessica Walters, CRNP Hydrocodone Hydrocodone

Combinations Combinations Hydrocodone Cough Hydrocodone Cough Preps Preps Morphine Sulfate IR Morphine Sulfate IR Oxycodone IR OxycodonelR

9. Howard McVeigh, M.D. ADHD Medications Hydrocodone ADHD Medications Sherry Williams, CRNP Hydrocodone Combinations

Combinations Hydrocodone Cough Hydrocodone Cough Preps Preps Morphine Sulfate IR

Morphine Sulfate IR Oxycodone IR Oxycodone IR

10. Shakir Meghani, M.D. ADHD Medications Defer Tanyiska Fonda, CRNP Hydrocodone

Combinations Hydrocodone Cough Preps Morphine Sulfate IR Oxycodone IR

11. Michael Patton, D.O. ADHD Medications ADHD Medications

Lynde Jones, CRNP Hydrocodone Hydrocodone Combinations Combinations Hydrocodone Cough Hydrocodone Cough Preps Preps Tapentadol Tapentadol

12. Jerry Edward Robbins, M.D. ADHD Medications ADHD Medications

Kevin Campbell, CRNP Hydrocodone Hydrocodone Combinations Combinations Hydrocodone Cough Hydrocodone Cough Preps Preps Morphine Sulfate IR Morphine Sulfate IR Oxycodone IR Oxycodone IR

Tapentadol Tapentadol

13. Jerrod Taylor, M.D. ADHD Medications ADHD Medications

Kelly Vazquez, CRNP Hydrocodone Cough Hydrocodone Cough

Preps Preps

July 17, 2019

18

~


14. Alvin Tenchavez, M.D. ADHD Medications ADHD Medications Lisa Osborne, CRNP Hydrocodone Hydrocodone

Combinations Combinations Hydrocodone Cough Hydrocodone Cough Preps Preps OxycodonelR OxycodonelR Morphine LA Approve the following Tapentadol ER with standard long-acting

language for Hospice/ Palliative/ Nursing home/ Oncology patients only: Morphine LA Tapentadol ER

15. John Waples, M.D. Hydrocodone Hydrocodone Melissa Frazier, CRNP Combinations Combinations

Hydrocodone Cough Hydrocodone Cough Preps Preps Morphine Sulfate IR Morphine Sulfate IR OxycodonelR OxycodonelR Tapentadol Tapentadol Fentanyl Approve the following Hydrocodone LA with standard long-acting Hydromorphone language for Hospice/ Morphine LA Palliative/ Nursing home/ Oxycodone LA Oncology patients only: Oxymorphone LA Fentanyl Tapentadol ER Hydrocodone LA

Hydromorphone Morphine LA Oxycodone LA Oxymorphone LA Tapentadol ER

16. Stephan Meadors, M.D. ADHD Medications ADHD Medications Fentanyl John D. Cheatwood, CRNP Hydrocodone Hydrocodone Morphine LA

Combinations Combinations Oxycodone LA Morphine Sulfate IR Morphine Sulfate IR Oxymorphone LA OxycodonelR Oxycodone IR Fentanyl Morphine LA Oxycodone LA Oxymorphone LA

The recommendations of the Credentials Committee for items one through sixteen were

adopted without objection. Michael T. Flanagan, M.D., recused himself from discussion,

A1

AM"" Minutes

~ 19

July 17, 2019

*

deliberation, and determination of item ten. Patrick J. O'Neill, M.D., recused himself from

discussion, deliberation, and determination of item fifteen.

PA Limited Purpose Special Permit

Physician/ PA/ Specialty Formulary Request Recommendation Approve Deny

1. Mark Choquette, Sr., M.D. Hydrocodone Hydrocodone Dennis Smoak, P.A. Combinations Combinations

Hydrocodone Cough Hydrocodone Cough Preps Preps

2. Sanat Dixit, M.D. Hydrocodone Hydrocodone Alexandria Stedry, P.A. Combinations Combinations

Hydrocodone Cough Hydrocodone Cough Preps Preps Morphine Sulfate IR Morphine Sulfate IR Oxycodone IR OxycodonelR

3. Trent Howard, D.O. ADHD Medications Hydrocodone ADHD Medications Wendy Cornelius, P.A. Hydrocodone Combinations

Combinations Hydrocodone Cough Fentanyl Hydrocodone Cough Preps Hydromorphone Preps Morphine Sulfate IR Morphine LA Morphine Sulfate IR Oxycodone IR Oxycodone LA Oxycodone IR Fentanyl Hydromorphone Morphine LA Oxycodone LA

4. Nicholas Patellis, M.D. ADHD Medications ADHD Medications Jamie Sievers, P.A. Hydrocodone Hydrocodone

Combinations Combinations Hydrocodone Cough Hydrocodone Cough Preps Preps

5. Joseph Schultz, M.D. Hydrocodone Hydrocodone Latrinia Franklin, P.A. Combinations Combinations

Oxycodone IR Oxycodone IR

The recommendations of the Credentials Committee for items one through five were

adopted without objection. PatrickJ. O'Neill, M.D., recused himself from discussion, deliberation,

and determination of item four.

July 17, 2019

20

Joint Committee for Advanced Practice Nursing

Joint Committee for Advanced Practice Nursing Meeting-July 16, 2019

The Credentials Committee recommended deferring for a report to be given by John S.

Meigs, Jr., M.D.

After consideration by the full Board of a report presented by Dr. Meigs, a motion was

made by Dr. Meigs and was seconded by Charles M.A. Rogers, IV, M.D., to receive the report as

information, and to approve the applications for collaborative practice as listed on the roster of

the Joint Committee. The motion was adopted without objection. A copy of the report of the

Joint Committee shall be made a part of these Minutes and shall be attached hereto as Exhibit

"F." A copy of the roster of the Joint Committee shall be made a part of these Minutes and shall

be attached hereto as Exhibit "G."

After consideration of the Minutes of the May 14, 2019, meeting of the Joint Committee,

a motion was made by Hernando D. Carter, M.D., and was seconded by Charles M.A. Rogers, IV,

M.D., to receive the Minutes as information. The motion was adopted without objection. A copy

of the Minutes of the Joint Committee shall be made a part of these Minutes and shall be

attached hereto as Exhibit "H."

PERSONNEL

New Position: Director of Communications, William D. Flowers, Ill The Credentials

Committee recommended that the employment of William D. Flowers, Ill, as Director of

Communications be ratified. The motion was adopted without objection.

New Hire: Medical Licensure Commission Administrative Assistant, Heather Lindemann

The Credentials Committee recommended that the employment of Heather Lindemann to fill the

ABME Public Minutes July 17, 2019

~ 21

position of administrative assistant to the Medical Licensure Commission be ratified. The motion

was adopted without objection.

HEARINGS

ABME Hearing Schedule The Credentials Committee recommended that the Hearing

Schedule be received as information. The motion was adopted without objection.

Deborah J. Hart, M.D., West Somerset, KY After consideration of testimony and exhibits

presented before a hearing panel of the Board, the hearing panel voted to enter an Order

revoking Dr. Hart's Alabama Controlled Substances Certificate and Pain Management

Registration. A copy of the Order shall be made a part of these Minutes and shall be attached

hereto as Exhibit "I."

Joseph Ngui Mwau Ndolo, M.D., Fairhope, AL After consideration of testimony and

exhibits presented before a hearing panel of the Board, the hearing panel voted to enter an Order

denying Dr. Ndolo's application to reinstate his Certificate of Qualification. A copy of the Order

shall be made a part of these Minutes and shall be attached hereto as Exhibit "J."

~utes 22 July 17, 2019

~

Meeting Adjourned: 11:03 a.m.

The Alabama State Board of Medical Examiners will convene its next regularly scheduled public meeting August 21, 2019, 848 Washington Avenue, Montgomery, Alabama.

Approved

Chairman

23

Approved

William M. Perkins Associate Executive Director

July 17, 2019

*

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