MINUTES - North Carolina Medical Board



MINUTES

North Carolina Medical Board

March 21-23, 2012

1203 Front Street

Raleigh, North Carolina

General Session Minutes of the North Carolina Medical Board Meeting held March 21-23, 2012.

The North Carolina Medical Board met March 21-23, 2012, at its office located at 1203 Front Street, Raleigh, NC. Ralph C. Loomis, MD, President, called the meeting to order. Board members in attendance were: Janice E. Huff, MD, Past President; William A. Walker, MD, President-Elect; Thomas R. Hill, MD, Secretary/Treasurer; Ms. Pamela Blizzard; John B. Lewis, Jr., LLB; Peggy R. Robinson, PA-C; Eleanor E. Greene, MD; Ms. Thelma Lennon; Paul S. Camnitz, MD and Cheryl L. Walker, MD.

Presidential Remarks

Dr. Loomis commenced the meeting by reading from the State Government Ethics Act, “Ethics awareness and conflict of interest reminder.” No conflicts were reported.

Minute Approval

Motion: A motion passed to approve the January 18, 2012 Board Meeting Minutes, the February 13, 2012 Special Board Meeting Minutes, the February 16, 2012 Hearing Minutes and the March 6, 2012 Emergency Board Meeting Minutes.

Announcements

1. Mr. Hari Gupta recognized Barbara Gartside on her five-year anniversary at the NCMB.

2. Ms. Jean Fisher-Brinkley introduced Michelle Yanik as our new employee in the Public Affairs department.

3. David Henderson introduced Ms. Kathleen Haley and Dr. Bob Schaaf of the AIMAP Assessment Team.

EXECUTIVE COMMITTEE REPORT

The Executive Committee of the North Carolina Medical Board was called to order at 1:30 p.m., Thursday March 22, 2012, at the offices of the Board. Members present were: Ralph C. Loomis, MD, Chair; William A. Walker, MD, Thomas R. Hill, MD, Janice E. Huff, MD, and Peggy Robinson, PA-C.

Financial Statements

3 Monthly Accounting January 2012 and December 2011

The Committee reviewed the January 2012 and December 2011 compiled financial statements. January is the third month of fiscal year 2012.

Committee Recommendation: Accept the financial statements as reported.

Board Action: The Board accepted the Committee recommendation.

a) Investment Account Statements

The Committee reviewed the February and January 2012 investment account statements from Fifth Third Bank.

Committee Recommendation: Accept the investment account statements as reported.

Board Action: The Board accepted the Committee recommendation.

Old Business

b) Proposed Changes to the Corporation Rules

The Board previously approved amendments to the Medical Board’s Professional Corporations Rules, 21 NCAC 32C .0102-0109, as part of the Board’s comprehensive effort to update and improve all Board rules. The Committee discussed additional changes to the Professional Corporation Rules as suggested by the Rules Review Commission staff.

Committee Recommendation: Approve proposed rules (Appendix G) for filing with the Rules Review Commission.

Board Action: The Board accepted the Committee recommendation.

c) Proposed Changes to the FSMB Bylaws

The Committee re-visited proposed changes to the FSMB Bylaws that were submitted by NCMB resolution to the FSMB Bylaws Committee which would change the Associate Members term from two to three years.

Committee Recommendation: Dr. Walker to represent the NCMB before the Reference Committee at the FSMB meeting in April in support of the NCMB’s resolution.

Board Action: The Board accepted the Committee recommendation.

d) CPEP East Update

The Committee discussed efforts to establish a CPEP site in North Carolina.

Committee Recommendation: Defer to the full Board for discussion.

Board Action: The Board provided feedback to staff regarding the proper role of the Board in establishing a CPEP site in North Carolina.

New Business

e) Proposed Changes to G.S. 90-13.2(b)

The Committee discussed proposed changes to G.S. 90-13.2(b) (below) which would waive the annual registration fee, currently $25.00, for a retired limited volunteer license (“RLVL”) and to make other stylistic changes.

Committee Recommendation: Adopt the proposed changes to G.S. 90-13.2.

Board Action: The Board accepted the Committee recommendation.

§ 90-13.2.  Registration every year with Board.

(a)        Every person licensed to practice medicine by the North Carolina Medical Board shall register annually with the Board within 30 days of the person's birthday.

(b)        A person who registers with the Board shall report to the Board the person's name and office and residence address and any other information required by the Board, and shall pay an annual registration fee of one hundred seventy-five dollars ($175.00), except those who have a limited training license pursuant to G.S. 90-12.01 to practice in a medical education and training program approved by the Board for the purpose of education or training shall pay a registration fee of one hundred twenty-five dollars ($125.00) and those who have a retired limited volunteer license pursuant to G.S. 90-12.1(B) shall pay an annual registration fee of twenty five dollars ($25.00) and those who have or a limited volunteer license pursuant to G.S. 90-12.1A shall pay no annual registration fee. However, licensees who have a limited training license to practice for the purpose of education and training under pursuant to G.S. 90-12.01 shall not be required to pay more than one annual registration fee for each year of training.

f) Board Member Immunity / Insurance

The Committee discussed various examples of possible Board member liability and whether Board Members would be protected by sovereign immunity and/or insurance coverage.

Committee Recommendation: Accept as information.

Board Action: The Board accepted the Committee recommendation.

c) AIMAP-NC Update

The chair of the AIMAP-NC Assessment Team, Ms. Kathleen Haley, gave a preliminary report to the Committee. The site visit was conducted March 13-15.

Committee Recommendation: Accept as information.

Board Action: The Board accepted the Committee recommendation.

POLICY COMMITTEE REPORT

Committee Members: Dr. Camnitz, Chair; Dr. Greene; Mrs. Blizzard and Judge Lewis

1. Old Business

a. Position Statement Review continued

i. Self- Treatment and Treatment of Family Members and Others with Whom Significant Emotional Relationships Exist (APPENDIX A)

Issue: In November 2009, the Board approved the Policy Committee’s recommendation to review Position Statements at least once every four years. A review schedule has been formulated for the Committee’s consideration.

3/2011 Committee Discussion: Mr. Brosius suggested that the Board may need to establish some bright lines, because the current position statement leaves room for some treatments that the Board may deem unethical depending on physician interpretation. Dr. Loomis suggested that he preferred a hardline approach and would recommend eliminating minor treatment of illness. He indicated that the Board’s interest is for the patients to receive the best care. Dr. Greene agreed that eliminating treatment of minor illness would remove any room for confusion, but also felt we should leave the ability to treat during an emergency in the position statement. Dr. Camnitz indicated that he did not like the vagueness of the position statement and would prefer it be more specific regarding over-the-counter medications and prescription medications, possibly indicating specific schedules that would be restricted. The Committee further discussed chronic versus acute. It was also recommended that “physician” should be replaced with “licensee” to be consistent with edits made in previous position statement reviews.

3/2011 Committee Recommendation: Table issue for the Legal Department to incorporate the recommendations from the Committee discussion.

3/2011 Board Action: No Action necessary.

This Position Statement has now been assigned to a Task Force specifically analyzing the issue and headed by Dr. Loomis.

5/2011 Committee Discussion: Dr. Loomis reported that the Task Force was scheduled to meet in June 2011. Dr. Kirby stated that the AMA has a statement regarding treatment of professional peers and suggested that something similar be included in our position statement.

5/2011 Committee Recommendation: Table issue until Task Force report is presented to the Committee. Dr. Kirby is to provide the AMA position prior to the Task Force meeting.

5/2011 Board Action: Accept Committee recommendation

7/2011 Committee Discussion: The Committee discussed the potential benefits of revising the current position statement. Comments were received by Board members and senior staff that were present. One comment that had been received numerous times is that the licensees would like the terms of the position statement better defined. The Committee agreed that prescribing narcotics to one’s self or family members is never appropriate. It was suggested that adopting a rule prohibiting prescribing narcotics to one’s self or family members might be a more efficient method for the Board to enforce compliance. The Committee concurred. There was additional discussion that identifying what constitutes a significant emotional relationship may be difficult.

7/2011 Committee Recommendation: Instruct Legal to begin drafting a rule to cover prescribing narcotics to one’s self or family member. The Office of the Medical Director is to provide definitions to help clarify the Board’s statement. The proposed changes will be provided to the Committee and Task Force for review.

7/2011 Board Action: Accept Committee recommendation.

9/2011 Committee Discussion: The Committee reviewed the proposed revised position statement as well as the proposed rule changes for PAs, NPs and physicians. There was also discussion regarding the large response we received from the Board licensee population. There was discussion regarding the need to identify with whom an emotional relationship may exist. It was felt that the revised position statement could be modified to better reflect the position on the Board. Additionally the consensus of the Committee was that the proposed rules changes were appropriate and should go forward.

9/2011 Committee Recommendation: Dr. Camnitz will work with Mr. Brosius and Dr. Kirby to revise the position statement and present it to the Committee at the November Board meeting. Proceed with the rule-making process on the proposed rule change.

9/2012 Board Action: Accept Committee recommendation.

1/2012 Committee Discussion: The Committee reviewed the proposed revised position statement. The changes discussed have been incorporated in the proposed position statement. It was also reported that the proposed rules adopted by the Board in September will be filed this month with an anticipated effective date of June/July 2012.

1/2012 Committee Recommendation: Tentatively approve proposed position statement with changes so that it may be circulated to interested parties and Self –Treatment Task Force for comments and suggestions.

01/2012 Board Action: Accept Committee Recommendation.

3/2012 Committee discussion: The Committee discussed additional proposed changes to the current position statement. It was suggested that the position statement include language regarding prohibiting licensees from prescribing controlled substances to themselves or immediate family members. Language was also added suggesting that medical records be provided to the patient’s primary care provider.

3/0212 Committee Recommendation: Approve proposed position statement including language regarding proposed rule pertaining to controlled substances. The rule language would be added after the rules are approved by the Rules Review Commission.

3/2012 Board Action: Approve Committee recommendation.

1. Old Business:

a. Position Statement Review

ii. Availability of Physicians to Their Patients (APPENDIX B)

9/2011 Committee Discussion: The Committee reviewed the current position statement. It was suggested that the term physician be replaced with licensee in order to be consistent with past revisions to the Board’s position statements. Dr. Kirby pointed out the need to relate this position statement to providers who are providing care through telemedicine.

9/2011 Committee Recommendation: The staff is to provide a revised position statement at the November Committee meeting.

9/2011 Board Action: Accept Committee recommendation.

1/2012 Committee Discussion: The Committee reviewed the proposed revised position statement. There was discussion regarding the requirement that instructions for securing afterhours care be in writing.

1/2012 Committee Recommendation: Mr. Brosius will provide the Committee with a revision of the position statement to address its concerns.

1/2012 Board Action: Accept Committee recommendation.

3/2012 Committee Discussion: The Committee discussed and modified changes to the new proposed language. That language is now incorporated in the working draft of the position statement. Dr. Kirby expressed concern regarding recognition of episodic care pertaining to after-hours coverage. Ms. Whited asked for the Board to allow NCMS an opportunity to comment on the position statement after Dr. Kirby’s suggestions are included within the position statement.

3/2012 Committee Recommendation: Table until the Committee can address Dr. Kirby’s concerns.

3/2012 Board Action: Approve Committee recommendation.

2. New Business:

a. Position Statement Review (APPENDIX C)

1/2010 Committee Recommendation: (Loomis/Camnitz) Adopt a 4 year review schedule as presented. All reviews will be offered to the full Board for input. Additionally all reviews will be documented and will be reported to the full Board, even if no changes are made.

1/2010 Board Action: Adopt the recommendation of the Policy Committee.

2. New Business:

a. Position Statement Review

i. Sexual Exploitation of Patients (APPENDIX D)

3/2012 Committee discussion: The Committee discussed the language in the current version of the position statement and suggested having Mr. Brosius simplify the language in the position statement.

3/2012 Committee Recommendation: Table until May meeting.

3/2012 Board Action: Approve Committee recommendation.

2. New Business

b. Board inquiry (APPENDIX E)

3/2012 Committee discussion: There was discussion amongst the Committee members and members of the staff who were present regarding the legal and ethical implications of the inquiry.

3/2012 Committee Recommendation: Mr. Brosius to research and provide the Committee with a legal opinion at the May meeting.

3/2012 Board Action: Approve Committee recommendation.

2. New Business

c. Advertising and publicity Position Statement – suggested change

i. Minor revision suggested by Dr. Walker: "The Board expects the licensee to identify the area of Board certification and the certifying Board in any advertising." (APPENDIX F)

3/2012 Committee discussion: The Committee discussed a proposed change regarding the advertisement of board certification and strengthening the language to require, rather than suggest, that the identity of the specialty board be disclosed.

3/2012 Committee Recommendation: Approve the proposed changes.

3/2012 Board Action: Approve Committee recommendation.

CONTINUED COMPETENCE COMMITTEE REPORT

The Continued Competence Committee of the North Carolina Medical Board was called to order at 1:00 p.m. March 21, 2012, at the office of the Medical Board. Members present were: Thomas R. Hill, MD, Chair; Paul S. Camnitz, MD and Cheryl Walker-McGill, MD. Also present were: David Henderson, Michael Sheppa, MD, Hari Gupta, Christina Apperson, Ms. Kathleen Haley, Dr. Bob Schaaf, Nancy Hemphill and Maureen Bedell.

1. Old Business

a. There was no old business discussed.

New Business

a. Dr. Hill reviewed the FSMB Workgroups report ‘Define A Minimal Data Set’. A discussion followed comparing the questions that the FSMB proposed to those that the NCMB currently asks on its MD/DO renewal. Hari Gupta, Director of Operations, explained that our MD/DO renewal questions are similar to most of the FSMB questions. One of the FSMB questions is not asked: ‘how many weeks did you work in the past year’.

Committee Recommendation: NCMB staff to contact FSMB and find out if the FSMB questions were suggestions or if the FSMB wanted member Boards to use those exact questions. NCMB staff would also contact SHEPS and see if making the FSMS changes would cause any problems.

BOARD ACTION: To accept the Committee Recommendation.

b. Dr. Walker-McGill discussed with the committee the importance of finding out what the patient population served is. Meaning what are the resources available vs the population needs. Are physicians leaving areas that are in need? An in depth discussion followed.

Committee Recommendation: NCMB staff to contact the Institute of Medicine, Community Care of NC and the NC Department of Health to find out who the stakeholders are and what types of data they have each collected.

BOARD ACTION: To accept the Committee Recommendation.

LICENSE COMMITTEE REPORT

The License Committee of the North Carolina Medical Board was called to order at 1:00 p.m., March 21, 2012, at the office of the Medical Board.  Members present were:  William Walker, MD, Chair, Pamela Blizzard and Eleanor Greene, MD.  Also present was:  Scott Kirby, MD, Thom Mansfield, Patrick Balestrieri, Carren Mackiewicz, Jean Fisher-Brinkley, Joy Cooke, Michelle Allen, Mary Rogers, Kathleen Haley, Robert Schaaf, MD and Amy Whited

Open Session

Old Business

None

New Business

1. Pending Applications Over One Year Old

Issue: Staff has been requested to report to the Committee every meeting the number of pending applications that are more than 1 year old. Currently we have 29. Of those, 2 have open investigations in other states and their NCMB application is on hold; 1 was denied at the January meeting. Staff will review and mark the other 26 applications “expired” as time permits.

Committee Recommendation: Accept as information

Board Action: Accept as information.

2. PGT Requirement for Medical School Faculty Limited License (MSFL)

Issue: The majority of applicants for a MSFL license completed training and education or have experience outside the US and Canada that is not approved by ACGME, CFPC, RCPSC, or AOA as required by NCAC 32B .1502 (b)(7). Any experience, education or training not approved by the forgoing organizations must be determined, by the Board, to be equivalent to training approved by these organizations.

21 NCAC 32B .1502   APPLICATION FOR MEDICAL SCHOOL FACULTY LICENSE

(B)  IN ORDER TO OBTAIN A MEDICAL SCHOOL FACULTY LICENSE, AN APPLICANT SHALL:

(7) submit proof of satisfactory completion of at least one year of GME approved by ACGME, CFPA, RCPSC or AOA; or evidence of other education, training or experience determined by the Board to be equivalent.

Committee Recommendation: In an effort to avoid unreasonable delays in processing these applications it is recommended that the Chair of the License Committee be given the authority to review and determine whether experience, education or training that is not approved by ACGME, CFPC, RCPSC or AOA is equivalent to training that is approved by these organizations with input from staff/Medical Director. Should the Chair have concerns with regard to making a determination, they can pass it on to the Board for a determination.

Dr. Kirby expressed concern with the medical education of Caribbean medical schools and the number of graduates of these schools applying for a license.

Board Action: In an effort to avoid unreasonable delays in processing these applications it is recommended that the Chair of the License Committee be given the authority to review and determine whether experience, education or training that is not approved by ACGME, CFPC, RCPSC or AOA is equivalent to training that is approved by these organizations with input from staff/Medical Director. Should the Chair have concerns with regard to making a determination, they can pass it on to the Board for a determination.

Dr. Kirby was instructed to create a formal report to present to the committee at the July 2012 meeting regarding possible additional requirements or exclusions for medical license regarding medical schools training.

3. Withdrawals

Issue: Staff requests clarification that in all cases where the Board Action is “allow withdrawal”, that the Board’s intent, in the event the applicant does not withdraw, the application will be denied.

Committee Recommendation: Make clear at the time of the license committee recommendation that, if allowed to withdraw and does not, the application will be denied.

Board Action: Make clear at the time of the license committee recommendation that, if allowed to withdraw and does not, the application will be denied.

4. Oral Interview Question #1

Issue: It was recommended that question #1 on the oral interview questions be amended by adding the underlined text in the following: Have you ever had any difficulty with a medical licensing board other than what brought you here today?

Committee Recommendation: Leave question as is for the sake of brevity and clarity.

Board Action: Refer back to the license committee for further discussion.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

Twelve licensure cases were discussed. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

LICENSE INTERVIEW REPORT

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

Eleven licensure interviews were conducted. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

ALLIED HEALTH COMMITTEE REPORT PA/EMS

The Allied Health Committee of the North Carolina Medical Board was called to order at 8:00 a.m., Wednesday, March 21, 2012 at the office of the Board.

Committee Members present were: William Walker, MD, Chair, Peggy Robinson PA-C, and Cheryl Walker-McGill, MD. Also present were Marcus Jimison, Lori King, CPCS, Quanta Williams, Jane Paige, Katharine Kovacs, PA, Nancy Hemphill, Don Pittman, Dr. Kanof, Dr. Tripp Winslow, Dr. Brent Myers, Dr. Reed Caldwell, Ms. Regina Godette-Crawford, Mike Borden, Ms. Kathleen Haley, Dr. Robert Schaaf and Don Metzger, PA.

Open Session NC Emergency Medical Services

1. Drugs that the NC Office of Emergency Medical Services is requesting to be added to the NCMB approved list of medications for credentialed EMS personnel.

Issue: Dr. Tripp Winslow discussed the drugs that the NC office of Emergency Medical Services is requesting to be added to the NCMB approved list of medications for credentialed EMS personnel.

Committee Recommendation: Approve the NC Office of Emergency Medical Services additional five medications to the NCMB approved list of medications for credentialed EMS personnel: 1. Octreotide, 2. N-Acctylcysteine, 3. Phenylephrine, 4. Ketamine, 5. Propofol.

Board Action: Approve the NC Office of Emergency Medical Services additional five medications to the NCMB approved list of medications for credentialed EMS personnel: 1. Octreotide, 2. N-Acctylcysteine, 3. Phenylephrine, 4. Ketamine, 5. Propofol.

Open Session Physician Assistants

1. 2011 PA Compliance Review Summary Report

Issue: Don Pittman discussed the 2011 PA Compliance Review Summary Report.

Committee Recommendation: Don Pittman to work with Lori King to write an article for the Forum regarding the results of the 2011 PA Compliance Program. Also recommend that this article be added to the “Pulse”, the NCAPA Newsletter.

Board Action: Don Pittman to work with Lori King to write an article for the Forum regarding the results of the 2011 PA Compliance Program. Also recommend that this article be added to the “Pulse”, the NCAPA Newsletter.

2. Physician Assistant Advisory Council (PAAC) 2012 Committee Members.

Issue: The North Carolina Medical Board’s Physician Assistant Advisory Council (PAAC) advises and communicates with the Board on issues affecting PA practice and regulation in the state. The PAAC does not have authority to license or discipline PAs, but it provides valuable insights to the Board’s Allied Health Committee and to the full Board. The PAAC meets once a year in July. The members of the PAAC are nominated by the Allied Health Committee and appointed by vote of the full Board for terms of two years. They may be reappointed by Board action. The PAAC’s members represent the leadership of the North Carolina Academy of Physician Assistants, the PA Section of the North Carolina Medical Society and each PA training program in North Carolina. They also include other PA and physician members chosen for their particular expertise on issues facing the Board.

Committee Recommendation: Approve the following 2012 PAAC Committee Members:

William Walker, MD, Chair, Peggy Robinson, PA, Cheryl Walker-McGill, MD, Marc Katz, PA,

James Hill, PA, Robin Hunter-Buskey, PA, Douglas Hammer, MD, Julie Daniel-Yount, PA, Carolyn Pugh, PA, Lisa Shock, PA, Ron Foster, PA, Mike Borden, Suzanne Reich, PA - Wake Forest, Pat Dieter, PA – Duke, Christina Beard, PA- Methodist, Rosalind Becker, PA – Wingate, Patrick Carter, PA – ECU, Thomas Colletti, PA – Campbell, Marcus Jimison - NCMB Staff, Lori Ann King - NCMB Staff, Katharine Kovacs - NCMB Staff, Jane Paige - NCMB Staff.

Board Action: Approve the following 2012 PAAC Committee Members:

William Walker, MD, Chair, Peggy Robinson, PA, Cheryl Walker-McGill, MD, Marc Katz, PA,

James Hill, PA, Robin Hunter-Buskey, PA, Douglas Hammer, MD, Julie Daniel-Yount, PA, Carolyn Pugh, PA, Lisa Shock, PA, Ron Foster, PA, Mike Borden, Suzanne Reich, PA - Wake Forest, Pat Dieter, PA – Duke, Christina Beard, PA- Methodist, Rosalind Becker, PA – Wingate, Patrick Carter, PA – ECU, Thomas Colletti, PA – Campbell, Marcus Jimison - NCMB Staff, Lori Ann King - NCMB Staff, Katharine Kovacs - NCMB Staff, Jane Paige - NCMB Staff.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

One licensee application was reviewed. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

ALLIED HEALTH COMMITTEE REPORT AA/NP/CPP/LP/PT

The Allied Health Committee of the North Carolina Medical Board was called to order at 8:05 a.m., March 21, 2012 at the office of the North Carolina Medical Board. Members present were: William Walker, MD, Chair; Peggy Robinson, PA-C; and Cheryl Walker-McGill, MD. Also present were Marcus Jimison, Jane Paige, Lori King, Katharine Kovacs, Nancy Hemphill, and Quanta Williams.

Open Session Anesthesiologist Assistants

a. No items for discussion

1. Open Session Nurse Practitioners

a. No items for discussion

Open Session Clinical Pharmacist Practitioners

a. No items for discussion

Open Session Perfusionists

Open session portion of the minutes of the January PAC meeting.

i. Summary: The open session minutes of the January PAC meeting have been sent to the Committee members for review.

Staff Recommendation: Accept as information

Committee Recommendation: Accept as information

Board Action: Accept as information

a. Amendment to the Bylaws

i. Summary: At the January PAC meeting, the Committee voted to amend the bylaws to reflect the changes made to the Chair and Vice Chair elections. Mr. Jimison had made this change to Article IV, Section 2 of the bylaws.

Staff Recommendation: Accept PAC recommendation

PAC Recommendation: Amend the bylaws as presented

Committee Recommendation: Amend the bylaws as presented

Board Action: Amend the bylaws as presented

Open Session Polysomnographic Technologists

a. No items for discussion

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

Four licensee applications were reviewed. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

MIDWIFERY COMMITTEE REPORT

The Midwifery Joint Committee (MJC) was called to order at 10:32 a.m., March 21, 2012 at the office of the NC Board of Nursing. Members present were: Maureen Darcey, RN, CNM, Chair; Elizabeth (Beth) Korb, RN, CNM; Bobby Lowery, NP (NCBON); Daniel C. Hudgins (NCBON); Nancy Bruton-Maree, RN (NCBON); Peggy Robinson, PA-C (NCMB); William A. Walker, MD (NCMB); and Cheryl Walker-McGill, MD (NCMB).Keith Nelson, MD and Frank Harrison, MD, Ph.D. were absent. Also present were: Ralph Loomis, MD (NCMB); Donna Mooney (NCBON); Eileen Kugler (NCBON); Jack Nichols (NCBON); Julie George (NCBON); David Henderson (NCMB); David Kalbacker (NCBON); Marcus Jimison (NCMB); Linda Burhans (NCBON); Don Pittman (NCMB); Brenda McDougal (NCBON); and Quanta Williams (NCMB).

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

One case was reviewed. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session

REVIEW (MALPRACTICE) COMMITTEE REPORT

The Review Committee (Malpractice) of the North Carolina Medical Board was called to order at 3:00 p.m. on March 21, 2012 at the office of the Medical Board. Board Members present were: Peggy Robinson, PA (Chair) and Pamela Blizzard. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy Ingram and Todd Brosius. Kathleen Haley and Dr. Robert Schaaf also attended.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

The Review (Malpractice) Committee reported on ten malpractice cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public.

A motion passed to return to open session.

REVIEW (COMPLAINT) COMMITTEE REPORT

The Review Committee (Complaints) of the North Carolina Medical Board was called to order at 3:00 p.m. on March 21, 2012 at the office of the Medical Board. Board Members present were: Peggy Robinson, PA (Chair) and Pamela Blizzard. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy Ingram and Todd Brosius. Kathleen Haley and Dr. Robert Schaaf also attended.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

The Review (Complaint) Committee reported on thirty-one complaint cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public.

A motion passed to return to open session.

DISCIPLINARY (COMPLAINTS) COMMITTEE REPORT

The Disciplinary Committee (Complaints/Malpractice/ME) of the North Carolina Medical Board was called to order at 8:00 a.m. on March 21, 2012 at the office of the Medical Board. Board Members present were: Thomas Hill, MD (Chair), Paul Camnitz, MD, Eleanor Greene, MD, Janice Huff, MD, Ralph Loomis, MD and Thelma Lennon. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy Ingram, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri and Marcus Jimison. Kathleen Haley and Dr. Robert Schaaf also attended.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

The Disciplinary (Complaints) Committee reported on four complaint cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public.

A motion passed to return to open session.

DISCIPLINARY (MALPRACTICE) COMMITTEE REPORT

The Disciplinary Committee (Complaints/Malpractice/ME) of the North Carolina Medical Board was called to order at 8:00 a.m. on March 21, 2012 at the office of the Medical Board. Board Members present were: Thomas Hill, MD (Chair), Paul Camnitz, MD, Eleanor Greene, MD, Janice Huff, MD, Ralph Loomis, MD and Thelma Lennon. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy Ingram, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri and Marcus Jimison. Kathleen Haley and Dr. Robert Schaaf also attended.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

The Disciplinary (Malpractice) Committee reported on twenty-four cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

DISCIPLINARY (MEDICAL EXAMINER) COMMITTEE REPORT

The Disciplinary Committee (Complaints/Malpractice/ME) of the North Carolina Medical Board was called to order at 8:00 a.m. on March 21, 2012 at the office of the Medical Board. Board Members present were: Thomas Hill, MD (Chair), Paul Camnitz, MD, Eleanor Greene, MD, Janice Huff, MD, Ralph Loomis, MD and Thelma Lennon. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Carol Puryear, Amy Ingram, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri and Marcus Jimison. Kathleen Haley and Dr. Robert Schaaf also attended.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

The Disciplinary (Medical Examiner) Committee reported on two cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

INVESTIGATIVE INTERVIEW REPORT

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

Fifteen informal interviews were conducted. A written report was presented for the Board’s review. The Board adopted the recommendations and approved the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

DISCIPLINARY (INVESTIGATIVE) COMMITTEE REPORT

Board Members present: Dr. Hill (Chair), Dr. Camnitz, Dr. Huff and Dr. Greene.

Investigations: Curt Ellis (Director of Investigations), Dave Allen, Bob Ayala, Therese Dembroski, Loy Ingold, David Hedgecock, Bruce Jarvis, Don Pittman, Jerry Weaver, Jenny Olmstead, Sharon Denslow, Barbara Rodrigues

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

The Disciplinary (Investigative) Committee reported on thirty-three investigative cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

REVIEW (INVESTIGATIVE) COMMITTEE REPORT

The Investigative Review Committee of the North Carolina Medical Board was called to order at 3:00 p.m. Wednesday November 16, 2011, at the office of the Medical Board.  Members present were: Peggy Robinson, PA, (Chair) and Pamela Blizzard. Also present were: Jenny Olmstead, Barbara Rodrigues, Sharon Squibb-Denslow , Therese Dembroski, David Allen, Lee Allen, David Hedgecock, Don Pittman, Robert Ayala, Loy Ingold, Bruce Jarvis, Rick Sims, Jerry Weaver Curtis Ellis, Marcus Jimison, Todd Brosius, Thom Mansfield, Brian Blankenship

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

The Review (Investigative) Committee reported on twenty-seven investigative cases. A written report was presented for the Board’s review. The Board adopted the Committee’s recommendation to approve the written report. The specifics of this report are not included because these actions are not public information.

A motion passed to return to open session.

NORTH CAROLINA PHYSICIANS HEALTH PROGRAM (NCPHP) COMMITTEE REPORT

Present: Janice Huff MD; David Collins MD; Terrence Bogard MD; Robert Bilbro MD; Judge John Lewis; William Walker MD; NCPHP Staff: Warren Pendergast MD; Joseph Jordan PhD; Sid Kitchens, Mary Agnes Rawlings; Carsten Thuesen; Deborah Hill; Kim Lamando

Absent: Richard Puchinsky MD.

A motion passed to close the session pursuant to Section 143-318.11(a) of the North Carolina General Statutes to prevent the disclosure of information that is confidential pursuant to Sections 90-8, 90-14, 90-16, 90-21.22 of the North Carolina General Statutes and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege.

The Board reviewed forty-two cases involving participants in the NC Physicians Health Program. The Board adopted the committee’s recommendation to approve the written report. The specifics of this report are not included as these actions are not public information.

A motion passed to return to open session.

BEST PRACTICES COMMITTEE

The Best Practices Committee of the North Carolina Medical Board was called to order at 3:00 p.m. on Thursday, March 22, 2012, at the office of the Medical Board. Members present were: Ms. Pamela Blizzard, Chair; Dr. Janice Huff and Ms. Thelma Lennon. Also present were: David Henderson, Dr. Scott Kirby, Christina Apperson, Todd Brosius and Maureen Bedell.

1. Old Business

a. Update on “CPEP East”

Christina Apperson provided a summary of the CPEP East Overview and Timeline. The group briefly discussed the Board’s role in CPEP East introductions/discussions with North Carolina organizations.

b. Proposed speakers regarding telemedicine

Christina Apperson is to contact representatives of the Georgia Partnership for Telehealth to speak at the May meeting.

2. New Business

a. The committee heard a report from David Henderson, Dr. Scott Kirby and Todd Brosius concerning a meeting they attended recently concerning a proposed telemedicine model. Involved groups include American Well, Blue Cross, UNC, and Walgreens. The most recently proposed delivery model/study would include a kiosk in a Walgreens store to be manned by a pharmacist. A patient would have online access to a family practice physician via telemedicine link-up for a limited number of conditions. Walgreens would fill any needed prescriptions.

MEDICAL SCHOOL EDUCATIONAL OUTREACH PROJECT

The Medical School Education Outreach Project group was called to order at 12:15 p.m. on March 22, 2012 at the office of the Medical Board. Members present were: Peggy Robinson, PA-C, Chair; Janice Huff, MD, and Pamela Blizzard. Also present were: Jean Fisher-Brinkley; Nancy Hemphill; and Dena Konkel. There were no absences.

1. Old Business

a. We reviewed the discussion from our February 24 meeting/ conference call.

2. New Business

a. The Committee brainstormed ideas for the professionalism module.

1. Truthfulness/ candor: example: on license applications. Disclose misdemeanors; ask your lawyer for advice about “expungements”; report academic probation.

2. Accountability/ respect for the Board. Timeliness, compliance with institutional deadlines, such as keeping up with clinical requirements for CME on infections, etc. Keep records of everywhere you’ve ever worked or lived, for future license applications. Keep records of any criminal history.

3. Compassion, humanity. Studies show that students entering medical school and new physicians entering residency have high levels of caring, but then lose that over time. Compassion is an important aspect of patient care.

4. Communication: include statistics about poor communication being the base of many complaints and professional liability payments.

5. Humility vs. arrogance/ team orientation/ don’t be a disruptive physician. Interact with your patients and staff with respect.

6. Don’t have sex with patients or staff.

7. Self-reflection. This is part of MOL. Remember why you went to medical school. Value wellness and strive for a balance between your work and personal life. Avoid burnout.

8. Put the patient’s needs first. Use patient handoffs as example. Even with restrictions on work hours for residents, patient care has priority over the clock, your family life, etc. It is critical that the next set of providers has the information needed to care for the patient.

9. Cross-cultural awareness. Avoid being disdainful of a patient’s lifestyle or beliefs. Be careful when discussing “hot button” issues, like a child’s obesity (which may conflict with a cultural norm or be perceived as insulting to the parent.) To become more culturally sensitive, a physician could participate in community events, or take a class in a language.

b. Action items:

1. Jean will contact Dr. Patrick Ober at Wake Forest University Medical School, to learn whether this module will still be useful to his students; when it might be used in their curriculum; and whether our module will duplicate or reinforce their current message about professionalism.

2. Nancy will contact AHEConnect, to learn about: what they need from the Board for curriculum development; their time requirements to develop the module; and their ideas on integrating video interviews or other clips into the module.

3. Nancy or Jean will contact Dr. Gerancher to see whether physicians in her residency program might also serve as a test case for the module.

4. Staff will develop a “meaty” outline in the next few weeks, and will distribute that to committee members for their review.

ADJOURNMENT

This meeting was adjourned at 1:40 p.m. March 23, 2012.

_____________________________________________________

Thomas R. Hill, MD

Secretary/Treasurer

APPENDIX A

CURRENT POSITION STATEMENT:

Self-treatment and treatment of family members and others with whom significant emotional relationships exist*

It is the position of the North Carolina Medical Board that, except for minor illnesses and emergencies, physicians should not treat, medically or surgically, or prescribe for themselves, their family members, or others with whom they have significant emotional relationships. The Board strongly believes that such treatment and prescribing practices are inappropriate and may result in less than optimal care being provided. A variety of factors, including personal feelings and attitudes that will inevitably affect judgment, will compromise the objectivity of the physician and make the delivery of sound medical care problematic in such situations, while real patient autonomy and informed consent may be sacrificed.

When a minor illness or emergency requires self-treatment or treatment of a family member or other person with whom the physician has a significant emotional relationship, the physician must prepare and keep a proper written record of that treatment, including but not limited to prescriptions written and the medical indications for them. Record keeping is too frequently neglected when physicians manage such cases.

The Board expects physicians to delegate the medical and surgical care of themselves, their families, and those with whom they have significant emotional relationships to one or more of their colleagues in order to ensure appropriate and objective care is provided and to avoid misunderstandings related to their prescribing practices.

*This position statement was formerly titled, "Treatment of and Prescribing for Family Members."

(Adopted May 1991) (Amended May 1996; May 2000; March 2002; September 2005)

PROPOSED CHANGES

Self-treatment and treatment of family members

It is the Board’s position that it is not appropriate for licensees to write prescriptions for controlled substances or to perform procedures on themselves or their family members. Rules 32B .1001, 32S .0212, and 32M .0109 prohibit licensees from prescribing controlled substances (including all narcotics) to themselves or immediate family members. In addition, licensees should not treat their own chronic conditions or those of their immediate family members or others with whom the licensee has a significant emotional relationship. In such situations, professional objectivity may be compromised, and the licensee’s personal feelings may unduly influence his or her professional judgment, thereby interfering with care.

There are, however, certain limited situations in which it may be appropriate for licensees to treat themselves, their family members, or others with whom the licensee has a significant emotional relationship.

1. Emergency Conditions. In an emergency situation, when no other qualified licensee is available, it is acceptable for licensees to treat themselves or their family members until another licensee becomes available.

2. Urgent Situations. There may be instances when licensees or family members do not have their prescribed medications or easy physician access. It may be appropriate for licensees to call in provide short term prescriptions.

3. Acute Minor Illnesses within Clinical Competence. While licensees should not serve as primary or regular care providers for themselves or their family members, there are certain situations in which routine care may be acceptable. Examples would be treatment of a simple urinary tract infection antibiotic-induced fungal infections or prescribing ear drops for a family member with external otitis. It is the expectation of the Board that licensees will not treat recurrent acute problems.

4. Over the Counter Medication. This position statement is not intended to prevent licensees from suggesting over the counter medications or other non-prescriptive modalities for themselves or family members, as a lay person might.

Licensees who act in accord with this position statement will be held to the same standard of care applicable to licensees providing treatment for patients who are unrelated to them. Thus, licensees should not treat problems beyond their expertise or training and should be sure to maintain an appropriate medical record documenting any care that is given. It may also be prudent to provide a copy of the medical record to the patient’s primary care provider.

Licensees who inappropriately treat themselves, their family members or others with whom they have a significant emotional relationship should be aware that they may be subject to disciplinary action by the Board.

COMMENTS RECEIVED:

Thanks for asking - looks like an improvement and fine as is.

--Nicholas E Stratas, MD

I think this is an improvement over previous Position Statement. It clarifies what a Physician can do and not do. In the past many Physicians have been confused over whether or not they could handle minor illnesses of their family members. I think there should be a record kept of these treatments especially if prescriptions of controlled substances are involved.

--John Foust, MD

Changes represent practical improvement, but would recommend that a record be kept of Rx. Best regards,

--Charles Duckett, MD

This revision is an improvement in that there are concrete examples of when it is acceptable for a licensee to provide care or prescribe for self, family or loved ones. In keeping with the statement at the close of the position statement pertaining to maintaining the same level of quality care provided to all patients there should be a record keeping requirement and that such a record should be forwarded to the primary care provider of the recipient of care. Best to all my colleagues down there in Raleigh.

--Michael Norins, MD

This version is much better. I do think it would be useful to ask that physicians keep a personal record of such instances, a record that can be reviewed, if indicated, by the Board on request.

--Walter Pories, MD

I actually like some parts of both---so, I recommend using the old statement in its entirety, and inserting the paragraph about the specific examples of exceptions from the new statement after paragraph #2, and using the last paragraph of the new statement by adding it after the last paragraph of the old statement.   

I wish everyone at the Board a Happy New Year!

--Wayne VonSeggen, MD

I feel the "Draft Position" is the best and most appropriate with one minor exception. I would not include "minor urinary infections" as an example of a minor illness since these can be the first sign of a major problem, especially in pediatrics. I appreciate being asked for my input. 

--Bryant Galusha, MD

Much improved with concrete examples. As my esteemed colleagues, Walter and Buddy, as well as my other colleague, Michael have described, it would be wise to maintain the record keeping requirement. Best to all.

--Art McCulloch, MD

I agree this is a much clearer statement.

--Elizabeth Kanof, MD

Thanks for the opportunity to comment.  We support the draft position statement  on self-treatment and the three rule changes prohibiting the prescribing of controlled substances to one's self or family members by MDs/DOs, NPs and PAs.

-- Michael R. Borden, CAE

Chief Executive Officer, NC Academy of Physician Assistants

While a tremendous improvement over the original proposed policy, this policy is now without reason. It is appropriate for someone to diagnose and treat himself or a family member for an acute event, with unknown or uncertain causation, but not prescribe or refill chronic medications for himself/herself for chronic maintenance medications where the medical issue is well documented. And acting as a “Lay person” in giving advice is something that a physician can actually be claiming to be doing!!??

While potentially foolish, it seems ridiculous to me that an attorney can draw up his/her own legal documents, but a physician has an ethical reason not to treat or prescribe for himself/herself. This is not medical ethics. It is enforcement of medical stupidity. And the line remains unclear based on the current policy.

--Jim Stackhouse, MD

The new NCMB policy seems pretty reasonable to me...so I can call in my own Flonase without fear.

--Sandra M Brown, MD

I believe the new position paper is excellent. I thought all of the responses that were sent to me are appropriate. I do think that maintaining appropriate medical records should be further emphasized either by underlining or capitalizing the statement in the position paper. I really think it is a good job.

--A. T. Pagter, Jr., MD

It seems to me that the first two sentences should be merged/edited to include "Self", "Family Members", and "those with whom a significant emotional relationship exists" for all of those restricted activities. When you read it like it is, it seems like you are parsing the difference. Otherwise, the current edited version is OK.

--Wayne VonSeggen, PA-C

Dr. Herring submitted a revised version of the proposed Position Statement. It will be available during the Policy Committee meeting.

--Stephen Herring, MD

APPENDIX B

CURRENT POSITION STATEMENT:

Availability of physicians to their patients

It is the position of the North Carolina Medical Board that once a physician-patient relationship is created, it is the duty of the physician to provide care whenever it is needed or to assure that proper physician backup is available to take care of the patient during or outside normal office hours.

The physician must clearly communicate to the patient orally and provide instructions in writing for securing after hours care if the physician is not generally available after hours or if the physician discontinues after hours coverage.

(Adopted July 1993) (Amended May 1996, January 2001, October 2003, July 2006)

PROPOSED POSITION STATEMENT:

Availability of licensees physicians to their patients

It is the position of the North Carolina Medical Board that once a relationship between a licensee and a patient physician-patient relationship is created, it is the duty of the licensee physician to provide care whenever it is needed or to assure that proper physician backup by a healthcare provider is available to take care of the patient during or outside normal office hours.

If the licensee is not going to be available after hours, the licensee must provide clear instructions to the patient for securing after-hours care. It is the responsibility of the licensee to ensure that the patient has sufficient information regarding how to secure after-hours care.

The physician must clearly communicate to the patient orally and provide instructions in writing for securing after hours care if the physician is not generally available after hours or if the physician discontinues after hours coverage.

It should be noted that these duties are applicable to a licensee whether the licensee is practicing telemedicine or practicing medicine through traditional means.

(Adopted July 1993) (Amended May 1996, January 2001, October 2003, July 2006, _________)

APPENDIX C

| |

| |

| |

|Albers, Ashley Elizabeth |

|Albuquerque, Maria Luiza Coutinho |

|Alder, Brian Douglas |

|Alexa, Liliana |

|Allem, Jordan Price |

|Allem, Kavitta Baman |

|Allen, Joseph Edgar |

|Alley, Christopher Lee |

|Allori, Alexander Christopher |

|Amechi-Obigwe, Adanna Juliet |

|Ammon, Jerry Brandon |

|Amula, Venugopal |

|Anderson, Andy Lee |

|Ange, Jessica Royd |

|Asadi, Shahram Daniel |

|Atchley, William Doyle |

|Austin, Phillip Andrew |

|Aymes, Shannon Elizabeth |

|Barber, Michale Jill |

|Barnes, Edward Lee |

|Bartos, Corinna |

|Basile, Jeffrey Michael |

|Becher, Robert David |

|Beck, Timothy Scott |

|Belcher, Stephen Matthew |

|Bergin, Stephen Patrick |

|Bermudez, Dustin Miguel |

|Binder, Andrew Jay |

|Blasius, Kimberly Rae |

|Boateng, Yaw Ababio |

|Boro, Thomas James |

|Boschini, Fernando Jose |

|Boyle, Eric Joseph |

|Braddock, Demetrios Thomas |

|Bradley, Joel Fontaine |

|Brooks, Megan Elizabeth |

|Brown, Delores E |

|Burke, Julie Marie |

|Buscher, April LaVerne |

|Bush, Jeana Suzanne |

|Byrnes, Luke Joseph |

|Cabrera, Mark Anthony Castro |

|Cahill, Kevin Scott |

|Campbell, Emily Olmstead |

|Catalano, Christa Lynn |

|Chandler, Wells Michel |

|Chang, Li-Fen Lien |

|Chaudhary, Dipendra |

|Chaudhary, Prateek |

|Chaudhry, Haroon Waheed |

|Cheely, George Rayburn |

|Chen, Fan |

|Chen, Xinyu |

|Chijioke, Rochelle Chinyere |

|Chiles, Lauren Frances |

|Chiles, Melissa Cole |

|Chin, Brian Michael |

|Chobe, Rashmi J. |

|Choi, Philip Jaekyung |

|Chon, Andy Ki |

|Clark, Alicia Temple |

|Clark, Heather Marie Nettles |

|Clarke, Jeffrey Melson |

|Clover, Charles Rouse |

|Codiga, Michael A |

|Collins, Katie Porterfield |

|Collymore, Rebekah Hughey |

|Conley, Brian Alan |

|Cooper, Jack Marshall |

|Cordero, Christopher Eric |

|Courtwright, Andrew Miller |

|Cowherd, Stacy McLellan |

|Cressy, Elizabeth Delpit |

|Dalton, Antonia Plamenova |

|Dameron, William Edward |

|Daneshmand, Mani Ali |

|Danvers, Antoinette Annmarie |

|David, Clifford Baynes |

|Davis, David Richard |

|Davis, Drew Edward |

|Davis, Melissa Ann |

|De Jesus, Graceila Beatriz |

|Dean, Teresa Marie |

|DeClaire, Melody Joy |

|Deem, Brent Shawn |

|Dejhalla, Mana |

|Delverme Silva, Rosanna |

|DePalma, Laura Christine |

|Diefendorf, Laura Patricia |

|Dieter, Alexis Anne |

|Doll, Jacob Appel |

|Dore, Adam L |

|Dorton, David William |

|Drossner, David Mark |

|Duggal, Sonia |

|Eapen, Rose J. |

|Eberts, Paul Thomas |

|Ellis, Eboni Malkia |

|England, Elizabeth Ann |

|English, Gregory Richard |

|Enweluzo, Chijioke Uchenna William |

|Erb, Brian Charles |

|Estes, Thomas Lane |

|Fan, Yan Gao |

|Fananapazir, Ghaneh |

|Fedors, Nathan Holt |

|Fenderson, Jacquia Lameesha |

|Ferrell, David Ralph |

|FitzHarris, Joseph Bernard |

|Folgar, Francisco Andres |

|Fong, Philip Austin |

|Foo, Wen-Chi |

|Frank, Jorge Guillermo |

|Freely, Alison Brooke |

|French, John Wesley |

|French, Natalee Sheppe |

|Friedman, Heather Blythe |

|Gadiraju, Gautham Subhash |

|Gamboa, David Gabriel |

|Gardner, Sheila Fulton |

|Garg, Anu |

|Gerber, Walter LeRoy |

|Ghanem, Firas |

|Gibbs, Michael Alfred |

|Gonzalez, Rolando Luis |

|Gore, Sarah Marie |

|Gratian, Lauren Fritz |

|Gray, Jack Gibson |

|Greenfield, Dwynn Noel |

|Griffin, Melissa Erin |

|Hall, Rasheeda Kamial |

|Halvorson, Elizabeth Eby |

|Hanson, Kerstin Elise |

|Harrelson, Rick Alan |

|Harris, Robert Thomas |

|Hartman, Heidi Jon |

|Harvey, David Thomas |

|Hayes, Natalie Marilyn |

|Heffner, Steven Miller |

|Helms, Brock Hampton |

|Higginson, Daniel Smith |

|Hjerpe, Kent Stephen |

|Hobbs, Kumari Ananda |

|Holmes, Allen Jason |

|Horan, Jennifer Lynn |

|Hordes, Andrew Richard |

|Hsu, James Tien-Ti |

|Hunt, Meagan Renn |

|Induru, Raghava Reddy |

|Jaindl, Jeffrey Joseph |

|Joashi, Umesh Chandra |

|Jones, Darrell Edward |

|Jones, Frederic Gordon |

|Juco, Jonathan Wes |

|Jue, Christopher Tak-Ming |

|Kamal, Mohammad Ahmad |

|Kapoor, Vibhu |

|Kassahun, Zeleke Desse |

|Kauffman, Christopher Raymond |

|Kazienko, Brian Thomas |

|Keiler, Louis Charles |

|Khan, Ayesha Naazneen |

|Khan, Fakhar Javed |

|Kibe, Harrison |

|Kiemeney, Michael James |

|Kihneman, Jason Bradley |

|Kindel, Andrew Bird |

|King, Matthew Michael |

|Klug, Sara Jones |

|Knotts, Christopher Dale |

|Kochupura, Paul Varkey |

|Kovell, Judy |

|Kozlowski, Matthew Scott |

|Kramer, Benjamin Charles |

|Kreishman, Peter |

|Kuhns, Rebecca Adia |

|Kumar, Amy |

|Kunkel, Cooper David |

|Kuppinger, Jordan Gregory |

|Lack, William Dean |

|Ladd, Christopher Dean |

|Larson, Douglas Glen |

|Lazzaro, Bette |

|Lee, Janette Jaiwon |

|Levine, Ari Daniel |

|Lewis, Jason James |

|Lichtenberger, Frank John |

|Lin, Peter Charlie |

|Lobert, Philip Francis |

|Loftis, Richard McLester |

|Loken, Karla Fay |

|Longin, Heather Marie |

|Lopez, Steven Gerald |

|Lu, Kang |

|Luchetti, Mary Ellen Joan |

|Luyckx, Benoit Alexandre |

|Mackey, Aimee Marlena |

|Mannino, Angela Christine |

|Marcum, Kristin Kucera |

|Marcus, Inna |

|Markow, Justin Michael |

|Mastro, Timothy Dickey |

|Maultsby, Dwayne Alan |

|McCarthy, Paul Joseph |

|McCarthy, Timothy Andrew |

|McClung, Rachel Leanne |

|McDowell, Susan Williams |

|McGuire, Antonio Martrell |

|McPherson, John Joseph |

|McQuade, Jennifer Leigh |

|McWilliams, Andrew David |

|Meeneghan, Mathew Robert |

|Mehta, Nisha Harshad |

|Mehta, Parthiv Suresh |

|Mehurg, Shannon Michael |

|Melon, David Ethan |

|Meyer, Jay Jeffrey |

|Michel, Chenel |

|Miles, Christopher Michael |

|Miller, Aaron Matthew |

|Miller, Celeste Mynette |

|Miller, Lewis McCoy |

|Miller, Ram Ron |

|Mills, Kyle Charles |

|Milstein, Vladimir Anatol |

|Mizrachi, David |

|Mlynski, Nicole Marie |

|Modes, Katharina Barbara |

|Moe, Craig Edward |

|Moore, Kristi Michelle |

|Moran, Marica Liliana |

|Moranville, John Thomas |

|Morgan, Michael Louis |

|Mounce, Genevieve Patman |

|Musey, Paul Idun |

|Musty, Michael Owen |

|Myneni, Mamata Chaudary |

|Nandwani, Veena |

|Neff, Michael Shawn |

|Newberry, Travis Ryan |

|Nichols, Kyle Bradley |

|Niemeyer, David J |

|Okie, Frederick T |

|Okobi, Anthony Obiesie |

|Oliver, Joseph Andrew |

|O'Meara, Alia Marie Iqbal |

|Ong, Francis Beng |

|Paasch, Maria Barrett |

|Panyko, Stephen Philip |

|Pappas, Chris George |

|Pate, Ann Scott |

|Patel, Ankita |

|Patel, Babita |

|Patel, Kumar Ravjibhai |

|Patel, Nayan M |

|Patel, Nick Rohit |

|Patel, Sachit Arvind |

|Patrick, Caitlyn Molino |

|Patterson, Elena Olga |

|Paulson, Lorien Mary |

|Pav, Breckon Daniel |

|Peacock, Jeffrey Edward |

|Peacock, William Franklin |

|Pena, Loren Del Mar |

|Pepple, Kathryn Lynn |

|Persad, Rajendra |

|Peterson, Carole Jean |

|Peterson, Kristine Marie |

|Pham, Nam-Kha Nguyen |

|Piascik, Christine Adele |

|Pillai, Hema Radhakrishna |

|Po, Christopher Lucio |

|Pratts Emanuelli, Jose Javier |

|Punwani, Asmeeta Dayaldas |

|Putnam, Frank William |

|Rahman, Feraz Najmi |

|Rancour, Stephen Thomas |

|Ranjan, Tulika |

|Raval, Jay Suman |

|Ravulapati, Janakiram |

|Ray, Hollis Moye |

|Reddy, Kalpana Kesavarapu |

|Reis, James Robert |

|Retfalvi, Paul Mihaly |

|Richard, Thomas Joseph |

|Riddick, Gwendolyn Lavonne |

|Ridgeley, Jamison Rodger |

|Rivera, Nicolas Bravo |

|Robinson, Michael Lorne |

|Rodriguez, Kenneth David |

|Roomiany, Pahresah Lenore |

|Roque, Daniel Alberto |

|Roy, Lance Atlas |

|Ru, Kun |

|Russell, Christopher David |

|Sanders, Adrian Ivan |

|Saranga, Reshmi |

|Sauve, Kenneth Joseph |

|Schmelzer, Thomas Michael |

|Schneider, Eric William |

|Schnyder, Drew David |

|Schoenherr, Jay William |

|Scott, Lisa Choe |

|Scurlock, Corey Steven |

|Seal, Anna Catherine |

|Sergew, Amen |

|Sevilla, Deborah Weber |

|Shapcott, Lisa Marie |

|Shedd, Kelly Frye |

|Shields, Milton Bruce |

|Shumard, Kristina Michelle |

|Sikes, Charles Van |

|Sikorski, Theodore John |

|Silva, Jason Andrew |

|Silvonek, Steven Scott |

|Simonton, Kirsten Marie |

|Singh, Paramvir |

|Sinha, Tushar |

|Sivak, Joseph Aaron |

|Smalls, George Douglas |

|Smith, Angela Blotzer |

|Smith, Christopher Mitchell |

|Sonners, Adina |

|Squire, Michael Louis |

|Sreedharala, Vamsi Krishna |

|Staebler, Andreas Manfred |

|Stanley, Clay Alan |

|Stapleton, Philip Peter |

|Stiegler, Marjorie Podraza |

|Stine, Michael |

|Stryker, Louis Samuel |

|Summerville, Sarah Guo |

|Sutton, Thomas John |

|Swan, Megan Connors |

|Swanson, Erin Marie |

|Tabone, Lawrence Edward |

|Tadakamalla, Ashvin |

|Tappouni, Rafel F.Raphael |

|Teague, Daniel Joseph |

|Tedesco, Mark James |

|Tedstrom, Amanda May |

|Teed, Richard Russell |

|Tennant, Phillip Roy |

|Thomarios, Nickitas |

|Thomas, John Alexander |

|Ting, Andrew Yin Chu |

|Tlhabano, Letlhogonolo Benny |

|Todd Bell, Rebecca Wright |

|Troendle, Michelle Marie |

|Tucker, Joseph David |

|Turner, William Harrison |

|Vileisis, Rita Alfreda |

|Villarosa, Joan Pasos |

|Vora, Neeta Lakshmi |

|Wagner, Jaime Stephan |

|Wait, Scott Daniel |

|Walker, Edwin Owsley |

|Wang, Luoquan |

|Wang, Wenjing |

|Weathers, John Rouse |

|Webb, Leigh-Ann Jones |

|Weber, Sommany |

|Weintraub, Bernard Maurice |

|Wen, Joanne |

|West, Kelly Leigh |

|Whitener, George Burke |

|Whitham, Joshua Wesley |

|Wiegand, Samantha Lynn |

|Williams, Debra Sue |

|Williams, Ostranda Leviticus |

|Williams, Tearani Joyce |

|Wilson, Robert Edward |

|Wohlwend, John Richard |

|Wong, Guontung |

|Woodruff, Daniel Young |

|Xu, Ashley Barber |

|Yancey, Joel Benton |

|Yang, Lao Por |

|Yang, Qinghong |

|Ybarra-Salinas, Doris Ann |

|Yiu, Glenn Chung-Wing |

|Young, Emily Ruth |

|Younge, Noelle Elizabeth |

|Zackrisson, Jill Annemarie |

|Zaidi, Samina |

|Zamorano, Sergio Briand |

|Zappa, Michael Joseph |

|Zatakia, Jigna |

|Zhang, Yiqiu |

|Zhong, Yun |

|Zhu, Joanne Zhiwen |

|Zickler, Robert William |

|Zubelevitskiy, Konstantin |

APPENDIX I

Nurse Practitioner & Clinical Pharmacist Practitioner Approvals Issued

As of March 2012

List of Initial Applicants

NAME PRIMARY SUPERVISOR PRACTICE CITY

|CONSEEN-BRADLEY, DEBORAH |BUCHANAN, SONYA |CHEROKEE |

|DREW, LEENA |ALEJANDRO, LUIS |GREENSBORO |

|GAINES, AMANDA |EDWARDS, ANGELA |WINSTON SALEM |

|HO, NANCY |KORUDA, MARK |CHAPEL HILL |

|KLABNIK, NICOLE |LOBDELL, KEVIN |CHARLOTTE |

|PLANTAN, TAMMI |HORST, JAMES |RALEIGH |

|SCHNELL, GINGER |SHEPHERD, BILLIE |ASHEVILLE |

|SIZEMORE KESLER, NANCY |STOUDMIRE, JONATHAN |CONCORD |

|SPARROW, JESSICA |ELLISON, MAXLYN |RALEIGH |

|WEEKS, CHRISTINE |GREENBERG, GARY |RALEIGH |

|BARKOE, TATIANA |DUKOWICZ, ANDREW |ASHEVILLE |

|CHATTEN, CARMEN |SEITZ, KENT |CHARLOTTE |

|COUNTS, TAMIKA |OKWARA, BENEDICT |MONROE |

|HOLLAND, CHELSA |HAQUE, IMRAN |ASHEBORO |

|INKSTER, JESSICA |EDWARDS, ANGELA |WINSTON-SALEM |

|LIMA, TONI |HOWARD-MCNATT, MARISSA |WINSTON-SALEM |

|MOON, JULIA |REDMOND, BERNIECE |MOREHEAD CITY |

|SMITH, SHEILA |BARTEL, ALISON |WASHINGTON |

|STONER, JOANNA |YERRAMSETTY, PAVAN |RALEIGH |

|THOMAS, TRACY |MEYERS, STEPHEN |OAK RIDGE |

|WILLIAMS, JILL |JOHNSON, LYNN |GREENVILLE |

|BARAN, ELIZABETH |CLOWSE, MEGAN |DURHAM |

|CROOP, SARAH |PRICE, WAYNE |CHAPEL HILL |

|FERGUSON, MANDY |MYLES, SIDNEY |HICKORY |

|HARRIS, JEWEL |BUCHANAN, SONYA |CLEVELAND |

|HARTSOCK, NANCY |HEAVNER, TERESA |MURPHY |

|HUGGINS, DARLENA |SEWANYANA, STEVEN |CHARLOTTE |

|OGUNWO, ADEWALE |UBA, DANIEL |FAYETTEVILLE |

|SKIDMORE, ASHLEY |ELBEERY, JOSEPH |GREENVILLE |

|WOOD, TERESA |ROSE, JOHN |GREENVILLE |

|ZUCHOWSKI, TAMARA |HORST, JAMES |RALEIGH |

|ANEN, IJEOMA |RUSSELL, MICHAEL |RALEIGH |

|BAUMEISTER, KATHRYN |UGOCHUKWU, KINGSLEY |ANGIER |

|BORDERS, JOSHUA |PHIFER, NANCY |BURLINGTON |

|BRANTLEY, MARY |KANDIL, HOSSAM |GREENVILLE |

|BROWN, BOBBI-LYN |CHEN, ERIC |WINSTON-SALEM |

|CAREY, ANNDREA |CORNETT, EDGAR |CHARLOTTE |

|COLLETON, KIA |AUFFINGER, SUSAN |WINSTON-SALEM |

|CULL, TINA |PATEL, YOGESH |SALISBURY |

|DAVIS, LAURA |JANIS, ERIC |RALEIGH |

|DAVIS, WENDY |MAYBEE, DAVID |NEW BERN |

|DAY, COURTNEY |AUSTIN, DEMETRIA |GASTONIA |

|FAULK, SHAWANA |DESAI, VIREN |FAYETTEVILLE |

|GROSE, MALLORY |BOWTON, DAVID |WINSTON SALEM |

|HABLITZ, LINDA |AUSTIN, DEMETRIA |GASTONIA |

|IDIAQUEZ, ASHLEY |TAKAHASHI, ERIC |EDENTON |

|KING, RONALD |KANN, JOEL |RALEIGH |

|MARKS, LAURA |TERRY, WILLIAM |PINEHURST |

|MARTIN, CYNTHIA |NASH, DELINA |HIGH POINT |

|MCHUGH, KATERINA |NORTEY, CYNTHIA |MATTHEWS |

|MOUNCE, AMANDA |HUNSINGER, SUSAN |ADVANCE |

|MWANGI, ELIZAPHAN |ALUKO, GBENGA |CHARLOTTE |

|NASPINSKY KINSER, MICHAELENE |YORK, SALLY |DURHAM |

|OLUP, JULIANNA |COOK, JASON |MARSHALL |

|PENNEBAKER, ROBERT |FLEISHMAN, SAMUEL |FAYETTEVILLE |

|PROKUP, NANCY |MOORE, DANIEL |GREENVILLE |

|TOLIN, KIMBERLY |PATIL, POOJA |ST. LOUIS |

|WADE, KENYA |MORGAN, AMY |CONCORD |

|WELLBORN, CORY |BOWLING, MARK |CLAYTON |

NP ADDITIONAL SUPERVISOR LIST

|ALMOND, RACHEL |PECK, JOANNE |SUPPLY |

|BEDNAR, TAMATHA |TAYLOR, MELISSA |GREENSBORO |

|BENSON, INGA |HOGSETTE, GERALD |WINSTON SALEM |

|BEVILACQUA, REBECCA |HUFFORD, DAVID |CHARLOTTE |

|BOWERS, LESLY |ALLGOOD, SARA |CHARLOTTE |

|BROWN, REBECCA |RHYNE, JANELLE |WILMINGTON |

|BUNTING, SHELLEY |STEINER, MICHAEL |CHAPEL HILL |

|CHARLES, ANNE |POLIDORO, ANGELIQUE |PLYMOUTH |

|DAVIS, TERESA |YOUSSEF, HANY |STATESVILLE |

|DELLINGER, FLORENCE |BROOKS, REBECCA |BAKERSVILLE |

|EVANS, PATRICIA |KORNEGAY, CHRISTOPHER |KENANSVILLE |

|FARRIS, KAREN |HANSEN, TODD |CHARLOTTE |

|FIFIELD, DANA |KIRKPATRICK, JOHN |DURHAM |

|GARDNER, BRAD |OWENSBY, CHARLTON |GASTONIA |

|GILLIAM, KAREN |PARKS, JENNIFER |WINSTON SALEM |

|GRIFFIN, ALICE |LOWRY, BARBARA |THOMASVILLE |

|HASTINGS, COURTNEY |RHYNE, JANELLE |WILMINGTON |

|HEARN, PENNY |PEACOCK, IVAN |ROCKY MOUNT |

|HUSTON, ELIZABETH |POLIDORO, ANGELIQUE |WILLIAMSTON |

|JESSUP, ANN |COREY, JOHN |PITTSBORO |

|LAKE, ANNE |JORGE, CARLOS |CHARLOTTE |

|LARACH, MARY CAROLE |TAYLOR, MELISSA |GREENSBORO |

|LEDFORD, CYNTHIA |SHEPHERD, BILLIE |ASHEVILLE |

|LEWIS, KAREN |HARRELSON, ANNA |ASHEVILLE |

|LINVILLE, KRISTI |BEITTEL, TIMOTHY |WILMINGTON |

|MADDEN, REGINALD |OTHMAN, ISLAM |CARY |

|MATTICE, MARK |SUMMERS, ERIK |WINSTON-SALEM |

|MEHTA, SUSAN |KELLY, PATRICK |CONCORD |

|MYERS, MEGAN |BROWN, STEPHANIE |LOUISBURG |

|NILSON-TAYLOR, DIANA |BLIZZARD, DANIEL |BOLIVIA |

|PIERCE WILUSZ, SANDRA |DEMBSKI, JOHN |MORGANTON |

|PILOTE, CAROL |WILKINSON, JAMES |KITTY HAWK |

|REIVES, VONDA |BELL, WILLIAM |ROBBINS |

|RICCI, LINDSEY |MORTON, TERRENCE |HUNTERSVILLE |

|ROBNETT, JANET |LINS, MARK |SALISBURY |

|RYAN, LISA |BUIE, STEPHEN |ASHEVILLE |

|SABOL, VALERIE |RUSSELL, MICHAEL |RALEIGH |

|SANDS, MARY |MEADORS, MICHAEL |WINSTON SALEM |

|SCARBROUGH, MARY LYNN |SHELL, PETER |CHEROKEE |

|SCOTT, WILLIAM |KANN, JOEL |DURHAM |

|SEIGEL, ROBERT |HORST, JAMES |RALEIGH |

|STACY, CHERYL |DUANY JIMENEZ, VIRGINIA |NEWTON |

|STACY, CHERYL |MOFFET, CYNTHIA |NEWTON |

|STEVENS, DARLA |IYENGAR, PHANIRAJ |CHARLOTTE |

|THOMPSON, JULIE |SMITH, DOUGLAS |CHARLOTTE |

|WAHAB, HOLLY |DODDS, JODI |CHARLOTTE |

|WALSON, STELLA |SPELLS, LORI |GREENSBORO |

|WHITLEY, AMBER |BENN, DWIGHT |NORTH WILKESBORO |

|WRIGHT, KIMBERLY |GATLIN, DEIDRA |STANLEY |

|ANDERSON, GREGORY |FEINSON, THEODORE |RALEIGH |

|BEAN, ALLISON |SIMONDS, WICKHAM |DURHAM |

|BEVERLY HOWARD, LASHAWN |WELCH, KENNETH |WHITEVILLE |

|BROWN, JIL RAE |LEE, DAVID |TARBORO |

|BROWNE, LAUREN |BERNSTEIN, DANIEL |HUNTERSVILLE |

|BRYAN, PRISCILLA |HORST, JAMES |GREENVILLE |

|CARTER, ANGELA |HALL, ANDRE |FAYETTEVILLE |

|CHABON, SUZANNE |KALSY, SAPNA |GREENSBORO |

|CHAIRES, SARAH |LARSON, JAMES |CHAPEL HILL |

|CHAPMAN, CYNTHIA |PEELE, LORI |ROCKY MOUNT |

|CLAYSON, BARBARA |GODWIN, CHARLES |NEW BERN |

|CLEMENTS, KIMBERLY |REECE, NEIL |DENVER |

|CRISP, PENELOPE |GEARY, RANDOLPH |WINSTON SALEM |

|GALLAGHER, LESLIE |MINTZER, MELANIE |ROCKY MOUNT |

|GOODMAN, KAREN |ELLISON, ROBERT |BOONE |

|GORECKI, AMANDA |STEIN, ELISA |DURHAM |

|GREGORY JR, PAUL |SWEENEY, JOHN |WINSTON SALEM |

|HARRIS, STEPHANIE |ANDERSON, JAMES |HIGH POINT |

|HATCHETT, MARY |MINTZER, MELANIE |CARY |

|HEDRICK, DIANN |GRIMES, JEFFERY |MYRTLE BEACH |

|HENSLEY, CHAD |SINGH, SUNILJIT |RUTHERFORTON |

|HOUSER, PAIGE |JOSEPH, DAVID |SHALOTTE |

|HUFFMAN, DIEDRA |PARDO, SANDRA |COLLETTSVILLE |

|HUGHES, JANET |PANOWICZ, CYNTHIA |RUTHERFORDTON |

|HULME, ARUNA |GEARY, RANDOLPH |WINSTON SALEM |

|JOHNSON, YOLANDA |EZEIGBO, WALTER |ADVANCE |

|JORDAN, KATHLEEN |STEELMAN, SARA |CHARLOTTE |

|JOYNER, MICHAEL |CAHILL, JOHN |GREENVILLE |

|KEELER, JULIE |YOUNG, CYNTHIA |HOLLY SPRINGS |

|KILBY, MIRANDA |ALAM, MUHAMMAD |SHELBY |

|KILBY, MIRANDA |IQBAL, AAMIR |SHELBY |

|KITCHEN, CONSTANCE |REVELL, JEREMY |JACKSONVILLE |

|LEWIS, KAREN |HOLLAND, GEORGE |MORGANTON |

|LINK, TAMARA |LEE, MELVIN |HOLLY SPRINGS |

|LOVINGS, TINA |ALLGOOD, SARA |GASTONIA |

|MARTIN, DORINE |COWARD, HOLLY |CHAPEL HILL |

|MAXWELL, MELISSA |GASKIN, STEVE |CONCORD |

|MCDANIEL, CATHERINE |HOLLAND, GEORGE |MORGANTON |

|MILLS, MICHELLE |COTTON, MICHAEL |NEWTON |

|MULLET, STACY |MOLL, MATTHEW |CHARLOTTE |

|NADEAU, RANDINE |ROBERTS, JOHN |MILL SPRING |

|NOLAN, TIMOTHY |WALLENIUS, STEVEN |ASHEVILLE |

|PARKS, SANDRA |NEWTON, EDWARD |GREENVILLE |

|PATEL, SWATIBEN |IYENGAR, PHANIRAJ |CHARLOTTE |

|PATERSON, TRACY |SHARMA, SUNIL |GREENVILLE |

|PATTERSON, JERRI |GOOTMAN, AARON |FAYETTEVILLE |

|PERKINS, JUANITA |DAVIS, AMELIA |DURHAM |

|PLEMMONS, NANCY |KNOOP, JOHN |CHARLOTTE |

|ROBBINS, JOAN |MOYA, FERNANDO |WILMINGTON |

|RUCHO, SUSAN |KERCHER, KENT |CHARLOTTE |

|SHEELER, CORY |LYKINS, KIMBERLY |ALBEMARLE |

|SHELTON, BURTON |HOYLE, JOHN |WINSTON SALEM |

|STARR, TAMARA |LORD, CHRISTOPHER |CHARLOTTE |

|STEVENS, DARLA |RUDISILL, ELBERT |HICKORY |

|TROTTER, KATHRYN |HWANG, EUN-SIL |DURHAM |

|WALTERS, RICHARD |OWENS, ROBERT |HOOKERTON |

|WILSON, LORETTA |EDWARDS, ANGELA |WINSTON SALEM |

|ALLRED, JOLENA |HEBDA, WILLIAM |KNIGHTDALE |

|BASDEN, LINDA |KEEN, SUSAN |GREENVILLE |

|BAXLEY, SHARON |BRIDGERS, STEPHEN |CLARKTON |

|BURNS, KRISTEN |JORGE, CARLOS |MOORESVILLE |

|CARSTARPHEN, TRACY |RUCCI, JENNIFER |WILMINGTON |

|CHILDERS, PATRICIA |VELASQUEZ, INDIRA |SMITHFIELD |

|CLARK, KAREN |DIORIO, CHRISTOPHER |HICKORY |

|CUPP, BRENDA |GARUBA, ABDUL |MATTHEWS |

|DANIEL, LENI |GARIMELLA, RAMA |CARY |

|EARLY, CARMALINDA |ANIEKWENSI, FRANCIS |WARRENTON |

|GRABANIA, PATRICIA |KLEIN, GEORGE |WASHINGTON |

|GREGORY, KENNETH |HARRIS, CLYDE |WILMINGTON |

|HALL, BARBARA |VILLACORTE, LIZETTE |HICKORY |

|HWANG, JANE |CLARK, MICHAEL |GREENSBORO |

|IRVING, SHARON |FOLUKE, ALFRED |CHERRY POINT |

|JONES, PAULA |BATTAGLINO, MICHAEL |RALEIGH |

|MANNLE, SARAH |SCHNEIDER, ALEXANDER |ASHEVILLE |

|MASSENGILL, ANNA |EXUM, KELVIN |DUNN |

|MICKEVICH, RACHEL |SHULSTAD, ANDREW |CHARLOTTE |

|MOBLEY, LISA |WILLIAMS, AMELIANN |CAMP LEJEUNE |

|MORRIS, DIANN |KAPLAN, DAVID |CHARLOTTE |

|NORTON, CHRISTINE |KOSTENKO, SUSAN |HENDERSONVILLE |

|OLIVA, ARCELI |BUGAJ, GREGORY |WINSTON SALEM |

|PARKER, TAMRAH |WONG, JAN |GREENVILLE |

|PARRIS, CHRISTOPHER |SINGH, SUNILJIT |RUTHERFORDTON |

|PATTERSON, JERRI |TAYLOR, JAMES |LAURINBURG |

|PELLICCIARI, RITA |STELMACH, HANS |WILMINGTON |

|PREVATTE, DIANE |IBRAHIM, MOHAMED |ROCKINGHAM |

|ROWLAND, AUDREY |SHUGOLL, RICHARD |CHARLOTTE |

|SMITH, PAMELA |GIBBS, CAROL |WILMINGTON |

|SPEECE, SHANNON |KLEIN, GEORGE |GREENVILLE |

|TRANSUE, KATHLEEN |FOX, CHRISTOPHER |LENIOR |

|VALDES-HURTADO, VIVIANNE |SNYDER, LAURIE |DURHAM |

|WADUD, MIR |HANNAN, MOHAMMED |FAYETTEVILLE |

|WADUD, MIR |SALAHUDDIN, ABU |FAYETTEVILLE |

|WEBB, PATSY |IBRAHIM, MOHAMED |ROCKINGHAM |

|WHITE, RENE |FLOWE, KENNETH |GARNER |

|WHITENER, ANTHA |RUCCI, JENNIFER |WILMINGTON |

|WILLIAMS, TENEISHA |ESENSOY, TANER |FAYETTEVILLE |

|WILSON DEFELICE, JEANETTE |WILLIAMS, JONATHAN |BURLINGTON |

|AGUILAR, LYNETTE |MURRAY, MICHAEL |LENOIR |

|ALLEN-HELMS, ANGELA |MONTEZ, XIAOKUN |MARION |

|BALL, BETH |BRYAN, ANGELA |MARION |

|BELL, JESSICA |NOR, EUGENE |MAXTON |

|BENTON, JENNIFER |KING, LUNSFORD |SHALLOTTE |

|BLEVINS, LISA |PEARSON, MARILYN |SMITHFIELD |

|BORDENAVE, LYNDSEY |MIKATI, MOHAMAD |DURHAM |

|BOWEN, LEIGH ANNE |WELLS, MATTHEW |FAYETTEVILLE |

|BRADY, AMY |BERNSTEIN, REBECCA |ASHEVILLE |

|BUNCH, AMANDA |KLEIN, GEORGE |GREENVILLE |

|COBB, KELLY |BROWN, RANDOLPH |BURLINGTON |

|COBB, KELLY |CHARLTON, GLENN |ROXBORO |

|COOMBE, COURTNEY |KIMBALL, ROBERT |STATESVILLE |

|COSTNER, ASHELEY |WEINSTEIN, ROBERT |WILMINGTON |

|COX, PAMELA |KWIATKOWSKI, TIMOTHY |HUNTERSVILLE |

|DENNO, JANE |STANTON, ELIZABETH |SPINDALE |

|DEROUIN, ANNE |MARTINEZ-BIANCHI, VIVIANA |DURHAM |

|ENGLISH, KIM |TRIPP, HENRY |CHARLOTTE |

|EVERLY, CAROL |WESLEY, ROBERT |RALEIGH |

|FOLAND, TRACY |COOK, CHARLES |RALEIGH |

|GARDNER, BRAD |AUSTIN, DEMETRIA |GASTONIA |

|HANCOCK, JONATHAN |ZERVOS, EMMANUEL |GREENVILLE |

|HANCOCK, JONATHAN |BRILLANT, PATRICK |GREENVILLE |

|HARGRAVE, KENDRA |HOENIG, HELEN |DURHAM |

|HERBST, MCKENZIE |ALEJANDRO, LUIS |GREENSBORO |

|HIGH, THOMAS |MCKINNEY, LESLIE |RALEIGH |

|HILLER, CHRISTINE |LODGE, ANDREW |DURHAM |

|HOFFMANN, ALYSSA |BURKE-HAYNES, KAREN |RALEIGH |

|HOUSE, MARGARETANN |ZIDAR, JAMES |RALEIGH |

|JANDEBEUR, RONALD |BREGIER, CHARLES |MATTHEWS |

|KALLWEIT, JUDITH |BARRY, PAUL |GREENVILLE |

|MASTRIDGE, BENJAMIN |GIBBS, CAROL |DURHAM |

|MAYNARD, JEFFREY |BERRY, DAVID |HICKORY |

|MCELHENY, JESSICA |COX, CHRISTOPHER |DURHAM |

|MCNEIL, PATRICE |PRICE, BILLY |CHARLOTTE |

|MERCER, NITA |WILLIAMS, JONATHAN |MOREHEAD CITY |

|MERRITT, KAREN |MOYA, FERNANDO |WILMINGTON |

|NOEVERE, ERIC |MEISEL, DEAN |WILMINGTON |

|OKEAGU, CHINYERE |MCDONALD-TOUSSAINT, CAMILLE |WINSTON-SALEM |

|OXENDINE, LESLIE |NOR, EUGENE |MAXTON |

|PADGETT, MATTHEW |REVELL, JEREMY |LELAND |

|PAPARAZO, SUSAN |DAMBECK, ALLYN |GOLDSBORO |

|PATEL, JIGNA |SANDER, MARGIE |RALEIGH |

|PELLICORE, KAREN |SEVERA, JEFFREY |COLERAIN |

|PENN, LASHANDA |EZEIGBO, WALTER |ADVANCE |

|PHILLIPS, JUDY LYNN |BRYAN, CHARLES |ASHEVILLE |

|PITMAN, MATTHEW |BRADSTREET, JENNIFER |MOREHEAD CITY |

|PRATA, ELIZABETH |REULAND, DANIEL |CHAPEL HILL |

|ROBINSON, CAROLINE |FAJARDO, AGAPITO |CLINTON |

|RODGERS, TERI |BARKENBUS, JOHN |CHARLOTTE |

|SCISM, ELIZABETH |ALEJANDRO, LUIS |GREENSBORO |

|SENEGAL, STEPHANNIE |NORTON, DEBORAH |RALEIGH |

|SHOOK, CYNTHA |DOSHI, RENU |CHARLOTTE |

|SPANGLE, ELIZABETH |HOOKER, JAMES |HIGH POINT |

|STAUSS, JENNIFER |ANIKWUE, CHARLES |CHARLOTTE |

|SUMMEROW, VALARIE |KOCH, DANIEL |CHARLOTTE |

|TABRON, TONIQUE |GEIMER, PEGGY |WILSON |

|THOMAS, VICKY |HOLM, RICHARD |ROANOKE RAPIDS |

|THOMAS, BRANDI |ELSEY, RICHARD |WINSTON SALEM |

|THOMPSON, VANESSA |WARREN, EDWARD |SPARTANBUR |

|VANVIEGEN, MARK |CROMER, JOHN |MORRISVILLE |

|WATSON, LISA |ARMSTRONG, SARAH |DURHAM |

|WEAVER, ANDREW |PILLAY, MIDESHA |WILMINGTON |

|WHITE, AVA |SINGH, PAUL |ROCKINGHAM |

|WILKINS, GRACE |COOK, PAUL |GREENVILLE |

CLINICAL PHARMACIST PRACTITIONERS

ALVASTAD, KRISTIN LAURIE

DELK, BETHANY STRICKLAND

DELMONTE, MARCY TANIS

DOARES, WILLIAM HUMPHREY

LANDERS, ADAM DANIEL

POUNDERS, CRISTY LASHELLE

APPENDIX J

Anesthesiologist Assistant, Perfusionist & Provisional Perfusionist Licenses Issued

As of March 2012

Perfusionists:

Fernandez, Adam Luis

Lynn, Chris Edward

Messer, Victoria Marlene

Pagnanelli, Ryan Anthony

Zvolanek, Timothy Russell

Provisional Perfusionists:

Crane, Jessica Lynne

Sponable, Nancy Amoia

Anesthesiologist Assistants:

None

APPENDIX K

North Carolina Medical Board

PA Licenses Approved

March 2012

Initial PA Applicants Licensed 01/01/12 – 02/29/12

Name

|Ambrisco, Heather Marie |01/26/2012 |

|Anderson, Elizabeth Mara |02/07/2012 |

|Armstrong, Jeremy Craig |01/09/2012 |

|Azel, Mark Alexander Menendez |02/20/2012 |

|Bartholomew, Kristin Leigh |02/14/2012 |

|Barton, Todd |02/20/2012 |

|Baur, Christina Therese |01/20/2012 |

|Beacham, Jayme Evvan |01/13/2012 |

|Berwell, Vanessa Marie |02/03/2012 |

|Bhojani, Mahendrakumar Harjivan |02/03/2012 |

|Black, Ashley Christine |01/27/2012 |

|Bohan, Cynthia Ann |01/05/2012 |

|Books, Rachelle |02/01/2012 |

|Bragg, Ashley Elizabeth Shearin |02/03/2012 |

|Brevard, Katherine McLean |02/09/2012 |

|Briggs, Cory Alan |01/30/2012 |

|Bronstein, Wanda |02/09/2012 |

|Brooks, Amanda Helen |02/29/2012 |

|Brown, Nancy |02/03/2012 |

|Clary, Melissa Lynn |01/30/2012 |

|Colleton, Margaret |02/21/2012 |

|Curley, Jacqueline Marie |01/30/2012 |

|Dankmyer, Lori Anne |01/13/2012 |

|Dixon, Joseph |01/12/2012 |

|Dorsey, Natalie Grace |02/24/2012 |

|Dunty, Cathryn Ann Patrice |01/09/2012 |

|Eaves, Audrey Denise |01/19/2012 |

|Elicson, Christina Sue |01/30/2012 |

|Fisher, Jason Andrew |02/20/2012 |

|Foley, Jessica Lynn |01/12/2012 |

|Francis, Jennifer Lynn |01/20/2012 |

|Galgano, Christopher |02/06/2012 |

|Gandhi, Payal Rajendra |02/07/2012 |

|Garry, Brian Thomas |02/08/2012 |

|Ginsburg, Justin Davis |01/20/2012 |

|Gold, Brandon |01/20/2012 |

|Goodhart, John Frederick |01/10/2012 |

|Gregware, Jena Lynn |01/10/2012 |

|Grilla, Laura Marie |01/12/2012 |

|Heritage, Rebecca Ann |02/29/2012 |

|Huang, Cheryl Theresa |01/20/2012 |

|Hughes, Michael William |02/24/2012 |

|Khorram, Nikta |02/24/2012 |

|Knoedler, Sarah Kathleen |02/20/2012 |

|Lafreniere, Kimberly Ann |01/13/2012 |

|Ledford, Stacie Elizabeth |01/13/2012 |

|Lee, Young Ah |01/09/2012 |

|Lehman, Danielle Renee |02/28/2012 |

|Lever, Adriana |02/02/2012 |

|Litty, Jared Paul |01/05/2012 |

|Logan, April La' Shonda |01/24/2012 |

|Lynch, Worley Shaun |02/03/2012 |

|Mack, Jimmie Lee |02/21/2012 |

|Marlowe, John Daley |02/10/2012 |

|Marshall, Katherine Elizabeth |02/03/2012 |

|Martis, Kate |01/09/2012 |

|Matthews, Leigh Currin |02/01/2012 |

|Maxey, Allen Hunter |01/30/2012 |

|Mayer, Martin Gregory |01/13/2012 |

|McKellar, Steve |02/09/2012 |

|McKinzie, Tracey Marie |01/18/2012 |

|Minnick, Leanne French |02/03/2012 |

|Muco, Ageta |02/07/2012 |

|Nace, Sarah Beth |02/08/2012 |

|Pepper, Anna Faison |02/03/2012 |

|Poliner-Johnson, Robyn Ann |01/18/2012 |

|Poole, Kristen Nichole |01/05/2012 |

|Port, Christopher Neil |02/22/2012 |

|Potts, Timothy Virgil |02/03/2012 |

|Ritter, Christina Marie |01/23/2012 |

|Robbins, Kathryn Darby |02/28/2012 |

|Sanchagrin, Jennifer Moore |01/20/2012 |

|Santana, Nelson Manuel |01/17/2012 |

|Schuman, Amanda Leigh |02/03/2012 |

|Sexton, Leslie C |02/20/2012 |

|Smith, Shelly Cooper |02/06/2012 |

|Sorensen, Allyson Eggertz |01/09/2012 |

|Stagner, Lindsay Yvonne |01/13/2012 |

|Stegall, Callie Griffin |01/13/2012 |

|Stellfox, Brianne Ruth |02/21/2012 |

|Stiebris, Linda Marie |02/14/2012 |

|Stott, Kylie |01/11/2012 |

|Strocko, Steven Michael |01/13/2012 |

|Tauck, Lauren Nicole |02/03/2012 |

|Treadwell, Bobby Joel |02/24/2012 |

|Vanhoy, Kellie Robinson |01/30/2012 |

|Warren, Katie Elizabeth |01/05/2012 |

|White, Nancy Ashley |02/24/2012 |

|Whitfield, Alexis |01/27/2012 |

|Wilson, Aubrey Lenore |01/09/2012 |

|Winn, Laura Elizabeth |02/03/2012 |

|Wolfe, Stephanie Justice |01/13/2012 |

|Wolff, Bradley Foreman |02/10/2012 |

|Wooten-Reed, Candace Renee |01/31/2012 |

|Yang, Pangnhia |01/13/2012 |

|Young, Chassidy Starr |01/30/2012 |

|Zeiler, Anne Marie |02/21/2012 |

PA-Cs Reactivations/Reinstatements/Re-Entries

Name

|Bilger, Lindsey Leigh |01/24/2012 |

|Brabandt, Erin Ruth |01/06/2012 |

|Panwala, Naitik Dhansukh |01/12/2012 |

|Porter, Robert James |02/13/2012 |

|Reitz, Dawn Marie |02/15/2012 |

|Webb, Laura Lee |02/14/2012 |

|Westendorff, Rebecca Jones |02/01/2012 |

Additional Supervisor List –01/01/12 – 02/29/12

PA-Cs

Name Primary Supervisor Practice City

|Abernethy, Erin |Goldman, Meidad |Clyde |

|Alfano, Brian |Deungwe Yonga, Emerencienne |Durham |

|Alfano, Brian |Folarin, Olalekan |Durham |

|Alfano, Brian |Pyles, Derek |Durham |

|Alfano, Brian |Zinner, Tanya |Chapel Hill |

|Alfano, Brian |Jacobs, Ronnie |Durham |

|Alfano, Brian |Cicale, Michael |Durham |

|Alfano, Brian |Li, Michael |Durham |

|Alfano, Brian |Crotte, Fernando |Durham |

|Alfano, Brian |Webster, Earl |Durham |

|Allen, Leonard |Othman, Islam |Raleigh |

|Ambrisco, Heather |Crigler, Norris |Asheville |

|Ambroise, Marie-Jacques |Hussain, Khwaja |Goldsboro |

|Anzola, Carlos |Andrews, David |Charlotte |

|Ardelean, Rhonda |Gouzenne, Stacey |Charlotte |

|Astern, Laurie |Buchanan, Sonya |Nashville |

|Astern, Laurie |Moore, Daniel |Greenville |

|Astern, Laurie |Kaplan, David |Nashville |

|Bailey, Adija |Rose, Anelia |Durham |

|Baltzell, Jonathan |DeLay, Brian |Huntersville |

|Barrow, Kern |Forstner, James |Southport |

|Bartolozzi, John |Koewler, Thomas |Charlotte |

|Bay, Charles |Baldwin, Rachel |Wilmington |

|Bay, Charles |Laughlin, Walter |Wilmington |

|Beacham, Jayme |Martin, Lewis |Wilson |

|Beall, David |Daw, Jeffrey |Cary |

|Beaudry, John |Peterson, Andrew |Durham |

|Beeman, Sandra |Rudyk, Mary |Wilmington |

|Beitzel, Melissa |Matlack, Robert |Fayetteville |

|Benedict, Tatjana |Ajmani, Ajay |Sanford |

|Bentley, Lindsay |Smith, James |Raleigh |

|Bergmark, Lisa |LaMond, David |Hendersonville |

|Berwell, Vanessa |Keen, Susan |Greenville |

|Biehl, Ethel |Firnhaber, Jonathon |Greenville |

|Bilger, Lindsey |Vaden, Tracela |Charlotte |

|Bills, Laura Beth |Liles, Edmund |Chapel Hill |

|Black, Ashley |McBride, Robert |Charlotte |

|Black, Leah |Lowry, Katie |Lumberton |

|Black, Tracy |Collins, Jonathan |Charlotte |

|Blake, John |Roberts, Joseph |Leland |

|Blocher-Steiner, Sarah |Geraci, Anthony |Whiteville |

|Blohm, Nicole |Sewanyana, Steven |Charlotte |

|Boan, Kristy |Barnes, Daniel |Pinehurst |

|Bolduc, Gary |Brous, Nancy |Goldsboro |

|Bone, Hans |Hart, Patricia |Flat Rock |

|Books, Rachelle |Webster, Leslie |Charlotte |

|Boss, Edward |Jenkins, Casey |Raleigh |

|Boucherle, Amy |Seitz, Kent |Winston Salem |

|Bradshaw, Shanna |Pridgen, James |Whiteville |

|Bray, Jeffrey |Michau, Kenneth |Raleigh |

|Brenner, David |Stelmach, Hans |Wilmington |

|Brenner, David |Adams, Robert |Wilmington |

|Brenner, Michael |Richardson, William |Durham |

|Brevard, Katherine |Bezzek, Mark |Rutherfordton |

|Brewer, Patricia |Gagliano, Louis |Fayetteville |

|Briggs, Melvania |Gacengeci, David |Raleigh |

|Briggs, Valeriya |McDaniels, Christopher |Raleigh |

|Brigode, Marci |Gibbs, Carol |Wilmington |

|Brock, Andrea |Doheny, William |Mooresville |

|Bronstein, Wanda |Becker, Kenneth |Chapel Hill |

|Bronstein, Wanda |Gualtieri, Camillo |Raleigh |

|Bronstein, Wanda |Fradin, Mark |Chapel Hill |

|Brookshire, Elizabeth |Reed, John |Lumberton |

|Brown, Loyce |Singh, Prashant |Greensboro |

|Buff, Nina |Kim, Ian |Shelby |

|Call, Dana |Smith, Stanton |N. Wilkesboro |

|Callea, Renee |Young, Cynthia |Holly Springs |

|Candella, Sandi |Bridges, Charles |Charlotte |

|Cardona, Danielle |Cooperberg, Charles |Durham |

|Carter, James |Martinez, Paul |Wilson |

|Carter, James |Rodriguez, Luis |Kenansville |

|Castro, Claudelina |Bernstein, Daniel |Maiden |

|Chandley, Eric |Edwards, Bryan |Cornelius |

|Chapman, Jennifer |Olson, Steven |Durham |

|Chazan, Jennifer |Gilbert, Brett |Raleigh |

|Chazan, Jennifer |Gilbert, Brett |Durham |

|Clabough, Phyllis |Austen, Michael |Salisbury |

|Clary, Melissa |Cornett, Edgar |Charlotte |

|Clifton, Stevan |Rucci, Jennifer |Wilmington |

|Cohen, Keisha |Gagliano, Louis |Fayetteville |

|Combs, Glen |Ruperto, Cornelio |Winston Salem |

|Cook, Ashly |Gupta, Manoj |Smithfield |

|Cook, Jared |Miekley, Scott |Fayetteville |

|Cooper, Lana |Warden, Kendall |Durham |

|Cooper, Michelle |Seward, Daniel |Charlotte |

|Coppley, Arthur |Nifong, Ted |Lexington |

|Craig, Christopher |Lapkoff, James |Winston Salem |

|Craver, Amelia |Kommu, Chandrasekhar |Cary |

|Cross, Harry |Warden, Kendall |Durham |

|Crowe, Daniel |Bearss, David |Salisbury |

|Crowe, Daniel |Allison, Trevor |Salisbury |

|Crowe, Daniel |Brown, Lester |Salisbury |

|Crowe, Daniel |Farrington, Cecil |Salisbury |

|Curley, Jacqueline |Nguyen, Thao |Charlotte |

|Curley, Jacqueline |Nguyen, Tuong |Charlotte |

|Czuchra, Dennis |Ward, Nina |Washington |

|Dang, Kim Anh |Puthenveetil, John |Roanoke Rapids |

|Dapo, Evan |Phillips, Danny |Roxboro |

|Darby, Lisa |Brescia, Donald |Greenville |

|Daun, Caline |Miekley, Scott |Fayetteville |

|DaVia, Nicole |Inzerillo, John |Washington |

|Davidson, Kimberly |Corrigan, Francis |Pinehurst |

|Davidson, Kimberly |Cusi, Antonio |Fayetteville |

|Davidson, Kimberly |Mikhail, Ashraf |Jacksonville |

|Davidson, Kimberly |Richardson, Wendell |Kinston |

|Davidson, Kimberly |Lacroix, Christopher |Wallace |

|Davis, Diane |Martinez-Bianchi, Viviana |Durham |

|De Barros, Jean Marie |Croland, David |Waxhaw |

|Degulis, Michelle |Chotiner, Bradley |Salisbury |

|Del Rosario, Josephine |Hensley, Terry |Kinston |

|Despaigne, Policarpo |Pridgen, James |Whiteville |

|Dial, Michael |Dauda, Mohamed |Zebulon |

|Donau, Charles |Fondinka, Godfrey |Fayetteville |

|Dore, Mary |Kanelos, Dino |Charlotte |

|Duewer, Kelly |Farkas, Linda |Raleigh |

|Duffie, Matthew |Johnson, Michael |Charlotte |

|Dunty, Cathryn |Daily, Celine |Wilmington |

|Eaves, Audrey |Movahed, Assadollah |Greenville |

|Ebel, Sara |Rowson, Jonathan |Laurinburg |

|Eckert, Lynn |MacKenzie, Mary |Cary |

|Elicson, Christina |Rudyk, Mary |Wilmington |

|Ensign, Todd |Perry, Robert |Emerald Isle |

|Epler, Pamela |Lee, Tae |Greenville |

|Epps, Clyde |Hosseini, Sid |Lumberton |

|Faircloth, Cristie |Gibbs, Carol |Wilmington |

|Farringer, Angela |Mahan, Dennis |Creedmoor |

|Farris, Susan |Bryant, Dwayne |Washington |

|Felts, Dana |Taha, Sherif |Greenville |

|Finn, Timothy |Sharifuzzaman, Abu Asad |Raleigh |

|Fish, Ashley |Miekley, Scott |Fayetteville |

|Fisher, Jason |Coles, Robert |Morehead City |

|Forsyth, Regina |Tokunboh, Julius |Charlotte |

|Francis, Jennifer |Vu, Khanh |Henderson |

|Freuler, Aaron |Walther, Philip |Durham |

|Furlong, Thomas |Arastu, Hyder |Greenville |

|Futh, Stephen |Maybee, David |New Bern |

|Galgano, Christopher |Flaherty, Stephen |Fayetteville |

|Galloway, Ayanna |Bernstein, Daniel |Charlotte |

|Gandhi, Payal |Powell, Bayard |Winston Salem |

|Gardner, Katie |Mendes, Robert |Raleigh |

|Garry, Brian |Kathard, Haresh |Louisburg |

|Gerstner, Laura |Mallon, William |Durham |

|Gilbert, Tonya |Fleishman, Samuel |Fayetteville |

|Giordano, Joseph |Iyengar, Phaniraj |Charlotte |

|Giordano, Michelle |Temple, John |Charlotte |

|Girskis, Jennifer |Trigg, David |Sylva |

|Gobien, Jacqueline |Forstner, James |Southport |

|Gold, Brandon |West, Jesse |Asheville |

|Goss, Alexis |Foltz, Jason |Greenville |

|Gottsch, Elizabeth |Raab, Rachel |Greenville |

|Graham, Barry |Stuart, Dennis |Lumberton |

|Graham, Jennifer |Ugah, Nwannadiya |Pembroke |

|Granda, Kaitlyn |Martinez-Bianchi, Viviana |Durham |

|Green-Odlum, Anya |Bolognesi, Michael |Durham |

|Gregware, Jena |Vesa, Allin |Statesville |

|Grilla, Laura |Getz, Stanley |Charlotte |

|Hammonds, Lenita |Williams, Daniel |Ft Bragg |

|Hanopole, Jennifer |Strickland, James |Burlington |

|Hardwick, Kimberly |Gagliardi, Michael |Cary |

|Harkness, Gale |Phipps, Carl |Winston Salem |

|Harkness, Gale |Montgomery, Richard |Winston Salem |

|Harper, Andrea |Cusi, Antonio |Fayetteville |

|Haskin, Ashley |Barnett, Ley |Fuquay-Varina |

|Haskin, Ashley |Gibbons, Gregory |Cary |

|Hayes, Kathleen |Gihwala, Ramesh |Gastonia |

|Hayes, Kathleen |Rucci, Jennifer |Wilmington |

|Headley, Lenea |Cox, Christopher |Durham |

|Healey Osinski, Kathleen |Alligood, Diane |Greenville |

|Hellinger, Jennifer |Feinson, Theodore |Raleigh |

|Helm, James |Welch, Kenneth |Whiteville |

|Heninger, Ronald |Barnett, Ted |Asheville |

|Hennequin, Karla |Flowe, Kenneth |Greensboro |

|Heritage, Rebecca |Teigland, Chris |Charlotte |

|Herrmann, Becky |Alexander, Annetta |Wallace |

|Herrmann, Becky |Quinn, Marshall |Beaulaville |

|Herrmann, Becky |Dambeck, Allyn |Faison |

|Hershberger, Shannon |Stuart, Dennis |Lumberton |

|Hesse, Candice |Kommu, Chandrasekhar |Holly Springs |

|Hickman, William |Harrell, Russell |Aberdeen |

|Hill, Crystal |Kumar, Arvind |Fayetteville |

|Hill, Erica |Gupta, Manoj |Smithfield |

|Holler, Teresa |Lare, Sandra |Wilmington |

|Holly, Aaron |Wells, Matthew |Fayetteville |

|Holly, Aaron |Yenni, Lawrence |Raleigh |

|Holman, Seth |Amao, Enobong |Cameron |

|Holmes, Alisha |Claudius, Pushp |Butner |

|House, Ashley |Moran, Joseph |Raleigh |

|Huang, Cheryl |Koeleveld, Robin |Raleigh |

|Icard, Terry |Pabbu, Balaji |Greenville |

|Incorvaia, Julia |Watkins, William |Gastonia |

|Izaj, Julie |Jacobs, James |High Point |

|Jezsik, Janet |Patel, Keyur |Durham |

|Johnson, Kwenda |James-Nzambele, Shana |Gastonia |

|Johnson, Sarah |Krueger, Hilary |Hendersonville |

|Jones, Andrew |Meadors, Michael |Winston Salem |

|Jones, Angel |Bluth, Kirk |Stoneville |

|Kearney, Virginia |Polsky, Saul |Elizabeth City |

|Kearney, Virginia |Bowen, Christina |Kitty Hawk |

|Kersey, Melanie |Lee, Robert |Hickory |

|Kirk, John |Krull, Ronald |Clinton |

|Klaaren, Joshua |Vickery, David |Asheville |

|Knoedler, Sarah |Smith, Scott |Huntersville |

|Kopynec, Susan |Griffin, Neil |Southern Pines |

|Krape, Harvey |Lewis, Edward |Bryson City |

|Kristufek, Karma |Barnett, Ley |Fuquay Varina |

|Kristufek, Karma |Rodriguez, Luis |Ahoskie |

|Kurtz, Harry |Bruce, Jon |Cary |

|LaClaire, Christa |Newton, Dale |Greenville |

|Lafreniere, Kimberly |Dunaway, Byron |Statesville |

|Laizure, Clancy |Hooper, Jeffrey |Jamestown |

|Lamkin, Angela |Griffith, Todd |Charlotte |

|Land, Phillip |Nguyen, Mai Trang |Greensboro |

|Ledford, Stacie |Hammer, Douglas |Raleigh |

|Lee, Young |Ahmed, Maqsood |Goldsboro |

|Lenze, Michele |Hochrein, James |Greensboro |

|Levan Elbel, Stephanie |McCaleb, Jane |Rich Square |

|Lever, Adriana |Blank, Roy |Monroe |

|Lever, Adriana |Weems, Larry |Huntersville |

|Lewis, Yvonne |Hall, Andre |Fayetteville |

|Lillie, Chris |Rosenthal, Amy |Durham |

|Lillie, Chris |Stein, Jeannette |Durham |

|Litty, Jared |Miekley, Scott |Fayetteville |

|Loomis, Kari |Wheeless, Clifford |Raleigh |

|Lyerly, Lauren |Meyer, Paul |Lexington |

|Lynch, Worley |Reynolds, Christopher |Charlotte |

|Lyons, Jamie |Barber, Christopher |Wilmington |

|Lyons, Kenneth |Bachmann, Laura |Winston Salem |

|Mack, Jimmie |Wells, Matthew |Fayetteville |

|Maples, Amy |Hensley, Terry |Kinston |

|Marcum, Stacy |Rommel, Victoria |Wadesboro |

|Marlowe, John |Lancaster, David |Charlotte |

|Marshall, Katherine |Kelling, Douglas |Concord |

|Martin, Charity |Nifong, Ted |Winston Salem |

|Mattingly, Daniel |Green, Heidi |Raleigh |

|Maxey, Allen |Groh, Mark |Asheville |

|Mayer, Martin |Willis, Charles |Greensboro |

|McAllister, Nichole |Maxwell, Keith |Asheville |

|McCutcheon, Leslie |Hey, Lloyd |Raleigh |

|McGowan, Rebecca |Bell, Joseph |Asheville |

|McGowan, Rebecca |Ellis, Laura |Asheville |

|McHatton, Timothy |Corrigan, Francis |Pinehurst |

|McKeever, Carinne |Mintzer, Melanie |Cary |

|McKinzie, Tracey |Abrons, Seymore |Wilmington |

|Mclaughlin, Bradley |Kiger, Tara |New Bern |

|McLaughlin, Gene |Faulkenberry, Bradford |Laurinburg |

|McPherson, Darla |Udekwu, Pascal |Raleigh |

|Mehta, Ravin |Davis, Cara |Raleigh |

|Messer, Alexzandria |Hayes, Daniel |Charlotte |

|Messer, Alexzandria |Miekley, Scott |Fayetteville |

|Metzger, Donald |Reed, John |Lumberton |

|Meyers, Samuel |Potts, Kevin |Wilmington |

|Miller, Ryan |Gentry, Marcus |Asheboro |

|Mills, Tiffany |Cheesborough, John |Sanford |

|Minnick, Leanne |Young, Jordan |Goldsboro |

|Mitchell-Barnes, Donna |Brooks-Fernandez, Connie |Fayetteville |

|Moretz, Katherine |Hart, Patricia |Flat Rock |

|Morgan, Heather |Balaravi, Bhavani |Cary |

|Morgan, Heather |Locklear, Jimmy |Cary |

|Murfin, Melissa |Bronstein, David |Burlington |

|Murray, Joanna |Kelly, Robert |Winston Salem |

|Nguyen, Hoa |Luvis, Charmaine |Gastonia |

|Norris, Brandy |Florian, Thomas |Pembroke |

|Norris, Brandy |Morando, Donald |Pembroke |

|Norris, Brandy |Ugah, Nwannadiya |Pembroke |

|Ogunniyi, Sola |Ahmed, Maqsood |Goldsboro |

|Ogunwale, Michelle |Ogunwale, Ben |Charlotte |

|Otey, James |Hussain, Khwaja |Goldsboro |

|Paarz-Largay, Cathy |Miller, Michael |Durham |

|Pandiscia, Joseph |Chappell, Jonathan |Raleigh |

|Panwala, Naitik |Vyas, Dhruv |Eden |

|Patterson, Jimmy |Royer, Harrell |Mount Gilead |

|Patterson, Richard |Haynie, Justin |Charlotte |

|Pedacchio, Misty |Salvador, Saul |Southern Pines |

|Pepper, Anna |Doohan, Thomas |Monroe |

|Pepper, Jeremy |Wortman, James |Wilmington |

|Petersen, Scott |Heil, Thomas |Charlotte |

|Pilkington, Cynthia |Antignano, Louis |Wilson |

|Pineiro, Miguel |Mele, Paul |Cary |

|Poston, Gary |Kiefer, Mark |Lincolnton |

|Potts, Timothy |Wentz, Elliott |Greensboro |

|Powell, Marshelle |Joyner, William |Wilmington |

|Powell-Boone, Karen |Gibbs, Carol |Wilmington |

|Prueter, Karen |Sethi, Pramodkumar |Greensboro |

|Rabe, Erica |Kommu, Chandrasekhar |Garner |

|Ray, Meghann |Weigel, Mark |Huntersville |

|Reed, Sarah |Blazer, Dan |Durham |

|Reed, Sarah |White, Rebekah |Durham |

|Repnikova, Lilia |Geary, Randolph |Winston Salem |

|Reynolds, Della |Wilkinson, Todd |Asheville |

|Ricart, Martin |Ghuneim, Nizar |Charlotte |

|Riser, John |Kinninger, Adam |Nebo |

|Robbins, Kathryn |Alsina, George |Wilmington |

|Robinson, Anthony |Hartye, James |Raleigh |

|Rodgers, Carolyn |Snyder, Benedict |Sanford |

|Ruffian, William |Hensley, Terry |Kinston |

|Ruoff, Teresita |Gootman, Aaron |Fayetteville |

|Rutherford, Althea |Olson, Steven |Durham |

|Santana, Nelson |Polsky, Saul |Elizabeth City |

|Schaefer, Elizabeth |Blumer, John |Charlotte |

|Seatvet, Mark |Schreiner, David |Winston Salem |

|Seely, Dennis |Dinwiddie, William |Clyde |

|Shar, Gina |Toborg, Robert |Winston Salem |

|Sheaffer, Luanne |Gallagher, Denise |Jacksonville |

|Sherrill, Jonathan |Klanduch, Frank |Charlotte |

|Shipman, Jerry |Kolluru, Mangaraju |Selma |

|Shutak, Michael |Brown, Howard |Jacksonville |

|Sikod, Sega |Buchanan, Cynthia |Charlotte |

|Skoski, Myron |Terryberry, Daniel |Moyock |

|Smart, Deana |Lue, Alvin |Winston Salem |

|Smith, Gregory |Kane, Richard |Cary |

|Smith, Gregory |Mack, Barbara |Cary |

|Smith, Julian |Deol, Gurvinder |Raleigh |

|Sorensen, Allyson |Snyder, Benedict |Sanford |

|Sorensen, Allyson |Patterson, Robert |Sanford |

|Sours, Allen |Norbury, John |Greenville |

|Stadelman, Jolie |Galland, Mark |Raleigh |

|Stagner, Lindsay |Knapp, Gregory |Greenville |

|Stanislaus, Bryan |Kerner, Paul |Durham |

|Stegall, Callie |Nanjagowder, Velukumar |Winston Salem |

|Stott, Kylie |Kreisman, Steven |Charlotte |

|Strocko, Steven |Buchanan, Sonya |Jacksonville |

|Sullivan, Ursula |Brescia, Donald |Greenville |

|Sweetapple, Katherine |Flick, Conrad |Raleigh |

|Sykes, Larry |Fondinka, Godfrey |Fayetteville |

|Tahey, James |Lawal, Adeyemi |Raleigh |

|Talbert, Karen |Pierre, Frantz |Morganton |

|Taylor, Valerie |Townsend, Robert |Raeford |

|Thomas, Aaron |Mendes, Robert |Raleigh |

|Thomas, Brenda |Polavaram, Vijaya |Raleigh |

|Timbrook-Dillow, Karen |Andy, Camille |Kernersville |

|Timbrook-Dillow, Karen |Alexander, Anne |Kernersville |

|Timbrook-Dillow, Karen |Guerrini, James |Kernersville |

|Tolle, Mary |Pollack, Gregory |Asheville |

|Tourville, Kristina |Aldridge, Julian |Durham |

|Toussaint, Ramona |Uba, Daniel |Fayetteville |

|Toussaint, Ramona |Morris, Deborah |Raeford |

|Trenner, James |Ng, Peter |Raleigh |

|Trent, Margie |Velazquez, Gretchen |High Point |

|Vann, Ryan |Tolbert, Franklin |Advance |

|Velazquez, Louis |Sewell, Kia |Winton |

|Ventrilla, James |Bethel, Bradley |Laurinburg |

|Verceles, Jon |Yenni, Lawrence |Raleigh |

|Verceles, Jon |Singh, Hardayal |Raleigh |

|Vinson, Keri |Camnitz, Paul |Greenville |

|Walls, Linda |Balaravi, Bhavani |Cary |

|Walnoha, Wade |L'Italien, Anita |Cary |

|Walter, Sharon |Ryder-Cook, Allan |Charlotte |

|Warden, Stephen |Rathnam, Punitha |Greenville |

|Warden, Stephen |Polsky, Saul |Elizabeth City |

|Warren, Edward |Arthur, Margaret |Clyde |

|Warren, Katie |Kelling, Douglas |Concord |

|Wearmouth, William |Bregier, Charles |Charlotte |

|Weathers, Paul |Terryberry, Daniel |Moyock |

|Weaver, Arlondra |Mahan, Dennis |Creedmoor |

|Weinberger, Frankie |Harrelson, Anna |Asheville |

|Welden, Erin |Georgitis, John |Fayetteville |

|West, Jaclyn |Harris, Glenn |Laurinburg |

|Westendorff, Rebecca |Patel, Praful |Wilmington |

|Wheeler, Julia |Handa, Kushal |Monroe |

|White, Nancy |Li, Zhongyu |Winston Salem |

|Whitfield, Alexis |Forinash, Robert |Shelby |

|Whitfield, Alexis |Dawkins, Rosamuel |Charlotte |

|Whitney, Douglas |Mahan, Dennis |Fayetteville |

|Whitney, Douglas |Pridgen, James |Fayetteville |

|Wighton, Stephanie |Rhodes, Nathan |Charlotte |

|Wilkins, Thomas |Lam, Douglas |Pinehurst |

|Wilkinson, Johnathan |Shelton, Phyllis |Asheville |

|Williams, Stephanie |Woofter, Aaron |Raleigh |

|Wilmoth, Jennifer |Stinson, Charles |Winston Salem |

|Wilmoth, Jennifer |Meloy, Thomas |Winston Salem |

|Wilson, Aubrey |Reyes, Rodolfo |Lillington |

|Winn, Laura |Gaskin, Steve |Concord |

|Wolfe, Stephanie |Campos, Kevin |Greensboro |

|Womble, Mary Hamlin |Webster, Earl |Durham |

|Womble, Mary Hamlin |Jacobs, Ronnie |Durham |

|Wooten-Reed, Candace |Jones, Karen |Charlotte |

|Wynn, Sarah |Manousos, George |Charlotte |

|Wypych, Kelly |Bregier, Charles |Charlotte |

|Yang, Pangnhia |Mead, Robert |Hickory |

|Yang, Pangnhia |Bowen, Samuel |Hickory |

|Yang, Pangnhia |Auton, Robert |Hickory |

|Yefremov, Vladimir |Henrichs, Charles |Hendersonville |

|Young, Anthony |Brown, Howard |Jacksonville |

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