MINUTES North Carolina Medical Board
Transcription
MINUTES North Carolina Medical Board
MINUTES North Carolina Medical Board November 13-16, 2012 1203 Front Street Raleigh, North Carolina Page 1 November 13-16, 2012 General Session Minutes of the North Carolina Medical Board Meeting held November 13-16, 2012. The North Carolina Medical Board met November 13-16, 2012, at its office located at 1203 Front Street, Raleigh, NC. William A. Walker, MD, President, called the meeting to order. Board members in attendance were: Paul S. Camnitz, MD, President-Elect; Cheryl L. WalkerMcGill, MD, Secretary/Treasurer; Janice E. Huff, MD; Thomas R. Hill, MD; Ms. Pamela Blizzard; Ms. Thelma Lennon; John B. Lewis, Jr., LLB; Eleanor E. Greene, MD; Subhash C. Gumber, MD; and Pascal O. Udekwu, MD. Absent was Ms. H. Diane Meelheim, FNP-BC. Presidential Remarks Dr. Walker commenced the meeting by reminding the Board members of their duty to avoid conflicts of interest with respect to any matters coming before the board as required by the State Government Ethics Act. No conflicts were reported. Minutes Approval Motion: A motion passed to approve the September 21, 2012 Board Minutes and the October 19, 2012 Hearing Minutes. Instillation Ceremony and New Officers Oath Dr. Huff administered the Oath of Office for President of the NC Medical Board to Dr. William A. Walker. Dr. Walker administered the Oath of Office for President-Elect to Dr. Paul S. Camnitz and Secretary/Treasurer to Dr. Cheryl L. Walker-McGill. He also administered the Oath of Office to Dr. Subhash C. Gumber and Dr. Pascal O. Udekwu as members of the NC Medical Board. Announcements 1. Judge Lewis gave a report on the FSMB Tri-Regulator Symposium he attended. 2. Dr. Walker and Dr. Walker-McGill gave a report on the IAMRA meeting they attended. 3. Mr. Hari Gupta, Director, Operations Department, recognized Janice Fowler on her twenty-year anniversary at the NCMB. 4. Mr. David Henderson, Executive Director, recognized Mr. Marcus Jimison and Mr. Bruce Jarvis for their exceptional work helping the citizens of Watauga County retrieve their abandoned medical records. 5. Thomas C. Ricketts, PhD. of the Cecil G. Sheps Center for Health Services Research gave a report to the Board. 6. Mr. Thom Mansfield, Director, Legal Department, gave a Legislative report to the Board. Page 2 November 13-16, 2012 Board Discussion: Personnel Matter 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 and not considered a public record within the meaning of Chapter 132 of the General Statutes and/or to preserve attorney/client privilege. The full Board discussed a personnel matter. The details of this discussion are not included because the information discussed is not public information. A motion passed to return to open session. EXECUTIVE COMMITTEE REPORT The Executive Committee of the North Carolina Medical Board met on Thursday November 15, 2012, beginning at 1:30 p.m., at the offices of the Board. Members present were: William A. Walker, MD, Chair; Paul S. Camnitz, MD, Cheryl Walker-McGill, MD, Eleanor E. Greene, MD, and Ms. Thelma C. Lennon. 1) Financial Reports a) Monthly Accounting August and September 2012 The Committee reviewed the August and September 2012 compiled financial statements. September is the eleventh month of fiscal year 2012. Committee Recommendation: Accept the financial statements as reported. Board Action: The Board accepted the Committee recommendation. b) Investment Account Statements The Committee reviewed the September and October 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. 2) Old Business – there was no old business to discuss. 3) New Business a) Resolutions – Retirement Funds The NC Medical Board offers two deferred compensation plans to its employees: a 401(k) retirement plan and a 457(b) retirement plan. The Committee reviewed Page 3 November 13-16, 2012 resolutions which would substitute a new co-trustee, permit employees to direct bonuses to the retirement plans, and allow changes to their deferral amount throughout the year. Committee Recommendation: Approve proposed changes to the retirement account documents. Board Action: The Board accepted the Committee recommendation. b) Resolutions – Investment Funds Fifth Third Bank is the investment advisor for the Medical Board. The Committee reviewed resolutions that would remove the former comptroller as a person authorized to act on behalf of the Medical Board in connection with investments managed by Fifth Third Bank. Committee Recommendation: Approve proposed changes to the investment account. Board Action: The Board accepted the Committee recommendation. c) AIMAP Update The Committee received an update on the progress of the AIMAP-NC assessment goals. Regarding Recommendation #1 (Board governance documents), the Committee would like to start the retreat Friday afternoon after the May Board meeting and at noon the next day. Regarding Recommendation #4a (standardize committee reports), the Committee would like for Dr. Walker to serve on the workgroup assigned this matter. Regarding Recommendation #15 (expedited licenses), the Committee would like staff to add validations throughout the expedited license application to alert applicants if they enter information on the application that indicates they are ineligible for an expedited license. Committee Recommendation: Accept the Committee recommendations. Board Action: The Board accepted the Committee recommendation except the retreat (Recommendation #1) will be held following the January 2013 Board meeting. d) Employment Contract Members of the Executive Committee met with the Executive Director in a closed session pursuant to NC General Statute §143-318.11(a)(6) to review the Board’s employment agreement with the Executive Director. e) Interim Performance Review Members of the Executive Committee met with the Executive Director in a closed session pursuant to NC General Statute §143-318.11(a)(6) to complete an interim performance review. Page 4 November 13-16, 2012 POLICY COMMITTEE REPORT Policy Committee Meeting, Wednesday, November 14, 2012 Committee Members: Dr. Greene, Chairman; Judge Lewis, Dr. Hill and Dr. Udekwu. Also attending was Dr. Walker. Staff: Todd Brosius, Dr. Kirby, Christina Apperson and Wanda Long 1. Old Business a. Position Statement Review – Request from Board (APPENDIX A) Issue: NCGS Chapter 90; Article 27, entitled “Referral Fees and Payment for Certain Solicitations Prohibited” states, in part, “A health care provider shall not financially compensate in any manner a person, firm, or corporation for recommending or securing the health care provider's employment by a patient”. MD pays a fee to Groupon for pre-paid vouchers issued by Groupon to Groupon subscribers who purchase the vouchers. Groupon “‘facilitates” the purchase of MD’s pre-paid vouchers which offer promotional discounts for MD’s services. A patient purchasing a voucher from Groupon pays for the price of MD’s discounted service plus additional promotional, advertising, administrative, and “offer facilitation” fees to Groupon. Board Action: Request Policy Committee to amend Referral fees and fee splitting position statement as it relates to social networking offers. 07/2012 Committee discussion: The Committee decided to delegate revisions to the position statement to Mr. Brosius in consultation with Mr. Jimison. Proposed changes will be presented to the Committee at the September meeting. 07/2012 Committee Recommendation: Tabled until September. 07/2012 Board Action: Accept committee recommendation. 09/2012 Committee Discussion: The Committee discussed the advertising voucher business model. Questions were raised about the requirement that the licensee be responsible for the purchase price in the event the advertising company will not provide a refund. 09/2012 Committee Recommendation: Table discussion until November. Mr. Brosius will research the advertising voucher reimbursement process and report back to the Committee. 09/2012 Board Action: Accept Committee Recommendation. 11/2012 Committee Discussion: The Committee received a brief update from Mr. Brosius and discussed the implications of the section addressing advertising vouchers. Mr. Brosius indicated that he would report back with additional information at the January meeting. 11/2012 Committee Recommendation: Table until January meeting. 11/2012 Board Action: Accept Committee Recommendation. Page 5 November 13-16, 2012 2. New Business: a. Position Statement Review (APPENDIX B) 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. Advance Directives and Patient Autonomy (APPENDIX C) 11/2012 Committee Discussion: The Committee discussed changing the first paragraph of the Position Statement and changing “physician” to “licensee.” 11/2012 Committee Recommendation: Accept changes to Position Statement. 11/2012 Board Action: Accept Committee Recommendation. 2. New Business: a. Position Statement Review ii. End-of-Life Responsibilities and Palliative Care (APPENDIX D) 11/2012 Committee Discussion: The Committee discussed the distinction between palliative care and hospice. The Board also reviewed the Position Statement. There was also discussion about the need for relief of symptoms other than pain associated with palliative care. 11/2012 Committee Recommendation: Accept changes to Position Statement. 11/2012 Board Action: Table until January 2013 meeting. Mr. Brosius to edit the first sentence of the Palliative Care section. 2. New Business: b. Social Media 11/2012 Committee Discussion: The Committee discussed the potential need for guidance regarding licensee use of social media and other organizations that have commented on the benefits and pitfalls of this phenomenon. 11/2012 Committee Recommendation: The Committee recommended drafting a Position Statement addressing this issue based on Dr. Kirby’s Forum article. 11/2012 Board Action: Accept the Committee Recommendation. Page 6 November 13-16, 2012 CONTINUED COMPETENCE COMMITTEE REPORT Committee Members: Thomas Hill, MD, Chair; Ms. Pamela Blizzard; Subhash Gumber, MD. Also attending were Michael Sheppa, MD and Ms. Maureen Bedell 1. Old Business a. The committee reviewed the Diversity of North Carolina’s Health Care Workforce handout. A discussion was held regarding the lack of diversity among NC health care professionals and the differences in racial/ethnic group representation among NC health professions. 2. New Business a. Dr. Sheppa gave an update to the Committee regarding his participation in the Federation of State Medical Board’s workgroup on ‘Model Policies on Pain and Addiction treatment’. A discussion about what medications could be given for pain that will still allow the physician to work and function properly. b. Dr. Sheppa also updated the Committee about his involvement in the Federation of State Medical Board’s special committee of ‘Reentry of Formerly Impaired physicians’. A discussion followed regarding the differences between having your medical license restricted vs having your medical license and practice restricted. LICENSE COMMITTEE REPORT Paul Camnitz, MD, Chair, Janice Huff, MD, Pascal Udekwu, MD, Thelma Lennon, Scott Kirby, MD, Nancy Hemphill, Patrick Balestrieri, Carren Mackiewicz, Joy Cooke, Michelle Allen, Mary Rogers, Lisa Hackney Open Session Old Business 1. FCVS Language on Website Issue: Staff was requested to draft language for the website with regard to using/not using FCVS for a license application. The main goal is to make applicants aware that if they do not have a completed FCVS profile it is not recommended that they start an application for an FCVS profile for their NC license. 9/2012 Board Action: Accept update that this task has been assigned to the public affairs department for editing the website. Public Affairs will provide an update at November meeting. Page 7 November 13-16, 2012 Committee Recommendation: Accept as information. Revisit in January. Board Action: Accept as information. Revisit in January New Business 1. Notary Section of Applicant’s Oath Issue: NCGS 10B-23(b) does not allow a notary to certify, notarize, nor authenticate a photograph. Committee Recommendation: Amend the applicant’s oath by eliminating the notary portion of the oath as it concerns (1) having the notary seal over the photograph and (2) attesting to photograph certification. The new notary portion would read: I certify that on the date set forth above the individual named above did appear personally before me and that I did witness this applicant complete this form including the handwritten statement above. Board Action: Amend the applicant’s oath by eliminating the notary portion of the oath as it concerns (1) having the notary seal over the photograph and (2) attesting to photograph certification. The new notary portion would read: I certify that on the date set forth above the individual named above did appear personally before me and that I did witness this applicant complete this form including the handwritten statement above. 2. Physician Education Update Issue: The Board previously approved staff to move forward with developing an education tool for applicants as part of the application process. Ms. Hemphill will provide an update on what has been accomplished. Committee Recommendation: Continue to investigate the best possible way to implement without implementing a rule and making it mandatory. Board Action: Continue to investigate the best possible way to implement without implementing a rule and making it mandatory. 3. Request to amend the malpractice section on the application form Issue: The Legal Department has requested #3 of the malpractice section of the application be amended by adding the underlined wording: Page 8 November 13-16, 2012 In the table below, list all relevant information for any of the three scenarios below that apply to you. 1. You were named in a malpractice lawsuit. 2. A malpractice lawsuit filed against you was resolved with a judgment (regardless of appeal), award, payment or settlement regardless of whether the payment or settlement was in your name. 3. A malpractice settlement or payment was made, affecting or involving you, where no lawsuit was filed or where you were not individually named. Committee Recommendation: Refer back to legal department for a recommendation for the committee to consider at January 2013 meeting. Board Action: Refer back to legal department for a recommendation for the committee to consider at January 2013 meeting. 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. Ten 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. Page 9 November 13-16, 2012 ALLIED HEALTH COMMITTEE REPORT PA/EMS The Allied Health Committee of the North Carolina Medical Board was called to order at 10:30 a.m., Wednesday, November 14, 2012 at 1201 Front St., Raleigh, NC. Committee Members present were: Cheryl Walker-McGill, MD, Chairperson and Paul Camnitz, MD. Also present were Marcus Jimison, Lori King, CPCS, Quanta Williams, Jane Paige, David Henderson, Katharine Kovacs, Mike Borden, and Lisa Shock, PA-C. Committee Members Absent: H. Diane Meelheim, FNP Open Session Physician Assistants 1. PA Rule 21 NCAC 32S.0209 Non Applicability Issue: M. Jimison discussed technical changes to PA Rule 21 NCAC 32S.0209 Non Applicability. The following changes were proposed to the Rule: 21 NCAC 32S .0209 NON APPLICABILITY EXEMPTION FROM LICENSE This Subchapter does not apply to: Nothing in this Subchapter shall be construed to require licensure for: (1) a student enrolled in a Physician Assistant Educational Program accredited by the Commission on Accreditation of Allied Health Education Programs or its successor organizations; (2) a physician assistant employed by the federal government while performing duties incident to that employment; or (3) an agent or employee of a physician who performs delegated tasks in the office of a physician but who is not rendering services as a physician assistant and identifying him/herself as a physician assistant. History Note: Authority G.S. 90-9.3; 90-18(c)(13); 90-18.1; Eff. September 1, 2009. Amended Eff. _________ Committee Recommendation: Approve technical changes to PA Rule 21 NCAC 32S.0209 Non Applicability. Board Action: Approve technical changes to PA Rule 21 NCAC 32S.0209 Non Applicability. Open Session EMS Issue: None. Committee Recommendation: None. Page 10 November 13-16, 2012 Board Action: None. 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 meeting was called to order at 10:30 am on November 14, 2012. Members in attendance were Cheryl Walker-McGill, MD, Chair; and Paul Camnitz, MD. Diane Meelheim, NP was absent. Staff present was David Henderson, Marcus Jimison, Lori King, Jane Paige, and Quanta Williams 1. Open Session Anesthesiologist Assistants a. No items for discussion 2. Open Session Nurse Practitioners a. No items for discussion 3. Open Session Clinical Pharmacist Practitioners a. No items for discussion 4. Open Session Perfusionists a. Open session portion of the minutes of the July PAC meeting i. Summary: The open session minutes of the July PAC meeting have been sent to the Committee members for review. Committee Recommendation: Accept as information Board Action: Accept as information 5. 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 Page 11 November 13-16, 2012 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 NURSE PRACTITIONER JOINT SUBCOMMITTEE The Nurse Practitioner Joint Subcommittee (NPJS) was called to order at 1:45 pm November 14, 2012 at the office of the NC Board of Nursing. Members present were: Bobby Lowery, NP, Chair (NCBON); Nancy Bruton-Maree, RN (NCBON); Dan Hudgins (NCBON); Paul Camnitz, MD (NCMB); and Cheryl Walker-McGill (NCMB). Dianne Meelheim, NP (NCMB) was absent. Also present was: Paulette Hampton (NCBON); Donna Mooney (NCBON); Eileen Kugler (NCBON); Jack Nichols (NCBON); Marcus Jimison (NCMB); David Kalbacker (NCBON); Linda Burhans (NCBON); Julie George (NCMB); and Quanta Williams (NCMB). 1. Approval of minutes of September 19, 2012 a. Motion: To approve the open and closed session minutes of the September meeting. Passed. 2. Additions to agenda a. Open Session i. Review of affirmative answers NP Lowery and Dr. Walker-McGill will review affirmative answers received on NP applications. b. NP Refresher Course i. The policy regarding the NP refresher course requirements has been modified. The changes, if accepted, will be effective January 1, 2013. ii. Motion: Accept the modified policy. Passed. 3. New Business a. Report of any disciplinary actions, including Consent Agreements, taken by either Board since May 16, 2012 i. The Board of Nursing reported five public actions taken in regards to nurse practitioners since the last meeting. ii. The Medical Board reported one public action in regards to a nurse practitioner since the last meeting. 4. Next Meeting a. January 16, 2012 Page 12 November 13-16, 2012 5. OPEN SESSION a. Motion: To accept the motions for the cases presented in closed session. 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. Five approval 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 Committee was called to order at 11:14 am November 14, 2012 at the office of the NC Board of Nursing. Members present were: Maureen Darcey,RN, CNM (Chair); Beth Korb, RN, CNM; Nancy Bruton-Maree, RN (NCBON); Bobby Lowery, NP (NCBON); Dan Hudgins (NCBON); Paul Camnitz, MD (NCMB); and Cheryl Walker-McGill (NCMB). Keith Nelson, MD and Dianne Meelheim, NP (NCMB) were absent. Also present was: Julie George (NCBON); Paulette Hampton (NCBON); Donna Mooney (NCBON); Eileen Kugler (NCBON); Jack Nichols (NCBON); Marcus Jimison (NCMB); David Kalbacker (NCBON); Linda Burhans (NCBON); Jean Stanley (NCBON) and Quanta Williams (NCMB). 1. Approval of Minutes a. May 16, 2012 i. Motion: Accept the minutes as presented. b. June 07, 2012 i. Motion: Accept the minutes as presented. c. July 25, 2012 i. Motion: Accept the minutes as presented. d. September 19, 2012 i. Motion: Accept the minutes as presented. 2. Treasurer’s Report Page 13 November 13-16, 2012 a. The treasurer’s report was reviewed by the Committee. i. Motion: Accept the report. 3. Audit Report a. The audit report was reviewed by the Committee. They discussed Segregation of Duties (addressed in the report). i. Motion: Accept the report. 4. Mail Referendum a. The Committee reviewed the information in the mail referendum. They noted corrections needed on line 23 and that the midwife shown on line 2 is no longer a practicing midwife. i. Motion: Accept the mail referendum with corrections on line 23. 5. Proposed Budget for 2013 a. The proposed budget was reviewed. There was discussion regarding how the amount paid to the Board of Nursing was set. Ms. George indicated that the amount was based on the labor required by BON staff and that the amount may change as the process becomes more automated. i. Motion: Approve the proposed budget. 6. Bylaws a. At the May 16 meeting, the Committee reviewed the proposed bylaws and decided to table the discussion until the November meeting. They gave the attorneys the task of reviewing the bylaws and adding suggestions submitted to them by Committee members. The changes have been implemented and presented for the Committee’s review. i. Motion: Make the language consistent with the language in the statute. (Article III, Section 2) ii. Motion: Show three and five year terms for the OBGYNs. (Article IV, Section 2b) iii. Motion: Remove the language that limits the Chair and Vice Chair position to the four “additional members” (Article V, Section 1) iv. Motion: Accept bylaws as amended. 7. Elections a. The Committee has assigned Mr. Hudgins, Dr. Walker-McGill, and Dr. Harrison to make up the nominating committee. The nominating committee Page 14 November 13-16, 2012 will meet via conference call on November 28 at 4pm. Members will vote on officers by mail ballot. 6. CLOSED SESSION a. Extracted Cases 7. OPEN SESSION b. Motion: To accept the motion for the cases presented in closed session. 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. Two cases 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 REVIEW (MALPRACTICE) COMMITTEE REPORT The Review Committee (Complaints/Malpractice) of the North Carolina Medical Board was called to order at 3:30 p.m. on November 15, 2012 at the office of the Medical Board. Board Members present were: Janice Huff, MD (chair), Eleanor Greene, MD, and John Lewis. Absent: Diane Meelheim, NP. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Amy Ingram, Carol Puryear, Elizabeth Suttles and 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 (Malpractice) Committee reported on twenty eight 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 Page 15 November 13-16, 2012 The Review Committee (Complaints/Malpractice) of the North Carolina Medical Board was called to order at 3:30 p.m. on November 15, 2012 at the office of the Medical Board. Board Members present were: Janice Huff, MD (chair), Eleanor Greene, MD, and John Lewis. Absent: Diane Meelheim, NP. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Amy Ingram, Carol Puryear, and Elizabeth Suttles. 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-three 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 7:30 a.m. on November 14, 2012 at the office of the Medical Board. Board Members present were: Thomas Hill, MD (chair), Pamela Blizzard, Subhash Gumber, MD, Pascal Udekwu, MD and Cheryl Walker-McGill, MD. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Amy Ingram, Carol Puryear, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri, Elizabeth Suttles and Marcus Jimison. 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 eleven 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 Page 16 November 13-16, 2012 The Disciplinary Committee (Complaints/Malpractice/ME) of the North Carolina Medical Board was called to order at 7:30 a.m. on November 14, 2012 at the office of the Medical Board. Board Members present were: Thomas Hill, MD (chair), Pamela Blizzard, Subhash Gumber, MD, Pascal Udekwu, MD and Cheryl Walker-McGill, MD. Staff present: Judie Clark, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, PA, Sherry Hyder, Amy Ingram, Carol Puryear, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri, Elizabeth Suttles and Marcus Jimison. 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 five 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. Fourteen investigative 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 The Investigation Disciplinary Committee of the North Carolina Medical Board was called to order at 9:30 a.m. on November 14, 2012 at the office of the Medical Board. Board Members present were: Thomas Hill, MD (chair), Pamela Blizzard, Subhash Gumber, MD, Pascal Udekwu, MD and Cheryl Walker-McGill, MD. Staff present: Curt Ellis, Jenny Olmstead, Sharon Denslow, Barbara Rodrigues, Don Pittman, David Allen, Lee Allen, Bob Ayala, Therese Babcock, Loy Ingold, David Hedgecock, Bruce Jarvis, Rick Sims, Jerry Weaver, Scott Kirby, MD, Michael Sheppa, MD, Katharine Kovacs, Thom Mansfield, Todd Brosius, Brian Blankenship, Patrick Balestrieri, Elizabeth Suttles and Marcus Jimison Page 17 November 13-16, 2012 Open Session Item For Discussion: Surrender/Inactive/NPA Guidelines Board Action: Approved by the Board 11/16/12 Page 18 November 13-16, 2012 Page 19 November 13-16, 2012 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 Thursday November 15, at the office of the Medical Board. Members present were: Dr. Janice Huff (Chair), Dr. Eleanor Green. Mr. John Lewis. 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, Todd Brosius, Thom Mansfield, Patrick Balestrieri. 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 thirty 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 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. Page 20 November 13-16, 2012 The Board reviewed fifty-seven 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. MEDICAL SCHOOL EDUCATIONAL OUTREACH PROJECT The Medical Education Outreach Workgroup was called to order at 10:30 am on Wednesday, November 14 at the offices of the NCMB. Members present were: Janice Huff, MD and Ms. Pamela Blizzard. Absent: Ms. Peggy Robinson, PA-C. Also attending were William Walker, MD, and two resident physicians in training with STRAHEC in Fayetteville, NC: Dr. Verk and Dr. Ahmed. 1. Old Business: none 2. New Business: a. Review of materials from Savvan Associates: i. Staff relayed to committee members the challenge of working with instructional designer Linda Savvanauskas. We think the final product will be good, but the process has been challenging. ii. The workgroup reviewed both the draft module and the storyboard, and noted corrections that need to be made. One of the suggestions was to include more hyperlinks to specific authority, like a Position Statement or rule, in the slide in which an issue is discussed. There should be an area for “deeper content” to which a particularly interested learner could go for more information. iii. Savvan Associates will have the narrating actors tape the script soon, so the module should be ready soon. b. Next steps: i. Staff should contact Wake Forest University Medical School to see if they can help test it. c. Additional modules: i. The NCMB has purchased the software used to create the first professionalism module, and staff feels capable of producing additional ones. ii. More case examples will be included, particularly ones dealing with physicians and social media. Page 21 November 13-16, 2012 iii. We know a cartoonist who can help with drawing. Other resources mentioned: Tom Miller at NCSU, Director of Online Education; and Tom Bacon, head of the state AHEC program (possibly to assist with additional modules or host them on their CME site.) ADJOURNMENT This meeting was adjourned at 2:48 p.m., November 16, 2012. _____________________________________________________ Cheryl L. Walker-McGill, MD Secretary/Treasurer Page 22 November 13-16, 2012 APPENDIX A CURRENT POSITION STATEMENT: Referral fees and fee splitting Payment by or to a physician solely for the referral of a patient is unethical. A physician may not accept payment of any kind, in any form, from any source, such as a pharmaceutical company or pharmacist, an optical company, or the manufacturer of medical appliances and devices, for prescribing or referring a patient to said source. In each case, the payment violates the requirement to deal honestly with patients and colleagues. The patient relies upon the advice of the physician on matters of referral. All referrals and prescriptions must be based on the skill and quality of the physician to whom the patient has been referred or the quality and efficacy of the drug or product prescribed. It is unethical for physicians to offer financial incentives or other valuable considerations to patients in exchange for recruitment of other patients. Such incentives can distort the information that patients provide to potential patients, thus distorting the expectations of potential patients and compromising the trust that is the foundation of the patient-physician relationship. Furthermore, referral fees are prohibited by state law pursuant to N.C. Gen. Stat. Section 90401. Violation of this law may result in disciplinary action by the Board. Except in instances permitted by law (NC Gen Stat §55B-14(c)), it is the position of the Board that a physician cannot share revenue on a percentage basis with a non-physician. To do so is fee splitting and is grounds for disciplinary action. (Adopted November 1993) (Amended May 1996, July 2006) Page 23 November 13-16, 2012 PROPOSED REVISIONS Referral fees and fee splitting Created: Nov 1, 1993 Modified: May 1996, July 2006 Payment by or to a physician licensee solely for the referral of a patient is unethical. A physician licensee may not accept payment of any kind, in any form, from any source, such as a pharmaceutical company or pharmacist, an optical company, or the manufacturer of medical appliances and devices, for prescribing or referring a patient to said source. In each case, the payment violates the requirement to deal honestly with patients and colleagues. The patient relies upon the advice of the physician licensee on matters of referral. All referrals and prescriptions must be based on the skill and quality of the physician to whom the patient has been referred or the quality and efficacy of the drug or product prescribed. It is unethical for physicians licensees to offer financial incentives or other valuable considerations to patients in exchange for recruitment of other patients. Such incentives can distort the information that patients provide to potential patients, thus distorting the expectations of potential patients and compromising the trust that is the foundation of the patient- physician licensee relationship. Furthermore, referral fees are prohibited by state law pursuant to N.C. Gen. Stat. Section 90401. Violation of this law may result in disciplinary action by the Board. Except in instances permitted by law (N.C. Gen. Stat. § 55B-14(c)), it is the position of the Board that a physician licensee cannot share revenue on a percentage basis with a nonphysician licensee. To do so is fee splitting and is grounds for disciplinary action. Voucher Advertising It is the Board’s position that, so long as certain conditions are followed, advertising involving the utilization of vouchers (e.g. Groupon) does not constitute unethical fee-splitting or a prohibited solicitation or referral fee under North Carolina law. Those conditions include: (1) ensuring that the negotiated fee between the voucher advertising company and the licensee represents reasonable compensation for the cost of advertising; and (2) incorporating the following terms and conditions in a clear and conspicuous manner in all advertisements: (a) A description of the discounted price in comparison to the actual cost of services; (b) A disclosure that all patients may not be eligible for the advertised medical service and that decisions about medical care should not be made in haste. Determinations regarding the medical indications for individual patients will be made on an individual basis by applying accepted and prevailing standards of medical practice; and Page 24 November 13-16, 2012 (c) A disclosure to prospective patients that, if it is later decided that the patient is not a candidate for the previously purchased medical service, the patient’s purchase price will be refunded in its entirety. If the patient does not claim the service, then the patient’s purchase price must still be refunded in its entirety. In the event that the voucher advertising company does not refund the purchase price in its entirety, it will be the sole obligation of the licensee to refund the entire purchase price. Page 25 November 13-16, 2012 APPENDIX B POSITION STATEMENT Advance Directives and Patient Autonomy End-of-Life Responsibilities and Palliative Care Drug Overdose Prevention Policy for the Use of Controlled Substances for the Treatment of Pain Medical Record Documentation Retention of Medical Records Capital Punishment Departures from or Closings of Medical Professional Obligations pertaining to incompetence, impairment, and unethical conduct of healthcare providers ADOPTED SCHEDULED FOR REVIEW LAST REVISED/ REVIEWED/ ADOPTED REVISED/ REVIEWED Jul-93 Nov-12 Mar-08 May-96 Oct-99 Sep-08 Nov-12 Mar-08 Sep-08 May-07 Sep-96 Sep-08 Jul-05 May-94 May-09 May-96 May-98 Jan-07 May-09 Jul-09 Jan-00 Jul-09 Aug-03 Nov-98 Mar-10 Nov-98 REVISED/ REVIEWED REVISED/ REVIEWED REVISED/ REVIEWED Unethical Agreements in Complaint Settlements What Are the Position Statements of the Board and To Whom Do They Apply? Telemedicine Nov-93 Mar-10 May-96 Nov-99 May-10 May-10 May-10 Nov-99 Contact With Patients Before Prescribing Nov-99 Jul-10 Feb-01 May-91 Jul-10 Oct-02 Feb-01 Jan-01 May-96 Nov-93 Sep-10 Aug-03 Mar-02 Sep-97 May-96 Apr-04 Oct-87 Nov-99 Nov-10 Nov-10 Nov-10 Apr-04 Jan-05 Sep-05 Mar-96 Mar-01 Oct-99 Jan-11 Oct-99 Nov-92 May-91 Jul-99 Sep-00 Jan-11 Mar-11 Mar-11 May-11 Jan-05 Mar-05 Jul-05 Jan-03 Mar-02 Mar-02 May-96 Jan-00 Mar-01 May-11 Mar-06 Jul-06 Jul-11 Jul-06 Guidelines for Avoiding Misunderstandings During Physical Examinations Access to Physician Records Medical SupervisorTrainee Relationship The Treatment of Obesity Advertising and Publicity Medical, Nursing, Pharmacy Boards: Joint Statement on Pain Management in End-of-Life Care HIV/HBV Infected Health Care Workers Writing of Prescriptions Laser Surgery Office-Based Procedures Sale of Goods From Physician Offices Competence and Reentry to the Active Practice of May-96 Jul-02 Aug-02 Page 26 November 13-16, 2012 Medicine Prescribing Legend or Controlled Substances for Other Than Valid Medical or Therapeutic Purposes, with Particular Reference to Substances or Preparations with Anabolic Properties Referral Fees and Fee Splitting Self- Treatment and Treatment of Family Members and Others With Whom Significant Emotional Relationships Exist Availability of Physicians to Their Patients Sexual Exploitation of Patients Care of the Patient Undergoing Surgery or Other Invasive Procedure The Physician-Patient Relationship The Retired Physician Physician Supervision of Other Licensed Health Care Practitioners Medical Testimony May-98 Sept-11 Nov-05 Jan-01 Jul-98 Nov-93 Jan-12 Jul-06 May-96 May-91 Mar-12 Sep-05 Mar-02 May-00 Jul-93 May-12 Nov-11 Jul-06 Oct-03 May-91 May-12 Sep-06 Jan-01 Sep-91 Jul-12 Sep-06 Mar-01 Jul-95 Jan-97 Jul-12 Jul-12 Sep-06 Sep-06 Aug-03 Jul-07 Mar-08 Sep-12 Sep-12 Jul-07 Mar-08 May 96 Jan-01 Apr-96 Mar-02 Jan-00 Page 27 November 13-16, 2012 APPENDIX C CURRENT POSITION STATEMENT: Advance directives and patient autonomy Advances in medical technology have given physicians the ability to prolong the mechanics of life almost indefinitely. Because of this, physicians Licensees must be aware that North Carolina law specifically recognizes the individual's right to a peaceful and natural death. NC Gen Stat § 90-320 (a) (2007) reads: The General Assembly recognizes as a matter of public policy that an individual's rights include the right to a peaceful and natural death and that a patient or his the patient’s representative has the fundamental right to control the decisions relating to the rendering of his the patient’s own medical care, including the decision to have extraordinary means life-prolonging measures withheld or withdrawn in instances of a terminal condition. Physicians Licensees must also be aware that North Carolina law empowers any adult individual with capacity to make a Health Care Power of Attorney (N.C. Gen. Stat. § 32A-17 (2007)) and stipulates that, when a patient lacks understanding or capacity to make or communicate health care decisions, the instructions of a duly appointed health care agent are to be taken as those of the patient unless evidence to the contrary is available (N.C. Gen. Stat. § 32A- 24(b)(2007)). It is the position of the North Carolina Medical Board that it is in the best interest of the patient and of the physician licensee/patient relationship to encourage patients to complete or authorize documents that express their wishes for the kind of care they desire at the end of their lives. Physicians Licensees should encourage their patients to appoint a health care agent to act through the execution of a Health Care Power of Attorney and to provide documentation of the appointment to the responsible physician licensee(s). Further, physicians licensees should provide full information to their patients in order to enable those patients to make informed and intelligent decisions preferably prior to a terminal illness. The Board also encourages the use of portable physician licensee orders to improve the communication of the patient’s wishes for treatment at the end of life from one care setting to another. It is also the position of the Board that physicians licensees are ethically obligated to follow the wishes of the terminally ill or incurable patient as expressed by and properly documented in a declaration of a desire for a natural death; however, when the wishes of a patient are contrary to what a physician licensee believes in good conscience to be appropriate care, the physician licensee may withdraw from the case once continuity of care is assured. Page 28 November 13-16, 2012 It is also the position of the Board that withholding or withdrawal of life-prolonging measures is in no manner to be construed as permitting diminution of nursing care, relief of pain, or any other care that may provide comfort for the patient. (Adopted July 1993) (Amended May 1996; March 2008; November 2012) Page 29 November 13-16, 2012 APPENDIX D CURRENT POSITION STATEMENT: End-of-life responsibilities and palliative care Assuring Patients Death is part of life. When appropriate processes have determined that the use of life prolonging measurers or invasive interventions will only prolong the dying process, it is incumbent on physicians licensees to accept death "not as a failure, but the natural culmination of our lives."* It is the position of the North Carolina Medical Board that patients and their families should be assured of competent, comprehensive palliative care at the end of their lives. Physicians Licensees should be knowledgeable regarding effective and compassionate pain relief, and patients and their families should be assured such relief will be provided. Palliative Care Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification an impeccable assessment and treatment of pain and other physical, psychosocial and spiritual problems. Palliative care: • provides relief from pain and other distressing symptoms; • affirms life and regards dying as a normal process; • intends neither to hasten nor postpone death; • integrates the psychological and spiritual aspects of patient care; • offers a support system to help patients live as actively as possible until death; • offers a support system to help the family cope during the patient’s illness and in their own bereavement; • uses a team approach to address the needs of patients and their families, including bereavement counseling, if indicated; • will enhance quality of life, and may also positively influence the course of illness; • [may be] applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and includes those investigations needed to better understand and manage distressing clinical complications.** Page 30 November 13-16, 2012 Opioid Use The Board will assume opioid use in such patients is appropriate if the responsible physician licensee is familiar with and abides by acceptable medical guidelines regarding such use, is knowledgeable about effective and compassionate pain relief, and maintains an appropriate medical record that details a pain management plan. (See the Board's position statement on the Policy for the Use of Controlled Substances for the Treatment of Pain for an outline of what the Board expects of physicians licensees in the management of pain.) Because the Board is aware of the inherent risks associated with effective pain symptom relief in such situations, it will not interpret their occurrence as subject to discipline by the Board. *Steven A. Schroeder, MD, President, Robert Wood Johnson Foundation. ** Taken from the World Health Organization definition of Palliative Care (2002) www.who.int/cancer/palliative/definition/en Page 31 November 13-16, 2012 APPENDIX E Original BYLAWS of the NORTH CAROLINA JOINT MIDWIFERY COMMITTEE ARTICLE I OFFICES Section 1. Principal Office. The North Carolina Joint Midwifery Committee (hereinafter, “COMMITTEE”) shall have a principal office in North Carolina. Section 2. Other Offices. The COMMITTEE may have other offices. ARTICLE II COMMITTEE POWERS, SUB-COMMITTEES, AND COMPENSATION Section 1. General Powers. The COMMITTEE itself has all its general powers. Section 2. Committees. The COMMITTEE may designate one or more sub- committees. The Chair shall appoint sub-committee members. Sub-committees have no powers other than: (a) to review matters and recommend actions to the COMMITTEE, (b) to initiate or continue investigations or inquiries,(c) to empower staff, either generally or in a specific instance, to initiate or continue investigations or inquiries, including, in the subcommittees’ sole discretion, the use of COMMITTEE orders to produce documents or things, (d) to employ experts to evaluate evidence in matters under investigation or inquiry, and (e) those powers authorized by the COMMITTEE. Section 3. Compensation. Each member of the COMMITTEE shall receive per diem and reimbursement for travel and subsistence as provided in N.C. Gen. Stat. § 138-5 or N.C. Gen. Stat. § 138-6. ARTICLE III MEETINGS OF THE COMMITTEE Section 1. Regular Meetings. Regular meetings will occur as scheduled. Section 2. Special or Emergency Meetings. Special or Emergency meetings of the COMMITTEE may be called by the Chair or in the event of the unavailability of the Chair by the Vice Chair, or a majority of the Committee members. Page 32 November 13-16, 2012 Section 3. Notice of Meetings. Notices of meetings shall be given as required by Section 4. Quorum. A quorum of the COMMITTEE is a majority of the members. Section 5. Manner of Acting. Except as otherwise provided herein, the law. COMMITTEE acts by simple majority vote of the members present at a meeting at which there is a quorum. Section 6. Participation by Conference Telephone. The COMMITTEE may meet by electronic means to the maximum extent permitted by law. ARTICLE IV COMMITTEE MEMBERS Section 1. Members. The composition and the term of office of the COMMITTEE members shall be pursuant to N.C. Gen. Stat. §90-8.2. Unless otherwise specified by N.C. Gen. Stat. §90-8.2, the Board of Nursing shall designate three currently serving Nursing Board members to the Committee and the Medical Board shall designate three currently serving Medical Board members to the Committee. Section 2. Additional Members. The four additional members referenced in N.C. Gen. Stat. §90-178.4 shall be chosen as follows: a. The N.C. Board of Nursing shall appoint and fill vacancies of the two certified nurse midwives. b. The N.C. Medical Board shall appoint and fill vacancies of the two physicians who are actively engaged in the practice of obstetrics and who have had working experience with midwives. Beginning on December 1, 2012, the N.C. Board of Nursing and the N.C. Medical Board shall make the initial appointments of the four additional members defined in N.C. Gen. Stat. §90-178.4 from those members currently serving on the Committee. The N.C. Board of Nursing shall appoint two certified nurse midwives with one nurse midwife serving a term of three (3) years and the other nurse midwife serving a term of five (5) years. The North Carolina Medical Board shall appoint the two physicians who are actively engaged in the practice of obstetrics and who have had working experience with midwives with one physician serving a term of three Page 33 November 13-16, 2012 (3) years and the other physician serving a term of five (5) years. The members appointed under this section shall not be eligible for reappointment. At the expiration of the initial appointments described above, all additional members shall be appointed for a term not to exceed three years. No additional member shall serve more than two complete consecutive three-year terms. Any vacancy with regard to the additional members defined in N.C. Gen. Stat. §90-178.4 shall be filled by the board originally filling that position. Appointees to fill vacancies shall serve the remainder of the unexpired term. Members shall serve until their successors have been duly appointed and qualified. ARTICLE V OFFICERS Section 1. Officers of the COMMITTEE. The officers of the COMMITTEE shall consist of a Chair, Vice Chair, and any other officers the COMMITTEE deems necessary. Section 2. Election and Term. The officers of the COMMITTEE shall be elected bi- annually by the COMMITTEE. Term of office is January 1st to December 31st. The terms of the initial Chair and Vice Chair shall begin on the succeeding January 1 after adoption of these Bylaws. Section 3. Vacancies. In the event an officer fails to serve out his or her term as provided in this Article for whatever reason, the vacancy shall be filled by a vote of a majority of the total membership of the COMMITTEE. Section 4. Removal. Any officer may be removed from office by a two-third vote of the total membership of the COMMITTEE at any time. Section 5. Chair. The Chair shall be the principal executive officer of the COMMITTEE. The Chair shall, when present, preside at all meetings of the COMMITTEE. The Chair shall sign documents for the COMMITTEE. Section 6. Vice Chair. The Vice Chair shall, in the absence or disability of the Chair, have all the authority and perform the duties of the Chair. ARTICLE VI PROFESSIONAL STAFF AND EXPENDITURE OF FUNDS Page 34 November 13-16, 2012 Section 1. Professional Staff. The COMMITTEE may enter into agreements with either the North Carolina Board of Nursing or the North Carolina Medical Board to avail itself of the Professional Staff of either Board to assist it, in whatever lawful way it may prescribe, in the discharge of its duties under and to enforce the laws regulating the practice of midwifery. Section 2. Expenditure of Funds. Other than expenditure of funds to employ experts to evaluate evidence in matters under investigation or inquiry pursuant to Article II, Section 2 of these Bylaws, expenditure of funds in excess of five hundred dollars ($500.00) for any Committee purpose must be authorized by majority vote of the Committee. The Chair, or ViceChair in the absence of the Chair, may authorize the expenditure of funds for Committee purposes without approval of a majority of the Committee. ARTICLE VII GENERAL PROVISIONS Section 1. Fiscal Year. The fiscal year of the COMMITTEE shall be fixed by resolution of the COMMITTEE. Section 2. Amendments. Except as otherwise provided herein or by applicable law, these Bylaws may be amended or repealed and new bylaws may be adopted after a thirty (30) day notice by a vote of two-thirds (2/3) of the total membership of the COMMITTEE. Section 3. Rules of Order. To the extent that matters of procedure are not addressed in these Bylaws or in applicable sections of the North Carolina General Statutes or North Carolina Administrative Code, the COMMITTEE shall follow parliamentary procedure as set forth in Robert's Rules of Order Newly Revised, 10th ed. (Cambridge, Mass.: Perseus Publishing, 2000). ARTICLE VIII EFFECTIVE DATE OF BYLAW These Bylaws shall take effect immediately upon adoption by the Committee. Page 35 November 13-16, 2012 APPENDIX F PHYSICIANS PRESENTED AT THE NOVEMBER 2012 BOARD MEETING ARE LOCATED AT APPENDIX Abu Ali, Qais M.B. Agrawal, Rohit Kumar Aijazi, Mahmood Ghaus Alexander, Joe McKnitt Ali, Hamed Hussein Amery, Sahar Aung, Soe Myint Ayoubi, Nasib Badal, John Joseph Baloch, Harris Muhammad Baltaro, Richard Juan Bardhan, Pooja Barzana, Daniel Cesar Beam, Robert Kenneth Becker, Jennifer Lynn Bethea, Terrence Carter Bhatnagar, Shailendra Blanch, Robert Marsden Booker, Corenthian Jerome Boothe, Patrick Lee Braud, Christine Marie Brewer, Edward Slocum Britton, James Christopher Brooks, Janice White Brown, Terry Tyrone Browning, Carol Ann Tennent Bryant, Stephen Robert Buchanan, Bennion Douglas Burgart, Jennifer Elder Burgoyne, Brian Bush, Bryan Stephen Buzzelli, Mark David Capps, Stephen Joseph Castellanos-Nouel, Mariely Castillo, Nelson Enrique Chan, Yu Kwan Chaudhry, Abdul Mannan Chizhevsky, Vladislav MD DO MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD MD DO MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD Page 36 November 13-16, 2012 Cifuni, Megan Shive Coles, Debra Lynn Cook, Jay Frederick Corey, Evan Schaller Cutright, Amy Lynn Davis, Bradley James Deese, LaShauna Renee DeLavallade, Dawn Nichelle Dempsey, Stephen John DeSantola, Joseph Robert Detlie, Tore Devapatla, Srisatish Devarapally, Santhosh Reddy Devlin, Thomas Glenn Dhaliwal, Jasbir Singh Diamond, Michael Simpson Dixon, Arthur S. Donoway, Tammy Lynn Doromal, Noel Macairen Dorsey, Kristen Michelle Dowuona, Nortei Dugan, Lauren Grace Duro, Debora Dye, John Robert Dym, Jean-Paul Ejaz, Muhammad Shakir Elliott, John Daniel Emerson, John Franklin Epling, James Andrew Epperly, James Joseph Erhunmwunsee, Loretta Evans, Bill P. Evans, Pippa Meryl Farrat, Jorge Adalberto Feinberg, Samuel Jason Fessenden, Michael Lee Fite, Michael Quentin Fowler, Lindsay Elizabeth Frank, Margaret Elise Freeman, Chara Chinyere Frugone Larrea, Luigi Paolo Frunza, Ana Antoaneta Gerbic, Elizabeth Paige Gettinger, Joshua Selig Ghazi, Darius Gilliland, Kelly Sue Giordano, Anthony James Godale, Heather 37 MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD DO MD MD MD MD DO MD MD DO MD DO MD MD MD MD MD DO MD MD MD MD MD MD MD DO MD MD November 16-18, 2012 Goel, Nirmit Goodnight, Todd Anthony Goyal, Erica Graber, Andrew Robert Griffin, Thomas Daniel Gross, Jessica Lynn Guild, Donald Grant Haake, Dana Lindsay Hafemeister, Adam Christopher Hall, Bradley Thomas Harris, Eleanor Elizabeth Hartshorn, Alendia Henderson, Carl Star Hernandez Marte, Maria Hijazi, Ali Atef Hodach, Christian Hoffman, Thomas Gordon Holland, Ryan Honsa, Raymond Jude Hord, Pamela Lin Inankur, Aysha Emily Ingram, Benjamin James Irfan, Kashif Isserlin, Leanna Elizabeth Jackson, Richard DeWitt Jacobson, Brent Robert Jacomo, John Raymond Jarsania, Vijaykumar Ramniklal Javan, Ramin Kailash, Fnu Kaysin, Alexander Kelly, Michael James Kim, Elizabeth Hoel Kim, Howard Lynn Kim, Jason Kwangyon Kitch, Bryan Benjamin Klein, Jonathan Louis Krakovitz, Jay Arthur Kuehn, Devon Rebecca Kunkel, Scott Alan Lacy, Hilton Roy Larkins, Mark Vaughn Lehman, Douglas Ross Lentini, Jennifer Ann Lewis, Gemma Claire Liao, Shixiong Lloyd, Carla Ramas Lowery, John Albert 38 MD MD MD MD MD MD MD DO MD DO MD MD DO MD MD DO MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD MD MD MD November 16-18, 2012 Lufadeju, Adetoye Adedolapo Luthman, Scott Lwin, Thida Macke, Ryan Andrew Magruder, Robert Lawrence Majithia, Rajiv Malinzak, Elizabeth Burney Mandiga, Rahul Manne, Hari Krishna Maurer, Scott Thomas McAfee, Paul Clifton McCubbin, James Elbert McGinnis, Robert Samuel McPeek Hinz, Eugenia Renee Mendlick, Matthew Ryan Meza, Yenney Enrique Montoya, Kelley O'Brien Morris, William Frazer Moskowitz, Samuel Lev Moss, Fred Robert Nagabhirava, Sowjanya Namde, Madjimbaye Charles Nathwani, Niyati Anand Newby-Boyd, Diana L. Nunez, Margarita Nwosu, Hilary Chukwudinma Obermiller, John Peter O'Brien, Joseph Gorman Odunusi, Oluwole Ademola Oliva, Stepan Olmsted, Adam Kenneth Omer, Diab Sidahmed Ortiz, Tara Kelly Pasricha, Sarina Pasupala, Umabala Patel, Sonal Ramesh Perlmutter, Martin Ira Pervez, Adnan Pezalski, Tyler Adam Philip, Shibu Phillips, Nicholas Rice Pierre, Shervon Abigail Poulton, Timothy Alexander Prinz, Allison Marie Purohit, Amitabh Quinones, Quintin Jose Rahulan, Vijil Komanthakkal Ralston, Samuel Aaron 39 MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO November 16-18, 2012 Randall, Jacquetta Taisha Rao, Jyoti Juluru Ray Ko, Emily Elizabeth Rettell, Leann Michelle Riley, Isaretta Lee Robinson, William Luke Rogers, Kenneth McRae Roman, Sanziana Alina Ronneberg, Kevin Robert Rukstalis, Daniel Saha, Sanjoy Saldivar, Juan-Sebastian Saleh, Ezzeldin Abdulgadir Sandoval, Laura Frances Sasser, Stephen Daniel Sayed, Christopher John Scherer, James Leroy Schlake, Anthony Michael Schofield, Kelly Allan Segovis, Colin Michael Severance, David Allan Shanks, Ryan Henry Sharkady, Kavitha Sharma, Sonakshi Sharma, Sudheer Kumar Sharp, Jack Kevin Sherman, Frank Scott Silver, Rebecca Devonne Simou, Jikerkhoun Sosa, Julie Ann St. Luce, Serena Angeline Stephenson, Sean Rayl Stewart, Laiandrea Maple Stewart, Lindsay Gould Stirgwolt, Jennifer Kathryn Subbaraya, Lingadahalli Subramaniam, Babu Swaminathan, Kartik Tang, Paul Chun Yung Tanpitukpongse, Teerath Peter Taylor, Megan Beth Taylor, Shawn Frank Thomas, Bridget Anne Thomas, Carmen Pearson Thomas, Tracey Shannon Tobin, Wayne Ernest Trivette, George Alexander Troyer, Dean Alan 40 MD MD MD DO MD MD MD MD MD MD MD MD MD DO MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD MD DO MD MD DO MD MD MD MD MD MD MD MD MD DO MD MD MD November 16-18, 2012 Umerah, Chinazor Okwor Van Acht, Vincent Leonard Van Dongen, Philip Clark Vander Have, Kenneth Ronald Vanderhave, Kelly Lynn Vaughn, Ericka Carter Vega, Orlando Luis Venkatesh, Rajalakshmi Vianna, Lisa Elizabeth Vogel, Kimbre Lee Washington, Sherman Watkins, Christopher Bradley Watson, Susannah Carter Wenkstern, Michael Grant Whelchel, Joan Cornelia Whitfield, Andrea Ruth Williams, David Wayne Wood, Allison Liberty Yelverton, David Paul Young, Lari Leigh Zafar, Muhammad Sarfraz Zak, Steven Mark Zhang, Shumin Zheng, Rui Zimmer, Sara Bell 41 MD MD MD MD MD MD MD MD DO MD MD DO MD MD MD DO DO MD MD MD MD MD MD MD MD November 16-18, 2012 APPENDIX G Nurse Practitioner & Clinical Pharmacist Practitioner Approvals Issued As of September 2012 List of Initial Applicants NAME PRIMARY SUPERVISOR PRACTICE CITY NP BLACKERT, NANCI KANN, JOEL KNIGHTDALE BRYANT, DEBORAH ISAACS, KAREN WILMINGTON BUCHERT, LINDSAY MILLER, EDITH CHARLOTTE BURKETT, EVANNA ROBERTS, ANGELA GREENSBORO BURPEE, LEAH CHIMA, CHUKWUEMEKA FAYETTEVILLE CAHILL, JOANNE SINCOX, FRANCIS SHELBY CARTER, CASEY CHARLESWORTH, AMY BEAUFORT CERNIGLIA, TAMARA VYBIRAL, TOMAS ELKIN CONTI, TARA SCHOOFF, KENNETH DURHAM CRUMPTON, STEPHANIE SWEEZER, WILLIAM DANVILLE DIGENNARO, DANIELLE NEWBY, LAURA DURHAM DIXON, PAULA DALTON, THOMAS CONCORD EDDY, MEAGHAN USLICK, BRYAN FAYETTEVILLE ENGLAND, WENDY GILL, BRENT SHELBY EVERHART, AMANDA HUSAIN, AATIF DURHAM FRAZIER, BENJAMIN THOMPSON, WILLARD SALISBURY GANSMAN, MICHELLE BUCHANAN, CYNTHIA MOORESVILLE GRAHAM, MEKI BERRY, RICHARD WHITEVILLE GRANT, HEATHER MCGRATH, JAMES YADKINVILLE HAIGHT-CARTER, SHARON DUNHAM, CHARLES WINSTON-SALEM HARRIS, KIMBERLY VARRELL, JAMES MARLTON HEDRICK, REDELLA LOWRY, RHONDA CHARLOTTE HENKEL, AMY CHIMA, CHUKWUEMEKA FAYETTEVILLE HINSON, CHRISTY BYNUM, ROBERT WILSON HODGE, MEGAN JUSTICE, JASON GASTONIA HOUGHTON, LAUREN WINSLOW, TIMOTHY WILMINGTON JANSEN, KATHRYN BLAND, MARK CHARLOTTE KOHAN, CHRISTOPHER ELBEERY, JOSEPH GREENVILLE LEONARD, CHRISTINA SHAH, SIDHARTH RALEIGH LONGMIRE, NANCY KANN, JOEL CARY LOWMAN, ERIN SEITZ, KENT CHARLOTTE MARLOWE, ASHLEY KIM, JONG ELIZABETHTOWN MCCUTCHEON, MELODY KANELOS, DINO CHARLOTTE MONROE, KATHRYN BISHOP, ANDREW WILMINGTON NAVRA, JENNIFER CHRISTIANSON, CATHERINE BALTIMORE NESTEL, KELLY FLOWE, KENNETH ROXBORO PILKINGTON, JACLYN LANCASTER, DAVID CHARLOTTE PUCKETT, LORY ERLANDSON, STEPHEN ELKIN 42 November 16-18, 2012 RICHARDS, JASMINE LEE, JAMES SPINDALE RICHARDSON, JENNY CLARK, DAVID MORGANTON ROBERSON, KRISTINA FLOWE, KENNETH KERNERSVILLE SABROWSKY, JESSICA KOMMU, CHANDRASEKHA HOLLY SPRINGS SCHOUTEN, STEPHANIE GOLD, STUART CHAPEL HILL SHAVER, ANGELICA SUFFREN, SAMANTHA SALISBURY SMALLMAN, KEVIN MILLARD, JONATHAN CHARLOTTE SNIDER, REBECCA GILPIN, ALLEN ASHEVILLE STANSBERRY, BRAD PATEL, HIREN ASHEVILLE SWEATLAND, HILLARY FERGUSON, ROBERT FAYETTEVILLE SZCZYPKOWSKI, JULIE BROWN, STEPHANIE LOUISBURG TALARICO, STACEY NILOVA, OLGA HOLLY SPRINGS TILLEY, DIANE BECHERER, PAUL RALEIGH WALKER, SUSAN SHILLINGLAW, WILLIAM ASHEVILLE WATERS, A MICHELLE MASTERS, DAVID GRANITE FALLS WATTS, SYLVIA ROWSON, JONATHAN MAXTON WEATHERLY, STEPHANIE GAMBINO, JOHN WINSTON SALEM WHISNANT, HEATHER OSTA, ELIE SNOW HILL WILKINS, MAGGIE VALEA, FIDEL DURHAM WILLIAMS, MELISSA MENSCER, DARLYNE CHARLOTTE XAVIER, SONIA OLSON, STEVEN DURHAM BENNETT, CARLA BOWLING, MARK CLAYTON BYRNE, KELLY HAMAKER, STANLEY ASHEVILLE CLONTZ, AMBER GASKIN, STEVE CONCORD CRAWFORD, DARA FERNANDO, JAY CHARLOTTE DEEM, NANCY HONEYCUTT, DANNY CHARLOTTE DEGUIRE, MICHELLE HERNANDEZ, RICARDO ST. LOUIS DOUGHERTY, NDOME FAVARO, JUSTIN CHARLOTTE DOWLESS, CAREN LAWRENCE, LINDA ALBEMARLE DRUML, MICHELLE TINGA, JOHN NEW BERN ELLIS, STEPHANIE HARLAND, ROBERT GREENVILLE GOOD, ANGELA TABE, WILSON GOLDSBORO GOODWYN, CHARLOTTE MARANA, ENRIQUE FARMVILLE HAUPTFLEISCH, SUSAN LENINGTON, KENNETH BLACK MOUNTAIN JAMISON, HOLLY CROWLEY, MCKAY WINSTON-SALEM KENEMER, ELIZABETH CARLSON, RICHARD WILMINGTON MALDIMA, TIWAAH DASHIELL, JOHN CHARLOTTE MCCASLIN, KADYE REDELSPERGER, RODNEY DENVER MIGNANELLI II, ANTHONY RENTZ, DAVID CHARLOTTE MITCHELL, LORENA CASSANEGO, ANTONIO SPRUCE PINE, PARROTTE, JENNIFER LEE, MITCHELL WILMINGTON PENNINGTON-COTTON, LEONA SAINT LOUIS, IMMACULA WILSON PLOTT, CARMEN KORDUS, MICHAEL MURPHY PROFFITT, SHANA JACKS, ALAN RUTHERFORD COLLEGE REDIGER, ALISON GARRETT, JAMES JACKSONVILLE SAMUEL, SHERENA IGHADE, ANDREW CHARLOTTE 43 November 16-18, 2012 SCOTT, EQUIENA MACDONALD, JAMES WINSTON SALEM SIMMONS, TANGULA MACDONALD, JAMES WINSTON SALEM STROSSI, DARLENE MONAHAN, MICHAEL RALEIGH SUMMACH, ANNE BROWN, JENNIFER DURHAM TART, LINDSAY SLEHRIA, SANJEEV FAYETTEVILLE TUMBLESON, JAMIE MANCHESTER, AMY DURHAM WHITE, TANASHA ALUKO, GBENGA CHARLOTTE WYATT, CELINE ANN MANGANO, CHARLES RALEIGH YERCHECK, BEVERLY RIBEIRO, DONALD GREENVILLE AMEH, RAISSA OBENG, FRANCIS CHARLOTTE BOONE, CANDACE TAORMINA, VELMA GASTONIA BOSWORTH, SHAUN THOMASON, MICHAEL CHALOTTE CAMPBELL, CLAUDIA GUPTA, MANOJ SMITHFIELD CARTER, LAKASHA GARRISON, MICHAEL LEXINGTON CAULEY, NELLIE LOHAVICHAN, VERACHAI CHARLOTTE CONNELLY, BETH WELCH, CHERRIE WINSTON SALEM COOK, NANCY CASE, MICHAEL GASTONIA CRAIN, KIMBERLY SUE, MICHAEL ELIZABETH CITY DRAPER, KENYON SINGHI, SUSHIL ROCK HILL EBERT, SHASTA KIMBALL, ROBERT MOORESVILLE GETTIER, AMANDA MORGAN, ALAN LELAND HING, KATIA WILLIAMS, ROBERT DURHAM KELLY, KATHERINE BATCH, BRYAN DURHAM KLINK, JALEEN FLOWE, KENNETH GREENSBORO LEE, LEAH COLMENARES, GUSTAVO BALTIMORE MILLER, TONY HANDA, KUSHAL MONROE MONROE, BRYAN MARTINEZ, CECILIA ELIZABETHTOWN MORRISON, VICTORIA ALUKO, GBENGA CHARLOTTE MULHOLLEN, LINDA CATHCART, CORNELIUS HENDERSON PFLAUM, KELLY GODFREY, WANDA GARNER PIERRE-LOUIS, MARJORIE BATCH, BRYAN DURHAM SHERMAN, JOHN SCHNEIDER, ALEXANDER ASHEVILLE VENTURELLA, VICTORIA ORIAKU, OBINNA CHARLOTTE WARREN, TAMMIE JAQUISS, ROBERT DURHAM WILLIAMSON, ELLA PATEL, YOGIN KINSTON NP ADDITIONAL SUPERVISOR LIST ADAMS, MELISSA MARKS, PHILLIP LEXINGTON ALLEN, DEBORAH RIEDEL, RICHARD DURHAM ASHE, MELANIE SINCOX, FRANCIS SHELBY, BALL, BETH PATEL, HIREN ASHEVILLE BASS, DONNA ANDREWS, THOMAS SWAN QUARTER BATALO, STEPHANIE IRVIN, JOHN WILMINGTON BEAN, TINA TOWNE, SARAH HARRELLS BEATTY, AMELIA BURTON, CLAUDE DURHAM BEATTY, LATONYA AGBAFE-MOSLEY, DOROTHY BALTIMORE 44 November 16-18, 2012 BOGGS, WANDA HESTER, LAURA SILER CITY BORTNICK, PATRICIA DUANY JIMENEZ, VIRGINIA NEWTON BOSWELL, TAMMI VILLAVECES, CARMEN CHARLOTTE BRACKBILL, CARRIE GULATI, SANJEEV CHARLOTTE BRANCH, GLENDA DAUDA, MOHAMED ROCKY MOUNT BROWN, CATHERINE TAAVONI, SHOHREH DURHAM BRUEHL, HOLLY TOUNSEL, ADRIENNE WAKE FOREST BUTTRISS, GRACE GARMON-BROWN, OPHELIA CHARLOTTE CANNON, GREGORY ALMASRI, GHIATH GREENVILLE CARTEE, RHONDA RHODES, MISHA CHARLOTTE CHURCHILL, ELLA PATEL, HIREN WAYNESVILLE CLARK, STACEY HART, ROBERT DURHAM CONLIN, JEAN COWARD, KAREN PINETOPS CORBIN, THERESA MITCHELL, TIMOTHY CHARLOTTE COTTEN, KATHLEEN PATEL, HIREN ASHEVILLE COTTON, TRACIE CEDARHOLM, JOHN CHARLOTTE CUPP, BRENDA SHUKLA, NILIMA GASTONIA DAVIS, BARBARA BOYLE, JOSEPH DURHAM DAVIS, MEREDITH BUGAJ, GREGORY WINSTON-SALEM DAVISON, JEAN GARING, KENDALL ASHEBORO DELAMETTER, GRETCHEN EWEND, MATTHEW CHAPEL HILL DELANEY, RANI PRICE, WAYNE CHAPEL HILL DICKINSON, TAWANA JAMES-NZAMBELE, SHANA BALTIMORE DOUGLAS, KIMBERLY KANN, JOEL KNIGHTDALE DRAKE, CATHY CHAI, SEUNGJEAN CHARLOTTE DUNBAR, NYOKA MEHTA, NALIN BALTIMORE EDWARDS, SHIEGHETHA WADE, EUGENE BALTIMORE ELLIOTT, LYDIA WEIGEL, FREDERICK ASHEVILLE GAMEWELL, MARILYN DAILEY, TIMOTHY BOONE GARZONE, STEVEN LEE, KENNETH GREENVILLE GELOT, CAROLYN TAYLOR, JULIAN AHOSKIE GIBSON, ROBERT ELBEERY, JOSEPH GREENVILLE GIBSON, TIFFANY JACKSON, MISHI KERNERSVILLE GOLDEN, MAUREEN SNIDER, ALISON KERNERSVILLE GOODMAN, KINSEY KANN, JOEL CARY HAAS, MARILYN PARK, DANNA ASHEVILLE HAGE, JANICE SMITH, ROBERT CHARLOTTE HAVEN, SHERRI WADE, EUGENE RALEIGH HERNANDEZ, JESUS GARMON-BROWN, OPHELIA CHARLOTTE HOBSON, DELORIS PHERWANI, VARSHA MATTHEWS HOLDER, JEAN MOREIRA, ROY BALTIMORE HYATT, LESLIE MORRILL, GINA MONROE JOYNER, MICHAEL ALMASRI, GHIATH GREENVILLE KANADY, JARROD HOLDER, LATIA YANCEYVILLE KIMBLE-HAHN, JO ANN FERNANDEZ, JAIRO SALISBURY KING, LINDA BURKE, LILLIAN GREENVILLE 45 November 16-18, 2012 KLABNIK, NICOLE JOHNSON, MICHAEL CHARLOTTE KOCKLER, HOLLY POKORNY, JEFF ELIZABETH CITY LANGSTON, TIFFANY COWARD, KAREN PINETOPS LAWLER, KELLY PATEL, HIREN ARDEN LEONE, DENISE LEE, CHON WINSTON-SALEM LEVY, KATHY IRVIN, JOHN WILMINGTON LEWIS, ANDREA ISAACS, KAREN WILMINGTON LITTLE, JULIA MANCHESTER, AMY DURHAM LONG, TERRESA HSIEH, STEPHEN LEXINGTON LOUCKS, KATHLEEN HENRY, HECTOR GREENVILLE MALONE, CAROLYN TOBIN, H. KANNAPOLIS MANNLE, SARAH LARSON, KELLY CANTON MANOLE, FRANK NEWMAN, WILLIAM RALEIGH MARKS, LISA MANCHESTER, AMY DURHAM MASON, MARY ANN WAHL, KERRI DURHAM MCELWEE, MARIE ALEJANDRO, LUIS GREENSBORO MCKENZIE, CRYSTAL MORROW, SHAWN MONROE MEYER, DEBORAH PATEL, HIREN ARDEN MILLER, MARY DOERR, MONICA SALISBURY MILLSAPS, KIMBERLY JORGE, CARLOS CHARLOTTE MOONEY, DONNA KREMPASKY, MICAH ASHEVILLE MOORE, COLEEN ISAACS, KAREN WILMINGTON MORRIS, DIANN KAPLAN, DAVID CHARLOTTE MORRIS, COURTNEY KALTER, ZANE MARION MORRISON, CYNTHIA COLLIER, SUZANNE ASHEVILLE MULLINS, CONNIE EDMUNDSON, HENRY ZEBULON NAFFKE, MELANIE CARATTINI-ELEY, FRANCINE WAYNESVILLE NEAL, DENISE ISAACS, KAREN WILMINGTON NEESE, HOPE WILLIAMS, JONATHAN BURLINGTON NIFONG, DEBORAH KELLER, MARK BALTIMORE OSBORNE, SHERRI BLOOMFIELD, ROBERT BALTIMORE OSBORNE, HEATHER KON, NEAL WINSTON SALEM PATEL, SWATIBEN DOOHAN, THOMAS MONROE POSEY, CAROL MCNAIR, CHARLTON BESSEMER CITY PRACE, ALLYSON PATEL, HIREN ASHEVILLE QUEERN, OLIVIA WHITTED, THURMAN FAYETTEVILLE RAMAGE, MELINDA COULSON, CAROL ASHEVILLE REDMOND, MITZI TROYER, ERIC LANDIS RICHARD, SUSAN HULTMAN, CHARLES CHAPEL HILL RINKACS, THOMAS NOR, EUGENE MAXTON ROSE, KAYE MCDOWELL, JOHN RALEIGH RUDOLPH, NANCY KHAN, KALSOOM GREENSBORO SCACCIA, NICOLE LANCASTER, DAVID CHARLOTTE SCHMID, ERIN SHEA, THOMAS CHAPEL HILL SCHULZ, GAIL WILLIAMS, JOHNATHAN BURLINGTON SCOTT LOWE, MARY WHITE, LENA CHARLOTTE 46 November 16-18, 2012 SHEPARD, SUSANNA WILLIAMS, ARONICA GASTONIA, SHORT, BETH HUSTED, DAVID HENDERSONVILLE SMEEKENS, KEVEN GREENSPAN, LINDA MAPLE HILL SMITHERMAN, SHONDA CASTILLEJO, ALVARO ELKIN SPENCER, VICKIE CHEWNING, JOHN WINSTON-SALEM STARK, PATRICIA GOPICHAND, ISHWAR JACKSONVILLE STARK, PATRICIA LONGORIA, YVETTE JACKSONVILLE STARR, JVONNE PALMER, WILLIAM BALTIMORE STEVENS, VERONICA KORNEGAY, HERVY KENANSVILLE STEWART, CATHERINE BEYEA, ANNETTE FLAT ROCK STONE, JAMES JAMES, KISHA WILMINGTON STRAYHORN, CHRISTINE TYLER, MICHAEL SANFORD SWAIN, PAMELA WAGGONER, KATHRYN MURPHY SWAIN, PAMELA HEAVNER, TERESA MURPHY TABRON, TONIQUE JAMES-NZAMBELE, SHANA BALTIMORE THOMAS, GILLIAN BEITTEL, TIMOTHY WILMINGTON THROWER, SHAWNA TOUNSEL, ADRIENNE WAKE FOREST VICKERS, HELEN KEYES, BOOKER JACKSONVILLE WATERS, DAVID GALANOS, ANTHONY DURHAM WEISENHORN, MARIA RADUT, TOMA LINCOLNTON WHITENER, ANTHA CHRISTIANSON, CATHERINE BALTIMORE WHITNEY, ANGELA LANGLOIS, JOHN ASHEVILLE WILLIAMS, RENEE LIVERMAN, JOSEPH SMITHFIELD WILLIAMS, FRANCES BUCHANAN, SONYA CHARLOTTE WILSON DEFELICE, JEANETTE STRICKLAND, JAMES BURLINGTON WINCHESTER, GLENDA ZINNER, TANYA RALEIGH WOOD, ELIZABETH HOLMES, JOSEPH SALISBURY WOOD, TERESA ALMASRI, GHIATH GREENVILLE YEWCIC, STEPHANIE MCEWEN, LUTHER CHARLOTTE ZULLI, JEANNIE KWIATKOWSKI, TIMOTHY RALEIGH ABIOLA, DEBORAH GALIDA, CATHERINE BALTIMORE ADKINS, JACQUELINE BAVEJA, NAMRITA YANCEYVILLE ANDERSON, GREGORY EMERY, DARYL RALEIGH ANDERSON, GREGORY GO, BRIAN RALEIGH ASARE, ELIZABETH MARFO, MAGDALENE CHARLOTE N BELL, REAGAN SURGERS, SHERRI WILMINGTON BLAIR, ALENE REECE, NEIL CONOVER BROWN, LYNNE SHORE, CATHY STATESVILLE BROWN, BOBBI-LYN STINSON, CHARLES WINSTON-SALME BRUMLEY, KENSLEY GREER, GARY HICKORY BURKE, TAMMY LAFAVORE, PAUL STATESVILLE CARRIKER, AMY ROYER, HARRELL OAKBORO CARTER, ALISSA KULBERSH, JONATHAN CHARLOTTE CHAPMAN-COREY, CASANDRA IRVIN, JOHN DURHAM COX, MYRIAH GOLASZEWSKI, GLENN MT. AIRY CRANE, NICOLE WILLIAMS, NATHAN ASHEVILLE 47 November 16-18, 2012 CUDDY, SHERRI WALKER MCGILL, CHERYL MOUNT HOLLY CULL, TINA MEADOWS, TELLY SALISBURY DAVIS, FELICIA TOKUNBOH, JULIUS CHARLOTT DAY, HEATHER ALMASRI, GHIATH GREENVILLE DIGGINS, KRISTENE PERKINS, GWENDOLYN MONROE DRAUGHON, IVONNE SHAIKH, GHULAM GARNER GOLDSTON, PHILLIP WELLS, MATTHEW FAYETTEVILLE GOODWIN, BEVERLY JORGE, CARLOS BURLINGTON GREGORY, KENNETH BUNN, BARRY TARBORO HARSHAW-ELLIS, KAROL EAPEN, ZUBIN DURHAM HOLT, LORI MUNOZ, RIGARDY WILMINGTON HOPKINS, KRISTY DAVIS, JEFFREY CULLOWHEE JOHNSON, AMANDA WAGNER, JOANNE WAKE FOREST JONES, ANN-MARIE JOLOW, MICHAEL GARNER KENNEDY, MICHAEL PIELEANU, ADRIAN JACKSONVILLE KRAUSE, DEBORAH ALEJANDRO, LUIS GREENSOBORO KUJAWSKI, TINA SCHISLER, RANDALL CHARLOTTE KUJAWSKI, TINA KRIVITSKY, BORIS CHARLOTTE LAIRD, MARSHA WALLENIUS, STEVEN ASHEVILLE MACKENZIE, KATHERINE CLAYTON, THOMAS ANDREWS MACNICHOL, JOY SHORE, CATHY STATESVILLE MCKENZIE, ILA GEIMER, PEGGY WILSON MCNAIR, DAWN LOWRY, DAVID BALTIMORE MEYER, DEBORAH IRVIN, JOHN WILMINGTON MORRISON, GERRI REECE, NEIL CONOVER MOYLES, MEGAN WENZLIK, ADAM DURHAM MUELLER, CAROLYN MCGHEE, JAMES WILMINGTON NEWMAN, KRISTIN MARTIN, ANTHONY CHARLOTTE PACE, HAGAN MCLEOD, WILLIAM EDEN PIKE, AMY SINGH, HARDAYAL WAKE FOREST REESE, KAREN MIN, CHRISTOPHER ASHEVILLE SAMPLE, DENISE ZHOU, LI KNIGHTDALE SAPP, CHRISTINA HELLER, MICHAEL FRANKLIN SCHROEDER, MARCIA SMITH, ANN ASHEVILLE SCHROEDER, CAROL ALEJANDRO, LUIS GREENSBORO SOCHA, LAUREL TSAI, TOBIAS CHARLOTTE STOWE, CHRYSTIE SEVERA, JEFFREY COLERAIN STUMP, JANICE CROCKER, DANIEL WILSON TATE-CRAWFORD, STACIA MCCUTCHEN, JEFFREY CHARLOTTE TODD, ELIZABETH PERRY, ROBERT EMERALD ISLE TONEY, TERRY CASP, WILLIAM SPINDALE VAUGHN, TRACY LINS, MARK SALISBURY VAUGHN, TRACY BRADY, JOSEPH CHARLOTTE WATKINS, JULIA NEWMAN, ANDREA RALEIGH WATSON, JULIA APPEL, BARBARA FAYETTEVILLE WHALEY, JIMMY LIEBELT, RALPH DURHAM 48 November 16-18, 2012 YOUNG, KELLY GARST, JENNIFER RALEIGH ZOELLNER, JAMIE MORRIS, KENNETH DURHAM Temporary Format for NP Vote List ABIOLA ADKINS ALLEN ANDERSON ANDERSON ASARE ASHE BALL BATALO BEAN BELL BEVERLY HOWARD BLAIR BOGGS BORTNICK BOSWELL BRANCH BRIDGEMAN BRITO BROWN BROWN BROWN BROWN BRUEHL BRUMLEY BURKE CANNON CARRIKER CARTEE CARTER CHAPMAN-COREY CHURCHILL CLARK COLLINS CORBIN COX CRANE CUDDY CULL CURRAN DAVIS DAVIS 49 DEBORAH JACQUELINE DEBORAH GREGORY GREGORY ELIZABETH MELANIE BETH STEPHANIE TINA REAGAN LASHAWN ALENE WANDA PATRICIA TAMMI GLENDA RACHEL SHERLEY CATHERINE LYNNE BOBBI-LYN ESTELLE HOLLY KENSLEY TAMMY GREGORY AMY RHONDA ALISSA CASANDRA ELLA STACEY MELISSA THERESA MYRIAH NICOLE SHERRI TINA MARY ALYCE BARBARA MEREDITH GALIDA BAVEJA RIEDEL EMERY GO MARFO SINCOX PATEL IRVIN BURKS SURGERS DELL'ARIA REECE HESTER DUANY JIMENEZ VILLAVECES DAUDA DARTER OKAFOR TAAVONI SHORE STINSON MARTIN TOUNSEL GREER LAFAVORE ALMASRI ROYER IRVIN KULBERSH IRVIN PATEL HART MEISEL MITCHELL GOLASZEWSKI WILLIAMS WALKER MCGILL MEADOWS WELLS BOYLE BUGAJ CATHERINE NAMRITA RICHARD DARYL BRIAN MAGDALENE FRANCIS HIREN JOHN APRIL SHERRI JOSEPH NEIL LAURA VIRGINIA CARMEN MOHAMED DANIELLE IFEANYICHUKW SHOHREH CATHY CHARLES ANTHONY ADRIENNE GARY PAUL GHIATH HARRELL JOHN JONATHAN JOHN HIREN ROBERT DEAN TIMOTHY GLENN NATHAN CHERYL TELLY MATTHEW JOSEPH GREGORY BALTIMORE YANCEYVILLE DURHAM RALEIGH RALEIGH CHARLOTE N SHELBY, ASHEVILLE WILMINGTON HARRELLS WILMINGTON WHITEVILL CONOVER SILER CITY NEWTON CHARLOTTE ROCKY MOUNT BOONE LINCOLNTON DURHAM STATESVILLE WINSTON-SALME CHARLOTTE WAKE FOREST HICKORY STATESVILLE GREENVILLE OAKBORO WILMINGTON CHARLOTTE DURHAM WAYNESVILLE DURHAM WILMINGTON CHARLOTTE MT. AIRY ASHEVILLE MOUNT HOLLY SALISBURY FAYETTEVILLE DURHAM WINSTON-SALEM November 16-18, 2012 DAVIS DAVIS CAMPBELL DAY DESAMERO DICKINSON DIGGINS DITTY DOUGLAS DRAKE DRAUGHON DUNBAR EDWARDS EVERLY FERNALD FERRIS FILKINS GARZONE GELOT GIBSON GIBSON GIBSON GOLDSTON GOOD GOODMAN GOODWIN GREGORY HAMLIN HARALDSON HARSHAW-ELLIS HAVEN HAYES HENRY HIGHFILL HOBSON HOEY HOLDER HOLT HOPKINS HYATT JANSEN JOHNSON JOHNSON JONES JOYNER KANADY KENNEDY 50 FELICIA TERRI HEATHER JONATHAN TAWANA KRISTENE CLAY KIMBERLY CATHY IVONNE NYOKA SHIEGHETHA CAROL CARRIE LENA DEBORAH STEVEN CAROLYN ROBERT TIFFANY ROBIN PHILLIP ANGELA KINSEY BEVERLY KENNETH CAROL LORELL KAROL SHERRI MARIANNE TARSHA KAREN DELORIS TORIE JEAN LORI KRISTY LESLIE KATHRYN AMANDA ALMAZ ANN-MARIE MICHAEL JARROD MICHAEL TOKUNBOH MORANDO ALMASRI MILLARD JAMES-NZAMBELE PERKINS ELBEERY KANN CHAI SHAIKH MEHTA WADE GO LOWRY KAPURAL FISHER LEE WRIGHT ELBEERY JACKSON KEITH WELLS LIVINGSTON KANN JORGE BUNN JORGE BUCHANAN EAPEN WADE LE-BLISS NNADI VYBIRAL PHERWANI KASHIMAWO-AKANDE MOREIRA MUNOZ DAVIS MORRILL PALERMO WAGNER PATEL JOLOW ALMASRI HOLDER PIELEANU JULIUS DONALD GHIATH JONATHAN SHANA GWENDOLYN JOSEPH JOEL SEUNGJEAN GHULAM NALIN EUGENE BRIAN DAVID LEONARDO DAVID KENNETH THAMRAH JOSEPH MISHI RANDALL MATTHEW JAMES JOEL CARLOS BARRY CARLOS SONYA ZUBIN EUGENE MARY VICTORIA TOMAS VARSHA SAIDAT ROY RIGARDY JEFFREY GINA NANCY JOANNE SUBHASH MICHAEL GHIATH LATIA ADRIAN CHARLOTT LUMBERTON GREENVILLE CHARLOTTE BALTIMORE MONROE GREENVILLE KNIGHTDALE CHARLOTTE GARNER BALTIMORE BALTIMORE RALEIGH BALTIMORE WINSTON-SALEM CHARLOTTE GREENVILLE AHOSKIE GREENVILLE KERNERSVILLE WESTFIELD FAYETTEVILLE ROXBORO CARY BURLINGTON TARBORO WHITEVILLE SUPPLY DURHAM BALTIMORE SCOTTSDALE KERNERSVILLE SPARTA MATTHEWS CHARLOTTE BALTIMORE WILMINGTON CULLOWHEE MONROE CHARLOTTE WAKE FOREST CHARLOTTE GARNER GREENVILLE YANCEYVILLE JACKSONVILLE November 16-18, 2012 KIMBLE-HAHN KING KING KLEIN KNOX KRAUSE KUJAWSKI KUJAWSKI LACKEY LAIRD LANGSTON LASTN LEONE LINDSEY LITTLE LONG LORNE LOUCKS LOWE LOWE MACKENZIE MACNICHOL MADDEN MALONE MANNLE MANOLE MARKS MASON MAZZOCCA MCCAIN MCCAMBRIDGE MCCREARY MCKENZIE MCNAIR MEYER MEYER MICHAEL MILLER MILLSAPS MITCHELL MORRIS MORRISON MORRISON MOYLES MUELLER MULLINS 51 JO ANN LINDA PAULA ROBERT JILL DEBORAH TINA TINA LISKA MARSHA TIFFANY FNAME DENISE KIMBERLEY JULIA TERRESA KAREN KATHLEEN KAREN KAREN KATHERINE JOY MARILYN CAROLYN SARAH FRANK LISA MARY ANN DANIELLE KAREN CHRISTINE JENNIFER ILA DAWN DEBORAH DEBORAH RALPH MARY KIMBERLY CHRYSANTHI COURTNEY CYNTHIA GERRI MEGAN CAROLYN CONNIE FERNANDEZ BURKE ELLIS MAUNEY PHELPS ALEJANDRO KRIVITSKY SCHISLER GWYNNE WALLENIUS COWARD LAST LEE CURRAN MANCHESTER HSIEH TWERSKY HENRY KAPLAN MEEK CLAYTON SHORE KACZMAREK TOBIN LARSON NEWMAN MANCHESTER WAHL MEEK SANGVAI GIHWALA SPRINGFIELD GEIMER LOWRY PATEL IRVIN TRIPP DOERR JORGE QUENG KALTER COLLIER REECE WENZLIK MCGHEE EDMUNDSON JAIRO LILLIAN SHANNON NOLAN TRACY LUIS BORIS RANDALL MARK STEVEN KAREN FIRST CHON DIANA AMY STEPHEN JACK HECTOR DAVID THOMAS THOMAS CATHY ELLEN H. KELLY WILLIAM AMY KERRI THOMAS DEVDUTTA RAMESH CLAUDE PEGGY DAVID HIREN JOHN HENRY MONICA CARLOS JOAN ZANE SUZANNE NEIL ADAM JAMES HENRY SALISBURY GREENVILLE JACKSONVILLE MORGANTON SHELBY GREENSOBORO CHARLOTTE CHARLOTTE CHAPEL HILL ASHEVILLE PINETOPS PCITY WINSTON-SALEM HENDERSONVILLE DURHAM LEXINGTON DURHAM GREENVILLE DANBURY BALTIMORE ANDREWS STATESVILLE ASHEVILLE KANNAPOLIS CANTON RALEIGH DURHAM DURHAM BALTIMORE DURHAM ALBEMARLE APEX WILSON BALTIMORE ARDEN WILMINGTON WINSTON- SALEM SALISBURY CHARLOTTE ROBBINSVILLE MARION ASHEVILLE CONOVER DURHAM WILMINGTON ZEBULON November 16-18, 2012 MYTON MYTON NAFFKE NEAL NEUBRANDER NEWMAN NIFONG O'HANLON OSBORNE OSINLOYE PACE PALMER PATEL PERKINS PERKINS PIKE PRACE PROKUP PUCKETT PUGLISI QUEERN RADULESCU RAMAGE REDMOND REESE RINKACS ROBERSON RUDOLPH SAMPLE SAPP SCHMID SCHROEDER SCHROEDER SHELTON SHORT SMALLWOOD SMEEKENS SMITH SMITHERMAN SOCHA SPENCER STARR STARR STEWART STOKELY STONE 52 CATHERINE CATHERINE MELANIE DENISE JUDY KRISTIN DEBORAH LORETTA HEATHER GENEVIEVE HAGAN JENS SWATIBEN JENNIFER JUANITA AMY ALLYSON NANCY KAREN JANIS OLIVIA DAN MELINDA MITZI KAREN THOMAS KRISTINA NANCY DENISE CHRISTINA ERIN MARCIA CAROL SUSAN BETH TANYA KEVEN SANDRA SHONDA LAUREL VICKIE JVONNE TAMARA CATHERINE DEBORAH JAMES RATCLIFFE BIERRENBACH DECAST CARATTINI-ELEY ISAACS TRIGG MARTIN KELLER COOK KON OSINLOYE MCLEOD CORRIGAN DOOHAN SCHMITT HENRY SINGH PATEL FLOWE HUBBARD BUCHANAN WHITTED MCGHEE COULSON TROYER MIN NOR PERRY KHAN ZHOU HELLER SHEA SMITH ALEJANDRO WILHELM HUSTED TAN GREENSPAN MAY CASTILLEJO TSAI CHEWNING PALMER KLASING BEYEA GALIDA JAMES ROBERT RICARDO FRANCINE KAREN DAVID ANTHONY MARK DAVID NEAL ADEDIJI WILLIAM FRANCIS THOMAS JOHN CAMILLE HARDAYAL HIREN KENNETH LAURA SONYA THURMAN JAMES CAROL ERIC CHRISTOPHER EUGENE LAWRENCE KALSOOM LI MICHAEL THOMAS ANN LUIS JENNIFER DAVID WALTER LINDA MONIQUE ALVARO TOBIAS JOHN WILLIAM DONALD ANNETTE CATHERINE KISHA COLUMBUS FOREST CITY WAYNESVILLE WILMINGTON SYLVA CHARLOTTE BALTIMORE ASHEVILOLE WINSTON SALEM CHARLOTTE EDEN PINEHURST MONROE DURHAM DURHAM WAKE FOREST ASHEVILLE RALEIGH FERGUSON SPARTA FAYETTEVILLE WILMINGTON ASHEVILLE LANDIS ASHEVILLE MAXTON ASHEBORO GREENSBORO KNIGHTDALE FRANKLIN CHAPEL HILL ASHEVILLE GREENSBORO HENDERSONVILLE HENDERSONVILLE RALEIGH MAPLE HILL BALTIMORE ELKIN CHARLOTTE WINSTON-SALEM BALTIMORE GASTONIA FLAT ROCK BALTIMORE WILMINGTON November 16-18, 2012 STONE STOWE STUMP TABRON TATE-CRAWFORD TERRELL THROWER TILLEY TODD TONEY VAUGHN VAUGHN WATERS WATKINS WATSON WEISENHORN WELTY WHALEY WHITE WHITENER WIGGANS WILLIAMS WILLIAMS WILSON WINCHESTER WOOD WOOD YATES YOUNG ZOELLNER ZULLI STEPHANIE CHRYSTIE JANICE TONIQUE STACIA KYLE SHAWNA DIANE ELIZABETH TERRY TRACY TRACY DAVID JULIA JULIA MARIA MELANIE JIMMY MARYBETH ANTHA TERESA FRANCES KITZA ANGELA GLENDA ELIZABETH TERESA STEPHANIE KELLY JAMIE JEANNIE WALKER SEVERA CROCKER JAMES-NZAMBELE MCCUTCHEN HAITHCOCK TOUNSEL KANN PERRY CASP LINS BRADY GALANOS NEWMAN APPEL RADUT PATEL LIEBELT JONES CHRISTIANSON WATKINS BUCHANAN RAVINDRA TROMBLEY ZINNER HOLMES ALMASRI THACKER GARST MORRIS KWIATKOWSKI BETSY JEFFREY DANIEL SHANA JEFFREY BENJAMIN ADRIENNE JOEL ROBERT WILLIAM MARK JOSEPH ANTHONY ANDREA BARBARA TOMA HIREN RALPH KAREN CATHERINE ROY SONYA KADIYALA MICHAEL TANYA JOSEPH GHIATH JULIE JENNIFER KENNETH TIMOTHY FLAT ROCK COLERAIN WILSON BALTIMORE CHARLOTTE CAHPEL HILL WAKE FOREST RALEIGH EMERALD ISLE SPINDALE SALISBURY CHARLOTTE DURHAM RALEIGH FAYETTEVILLE LINCOLNTON WAYNESVILLE DURHAM MOORESVILLE BALTIMORE BOONE CHARLOTTE DURHAM CONCORD RALEIGH SALISBURY GREENVILLE DURHAM RALEIGH DURHAM RALEIGH CLINICAL PHARMACIST PRACTITIONERS Basinger, Rachel Causey, Holly Guyton, Justinne Muluneh, Benyam Weant, Mallika Wilson, Courtenay 53 November 16-18, 2012 APPENDIX H Anesthesiologist Assistant, Perfusionist & Provisional Perfusionist Licenses Issued Since the September Board Meeting Perfusionists: Chavez, Beth Annette Clay, Christine Anesthesiologist Assistants: None 54 November 16-18, 2012 APPENDIX I North Carolina Medical Board PA Licenses Approved November 2012 Initial PA Applicants Licensed 09/01/12 – 10/31/12 PA-Cs Name Bakkestuen, Rebecca Olson Bales, Jason Dwayne Bandusch Harris, Karen Barrett, Nathaniel Morgan Berger, Ruth Beynon, Leah Marie Bravo, Breanna M Brun, Lindsey Lee Buckley, Stephanie Lee Burch, Noreen Burtt, Jennifer Frances Butler, Kimberlee Michelle Campbell, Kimberly Brooke Castleberry, Gordon Lee Chavez, Tyler William Chervil, Sheila Brun Choe, Charles Bongsik Christiansen, Jordan Nicole Constable, Amber Lauren Cowell, Christine Anne Croft, Justin Michael Cummings, David A Curtis, Tami Lynn Cyril, Sabrina Lynn Dabkowski, Jeffrey Dowdle, Caroline Morrow Ewerling, Matthew R Fagan, Ericka Nicole Fernandez, Kathryn Patricia Fleming, Koren Victoria Fulp, Andrew George Gallagher, Erin Marie Galli, Martha Rose 55 10/03/2012 10/12/2012 10/03/2012 10/24/2012 10/08/2012 09/14/2012 10/05/2012 09/25/2012 09/27/2012 10/16/2012 10/15/2012 09/28/2012 09/28/2012 09/04/2012 09/04/2012 10/31/2012 09/10/2012 09/05/2012 10/12/2012 10/03/2012 09/25/2012 09/27/2012 09/17/2012 10/12/2012 09/28/2012 09/25/2012 09/05/2012 10/04/2012 09/05/2012 10/15/2012 10/11/2012 09/05/2012 10/01/2012 November 16-18, 2012 Initial PA Applicants Licensed 09/01/12 – 10/31/12 PA-Cs Name Gantt, John Arthur Gindoff, Alan Frederick Gold, Omobola Denise Gomez, Roger David Gucciardo, Frank Hager, Kevin Patrick Halcomb, Celeste Hanaway-Quinlan, Tara Beth Hierseman, Elena Hoover, Ryan Lloyd Hunter, Sara Lynne Johns, Phil Orb Johnson, Justin Michael Jones, Daniel Carey Jumpa, Teri Constance Killen, Christopher Famon Korzun, Addison James Kramarz, Tabitha Lynn Kraus, Rebecca Ann Ledlow, Christopher Steven Long, Traci Butler Lowery, Jan Rae Luthra, Raina Lyon, Wesley John Ma, Ben-Jiang Mahood, Larry Blaine Mansfield, Zed Alex Marhalik, Kendall Cory Mathis, Marla Michele Mbenza Phanzu, Didier k. McCall, Gary McElhinney, John Brendan 09/10/2012 10/16/2012 10/05/2012 09/10/2012 09/12/2012 09/13/2012 10/31/2012 09/14/2012 09/13/2012 09/25/2012 09/28/2012 09/25/2012 10/03/2012 09/25/2012 09/05/2012 10/22/2012 09/25/2012 10/23/2012 10/04/2012 09/14/2012 10/22/2012 09/28/2012 09/27/2012 10/15/2012 09/05/2012 10/31/2012 09/10/2012 10/03/2012 10/22/2012 09/17/2012 09/05/2012 09/27/2012 Initial PA Applicants Licensed 09/01/12 – 10/31/12 PA-Cs Name Meadows, Robert Michael 56 10/10/2012 November 16-18, 2012 Messina, Ashley Gray Moore, Allison Christine Nguyen, Hieu Thi Nido, Andrea Michelle Patel, Amy Patel, Nisha Phillips, Katlin Marie Prince, Colleen Elizabeth Qadri, Ishtyaq Yasien Quinn, Clayton Lee Rallapalli, Sumana Randall, Steven William Reed, Rachel Elizabeth Sallis, John Salmony, Richard Orr Sammon, Patrick Joseph Samplawski, Olga Kamila Schaeffer, Chase Smith, Bret Michael Sneed, Ashleigh Mary Sorensen, Natalia Salom Stabile, Jamie Meghan Steele, Jennifer Louise Stockstill, Rebekah Anne Storc, James Michael Tannery, Krista Marie Tercan, Dianna Lynn Tester, Hillary Aspen Thomas, Alena Angel Thompson, Brittany Love Tinker, J. Paige 09/10/2012 10/12/2012 10/04/2012 10/03/2012 09/28/2012 10/11/2012 09/28/2012 10/01/2012 09/11/2012 09/17/2012 10/31/2012 09/20/2012 10/30/2012 10/18/2012 09/05/2012 09/17/2012 10/18/2012 10/15/2012 10/18/2012 10/15/2012 09/13/2012 10/25/2012 09/05/2012 09/25/2012 10/01/2012 10/22/2012 09/28/2012 10/11/2012 09/24/2012 10/04/2012 09/27/2012 Initial PA Applicants Licensed 09/01/12 – 10/31/12 PA-Cs Name Truscello, Katherine Turner, Eric Michael Twietmeyer, Janell Lynn Walline, Katina Dawn Wallis, Julie Ann Welch, Angela Hale Willey, Alexis Worley, Miranda Gilley 57 10/03/2012 10/15/2012 09/18/2012 09/28/2012 10/04/2012 09/28/2012 10/12/2012 10/24/2012 November 16-18, 2012 PA-Cs Reactivations/Reinstatements/Re-Entries Name DiMartino, Matthew Joseph Koenig, Michael William Roemer, William Patrick Shilt, John Andrew Stegmayer, Kimberly Ann Yoder, Kenneth Matthew 10/24/2012 10/16/2012 10/18/2012 10/22/2012 09/10/2012 10/25/2012 Additional Supervisor List – 09/01/12 – 10/31/12 PA-Cs Name City Adams, Melanie Aloian, Samuel Anderson, Steven Arce, Joseph Arguello, Roger Armstrong, Jeremy Armstrong, Jeremy Arru, Elizabeth Bacon Menshew, Jenise Baker, Emily Bales, Jason Barrett, Nathaniel Bartholomew, Kristin Beaty, Donna Bell, Charles Bellis, Emily Berger, Ruth Beyder, Rostislav Beynon, Leah Bhojani, Mahendrakumar Black, Tracy Boccaccio, Kenneth Booth, Karen 58 Primary Supervisor Practice Buglisi, Lucille Bajwa, Waheed Anderson, Steven Fondinka, Godfrey Crenshaw, Brian Smith, Michael Towne, Sarah D'Amico, Paul Spillmann, Scott Mokris, Jeffrey Edgerton, Thomas Polsky, Saul Henderson, David Haught, Justin Williamson, Steven Dyksterhouse, Andrew Wilson Robert Harrelson, Anna Tyler, Michael Uwensuyi-Edosomwan, Fidelis Rogers, Jim Lachiewicz, Paul Avery, Kirsten Wilmington Cary North Wilkesboro Fayetteville Greensboro Tar Heel Ocean Isle Beach Alvemarle Winston Salem Charlotte Pinehurst Elizabeth City Charlotte Charlotte Hickory Belmont Oxford Charlotte Sanford Charlotte Matthews Chapel Hill Raleigh November 16-18, 2012 Bowe, Curtis Bowen-Brown, Taisha Bowman, Angela Boyd, Timothy Bradshaw, Shanna Bradshaw, Shanna Bravo, Breanna Breeback, Jade Bridges, Lori Brown, Alicia Brown, Jennifer Brown, Loyce Brown, Richard Brun, Lindsey Buchanan, Misty Buchkovich, Jennie Buckley, Stephanie Bueti, Gerardina Bullard, Marian Bullard, Marian Bunting, Elizabeth Butler, Kimberlee Campbell, Kimberly Campbell, Kimberly Campbell, Kimberly Card, Katherine Carlson, William Carr, Jude Caruso, Frank Castleberry, Gordon Chavez, Tyler Childs, Jennifer Christiansen, Jordan Ciaravino, Andrea Clarke, Theresa Collier, Amanda Cooper, Lana Copland, Alicia Courtemanche, David Cowell, Christine Craig, Lindsey Craig, Lindsey Crenshaw, Sharon Croft, Justin 59 Buchanan, Sonya McAllister, John Turman, William Erdin, Robert Njapa, Anthony Penn, Robert Bloomfield, Richard Metheney, Catherine Harper, Wayne Pappas, Theodore Gring, Christian Gibbs, Carol Tellis, Angelo Gerardo, Charles Schaeffer, Stanley Schneider, Joel Vesa, Allin Brooks, Kelli Godfrey, Wanda Yaeger, Edwin Mehlhop, Paul Biola, Holly Lowry, Rhonda Peace, Robin Duggal, Sonia Hall, Timothy Frank, Harrison Foreman, Brett Guerrini, James Charlton, Glenn Brooks, Kelli Patel, Sanjay Gibbons, Gregory Lang, Jason Pavelock, Richard McKeown, William Saint Louis, Immacula Dear, Janet Tripp, Henry Nor, Eugene Madsen, Christian Baum, Shari Hoffert, Marvin Groh, Mark Jacksonville Cary Mt.Airy Concord Leland Wallace Newport Kernersville Raleigh Durham Raleigh Randleman New Bern Durham Walkertown Raleigh Statesville Durham Garner Angier Greenville Durham Pembroke Lumberton Lumberton Charlotte Cleveland Raleigh Clemmons Henderson Durham Wake Forest Cary Winston Salem Fayetteville Greensboro Raleigh Burlington Winston Salem Maxton Charlotte Charlotte Raleigh Asheville November 16-18, 2012 Cronin, Rachelle Cross, Harry Cummings, Leslie Cummins, Mary Curtis, Tami Cvelic, Patrick Dabkowski, Jeffrey Darket, Angela Davidson, Kimberly Davis, Eddie Davis, Heather Dean, Barbara Dean, Barbara Dean, Barbara Dean, Barbara Deatherage, Brent Denman, Patrick Diaz, Claudia Dixon, Joseph Dixon, Joseph Dobbins, Jackson Dore, Katie Dore, Katie Dorenfeld, Dana Dossenbach, Memory Dowdall, Michelle Dowdle, Caroline Driggers, Laura Drinkwater, Don Duncan, Jacqueline Duval, Julie Dzama, Steven Eby, Tammy Edwards, Bianca Edwards, Bianca Edwards, Michele Egbert, Kelly Elliott, Scott Embry, Brandy England, Michael Epling, Emily Eure, Vilayphonh Eure, Vilayphonh Evangelista, Marie 60 Shafran, Kerry Old, Forrest Buchanan, Cynthia Kois, Jean D'Amico, Paul Dunn, Michael McBride, Robert Redding, Mark Veeragandham, Ajay Erdin, Robert Snyder, Danal Amor, Antonio Kimmel, David Kimbro, Michael Gray, Theodore Brant, Thomas Azrak, Michael Tokunboh, Julius Weeke, Paul Tarleton, Gregory Schnyder, Drew Schnyder, Drew Franczak, Jenny Vallat, Val Toth, Alison Shanahan, Joseph McAllister, John Fisher, Michael Mathur, Sameer Vieages, Ananda Moore, Stacia Gaskins, Raymond Dauda, Mohamed Kaldy, Patricia Buchanan, Cynthia Pancotto, Frank Hage, William Hayashi, Paul Pereda, Lourdes Pierson, Eric Shearer, Heather Manuli, Steven Sutton, Sidney Rubin, Sharon Charlotte Moyock Mooresville Huntersville Alvemarle High Point Charlotte Charlotte Fayetteville Concord Rocky Mount Boone Banner Elk Boone Boone Charlotte Raleigh Charlotte High Point Winston Salem Black Mountain Black Mountain Chapel Hill Charlotte Durham Raleigh Cary Siler City Cary Marion Asheville Fayetteville Rocky Mount Concord Charlotte Salisbury Raleigh Chapel Hill Angier Wilmington Winston Salem Elizabeth City Elizabeth City Durham November 16-18, 2012 Ewerling, Matthew Fagan, Ericka Fernandez, Kathryn Fishburne, Gina Fleming, Koren Fortin, Maria Foster, Emily Foster, Emily Fowler, Cindy Fulp, Andrew Fulp, Andrew Furlong, Thomas Galli, Martha Galloway, Ayanna Gama, Oma Gantt, John Garrison, Heather Garwood, Dawn Garwood, Dawn Gasperson, Lynne Giancaterini, Mary Gleason, Laura Gocke, Thomas Godly, Kathryn Godly, Kathryn Gold, Omobola Gomez, Roger Gordon, Brett Gore, William Graham, Marisa Grande, Jeffrey Grant, Erich Gumpert, Julia Hager, Kevin Hall, Cheryl Hall, Lisa Hanaway-Quinlan, Tara Hanopole, Jennifer Harper, John Harrison, Xavier Haskin, Ashley Haskin, Madelon Helton, Camilla Hensler, Rachel 61 Sloan, Douglas Hall, Timothy Gupta, Manoj Doty, Heather Okwara, Benedict Bissette, Stephen O'Brien, Patrick Tomar, Sanjay Payne, Jason McGowen, Timothy Daubert, Harlan Brodkin, Richard Pleasant, Henry Tokunboh, Julius Finestone, Douglas Pleasant, Henry Reiter, Todd Hamaker, Stanley Whitlock, Sandra Adamson, David Bernard, Joe Balmadrid, Christian Fleming, Stephen Zia, Asif Russell, Marsha Wadley, Robert Llibre, Giovanni DiLorenzo, Robert Knab, John Johnson, Ann Marie Sinden, John MacDonald, James Sloan, Douglas Runyon, Michael Patel, Hiren McCaskill, Clement Steffens, Rebecca Dasher, James Anderson, Travis Yeh, Stephen Flowe, Kenneth Runyon, Michael Miller, Stephen Heter, Michael Fayetteville Charlotte Smithfield Cornelius Monroe Winston Salem Raleigh Clayton Mount Airy Winston Salem Winston Salem Winston Salem Raleigh Charlotte Greenville Apex High Point Asheville Flat Rock Durham Charlotte Durham Boone Lillington Dunn Raleigh Winston Salem Raleigh Wilmington Marion Raleigh Winston Salem Fayetteville Charlotte Arden Goldsboro Raleigh High Point Mooresville Charlotte Greensboro Charlotte Winston Salem Wilmington November 16-18, 2012 Hierseman, Elena Hill, Crystal Holmes, Alisha Hoover, Ryan Hoover, Ryan Hope, Jessica Hopkins, Michelle Hough, Brian Hudgins, Victoria Hudgins, Victoria Hunter, Sara Iglesias, Maria Ingold, Tiffany Ireton, Susan Jasienowski, Julie Jennings, Tracelynn Johns, Phil Johns, Phil Johnson, Justin Johnson, Katy Johnson, Robert Johnson, Yavonne Jones, Nancy Jordan, Aimee Jumpa, Teri Kachhadia, Urvashi Kaylor, Jason Keavey, Sandra Keeler, Nancy Kersey, Melanie Killian, Michael Kim, Hana King, Harold Kinstrey, Kristin Kipkilel, Bridget Kish, John Knowles, Carol Kober, Charles Kopp, Aaron Kozel, Janet Kramarz, Tabitha Kurtz, Harry Kwan, Samantha Lacey, Donna 62 Peace, Robin Ljung, Tor Nwude, Michael Burroughs, Paul Jenkins, Grant McAlhany, Christopher Phillips, Thomas Brower, Jonathan Frank, Jorge Tate, Michael Patel, Yogin Hossain, Mohammad Connelly, Jason Swords, Bruce Bradley, Betty Goodwin, Joel Ibanez, Noel Shah, Amishi McCaleb, Jane Roberts, Joseph Reed, John Onafowokan, Joel Nicholls, John Wahl, Kerri Todd, Timothy McCutchen, Jeffrey Dew, Jason Desai, Viren McElveen, John Duralia, David McNair, Charlton Dambeck, Allyn Reed, John Parwani, Vivek DePietro, Perry Grant, Audrey Taylor, James Neustadt, Philip Emery, Daryl Jawanda, Jaspaul Vesa, Allin Mathur, Sameer Mosca, Paul Faircloth, Jackie Lumberton Wilmington Butner Youngsville Youngsville Greensboro Matthews Pinehurst Hickory Hickory Kinston Raleigh Salisbury Greensboro Asheboro Raleigh Charlotte Charlotte Roanoke 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Olive Lumberton New Bern Charlotte Sylva Pinehurst Greensboro Raleigh Pinehurst Statesville Cary Durham Charlotte November 16-18, 2012 LaFuria, Jeffrey Lambert, Jennifer Land, Phillip Lee, Saeri Lee, Saeri Lee, Young Lever, Adriana Lilley, Brooke Little, Burnie Little, Heidi Long, Scott Long, Scott Mahood, Larry Majesty, Alexandra Mann, Karen Mansfield, Zed Maples, Amy Marshall, Edwin Marshall, Edwin Martin, Shannon Martis, Kate Maryott, Dwayne Maryott, Dwayne Mathis, Marla McAllister, Amy McCaffrey, James McCoy, Abraham McCoy, Elizabeth McDuffie, Josephine McGarry, Amanda Messina, Ashley Meyer, Kim Minor, David Moench, Carolyn Moncrief, Wallace Moore, Allison Moore, Allison Morgan, Andrea Morgan, Leslie Mueller-Brady, Sandy Musick, Teresa Myers, Brittany Myers, Brittany Myers, Brittany 63 Taavoni, Shohreh Usher, Bruce Neustadt, Philip Barboriak, Peter Christopher, Eric Taavoni, Shohreh Brown, Stephanie Leung, Eugene Hansen, Roger Dauda, Mohamed Heter, Michael Chodri, Tanvir Reyes, Rodolfo Hoffman, Stanley Worthen, Mark Schnyder, Drew Patel, Yogin Burroughs, Paul Idler, Cary Phifer, Jennifer Wilkins, Kenneth Robinson, Sharon Shultzaberger, Richard Dockery, Michael Flanagan, Ellen Guerrini, James Hage, William Kikel, Stephen Patel, Yogin Frizzell, Eric Leung, Eugene Isaacs, Karen Mungalpara, Vinod Fortunato, John Gessner, Martin Jenkins, Grant Burroughs, Paul Leonhardt, Gary Grant, Audrey Snyder, Jonathan Vice, Marvin Pyles, Derek Kaleab, Birhane Singh, Prashant Durham Raleigh Greensboro Butner Durham Durham Louisburg Clayton Winston Salem Rocky Mount Burlington Asheboro Lillington Denver Belhaven Black Mountain Kinston Raleigh Raleigh Fuquay-Varina New Bern Greenville Greenville Charlotte Durham Clemmons Raleigh Valdese Kinston Pinehurst Wake Forest Wilmington Lexington Mocksville Morganton Benson Youngsville Greenville Sylva Jacksonville Spruce Pine Durham Winston Salem Greensboro November 16-18, 2012 Nido, Andrea Norris, Brandy Novak, Lara O'Connell, Kristy O'Gorman, Natasha O'Kane, Richard Ostroff, Erin Owens, Edward Paarz-Largay, Cathy Pace, S. Panos, Constantina Patel, Amy Patel, Neetaben Patterson, LaTisha Payne, William Peacock, Robin Peele, Amanda Phillips, Katlin Pisciotta, Nicole Plata, Benita Podgurski, Jennifer Polinsky, Rosemarie Poulin, Amanda Powell, Debra Powers, Laurie Pressley, Shanna Prince, Colleen Qadri, Ishtyaq Quinn, Clayton Ramm, Allen Ramsauer, Kenneth Rankin, Beth Rappaport, Richard Raudenbush, Lee Ray, Nicole Raymer, Angela Reid, Alan Ressler, Erin Reynolds, Terry Rheinecker, Scot Rhoades, Diana Ricart, Martin Ricart, Martin Riser, John 64 Manousos, George Castro, Maria Jones, Ellen Lestini, William Lancaster, David Parwani, Vivek Black, John Patel, Yogin Shanahan, Joseph Reyes, Rodolfo Kinninger, Adam Vesa, Allin Thompson, Eric Vu, Khanh Reeg, Scot Brous, Nancy Temple, Rufus Barouh, Adam Lee, Melvin Mehta, Praful Zacco, Arthur Suh, Paul Elbeery, Joseph Moss, Alfred Hessenthaler, Mark Ursin, Gabriela Viprakasit, Davis Krishnaraj, Ramesh Hall, Timothy Vickery, David Yenni, Lawrence Ricciardelli, Edward Haines, Joe Ugah, Nwannadiya Johnson, Ann Marie Temple, Rufus Kaldy, Patricia Sparks, David Ferrucci, William Erdin, Robert Rosenbaum, David Dziadziola, James Scaglione, Jamie Johnson, Ann Marie Charlotte Lillington Chapel Hill Raleigh Charlotte New Bern Charlotte Kinston Raleigh Lillington Marion Statesville Charlotte Henderson Greenville Goldsboro Wilmington Fayetteville Greensboro Charlotte Apex Raleigh Greenville Denver NC Fayetteville Hendersonville Chapel Hill Morganton Charlotte Asheville Raleigh Wilmington Morehead City Maxton Marion Wilmington Concord Conover Rutherford College Concord Raleigh Kannapolis Kannapolis Marion November 16-18, 2012 Roberts, Mark Roe, Kelli Rosman, Brett Russell, Douglas Sallstrom, John Salmony, Richard Sammon, Patrick Sanders, Gregory Schaeffer, Chase Schaffer, Valerie Schulz, Megan Schulz, Megan Schuyler, Kendall Scott, Tina Sexton, Jeremy Shaver, Robin Shenkman, Tammy Shepherd, Mark Shepherd, Mark Sherman, Robert Shilt, John Shiminski, Alison Shutak, Michael Smith, Harold DuPont, Andrea Snyder, Laurie Ugochukwu, Kingsley Wiggins, David Gould, Glenn Gerardo, Charles Whitworth, Claude Cohen, Bruce Amao, Enobong D'Amico, Thomas Godfrey, Wanda Talbot, George Gritter, Nancy Taavoni, Shohreh Gill, Brent Wenn, Timothy Harrell, Russell Doohan, Thomas D'Amico, Paul Walters, Ronald Biggerstaff, Daniel Vogler, Scott Forstner, James Buchanan, Cynthia Smith, Sandra Sneed, Ashleigh Sorensen, Natalia Stajich, Jeffrey Stallings, Howard Steele, Jennifer Steigerwald, Michael Stockstill, Rebekah Stokes, Traci Stout, Sarah Strocko, Steven Sturgis, Wallace Sullivan, Ursula Sullivan, Ursula Tarlecki, Nicole Tarlecki, Nicole Tester, Hillary Thams, Julie Thomas, Alena Ellis, Charles Patel, Yogin Cabral, Gonzalo Burke, James Simpson, Jerry Martini, Douglas Charlton, Glenn Brannon, Gregory Erdin, Robert Bruce, Jon Joachim, James Lenington, Kenneth Almasri, Ghiath Worthen, Mark Hage, William Slusher, Richard Shah, Hemang Patel, Amrish Roy, Brandon 65 Charlotte Durham Angier Thomasville Morganton Durham Forest City Charlotte Cameron Durham Garner Wilson Charlotte Durham Shelby Salisbury Durham Monroe Alvemarle Pinehurst Winston Salem Pilot Mountain Southport Mooresville Fayetteville Kinston Wilson Durham Greenville Cary Henderson Charlotte Charlotte Cary Jacksonville Black Mountain Greenville Belhaven Raleigh Clayton Burlington Troutman Raleigh November 16-18, 2012 Thomas, Robert Thompson, Brittany Thompson, William Thrasher, Ashley Tinker, J. Paige Tinsley, Audrey Toussaint, Ramona Tranel, Dennis Troiani, Luigi Twietmeyer, Janell Vang, Mai Vigliano, Megan Vonk, Joy Wallace, Connie Walline, Katina Walton, Charles Watson, Kelly Webb, Daniel Weinberger, Frankie Weir, Kelly Welch, Angela Wheeler, Merritt Whitfield, Alexis Wilkins, Bobbi Wilson Janet Wilson P. Wilson Sean Winn, Jennifer Wiseman, David Woods, Jacquetta Wooten-Reed, Candace Works, Courtney Wright, Lauren Wynkoop, Leigh Wynn, Chileatha Yarbrough, Amanda Yoder, Kenneth 66 Cowan, Lisa Roy, Brandon Gallagher, Scott Kommu, Chandrasekhar Sloan, Douglas McIntosh-Vick, Oveta Perez-Montes, Marcelo Wells, Matthew Hill, James Bowen, Josie Laney, Thomas Tanner, Laura Barnett, Ley Godino, John Wells, Matthew Lee, Mitchell Smith, Peter Ross, Robert Kline, Robert Walter, Michael DeLaGarza, Jerald Peace, Robin Rucci, Jennifer Adamson, David Patel, Yogin Martinez-Bianchi, Viviana Sloan, Douglas Patel, Hiren Shaikh, Azra Monteith, Charles Patel, Yogin Sweeney, John Gualtieri, Camillo Winslow, Bristol Kann, Joel Borden, Lester Bowton, David Raeford Raleigh Winston Salem Winston Salem Fayetteville Durham Fayetteville Fayetteville Chapel Hill Charlotte Conover Wilmington Fuquay-Varina Alvemarle Fayetteville Wilmington Durham Cherokee Asheville St. Louis Forest City Lumberton Wilmington Durham Kinston Durham Fayetteville Asheville Tarboro Chapel Hill Kinston Winston Salem Raleigh Durham Raleigh Greensboro Winston Salem November 16-18, 2012