 |
 |
|||||||
|
|
||||||||
 |
 |
|||||||
 |
 |
|||||||
|
|
||||||||
Minutes
The Physician Assistant Advisory Committee of the Board of Medical Licensure and Supervision met on January 4, 2007, in accordance with the Open Meeting Act. The meeting was held at the office of the Board, 5104 N. Francis, Suite C, Oklahoma City, Oklahoma. Members present were:
Charles Womack, MD, Chairman
Ernest Perkins, PA, Vice Chairman
Donald Flinn, PA
Daniel McNeill, PA
Members absent were:
Gerald Wootan, DO
Curtis Harris, MD
Don Coody, R.Ph.
Others present included:
Patricia Podolec, Assistant Attorney General
Robyn Hall, Director of Licensing
Kathy Plant, Executive Secretary.
The meeting was called to order at 3:20 p.m. with a quorum present for consideration of applications only.
MICHAEL SHANE RICHARDSON appeared in support of his application for Physician Assistant licensure. Mr. Richardson was a new graduate asked by staff to appear because of an alcohol related offense in 1996. Mr. Richardson had been assessed and did not meet the criteria for having a problem with dependency or abuse. Mr. Richardson testified regarding the incident and said would not happen again. Dr. McNeill stated had watched him during his training in the PA program and no problems were noted. Dr. McNeill moved to recommend licensure be granted pending satisfactory completion of the file. Mr. Flinn seconded the motion and the vote was unanimous in the affirmative.
CHANCE MITCHELL HUTCHENS appeared in support of his application for Physician Assistant licensure. Mr. Hutchens was a new graduate asked by staff to appear because of an arrest in 1999 for reckless driving and attempting to elude an officer and a 2000 Driving Under the Influence charge. Mr. Hutchens’ assessment showed no problems with alcohol or drugs. Dr. McNeill moved to recommend approval of the application pending satisfactory completion of the file. Mr. Flinn seconded the motion and the vote was unanimous in the affirmative.
REX EDWARD MARTIN appeared in support of his application for Physician Assistant licensure. Mr. Martin had been asked by staff to appear because of prior arrests including a 1979 charge of damage to private property and possession of controlled substances; a 1983 DUI; a 1995 DUI/possession of marijuana; and a 1998 actual possession and control of vehicle. Mr. Martin testified regarding his arrests. A substance abuse assessment showed no chemical dependency. Dr. McNeill said he had known Mr. Martin almost 13 years and he has become a much different person than he was ten years ago. Dr. McNeill moved to recommend approval pending satisfactory completion of the file. Mr. Perkins seconded the motion and the vote was unanimous in the affirmative.
Dr. McNeill warned the applicants making personal appearances that although things went well at this meeting, if they have to appear before the Committee or Board again, it would not go as well.
Applications for licensure, reinstatement of licensure, transfer applications, applications for additional positions and additional alternate supervisors were reviewed. Dr. McNeill moved to recommend approval of the following applications for Physician Assistant licensure:
JEFFERY ALLEN BARENTINE RICHARD GLEN HUTCHISON
MICHAEL HOWARD LANGFUS MEGAN CATHERINE MCCAULEY
NGOC MINH PHAM ERIN WELLS RASER
KEITH DAVID ROULEAU
He further moved to recommend approval of the application of SEAN PATRICK HUGHES for reinstatement of Physician Assistant licensure. Mr. Flinn seconded the motion and the vote was unanimous in the affirmative.
Dr. McNeill moved to recommend approval of the following application for Physician Assistant licensure pending satisfactory completion of the files. Mr. Flinn seconded the motion and the vote was unanimous in the affirmative.
ANDREZIK, MADELEINE GRACE BALL, AUDRA SUZANNE
BELL, DEBRA JEANE BOYER, JENNY REBECCA
BRUNDIDGE, KASEY LEE CARRINGTON, TAMARA CHANETTE
CASH, CHERYLL NICOLETTE CHESSMORE, KEVIN MICHAEL
COCHRAN, KARI LYNN COLLINGBOURNE, OLIVIA V
COON, TERESA LYNNE COOTS, ISAAC WESLEY
DEVAUGHN, JENNIFER LEIGH FINCH, ERICA LYNN
FREEMAN, LINDSEY MICHELLE GARMAN, STEPHANIE METEVELIS
GARNER, KIMBERLY LYNN GORDON, RANDY PAUL
GORTON, JORGE ALLEN HEDGES, LESLIE DANIELLE
HEDRICK, JULIE MICHELLE JACOBS, MACARA KAY
JAMESON, SHANNON LEIGH KALKBRENNER, EDITH ANN
MANCUSO, JENNIFER LYNN MCCALMAN, STEPHANIE S
ORDELHEIDE, FRANSEN PICKARD, KRISTIN DEANN
PINSON, SARAH BROOKE PROPESTER, LAURA MICHELLE
REID, WHITNEY MARTEL SMITH, CAROLINE MARIE
SPREITER, JILL NICOLE THOMPSON, NANCY ANN
VOGEL KINNEY, CHRISTIAN M WALKER, RILLA KATHLEEN
WARD, JENNIFER RAE WEST, RYAN RENAE
WHITE, JAMIE TENILLE WHITE, MINDY KAY
WORRELL, VERONICA ELOISE WRIGHT, DIANNA LEE
ACUNA, JENNIFER MICHELLE
Mr. Perkins moved to recommend approval of the following applications for transfer of supervision. Dr. McNeill seconded the motion and the vote was unanimous in the affirmative.
ROBERT LEE BULLARD transfer to Jacqueline Petray, MD
LANA KAY GOURLEY transfer to Ryan Pitts, DO
BRIDGET ANN KEAST transfer to Theodore Fortmann, DO
JERI CLARK GOEN transfer to Arles Garel Ray, MD
ROBERT LEE BERNARD transfer to Michael Krieger, MD
GILBERTO CASTILLO TORRES transfer to Joseph Parkhurst, MD
DANNY LEE JONES transfer to Usha Chandra, MD
CARROL ANN PERRY transfer to Gayle Bounds, DO
LOUIE KEITH CAMPBELL transfer to Jeri Ellis, MD
GERALD DON WARD transfer to Soledad Wang, DO
DONALD GUTHRIE HINDS transfer to Shantharam Darbe, MD
JULIE MARGO SCHAEFFER transfer to Wayne Harris, DO
STEVEN DALE QUALLS transfer to Paul Francel, MD
KRISTIN LYNNETTE SELLS transfer to Colm McCauley, DO
KRISTINE DANNIELLE WYATT transfer to John Saurino, DO
VANCHAI VANGCHANYAKUL transfer to Colby Mayo, DO
PAULINE C. DOLTON transfer to James Stauffer, DO
CHARLES OLIVER WILLIAMS JR transfer to Stephen Kovacs, DO
DAVID ELLIS COLLIER transfer to Mark Weissman, MD
CATHEY GAIL WELKER transfer to Michael Stevenson, MD
BRANDON TAYLOR NARR transfer to H. Chayne Fisher, DO
TODD BRADFORD PELTON transfer to Farooq Maqbool, MD
BRETT JONATHAN BENNETT transfer to Steven Swyden, MD
PATTI D. LATSCHAR transfer to Michael Carl, MD
JENNIFER JOLEEN LOUCKS transfer to Sallie Waters, MD
AMANDA KAYE ODOM transfer to Rachel Franklin, MD
CARL BRADLEY JOHNSON, III transfer to Michael Houston, MD
TAMRA JEAN WRIGHT transfer to William Willis, MD
MARK LEE WELLS transfer to Justin Sparkes, DO
MATTHEW WAYNE THOMS transfer to Branislav Schifferdecker, MD
JOEL ALLAN ORMSBY transfer to Kirt Bierig, DO
CANDIECE NICOLE MILLER transfer to Justin Sparkes, DO
ROBIN LAYNE ERRICO transfer to Wendell Richards, DO
DEMETRIOUS FARROW transfer to Fred Loper, MD
REBECCA C. SHEPARD transfer to Don Roller, MD
STEVEN RUSSELL O’DELL transfer to Justin Sparkes, DO
BUFFY JACOBI transfer to David Bailey, MD
AMBER DAWN PURVINE transfer to Bryan Grieme, MD
LISA MARIE JOHNSON transfer to Fred Loper, MD
SHARON P. BOLTON transfer to J. Arden Blough, MD
LOYD KEVIN JONES transfer to Loc Ngo, MD
LINDSEY MAY GILLISPIE transfer to Kellee Youkhana, MD
NENETH OAKLEY PHUNG transfer to Fred Loper, MD
SARAH ELIZABETH SCHMIDT transfer to Chitralekha Kathuria, MD
CHERIE MARIE MILLIRONS transfer to Nathan Uy, MD
THOMAS LABERT MONKO transfer to Brent Norris, MD
CANDICE RAE BREEDEN transfer to Robert Wienecke, MD
JENNIFER ANN JENSEN transfer to Pamela Jarrett, DO
HENRY RICE HANDLEY transfer to Augustin Shi, MD
Dr. McNeill moved to recommend approval of the following applications for additional positions. Mr. Perkins seconded the motion and the vote was unanimous in the affirmative.
WILLILAM ARCHIE MARTIN additional position with Glenn Craig, MD
MARK DANIEL JOHNSON additional position with Mark Lipe, MD
JULIE MARGO SCHAEFFER additional position with Jorge Saucedo, MD
RONALD WAYNE SECOY additional position with Kaleb Hamilton, MD
IFTIKHAR A. SANDHU additional position with Mudassir Nawaz, MD
JUMOK KIM ISENBERG additional position with Augustin Shi, MD
ROBERT EARL PEEVY additional position with Ronald Charles, MD
LISA MICHELLE LEWIS additional position with Sadaf Hussain, MD
NITA LEA CALVIN additional position with Scott Hough, MD
KELLY MARIE DENNIS additional position with Fred Loper, MD
RANDALL ASHLEY PAPE additional position with Jimmy Conway, MD
CHRISTI DAWN OTTEN additional position with Berry Winn, MD and Darrel Pearman, DO
KELLE RENEE CHRISTIANSON additional position with David Dawson, MD
DAWN SETALA GUERRERO additional position with Stephen Cox, MD
Dr. McNeill moved to recommend approval of the following applications to add alternate supervising physicians to previously approved positions. Mr. Perkins seconded the motion and the vote was unanimous in the affirmative.
DALE ARCHER adding James Forrestal DO
AMANDA BIFFLE adding Brent Wakefield MD
CARLENE BODEN adding Steven Swyden MD
JOE BOURLAND adding Scott Farley DO
KRISTA BRAUD adding John Ogle DO
KAM BROWN adding Zaheer Baber MD
PHILIP CLAYTON adding Jack Bair MD
MARK EVANS adding Sherif Ismail MD
RALPH FALCONER adding Michael Stafford DO
MELISSA GIBSON adding James Lynch MD
EMILY GRIMM adding Kathylee Santangelo MD
NILA GROVER adding Steven Swyden MD
IAN GUNYEA adding Paul Stafford MD and Brent Norris MD
RICHARD HANES adding David Smith MD
CHRISTIE HARRISON adding Ronald Saizow MD
MICHAEL JENSON adding Kenneth Veteto MD
WILLIAM JOACHIM adding Stanley Ardoin MD
JESSICA KRISEL adding Dale Reinschmiedt DO
DEBORAH LEBLANC adding Thelma Peery DO, Christian Hanson DO and William Bowen MD
ANN MORRIS adding Sarah Janes DO and Edward Melton MD
JUDY NIELSEN adding Steven Swyden MD
LEO OCKER adding Armando Quinones MD
CHARLES POWERS adding Michael Stafford DO
ROSAURA RAMIREZ adding Robert Wells MD
JEFFERY SCHWERDTFEGER adding Keenan Ferguson DO
STACY SCROGGINS adding Karen Curtis MD
ASHLEY SHOPE adding Brent Wakefield MD
MARCUS SIZEMORE adding Matthew West MD
KRISTI STEINERT adding C Ogle DO
JOANN SUEPER adding James Ross MD and William Bowen MD
MAX SWENSON adding William Bowen MD, James Ross MD, Clell Pond DO and Thelma Peery DO
JANNA THOMPSON adding Garrett Shelton MD and John Ogle DO
FLOYD TODD adding Michael Houston MD
HUSSEIN TORBATI adding Randall Kemp DO and Stephen Feuerborn MD
KRISTI TORLINE adding Nirupama De Silva MD and Teressa Mchenry MD
BRUNA VARALLI-CLAYPOOL adding Judith Frazier MD
TRAVIS WARFORD adding Scott Farley DO
A request from Kayla Ann Evans, applicant for Physician Assistant licensure, for an extension to fulfill the requirement of obtaining one year of direct, on-site supervision was reviewed. Dr. McNeill moved to grant the extension. Mr. Flinn seconded the motion and the vote was unanimous in the affirmative.
Clarification of 435:15-9-2. Supervision (b) (4) as relates to Physician Assistants working in the emergency room was discussed. A request had been received from a rural hospital staffing supervisor regarding the supervision of the emergency room PA. Her concern was whether the supervising physician had to be in the ER for the four hours of supervision required by the rules. The issue had been discussed in the past by the Committee and the conclusion was that the supervising physician’s presence in the facility while making rounds, reviewing and co-signing the physician assistant’s notes or performing other tasks, if equaling one-half day per week, satisfied the intent of the rule. The rules require admission-related information to be countersigned at the next visit, which usually occurs within 24 hours, but they do not specify countersigning ER notes (since the patient is not admitted). Thus, the State would not require each note to be reviewed or signed. On the other hand, the issue most commonly would be addressed in hospital bylaws/policies that require the physician to countersign ER visits within 24 hours. But, if medically indicated or appropriate, patients must have access to the physician while he/she is in the facility. Ms. Podolec said there was no definition of “On-site” to contradict the interpretation that the hospital was part of the facility. Dr. McNeill offered to draft a response for staff to send outlining the Committee’s response.
The application of MONICA FAYE ABBOTT for Physician Assistant licensure was reviewed. Staff reported that the notice asking her to appear was only sent last week and she may not have received it in time to appear. Ms. Abbott had been charged with selling beer to a minor in 2004. She did community service, paid a fine and the case was dismissed. Dr. McNeill moved to recommend approval of the application pending satisfactory completion of the file. Mr. Flinn seconded the motion. After further discussion, Dr. McNeill amended his motion to require that she meet with Dr. Zumwalt prior to the license being issued. Mr. Flinn seconded the motion and the vote was unanimous in the affirmative.
The application of JOSE ANTONIO MEDINA for Physician Assistant licensure was reviewed. Staff reported that the notice asking him to appear had been sent only last week and he may not have received it in time to appear. A letter from Mr. Medina’s treating psychiatrist was reviewed. Dr. McNeill reported that Mr. Medina had performed well in the program with no resurfacing of the bipolar. Dr. McNeill moved to approve the application pending satisfactory completion of the file and a meeting with the Board Secretary with the recommendation that there be no Agreement. Mr. Perkins seconded the motion and the vote was unanimous in the affirmative.
A request from Oklahoma Community Health Services, Inc to allow recent graduates to work in a remote patient care setting was discussed, although without a quorum for business other than applications, no action could be taken. S. Naidu, MD, Medical Director from OCHS appeared in support of the request. Dr. Naidu explained that he would like Shane Richardson, a recent graduate, to work at Ft. Cobb clinic three days each week. He advised that supervision would be available via videoconferencing. Ms. Podolec advised that the rules only provided an exception if the new graduate could provide proof of one year of equivalent experience and training. The Committee discussed the supervision provided by videoconferencing and the lack of ability for the physician to put his/her hands on the patient if the situation required it. Staff was directed to present the Committee’s concerns to the Board and have them determine if videoconferencing would be equivalent to on-site supervision.
There being no further business, the meeting was adjourned. The time was 4:37 p.m.