Physician Assistant Advisory Committee - Oklahoma Board of ...

Minutes
The Physician Assistant Advisory Committee of the Board of Medical Licensure and
Supervision met on October 28, 2010, in accordance with the Open Meeting Act. The meeting
was held at the office of the Board, 101 NE 51 st Street, Oklahoma City, Oklahoma. Members
present were:
Charles Womack, MD, Chairman
Don Flinn, PA
Lindsey Gillispie, PA
Don Coody, R.Ph
Gerald Wootan, DO
Daniel McNeill, PhD, PA
Thomas Pickard, DO
Member absent was:
Curtis Harris, MD
Others present included:
Robyn Hall, Director of Licensing
Kathy Plant, Executive Secretary
Bill O'Brien, Assistant Attorney General
The meeting was called to order at 3:00 p.m. The minutes from July 15, 2010, Committee
meeting were reviewed. Dr. McNeill moved to approve the minutes as presented. Ms. Gillispie
seconded the motion and the vote was unanimous in the affirmative.
STEPHEN VANCE PAUL appeared in support of his application for reinstatement of
Physician Assistant license after revocation. Ms. Scott briefed the Committee on Mr. Paul's past
history of disciplinary action, treatment for substance abuse and an arrest for assault and battery
in 2008 that Mr. Paul did not report to the Board. Mr. Paul said he thought it was on the
background check. He explained the arrest to the Committee and said he was not trying to hide
the arrest, although no affidavit was provided with the application. He said he had obtained over
200 hours of continuing medical education in the past two years. The Committee expressed
concern regarding his failure to disclose the arrest. When asked, he said he had not reported it to
the Health Professionals Program either. The Committee directed him to disclose the arrest to the
Director of the HPP and have the Director provide a response to the Committee with his
recommendation about the domestic violence issue. Dr. Pickard moved to table the application
until Mr. Paul provides a report from the HPP. Mr. Coody seconded the motion and the vote was
unanimous in the affirmative.
Ms. Scott reported on three pending disciplinary cases on the Board's agenda.
KIMBERLY MIXON, PA had submitted a motion for modification of probation to allow her to
prescribe controlled dangerous substances. Ms. Scott reported that staff did not necessarily

oppose the request. Her drug of choice had been alcohol; although there can be some crossover.
It will be her burden to prove to the Board that she is ready for that responsibility.
The case of SCOTT BEARDEN, PA alleges that he had sex with two patients. Dr.
Womack said it would appear to be a pattern of conduct. Dr. McNeill said there is not an amount
of time that can elapse between dismissing a patient and beginning a relationship that would
make this acceptable. If they have ever been a patient of the PA, there is ample literature to state
that that is the end of any relationship potential.
The case of JUSTIN GENSON, PA involved several recent arrests for DUIs. Mr.
Genson had recently been licensed under terms of an Agreement and never really practiced in the
State. Ms. Scott reported that he had signed a Voluntary Surrender in Lieu of Prosecution.
The case of BETTY WYMER, PA alleged that she practiced without supervision,
employed her supervising physician, and allowed unlicensed persons to practice. Ms. Scott
reported that the case would be continued to the January 2011 meeting due to the recent death of
Ms. Wymer's husband.
Representatives from the Kansas Nephrology Physicians, P.A. had submitted a request
for a clarification of the requirements of OAC 435:15-5-1. Supervision; physician
responsibility; independent care prohibited. The group oversees care of dialysis patients in a
Ponca City dialysis unit. They have one of their physicians travel from Wichita to Ponca City
twice a month to care for the patients. They wanted to have the physician come once per month
and send a PA one to three times per month. Dr. McNeill said the requirement that the physician
be present at least four hours/week has traditionally meant 10% of the time as long as the patient
has access to the physician. If the clinic is open 40 hours/week, then four hours/week would be
required. The Committee had questions about where the PAs were from and how often the clinic
was open. Staff was directed to work with the attorney to contact the clinic to have those
questions answered.
Applications for licensure, reinstatement of licensure, transfer applications, applications
for additional positions and additional alternate supervisors were considered. Dr. McNeill moved
to recommend approval of the following applications for licensure:
BOYLE, SHELLY DEANN
SMITH, SANDRA SUE
KINNEY-BUNDY, JENNIFER LORRAINE
WHITE, JESSICA
He further moved to recommend approval of the following applications for licensure pending
satisfactory completion of the files:
JOHNSON, DEIDRA DYAN
NULL, SARAH KATHLEEN
PLUMLEE, AMBER DEE
SACHSEL, NANCY LOUISE
LOVE, JENNIFER MICHELE
PEARSON, MAROLYN JEAN
REUSSER, ELIZABETH ERSKINE
He further moved to recommend approval of the following applications for reinstatement of
Physician Assistant licensure:
HENSLEY, CRYSTAL LEE
RAUCH, LEONARDO

VICK, LATASHA MARIE
He further moved to recommend approval of the following applications for transfer of
supervision:
HUME, MICHAEL EDWARD TRANSFER TO CECIL A MOORE, DO3777
GROVER, NILA DEVONNA TRANSFER TO STEPHEN KOVACS, DO3860
PERKINS JR, ERNEST BURL TRANSFER TO FABIO MOTA-ABREU, MD24352
SCHMIDT, CAROL S TRANSFER TO LISA ORTIZ, MD25970
NIELSEN, JUDY WILBURN TRANSFER TO SUSAN A BEESON, DO3105
FIXLEY, VICKIE MCBEE TRANSFER TO ANDREW HOELSCHER, MD18631
WILLIAMS, MATILDA KATHERINE TRANSFER TO FRANK WILSON, MD8233
HALE, JAMES TRANSFER TO YVONNE FINE, MD9930
HABBEN, LEE ANN TRANSFER TO DOUGLAS BRANT, DO3443
ABERLE, TERESA JULIANN TRANSFER TO LISA CONNERY, MD16929
NIEHUES, CHRISTY ANN TRANSFER TO JUDITH FRAZIER, MD21804
CARLTON, BRUCE SCOT TRANSFER TO JASPER WHEELER MD6436
HAYS, CARYN SUE TRANSFER TO JASPER WHEELER MD6436
PELTON, TODD BRADFORD TRANSFER TO MICHAEL HOUSTON, MD25279
ADAMS, TAMMIE DAWN TRANSFER TO GREGORY SALOMON, MD20650
GREEN, INA KIM TRANSFER TO JAMES DYER, MD24320
SAFFA, TAMME MARIE TRANSFER TO DENNIS TROST, MD15507
BATTOE, MARY KAY TRANSFER TO PAUL PISARIK, MD24771
MEREDITH, MARGARET E TRANSFER TO FRANCIS BLAND MD9084
WELLS, MARK LEE TRANSFER TO JOHN SEGUIN MD19008
THOMS, MATTHEW WAYNE TRANSFER TO JOHN SCHRADER MD26379
DAILEY, GREGORY CLINTON TRANSFER TO W. MARK BOOMER MD17300
WHEELER, REBECCA RUTH TRANSFER TO GAIL GIROUARD, MD25368
SCALF, MICHAEL SHAWN TRANSFER TO ROBERT GOODWIN, DO4905
DAGENAIS, MARY J TRANSFER TO J.R. PRIEST MD8255
SIGL, JULIE ANN TRANSFER TO ROBERT SPENCER, MD23186
WEBB, KIZZY JOY TRANSFER TO MATTHEW STEVENS, MD17589
PAXSON, LAURIE SUE TRANSFER TO JOHN FULLER, MD14299
PURVINE, AMBER DAWN TRANSFER OT AMY DARTER, MD20754
YOZZO, MELODY JEAN TRANSFER TO JANELLE WHITT DO3610
PARKER, CRYSTAL L TRANSFER TO STEPHEN KOVACS, DO3860
BRADSHAW, JERRI LYNN TRANSFER TO PETER CHAMBERS DO3712
CAMPBELL, MINDIE JOYCE TRANSFER TO APRIL BOWLING MD21763
CLAUNCH, JERE D TRANSFER TO SAMULE HAGUE, MD22530
NORTON, AMANDA CATHLEEN TRANSFER TO KEVIN CONATSER, DO3562
PHILLIPS, KENDALL LEIGH TRANSFER TO GREGORY J DENNIS, DO4513
WATSON, PHILIP DEAN TRANSFER TO ARLES RAY, MD11310
BRUSCHI, AMANDA LYNN TRANSFER TO JASON EMERSON, DO3947
TIEDE, JASON ALAN TRANSFER TO RICHARD MORGAN, MD16168
HIERSCHE, CHRISTINA MARIE TRANSFER TO DAVID HOPKINS, DO4649
GRIGGS, JANIS KAY TRANSFER TO MICHELE BUCHOLTZ, DO4383

OWEN, MAX EDWARD TRANSFER TO WANDA DIAZ, MD27633
GUERRERO, DAWN SETALA TRANSFER TO JEANNIE OWENS DO3872
MARTIN, REX EDWARD TRANSFER TO WILLIAM BOWEN, MD17278
SPREITER, JILL NICOLE TRANSFER TO DARCI HAZELWOOD, DO4193
KALKBRENNER, EDITH ANN TRANSFER TO JEANNETTE POWER, MD25814
ABBOTT, MONICA FAYE TRANSFER TO ANDREAS REVELIS, MD21829
AHLBORN, LESLIE ANNE TRANSFER TO PAUL BECK, MD26105
NGUYEN, NHANHIEN DUC TRANSFER TO TRACEY CHILDERS DO3296
VALGORA, CHARLES RAYMOND TRANSFER TO ANDREA ANDREWS,
MD26247
ESTES, TOD IRWIN TRANSFER TO DAWN HENSLEY, DO4522
WADE-LEWIS, TARA MIRANDA TRANSFER TO FRANK WILSON MD8233
LAFAVE, SALLEE FERN TRANSFER TO ROBERT HAY, MD11906
RANDALL, CARRIE LINDA TRANSFER TO TRACY BAKER, MD26593
PITTMAN, BRADLEY DALE TRANSFER TO JOHN HESTER, DO2208
NOEL, STEPHANIE MARIE TRANSFER TO BRIAN SNELL, MD21270
PENTZ, CYNTHIA JANE TRANSFER TO WILLIAM YARBOROUGH MD11837
LAUDERDALE, JON MARK TRANSFER TO SUSAN A BEESON, DO3105
SALAMY-SULLINS, VICTORIA J TRANSFER TO MARTY LOFGREN, MD25993
HOGAN, JAMES CAMERON TRANSFER TO ROBERT SPENCER MD23186
WOODSON, TAMARA ANASTASIA TRANSFER TO SEYED SHOBEIRI,
MD22716
KECK-SMITH, TANYA MARIE TRANSFER TO DON CAUTHEN, MD26008
HUNDLEY, JOHN PATRICK TRANSFER TO TERRI LEWELLING, MD20822
PACKER, JOHNNA NADINE PA 1854 TRANSFER TO ROBERT NEBERGALL,
DO2207
KELLEY, MARGARET PORTER TRANSFER TO BRYAN MARSH, MD19507
JOHNSON, DENISE WAYNETTE TRANSFER TO CARLOS TRONCOSO,
MD10065
CUTTER, ELENA GENNADYEVNA TRANSFER TO MARTHA TARPAY,
MD10144
NICHOLS, SAMARA JA'NEL TRANSFER TO MACHELE BUCHOLTZ, DO4383
PARSONS, NANI DANIELLE TRANSFER TO DORIS HOFFMAN MD20414
ROSADO, MARISA EMILY TRANSFER TO DONALD STOWELL,
MD21190
He further moved to recommend approval of the following applications for additional positions:
HUME, MICHAEL EDWARD ADDITIONAL POSITION WITH WILLIAM VALUCK,
DO4598
FREDERICK, ROBERT RAY ADDITIONAL POSITION WITH CYNTHIA REDDING,
MD16530
PARNELL, JACKIE J ADDITIONAL POSITION WITH ARLES RAY, MD11310
FIXLEY, VICKIE MCBEE ADDITIONAL POSITION WITH LORRAINE WILSON,
MD12390
HOLLIMAN, BRENT KEITH ADDITIONAL POSITION WITH WILLIAM HALE,

MD19051
HOLDER, DEBORAH DEE ADDITIONAL POSITION WITH PAUL PISARIK,
MD24771
HARRIS, ELIZABETH ANNE ADDITIONAL POSITION WITH JAMIE
DAUGHERTY, MD23396
MCLAUGHLIN, JERRY TODD ADDITIONAL POSITION WITH TERRELL
PHILLIPS, DO2427
SMITH, LESLEY JEANINE ADDITIONAL POSITION WITH DAVID
D'ALESSANDRO, MD25100
NIEHUES, CHRISTY ANN ADDITIONAL POSITION WITH MARIE CARTER,
DO3450
VONGCHANYAKUL, VANCHAI ADDITIONAL POSITION WITH ANDREW
HOELSCHER, D18631
BECERRA, MANUEL TED ADDITIONAL POSITION WITH JAY GREGSTON,
MD20226
ELERICK, KELLY JAMES ADDITIONAL POSITION WITH CHRISTOPHER
MITCHELL, MD22526
GREEN, INA KIM ADDITIONAL POSITION WITH ALBERTO DE ARMENDI,
MD24857
LEBLANC, DEBORAH SUSANN ADDITIONAL POSITION WITH ROBERT STONE
DO3833
SALLEE, CASSANDRA LEIGH ADDITIONAL POSITION WITH KINION
WHITTINGTON, DO3723
CORTEZ, DANA SHAREE ADDITIONAL POSITION WITH BILLY BUFFINGTON
MD15483
PAYNE, KATHERINE J ADDITIONAL POSITION WITH JOHN HACKNEY MD7802
PRICE, HELGA RENEE ADDITIONAL POSITION WITH JERROLD BENEDICT
MD17441
JOHNSON, KYLE ERICK ADDITIONAL POSITION WITH JON HAMILTON,
DO3896
CARTER, BRIAN THOMAS ADDITIONAL POSITION WITH JEFF BLACK,
MD16468
GARCIA, ARNULFO ALEXANDER ADDITIONAL POSITION WITH MONTE
VEAL, DO3795
COLLINS, EDYTH MICHELLE ADDITIONAL POSITION WITH STEPHEN
KHOURY, DO3769
PHILLIPS JR, JOE EDWARD ADDITIONAL POSITION WITH SCOTT HOUGH,
MD24448
WENNER, TREKA BROOKE ADDITIONAL POSITION WITH BRUCE CORNETT,
DO3453
HANSON, TERRIE JO ADDITIONAL POSITION WITH GAYNELL ANDERSON,
MD21160
NOE, LISA DIANE ADDITIONAL POSITION WITH MICHAEL BABB, MD14271
PEEBLES, MARK KEVIN ADDITIONAL POSITION WITH BUDDY LECRONE,
MD9728
NGUYEN, NHANHIEN DUC ADDITIONAL POSITION WITH RICHARD CARTER,

MD22887
FISHER, DENA MARIE ADDITIONAL POSITION WITH DONALD RILEY, DO3693
BOLING, KIMBERLY ANNE ADDITIONAL POSITION WITH CHAD CRAWLEY,
DO4449
FAGAN, STACY LOUISE ADDITIONAL POSITION WITH GERALD AMUNDSEN,
MD20242
SALAMY-SULLINS, VICTORIA J ADDITIONAL POSITION WITH RICK
CRENSHAW DO2159
SLACHTA, ANN ARLENE ADDITIONL POSITION WITH WELLIE ADLAON,
MD21084
BRAND, JEFFREY ALLEN ADDITIONAL POSITION WITH CYNTHIA NORMAN
MD10956
SHARP, ANTHONY DAVID ADDITIONAL POSITION WITH STEVEN ORWIG,
MD13037
MEDGAARDEN, ALEX EDWIN ADDITIONAL POSITION WITH KENNETH
WILLIAMS MD24440
MORROW, TAMRA ANN ADDITIONAL POSITION WITH DAVID TILLES, DO3292
WILCOX, DAVE MICHAEL ADDITIONAL POSITION WITH RON BARBER,
MD15264
He further moved to recommend approval of the following applications to add alternate
supervisors to previously approved positions:
ANTHONY BARBETTINI adding RUSSELL WORKMAN MD
SHAY BEATTY adding SHERYL SMITH MD
BRETT BENNETT adding ASHFAQ ULLAH MD, KOMI FOLLY MD, JILL
LAGASO MD, JEANNETTE POWER MD, JORDAN BROWN DO and
RICARDO QUEZADA MD
VERA BOONE adding MICHAEL PAYNE MD and ONEITA TAYLOR MD
BOBBY BOSSE adding MARK THOMPSON MD, JEANNETTE POWER MD,
ASHFAQ ULLAH MD, KOMI FOLLY MD, SOON KIM MD, JILL LAGASO
MD and RICARDO QUEZADA MD
MICHELLE BOURNE adding JOHN CONLEY DO
SABINE BROWN adding SYBIL CHENG DO, RENAE BERNARD MD, DOUGLAS
RICHMOND MD and RANDY ENGELMAN DO
BRIAN CARTER adding BRANDON BLOXHAM DO and JOE HUDDLESTON DO
JAMES CLICK adding FRANCES MADDEN MD
KARI COCHRAN adding KIMBER WARD MD
DAVID COLLIER adding CARLOS TRONCOSO MD and RAJESH MALHOTRA
MD
JENNIFER COMPTON adding JEANNETTE POWER MD, ASHFAQ ULLAH MD,
DAVID SCHRAM MD, JILL LAGASO MD, MUNISH TANEJA MD, JORDAN
BROWN DO, KOMI FOLLY MD and RICARDO QUEZADA MD
GLEN COTTRILL adding WANDA DIAZ MD
JOSIE DEAN adding VYTAUTAS RINGUS MD
CLAUDE DENIZE adding DAVID HAGGARD MD

GREG DINWIDDIE adding CLIFFORD HOWELL MD
DOUGLAS DUFFY adding FRANCES MADDEN MD
NANCY DUNCAN-LARRY adding JUDY TRENT DO
MARY EASLEY adding WALTER BIERBAUM MD
THOMAS ENGLE adding ROBERT CUNNINGHAM MD, JOE HUDDLESTON DO,
JESS ROY DO, BRANDON BLOXHAM DO, STEVEN HOEL DO, KRISTY
WINGERTER DO, GARRETT ZELKIND DO, AMANDA CAIN DO and
LEROY WHITE MD
TOD ESTES adding KRISTY WINGERTER DO, JESS ROY DO, and AMANDA
CAIN DO
GREGORY FAVORITE adding MARK NEWEY DO
ERICA FINCH adding JEANNIE OWENS DO
PAMELA FOSTER adding ASHLEY BAKER MD and HANUMANTHA POKALA
MD
DAN FOX adding CARLOS TRONCOSO MD
JEFFREY FREDERICK adding CHRISTOPHER PASKOWSKI MD, JEFFREY
BUYTEN MD, and JOSEPH LEONARD MD
ROBYN FREELAND adding DAVID TILLES DO and GARY HILLMAN DO
ARNULFO GARCIA adding TEODORO DARVIN MD, KENNETH DARVIN MD
and GEORGE MARKERT MD
JASON GATES adding GARRETT ZELKIND DO, AMANDA CAIN DO, JESS ROY
DO, and KRISTY WINGERTER DO
THERESA GAVULA adding TROY MAJOR DO
MINI GEORGE adding RENAE BERNARD MD, SYBIL CHENG DO amd
DOUGLAS RICHMOND MD
MELISSA GIBSON adding KAREN SWISHER MD. MILES LANGMACHER MD,
TAMARA HOLLOWAY DO
MARY HAGEMANN adding ASHLEY BAKER MD and HANUMANTHA POKALA
MD
DAVID HARPER adding ROBERT GOODWIN DO
SARAH HAWK adding HANUMANTHA POKALA MD and ASHLEY BAKER MD
BRADLEY HELTON adding HUGO SALGUERO MD
SHERRI HENDERSON adding VYTAUTAS RINGUS MD
DANIEL HENSHAW adding ASHLEY ESTEP DO
AMY HUGHES adding TIFFANY BRAZEAL MD
SUZANNE ILIFF adding SYBIL CHENG DO, RANDY ENGELMAN DO, RENAE
BERNARD MD. and DOUGLAS RICHMOND MD
VICKI JARRELL adding SHERYL SMITH MD
KRISTI KREBS adding JAMES CASH MD, RONALD LABUTTI DO, DAVID
HICKS MD, JEFFREY MORRIS DO, THOMAS CRAVEN MD, ROBERT
ROBERTSON MD, MICHAEL TANNER MD, PERRY INHOFE MD, JEFF
FOX MD, DAVID WONG MD, DONNIE HAWKINS MD, BRIAN HOWARD
MD, BRYAN HAWKINS MD and RANDALL HENDRICKS MD
AMANDA LAUGHLIN adding JON HAMILTON DO
ERIC LEACH adding JESS ROY DO, GARRETT ZELKIND DO, KRISTY
WINGERTER DO and AMANDA CAIN DO

LINDEE LEDBETTER adding TAMARA HOLLOWAY DO, KAREN SWISHER
MD, GARY RIGGS MD, MARK FOGLE MD and MILES LANGMACHER
MD
AMY LOVELACE adding KINION WHITTINGTON DO
AUSTIN LYLE adding LAM NGUYEN DO
ROBERT LYNCH adding DAVID TILLES DO and GARY HILLMAN DO
ADAM MAKIN adding JON HAMILTON DO
JOHNNY MCCABE adding DONALD RILEY DO
JEAN MCGINNIS adding SYBIL CHENG DO and RENAE BERNARD MD
HEATHER MCPHERSON adding CARLOS TRONCOSO MD
JEFFREY MEEKS adding RANDY ENGELMAN DO, SYBIL CHENG DO,
DOUGLAS RICHMOND MD, STEPHEN MELDON MD, and RENAE
BERNARD MD
HAROLD MILLER adding POOYA POURALIFAZEL MD and RANDALL
HENTHORN MD
ROGER MOORE adding KRISTY WINGERTER DO and JESS ROY DO
MARK NEER adding RICHARD CARTER MD
DEBRA ODOM adding ALEXIA MEHRLE MD, AMANDA CAIN DO, KRISTY
WINGERTER DO, GARRETT ZELKIND DO, and JESS ROY DO
ERIN O'DONNELL adding HANUMANTHA POKALA MD and ASHLEY BAKER
MD
AMANDA OXFORD adding OWEN GILMORE MD and TIMOTHY HSIEH MD
JOHN PARMELEE adding WADDAH NASSAR MD
MARK PERDUE adding KRISTY WINGERTER DO, AMANDA CAIN DO and JESS
ROY DO
CARROL PERRY adding CARLOS TRONCOSO MD and RAJESH MALHOTRA
MD
JENNIFER RAU adding JOE HUDDLESTON DO and BRANDON BLOXHAM DO
ANNE RHODY adding DOUGLAS RICHMOND MD, SYBIL CHENG DO and
RENAE BERNARD MD
SHAWNA ROGERS adding JORDAN BROWN DO, JEANNETTE POWER MD,
SOON KIM MD, ASHFAQ ULLAH MD, JILL LAGASO MD, DAWN
HENSLEY DO, KOMI FOLLY MD and MUNISH TANEJA MD
JOHN ROWE adding WANDA DIAZ MD
CASSANDRA SALLEE adding ASHRAF HABIB MD and KIMBER WARD MD
SARAH SCHMIDT adding MUNISH TANEJA MD
STACY SCROGGINS adding NORMAN MCALESTER MD
REBECCA SHEPARD adding ASHLEY ESTEP DO, CHARLES GEBETSBERGER
MD, KRISTY WINGERTER DO, ROGER KINNEY MD, GARRETT
ZELKIND DO, TERROLL RAMSEY MD, SHARON NOEL DO, ROGER
WILSON MD, JESS ROY DO and AMANDA CAIN DO
HOLLY SHINNEN adding DAVID HAGGARD MD
ASHLEY SHOPE adding JON HAMILTON DO
JEANINE SMITH adding JOE HUDDLESTON DO and BRANDON BLOXHAM DO
KENNETH STEIN adding TROY MAJOR DO
JENNIFER STEPHENS adding WADDAH NASSAR MD

GARY TAGGART adding BRANDON BLOXHAM DO and JOE HUDDLESTON DO
ANITA TANNER adding JAMES SILMAN MD
MARILYN TAYLOR adding JOE HUDDLESTON DO
FRANK THOMAS adding DOUGLAS RICHMOND MD, RENAE BERNARD MD,
RANDY ENGELMAN DO, and SYBIL CHENG DO
NANCY THOMPSON adding MICHAEL STEELE DO
ERIN TILLOTSON adding ASHLEY BAKER MD and HANUMANTHA POKALA
MD
ROSE TRIGG adding KALPNA KAUL MD
KRISTEN WALTERS adding VYTAUTAS RINGUS MD
KAREN WEBSTER adding ROBERT BOYCE MD
FRANK WILLIAMS adding JOHN HARRISON DO, JEANNIE OWENS DO and
LANCE WILLIAMS MD
The Committee discussed the list of exceptions to the dispensing rule. The Department of
Corrections had asked if their PAs could dispense medications. The rules at 435:15-11-1(h)
states "Physician Assistants may not dispense drugs, but may request, receive and sign for
professional samples and may distribute professional samples directly to patients in accordance
with written policies established by the supervising physician." The law at §519.6 (D)(2) says a
PA may not dispense drugs except for samples. Mr. Coody suggested that the Department of
Corrections could set up a system like those found in nursing homes. Dr. McNeill stated the
DOC seems to interpret the rules to mean that they cannot dispense. Every effort to help them
has run into obstruction from their policies. He will direct them to the Pharmacy Board for
additional guidance. Dr. Pickard stated it is more likely that they are distributing rather than
dispensing pre-packaged or pre-prescribed drugs to the prisoners.
The issue of whether an application to practice should be filed for non-patient activities,
e.g., dictating discharge notes, was discussed. Dr. McNeill said this is an issue the Committee
needs to address. Some facilities want the physician tied by licensure to the PA. He said, in his
opinion, those PAs are just doing office work, not providing patient care. Dr. Pickard moved to
state that the PA Committee has considered this and it is not necessary for the PA to be linked to
the supervising physician through an application to practice when doing this type work. Ms.
Gillispie seconded the motion and the vote was unanimous in the affirmative.
The Committee discussed the exemption in Oklahoma Administrative Code 435:15-3-15
that allows a medical director or supervising physician of a state institution to be the primary
supervisor for more than two PAs. The Committee discussed expanding the exemption to federal
institutions such as the VA system, the Federal Bureau of Prisons, the Indian Health Service,
military facilities, etc. The physicians in federal facilities are not required to have Oklahoma
licensure to work in the federal system as long as they have a valid license in some state. This
limits the number of Oklahoma licensed physicians available to supervise Oklahoma licensed
PAs. Dr. Wootan moved to amend OAC 435:15-3-15 to add medical directors or supervising
physicians of federal institutions to those who are exempt from the limit on number of PAs one
physician may supervise. Ms. Gillispie seconded the motion. Dr. Wootan commented that the
primary purpose of the rule was to prohibit one physician from setting up multiple clinics to be
run by PAs and the exemption would not apply in those situations. Dr. McNeill said that it would

apply only to PAs working the federal system where they have many rules to which the
physician and PAs would have to adhere, including the federal system's limit on physician to PA
ratio. The proposed change would not apply to federally-designated rural health clinics.
Board staff had received a question asking whether PA supervision of hyperbaric oxygen
therapy was within the PA scope of practice. The Committee directed staff to respond that the
same requirements for the physician/PA relationship apply in hyperbaric oxygen therapy. As
long as it is within the supervising physician’s scope of practice and within the PAs skills, the
physician can delegate that care.
The Committee discussed amending the continuing education rules to clarify that
continuing education hours must be completed by December 31 st of the prior year in order to
renew. Dr. Pickard moved to proceed with rule making process. Ms. Gillispie seconded the
motion and the vote was unanimous in the affirmative. (See attachment #
The following were set as meeting dates for 2011:
January 6 th
April 28 th
July 7 th
October 13 th
There being no further business, the meeting was adjourned. The time was 4:20 p.m.