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Physician Assistant Advisory Committee - Oklahoma Board of ...

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Minutes<br />

The <strong>Physician</strong> <strong>Assistant</strong> <strong>Advisory</strong> <strong>Committee</strong> <strong>of</strong> the <strong>Board</strong> <strong>of</strong> Medical Licensure and<br />

Supervision met on April 29, 2010, in accordance with the Open Meeting Act. The meeting was<br />

held at the <strong>of</strong>fice <strong>of</strong> the <strong>Board</strong>, 101 NE 51 st Street, <strong>Oklahoma</strong> City, <strong>Oklahoma</strong>. Members present<br />

were:<br />

Charles Womack, MD, Chairman<br />

Gerald Wootan, DO<br />

Lindsey Gillispie, PA<br />

Don Coody, R.Ph<br />

Daniel McNeill, PhD, PA<br />

Members absent were:<br />

Don Flinn, PA<br />

Curtis Harris, MD<br />

Thomas Pickard, DO<br />

Others present included:<br />

Lyle Kelsey, Executive Director<br />

Robyn Hall, Director <strong>of</strong> Licensing<br />

Kathy Plant, Executive Secretary<br />

Gay Tudor, <strong>Assistant</strong> Attorney General<br />

The meeting was called to order at 3:00 p.m. The minutes from January 7, 2010,<br />

<strong>Committee</strong> meeting were reviewed. Dr. McNeill moved to approve the minutes as presented.<br />

Ms. Gillispie seconded the motion and the vote was unanimous in the affirmative.<br />

LINDSEY MICHELLE SCHAEFER appeared in support <strong>of</strong> her application for <strong>Physician</strong><br />

<strong>Assistant</strong> licensure. Ms. Schaefer had been asked to appear in response to an arrest for driving<br />

under the influence. Ms. Schaefer testified regarding the incident that led to her arrest. She<br />

stated that it was completely out <strong>of</strong> character for her and would never happen again. A<br />

proposed Agreement for licensure was present that would allow the <strong>Board</strong> to monitor Ms.<br />

Schaefer. Dr. McNeill moved to recommend approval for licensure and warned Ms. Schaefer<br />

that if anything like this happens again, her license would be in serious jeopardy. Ms. Tudor<br />

suggested that, due to Dr. McNeill's connection with Ms. Schaefer through the PA Program that<br />

he abstain from voting. Dr. McNeill withdrew his motion. Dr. Wootan moved to recommend<br />

approval <strong>of</strong> the application under terms <strong>of</strong> the Agreement. Mr. Coody seconded the motion<br />

and all voted in favor <strong>of</strong> the motion with Dr. McNeill abstaining. (See attachment #1)<br />

Staff reported on pending disciplinary cases. The Complaint in the case <strong>of</strong> Betti Wymer,<br />

PA was reviewed. Allegations were that Ms. Wymer employed her supervising physician and


allowed unlicensed personnel to treat her patients when neither a physician nor PA was in the<br />

clinic. The <strong>Committee</strong> was deeply concerned that, if the allegations were true, that Ms. Wymer<br />

was still licensed to practice. Dr. Wootan moved to recommend that the <strong>Board</strong> curtail her<br />

practice until the case is heard. Ms. Gillispie and Mr. Coody seconded the motion and the vote<br />

was unanimous in the affirmative. (See attachment #2)<br />

Staff reported on the Complaint filed against Scott Gregory Bearden, PA for sexual<br />

misconduct. After review <strong>of</strong> the allegations, Dr. McNeill made a motion to recommend that the<br />

<strong>Board</strong> curtail Mr. Bearden's practice until the case is heard. Ms. Gillispie seconded the motion<br />

and the vote was unanimous in the affirmative. (See attachment #3)<br />

The case <strong>of</strong> Kathleen Mason-Morton, PA was reviewed. The allegations were that she<br />

employed her supervising physician in violation <strong>of</strong> <strong>Board</strong> rules. Mr. Kelsey reported that it was<br />

a difficult case because <strong>of</strong> variances in interpretations <strong>of</strong> the law. At staff’s recommendation,<br />

the <strong>Committee</strong> took no <strong>of</strong>ficial stand on the case. (See attachment #4)<br />

Applications for licensure, reinstatement <strong>of</strong> licensure, transfer applications, applications<br />

for additional positions and additional alternate supervisors were reviewed. Dr. McNeill moved<br />

to recommend approval <strong>of</strong> the following applications for <strong>Physician</strong> <strong>Assistant</strong> licensure:<br />

KRISTI ANN BEERS<br />

BRIAN CHRISTOPHER CLAYTON<br />

DAVID SHANE HARPER<br />

LYNZEE CHRISTINE JENKINS<br />

BRANDON JAMES SNIDER<br />

ASHLEY DAWN BIGGS<br />

KRISTIN JO FISHER<br />

CHRISTOPHER MICHAEL HOWELL<br />

ANTHONY CHARLES MARTIN<br />

He further moved to recommend approval <strong>of</strong> the following applications pending satisfactory<br />

completion <strong>of</strong> the files:<br />

GARY EDWARD MCINTOSH<br />

CHRISTINE ELAINE WILCOX<br />

CAITLIN ELIZABETH MICHAEL<br />

DAVE MICHAEL WILCOX<br />

He further moved to recommend approval <strong>of</strong> the following applications for reinstatement <strong>of</strong><br />

<strong>Physician</strong> <strong>Assistant</strong> licensure:<br />

HENRY RICE HANDLEY<br />

FRANK JAY SMITH<br />

JACKIE JOYCE PARNELL<br />

Dr. Wootan seconded the motion and the vote was unanimous in the affirmative.<br />

Dr. McNeill moved to recommend approval <strong>of</strong> the following applications for additional<br />

positions. Mr. Coody seconded the motion and the vote was unanimous in the affirmative.<br />

MARXER, DONALD PAUL additional position with ANGELA MORGAN, MD24779<br />

O'LEARY, CHARLES SAMUEL additional position with DAVID DUNCAN, MD12810


CRANFORD, ALTON REED additional position with ANGELA MORGAN, MD24779<br />

FIXLEY, VICKIE MCBEE additional position with RICHARD HELTON DO2096<br />

MAXWELL, KEVIN JAY additional position with CHRISTOPHER MEYER, MD20674<br />

CAMPBELL, LOUIE KEITH additional position with TAMMY HICKS, DO3915 Brian Bluth,<br />

MD 27103<br />

WILLIAMS, FRANK RUSSEL additional position with JAMES PINKERTON, MD19820<br />

SHANDY, TONJA SUE additional position with RHONDA SPARKS MD19503<br />

BOWERS, DONNA DENISE additional position with JAYSON HENRY, DO3578<br />

MCDANIEL, KERI DENISE additional position with MEDHAT MICHAEL, MD23746<br />

PHILLIPS, ROB MCGREGOR additional position with GREGORY BLAIR, MD19544<br />

HAYS, CARYN SUE additional position with WAEL FALTAS, MD26763 and Muhammad<br />

Uddin, MD 25451<br />

SANDHU, IFTIKHAR A additional position with SCOTT HOUGH, MD24448<br />

SMITH, ANGELA KAY additional position with JAMIE DAUGHERTY, MD23396<br />

HART, JOANNA LEE additional position with A. SESHACHAR MD21680<br />

MCCABE, JOHNNY RAY additional position with MICHAEL BOYER, MD13645<br />

GEORGE, MINI additional position with GREGORY GRAY DO2865<br />

EARLEY, SARAH JAQUIER additional position with MOHANAD SHUKRY, MD24127<br />

HOLLINGSWORTH, KYLE EVAN additional position with TREY MILLIGAN, MD21346<br />

HANES, RICHARD DEAN additional position with TEODORO DARVIN, MD14049<br />

BRADSHAW, JERRI LYNN additional position with STEVEN WATKINS, DO4120<br />

PROCTOR, ERRON CODY additional position with GARY HILLMAN, DO3957<br />

PHILLIPS JR, JOE EDWARD additional position with BERRY WINN, MD17298<br />

ANDERSON, CHRISTI DAWN additional position with SCHUYLER STEELBERG, MD21125<br />

GRIGGS, JANIS KAY additional position with CHAD CRAWLEY, DO4449<br />

AHLBORN, LESLIE ANNE additional position with CAROLYN SYNOVITZ, MD25773<br />

NGUYEN, NHANHIEN DUC additional position with MICHAEL BOYER, MD13645<br />

SPEEGLE, LYUBOV LYNN additional position with MICHELLE SALVAGGIO, MD21268<br />

SMITH, JOVONNE KAI additional position with RAKESH PRASAD, MD19543<br />

MOORE, MATTHEW HENRY additional position with ELAINE MADER, MD16786<br />

ELDAKAR, ELIZABETH KLAHR additional position with ROBERT GUEVARA, MD24031<br />

MCGINNIS, JEAN LYNNE additional position with THOMAS CONKLIN, DO1552<br />

MARTINEZ, CURTIS CEASAR additional position with ALFRED COX, MD14521<br />

FAGAN, STACY LOUISE additional position with RON HILL, MD11844<br />

RHODY, ANNE CARLENE additional position with PAUL PISARIK, MD24771<br />

BEARCE, DEBORAH SUE additional position with JOHN HARRISON, DO3914<br />

DONALSON, TANNA LEE additional position with STEVEN KING, DO3770<br />

GATES, JASON AARON additional position with CHAYNE FISHER, DO3189<br />

GREEN, NATALIE LOREN additional position with GEORGE SELBY MD13143<br />

HANSON, RICHARD ENNISS additional position with TYREE SEALS DO3637<br />

LEACH, ERIC WAYNE additional position with CHRISTOPHER LEPAK, MD23678<br />

EVERETT, MELISSA MICHELLE additional position with RANDELL CHAPMAN, MD14857<br />

LOWE, PAUL FREDRICK additional position with BRETT CAUTHEN, MD25197


Ms. Gillispie moved to recommend approval <strong>of</strong> the following applications for transfer <strong>of</strong><br />

supervision. Dr. McNeill seconded the motion and the vote was unanimous in the affirmative.<br />

GOURLEY, LANA KAY transfer to RICARDO CASTELLON INESTROZA, MD23967<br />

JOACHIM, WILLIAM DAVIS transfer to JOHN NELSON MD24875<br />

BUERGER, FRANK DEE transfer to GEORGE ALHAJ MD22845<br />

HIXSON, ANNETTE transfer to ROBERT WIENECKE, MD21277<br />

ADAMS, KENNETH ALLEN transfer to GORDON SCOTT JONES, DO3361<br />

SMALLWOOD, JANICE ELAINE transfer to WAYNE PAGE, MD11282<br />

STEELE, LORI FLETCHER transfer to JOHN BARNES, MD21945<br />

FALCONER, RALPH TILLMAN transfer to NICHOLAS REYNOLDS, DO4492<br />

HALE, JAMES transfer to MELANIE SUSAN KRAFT, MD21010<br />

TANNER, ANITA LOUISE transfer to HANSEL RATLIFF, MD7939<br />

CHADWELL, PAMELA JANE transfer to WADDAH NASSAR, MD17880<br />

POPIELEC, STEPHEN EDWARD transfer to DONALD MCGINNIS MD17667<br />

HABBEN, LEE ANN transfer to WELLIE ADLAON MD21084<br />

MATZKVECH, CURTIS LEE transfer to ARDRY LANCE YARBROUGH, MD22046<br />

VONGCHANYAKUL, VANCHAI transfer to JERRY D BRINDLEY, MD12214<br />

DANIELSON, SARAH VADEN transfer to BENJAMIN WHITE, MD21483<br />

BOURLAND, JOE BYNUM transfer to ANTHONY CRUSE, DO1987<br />

PHILLIPS, ROB MCGREGOR transfer to HETLEVIA JENSEN, MD#23895<br />

BOS, LARRY ALLEN transfer to MARK MEDLIN, MD16978<br />

VIEFHAUS, MARTY KASHELLE transfer to RODERIC SMITH, MD26622<br />

KAGAN, MARC transfer to RYAN SCHAFER DO4352<br />

COMPTON, GROVER LEN transfer to WALTER KLASSEN MD23902<br />

TWIST, KEVIN PAUL transfer to MICHAEL BOYER, MD13645<br />

LEU-HENTHORN, ANDREA KATHERINE transfer to JAY GREGSTON MD20226<br />

WILLIAMS, JEFFREY LEE transfer to RODERIC SMITH, MD26622<br />

DE MASTERS, KENNETH DALE transfer to TYREE SEALS, DO3637<br />

FREELAND, BRIAN PAUL transfer to ARDRY LANCE YARBROUGH, MD22046<br />

RISLEY, AMY BETH transfer to DAVID ROTHWELL, MD21513<br />

DORSEY, JOYCE ELLEN transfer to CANDY TING DO2921<br />

DAILEY, GREGORY CLINTON transfer to CECILIA WANG, MD27038<br />

GONZALES, JENNIFER ALEXIS transfer to JOHN WHITE MD16315<br />

WHEELER, REBECCA RUTH transfer to HETLEVIA VILAR-JENSEN, MD23895<br />

BOURNE, MICHELLE LYNN transfer to BROOKS ZIMMERMAN, DO3800<br />

MURALIDHARAN, SRIVIDHYA transfer to MICHAEL WILSON, DO3890<br />

MILLER, CANDIECE NICOLE transfer to SAMUEL HANCOCK, MD26546<br />

CORTEZ, DANA SHAREE transfer to MARCUS SHOOK, MD7452<br />

SCALF, MICHAEL SHAWN transfer to CECILIA WANG, MD27038<br />

ATWOOD, PEGGY S transfer to PAUL REEL, DO3340<br />

STURLIN, CANDACE LEE transfer to PAUL ROTHWELL, MD10533<br />

HICKMAN, JEFFERY CHARLES transfer to WENDY BARTANEN, MD20119<br />

GIBSON, MELISSA SUE transfer to ROBERT RADER, MD21263


GUNNELS, SAMMUAL WILLIAM transfer to TERRY WAGNER, MD11720<br />

ARNOLD, TERRY JOHN transfer to DAVID BLAKE MINOR, MD14933<br />

BALLARD, LA DENA ANN transfer to JEAN BERNARD, MD21891<br />

WAPLES, ANGELA LYNN transfer to RJ LANGERMAN, DO2706<br />

BREEDEN, CANDICE RAE transfer to ROBERT REMONDINO, MD13247<br />

GARRISON, STEPHANIE RENEE transfer to ROBERT TIBBS, MD22284<br />

NGUYEN, SUSAN NHI transfer to THOMAS ALGEO, MD13857<br />

GRIGGS, JANIS KAY transfer to R JEFF WRIGHT, DO1989<br />

PHAM, NGOC MINH transfer to FADI NASR, MD22413<br />

ORDELHEIDE, FRANSEN transfer to BASSAM GHABACH, MD25355<br />

GORDON, RANDY PAUL transfer to MICHAEL WEST, DO4002<br />

SPREITER, JILL NICOLE transfer to PAUL PISARIK, MD24771<br />

RICHARDSON, MICHAEL SHANE transfer to SHALINI CHITTURI, MD24051<br />

STANBERRY, TOMMIE GAY transfer to PAUL REEL, DO3340<br />

WALGREN, LAURA ANNE transfer to ARDRY YARBROUGH, MD22046<br />

LAFAVE, SALLEE FERN transfer to RICHARD CAMPBELL, MD15908<br />

OXBERGER, LEE ALLEN transfer to JAMES REEVES, DO3781<br />

PENTZ, CYNTHIA JANE transfer to ROBERT GUEVARA, MD24031<br />

ELDAKAR, ELIZABETH KLAHR transfer to ROBERT GUEVARA, MD24031<br />

FIPPS, BRIAN KIRK transfer to MUHAMMAD AFZAL, MD25015<br />

WHITT, PATRICIA ANNE transfer to JENNIFER HOLTER, MD21784<br />

SLACHTA, ANN ARLENE tranfer to MELANIE KRAFT, MD21010<br />

BRAND, JEFFREY ALLEN transfer to MARGARET ELLIS, MD20200<br />

THENMADATHIL, MERRY MATHEW transfer to ROBERT GLADE MD26967<br />

COLWELL, LAUREN MICHELLE transfer to ROBERT STONE DO3833<br />

PRUITT, MEREDITH ADELE transfer to RICHARD CROOK MD10317<br />

ROWSEY, JENNIFER LYNN transfer to TRACY BAKER, MD26593<br />

CURTIS, STACY LEANN transfer to ALEXANDER FRANK MD22319<br />

MOGAN, MEREDITH LEIGH transfer to CHRISTOPHER EDGE DO2518<br />

MEEKS, JEFFREY ROBERT transfer to JAMES KENNEDYE MD22846<br />

BROWDER, COURTNEY LEE transfer to EMILY FRIEDMAN MD17991<br />

SMITH, KATHRYN LOUISE transfer to SUSAN JONES DO2341<br />

WILLS, DEREK MICHAEL transfer to DEE BAUGHMAN DO3839<br />

Dr. McNeill moved to recommend approval <strong>of</strong> the following applications to add<br />

alternate supervisors to previously approved positions. Ms. Gillispie seconded the motion and<br />

the vote was unanimous in the affirmative.<br />

ANTHONY BARBETTINI adding ROBERT NIEBERGALL MD and RACHEL WHITEHOUSE DO<br />

GAVIN CHRISTIE adding DAWN TARTAGLIONE DO<br />

ROBIN ERRICO adding ANDRE' MAY MD<br />

BILLY EVANS adding SHIRLEY CHESNUT DO<br />

ROGER FERGUSON adding GABRIEL CUKA MD, RAJESWARA RAJU BHUPATHIRAJU MD,<br />

RUPA PEDDIREDDY MD, and WILMA FETT MD


JANET FLETCHER adding DIANNE HARDY MD<br />

ALETA FOX adding FRANCIS BLAND MD<br />

ROBYN FREELAND adding ASHRAF HABIB MD<br />

LUKE HANEY adding JOSE MARIA BORREGO ACOSTA MD and ANDREW VUONG MD<br />

KIMBERLY HORN adding STEPHANIE HUSEN DO<br />

BRETT HORST adding DAWN TARTAGLIONE DO<br />

TIM LAING adding JOSE MARIA BORREGO ACOSTA MD and ANDREW VUONG MD<br />

CHRISTY NIEHUES adding STEPHANIE HUSEN DO<br />

HALSTON ROOT adding SCOTT CHAPPELL MD, ANDREW VUONG MD, GARY CONRAD<br />

MD, ZACHARY MARTIN MD, and DAN DONNELL MD<br />

ANTHONY SHARP adding MICHAEL MOWDY DO and RONALD HILL MD<br />

DOYLE STARK adding BASHAR ALSHAREEF MD<br />

DAWN UNRUH adding EDGARD GONZALEZ FELDMAN MD and QINGGUO TAO MD<br />

TARA WATSON adding STEPHANIE HUSEN DO<br />

Chuck Stewart, MD with the <strong>Oklahoma</strong> Institute <strong>of</strong> Disaster and Emergency Medicine<br />

appeared with Leslie Ahlborn, PA to discuss <strong>Physician</strong> <strong>Assistant</strong> participation in disaster and<br />

emergency care. The <strong>Committee</strong> reviewed model language from the American Academy <strong>of</strong><br />

<strong>Physician</strong> <strong>Assistant</strong>s on PA participation in disaster and emergency care. Dr. Stewart said he<br />

would like to be Ms. Ahlborn's supervising physician in times <strong>of</strong> disaster but he was concerned<br />

that there was not language in the rules allowing a PA to practice during a disaster. Dr. McNeill<br />

said he had tried on two different occasions to get the AAPA language into law. On the first<br />

attempt, the bill never made it out <strong>of</strong> committee. The second time he was told by a senator<br />

that PAs would be covered by the Good Samaritan law and the law change was not needed. The<br />

<strong>Committee</strong> advised Dr. Stewart that, as Ms. Ahlborn's supervising physician, he could send her<br />

to another location without his presence. As alternate supervising physician, he could provide<br />

supervision at the site <strong>of</strong> a disaster. One thing not covered by the PA law would be out <strong>of</strong> state<br />

PAs who may want to come into the state to <strong>of</strong>fer aid during a disaster; however, they would<br />

be covered by the Good Samaritan law. The <strong>Committee</strong> discussed that the situation could get<br />

messy if a physician is on site and directing the PA in conflict with the PA's supervising<br />

physician. Getting the language into law would clean up a lot <strong>of</strong> the problems. Dr. McNeill<br />

suggested the <strong>Committee</strong> take the language to the state PA Academy who could seek the<br />

<strong>Board</strong>’s support in changing the law. He suggested adding to back <strong>of</strong> Form #5 under practice<br />

setting, any disaster setting. In the case <strong>of</strong> Ms. Ahlborn, she would need to add Dr. Stewart as<br />

an additional position to have him be her supervisor in the setting <strong>of</strong> his role at the University<br />

rather than at the clinic setting.<br />

An inquiry was received from Terry Arnold, PA regarding medications prescribed by the<br />

supervising physician and distributed by the PA when the supervising physician is outside <strong>of</strong> the<br />

<strong>of</strong>fice. The <strong>Committee</strong> discussed different scenarios <strong>of</strong> dispensing, including through selfservice<br />

machines. After discussion, the <strong>Committee</strong> asked Dr. McNeill to respond to Mr. Arnold<br />

that if the physician is not on-site to dispense, the <strong>Physician</strong> <strong>Assistant</strong> may not dispense the<br />

medications.


Mr. Kelsey reported on updates to the web site. PAs can see who is listed as their<br />

supervising physician(s) and soon physicians will be able to look at all the licensees they are<br />

listed as supervising.<br />

There being no further business, the meeting was adjourned. The time was 4:14 p.m.

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