BOARD OF MEDICAL EXAMINERSOF THE

STATE OF NORTH CAROLINA

June 12-16, 1977The Velvet Cloak Inn

Raleigh, North Carolina

The Board of Medical Examiners of the State of North Carolina met at Ths VelvetCloak Inn, Raleigh, North Carolina, June 12-15, 1977 for the purpose of interview-ing applicants for license by endorsement of credentials, conductingother business,and administering examinations for licensure.

Drs. Charles B. Wilkerson, Jr. , President, J. Jerome Pence, Jr. , Secretary-Treasurer, David S. Citron, Bryant L. Galusha, Joyce H. Reynolds, E. Wilson Stauband Bruce B. Blackmon were present. Also present were Bryant D. Paris/ Jr f Execu-tive Secretary, Mrs. Betty Joe Barick, Mrs. Diane G. Freeman and Mr. Lee A. Denney,Board Investigator.

Sunday, June 12~eO ~m

The Board convened for business and reviewing credentials of applicants forlicense by endorsement.

RE: 8 Bo rd me in —Dr. Blackmon presented a resolution regardingshortening the agenda at the May Board meetings so that the Board members would beavailable, if needed, to the members of the Medical Society during their annualmeeting. Dr. Citron moved that every effort be made to avoid scheduling meetingsof the Board during the hours when the Society House of Delegates is in sessionduring the May meeting, and also eliminate the subcommittee meeting with the Boardof Nursing, and cut down as much as possible on the number of applicants scheduledfor interviews for license by endorsement of credentials. Seconded by Dr. Penceand duly passed.

REs Dr D ek H S ark Santa Maria, California —The Executive Secretaryadvised the Board that Dr. Spark had withdrawn his application for license by endorse-ment in North Carolina. Dr. Pence moved that this be received as information.Seconded by Dr. Citron and duly passed.

REs Dr Julita S Olim o, Butner, N.C. —The Board reviewed a request for theissuance of a resident's tranning license to cover Dr. Olimpo's work at CherryHospital prior to results of the FLEX examination, and if she does not pass, theresident's training license be allowed to continue in force until she can take thenext examination, if she makes at least a grade of 70 on the June, 1977 examination.Dr. Galm ha moved that Dr. Olimpo's request for a special resident's training licenseto cover her staff work not be granted since she has held a resident's traininglicense previously while taking the FLEX examination in December, 1974 and June, 1975,failing the examination both times, and what she is requesting now is tantamount towhat she has already done in her residency training. Seconded by Dr. Wilkerson andduly passed.

RE: P sician's assistant ro ams —County Technical Institute Programs: ThePresident of the Board reviewed for the Board a letter to the AMA Division of MedicalEducation and a meeting he and the Executive Secretary' had attended regarding theopening of these two programs at the Pitt Technical Institute and the Catawba ValleyTechnical Institute. Dr. Wilkerson told the Board that both institute spokesmen indi-cated that their institution would fulfill any regulations or qualifications that theBoard deemed necessary, and would conform to those regulations.

Also present at that meeting were representatives from the North Carolina Associationof Assistants to Physicians, who were not in favor of the two programs being started atthe county schools, indicating that there were already assistants in the state whowere graudates of approved programs, who were having difficulty finding jobs in the state.The feeling of the Board of Education representatives and representatives from the twocounty institutes was that the programs were already started and should be followedthrough. In addition, the Board reviewed a letter from Mr. Ervin Lineberger, Dean ofInstruction at Catawba Valley Technical Institute inviting the Board to send an observerat the time of the visit of the accrediting committee from the AMA. Dr. Citron moved thatthe Board respond respectfully declining their invitation to send an observer at thetime of the committee visit. Seconded by Dr. Pence and duly passed.

Meeting ad)ourned until 9:00 a.m. , Mondayf June 13.

9:00 aim

The joint subcommittee of the Board of Nursing and Board of Medical Examinersmet to review applications for registered nurses performing medical acts and considera-tion of other business. Dr. Pence, Chairman of the subcommittee, gave the followingreport:

The policy of having orders countersigned within 48 to 72 hours was discussedand the subcommittee recommended that a letter be sent to persons, nurses andphysicians, who were involved in this type of situation, conveying the policy ofthe subcommittee.

Also discussed during this meeting was an application by a nurse to work in analcohol detoxification center in Durham, N. C. The subcommittee was concerned aboutregistered nurses working in these centers, especially when they have had no txaining forthis type of work. The subcommittee recommended that approval be withheld pending asite visit to the center by Dr. Reynolds and Ms. Nagel, with a report back to thesubcommittee at the next meeting.

Dr. Pence reported that a physician had requested the subcommittee to considerallowing a nurse midwife, who had not been certified yet by the American College ofNurse Midwives due to a delay in certification of the examination grades, to go towork before that certification is received to help relieve the shortage in the Lumber-ton area. The subcommittee responded that while they understood the situation withthe shortage, they did not feel they could certify an individual on whom they hadno grades from an examination.

Another topic discussed was prescription pads for physician extendors. The sub-committee felt that all prescriptions should be written on the physician~s prescriptionpad only (or professional association pad), with the registered nurse's name orassistant's name below or to one side of the pad, with their number for prescribingfollowing their name. The subcommittee recommended that this information be includedwith the information that is first provided when an application is requested for aphysician extendor, and the Pharmacy Board be so notified of this.

rformin ical act

The following applications were submitted to the subcommittee, reviewed andapproved (all complete):

Dr. Hervy B. Kornegay, Nt. Olive, N. CD —Marie K. Abrams, GNPDr. Julian G. Brantley, Jr. , Nashville, N.C —Margaret S. Bass, FPNPDr. John C. Crawford, Elizabeth City, N.C. —Peggy M. Parker, FPNP

Dr. Pence moved that these application be approved by the Board. Seconded by Dr.Citron and duly passed.

The following applications were submitted to the subcommittee with credentialsincomplete, and were approved if and when they were completed satisfactory to theExecutive Secretary of the Board of Medical Examiners!

Dr. Richard 0. Manning, Fayetteville, N.C. —Annie L. Hayes, FPNPDr. Mayne R. Martin, Newland, N.C. —Claudia G. Hayes, FPNPDr. Milliam J. Fetter, Raleigh, N.G. —Judith K. Parrish, FPNPDr. Elizabeth M. Roberts, Durham, N.C. —Anna A. Russell, FPNPDr. Milliam J. Fetter, Raleigh, N.G. —Nary E. Stevens, FPNPDr. Milliam K. Massink, Elizabeth City, N.G. -- Darlene V. Marren, FNP

Dr. Pence moved that these applications be approved by the Board if and when allcredentials are submitted satisfactory to the Executive Secretary. Seconded by Dr.Citron and duly passed.

Dr. Pence also reported that several applications were submitted for approval tothe subcommittee but were returned to the applicants for further information onsupervision, job descriptions, etc. , and they were not approved by the subcommittee.

Dr. Citron moved that the subcommi, ttee report be accepted as presented. Secondedby Dr. Milkerson and duly passed.

RE: Audit Fiscal Year 1 - 6 —Following review of the audit by' the StateAuditor's office, Dr. Galusha moved that the audit be received as information.Seconded by Dr. Citron and duly passed.

Dr. Citron moved that the Board writhe the MA or the Federation of State Medical Boardsto determine if any court has declared acupuncture the practice of medicine, and if ithas been, the Board inform the Attorney General's office of the Board's opinion, and theinformation received. Seconded by Dr. Galusha and duly passed.

Monday, June '0

RE: Dr Jo e h B H nson Jr Greensboro, N. C. —A hearing was held upon andconcerning charges and accusations preferred by the Board in the above matter inRaleigh, North Carolina on June 13, 1977, at which hearing Dr. Henson appeared inperson and was represented by counsel, Gerald C. Parker. Following this hearingand the presentation of evidence, upon motion duly made, seconded and passed, aletter of reprimand from the Board to Dr. Henson was issued.

Meeting adjourned until 8:00 a.m. , Tuesday, June 14.

Tuesday, June 148:00 a m

RE; A icant for license b examination —The following physicians submittedcredentials and appeared and took the North Carolina examination for licensure(FLEX) on June 14, 15, 16, 1977, which was conducted from '8:00 a.m. until 5s30 p.m.on those days:

Vergil R. AbreuYousef H. AdhamGildegardo AlidonSolane N, M. AmosAlton R. AndersonMohammed A. AtharThomas T. AtkinsonRobert S. BalsleyRamakrishna R. BandiFlorida S. BasilioRonald L. Bell, Jr.Marilyn L. BellNark W. Bennett, Jr.Vijay C. BerdiaDiosdado L. BernardoJames T. BowmanDeborah D. BoydGwendolyn M. BoydJeffrey G. BrantleyBrian A. BrossFelicitas BugarinPatrick G. BurchJohn W. ByersDavid L. CallJulieta N. CalzadoJoel N. CarterSushil ChandraPaik H. ChangOliver P. CharltonJen-Tse ChengShu-Chung ChengK. M. ChengappaRung H, ChoiKarolen R. ChurchJacalyn CoghlinElaine W. ColemanJohn R. Collier, Jr.Francis S. CollinsWilson S. Comer, Jr.Ronald P. ConoleyJames N. CurrinRichard E. CytowicNasreen R. DarRosemary DeLeonGeorge R. DixsonS. B. EasterlingLarry D. EggertNark E. EllisRobert H. Fabrey, IILennart FagraeusRonald J. FalkJerome H. FeldmanJ. C. Fesperman, Jr.James L, Fisher

Judith D. FisherDiane C. FonesRobert D. FrancisHal A. Franklin, IIGloria D. FrelixJose Garcia-SaulBoyd B. Gasque, Jr.Herve F. GentilePatrisia E. GentileJames 0. Goldman, Jr.Stephen AD GoscinRichard D. GradyNanohar S. GrewalAdrian M. GriffinPeter C. GruenbergAlfred R. HansenJames B. HardinClaudette A. HardyRobert N. Harper, Jr.Larry C. HarrisRobert N. HarrisDavid C. HenkeDouglas E. Henley'George M. HenryNarianna N. HenryEugene L. HersogJohn L. HofferAlan S. HollisterJames B, HoltYong W. HongCharles W. HooverLawrence D. HopkinsBilly R. HunterCary F, Irons, IIIWilliam L. IsleyEric JellyGeorge N. JohnsonNary M. JohnsonPeter G. JohnsonMade T. JordanLerla G. JosephHo S. JungJohn KabalChang G. KangRichard J. KellyNasood N. KhanKevin A. KilbrideNoyra E. KileffNoon CD KimYoung 0. KimSoon H. Kimm

Michael E. KingBertha KlempmanAlbert K. Kuhne

Aruna KumarGanesh Kumar.Anjana KunduAnn D. LatimerHo-Kyung LeeAbdul G. LoyaNarvin E. LymberisFrederick H. Nabry, Jr,Nark P. Naier, Jr.F. S. NanansalaWilliam H. MarshPaul G. MartinDonald P. NcCurdyAlbert S. McGannSamuel B. NcLambAtul CD NehtaThomas M. MillerAshok K, ModhWarren H. MooreCalvin F. Morrow, Jr,K. NudigondaRobert L. Munt, Jr.Talat NaderiN. P. NarayanaPamela A. NelsonSteven R. NesheimJosphat A. NginyoDinh T. NgoJack W. Noneman, Jr.Julita S. OlimpoKhairia Y. QmranBenjamin W. PageYeshwant B. ParanjapeChang B. ParkHyun K, ParkSoung H. ParkYong B. ParkVinod I. PatelMelinda R. PaulLouis N. PerlmuttSteven PiantadosiJesse C. PittardRonald L. PlemmonsDonald T. PoleMichael L. PoolRobert B. PriceDavid L. PutnamCatherine N. RadovichEwa RadwanskaSamuel H. RskestrawKeith N. RamseyHernane C. RestarHee S, RheeRiasuddin

6/77 Examination applicants, contend.

Bertha P. RichardsonWilliam L. RichardsonArun B. RindaniJohn G. Roach, IIIJanifer G. RobertsRonald M. RobertsLee R. RocamoraCharles k. RogersonElbert A. Rudieill, Jr.William H. Ryan, IIIAaron J. SamuelFerdinand K. SamuelJerry L. SelfJitendra N. ShahShirish S. ShahaneVishwan M. SharanPai W. SheenPamela B. ShirleySally F. ShuRonald N. Skufca

Charles G. SmithJohn B. Smith, Jr.Ronald S. SmithMi SohLewis E. SpeagleDavid N. SpecsHoward J. StangElieabeth M. StangerJohn H. StanleyVaughn A. StarnesBo Y. SuhYoung S. SuhGhalres L. Sykes, Jr.Cheryl A. SzpakRobert J. TallaksenYachai ThitathanJohn B, ThomasMathai S. ThomasShirley S. Tillman

Alberto TrilloJaydevi H. TripathiSidi TuchfeldKenneth N. TwiddyMaya N. VaziraniJohn G. VickSheela U. VinodJames B. Vogler, IIILester B. MallaceJohn M. Ward, IIIRichard G. Weaver, Jr.Wolf MeinbergMichael S. WheelerElsie E. MinsteadChristopher M. Miseklan K. WoelfelPhillip C. MoodWayne G. WoodsYoung J. YouTiamco E. T. Yu

~QQ s~m

REs Int rvi s for lic n e b endorsement of cr ential —Physicians whoappeared applying for license by endorsement of credentials, were individuallyinterviewed by the Board and approved for licensure this date:

Verne L. AdamsWilliam L. Aldis"Jose A. Bardelas, Jr."Norman N. BeinClifford B. Bell"Oscar M. Blackwall, III"Timothy J. Blanchat"Otto R. Boehm"Stephen A. BranningGlenn E. Bryan, Jr."Helen G. CannonWoodward GannonRobert D. CapellRoger M, GatlinEric L. Geithaml"John D. Gheesborough"Lloyd K. Comstock"Nary Ellen Coulter"Byron P. Groker, Jr."Robert N. Day"Alfred A. DeNaria, Jr."Ronald W. Digby"Martin M. Durkin"Charles D. Edmondson "John R. Feussner"Joel Fischer"Paula K. Fischer"Gregg A. Freidman"Jerome H. GoldschmidtRichard L. Qrantham"John P. GreeneNac A. Greganti"Jerome E. GrollMilliam H. GronemeyerWesley K. Haisty, Jr.Ngoc N. Hang

Frances A. HarmatukDavid G. Harrison"Rodney J, HawkPhilip J. HessStephen M. Holmes"Frederick L. HowellSeung Nam JiRichard G. Joslin"Bruce R. Kaden"Joon KangVincent L. N. Keipper"Suhrab A. KhanJames T. KingMichael W. Knoelke"Barbara B. LanktonJames M. LanktonMerc F. Levenson"Eugene W. LinforsJohn C. LippertClifford M. Lober"Wallace E. LowryLinda K. MagnessMichael R. NalinovskyPeter R. ManesMorgan G. MartinRussell E. NcDow, Jr."John H. NcMurray»Martin B. NeyersonAlfonso J. Nooney, III"Arl Van Moore, Jr."Joseph O. MooreSteven L. Morganstern"James V. NulhollandDan Allen +ere«David T. Noyes"

Roger N. OlanderJoseph P. Olmert, Jr.Kuang-Yu OuMichael S. Parish«Walter J. PoriesAndres J, Pumariega»Charles E. PutmanDavid N. Reid"Richard A. ReinhartJoseph L. Robertson, Jr."Taylor RobinsonJames K. RocheStephen C. RochmanJeffrey K. Russell"Francis J. SamperisiSusan N. Schmielau"Douglas D, Schocken"Elston Seal, Jr."Ghazi Saleem ShabaMilliam Sharpe, Jr.Douglas D. Sheets"Reginald L. SimmonsLawrence S. SlotnickStephen J. Spann"Robert G. Steele"John E. Stone, Jr.Edwin R. Swann"Adnan Ta)-EldinWilliam T. Thorwarth, Jr."Thomas L. Tiller, Jr.James C. VanceLeopoldo U. VocalanCharles G. Voorhis, IIIRichard F. WaltonRonald L. Washburn"Nary L. W. Mitt"

«Indicates applicant who appeared before the Executive Secretary or an individualBoard member for his personal interview applying for license by endorsement of cre-dentials and was approved for licensure by the Board on this date.

License by endorsement, cont'd.

Physicians who appeared at previous Board meetings applying for license byendorsement and completed credentials after that meeting date and were approved forlicensure this date!

Maled H. GhowdhuryNaji E. HajjarNouhamed B. Kashlan

Martha M. NacGuffieMard L. Mould

Prasadarao B. HukkamalaJohn J. Shine

Physicians who appeared applying for license by endorsement with incompletecredentials and were held until later Board meetings for approvals

Radhakrishna N. BellamMilliam J. HockettJohn A. Holmes

Milliam J. Kuhns Phillip J. MalkerRasiklal H Lakhani Stanley M. MeitsnerLouis G. Nuernberger

Dr. Pence moved that the actions of the two groups of Board members beapproved. Seconded by Dr. Citron and duly passed.

Dr. Citron moved that the action of the Executive Secretary and other Boardmembers in recommending approval for those applicants interviewed by them beapproved. Seconded by Dr. Milkerson and duly passed.

Meeting adjourned until 2:00 p.m.

Tuesday, June 14

RE: Forei medical aduates —presentation of original documents. TheBoard considered the situation of a foreign medical graduate who has trouble obtain-ing original certification on the application form for license by endorsement fromhis medical school, and who requests the Board to consider accepting his originaldiploma or other official document presented to them in lieu of having the applica-tion form completed. The Board instructed the Executive Secretary that he wouldhave the authority to examine original documents presented by applicants, com-pare them with photocopies of those documents with a notation that he has seenthe originals and the copies are the same as the original, and the Board willaccept this in lieu of retaining the original documents on file.

RE: Visitin Professors —Clarification of Board policy: Dr. Ewald Busse,Dean of Duke University School of Medicine, appeared to discuss with the Boardclarification of the rules and regulations regarding physicians who have beengranted a Certificate of Registration as a Visiting Professor who later wish toapply for a full license in North Carolina, whether by' examination or endorsementof another state license. Dr. Busse was advised that the Board could not, bystatute and policy, refuse to consider an applicationt for full license if he metall the qualifications for it, and therefore, just because a physician held a VIPregistration when he original+came to North Carolina would not automaticallydisqualify him from applying for a full license in North Carolina. The Boardstressed that although the purpose of the Visiting Professor registration was notto let physicians come to North Carolina on a sabbatical at a medical school andobtain a visiting professor registration until they could take the examination,if the physician did come, and decided that he would like to stay here permanently,they could not deny him the privilege of applying for full licensure in the state.The Board urged Dr. Busse to contact them if he saw a trend developing that wouldindicate that foreign physicians are using this registration certificate as ameans of coming to this country until they can take the examination, while stillbeing able to practice medicine in the state at a medical school wihhout havingto go through the standard procedures for either a full license or a resident'straining license. Dr. Busse indicated he would be glad to do so, and thanked theBoard for their time and consideration.

considered by the North Carolina General Assembly to: re-define the definition ofchiropractic; change the requirements for licensing of chiropractors; give chiro-practors the right to have access to hospital records and tests concerning theirpatients; and qualify chiropractors as expert witnesses in court proceedings withincertain guidelines. Dr. Citron moved that this be received as information. Secondedby Dr. Pence and duly passed.

10

RE: Licens b en ors ent —interviews for recent graduates: Followingdiscussion regarding the length of time involved in interviewing applicants forlicense by endorsement at Board meetings, Dr. Pence moved that the Board increasethe number of years that a physician is out of medical school (year M.D. degreereceived) from five (5) years to eight (8) years, for interviews with the ExecutiveSecretary or a Board member, in the member's discretion, instead of appearingbefore the full Board at a regularly scheduled meeting when applying for license byendorsement of credentials. Seconded by Dr. Citron and duly passed.

Rg: ~Conver ion —liaited to full license: Dr. Ken-Fang Gnen has applied forconversion of his geographically limited license to a full North Carolina license.He is now an American citisen. Dr. Pence moved that if all credentials are complete,he be approved for conversion of his limited license. Seconded by Dr. Galusha andduly passed.

RE: Biennial Re istration —Reinstatement: Dr. Pence moved that if all feesand penalties have been paid, licenses for the physicians which were suspended forfailure to register as required by N.C. General Statute 90-15 be duly registered:

Melvin W. HeineEdward T. Davison

Douglas U. KellsJohn G. Merritt

Edmond Lee RiceKaren Anne Whedon (Green)

Seconded by Dr. Citron and duly passed.

RE: Emer enc M dical rvic ro am —G. J. Harris Community Hospital, Inc. ,Sylva, North Carolina: Request to allow licensed practical nurses to be presentin the emergency room to monitor any calls received from the Mobile IntensiveCare Unit and the technician when the registered nurse supervisor is not in theemergency room, but still available in the hospital. Dr. Wilkerson moved that thisrequest be denied. Seconded by Dr. Pence and duly passed.

RE: Bner enc Medical T chnicians-IV: Hend rson Count A lications —Review ofapplications by Dr. Staub, who informed the Board that no grades obtained on theexamination were indicated in the application forms for the technicians for theBoard's review, Dr. Citron moved that these applications be approved if and whenthe grades are indicated on the application form, and they are passing grades.Seconded by Dr. Pence and duly passed.

Ro kin ham Count A lications —Followingreview of the applications, Dr. Staub moved that the applications be approvedfollowing clarification regarding the two different grades indicated on the applica-tion form. Seconded by Dr. Pence and duly passed.

Meeting ad)ourned until 9s00 a.m. , Wednesday, June 15.

Wednesday, June 15~00 ~m

RE: A i tant to sicians —applications:

RE: Dr Ro er L En e bert Polk County, N.G. —Application complete forEvelyn L. Laughertye Following review of the application form, Dr. Wilkerson movedit be returned to Dr. Engelbert for documentation of coverage by a back-up physicianfor the assistant, and be approved if and when this is received; and if there willbe no back-up physician, he be written and advised that the assistant is not tofunction in any manner when he, Dr. Engelbert, is out of town, ill, etc. Secondedby Dr. Blackmon and duly passed.

REe Dr Be L Whit n r, Butner, N. G. —Application complete for AndreaHackel. Dr. Wilkerson moved that Ms. Hackel be approved for use as an assistantto a physician. Seconded by Dr. Blackmon and duly passed.

RE: Dr Ja C Gunnells Durham, N. G ~ —Application complete for Charles A.Mitchell. Dr. Blackmon moved that Mr. Mitchell be approved for use as an assistantto a physician. Seconded by Dr. Pence and duly passed.

RE: Dr William W Levis III, Swansboro, N. C. —Application complete forCharles Donau. Dr. Reynolds moved that Mr. Donau be approved for use as an assistantto a phiysician. Seconded by Dr. Pence and duly passed.

RE! Dr Eu ene V Ma nard Goldsboro, N.C. —Application complete for StevenM. Pulliam. Dr. Galusha moved that Mr. Pulliam be approved for use as an assistantto a physician. Seconded by Dr. Pence and duly passed.

Assistants to physicians, applications, cont'd.

RE: Dr Sam son Harrell, Durham, N. CD —Application misplaced for Joan A.Lederer at Board meeting. Dr. Galusha moved that Dr. Milkerson review the applica-tion when it is located, and make the proper consideration and recommendation.Seconded by Dr. Pence and duly passed. Application located June 15, 1977, and re-viewed by Dr. Milkerson June 20, 1977: Dr. Milkerson recommended that the appli-cation be returned for documentation of coverage by a back-up physician for theassistant, and be approved if and when this is received; and if there will be noback-up physician, he be written that the assistant is not to function in anymanner when he is out of town, ill, etc. (Dr. Harrell advised of this recommenda-tion by Executive Secretary June 21, 1977)

Kirchberg. Dr. Pence moved that Dr. Kelly berrequested to supply the name of theback-up physician for his assistant, and if there is no back-up physician, Dr.Kelly be advised by letter that his assistant is not to work in any manner when heis out of town, ill, etc. Seconded by Dr. Staub and duly passed.

RE: Dr Donal R Coffman, Norlina, N.G. —application complete for AnthonyT. Elliott. Dr. Galusha moved that Nr. Elliott be approved for use as an assistantto a physician. Seconded by Dr. Pence and duly passed.

RE: Dr William R Thornhill, Columbia, N. CD and Dr Malter L Holton,Manteo, N.G ~ —Request to serve as back-up physicians for each other's physician' sassistant, when short absences from their offices are required, but not for vacationor extended leave times. Dr. Holton and Dr. Thornhill have indicated that althoughthey are about 45 minutes away from each other's offices, there is a shortage ofphysicians in that area, and they feel with each other's back-up and use of theirassistants, they could serve the area better. Dr. Galusha moved that this beaccepted on a one-year trial basis, at the end of which time, Dr. Holton andDr. Thornhill will be requested to send a report on the situation to the Board.Seconded by Dr. Citron and duly passed.

RE: Neeti with re re entativ s from the State Attorne General's office-Dr Alan Baughcum, Economist, Ms. Catharine Arrowood, attorney, and Nr. John Silver-stein, attorney, met with the Board to discuss antitrust and constitutional problemswith the statutes and rules and regulations under which the Board operates. They toldthe Board that the Federal government was becoming very interested in occupational andprofessional licensing matters, and in that regard, the attorney' general's officehoped to be able to provide advice in the problem areas for all state agencies deal-ing with licensing procedures.

Dr. Baughcum stated that many of the problems arose from the legislatures invarious states delegating too much authority to the licensing Boards in setting uptheir rules and regulations, and the statutes were too vague in dealing with guide-lines and standards to be set up for licensing procedures. He indicated that theattorney general would work with the Board, help in drafting new legislation andwork for changes in the Medical Practice Act when deemed necessary.

Ns. Arrowood presented a memorandum regarding potential problems in the MedicalPractice Act and some possible solutions and ideas for changing any questionablerules and regulations. Some of the problem areas discussed involved composition oflicensing board membership; delegation of authority by the legislature to theboard regarding accreditation of education of applicants; vague terms such as "goodmoral character", "immoral or dishonorable conduct", and'hnprofessional conduct";citizenship requirements; regulations regarding para-professional groups such asassistants to physicians, registered nurses performing medical acts and emergencymedical personnel. (Copy of this memorandum filed in Board~s office. )

The Board thanked Dr. Baughcum, Ms. Arrowood and Mr. Silverstein for appearing anddiscussing these problems with them, and their suggestions and advice in dealing withthese situations.

There being no further business to come before the Board at this time, themeeting was ad)ourned.

NORTH CAROLINA

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