Nevada State Board of Medical Examiners

***MINUTES***

OPEN SESSION BOARD MEETING

NEVADA STATE BOARD OF MEDICAL EXAMINERS

video-conferenced between the conference rooms of

the Nevada State Board of Medical Examiners

1105 Terminal Way, Suite 301, Reno, NV 89502

and

the Nevada State Board of Dental Examiners

2295 B Renaissance Drive, Las Vegas, NV 89119

FRIDAY, DECEMBER 5, 2003 - 9:00 a.m.

and

SATURDAY, DECEMBER 6, 2003 - 8:30 a.m.:

FRIDAY, DECEMBER 5, 2003

MEMBERS PRESENT Cheryl A. Hug-English, M.D., President

IN RENO: Jaculine C. Jones, Ed.D., Vice President

Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer

Joel N. Lubritz, M.D.

Robin L. Titus, M.D.

Marlene J. Kirch

Stephen K. Montoya, M.D.

Sohail U. Anjum, M.D.

Javaid Anwar, M.D.

STAFF PRESENT Larry D. Lessly, J.D., Executive Secretary/Special Counsel

IN RENO: Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

Maureen E. Lyons, Deputy Executive Secretary/Information Systems

Administrator

Laurie L. Munson, Deputy Executive Secretary

Richard J. Legarza, J.D., General Counsel

Stephen D. Quinn, Deputy General Counsel

Lynnette L. Krotke, Chief License Specialist

Angelia L. Donohoe, Administrative Assistant

ALSO PRESENT Arne D. Rosencrantz, Director, Board of Directors, Nevada Health

Professionals Assistance Foundation

IN RENO: Carol R. Bowers, R.N., C.D., Executive Director, Nevada Health Professionals

Assistance Foundation

Nancy E. Munoz, P.A.-C, Physician Assistant Advisory Committee Member

Robert D. Fisher, President & CEO, Nevada Broadcasters Association

Mailing Address: PO. Box 7238 • Reno, Nevada 89510-7238

Physical Address: 1105 Terminal Way, Suite 301 • Reno, Nevada 89502-2144

(775) 688-2559 Fax (775) 688-2321

E-mail: nsbme@medboard.nv.gov • Website: www.medboard.nv.gov

(NSPO Rev. 3-03) (O) 1934

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STAFF PRESENT Michael L. Huse, Investigator

IN LAS VEGAS:

ALSO PRESENT Michael J. Garcia, R.R.T., Practitioner of Respiratory Care Advisory

IN LAS VEGAS: Committee Member

AGENDA ITEM 1

Call to Order and Announcements - Cheryl A. Hug-English, M.D., President

The meeting was called to order by Cheryl A. Hug-English, M.D., President, at 9:10 a.m.

Dr. Hug-English thanked the staff for their efforts in the installation of the video-conferencing equipment.

Mr. Lessly introduced Deborah E. Swartz, the Board's new Financial Support Assistant, to members.

Mr. Legarza introduced Jennifer K. Sloan, the Board's new investigator, to members, and Ms. Sloan gave a brief history of her educational and professional background.

Mr. Clark introduced Laurie L. Munson, the Board's new Deputy Executive Secretary, to members.

Ms. Munson described the current configuration of the video-conferencing equipment in Reno and Las Vegas, and explained some of its features.

AGENDA ITEM 2 Approval of Minutes

- September 4 & 5, 2003 Board Meeting - Open/Closed Sessions

- September 26, 2003 Board Meeting - Open Session

Mrs. Kirch moved to accept the minutes of the September 4 & 5, 2003 Board Meeting - Open/Closed Sessions and the September 26, 2003 Board Meeting - Open Session. Dr. Lubritz seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

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AGENDA ITEM 3 Personnel

Closed Session

- Review and Discussion of Professional Competency of Board Staff and Diversion Program Personnel

Open Session

- Consideration of Compensation Increases for Staff - Board Approval of Staff Changes

- Board Approval of Additional Staff position: Administrative Assistant - Administration - Increase in Full Time Equivalency (FTE) from .40 to.49 for Medical Reviewer

Closed Session

- Review and Discussion of Professional Competency of Board Staff and Diversion Program Personnel

Mr. Lessly requested the Board go into Closed Session to discuss the professional competency of Board staff. Dr. Titus moved to go into Closed Session to discuss the professional competency of Board staff. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Open Session

- Consideration of Compensation Increases for Staff - Board Approval of Staff Changes

- Board Approval of Additional Staff position: Administrative Assistant - Administration - Increase in Full Time Equivalency (FTE) from.40 to.49 for Medical Reviewer

Upon returning to Open Session, Mr. Lessly recommended the Board approve salary increases for Chief License Specialist Lynnette L. Krotke and License Specialists Carolyn H. Castleman, Misty C. Dew, Kasey M. Miller and Elizabeth J. Pawlikowski, effective December 1, 2003, based upon a salary survey that indicates they are underpaid; approve salary increases for Investigator Trent S. Hiett and Administrative Assistant Pamela C. Gabica, effective January 1, 2004, based upon successful completion of six months of employment with the Board; approve a performance bonus for Administrative Assistant Angelia L. Donohoe, effective January 1, 2004; and approve a longevity bonus for Deputy Executive Secretary/Information Systems Administrator Maureen E. Lyons. Additionally, Mr. Lessly recommended an increase in Dr. Barnet's FTE from .40 to .49, effective December 1, 2003, due to an increased workload.

Dr. Lubritz made a motion to approve the compensations and increase in Dr. Barnet's FTE recommended by Mr. Lessly. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Hug-English commented that the salary changes reflect the increased duties and workload upon Board staff brought about by the loss of the Medical-Legal Screening Panel. She thanked Ms. Lyons for her efforts over the years.

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Mr. Lessly advised the Board that Helena J. Teeples has returned to her previous position as Administrative Assistant, which was preliminarily approved by the President, and requested formal approval of the entire Board.

Mrs. Kirch moved to restore the position of Administrative Assistant to the Organizational Chart of the Board. Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

AGENDA ITEM 4

Consideration of New Public Service Announcements and Continuation of Contract with Nevada Broadcasters Association for the Board's Public Service Announcement Program for January 1. 2004 through March 31. 2004

- Robert D. Fisher, President & CEO, Nevada Broadcasters Association

Mr. Fisher appeared before the Board and presented statistics on the airtime received on the Board's public service announcements in 2003. He recommended the Board enter into an annual contract with the Nevada Broadcasters Association, rather than continue with a quarterly contract. He suggested that instead of a "one-size-fits-all" approach, some announcements should focus on northern Nevada, some on southern Nevada and some on rural Nevada, and there should be more variety in the announcements on the air. He also suggested a radio spot with something to the effect of, "Happy holidays. We wish you all the best and want you to know we are here to help you."

Dr. Baepler commented that the audit conducted by the Federation of State Medical Boards recommended the Board employ a full-time public relations officer, at a salary of possibly $100,000 per year. Oklahoma has done this, and has also advertised in movie theaters and used print media versus radio/TV; Texas has a sign in every medical office saying, "if you want to know about a doctor, call the Medical Board." The information on doctors currently on our website is limited, and the Board probably does need more visibility. The issue requires additional study.

Dr. Hug-English stated she sees the increased visibility of the Board has been a good result of the public service announcements. We have received positive feedback and they have made a difference. She suggested the Board go forward and update the spots, as they are of value to the public.

Dr. Titus commented on the survey that was done which documented an increase in the number of phone calls from the private sector as a result of the public service announcements, showing they do work. This is a good opportunity to review the Board's goals and look at what options are available. She suggested a planning session with the Nevada Broadcasters Association, after which the Nevada Broadcasters Association could come back the Board with proposals.

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Mr. Fisher stated that advertising in movie theaters is significantly better than newspapers and again suggested that the radio spots should be tailored to better target the various geographical areas of the state. He told the Board it is currently receiving $75,000 worth of advertising for $50,000. He showed the Board some public service announcements that the Nevada Broadcasters Association put together for the Board of Health as samples of what they do.

Dr. Hug-English stated the Board needed to decide today what to do on the current public service announcement contract, and suggested creating a subcommittee of the Board to investigate and consider options for future public service announcements.

Dr. Montoya volunteered for the subcommittee to look at ways to get more information out to the public than is currently reaching them, and stated it is important to say to the public, "Nevada doctors are good and the Board is here to keep it that way."

Mrs. Kirch volunteered for the subcommittee.

Dr. Hug-English asked Mr. Clark to assist with the subcommittee and requested the subcommittee come back to the Board at the March meeting with suggestions.

Mr. Clark asked the Board if it wanted to extend the contract with the Nevada Broadcasters Association for three months in the interim.

Dr. Anjum moved to extend the contract from January 1, 2004 through March 31, 2004. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

AGENDA ITEM 5

Amendments to Nevada Administrative Code Chapter 630 - Richard J. Legarza, J.D., General Counsel

- Adoption of Amendments to Regulations under NAC 630, per LCB File No. R145-03 - Consideration of Approval of New Regulation for Public Workshops Under NAC 630: Requirements for Biennial Registration

- Adoption of Amendments to Regulations under NAC 630, per LCB File No. R145-03

Mr. Legarza stated the workshops were conducted pursuant to statute. He then reviewed the proposed changes to the regulations for the members and spoke on the input received from the workshops.

Larry Matheis spoke on the comments made by the Nevada State Medical Association during the workshops concerning several of the proposed amendments to the regulations.

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Max Doubrava, M.D., J.D. shared comments on the proposed regulations, particularly the anti-terrorism CME requirement.

Discussion ensued concerning amending the language of the proposed regulations in response to comments received from the workshops.

Motion by Dr. Jones to incorporate the amended language as discussed. Mrs. Kirch seconded the motion, and it passed, with the Chair voting in favor of the motion and Dr. Titus abstaining as the provisions concerning public health officers pertain to her,

Motion by Dr. Montoya to adopt the proposed amendments to the regulations. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

- Consideration of Approval of New Regulation for Public Workshops Under NAC 630: Requirements for Biennial Registration

Dr. Baepler spoke on the history of the issue of post-licenure competency, where it currently stands, and what is going on with the issue in the United States.

Discussion ensued.

Motion by Dr. Anwar to hold public workshops on the proposed regulation requirements. Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Hug-English directed that notice of the workshops be mailed to every licensee.

AGENDA ITEM 9 Reports

- Diversion Program: Annual Report- Carol R. Bowers, R.N., C.D., Executive Director, Nevada Health Professionals Assistance Foundation

- Physician Assistant Advisory Committee - Nancy E. Munoz, P.A.-C, Advisory Committee Member

- Practitioner of Respiratory Care Advisory Committee - Michael J. Garcia, R.R.T., Advisory Committee Member

- Consideration of Request for Appointment of Additional Committee Members - Investigative Committees - Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer, Chairperson

Joel N. Lubritz, M.D., Chairperson

- Consideration of Cases Recommended for Closure by the Committees - Status of Investigative Case Load

- Secretary-Treasurer - Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer - Status of Finances

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December 5 & 6, 2003 Board Meeting Open Session Minutes

- Federation of State Medical Boards of the United States, Inc.'s Committee on Post-Licensure Competency Meeting, September 10 & 11, 2003 in Dallas, TX - Robin L. Titus, M.D.

- Administrators In Medicine's 2003 Fall Meeting, September 15 & 16, 2003 in Seattle, WA - Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

- Federation of State Medical Boards of the United States, Inc.'s Executive Management Seminar, September 16 & 17, 2003 in Seattle, WA - Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

- Federation of Associations of Regulatory Boards' 11 th Annual Attorney Certification Seminar, October 23 - 26, 2003 in Portland, OR - Stephen D. Quinn, J.D., Deputy General Counsel

- Federation of State Medical Boards of the United States, Inc.'s Medical Boards and the Impaired Physician Workshop, November 15, 2003 in Las Vegas, NV - Sohail U. Anjum, M.D.

- Diversion Program: Annual Report - Carol R. Bowers, R.N., C.D., Executive Director, Nevada Health Professionals Assistance Foundation

Ms. Bowers reviewed her annual report, which had previously been distributed to the Board members.

She told the Board Dr. Rueckl has resigned as Medical Director of the Diversion Program effective December 31, 2003, and Dr. Brad Thompson will be the new Medical Director effective January 1, 2004. She has resigned as Executive Director effective December 31, 2003, and has provided suggestions for her replacement. Dr. Coughlin feels an M.D. should replace her. She then gave her financial report and stated she leaves the program feeling she has accomplished what she told the Board she would. She thanked the Board for the opportunity and expressed her hope that the Diversion Program will continue successfully.

Dr. Hug-English told Ms. Bowers the Board recognizes the work she has done and that it is in large part due to her that the program has been a success. It is the Board's and the Foundation's loss that she is leaving.

AGENDA ITEM 6

Discussion of Diversion Program Contracted to the Nevada Health Professionals Assistance Foundation, Inc.

- Timothy D. Coughlin, M.D., President - Nevada Health Professionals Assistance Foundation, Inc.

Arne Rosencrantz, member of the Foundation's Board of Directors, informed the Board the Foundation is looking for a replacement for Ms. Bowers and that Ms. Bowers is assisting them in their search. He spoke on the last six-month history of the Foundation and described how they are better organizing the structure of the Foundation -setting up procedures and the like that were not previously in place. The Foundation was previously only a figurehead Board of Directors but they are now getting more involved, instead of having Ms. Bowers and Dr. Rueckl do everything.

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AGENDA ITEM 3 (CONTINUED) Personnel

Closed Session

- Review and Discussion of Professional Competency of Board Staff and Diversion Program Personnel

Open Session

- Consideration of Compensation Increases for Staff - Board Approval of Staff Changes

- Board Approval of Additional Staff position: Administrative Assistant - Administration - Increase in Full Time Equivalency (FTE) from.40 to.49 for Medical Reviewer

Closed Session

- Review and Discussion of Professional Competency of Board Staff and Diversion Program Personnel

Dr. Montoya moved to go into Closed Session to discuss the professional competency of the Diversion Program personnel. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Upon returning to Open Session, Dr. Titus moved that if the Foundation hasn't found a replacement for Ms. Bowers by January 1, 2004, the Board authorize Dr. Hug-English to notify the Foundation in writing that the Board terminates its contract with the Foundation. Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

AGENDA ITEM 7

Consideration of Submission of Request to Participate in the Federation of State Medical Boards of the United States. Inc.'s Annual Meeting Poster Session

Mr. Lessly described what the poster session is and suggested the post-licensure competency issue and the public service announcement program as possible subjects for the Board's participation.

Dr. Titus offered to assist with the poster session.

Dr. Montoya moved that the Board participate in the poster session. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor.

session together.

Dr. Baepler and Mr. Lessly and will work on putting the poster

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AGENDA ITEM 8

Board Website: www.medboard.nv.gov Report

- Maureen E. Lyons, Deputy Executive Secretary/Information Systems Administrator

- Consideration of Adding Licensee's Educational History and other Enhancements to - Licensee Search Module

- Status of Website Update Project

- Consideration of Adding Licensee's Educational History and other Enhancements to Licensee Search Module

Ms. Lyons stated that the licensees' education history is not currently on the website. There is reason to believe that some of the educational information in our database is incorrect due to several program conversions and it should be reviewed for accuracy and corrected as needed before placing the information on the website. She suggested hiring a temp to perform this work.

Ms. Lyons advised the Board she had received a quote from System Automation to add an enhancement to the Board's database to include the education module, and outlined additional information which could be added to the website. Discussion ensued.

Motion was made by Dr. Jones to add the educational information to the website. Mrs. Kirch seconded the motion, and it carried unanimously, with the Chair voting in favor of the motion.

Dr. Hug-English stated that by way of the foregoing motion, the Board has authorized Ms. Lyons to do what is necessary to accomplish the addition of the information to the website.

- Status of Website Update Project

Ms. Lyons advised the Board that she was in the process of a major overhaul of the website pursuant to statutory requirements and recommendations made in the FSMB audit. She is adding an FAQ section, an alphabetical listing of licensees with disciplinary actions against their licenses, and links to the Inspector General and D.O. Board sites. She is also translating the Board's forms into Adobe Acrobat format to add them to the website. Additionally, the FSMB audit recommended the Board post its public disciplinary action documents electronically on the Board's website, as opposed to the current practice of the Board's investigators inserting summaries of disciplinary actions into the database. At the request of Dr. Titus, Ms. Lyons stated she would also add a "number of hits" tally to the website.

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RECESS

Dr. Hug-English recessed the meeting for lunch at 1:15 p.m.

Dr. Lubritz left the meeting at 1:15 p.m.

RECONVENE

Dr. Hug-English reconvened the meeting at 1:45 p.m.

AGENDA ITEM 13

Appearances for Consideration of Acceptance of Applications for Licensure

Dr. Jones moved to go into Closed Session to discuss the character and professional competence of applicants for licensure approval. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

CLOSED SESSION

13 (f) Kimberly Fletcher, M.D.

Upon returning to Open Session, Dr. Titus moved to accept Kimberly Fletcher, M.D.'s application for licensure. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Mrs. Kirch moved to return to Closed Session for the same purposes stated before. Dr. Montoya seconded the motion, and it passed unanimously.

3 (a) Gregg Allen, M.D.

Upon returning to Open Session, Dr. Baepler moved to issue a license to Gregg Allen, M.D. restricted to the practice of Administrative Medicine (with terms similar to those of his restricted license in Texas). Mrs. Kirch seconded the motion, and it carried unanimously, with the Chair voting in favor of the motion.

Discussion ensued.

Dr. Anjum made a new motion, superseding the previous motion, to issue Dr. Allen an unrestricted license. Dr. Titus seconded the motion. Discussion ensued. Upon a vote, the motion failed, with Dr. Baepler, Dr. Titus, Dr. Anjum, and Dr. Montoya voting in favor, and Dr. Jones, Mrs. Kirch, Dr. Anwar and the Chair opposed.

The previous motion stands.

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Dr. Titus moved to return to Closed Session for the same purposes stated before. Dr. Jones seconded the motion, and it passed unanimously.

13 (g) Jeffrey Wick, M.D.

Upon returning to Open Session, Dr. Titus moved to deny Jeffrey Wick, M.D.'s application for licensure based upon falsification of his application. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Titus moved to return to Closed Session for the `same purposes stated before. Mrs. Kirch seconded the motion, and it passed unanimously.

13 (k) Mariano Dy, M.D.

Upon returning to Open Session, Dr. Titus moved that the Board decline to exercise its discretion to issue a license to Mariano Dy, M.D. by endorsement for the reasons that Dr. Dy: (1) has not practiced clinical medicine for three years; (2) has not passed SPEX; and (3) has not been re-certified in Family Practice. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor.

Dr. Baepler moved to return to Closed Session for the same purposes stated before. Dr. Jones seconded the motion, and it passed unanimously.

13 (i) David Chan, M.D.

Upon returning to Open Session, Dr. Baepler moved to accept David Chan, M.D.'s application for an unrestricted medical license with the caveat that he maintain his certification by the American Board of Family Practice during the entire time of his licensure in Nevada. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

AGENDA ITEM 9 (CONTINUED) Reports

- Diversion Program: Annual Report - Carol R. Bowers, R.N., C. D., Executive Director, Nevada Health Professionals Assistance Foundation

- Physician Assistant Advisory Committee - Nancy E. Munoz, P.A.-C, Advisory Committee Member

- Practitioner of Respiratory Care Advisory Committee - Michael J. Garcia, R.R.T., Advisory Committee Member

- Consideration of Request for Appointment of Additional Committee Members - Investigative Committees - Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer, Chairperson

Joel N. Lubritz, M.D., Chairperson

- Consideration of Cases Recommended for Closure by the Committees - Status of Investigative Case Load

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- Secretary-Treasurer - Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer - Status of Finances

- Federation of State Medical Boards of the United States, Inc.'s Committee on Post-Licensure Competency Meeting, September 10 & 11, 2003 in Dallas, TX - Robin L. Titus, M.D.

- Administrators In Medicine's 2003 Fall Meeting, September 15 & 16, 2003 in Seattle, WA - Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

- Federation of State Medical Boards of the United States, Inc.'s Executive Management Seminar, September 16 & 17, 2003 in Seattle, WA - Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

- Federation of Associations of Regulatory Boards' 11th Annual Attorney Certification Seminar, October 23 - 26, 2003 in Portland, OR - Stephen D. Quinn, J.D., Deputy General Counsel

- Federation of State Medical Boards of the United States, Inc.'s Medical Boards and the Impaired Physician Workshop, November 15, 2003 in Las Vegas, NV - Sohail U. Anjum, M.D.

- Physician Assistant Advisory Committee - Nancy E. Munoz, P.A.-C,

There was no report under this agenda item.

- Practitioner of Respiratory Care Advisory Committee - Michael J. Garcia, R.R.T.

Mr. Garcia spoke to the Board from Las Vegas. He referred to a list of recommended Advisory Committee members, which was previously distributed to the Board members, and requested the Board allow the Committee to rotate through the members to allow more therapists statewide to participate, giving the Committee a more varied perspective.

Motion by Dr. Titus to approve the names of prospective Advisory Committee members as submitted, with one person to rotate through the Committee every two years so there are always two experienced members with a new one, maintaining three members

at all times. Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

- Secretary-Treasurer - Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer - Status of Finances

Dr. Baepler reviewed the distributed Board Balance Sheet as of December 4, 2003, and Profit & Loss Budget vs. Actual July 1 through December 4, 2003, for the members.

- Federation of State Medical Boards of the United States, Inc.'s Committee on Post-Licensure Competency Meeting, September 10 & 11, 2003 in Dallas, TX - Robin L. Titus, M.D.

Dr. Titus advised that the Committee had met in September and would be meeting again in December, and stated Nevada is leaps and bounds ahead of other states on this issue.

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- Administrators In Medicine's 2003 Fall Meeting, September 15 & 16, 2003 in Seattle, WA - Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

- Federation of State Medical Boards of the United States, Inc.'s Executive Management Seminar, September 16 & 17, 2003 in Seattle, WA

- Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

Mr. Clark spoke on the different topics discussed at these meetings, including malpractice, new state initiatives and internet usage in the medical field.

- Federation of Associations of Regulatory Boards' 11th Annual Attorney Certification Seminar, October 23 - 26, 2003 in Portland, OR

- Stephen D. Quinn, J.D., Deputy General Counsel

Mr. Quinn spoke on the topics discussed at the meeting, including the intricacies of Administrative Law, discovery, integrity of testing procedures, etc., and stated Nevada is ahead of the other states with our video-conferencing capabilities.

- Federation of State Medical Boards of the United States, Inc.'s Medical Boards and the Impaired Physician Workshop, November 15, 2003 in Las Vegas, NV - Sohail U. Anjum, M.D.

Mr. Clark spoke on the topics discussed at the meeting, including intervention, evaluation, treatment and monitoring of physician health programs.

AGENDA ITEM 10

Executive Staff Reports - Larry D. Lessly, J.D., Executive Secretary

Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

Maureen E. Lyons, Deputy Executive Secretary - Consideration of Request for Staff Attendance at Educational Meetings

- Consideration of Federation of State Medical Boards of the United States, Inc.'s:

- Call for Candidate Nominations, Committee Appointment Recommendations, and Resolutions for 2004 Annual Meeting of the House of Delegates

- Call for Nominations for Awards to be Awarded at 2004 Annual Meeting

- Status of Board Audit Performed by the Federation of State Medical Boards of the United States, Inc. as Mandated by the Nevada Legislature

- Consideration of Hiring the Federation of State Medical Boards of the United States, Inc. to Perform an Audit of the Board's Licensing Procedures and Policies

- Consideration of Approval of Revised Organizational and Operational Charts, Personnel Policies, and Officer, Committee and Job Descriptions Manual for 2004 - Consideration of Proposed 2004 Board Meeting Schedule

- Status of Board Office Space

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- Consideration of a Board Office to be Located in Las Vegas (tabled from September 4 & 5, 2003 board meeting)

- Informational Items

- Consideration of Request for Staff Attendance at Educational Meetings

Mr. Lessly told the Board he would like Mr. Clark to attend the International Meeting this year as a delegate and asked if any Board members intended to go as a Board member delegate. Dr. Titus stated she would like to attend.

Mr. Lessly advised the Board Mr. Clark would like to attend the AIM meeting in April.

Mr. Lessly suggested that he, Mr. Clark, Mr. Legarza, Mr. Quinn, Ms. Munson and Ms. Krotke attend the FSMB Annual meeting this year and asked which Board members would like to attend. Dr. Hug-English stated she will be attending as our delegate to the conference, and Dr. Jones, Dr. Baepler and Dr. Titus all expressed an interest in attending.

Ms. Lyons asked for authority for Ms. Munson and Ms. Swartz to attend the System Automation Users Conference in February.

Motion by Dr. Titus to authorize attendance at the aforementioned educational meetings as discussed. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

- Consideration of Federation of State Medical Boards of the United States, Inc.'s:

- Call for Candidate Nominations, Committee Appointment Recommendations, and Resolutions for 2004 Annual Meeting of the House of Delegates

- Call for Nominations for Awards to be Awarded at 2004 Annual Meeting

Dr. Hug-English suggested nominating Dr. Baepler as the Board's candidate for appointment to the FSMB Board of Directors.

Motion by Dr. Anwar to present Dr. Baepler's name to the Nominating Committee as a candidate for appointment to the Board of Directors.

Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Baepler accepted the nomination.

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- Consideration of Approval of Revised Organizational and Operational Charts, Personnel Policies, and Officer, Committee and Job Descriptions Manual

for 2004

Mr. Lessly explained the changes to the Organizational Chart and amendments to job descriptions.

Dr. Hug-English stated the new License Application and Malpractice Review Committee should be added to the Organization Chart and a job description created for it.

Motion by Mrs. Kirch to approve the Organizational and Operational Charts, Personnel Policies, and Officer, Committee and Job Descriptions Manual for 2004, with the addition of the License Application and Malpractice Review Committee. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

- Consideration of Proposed 2004 Board Meeting Schedule

Dr. Hug-English requested changing the March meeting dates to March 12 and 13, 2004.

Dr. Titus requested changing the September meeting dates to September 10 and 11, 2004.

Motion by Dr. Jones to approve the 2004 Board Meeting Schedule with the revision of the March and September dates as discussed. Mrs. Kirch seconded the motion, and it carried unanimously, with the Chair voting in favor of the motion.

- Status of Board Office Space

Mr. Clark distributed copies of the floor plan for the new Licensing Department area and explained the timeline on completion.

- Consideration of a Board Office to be Located in Las Vegas (tabled from September 4 & 5, 2003 board meeting)

Dr. Baepler stated it has been indicated to the Board that the videoconferencing equipment has eliminated the need for an office in Las Vegas, and suggested the matter continue tabled at this time to allow further evaluation of the videoconferencing equipment to see if it continues to meet the Board's needs.

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AGENDA ITEM 13 (CONTINUED)

Appearances for Consideration of Acceptance of Applications for Licensure

Dr. Titus moved to go into Closed Session to discuss the character and professional competence of applicants for licensure approval. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

CLOSED SESSION

13 (f) Morris Bernstein, M.D.

Upon returning to Open Session, Dr. Montoya moved to accept Morris Bernstein, M.D.'s application for unrestricted licensure due to his re-certification in Surgery within the last 10 years (1997). Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor.

Dr. Baepler moved to return to Closed Session for the same purposes stated before. Dr. Jones seconded the motion, and it passed unanimously.

13 (n) Peter Fodor, M.D.

Upon returning to Open Session, Dr. Montoya moved that the Board exercise its discretion and issue a license by endorsement to Dr. Fodor, as he is imminently qualified; he teaches the board review course and is a member of the Board of Examiners for Plastic Surgery, which also precludes him from taking the exam for re-certification; and because he has had so few malpractice claims against him in his many years of practice. Dr. Anjum seconded the motion, and it passed unanimously, with the Chair voting in favor.

Dr. Titus moved to return to Closed Session for the same purposes stated before. Dr. Anjum seconded the motion, and it passed unanimously.

13 (y) Jacob Rajfer, M.D.

Upon returning to Open Session, Dr. Montoya moved that, based upon Dr. Rajfer's experience, and subject to his successfully passing a peer review, at his own expense, the Board accept Jacob Rajfer, M.D.'s application for unrestricted licensure. Dr. Anjum seconded the motion, and it passed unanimously, with the Chair voting in favor.

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13 (b) Joseph Scarlet, M.D.

Upon returning to Open Session, Dr. Montoya moved that the Board decline to exercise its discretion to issue a license to Joseph Scarlet, M.D. by endorsement because he has not passed a major exam in the past 10 years and does not have 36 months progressive postgraduate education. Dr. Anjum seconded the motion, and it passed unanimously, with the Chair voting in favor.

Mrs. Kirch moved to return to Closed Session for the same purposes stated before. Dr. Montoya seconded the motion, and it passed unanimously.

13 (z) William Roberts, M.D.

Upon returning to Open Session, Mrs. Kirch moved that the Board decline to exercise its discretion to issue a license to William Roberts, M.D. by endorsement due to his Arizona and Hawaii disciplinary actions. Dr. Baepler seconded the motion, and it passed unanimously, with the Chair voting in favor.

Dr. Anwar moved to return to Closed Session for the same purposes stated before. Dr. Anjum seconded the motion, and it passed unanimously.

13(x) Maria Ornstein, M.D.

Upon returning to Open Session, Dr. Jones moved that the Board decline to exercise its discretion to issue a license to Maria Ornstein, M.D. by endorsement because she hasn't passed a major exam in the past 10 years and there are no compelling circumstances to issue one. Dr. Anjum seconded the motion, and it passed unanimously, with the Chair voting in favor.

Mrs. Kirch moved to return to Closed Session for the same purposes stated before. Dr. Jones seconded the motion, and it passed unanimously.

13 (q) Robert Haves, M.D.

Upon returning to Open Session, Dr. Titus moved that the Board accept Robert Hayes, M.D.'s application for unrestricted licensure due to his recent recertification in Family Practice. Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Jones moved to return to Closed Session for the same purposes stated before. Mrs. Kirch seconded the motion, and it passed unanimously.

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13 (b) Ricki Alpert, M.D.

Upon returning to Open Session, Dr. Jones moved to accept Ricki . Alpert, M.D.'s application for unrestricted licensure, subject to her successfully passing a peer review, at her own expense. Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Jones moved to return to Closed Session for the same purposes stated before. Mrs. Kirch seconded the motion, and it passed unanimously.

13 (t) Peter Koltai, M.D.

Upon returning to Open Session, Dr. Koltai stated he would submit to a peer review on Saturday, December 6, 2003. Dr. Hug-English advised him that if he passed the peer review, he would be eligible for an unrestricted license.

AGENDA ITEM 11

Legal Reports - Richard J. Legarza, J.D., General Counsel Stephen D. Quinn, J.D., Deputy General Counsel Charlotte M. Bible, J.D., Chief Deputy Attorney General

- Board Ordered Terms, Conditions and Probation Status - Board Litigation Status

Stephen D. Quinn, J.D., Deputy General Counsel

Mr. Quinn updated the Board on the Alan Mishler litigation. The case has been going since 1987, and Mr. Quinn was in the Ninth Circuit Court of Appeals yesterday, arguing in favor of sustaining the District Court's decision to grant summary judgment against Dr. Mishler. He believes the Court will affirm the summary judgment.

Mr. Quinn explained that Kenneth Mower, M.D. is the doctor who killed a patient with an overdose of morphine. The case has been submitted to the Eighth Judicial District Court in Las Vegas for decision on Dr. Mower's petition for judicial review of the Board's revocation of his license and a hearing is scheduled for December 16, 2003. Mr. Quinn expects a decision from the Court before the next Board meeting.

Mr. Quinn told the Board Robert Rutledge, M.D. has appealed the Board's denial of his license application. Dr. Rutledge withdrew his application and then reapplied later with a changed answer on his application, and the application was denied.

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Mr. Quinn explained that Michael Mall, M.D. was to appear before the Investigative Committee solely to answer questions, and asked to bring attorneys and a court reporter. Mr. Quinn advised him he could not unless the meeting was held in open session, pursuant to the Open Meeting Law. Dr. Mall requested the meeting be held in open session, and we noticed it. Dr. Mall then filed a petition for a writ with the Nevada Supreme Court and filed a motion to stay the IC meeting so the Court could rule on his petition for a writ. The Court denied the motion for stay and Mr. Quinn believes that should be the end of the court case.

Richard J. Legarza, J.D., General Counsel

Mr. Legarza explained that the Board revoked Elliott Schmerler, M.D.'s license because he was convicted of a felony. Dr. Schmerler filed a petition for judicial review with the District Court and it affirmed the Board's decision, so he filed a notice of appeal to the Nevada Supreme Court. A settlement conference is scheduled for January 12, 2004.

Mr. Legarza stated the Board denied Rajiv Buddin, M.D.'s application for licensure and he filed a petition for judicial review with the Second Judicial District Court. The Court upheld the Board's action and Dr. Buddin has filed a motion for reconsideration, which Mr. Legarza will oppose.

Mr. Legarza stated Lambert Abeyatunge, M.D. filed a petition for judicial review, but then didn't pursue it.

Charlotte M. Bible, J.D., Chief Deputy Attorney General

There was no report under this agenda item.

AGENDA ITEM 12 Licensure Ratification

- Ratification of Licenses Issued, and Reinstatements of Licensure and Changes of Licensure Status Approved Since the September 4 & 5, 2003 Board Meeting

- License Application and Malpractice Review Committee Licenses Issued Since the September 4 & 5, 2003 Board Meeting

- Ratification of Licenses Issued, and Reinstatements of Licensure and Changes of Licensure Status Approved Since the September 4 & 5, 2003 Board Meeting

Dr. Montoya moved to ratify the licenses issued, and reinstatements of licensure and changes of licensure status approved, since the September 4 & 5, 2003 Board meeting. Dr. Anjum seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

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RECESS

Dr. Hug-English recessed the meeting for dinner at 6:10 p.m.

RECONVENE

Dr. Hug-English reconvened the meeting at 7:00 p.m.

License Application and Malpractice Review Committee Licenses Issued Since the September 4 & 5, 2003 Board Meeting

Dr. Hug-English reported on the License Application and Malpractice Review Committee's first meeting. She stated that all whom the Committee referred back to the Board were licensed except for Dr. Wick. She believes the Committee saved the full Board time and it is worthwhile to continue it.

AGENDA ITEM 13 (CONTINUED)

Appearances for Consideration of Acceptance_ of Applications for Licensure

Dr. Montoya moved to go into Closed Session to discuss the character and professional competence of applicants for licensure approval. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

CLOSED SESSION

13 (g) Mary Boegel, M.D.

Upon returning to Open Session, Dr. Montoya moved to accept Mary Boegel, M.D.'s application for unrestricted licensure. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Baepler moved to return to Closed Session for the same purposes stated before. Dr. Anjum seconded the motion, and it passed unanimously.

13 (h) Jeffrey Zabel, M.D.

Upon returning to Open Session, Dr. Baepler moved to accept Jeffrey Zabel, M.D.'s application for unrestricted licensure. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Anwar moved to return to Closed Session for the same purposes stated before. Mrs. Kirch seconded the motion, and it passed unanimously.

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13 (a) Umer Sayeed-Shah, M.D.

Upon returning to Open Session, Dr. Baepler moved to accept Umer Sayeed-Shah, M.D.'s application for licensure. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Jones moved to return to Closed Session for the same purposes stated before. Mrs. Kirch seconded the motion, and it passed unanimously.

13 (c) Jose Alvarez, M.D.

Upon returning to Open Session, Dr. Baepler moved to accept Jose Alvarez, M.D.'s application for licensure. Dr. Jones seconded the motion. The motion passed, with Dr. Montoya voting against the motion, and the Chair voting in favor of the motion.

Dr. Anwar moved to return to Closed Session for the same purposes stated before. Mrs. Kirch seconded the motion, and it passed unanimously.

13 (r) Kristian Kinel, M.D.

Upon returning to Open Session, Dr. Titus moved to accept Kristian Kinel, M.D.'s application for licensure. Dr. Anjum seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Jones moved to return to Closed Session for the same purposes stated before. Mrs. Kirch seconded the motion, and it passed unanimously.

13 (u) Lane Laken, M.D.

Upon returning to Open Session, Dr. Montoya moved to accept Lane Laken, M.D.'s application for licensure. Dr. Titus seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

RECESS

Dr. Hug-English recessed the meeting at 8:30 p.m.

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SATURDAY, DECEMBER 6, 2003

MEMBERS PRESENT Cheryl A. Hug-English, M.D., President

IN RENO: Jaculine C. Jones, Ed.D., Vice President

Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer

Joel N. Lubritz, M.D.

Robin L. Titus, M.D.

Marlene J. Kirch

Stephen K. Montoya, M.D.

Sohail U. Anjum, M.D.

Javaid Anwar, M.D.

STAFF PRESENT Larry D. Lessly, J.D., Executive Secretary/Special Counsel

IN RENO: Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

Maureen E. Lyons, Deputy Executive Secretary/Information Systems Administrator

Laurie L. Munson, Deputy Executive Secretary

Richard J. Legarza, J.D., General Counsel

Stephen D. Quinn, Deputy General Counsel

Lynnette L. Krotke, Chief License Specialist

STAFF PRESENT Michael L. Huse, Investigator

IN LAS VEGAS:

RECONVENE

Cheryl A. Hug-English, M.D., President, reconvened the meeting at 8:40 a.m.

AGENDA ITEM 13 (CONTINUED)

Appearances for Consideration of Acceptance of Applications for Licensure

Mrs. Kirch moved to go into Closed Session to discuss the character and professional competence of applicants for licensure approval. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

CLOSED SESSION

13 (e) Alistair Barron

Upon returning to Open Session, Dr. Montoya moved to accept Alistair Barron, M.D.'s application for unrestricted licensure, subject to his successful passage of a peer review at his own expense. Dr. Anwar seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

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Dr. Anwar moved to return to Closed Session for the same purposes stated before. Mrs. Kirch seconded the motion, and it passed unanimously.

13 (f) Alyssa Watanabe, M.D.

Upon returning to Open Session, Dr. Watanabe asked to withdraw her application.

Dr. Hug-English advised Dr. Watanabe that the Board will not take action on this application and she can reapply at any time.

Dr. Montoya moved to reject all applications received from U.S. Medical Licensing and return them to the applicants to be completed personally because this company has committed fraud before this Board. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Mrs. Kirch moved to return to Closed Session for the same purposes stated before. Dr. Lubritz seconded the motion, and it passed unanimously.

13 (d) Joseph Teichqraeber, M.D.

Upon returning to Open Session, Dr. Hug-English advised Dr. Teichgraeber that the Board was tabling a decision on his application in order for legal counsel to research the issue of whether a revocation that has been "stayed" is still considered a revocation under NRS 630.161(1), and Dr. Teichgraeber will have to appear again before the Board at its March meeting for the Board's decision on his application for licensure.

Dr. Jones moved to return to Closed Session for the same purposes stated before. Mrs. Kirch seconded the motion, and it passed unanimously.

13 (p) Thomas Guyden, M.D.

Upon returning to Open Session, Dr. Titus moved to accept Thomas Guyden, M.D.'s application for unrestricted licensure, subject to his successful passage of either a peer review or the American Psychiatric Institute Self-Assessment Examination, at his own expense. Dr. Lubritz seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

13 (j) Jeffrey Cooper, M.D.

Upon returning to Open Session, Dr. Anjum moved to accept Jeffrey Cooper, M.D.'s application for licensure. Dr. Titus seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

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Dr. Jones moved to return to Closed Session for the same purposes stated before. Dr. Titus seconded the motion, and it passed unanimously.

13 (e) Eva King Wang, M.D.

Upon returning to Open Session, Dr. Jones moved to accept Eva King Wang, M.D.'s application for unrestricted licensure, subject to her successful passage of either a peer review or the American Psychiatric Institute Self-Assessment Examination, at her own expense. Dr. Anjum seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Jones moved to return to Closed Session for the same purposes stated before. Dr. Titus seconded the motion, and it passed unanimously.

13 (m) James Flowers, M.D.

Upon returning to Open Session, Dr. Baepler moved to deny James Flowers, M.D.'s application for licensure based upon his currently restricted license in Wisconsin. Mrs. Kirch seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Montoya moved to return to Closed Session for the same purposes stated before. Dr. Anjum seconded the motion, and it passed unanimously.

13 (o) Randi Germaine, M.D.

Upon returning to Open Session, Dr. Anjum moved to approve Randi Germaine, M.D.'s application for limited licensure for residency. Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Jones moved to return to Closed Session for the same purposes stated before. Dr. Titus seconded the motion, and it passed unanimously.

13 (c) Jagmohan Sidhu, M.D.

Upon returning to Open Session, Dr. Anjum moved to approve Jagmohan Sidhu, M.D.'s application for unrestricted licensure. Dr. Lubritz seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Mrs. Kirch moved to return to Closed Session for the same purposes stated before. Dr. Titus seconded the motion, and it passed unanimously.

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13 (s) Mark Knutson, P.A.-C.

Upon returning to Open Session, Dr. Anjum moved to approve Mark Knutson, P.A.-C.'s application for licensure subject to his continuing compliance with the Diversion Program contract. Dr. Baepler seconded the motion, and it passed, with Dr. Jones, Dr. Titus and Mrs. Kirch opposed, and the Chair voting in favor of the motion.

Dr. Jones moved to return to Closed Session for the same purposes stated before. Dr. Anjum seconded the motion, and it passed unanimously.

13 (i) Gordon Zink-Brody, M.D.

Upon returning to Open Session, Dr. Lubritz moved to accept Gordon Zink-Brody, M.D.'s application for licensure. Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

AGENDA ITEM 9 (CONTINUED) Reports

- Diversion Program: Annual Report- Carol R. Bowers, R.N., C. D., Executive Director, Nevada Health Professionals Assistance Foundation

- Physician Assistant Advisory Committee - Nancy E. Munoz, P.A.-C, Advisory Committee Member

- Practitioner of Respiratory Care Advisory Committee - Michael J. Garcia, R.R.T., Advisory Committee Member

- Consideration of Request for Appointment of Additional Committee Members - Investigative Committees - Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer, Chairperson

Joel N. Lubritz, M.D., Chairperson

- Consideration of Cases Recommended for Closure by the Committees - Status of Investigative Ca-se Load

- Secretary-Treasurer - Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer - Status of Finances

- Federation of State Medical Boards of the United States, Inc.'s Committee on Post-Licensure Competency Meeting, September 10 & 11, 2003 in Dallas, TX - Robin L. Titus, M.D.

- Administrators In Medicine's 2003 Fall Meeting, September 15 & 16, 2003 in Seattle, WA - Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

- Federation of State Medical Boards of the United States, Inc.'s Executive Management Seminar, September 16 & 17, 2003 in Seattle, WA - Drennan A. Clark, J.D., Deputy Executive Secretary/Special Counsel

- Federation of Associations of Regulatory Boards' 11 th Annual Attorney Certification Seminar, October 23 - 26, 2003 in Portland, OR - Stephen D. Quinn, J.D., Deputy General Counsel

- Federation of State Medical Boards of the United States, Inc.'s Medical Boards and the Impaired Physician Workshop, November 15, 2003 in Las Vegas, NV - Sohail U. Anjum, M.D.

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INVESTIGATIVE COMMITTEES - Donald H. Baepler, Ph.D., D.Sc., Secretary-Treasurer, Chairperson

Joel N. Lubritz, M.D., Chairperson

- Consideration of Cases Recommended for Closure by the Committees - Status of Investigative Case Load

Dr. Baepler stated that the caseload between the two committees is very large and continues to grow. The cases recommended for closure by IC-A and IC-B were distributed for the members' review. A total of 130 cases were recommended for closure between the two committees.

Motion by Dr. Anwar to approve for closure the cases recommended by the Investigative Committees. Dr. Jones seconded the motion, and the motion carried unanimously, with the Chair voting in favor of the motion.

AGENDA ITEM 13 (CONTINUED)

Appearances for Consideration of Acceptance of Applications for Licensure

Dr. Lubritz moved to go into Closed Session to discuss the character and professional competence of applicants for licensure approval. Dr. Jones seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

CLOSED SESSION

13 (d) Mikhail Bargan, M.D.

Upon returning to Open Session, Dr. Montoya moved to approve Mikhail Bargan, M.D.'s application for licensure. Dr. Lubritz seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

AGENDA ITEM 15

Public Comment

Larry Matheis will forward to Dr. Baepler, as soon as possible, comments from the Nevada State Medical Association on the post-licensure competency issue. He welcomed the Board to communicate via the NSMA's publications and thanked Board staff for getting an agenda book to him for this meeting. He invited a physician Board member to become a designated "liaison" between the NSMA and the Board to attend NSMA meetings and the annual NSMA meeting, and thinks this would be a good way to increase communication between the two entities.

Dr. Hug-English asked Mr. Matheis to provide the Board with an NSMA meeting schedule.

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AGENDA ITEM 14

Matters for Future Agenda

Dr. Hug-English requested that a presentation by the NCCPA, pursuant to their letter contained in the December meeting agenda book, be placed on the March meeting agenda.

Motion by Dr. Baepler to include this item on the March meeting agenda. Dr. Anjum seconded the motion and it passed unanimously, with the Chair voting in favor.

Dr. Titus requested that a study/report on the feasibility and cost of utilizing laptop computers for Board meeting materials be placed on the agenda for a future meeting.

Dr. Hug-English directed Ms. Munson to look into this and make a presentation at the March meeting.

Motion by Dr. Titus to include this item on the March meeting agenda. Dr. Montoya seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

ADJOURNMENT

Motion by Dr. Baepler to adjourn. Dr. Anwar seconded the motion, and it passed unanimously, with the Chair voting in favor of the motion.

Dr. Hug-English adjourned the meeting at 12:50 p.m.