The Meeting Summary provides brief descriptions of selected actions taken by the NC Medical Board during its most recent meeting or hearing. Actions are listed by committee, where applicable.
For a full account of the Board’s proceedings please check the meeting minutes, which are posted approximately two months after the meeting date. You can subscribe to our Meeting Minutes RSS feed to be notified when the minutes are posted.
Summary of the Board Meeting held May 16-18, 2018
Advanced Practice Practitioner and Allied Health Committee
EMS use of ketamine – The Board approved the committee’s recommendation to allow a pilot project requested by the NC Office of Emergency Medical Services to move forward. The pilot program would allow EMS personnel in participating counties to use ketamine for all medically indicated purposes. NC OEMS will provide a list of counties participating in the initial pilot program.
Physician obligation to complete death certificates – After discussing a case in which two physicians each refused to certify a mutual patient’s death, the committee recommended the Board develop a position statement that expresses NCMB’s belief that a physician should complete death certificates when requested, even in situations where a patient may not have been seen recently. The position statement should clearly indicate that a clinician’s best educated guess at the probable cause of death is sufficient, provided the death certificate is completed in good faith. NCMB frequently hears from families, funeral home personnel and state vital records staff that clinician refusals to sign death certificates result in delays and other difficulties related to funeral rites and estate proceedings. The Board adopted the committee’s recommendation and directed staff to develop a draft position statement.
Clarification to CS CME requirement - In July 2017, the Board approved a proposed rule to make it clear that (1) residents who have a full license rather than a resident’s training license, and (2) physicians getting their initial board certification or doing MOC are required to meet the controlled substances continuing medical education requirements set forth in 21 NCAC 32R .0103. The proposed amendment was published in the NC Register. The required comment period ended February 13, 2018, and no comments were received. If approved by the Rules Review Commission (RRC) the earliest effective date is July 1, 2018. The Board approved the committee’s recommendation to submit the proposed rule for approval by RRC.
Board Meeting schedule – The Board approved the committee’s recommendation to adopt a standard meeting schedule for each Board Meeting. Beginning November 2018, Board Meetings will begin at 8 a.m. on Wednesdays and end on Fridays at noon. Currently, Board Meetings alternate between a 2.5 day and 2-day schedule. Generally, the Board found that the 2-day meetings did not always allow for all business to be completed.
2018 Licensee survey – The Board was briefed on NCMB’s plan to conduct another survey of licensed physicians and PAs. The Board last surveyed licensees in 2015. The 2018 survey will focus on burnout/wellness, telemedicine and opioids, as well as licensee interactions with the Board. The survey is expected to be sent to a random sample of licensees in mid- to late June. To get as many responses as possible, the Board will also ask stakeholder organizations to invite their licensed physician and physician assistant members or contacts to complete the survey.