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Meeting Summary

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 15-17, 2019

Advanced Practice Practitioner and Allied Health Committee

Update of policy on Emergency Situations related to Physician Assistants Intent to Practice – The Board approved the committee recommendation to update NCMB’s policy addressing a PA’s ability to continue practicing after the sudden unforeseen loss of a primary supervising physician.

The revised Policy Statement/Procedure is below:

Emergency situation is defined as an injury, sudden illness, death or other unforeseen unavailability of the physician assistant ’s primary supervising physician.

In an emergency situation the Board authorizes the staff to grant the physician assistant continued ability to practice until a new intent to practice is received and processed as follows:

(1) The physician assistant shall notify the Board within two (2) business days of the emergency
situation by first calling the Board and then following up in writing to describe the emergency situation. Written notification may be submitted via email. Direct correspondence to .(JavaScript must be enabled to view this email address)

(2) The physician assistant may be given up to thirty (30) days from the date of the emergency
situation to submit an intent to practice for a new primary supervising physician.

(3) If an Intent to Practice for a new primary supervising physician is not submitted within
thirty (30) days, the physician assistant can no longer practice at the affected practice site


Amendment to PA Reactivation rule – The Board approved the committee recommendation to begin the rulemaking process to amend Rule 21 NCAC 32S. 0206 License Reactivation to increase the fee to $230, consistent with PA license application fee increases that took effect April 1, 2019.

Perfusionist rule amendments – The Board approved the Perfusionist Advisory Committee’s recommendation to begin the rulemaking process to adopt the following rules:

Rule 21 NCAC 32V. 0103 Qualifications for License. The amendment to the rule will create a process for reactivation and reinstatement of perfusion licenses.

Rule 21 NCAC 32V. 0117 Practice During a Disaster. The amendment to the rule will allow for hospital to hospital credentialing of out-of-state perfusionists to practice in North Carolina during a declared emergency or disaster.

Disciplinary Committee

Proposed rule regarding Summary Suspension – The Board approved Disciplinary Committee’s recommendation to adopt rules that describe NCMB’s procedures for summarily suspending a license. If finally approved by the NC Rules Review Commission, rule 21 NCAC 32N .0114 SUMMARY SUSPENSION will be in effect July 1, 2019.

Amended rule on initiation of disciplinary hearings – The Board approved the committee’s recommendation to amend rule 21 NAC 32N .0110 INITIATION OF DISCIPLINARY HEARINGS to include instruction on the handling of dispositive motions.


License Committee –

Adoption and amendment of emergency licensure rules – The Board approved the committee’s recommendation to adopt emergency licensure rules that will allow physicians, PAs and anesthesiology assistants who are not currently licensed in North Carolina to come into the state to practice in the event of a natural disaster or other declared state of emergency. If finally approved by the NC Rules Review Commission, the following rules will be in effect on July 1, 2019:

21 NCAC 32B .1706 - Physician Practice and Limited License for Disasters and Emergencies

21 NCAC 32S .0219 - Physician Assistant Practice and Limited license for Disasters and Emergencies

21 NCAC 32W .0116 - Anesthesiologist Assistant Practice and Limited License for Disasters and Emergencies.

Amendments to the Medical School Faculty License rule – The Board approved the committee recommendation to update and clarify who is entitled to a Medical School Faculty license. If finally approved by the NC Rules Review Commission, rule 21 NCAC 32B .1502 – Application for Medical School Faculty License will be in effect July 1, 2019. 667


Amendment to the expedited physician license application rule – The Board approved the committee recommendation to amend this rule to add the American Board of Oral and Maxillofacial Surgery (ABOMS) as a physician certification to satisfy the 3-attempt limit for passing USMLE and to remove requirements that are no longer applicable. In addition, amendments were made to clarify the rule. If finally approved by the NC Rules Review Commission, rule 21 NCAC 32B .2001 Expedited Application for Physician License


Amendments to the physician license application and license reinstatement rules – The Board approved the committee recommendation to amend these rules to add the American Board of Oral and Maxillofacial Surgery (ABOMS) as a physician certification to satisfy the 3-attempt limit for passing the USMLE and to remove requirements that are no longer applicable. If finally approved by the NC Rules Review Commission, the following rules will be in effect on July 1, 2019:


21 NCAC 32B .1303 Application for physician license

21 NCAC 32S .1350 Reinstatement of physician license.

Outreach Committee

Spanish-language version of prescribing resource – The Board accepted as information the committee report that NCMB is planning to print a Spanish-language version of the safe medication storage and disposal tearsheet it developed with several partners. Tearsheets are intended to be given to patients to advise them of strategies for safely storing medicine during an active treatment regimen and for safe disposal of unused, unneeded medicines. NCMB continues to provide free supplies of the English-language tearsheets to prescribers upon request and will make the Spanish-language version available at no charge, when they are available.

Policy Committee

Additional specialty areas of practice – From time to time, NCMB receives requests to expand the list of available specialty area of practice options provided to licensees for the purpose of making their current areas of practice known to the public. The Board approved the committee recommendation to add the following area of practice options:

• Micrographic Dermatologic Surgery (current option is MOHS-Micrographic Surgery)
• Complex Family Planning
• Hematopathology
• Pediatric Hospitalist Medicine
• Laboratory Genetics and Genomics (current option is Molecular Genetic Pathology)
• Consultation Liaison Psychiatry
• Cardiothoracic Surgery (current options include Thoracic Cardiovascular Surgery, Thoracic Surgery, or Cardiovascular Surgery)

• Neurocritical Care
• Wound Care
• Urgent Care (available on board certification list but not on area of practice list)
• Family Practice - OMT

FAQs on use of CBD products in medical settings – The Board approved the committee recommendation to develop FAQs to address questions received about appropriate use of CBD oil products in medical practice. Staff will draft FAQs for consideration by the Policy Committee at its July 2019 meeting.