The meeting was called to order at 11:00 a.m. by Robert Ferrell, M.D., President of the Board. Present for roll call were Robert Ferrell, M.D., James Reynolds, M.D., Milton Mutch, M.D., Richard Porter, M.D., Brent Lindbloom, D.O. and Patrick Burchill, lay member. Staff members present were Paul Jensen, Denny Duncan, Brent Wilbur, and Jane Phalen.
The Board reviewed the minutes of the meeting held September 17, 2004. Dr. Mutch moved to accept the minutes as written. The motion was seconded and carried.
The Board reviewed the minutes of the conference call held November 5, 2004. Dr. Reynolds moved to accept the minutes as written. The motion was seconded and carried.
The Board reviewed the financial report. Dr. Reynolds moved to accept the report. The motion was seconded and carried.
The Board met with Dr. Wenceslaus Dias and Tim Tracy, Administrator of Sioux Valley Vermillion Clinic at 11:00 a.m. with respect to his pending application to practice medicine in the State of South Dakota. Dr. Dias addressed the Board concerning his application for medical licensure in South Dakota. At the conclusion of the information offered by Dr. Dias and Mr. Tracy, the Board posed questions to Dr. Dias with respect to his medical practice experience . Dr. Porter moved that the Board enter an executive session for the purpose of consulting with legal counsel. The motion was seconded and carried. The Board came out of executive session at 11:30 a.m. Dr. Lindbloom moved that, pending a favorable report as to Dr. Dias’ practice experience from the hospital in Drexler, MO, the board grant the application of Dr. Dias on the following conditions: (1) That Dr. Dias be granted a license provided he is proctored by a surgeon from Yankton who will review his cases for one year and provide the Board with a report of Dr. Dias’ competence and outcomes. (2) Dr. Dias will provide a written summary of his surgical cases and their outcomes to the Board on a quarterly basis for a period of one year to permit the Board to monitor Dr. Dias’ practice experience. The motion was seconded and carried.
The Board met with the Physician Assistant sub-committee members, James Cody, PA-C, Rodney King, PA-C and Jan Hines, PA-C. Discussion was held concerning drafted position statements regarding Multiple Supervising Physicians and Emergency Room Services pertaining to physician assistant coverage. The purpose of the statements was to memorialize the positions of the Board on issues and can be amended as circumstances warrant. Mr. Cody proposed that the term Collaborative Agreement be changed to practice agreement on position statement #2 dealing with Emergency Room Services. After discussion, Dr. Lindbloom moved to amend the position statement #2 as suggested by Mr. Cody. The motion was seconded and carried. Dr. Lindbloom then moved to accept the amended position statement #2. The motion was seconded and carried. Dr. Reynolds moved to accept position statement #1 regarding Multiple Supervising Physicians. The motion was seconded and carried.
Ms. Hines initiated discussion regarding the use of telecommunications and the impact on the supervision requirement for physician assistants and their primary physicians. In particular, the board addressed a request concerning supervision in a rural area and a proposed modification for supervision of the physician assistant practice to be conducted through telecommunications. After discussion, Dr. Reynolds moved that the request be considered by the Board as a trial case for telecommunication to fulfil the supervision requirements and that the Board would expect a report in 3 months as to the status of the trial case and protocols that are established in this situation. The motion was seconded and carried. The physician assistant sub-committee will be in contact with the trial location physician and will act as a resource to develop protocols.
Discussion was held concerning proposed legislation dealing with Expert Witness for use in state courts. This was accepted for information.
The Board reviewed the draft Policy on National Reporting of license sanctions. Dr. Lindbloom moved that the policy be accepted as written. The motion was seconded and carried.
Discussion was held concerning the drafted position papers for Physical Therapy Assistants and Occupational Therapy Assistants in regards to their supervision and licensure. Dr. Mutch moved that the Board accept the position papers as written. The motion was seconded and carried.
The Board reviewed the issue of whether South Dakota health care facilities may honor orders written by out-of-state physicians for treatments to be performed at their facilities. After discussion, Dr. Lindbloom moved that it is not deemed to be the practice of medicine in this state for a physician practicing outside the State of South Dakota to issue written treatment orders to health care facilities in this state to provide treatment or therapy to a patient. The motion was seconded and carried.
Discussion was held concerning the drafted position statement regarding Termination of Treatment. After discussion, Dr. Mutch moved to approve this statement. The motion was seconded and carried.
The Board reviewed the listing of license applications acted upon since the last meeting. The Board accepted such for information.
Discussion was held concerning Dr. Stanley Gallagher and the agreement sanctioning his license to practice in South Dakota. After discussion, Dr. Mutch moved to approve the terms of the agreement proposed to Dr. Gallagher. The motion was seconded and carried.
The Board held discussion concerning Dr. William Lee and the agreement conditioning his South Dakota license based on action taken by the Minnesota Board of Medical Practice. After discussion, Dr. Porter moved to approve the terms of the agreement as proposed to Dr. Lee. The motion was seconded and carried.
Discussion was held regarding Dr. Steven Schwartz and his request for a modification to his stipulated agreement. After discussion, Dr. Mutch moved that the Board request information from Dr. Schwartz detailing his training and activities up to the present date. The motion was seconded and carried.
The Board reviewed a status report on pending and completed Board Actions and accepted such for information.
The Board reviewed the Malpractice Reports and accepted such for information.
Discussion was held concerning the meeting between Governor Rounds and the various boards in the state. This was accepted for information.
The next meeting will be held in April on a date yet to be determined.
There being no further business, the meeting adjourned at 3:00 p.m.
