Board Meeting Minutes

September 18, 2003
Following 9 a.m. meeting with Board of Nursing
Conference Room III, The Ramkota Inn
Sioux Falls, South Dakota

 

The meeting was called to order at 10:00 a.m., by James Reynolds, M.D.  Present for roll call were Milton Mutch, M.D., Richard Porter, M.D., Robert Ferrell, M.D., and Patrick Burchill.  Staff members present were Paul Jensen, Charvin Dixon, Leah Jones and Jane Phalen.

The minutes of the meeting held June 3, 2003, were approved as published.

The Board then reviewed a report of licenses issued since its last meeting and accepted such for information purposes.

The Board then reviewed a report of board actions and accepted such for information purposes.

The Board then elected Robert Ferrell, M.D., as President, James Reynolds, M.D., as Vice President, and Richard Porter, M.D., as Secretary.

The Board met with Michelle Tapken, First Assistant U.S. Attorney, and Jonathan Kobes, Assistant U.S. Attorney, regarding healthcare fraud.

The Board met with David Kapaska, D.O., regarding the current requirements concerning the USMLE examination.  After discussion, the Board determined that it would contact the USMLE for information concerning USMLE examination requirements.

The Board met with the physician assistant sub-committee members, James Cody and Rodney King.  Discussion was held concerning instances where a primary supervising physician is called to active duty.  Following discussion, Dr. Porter moved that the Board waive its reinstatement fee and require the primary supervising physician, the physician who will assume the primary supervising physician’s role, and physician assistant to provide a letter to the Board indicating the primary supervisor’s activation, the assumption of the primary supervisory role by the new physician, and the time period the physician would be absent.  The motion was seconded and carried.

Discussion was held concerning emergency room privileges for physician assistants.  After discussion, Dr. Mutch moved that the Board continue to require ATLS training for physician assistants requesting emergency room privileges.  The motion was seconded and carried.  Dr. Porter moved that sub-speciality physician assistants would not be required to obtain ATLS training, but that such training is strongly recommended.  The motion was seconded and carried.

Discussion was held concerning physician assistant locum tenens fees.  After discussion, the Board determined that the Board will charge $50 for each locum tenens permit.  Discussion was also held concerning supervision for locum tenens physician assistants.

The Board then reviewed a letter from James M. Anderson, M.D.

Discussion was held concerning IHS physicians.  Following discussion, Mr. Burchill moved that Paul Jensen and Dr. Ferrell meet with Governor Rounds regarding this issue.

The Board then discussed standard of proof and competency standard issues.  Dr. Mutch moved that the Board review definitions of gross incompetence versus incompetence and obtain additional information regarding the standard of proof and competency standard.  The motion was seconded and carried.

Discussion was held concerning temporary permits for respiratory care practitioners.  After discussion, Dr. Porter moved that the Board no longer issue temporary permits.  The motion was seconded but did not carry.  Mr. Burchill then moved to amend the law to expire the permit upon the permit holder’s failure of the licensure examination.  The motion was seconded and carried.

The Board reviewed proposed changes to the athletic trainer practice act.  Mr. Burchill moved that the Board oppose independent practice by athletic trainers.  The motion was seconded and carried.

There being no further business, the meeting adjourned at 2:30 p.m.