Minutes of the                                                                              

North Carolina State Board of Optometry                           

November 11–14, 2010

Grove Park Inn

Asheville, North Carolina

 

The North Carolina State Board of Examiners in Optometry met at the Grove Park Inn in Asheville, North Carolina on November 11 – 14, 2010 to conduct a formal hearing on the petition of James B. Black, O.D. for restoration of his license to practice optometry, to hold its regularly scheduled Fall Meeting, to monitor the Educational Program at the Fall Educational Congress of the North Carolina State Optometric Society, and for other purposes.  Present were, Dr. Michael Clark, President, Dr. William Rafferty, Secretary/Treasurer and Drs. David Anderson, Andrew Cook, Harold Herring and Mr. Roger Mitchell and Ms. Mary Richardson, Members of the Board.  Also present was Dr. John Robinson, the Board’s Executive Director, Mr. Johnny Loper, the Board’s attorney and Mr. James Wilson, Special Counsel to the Board.  Present at the hearing on the petition for restoration of his license at the time certain of 2:30 P.M. on Thursday was Dr. James B. Black, his attorney, Mr. Alvin A. “Whit” Powell, and Taura J. Hamilton, CSR, RPR whose services to record the hearing were arranged by the Board.  

 

The President called the meeting to order at 8:40 A.M. after which he read the ‘ETHICS AWARENESS & CONFLICT OF INTEREST REMINDER’ as required by the North Carolina State Ethics  Commission (a copy of the statement was included in each Member’s meeting notebook).  

 

Approval of Minutes.  On a motions by Mr. Mitchell seconded by Ms. Richardson and carried  unanimously the Minutes of the regularly scheduled meeting on September 16-17, 2010, the special meeting on October 19, 2010 and the special meeting on October 29, 2010 were approved.

 

 

Report of the President   Dr. Clark thanked the Members of the Board and its Staff for their support thus far in his Presidency noting that these are turbulent times in the profession and that the continued recognition of this Board as the final authority in the validation of both the initial and the continued competency of its licensees is vital to the concept of the various states’ authority to define professional scopes of practice and  to license and regulate the various health professions serving its citizenry in this regard.   While he had no specific issues  he wished to address at this time there would be opportunities to do so during

the course of the meeting.   He then asked for the continued support of every  Member of the Board and commended them on their willingness to serve the citizens of North Carolina as Members of the State Board of Examiners in Optometry.  On a motion by Dr. Cook seconded by Dr. Herring and carried unanimously the report of the President was accepted. 

 

Report of the Secretary/Treasurer.  Dr. Rafferty reviewed the Budget Report of 07/01/10 through 11/08/10 noting that revenues showed an expected increase over past   years based upon the fact that license renewals were mailed approximately three and a half weeks prior to his report and that with the exception of the “legal & investigative” expenses the expenses so far for the year compared to the budgeted amounts were about where it was hopped they would be.  Following the answering of questions and clarifications by Dr. Rafferty and the Executive Director on a motion by Dr. Anderson seconded by Ms. Richardson and carried unanimously the report of the Secretary/Treasurer was accepted.

 

Report of the Executive Director.  The 2011 license renewals were mailed on October 18th this  year, three weeks in advance of this meeting in keeping with the goal we set a year ago.  Printing of all of the license renewal forms, the branch office renewal forms, the continuing education transcripts and the envelopes was accomplished without major ‘glitches’.  Those that did occur were quickly remedied by John Dixon who continues to ‘tweak’ the software when called upon to do so by the Staff.  I would now like  to briefly go over some of the more important issues that we have dealt with since our last meeting in order to update you as a Board and to answer any questions you might have.

·        Amendments to the Board Rules and Regulation are now before the Office of Administrative Hearings.  Copies of the amendments that include those changes recommended by the Staff of the Administrative Hearings Office as published in the North Carolina Register are in your meeting note books.

·        Governor Purdue’s “Rules Modification and Improvement Program”.  Dr Anderson, Ms. Peterson and myself met with Mr. Loper and Ms. Amanda Ray in their offices in Raleigh not long before this meeting to review all of the Board’s Rules in an effort to identify rules that were considered either out dated or no longer necessary or appropriate.  Upon completion of that effort Ms. Ray reported the results to the Office of Administrative Hearings.

·        Complaints.  There has been an alarming increase in the number and type of complaints we are getting regarding advertisements including, but not limited to web sites that are thought to be false and/or misleading by those filing the complaint  (the complaints are coming from other optometrists).

·        The unauthorized sale/dispensing of contact lenses by non-licensed businesses.  The Board received a letter from the President of the State Society asking the Board to address the issue.  After discussing the matter with the President of the Board and with the Board’s attorney a letter in response to the President of the Society has been drafted and is a part of your notebook awaiting approval prior to its being sent.  With the help of Mr. Loper forms have been prepared for use by patients and their optometrist in reporting the illegal sale and dispensing of contact lenses by non- licensed persons and/or businesses where “patient harm” has resulted.  It is recommended that both the letter and the forms be made available for quick and easy access by the public by providing links to both on the Board’s web site.  

·        The National Board of Examiners in Optometry (NBEO) has announced that it is adding the testing of the use of “injections” to their examinations beginning in 2011.  The Board notified all of the schools and colleges in July of 2006 that beginning with the graduating class of 2010 applicants to take the North Carolina licensing examination must provide evidence satisfactory to the Board that they have received training in the use of injections in the practice of optometry as a part of their optometry school’s curriculum.  It is recommended that letters going to applicants who are graduates in 2011  and who wish to apply to take the Summer 2011 examinations be notified that they are required to take and pass the injection examinations conducted by the NBEO if they are to be admitted to the North Carolina clinical/practicum examinations.

·        As instructed at the Board’s September meeting  following the discussion of the issue there is a copy of the Board’s letter in your current meeting notebook in response to the inquiry by  Drs. Barker and Hollis that was received just prior to that meeting that sets forth the Board’s Policy regarding the use of “mobile eye clinics” (the letter was circulated to the Members of the Board for comment prior to its being sent).  

 

Dr. Clark, this concludes my report; however, as the meeting progresses there may be additional items that need to be addressed.  Following brief discussion and the answering of a number of questions for the purpose of clarification, on a motion by Mr. Mitchell seconded by Ms. Richardson and carried unanimously, the report of the Executive Director was unanimously accepted.

 

Illegal Sale and/or Dispensing of Contact Lenses - Posting of Board’s Letter and Patient’s Complaint Forms on the Board’s Web Site.  As stated in the report of the Executive Director a draft of a letter and forms for reporting injury or harm as a result of wearing contact lenses that were sold or dispensed illegally awaiting the Board’s action (approval) is in the meeting notebook in response to the inquiry by the President of the North Carolina State Optometric Society regarding the illegal sale and dispensing of contact lenses.  On a motion by Dr. Cook seconded by Dr. Anderson and carried unanimously the letter and forms were approved and the Executive Director was instructed to post them on the Board’s web site for easy access by both practitioners and patients.  The “Complaint Forms” are designed for use to file complaints with the Board when reporting ‘patient harm’ resulting from the wearing of contact lenses that were sold and/or dispensed ‘illegally’ by an unlicensed person(s) or business.   The Executive Director will hand deliver the letter and the forms to the President and the Members of the Society’s Executive Council at their meeting prior to the start of the Society’s Fall Educational Congress.

 

Memorandum to Licensees Regarding False and/or Misleading Advertising.  Recognizing how long it has been since the last letter from the Board regarding this subject was sent to its licensees, the numbers of practitioners that have been licensed during the interim and the increasing numbers of complaints regarding false and/or misleading advertisements, it was the consensus of the Board that another letter to all licensees on this subject be drafted for approval by the Board at its next meeting.   Following discussion and without objection the President directed the Executive Director to look at past letters on the subject and to draft a new one keeping in mind the new modes of advertising, particularly the increasing use of web sites.  

 

 

The Regional Association of Regulatory Boards in Optometry (ARBO) Held in Conjunction with  the SECO International Educational Congress    SECO and the Regional Meeting of the Association of Regulatory Board’s in Optometry are scheduled to be held in Atlanta March 2 - 6, 2011 and are traditionally attended by the Executive Director and one or more of the Professional Members of the Board.   Dr. Cook will be attending the meeting as an official of SECO.  Following the polling of the Board Members on a motion by Mr. Mitchell seconded by Dr. Anderson and carried unanimously the Board approved the registration, travel, four hotel nights and food expenses and five per diems for Drs. Clark and Rafferty to attend this meeting.  As is customary the registration, travel, four hotel nights and food expenses for this meeting were approved for the Executive Director should he be able to attend.  

 

Report of the Examination Review Committee.   Dr. Rafferty reported on behalf of the Examination Review Committee.  He and the Executive Director met in the Board office on Wednesday, October 20, 2010 with two candidates who were not successful in passing the Summer 2010 Clinical/Practicum Examinations.   The scoring of the examinations (including the notes made by the clinical examiners) was reviewed with each candidate.  Following the review of their results no evidence was discovered to support changes in either candidate’s score; therefore, it is recommended that the results of the examinations stand as reported.  On a motion by Dr. Anderson seconded by Mr. Mitchell and carried unanimously the Board approved the report and recommendations of the Examination Review Committee and that the examination results stand as reported to the candidate. 

 

Winter 2011 Clinical/Practicum Examinations.   Based upon the number of applications held over from the Summer 2010 examinations and the remaining applications on file at the time of this meeting,  it appears that the number of applicants taking the Winter 2011 examinations will  be no more than twenty.  There is a possibility – though remote - that there could be less than ten applicants by the time of the deadline for filing applications meaning there would not be an examination (for the first time ever).  Assuming that the number will not exceed twenty, no more than four sessions over a period of two days will be required.  Therefore, it is recommended that the Board and Clinical Examiners arrive in Raleigh on Friday afternoon February 18, 2011 for orientation and examination stations set-up. Three sessions will be conducted on Saturday the 19th, and if required the remaining ones on Sunday, February 20th.  In the unlikely event that the number of applicants exceeds 20 it would be possible to do three sessions on Sunday.  Until we have information otherwise the Board office is looking at a schedule that will accommodate up to twenty candidates with the Board Members and Clinical Examiners arriving at the McKimmon Center at 4 P.M. on Friday, February 18, 2011 with departures no later than 3 P.M. on Sunday afternoon, February 20, 2011. On a motion by Dr. Cook seconded by Dr. Anderson and carried unanimously the Executive Director was authorized to select the Clinical Examiners from  those who were at the Summer 2010 Examinations and if necessary from those who have served previously as Examiners.  Should it become necessary he may select one or more Examiners from those individuals who have appeared as observers at a previous examination. Preference is to be given to Drs. Lee McPherson and James Williams.  Finally, following brief discussions the Executive Director was authorized to proceed with plans for a two day examination schedule with arrivals by the Board and the Clinical Examiners at the McKimmon Center in Raleigh on Friday, February 18th , 2011 at 4:00 P.M.

 

Meeting To Determine the Winter 2011 Examination Results.  A date for the Board to meet to determine the results of the Winter Examination must be established prior the end of the February meeting.  A polling of the Board Members resulted in the week-end of  March 25 - 26, 2011 being designated as the dates for Board to meet to determine the results of the Winter 2011 Clinical/Practicum Examinations.    Members were requested to review their calendars upon returning home in order to avoid conflicts with these dates.

 

  Date To Review Examination Results.  The date established for those applicants who might not be successful in passing the Winter 2011 examinations to review their results with representatives of the Board is will be Wednesday, April 20, 2011. The President will appoint the Board Member on the Examination Review Committee at the time of the start of the Winter 2011 Examinations.

 

At 11:50 A.M. the meeting was recessed until the time certain of 2:30 P.M. when the Board will conduct a Public Hearing on the Petition of Dr. James B. Black for the restoration of his license to practice optometry.

 

Public Hearing.  Precisely at the hour of 2:30 P.M. the President of the North Carolina State Board of Examiners in Optometry, Dr. Michael Clark, called to order  a “specially called meeting”, the purpose of which was a “Public Hearing” on the request of James B. Black, O.D., for restoration of his license to practice optometry.  All Members of the Board were present, as was Dr. Black.  Also present was Dr. John Robinson, the Board’s Executive Director.  The Board’s attorney, Mr. Johnny Loper, represented the Board.  Alvin W. “Whit” Powell represented Dr. Black.  James A. Wilson served as special counsel to the Board and hearing advisor to the Board’s President.  

 

The meeting having been called to order, the Board President, Dr. Michael Clark reminded the Members of the Board of their responsibility to read and follow “Ethics and Conflict of Interest Reminder” prepared by the North Carolina State Ethics Commission, a copy of which was in each Member’s possession.  The only business before the Board was Dr. Black’s hearing, which was conducted pursuant to section 90-121.4 and Article 3A of Chapter 150B of the General Statutes.  A verbatim transcript of the proceedings was prepared by Taura J. Hamilton, CSR, RPR whose services had been engaged by the Board for that purpose.

 

At the conclusion of the formal hearing the Board went into closed session for the purpose of deciding the matter.  On  returning to open session the Board made public its decision to restore Dr. Black’s license contingent upon certain terms and conditions, said terms and conditions to be set forth in an Order to be entered establishing the Board’s decision in this matter.  A copy of the Order shall be a part of these minutes (a copy of the Order is on file with the Board).

 

Dr. Clark recessed the meeting at 4:20  P.M. on November 11, 2010.  The time remaining in Asheville was devoted to attending and participating in the orientation sessions for the new licensees and in monitoring the continuing education program at the Fall Educational Congress of the North Carolina State Optometric Society.  Adjournment was at noon on Sunday, November 14, 2010.

 

The next meeting of the Board to conduct the Winter 2011 Clinical/Practicum Examinations and for other purposes will be in Raleigh, N.C. at the Jane McKimmon Center beginning at 4:00 P.M. on Friday, February 18, 2011.  Adjournment will depend on the number of applicants but is anticipated to be no later than 3:00 P.M. on Sunday, February 20, 2011.

 

                                                                                                Approved 02/18/2011

                                                                                                Raleigh, NC