NOTICE - QUARTERLY MEETING – FRIDAY – NOVEMBER 6, 2009

           North Carolina Medical Board
           1203 Front Street
           Raleigh, NC 27609

HOST:        North Carolina Medical Board - Raleigh, North Carolina

LODGING:     Courtyard Raleigh North
             1041 Wake Towne Drive
             Raleigh, NC 27609
             (919) 821-3400
             A block of rooms is being held until October 23, 2009 at the rate of $89 + 12.75% tax per night for single/double.
             Call 800-321-2211 and indicate your affiliation with North Carolina Association Medical Staff Services, Reference
             # I-Z3KCLO when making reservations.

AGENDA:       8:00 AM – 8:30 AM        Continental Breakfast

              8:30 AM – 8:45 AM        Welcome and Introductions
                                       Tammy Davis, CPCS, CPMSM President and NCAMSS Board Members


              8:45 AM - 12:30 PM       Disruptive Behavior and Overview of the NC Physicians Health Program
                                       Dr. Michele Denker, NCPHP

                                       Overview of the North Carolina Medical Board Complaint Process
                                       Judie Clark, Director of Complaints

                                       Senior Staff Review
                                       Dr. Michael Sheppa or Dr. Scott Kirby - Office of the Medical Director

                                       Senate Bill #958
                                       Curt Ellis, Director of Investigations

                                       North Carolina Medical Board's New Website and Licensure Information
                                       Jean Fisher, Director Public Affairs and Dena Konkel, Assistant Director Public Affairs

                                       Licensing Rule Updates and Communication Course
                                       Joy Cooke, Director of Licensing and Nancy Hemphill, Special Projects Coordinator

                                       Registration and CME Random Audit Program
                                       Patricia Paulson, Registration & CME Coordinator

                                       Legal Updates
                                       Thom Mansfield, Director of Legal

             12:30 PM – 1:00 PM        NCAMSS - 2009 in Review and Preview of 2010
                                       Tammy Davis, CPCS, CPMSM, President - Fran Fallon, CPCS, CPMSM President Elect

             1:00 PM                   ADJOURNMENT
                                       Lunch will not be provided at this meeting
REGISTRATION FEE: If registration received before October 25, 2009
                  Members: $35 check/$36 PayPal             Nonmembers: $60 check/$61 PayPal
                  If registration received after October 25, 2009 (includes a $50 late registration
                  processing fee)
                  Members: $85 check/$86 PayPal             Nonmembers: $110 check/$111 PayPal

REGISTRATION FORM: Please complete the following registration form and forward to Linda Waldorf,
Treasurer, to the address listed below. If paying by check, please include the check in the envelope with the
registration form; otherwise, feel free to pay registration fee from the NCAMSS website using the PayPal
option. (check for registration fee payable to NCAMSS)

NAME ___________________________ TITLE _______________________________________

ORGANIZATION __________________________________EMAIL ADDRESS ______________

ADDRESS ______________________________________________________________________

TELEPHONE _____________________________ FAX _________________________________

Mail Registration form and Registration Fee to: Linda Waldorf, CPCS, CPMSM, Treasurer, NCAMSS,
Manager, Medical Staff Services, Duke Raleigh Hospital, 3400 Wake Forest Road, Raleigh NC 27609
Telephone: 919 954-3105 Fax: 919 954-3828

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