Visits to the Stead Center are by appointment only. Please call the NCAPA office for more information. Read More »

Visits to the Stead Center are by appointment only. Please call the NCAPA office for more information. Read More »

The Pulse | March 2017

In this issue:

 

President’s Letter

 

Legislative Updates

 

NC Responds to Opioid Crisis

 

41st Annual NCAPA Summer Conference

 

Upcoming Regional CME Workshops

 

TAPA 2017 Spring CME Conference

 

Interested in Serving on the Board? NCAPA Seeking Nominations

 

Seeking House of Delegates Nominations

 

Varnell McDonald-Fletcher, PA-C, Appointed to NCMB

 

Service for Victor Germino, PA Pioneer

 

Never Doubt Your Impact

 

PAs Can Make a Difference in NC Community Health Centers

 

NCAPA Endowment Student Scholarship:High Point University

 

Elon University Recognizes NCAPA

 

High Point University Seeking 2017-2018 Preceptors

 

Controlled Substances CME Requirements

 

Take Steps to Protect Your Career

 

Comprehensive Online Review for the PANCE/PANRE

 

Welcome Members!

 

President’s Letter

 Bowtie photo_Truettby Truett Smith , MPAS, PA-C

Happy spring!!! Last weekend, the cherry trees were blooming in Washington, DC as our NCAPA delegation of five converged to attend the AAPA’s Leadership and Advocacy Summit. This year’s event was sold out, probably due to such “hot topics” as FPAR (Full Practice Authority and Responsibility) and the future of Recertification Exams. The AAPA solicited comments from constituent leaders concerning the possible hurdles and potential solutions if FPAR is approved by the AAPA House of Delegates in 2017. We also discussed a potential roadmap and associated costs of developing a new Certification and Recertification organization to compete with the NCCPA. The full results of AAPA’s FPAR survey was very favorable and can be found here. More to come in May!

NCAPA Delegation, L-R: Truett Smith, PA-C, NCAPA President; Emily Adams, NCAPA Executive Director;
Samantha Rogers, PA-C, NCAPA President-Elect; Marc Katz, PA-C; Wanda Hancock, PA-C, NCAPA Immediate Past President; (Not pictured, Rick Ulstad, PA-C)

The Government Affairs Committee and our lobbyist have been busy advocating for House Bill 11: Handicap Parking Privilege Certification. HB 11 passed the North Carolina House of Representatives on the afternoon of Tuesday, March 14th, with a vote of 114-4. An amendment to the bill was proposed by Rep. Josh Dobson, one of the bill’s sponsors, which clarifies that certified nurse midwives may only sign for an initial application for a windshield handicap placards. The amendment passed unanimously, 118-0, and does not change the bill’s language clarifying that PAs and NPs may sign for handicap plates and placards. The bill now goes to the Senate for consideration.

We are also closely watching and seeking comment on a Bill that was recently filed by both the Senate and the House called the Strengthen Opioid Misuse Prevention (STOP) Act. This bill is aimed at combating opioid misuse and abuse. While we agree that opioid misuse and addiction are local and national epidemics, there are parts of this bill which may place unnecessary burden on patients, specifically Part II, Section 3. We will work with Legislators to improve this language and intent of this very important bill.

We have a lot of legislative action going on. Remember to mark your calendars for April 25th, which is PA Day at the NC Legislature. Please come join us – you can sign up here. There is strength in numbers.

NCAPA held another successful Recertification Exam Review Conference in Durham. There were over 300 conference attendees. In conjunction with the conference, we held our very first Job Fair on the preceding Friday. Based on the feedback, we plan on hosting additional job fairs. And speaking of jobs, if you are currently looking, be sure to check out our new Career Center.  We currently have over 200 jobs listed on our site. You can also upload your CV for potential employers to view.

If you have never been to an NCAPA Board meeting, please join us April 29 at the Stead Center in Durham. These meetings are open to all NCAPA members and we believe that you will find the meetings to be very informative. If you are interested in attending, just let us know by emailing kerstin.becker@ncapa.org.

On a national level, the AAPA Annual Conference will be held in Las Vegas May 15-19. Hope to see you there!

Until next month,

Truett

Truett Smith, MPAS, PA-C, DFAAPA

NCAPA President

 

Legislative Updates

by Sarah Wolfe, Assistant Vice-President, McGuire Woods Consulting 

Sign Up for PA Day at the Legislature!
Join us for our second annual advocacy day at the North Carolina General Assembly on Tuesday, April 25. With so much changing in health care policy at both the state and federal levels of government, it is more important than ever that we engage with our elected officials about the issues that are important to the PA profession. PA Day at the legislature is an excellent opportunity to start those conversations.

Click here to sign up today!


Strengthen Opioid Misuse Prevention (STOP) Act
Earlier this month, a group of House and Senate Republicans joined forces with Attorney General Josh Stein, a Democrat, to put forth a proposal that intends to combat the state’s growing opioid addiction crisis. The Strengthen Opioid Misuse Prevention (STOP) Act, intends to curb the misuse of opioids through strengthening reporting requirements to the Controlled Substances Reporting System, limiting the number of painkillers that providers can prescribe, and investing in community treatment programs.

The proposal has strong bi-partisan support in both chambers. In the House, the proposal has four primary sponsors and 71 co-sponsors, accounting for over 60% of the 120 members. In the Senate, the proposal has three primary sponsors and 15 co-sponsors.

NCAPA supports efforts by the legislature to combat opioid addiction epidemic, but if you have any recommendations on how to further improve the legislation, please send your suggestions to Sarah Wolfe, NCAPA’s government affairs consultant, at swolfe@mwcllc.com.


DMV Handicap Placard Issue
HB 11: Handicap Parking Privilege Certification was filed by Reps. Gale Adcock (D-Wake), Josh Dobson (R-McDowell), Jon Hardister (R-Guilford), and Carla Cunningham (D-Mecklenburg) on January 25. HB 11 received unanimous approval from the House Transportation Committee on March 7, and was passed by the House on Tuesday, March 14.

Additionally, Sens. Andrew Brock (R-Davie), Wesley Meredith (R-Cumberland), and Ralph Hise (R-Mitchell) filed a similar bill on March 1 – SB 160: Handicap Parking Privilege Certification. The only difference between HB 11 and SB 160 is that HB 11 includes CNMs, in addition to PAs and NPs. SB 160 only addresses PAs and NPs.

Be sure to check out the Legislative Action Center for more information on the STOP Act, as well as updates on the handicap placard legislation and other legislative happenings.

 

NC Responds to Opioid Crisis

By Emily Adams, NCAPA Executive Director

North Carolina policy makers and public health officials are focusing a lot of effort and attention on the opioid epidemic that is facing North Carolina. As health care providers, PAs see the devastating results of opioid abuse. In 2016, the federal government expanded prescribing privileges to PAs, with additional training, for office-based opioid addiction treatment with buprenorphine. There has also been a concerted effort to increase access to Naloxone to reverse opioid overdose. Harm Reduction workers and first responders have received training and access to the lifesaving drug.

On March 6th, I attended the Turn the Tide Event at Duke, where state and federal public health officials, healthcare providers, law enforcement, risk reduction and treatment providers gathered to discuss the issue and look to solutions. Increased access to Naloxone was credited with a dramatic increase in overdose survival. However, all participants agreed that access to high quality and affordable treatment options across the state is a key gap in addressing this issue. On the following day, Dr. Mandy Cohen, the new NC DHHS Secretary, sent a letter to all prescribers asking for their help. PAs are an important part of addressing this issue, and NCAPA will continue to look for opportunities to work on behalf of all PAs.

We expect to see many legislative initiatives to address the opioid epidemic this session. While speaking on the newly proposed legislative initiative, the STOP Act, the bill sponsors stated that this is only the beginning of several proposals to come. If you are able, I hope you will join us at PA Day at the Legislature on April 25th to connect with your legislators to discuss this and other matters important to PAs and patients.

 

41st Annual NCAPA Summer Conference

Embassy Suites, Kingston Plantation
August 20-25, 2017
Myrtle Beach, SC

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The NCAPA combines the best CME conference for PAs with a family-friendly beach vacation.  We start our sessions early and end early so you can have the best of both worlds!

NCAPA has reserved a block of rooms at the Kingston Plantation in Myrtle Beach.  Rooms in our block fill up very early, so we recommend you book your room ASAP!  Click here to reserve your room or call (843)449-0006 and use the group code NCA.

 

Upcoming Regional CME Workshops

Joint Injection Workshop
April 1, 2017
9am-Noon
Methodist University
Fayetteville, NC

 

Registration is now open for a hands-on Joint Injection workshop to be held at Methodist University in Fayetteville, NC.  This workshop will appeal to a broad range of practitioners who are developing joint and soft tissue injection techniques.

Registration is open!

Anatomical landmarks will be reviewed using a unique teaching style.  Participants will demonstrate the ability to implement evidence-based practice guidelines in clinical decision-making as well as demonstrate appropriate injection techniques using our joint injection models.

All participants are encouraged to dress comfortably for this workshop!

This program has been reviewed and is approved for a maximum of  3 hours of AAPA Category 1 CME Credit by the Physician Assistant Review Panel.  Physician Assistants should claim only those hours actually spent participating in the CME activity.

AAPA Category 1 CME logo

Pharmacology Workshop
May 6, 2017
9am-3:30pm
Edison Square Family Medicine
Concord, NC

 

Registration is open!

Pharmacology is at the center of how we treat patients. We must have a functional clinical understanding that is applicable. This workshop is taught by John Bielinski, PA-C and focuses on conceptual understanding and NOT rote memorization, called “active engagement learning.” When the mind is engaged we deeply learn. This interactive pharmacology workshop will provide a foundation of knowledge and test your understanding with audience response units (anonymously!)

Here’s what to expect:

  • Understand the antihypertensive
  • Master the drugs of advanced life support
  • Learn the indications of antiarrhythmic
  • Confidence in the pulmonary medications
  • Review medications for CHF
  • Explore the medications of arterial risk factor reduction
  • Clinical application of antibiotics
  • And much more

This program has been reviewed and is approved for a maximum of 6 hours of AAPA Category 1 CME Credit by the Physician Assistant Review Panel.  Physician Assistants should claim only those hours actually spent participating in the CME activity.

 

TAPA 2017 Spring CME Conference

The Stead Center
1121 Slater Road, Durham, NC
April 22, 2017 | 7:45am – 4:00pm

 

Triangle Area Physician Assistants is holding a 2017 Spring CME  Conference, which will include 7 hours of FREE Category 1 CME*. This will include new controlled substance requirements. The event will has a 75-seat capacity and will be held at the Stead Center in Durham. Register today!

* This program is not yet approved for CME credit. Conference organizers plan to request 7 hours AAPA Category 1 CME credits from the Physician Review Panel. Total number of approved credits yet to be determined.

 

Interested in Serving on the Board? NCAPA Seeking Nominations

by NCAPA Nominating Committee

The NCAPA Nominating Committee is soliciting candidates for open positions on the Board of Directors and Nominating Committee in 2018. Serving on the NCAPA Board is an important way to contribute to your profession and a wonderful leadership experience. North Carolina is often cited as a great state in which to practice as a PA. It got that way through the vision, leadership, and volunteer work of PAs just like you!

If you know a PA who cares deeply about the profession, who wants to contribute to the future of the profession, who is a good listener, collaborator, and decision maker—or if you are that person—please nominate her/him for a position on the NCAPA Board of Directors.

The following positions for elected offices are open for nominees: President-Elect, Treasurer, Director-At-Large (three positions), and a Nominating Committee Member. To read more about these positions and to nominate yourself or a colleague, click here. The deadline for nominating a colleague is May 31, 2017. The deadline for nominating yourself is August 1, 2017.

All terms begin January 1, 2018. Nominees for officer positions (President-Elect and Treasurer) must be an NCAPA Fellow member in good standing. All other nominees must be a Fellow or Associate member.

 

Seeking House of Delegates Nominations

by NCAPA Nominating Committee

Nominations are now open for candidates seeking to be the NCAPA representatives to the American Academy of Physician Assistants (AAPA) 2018 and 2019 House of Delegates (HOD).

The AAPA HOD is the representative governance body for the national professional organization. It is comprised of delegates who represent chapters and other constituent groups. The number of HOD representatives from NCAPA is based on the number of AAPA Fellow members in North Carolina. Based on the growing number of PAs in North Carolina, NCAPA has nine (9) delegate slots to fill. NCAPA also elects two extra, back-up delegates who are expected to attend the HOD meetings and will step in when other delegates leave the floor. In total, NCAPA fellow members will elect a total of eleven (11) people to the HOD.

Nominations for Delegates are being accepted for a term of office that begins on July 1, 2017, and ends on June 30, 2019. NCAPA Fellow members may self-declare or nominate another Fellow Member. (Fellow members are PAs who are members of both AAPA and NCAPA.) Those elected will represent NCAPA at the 2018 and 2019 AAPA HOD meetings, with travel, lodging, and meal expenses paid by NCAPA.

In order to be eligible, you must:

  • Be a Fellow Member in good standing through the previous calendar year.
  • Submit a Letter of Intent and brief Platform Statement to the NCAPA Nominating Committee via the NCAPA Executive Director no later than May 1, 2017.

Voting by electronic ballot will begin May 20 and close June 5, 2017. Only NCAPA Fellow members in good standing are eligible to vote.

NCAPA’s delegates and back-up delegates will be ranked, based upon the number of votes each candidate receives. The top nine vote getters will be delegates and the 10th and 11th vote getters will serve as extra delegates. Election results will be announced by June 19, 2017.

To submit your Letter of Intent and Platform Statement, please send one of the following ways:

  • email: emily.adams@ncapa.org, or
  • fax: 919-479-9726, Attn: Emily Adams or
  • by mail to Emily Adams, NCAPA, 1121 Slater Road, Durham, NC 27703. If sending by mail, please allow enough time for your materials to arrive by May 5th.

If you have any question, please contact Emily Adams, NCAPA Executive Director, at emily.adams@ncapa.org or by calling 919-479-1995.

 

Varnell McDonald-Fletcher, PA-C, Appointed to NCMB 

by Marc Katz, PA-C

Interviews were held in January for the vacated PA Medical Board seat. Eight well qualified candidates were interviewed by Review Panel members. To those unfamiliar with the North Carolina Medical Board Review Panel, this group was legislatively mandated 9 years ago (N.C.Gen.Stat.§90-3 ) to interview and recommend to the Governor potential Medical Board members. Members of the Review Panel consist of 4 physicians from the North Carolina Medical Society, 1 physician from the North Carolina Osteopathic Society, one member representing the North Carolina Old State Medical Society, 1 member from the North Carolina Association Council of Nurse Practitioners, 1 public member from the North Carolina Medical Board and 1 member from the North Carolina Academy of Physician Assistants. It has been my honor to be Vice Chair of this group since it’s inception.

Two names were given to the Governor for consideration for the PA seat. I am very pleased to announce that Governor Cooper has appointed Varnell McDonald-Fletcher, PA-C, Ed.D to the North Carolina Medical Board to fill the seat until the term expires on October 31, 2018.

Ms. McDonald-Fletcher currently specializes in colorectal surgery and practices at the VA Hospital in Durham, where she has administrative and clinical responsibilities. Ms. McDonald-Fletcher earned degrees in biology and chemistry at North Carolina Central University and completed her training as a PA at Duke University. In 2010, she was involved with the PA Teaching Fellowship program at Duke University. Ms. McDonald-Fletcher has also completed the PA Surgical Residency Program at Norwalk Hospital/Yale University. She is a Fellow member of NCAPA and has served the profession previously on the Board of Directors of NCCPA  from 2009-2015.

 

Service for Victor Germino, PA Pioneer

by Reginald Carter, PhD, PA

A memorial service was held for Victor Germino at the Stead Center on Wednesday, March 8th to celebrate his “full and adventurous life.”  Over 100 people attended the service held in the Harvey Estes, Jr. conference center with additional seating provided in the adjacent garden.  The Rev. Charles McKenzie welcomed friends and special guest on behalf of the family and gave the Eulogy.  Mr. Sherwin Joyner provided special music and members of Vic’s immediate family spoke fondly about his dedication to family, friends, patients and his pride in being one of the first PAs educated in the United States.  The service ended with a flag ceremony and Taps.  A reception was held immediately after the service to allow family to greet those who attended.  Those in attendance from the Duke PA Program included Karen Hills, Lovest Alexander, Justine Strand de Olivera, Susan Blackwell and Jennifer Pennington.  Vic’s classmate Ken Ferrell and wife attended as well as Harvey Estes, Jr., the former chair of Community and Family Medicine at Duke University.  Reginald Carter attended on behalf of the PA History Society, John Braun on behalf of Duke Pioneering PAs and Ken Harbert on behalf of PA veterans.

Victor Hugo Germino, Jr. was born June 11, 1938 and died March 1, 2017.  He has the distinction of being one of the first PAs to be educated in the United States along with Richard Scheele and Kenneth Ferrell, all former US Navy hospital corpsmen. You can read more about his “full and adventurous life,” at http://pahx.org/assistants/germino-victor-h/.

 

More information on the life of Victor Germino can be found here and his full obituary can be read here.

 

 

Never Doubt Your Impact

by Samantha Rogers, PA-C
NCAPA President-Elect

Some days, as I walk out of the medical center to my car, I wonder if I have made a positive impact.  Working in Geriatric Medicine, there are more problems that I cannot fix than things that I can. After all, didn’t we all enter the PA profession to make something better? To cure a disease? To provide relief of symptoms?  Well, yes. However, let us not overlook ways in which we may be making a lasting impact in a powerfully positive way, even in situations that do not have a medically curative outcome.

I received a phone call from a grateful family member a couple months ago. For four years, I had been caring for her mother, who had declined rapidly both cognitively and physically in a matter of days. There was no ready explanation, despite undergoing every test and diagnostic imaginable. When her mother recently passed away, it felt that we, her medical team, had in a sense done nothing for this precious lady.  We hadn’t made her better, we hadn’t slowed her decline, and we hadn’t even been able to figure out what was wrong with her.  However, the voicemail that her daughter left was a much needed reminder for why we chose this profession.  She thanked me and my team for our time, our listening ears, and our loving concern over many years.  She said, “You are healthcare to us.” Not the drugs, the tests, the cures that we could not offer. She reminded us to “never doubt the impact that you have.”  Considering that from a medical standpoint alone, we had made virtually no impact at all, her remarkable statement was powerful and very humbling.

Never question your impact potential, even in the grimmest of circumstances. You may be surprised.

 

PAs Can Make a Difference in NC Community Health Centers

by Leslie Wolcott, Communications Coordinator, NC Community Health Center Association

The community health center model emerged in the 1960’s during President Lyndon Johnson’s War on Poverty, and targeted the roots of poverty by combining the resources of local communities with federal funds to establish neighborhood clinics in both rural and urban areas around America. It was a formula that not only empowered communities to establish and direct health services at the local level via consumer-majority governing boards, but also generated compelling proof that affordable and accessible healthcare produced compounding benefits.

Medical professionals choose to work at Community Health Centers because they enjoy being facilitators of positive changes in people’s health and wellness. In a community health center, you can establish meaningful relationships with people who may have never had a primary care provider before. In 2015, about 90 PAs worked in North Carolina Community Health Centers, and they facilitated nearly a quarter million patient visits.

Community Health Centers serve as the primary medical home for over 25 million people in 9,800 rural and urban communities across America.  These community-based “family doctors” enjoy longstanding bipartisan support by Administrations and policymakers at all levels, as well as in both the private and public sectors. North Carolina has 40 Community Health Centers with over 200 locations, in 82 North Carolina counties (though we serve patients from most counties in the state). In 2015, NC Community Health Centers served about 474,000 patients.

 

NCAPA Endowment Student Scholarship: High Point University Recipient

by Sue Reich, PA-C, MPAs

The NCAPA Endowment awarded its 2016 scholarship for a High Point University PA student to Michelle Winters. A psychology major in undergraduate school, Michelle advanced into doctoral studies at Creighton University, earning her PhD in Microbiology. Ms. Winters has had a rich experience of twenty years of teaching science—at both the high school and college level. Now, after raising a family with four children she is pursuing a new career. Still undecided about her PA practice path, she has a special place in her heart for pediatrics and women’s health specialties. The NCAPA Endowment congratulates Ms. Winters on her perseverance and dedication.

The NCAPA Endowment awards annual scholarship grants to a second year student from each of the North Carolina PA programs. Please consider making a contribution to support those who are the future of our profession. Thank you to all who have generously donated through the years.

NCAPA Endowment President Robert Wooten presents award to Michelle Winters

 

Elon University Recognizes NCAPA

On February 26th, the Elon PA Studies class of 2017 graduated 38 students. The student society generously recognized NCAPA’s partnership and chose to highlight our work in honor of the 50th anniversary of the profession. Since the program’s inception, Elon students have attended winter conference and have been active in student affairs. Emily Adams, Executive Director, attended the graduation ceremony and received the award on behalf of the Academy.

 

 

 

 

 

High Point University Seeking 2017-2018 Preceptors 


 

It is imperative that we have EXTRAORDINARY partnering preceptors on board ensuring students receive the highest quality of clinical education experiences … YOU! 

Visit us at http://www.highpoint.edu/physicianassistant/partner/ 

to learn more about how you too can be a part of an amazing team educating the next generation of health care providers.

 

 

 

 

Controlled Substances CME Requirements

from the NC Medical Board

PAs are required to report at least 50 hours of Category 1 continuing medical education (CME) by the end of each two year CME cycle. Effective July 1, 2017, all PAs who prescribe controlled substances must ensure that two hours of the total CME hours earned cover topics related to controlled substance prescribing. To qualify, controlled substances CME (CS CME) must be Category 1 certified and cover the following education topics:

1. Controlled substances prescribing
2. Controlled substance prescribing for chronic pain and
3. Recognizing signs of the abuse or misuse of controlled substances.

If you prescribe controlled substances of any kind, you are expected to complete the required CS CME by the end of your two year cycle that renews on or after July 1, 2017.

There are two possible ways for PAs to determine their two-year CME cycle for compliance purposes:

• PAs who maintain NCCPA certification may use their current two-year NCCPA cycle. Please note that PAs who are exempt from reporting CME hours to the Board are still expected to complete the required CS CME if they prescribe controlled substances.
• PAs who currently report CME hours to the Board should use the two year cycle established by NCMB.
Whatever method is used, PAs should consistently follow the same two year cycle when recording and reporting CME.

NOTE: As with all other CME, PAs must keep documentation for courses they have completed to fulfill the CS CME requirement, but are not be required to submit the documentation to the Board unless specifically requested to do so.

Visit www.ncmedboard.org/prescribingcme for more information, including FAQs about the new requirement and links to several online CME opportunities. If you have questions, please contact: cscme@ncmedboard.org.

 

Take Steps to Protect Your Career

from Healthcare Providers Service Organization (HPSO)

You work hard for what you have. At Healthcare Providers Service Organization (HPSO), we offer a simple, affordable solution to help protect your assets and career. When you have your own individual coverage, if a claim arises, your interests come first. Over a million healthcare professionals count on us for security and peace of mind. You can, too. Find out more here.

 

Comprehensive Online Review for the PANCE/PANRE

from Exam Master

exammaster

*Exam Master’s PANCE/PANRE resources are the leading resource for more efficient study, with content outlined into concise topics and subjects. All questions have an excellent representation of topics/subjects in the actual exam. Our extensive question banks feature the leading, most significant questions for a more focused study and improved board preparation experience.

Key Features:

  • Over 3000 questions covering the PANCE/PANRE exam blueprint organized by topic, subject and categories
  • Quickly assess your strengths and weaknesses with personalized, detailed score reports
  • Detailed explanations provide thorough coverage of learning concepts
  • Available in test, study and review modes for flexible learning
  • Create notes, flash cards and mark questions for deeper study and retention

Special discounted access available through NCAPA, only $95 for a 3-month subscription!

To purchase, visit the NCAPA online store or call 919-479-1995.

*Exam Master® has no affiliation with National Commission on Certification of Physician Assistants (NCCPA) or Federation of State Medical Boards (FSMB)

Welcome Members!

Welcome to our renewing and our brand new members!

  The following members have joined or renewed their membership since our last issue. Thank you all for your support of NCAPA and all PAs in North Carolina!

Carey Amato, Raleigh
Eileen Andres, Cary
Stephanie Baumann, Charlotte
Alissa Binford, Durham
Megan Brame, Durham
Greta Brunet, Apex
Kim Cakerice, Cary
Reginald Carter, Mebane
Barbara Cole, Charlotte
Billy Collins, Beaumont, TX
Lisa Darby-Obar, Winston Salem
Robert Deckert, Hope Mills
Maria del Valle-Torres, Cary
Christine Denney, Raleigh
Rahul Desai, Summerfield
Russcina Dixon, Charlotte
Karol Downing, Denver
Lori Elmore, Lincolnton
Michael Forrest, Loganville, GA
Erin Gallagher, Raleigh
Oma Gama, Raleigh
Scott Gooch, Franklinton
Brett Gordon, Apex
Kristin Gordon, Browns Summit
Amber Herr, Matthews
Robert Holliday, Winston-Salem
Mark Hollo, Conover
Lindsey Lawrence, West Seneca, NY
Elizabeth Locklear, Pembroke
John Lucas, Rocky Mount
Brittany Mathews, Charlotte
Elizabeth McLawhorn, Greenville
Greta Morcos, Fort Mill, SC
Katherine Moretz, Asheville
Brandy Mountcastle, Erwin
Jennifer Olson, Belmont
Nathalie Ortiz Pate, Apex
Erin Ostroff, Charlotte
Lisa Oxendine, Lumberton
Madhavi Parikh, Charlotte
Heather Parker, Angier
Mark Payne, High Point
Jay Peterson, High Point
Amanda Petree-Mabe, Belews Creek
Salomon Pinargote Sanchez, Kernersville
Elmira Powell, Greensboro
Jillian Reed, Raleigh
Shelia Riser, Bowman, SC
William Roemer, Alamance,
Michelle Roman, Wilmington
Crystal Rose, High Point
Justin Sacripante, Raleigh
Jasmin Salas, Shelby
Brent Sapp, Winston-Salem
Allan Seffels, Fayetteville
June Smith-Hartness, Mooresville
Chad Snow, Cornelius
Kristina Stanson, Raleigh
Linda Stiebris, Hillsborough
Patricia Stierl, Akron, OH
Kristen Stockfleth, Raleigh
C. Kim Stokes, Greenville
Rebecca Stolorena, Shelby
Katie Sweetapple, Cary
Allie Thompson, Winston-Salem
Elizabeth Tisdale, Asheville
Rebecca Unger, Raleigh
Cyril Varlack, Charlotte
Joyce Wagner, Marion
Christine Weinstein, Mooresville
Ronald Wild, Fletcher
Mary Diane Williams Garber, Rougemont
Darleane Wilson, Townsville
Lynn Wojtysiak, Havre de Grace, MD
Michael Young, Greenville