Written instructions from the State Board of Medicine for a written agreement initiated by an AP www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/Documents/Board%20Documents/MedM%20-%20Online%20Written%20Agreement%20User%20Guide%20-%20initiated%20by%20Physician%20Assistant.pdf (a) If the supervising physician is not available to supervise the physician assistant, the supervising physician may not delegate patient care to the physician assistant, unless that reasonable arrangements for alternative supervision are included in the written agreement and that the substitute physician be registered with the Board as a supervising physician. (2) Commit a violation of the statutes of the Commonwealth with respect to the practice of medical assistants or the regulations published under them. (a) registration of the satellite site. A physician`s assistant may not provide medical services at a satellite location unless the attending physician has submitted a registration to the Board. Medicinal product – A term used to describe a medicinal product, device or remedy that the physician`s assistant prescribes or dispenses in accordance with § 18.158 (with respect to the prescription and dispensing of medicines, pharmaceutical aids and devices). Steps to find the written contract request on your dashboard: The written agreement request includes a workflow between the attending physician and the physician`s assistant. When it is time for each party to complete its portion of the application, emails will be sent to the email address in the licensee`s PALS profile. Applications are only submitted to the last stage of payment. The person submitting the application can view the status of the application and respond to discrepancies online. Discrepancies and approvals are sent to the attending physician and physician assistant by email. Responses to discrepancies must be uploaded to the app. § 18.143. Criteria for registration as a supervising physician.
(b) A supervising physician shall not: (1) permit the physician`s assistant to engage in conduct prohibited by clause (a). (2) Have primary responsibility for more than two physician assistants. It is also important to remember to inform the Board of Medicine or the Board of Osteopathic Medicine if you stop serving as a supervising physician, at para. B example if you close a doctor`s office in Pennsylvania. (a) A medical assistant may provide medical services to a patient only after the patient or the patient`s legal guardian has not been informed that: (1) When prescribing a drug, the physician`s assistant shall keep a copy of the prescription, including the number of renewals, in a finished reference record or record the name, quantity and doses of the prescribed drug; the number of renewals, the date of prescription and the name of the medical assistant in the patient`s medical record. (c) During the period of supervision by the assistant supervising physician, the assistant supervising physician retains full professional and legal responsibility for the performance of the physician`s assistant and for the care and treatment of patients treated by the physician`s assistant. (2) Have completed a physician assistant program recognized by the Board. Prescription – Oral or written instruction for therapeutic, corrective or diagnostic action, including a drug, to be dispensed for on-site administration in a hospital, medical facility or office. (b) The physician`s assistant may not be responsible for more than three attending physicians in a medical care facility. (b) If the supervising physician intends to deploy physician assistants to satellite locations, the medical supervisor shall provide the Board with additional information in accordance with section 18.155 (with respect to satellite locations) and additional information requested by the Board directly with respect to the location of the satellite.
§ 18.159. Medical records. The attending physician must check the medical records prepared by the physician`s assistant in a timely manner, but not more than 10 days, to ensure that the requirements of § 16.95 (with respect to medical records) are met. (a) In a hospital, medical care facility or office, the physician`s assistant may order or administer controlled substances, whole blood and blood components, or both, if the authority to order and administer such medicines and liquids is expressly specified in the written agreement. (b) It is the responsibility of the supervising physician to be aware of patient complaints about the nature or quality of the services provided by the physician`s assistant. (e) The physician assistant shall be deemed to be the authorized representative of the supervising physician in the performance of all activities related to the practice, including the organization of diagnostic, therapeutic and other medical services. b) The Board of Directors orders the emergency suspension of the admission of a medical assistant who poses an immediate and unequivocal threat to public health and safety, as required by section 40 of the Act (63 P.S. § 422.40). (a) A physician`s assistant shall register every two years in accordance with the procedure provided for in article 16.15 (with regard to biennial registration; inactive and non-registered status).
Recent changes to Pennsylvania`s medical and osteopathic practice laws have changed the physician`s supervisory requirements for countersignation of patient records completed by a physician assistant. Previously, supervising physicians were required to countersign all patient records completed by the PHYSICIAN Assistant within a reasonable period of time, which should not exceed 10 days. Under Laws 100 and 101 of 2013, which came into force at the end of January 2014, supervisory physicians now have the option of relaxing the countersignature requirement. According to the changes to the Laws on Medical and Osteopathic Practices, a physician is only allowed to review a selected number of patient records completed by the medical assistant if he or she so wishes. The number of records chosen by a supervising physician must be large enough to “ensure an appropriate review of the physician assistant`s area of practice.” The attending physician and physician assistant must establish written criteria according to which the supervising physician selects patient records for review. The patient records checked by the attending physician must be in sufficient number to ensure an adequate examination of the physician`s assistant`s field of activity. Laws on medical and osteopathic practice still require a supervising physician to comply with the requirement of “100% countersignature within 10 days” during the following periods: § 18.131 Recognized educational programs/standards. (a) The Council recognizes physician assistant training programs accredited by the CAHEA of the American Medical Association, caAHEP, ARC-PA or a successor organization. Information on accredited programs can be obtained directly from cra-PA on their website: www.arc-pa.org (2) The physician assistant may provide the required service as the physician`s representative and only on the instructions of the attending physician.
(c) The physician`s assistant may pronounce the death, but not the cause of death, and may certify with the signature of the physician`s assistant any form relating to the pronunciation of the death. If the attending physician is not available, the physician assistant must notify the county coroner. The coroner has the power to hand over the body of the deceased to the funeral director. Physician Assistant – A person who is authorized by the Commission as a physician assistant. § 18.156. Monitoring and verification of physician assistant workload. (2) When dispensing a drug, the physician`s assistant shall include in the patient`s medical record the name of the physician`s assistant, the name of the drug dispensed, the quantity of medication dispensed and the date of delivery. (6) Upon request, grant access to the written agreement and clarify the doctor`s assistant`s prescriptions and prescriptions that are forwarded to other members of the health professions. (a) An assistant to a doctor who behaves in a non-professional manner is subject to disciplinary measures in accordance with section 41 of the Act (63 P.S. § 422.41).
Unprofessional behavior includes the following: BPOA Commissioner Kalonji Johnson announced that written contract requests are now available online for the State Board of Medicine and the State Board of Osteopathic on the PALS website www.pals.pa.gov/#/page/default At these deadlines, the attending physician is no longer subject to the 100% file review requirement. When deciding not to countersign all physician assistant files, a supervising physician must complete a written amendment form for the written agreement and submit it to the State Council of Medicine or the State Council of Osteopathic Medicine. The written agreement amendment form must contain specific details, including, but not limited to, the number and frequency of required reviews of the patient`s record and the criteria for selecting the patient`s records for review. A written amendment form can be found on the Medical Council website under www.dos.state.pa.us/med or on the Osteopathic Council website under www.dos.state.pa.us/ost. The State Offices of Medicine and Osteopathic Medicine have also introduced a new procedure allowing medical assistants to obtain “temporary admission to the office” after submitting an application, committee staff will only review the application to ensure it is complete and issue a letter to the attending physician granting temporary permission to enter the practice. .