847-050-0082 Collaboration Agreements (1) A physician associate may not practice medicine unless the physician associate has entered into a written collaboration agreement signed by a physician or employer as defined in OAR 847-050-0010(4) and as described in this rule. (2) The collaboration agreement must include, but is not limited to: (a) The physician associate ’s name, license number, and primary location of practice; (b) The name of the physician or employer with whom the physician associate is entering the collaboration agreement; (c) A general description of the physician associate ’s process for collaboration with physicians and if applicable, include any differences in the process for collaboration based on practice location; and (d) If the physician associate has fewer than 2,000 hours of post-graduate clinical experience, a plan for consistent and quality collaboration with a specified physician on a regular basis. If this plan is required: (A) “Post-graduate clinical experience” means the professional practice as a physician associate applying principles and methods to provide assessment, diagnosis, and treatment of patients. (B) The physician associate must provide evidence of at least 2,000 hours of post-graduate clinical experience to the physician or employer with whom the physician associate is entering the collaboration agreement. The physician or employer is responsible for determining the physician associate does not require a plan. (C) Collaboration with a specified physician may occur in person and through synchronous and asynchronous technology. (D) The physician associate , or physician or employer with whom the physician associate has entered into the collaboration agreement, is responsible for tracking the 2,000 hours of post-graduate clinical experience to determine when the plan is no longer required. (E) A collaboration agreement must be amended in writing to remove or modify the plan. (3) A collaboration agreement may include additional requirements specific to the physician associate ’s practice as required by the physician or employer entering the collaboration agreement, including additional levels of oversight, limitations on autonomous judgment, and designating a primary contact for collaboration. (4) As part of the performance assessment in ORS 677.510(4), a collaboration agreement must be reviewed and, if applicable, updated. (5) A collaboration agreement must be replaced or amended in writing to add, remove, or change requirements. (6) A physician associate may enter multiple collaboration agreements for each employer or practice. (7) The collaboration agreement must be available at the physician associate ’s primary location of practice and made available to the Oregon Medical Board upon request. (8) The physician or employer with whom the physician associate enters a collaboration agreement must provide a copy of the collaboration agreement and any amendments to the physician associate . (9) The physician associate and the physician or employer with whom the physician associate has entered into the collaboration agreement are responsible for upholding the terms of the collaboration agreement and ensuring availability of collaboration. (10) Failure to comply with any section of this rule is a violation of ORS 677.510 and is grounds for a $195 fine imposed on the non-compliant licensee. The licensee may be subject to further disciplinary action by the Board. Statutory/Other Authority: ORS 677.265 Statutes/Other Implemented: ORS 677.265, ORS 677.510 & ORS 677.515 History: OMB 17-2024, amend filed 10/10/2024, effective 10/10/2024 OMB 7-2024, amend filed 01/08/2024, effective 01/08/2024 OMB 16-2022, adopt filed 07/12/2022, effective 07/15/2022