Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64B8 - Board of Medicine › Chapter 64B8-4 - LICENSURE › Section 64B8-4.025 - Licensure Under Supervision

Current through Reg. 50, No. 138; July 16, 2024
Unless otherwise approved by the Board or its designee, or
				  addressed by Board Order, the following are provisions applicable to Orders
				  rendered by the Board when an applicant is certified for licensure but said
				  licensure is restricted or conditioned in such a manner as to require a period
				  of practice under supervision of another licensee approved by the Board.
(1) The applicant's license shall not be
				issued until a supervisor is approved by the Board or its designee. However,
				unless provided otherwise in the Board's Order, the person who is certified for
				licensure must have a supervisor approved within 12 months of the date the
				Board certifies the applicant for licensure. If the person certified for
				licensure does not obtain an approved supervisor within that 12 month period,
				the certification for licensure expires and the person must reapply for
				licensure.
(2) Required
				Supervision.
(a) Direct Supervision. If an
				applicant is required to work under the direct supervision of another
				physician, "direct supervision" shall require the physical presence of the
				supervising physician in the building so that the supervising physician is
				immediately available when needed.
(b) Indirect Supervision. If an applicant is
				required to work under the indirect supervision of another physician, "indirect
				supervision" shall mean the responsible supervision of the licensee by a
				supervising physician, approved by the Board, which supervision shall not
				require the physical presence of the supervising physician when procedures are
				performed, but shall require the supervisor to be reasonably available, so as
				to be physically present to provide consultation or direction in a timely
				fashion as required for appropriate care of the patient. The supervisor shall
				practice within a reasonable geographic proximity to the applicant, which shall
				be within 20 miles.
(c) Immediate
				Supervision. If an applicant is required to work under the immediate
				supervision of another physician, Respondent shall not perform designated
				procedures unless under the immediate supervision of a board-certified
				physician fully licensed under Chapter 458, F.S., who has been approved by the
				Probationer's Committee. The physician providing immediate supervision shall be
				physically located in the same room with the applicant where the designated
				procedure is performed.
(d) If the
				terms of the Order include indirect or direct supervision of the applicant's
				practice, the applicant shall not practice medicine without an approved
				supervisor. If the terms of the Order include immediate supervision, the
				applicant shall not perform designated procedures unless under the immediate
				supervision of an approved supervisor.
(e) The applicant shall furnish to the
				proposed supervisor a copy of the Board's order requiring supervision and any
				other relevant orders.
(f) The
				applicant shall submit to the Board his or her proposed practice plan and
				designation of an area of practice. The applicant also shall submit to the
				Board the name, curriculum vitae, and a letter from the proposed supervisor
				stating that he or she:
1. Is willing to serve
				as a supervisor,
2. Has received a
				copy of the Board's order requiring supervision,
3. Is aware of his or her duties and
				responsibilities as a supervisor,
4. Discloses any conflicts of interests,
5. Specifies distance to the
				applicant's practice location; and,
6. Agrees to appear before the Board if
				required to do so.
(g)
				The supervisor must be licensed under Chapter 458, F.S., in good standing, in
				active status, without restriction or limitation on his or her license, must be
				qualified by training and experience, and must not have any conflicts of
				interest that would prohibit him or her from impartially performing his or her
				duties as a monitor. The supervisor shall be board-certified in the applicant's
				specialty area. Specific grounds for rejecting a proposed supervisor by the
				Board or its designee shall include but are not limited to the following:
1. The proposed supervisor has previously
				been subject to disciplinary action against his or her medical license in this
				or any other jurisdiction,
2. The
				proposed supervisor is currently under investigation, or is the subject of a
				pending disciplinary action,
3. The
				proposed supervisor is not actively engaged in the same or similar specialty
				area,
4. If under indirect
				supervision, the proposed supervisor is not practicing within a distance of no
				more than 20 miles from the applicant's practice location. If under direct
				supervision, the proposed supervisor is not practicing on the
				premises.
(h) Failure to
				complete the supervision in the required time period may result in an
				additional required appearance before the Credentials Committee and may result
				in extending the time to complete the required supervision.