Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 9 - Permanent and Administrative Medicine Physician Licensure › Rule 653-9.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"ABMS"
means the American Board of Medical
				Specialties, which is an umbrella organization for at least 24 medical
				specialty boards in the United States that assists the specialty boards in
				developing and implementing educational and professional standards to evaluate
				and certify physician specialists in the United States. The board recognizes
				specialty board certification by ABMS.
"ACGME"
means the Accreditation Council for
				Graduate Medical Education, an accreditation body that is responsible for
				accreditation of post-medical school training programs in medicine and surgery
				in the United States of America. The board approves resident training programs
				accredited by ACGME.
"Administrative medicine"
means administration
				or management utilizing the medical and clinical knowledge, skill, and judgment
				of a licensed physician and capable of affecting the health and safety of the
				public or any person. A physician with an administrative medicine license may
				advise organizations, both public and private, on health care matters;
				authorize and deny financial payments for care; organize and direct research
				programs; review care provided for quality; and perform other similar duties
				that do not require direct patient care. "Administrative medicine" does not
				include the authority to practice clinical medicine; examine, care for or treat
				patients; prescribe medications, including controlled substances; or delegate
				medical acts or prescriptive authority to others.
"Administrative medicine license"
means a
				license issued by the board pursuant to
				653-9.20
				(147,148).
"AMA"
means the American Medical Association,
				a professional organization of physicians and surgeons.
"Any jurisdiction"
means any state, the
				District of Columbia or territory of the United States of America or any other
				nation.
"Any United States jurisdiction"
means any
				state, the District of Columbia or territory of the United States of
				America.
"AOA"
means the American Osteopathic
				Association, which is the representative organization for osteopathic
				physicians (D.O.s) in the United States. The board approves osteopathic medical
				education programs with AOA accreditation; the board approves AOA-accredited
				resident training programs in osteopathic medicine and surgery at hospitals for
				graduates of accredited osteopathic medical schools. The board recognizes
				specialty board certification by AOA. The board recognizes continuing medical
				education accredited by the Council on Continuing Medical Education of
				AOA.
"Applicant"
means a person who seeks
				authorization to practice medicine and surgery, osteopathic medicine and
				surgery, or administrative medicine in this state by making application to the
				board, or a physician who seeks licensure through the IMLC.
"Approved abuse education training program"
means a training program using a curriculum approved by the abuse education
				review panel of the department of public health or a training program offered
				by a hospital, a professional organization for physicians, or the department of
				human services, the department of education, an area education agency, a school
				district, the Iowa law enforcement academy, an Iowa college or university, or a
				similar state agency.
"Board"
means Iowa board of medicine.
"Board-approved resident training program"
means a hospital-affiliated graduate medical education program accredited by
				ACGME, AOA, RCPSC, or CFPC at the time the applicant is enrolled in the
				program.
"Candidate"
means a person who applies to sit
				for an examination administered by the board or its designated testing
				service.
"Category 1 credit"
means any formal education
				program which is sponsored or jointly sponsored by an organization accredited
				for continuing medical education by the Accreditation Council for Continuing
				Medical Education, the Iowa Medical Society, or the Council on Continuing
				Medical Education of AOA that is of sufficient scope and depth of coverage of a
				subject area or theme to form an educational unit and is planned, administered
				and evaluated in terms of educational objectives that define a level of
				knowledge or a specific performance skill to be attained by the physician
				completing the program. Credits designated as formal cognates by the American
				College of Obstetricians and Gynecologists or as prescribed credits by the
				American Academy of Family Physicians are accepted as equivalent to category 1
				credits.
"CFPC"
means the College of Family Physicians
				of Canada, an organization that accredits graduate medical education in family
				practice in Canada.
"COCA"
means the Commission on Osteopathic
				College Accreditation.
"COMLEX"
means the Comprehensive Osteopathic
				Medical Licensing Examination that is recognized by the board as the licensure
				examination that replaced the NBOME examination for graduates of osteopathic
				medical schools or colleges.
"Committee"
means the licensure committee of
				the board.
"COMVEX-USA"
means the Comprehensive
				Osteopathic Medical Variable-Purpose Examination for the United States of
				America. The National Board of Osteopathic Medical Examiners prepares the
				examination and determines its passing score. A licensing authority in any
				jurisdiction administers the examination. COMVEX-USA is the current evaluative
				instrument offered to osteopathic physicians who need to demonstrate current
				osteopathic medical knowledge.
"Conviction"
for the purposes of licensure
				through the IMLC means a finding by a court that an individual is guilty of a
				criminal offense through adjudication, or entry of a plea of guilt or no
				contest to the charge by the offender. Evidence of an entry of conviction of a
				criminal offense by the court shall be considered final for the purposes of
				disciplinary action by a member board of the IMLC.
"Core credentials"
means those documents that
				demonstrate the applicant's identity, medical training and practice history.
				"Core credentials" includes but is not limited to: medical school verification,
				medical school diploma, examination history, current ECFMG status report, fifth
				pathway certificate, and postgraduate training verification.
"Criminal offense"
for the purposes of
				licensure through the IMLC means a felony, gross misdemeanor, or crime of moral
				turpitude.
"Current, active status"
means a license that
				is in effect and grants the privilege of practicing administrative medicine,
				medicine and surgery or osteopathic medicine and surgery, as applicable.
"ECFMG"
means the Educational Commission for
				Foreign Medical Graduates, an organization that assesses the readiness of
				foreign medical school graduates to enter ACGME-approved graduate medical
				education programs in the United States.
"Expedited license"
means a full and
				unrestricted medical license granted by a member state to an eligible physician
				through the process set forth in the IMLC.
"FCVS"
means the Federation Credentials
				Verification Service, a service under the Federation of State Medical Boards
				that verifies and stores core credentials for retrieval whenever needed.
"FLEX"
means the Federation Licensing
				Examination, a licensure examination used in the past that was approved by the
				board for graduates with a medical degree.
"Foreign medical school,"
also known as an
				"international medical school," means a medical school that is located outside
				of any United States jurisdiction or Canada.
"FSMB"
means the Federation of State Medical
				Boards, the organization of medical boards of the United States of
				America.
"IMLC"
means the Interstate Medical Licensure
				Compact enacted in Iowa Code chapter 147B.
"Inactive license"
means any license that is
				not in current, active status. A physician whose license is inactive continues
				to hold the privilege of licensure in Iowa but may not practice under an
				inactive Iowa license until the inactive license is reinstated to active
				status.
'Incidentally called into this state in consultation
				with a physician and surgeon licensed in this state"
as set forth in
				Iowa Code section
				148.2(5)
				 means all of the following shall be
				true:
1. The consulting physician shall be involved in the care of
				patients in Iowa only at the request of an Iowa-licensed physician.
2. The consulting physician has a license in good standing in
				another United States jurisdiction.
3. The consulting physician provides expertise and acts in an
				advisory capacity to an Iowa-licensed physician. The consulting physician may
				examine the patient and advise an Iowa-licensed physician as to the care that
				should be provided, but the consulting physician may not personally perform
				procedures, write orders, or prescribe for the patient.
4. The consulting physician practices in Iowa for a period not
				greater than 10 consecutive days and not more than 20 total days in any
				calendar year. Any portion of a day counts as one day.
5. The Iowa-licensed physician requesting the consultation
				retains the primary responsibility for the management of the patient's care.
"Initial license"
means the first permanent or
				administrative medicine license granted to a qualified individual.
"International medical school,"
also known as
				a "foreign medical school," means a medical school that is located outside of
				any United States jurisdiction or Canada.
"Interstate commission"
means the interstate
				commission created pursuant to Iowa Code chapter 147B.
"ICME"
means Liaison Committee on Medical
				Education, an organization that accredits educational institutions granting
				degrees in medicine and surgery. The board approves programs that are
				accredited by LCME.
"LMCC"
means enrollment in the Canadian
				Medical Register as Licentiate of Medical Council of Canada with a certificate
				of registration as proof. LMCC requires passing both parts of the Medical
				Council of Canada Qualifying Examination.
"MCCEE"
means the Medical Council of Canada
				Evaluating Examination, an examination administered in Canada to physicians who
				graduated from a medical school outside of the United States or Canada.
"Medical degree"
means a degree of doctor of
				medicine and surgery or osteopathic medicine and surgery or comparable
				education from a foreign medical school.
"National Practitioner Data Bank"
is a
				national data bank of disciplinary actions taken against health professionals,
				including physicians.
"NBME"
means the National Board of Medical
				Examiners, an organization that prepares and administers qualifying
				examinations, either independently or jointly with other organizations.
"NBOME"
means the National Board of
				Osteopathic Medical Examiners, an organization that prepares and administers
				qualifying examinations for osteopathic physicians.
"Observer"
means a person who is not enrolled
				in an LCME- or COCA-accredited medical school or osteopathic medical school,
				who observes care to patients in Iowa for a defined period of time and for a
				noncredit experience, and who is supervised and accompanied by an Iowa-licensed
				physician as defined in 9.2(3). An observer shall not provide or direct
				hands-on patient care, regardless of the observer's level of training or
				supervision. The supervising physician may authorize an observer to read a
				chart, observe a patient interview or examination, or witness procedures,
				including surgery. An observer shall not chart; touch a patient as part of an
				examination; conduct an interview; order, prescribe or administer medications;
				make decisions that affect patient care; direct others in providing patient
				care; or conduct procedures, including surgery. Any of these activities
				requires licensure to practice in Iowa. An unlicensed physician observer or a
				medical student observer who is not enrolled in an LCME-or COCA-accredited
				medical school may touch a patient to verify a physical finding in the
				immediate presence of a physician but shall not conduct a more inclusive
				physical examination.
An unlicensed physician observer may:
1. Participate in discussions regarding the care of individual
				patients, including offering suggestions about diagnosis or treatment, provided
				the unlicensed physician observer does not direct the care; and
2. Elicit information from a patient provided the unlicensed
				physician observer does not actually perform a physical examination or
				otherwise touch the patient.
"Permanent licensure"
means licensure granted
				after review of the application and core credentials to determine that the
				individual is qualified to enter into clinical practice. The individual may
				only practice when the license is in current, active status.
"Practice"
means the practice of medicine and
				surgery or osteopathic medicine and surgery.
"Primary source verification"
means:
1. Verification of the authenticity of documents with the
				original source that issued the document.
2. Original source verification by another jurisdiction's
				physician licensing organization.
3. Original source verification by the FSMB's Federation
				Credentials Verification Service.
"RCPSC"
means the Royal College of Physicians
				and Surgeons of Canada, an organization that accredits graduate medical
				education in Canada.
"Reinstatement"
means the process for
				returning an inactive license to current, active status.
"Relinquishment"
means that a person's
				permanent license to practice medicine and surgery, osteopathic medicine and
				surgery, or administrative medicine is deemed abandoned if the person fails to
				renew or reinstate the license within five years after its expiration. A
				license that has been relinquished is no longer valid or renewable.
				Relinquishment is not disciplinary in nature.
"Resident physician"
means a physician
				enrolled in an internship, residency or fellowship.
"Resident training program"
means a
				hospital-affiliated graduate medical education program that enrolls interns,
				residents or fellows and may be referred to as a postgraduate training program
				for purposes of licensure.
"Service charge"
means the amount charged for
				making a service available on line and is in addition to the actual fee for a
				service itself. For example, one who renews a license on line will pay the
				license renewal fee and a service charge.
"SPEX"
means Special Licensure Examination
				prepared by the Federation of State Medical Boards and administered by a
				licensing authority in any jurisdiction. The passing score on SPEX is
				75.
"Terminated license"
means a a nondisciplinary
				process by which an Iowa license issued through the Interstate Medical
				Licensure Compact is no longer eligible for renewal. A compact license is
				terminated when a licensee no longer meets the IMLC qualifications. A
				terminated IMLC license may not be reinstated.
"Training for chronic pain management"
means
				required training on chronic pain management identified in 653-Chapter
				11.
"Training for end-of-life care"
means required
				training on end-of-life care identified in 653-Chapter 11.
"Training for identifying and reporting abuse"
means training on identifying and reporting child abuse or dependent adult
				abuse required of physicians who regularly provide primary health care to
				children or adults, respectively, as specified in 653-Chapter 11. The full
				requirements on mandatory reporting of child abuse and the training
				requirements are found in Iowa Code section
				232.69;
				the full requirements on mandatory reporting of dependent adult abuse and the
				training requirements are found in Iowa Code section
				235B.16.
"Uniform application for physician state
				licensure"
means a Web-based application that is intended to
				standardize and simplify the licensure application process for state medical
				licensure. The Federation of State Medical Boards created and maintains the
				application. This application is used for all license types issued by the Iowa
				board of medicine.
"USMLE"
means the United States Medical
				Licensing Examination.