reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2C - TELEMEDICINE AND TELEHEALTH: PHYSICIAN ASSISTANTS › Section 13:35-2C.5 - Provision of healthcare services through telemedicine or telehealth

Current through Register Vol. 56, No. 14, July 15, 2024
(a) As long as a licensee has satisfied the requirements at N.J.A.C. 13:35-2C.4, a licensee may provide healthcare services to a patient through the use of telemedicine and may engage in telehealth to support and facilitate the provision of healthcare services to patients.
(b) Prior to providing services through telemedicine or telehealth, a licensee shall determine the patient's originating site and record this information in the patient's record.
(c) A licensee providing healthcare services through telemedicine shall use interactive, real-time, two-way communication technologies, which shall include, except as provided at (e) below, a video component that allows a licensee to see a patient and the patient to see the licensee during the provision of healthcare services.
(d) A licensee providing services through telemedicine or telehealth may use asynchronous store-and-forward technology to allow for the electronic transmission of:
1. Images;
2. Diagnostics;
3. Data; and
4. Medical information.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2C - TELEMEDICINE AND TELEHEALTH: PHYSICIAN ASSISTANTS › Section 13:35-2C.6 - Prescriptions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Notwithstanding requirements for in-person interaction at N.J.A.C. 13:35-7, a licensee providing services through telemedicine or telehealth may issue a prescription to a patient, as long as the issuance of such a prescription is consistent with the standard of care or practice standards applicable to the in-person setting.
(b) A licensee shall not issue a prescription based solely on responses provided in an online questionnaire, unless the licensee has established a proper licensee-patient relationship pursuant to N.J.A.C. 13:35-2C.4.
(c) Notwithstanding (a) above, and except as provided at (d) below, a licensee shall not issue a prescription for a Schedule II controlled dangerous substance, unless the licensee has had an initial in-person examination of the patient and a subsequent in-person visit with the patient at least every three months for the duration of the time the patient is prescribed the Schedule II controlled dangerous substance.
(d) The prohibition of (c) above shall not apply when a licensee prescribes a stimulant for a patient under the age of 18 years, as long as the licensee is using interactive, real-time, two-way audio and video technologies and the licensee has obtained written consent for a waiver of in-person examination requirements from the patient's parent or guardian.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2C - TELEMEDICINE AND TELEHEALTH: PHYSICIAN ASSISTANTS › Section 13:35-2C.7 - Records

Current through Register Vol. 56, No. 14, July 15, 2024
A licensee who provides services through telemedicine or telehealth shall maintain a record of the care provided to a patient. Such records shall comply with the requirements of N.J.A.C. 13:35-2B.11, and all other applicable State and Federal statutes, rules, and regulations for recordkeeping, confidentiality, and disclosure of a patient's medical record.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2C - TELEMEDICINE AND TELEHEALTH: PHYSICIAN ASSISTANTS › Section 13:35-2C.8 - Prevention of fraud and abuse

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In order to establish that a licensee has made a good faith effort to prevent fraud and abuse when providing services through telemedicine or telehealth, a licensee must establish written protocols that address:
1. Authentication and authorization of users;
2. Authentication of the patient during the initial intake pursuant to N.J.A.C. 13:35-2C.4(a)1;
3. Authentication of the origin of information;
4. The prevention of unauthorized access to the system or information;
5. System security, including the integrity of information that is collected, program integrity, and system integrity;
6. Maintenance of documentation about system and information usage;
7. Information storage, maintenance, and transmission; and
8. Synchronization and verification of patient profile data.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 2C - TELEMEDICINE AND TELEHEALTH: PHYSICIAN ASSISTANTS › Section 13:35-2C.9 - Privacy and notice to patients

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Licensees who communicate with patients by electronic communications other than telephone or facsimile shall establish written privacy practices that are consistent with the Federal standards set forth at 45 CFR Parts 160 and 164, which are incorporated herein by reference, as amended and supplemented, relating to privacy of individually identifiable health information.
(b) Written privacy practices required at (a) above shall include privacy and security measures that assure confidentiality and integrity of patient-identifiable information. Transmissions, including patient email, prescriptions, and laboratory results must be password protected, encrypted electronic prescriptions, or protected through substantially equivalent authentication techniques.
(c) A licensee who becomes aware of a breach in confidentiality of patient information, as defined at 45 CFR 164.402, shall comply with the reporting requirements at 45 CFR 164.
(d) Licensees, or their authorized representatives, shall provide a patient, prior to evaluation or treatment, with copies of written privacy practices and shall obtain the patient's written acknowledgement of receipt of the notice.
(e) Licensees who provide services through telemedicine or telehealth, or their authorized representatives, shall, prior to providing services, give patients notice regarding telemedicine and telehealth, including the risks and benefits of being treated by telemedicine or telehealth and how to receive follow-up care or assistance in the event of an adverse reaction to the treatment, or in the event of an inability to communicate as a result of a technological or equipment failure. A licensee shall obtain a signed and dated statement indicating that the patient received this notice.
(f) When telemedicine or telehealth is unable to provide all pertinent clinical information that a licensee exercising ordinary skill and care would deem reasonably necessary to provide care to a patient, the licensee shall inform the patient of this prior to the conclusion of the provision of care through telemedicine or telehealth and shall advise the patient regarding the need for the patient to obtain an additional in-person medical evaluation reasonably able to meet the patient's needs.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.1 - Licensing examination; physicians

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Effective December 1994, the standard medical and surgical licensing examination in the State of New Jersey shall be the United States Medical Licensing Examination (USMLE), Step 3. The licensing examination administered by the National Osteopathic Board of Examiners shall also be recognized as an alternative standard licensing examination for graduation of American Osteopathic Association-approved Osteopathic Medical Schools.
(b) Prior to January 1995, the Federation Licensing Examination (FLEX) shall serve as one of the two standard medical and surgical licensing examinations in the State of New Jersey.
(c) A candidate for examination who has met all other requirements of law for medical licensure shall be admitted to USMLE, Step 3, upon appropriate demonstration to the Board of successful completion of one of the following examination sequences. Completion of the examination sequence includes attainment of a passing score on each portion of the sequence. (The passing score for each portion of the examination sequence will be the score that was deemed passing by the Board at the time the examination was administered.)
1. USMLE Step 1 or National Board Part I and USMLE Step 2 or National Board Part II; or
2. FLEX Component I.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.2 - Licensure by reciprocity

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Upon receipt of a completed application, application fee, consent to a criminal history record background check, and requisite fee for such a check, the Board shall issue a license to any person who holds a valid, current license in good standing issued by another state, if:
1. The Board determines that the state that issued the license has, or had at the time of issuance, education, training, and examination requirements for licensure substantially equivalent to the current Board standards;
2. The applicant has been practicing medicine or surgery or podiatry for a period of at least two years within the five years prior to the date of application; and
3. The requirements at (b) below are satisfied.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.3 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.4 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.5 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.6 - Bioanalytical laboratory director license, plenary or specialty, granted to physicians

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The Board shall grant to any person licensed in this State to practice medicine and surgery a plenary license to direct and supervise a registered bioanalytical laboratory, without examination, provided that:
1. Such person is certified in clinical pathology by a specialty board approved by the A.M.A. or the A.O.A.; or
2. Such person is certified in anatomic pathology or is Board-eligible, and can demonstrate to the satisfaction of the Board appropriate training, including completion of a residency program in pathology in a laboratory or laboratories acceptable to the Board, and not less than three full years of post graduate general bioanalytical laboratory experience in a laboratory or laboratories acceptable to the Board.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.7 - Limited exemption from licensure; physicians

Current through Register Vol. 56, No. 14, July 15, 2024
(a) "Exempt physician" means a person holding the academic degree of M.D. or D.O., currently employed or pending employment on a salary basis at a State or county institution on its medical staff or as a member of the teaching or scientific staff of a State agency, who has patient care responsibility and who does not conduct any type of private medical practice.
(b) "Exemption" means the exercise of discretion granted to the State Board of Medical Examiners of New Jersey pursuant to law to permit a physician unlicensed in the State of New Jersey to engage in the limited practice of medicine and surgery under the conditions set forth in said statute without being in violation of the Medical Practice Act, 45:9-1 et seq.
(c) Any physician employed or to be employed under an exemption from licensure must:
1. Satisfy all statutory and regulatory requirements preceding examination required by law;
2. Take and pass the earliest USMLE Step 3 examination given subsequent to the physician's start of employment;
3. Make application for licensure within 10 days after notification of successfully passing USMLE or cease employment.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.8 - Administrative processing of license application

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In the case of candidates who are graduates of professional schools or colleges approved by the Board and whose required documents (for example, complete application form, diploma, transcript and license in foreign countries, with attested translations thereof (if not in English) by an official translator approved by the Board) are in the possession of the Board and apparently authentic, the Executive Director of the Board shall be authorized to admit such candidate to the licensing examination.
(b) Any applicant who fails to satisfy the documentary requirements set forth in (a) above may be reviewed individually by the Board.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.9 - Reserved

Current through Register Vol. 56, No. 14, July 15, 2024
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.10 - Subversion or attempt to subvert the licensing examination process

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The purpose of this rule is to enhance the security of licensing examination materials and to discourage certain types of conduct in the licensing examination process, whether by applicants or by current license holders subject to regulation by the Board.
(b) Any individual found by the Board to have engaged in conduct which subverts or attempts to subvert the licensing examination process may, at the discretion of the Board, have his or her scores on the licensing examination withheld and/or declared invalid, be found ineligible for licensure, be disqualified from the practice of the pertinent profession, and/or be subject to the imposition of other appropriate sanctions pursuant to 45:1-22.
(c) Conduct which subverts or attempts to subvert the licensing examination process includes, but is not limited to:
1. Conduct which violates the security of the examination materials, such as removing from the examination room any of the examination materials; reproducing or reconstructing any portion of the licensing examination; aiding by any means in the reproduction or reconstruction of any portion of the licensing examination; selling, distributing, buying, receiving or having unauthorized possession of any portion of a future, current or previously administered licensing examination.
2. Conduct which violates the standard of test administration, such as communicating with any other examinee during the administration of the licensing examination; copying answers from another examinee or permitting one's answers to be copied by another examinee during the administration of the licensing examination; having in one's possession during the administration of the licensing examination any books, notes, written or printed materials or data of any kind, other than the examination materials distributed.
3. Conduct which violates the credentialing process, such as falsifying or misrepresenting educational credentials or other information required for admission to the licensing examination; impersonating an examinee or having an impersonator take the licensing examination on one's behalf.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.11 - Standards for licensure of physicians graduated from medical schools not approved by Board-recognized accrediting processes

Current through Register Vol. 56, No. 14, July 15, 2024
(a) To be eligible for a New Jersey license by examination, an applicant who has graduated from an international medical school that is not accredited by an entity recognized by the World Federation of Medical Education (WFME), having accreditation standards comparable to the LCME or the AOA; or authorized to confer a medical degree in a country that has an accrediting process recognized by the National Committee on Foreign Medical Education and Accreditation (NCFMEA) to be a reliable process for the evaluation of medical education leading to an M.D. or D.O. degree and having accreditation standards comparable to the LCME or the AOA, shall demonstrate:
1. That the medical school was listed in either the World Directory of Medical Schools, published by the World Health Organization or the International Medical Education Directory (IMED), published by the Educational Commission for Foreign Medical Graduates (ECFMG), during the entire period that the applicant was in attendance;
2. Successful completion of the full medical school curriculum, including:
i. Didactic or basic science training obtained in the country in which the medical school is located and authorized to confer a degree required to practice medicine in that country; and
ii. Clinical training obtained in the country in which the medical school is located or, if in the United States, at a hospital with residency programs approved by the Accreditation Council on Graduate Medical Education (ACGME) or the AOA in that specialty field of the clinical training;
3. Certification issued by the Educational Commission for Foreign Medical Graduates (ECFMG) following the attainment of a passing score on an acceptable examination and a verification of his or her credentials; and
4. Attainment of a passing score on an examination approved by the Board.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.11A - Standards for licensure of physicians graduated from medical schools approved by recognized accrediting agencies

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An applicant, who has graduated from a medical school on or after July 1, 1916 and before July 1, 2003 and has received a medical degree from a medical school approved by the Liaison Committee on Medical Education (LCME) or American Osteopathic Association (AOA) or other recognized national accrediting agency, shall demonstrate to the Board, through submission of documentation, that after receiving a medical degree the applicant has successfully completed at least one year of post-graduate training in a program accredited by the Accreditation Council on Graduate Medical Education (ACGME), the AOA, or any other equivalent group or agency, which the Board, upon review, has determined has comparable standards.
(b) An applicant, who has graduated from a medical school on or after July 1, 2003, and has received a medical degree from a medical school approved by the LCME or AOA or with respect to medical residents, graduation from a medical school that, during each year of attendance, was either accredited by the LCME, the AOA, or an accrediting body recognized by the WFME having accreditation standards comparable to the LCME or the AOA, or authorized to confer a medical degree in a country that has an accrediting process recognized by the NCFMEA as a reliable authority for the accreditation of medical education leading to an M.D. or D.O. degree and having accreditation standards comparable to the LCME or the AOA shall demonstrate to the Board, through the submission of documentation, that after receiving a medical degree, the applicant has completed and received academic credit for at least two years for post-graduate training in a program accredited by the ACGME, the AOA, or any other equivalent group or agency, that the Board, upon review, has determined has comparable standards, and has a signed contract for a third year of post-graduate training in a program accredited by the ACGME, the AOA, or any other equivalent group or agency that the Board, upon review, has determined has comparable standards. At least two of the three years of post-graduate training shall be:
1. In the same field; or
2. In different fields, if when considered together, the post-graduate training fields would be credited toward the criteria for certification by a single specialty board recognized by the American Board of Medical Specialties (ABMS), the AOA or another certification entity which the Board, upon review, has determined has comparable standards.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.12 - Standards for licensure of physicians with post-secondary educational deficiencies

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An applicant for licensure to practice medicine and surgery in this State shall submit proof to the Board that, prior to having commenced medical school studies, he or she has successfully completed a satisfactory course of at least two years, at a college or university accredited by an agency recognized by the Board, during which period he or she shall have earned at least 60 credits, and passed at least one three-credit course in each of the following subjects: chemistry, physics and biology.
(b) The Board in its discretion may waive any or all of the pre-medical requirements set forth in (a) above if the credentials presented include proof of the following:
1. Certification by a specialty board approved by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA);
2. Award of a Ph.D. degree in a health-related field from a college or university accredited by an agency recognized by the Board;
3. Award of an M.P.H. degree from a college or university accredited by an agency recognized by the Board; or
4. Award of a National Institute of Health Research Award.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.13 - Criminal history record information

Current through Register Vol. 56, No. 14, July 15, 2024
An applicant for initial licensure in the State by the Board shall submit his or her name, address and fingerprints for purposes of a criminal history background check to be conducted by the State of New Jersey pursuant to P.L. 2002, c. 104 (45:1-28 et seq.) to determine whether criminal history record information exists that may be considered by the Board in determining whether the applicant shall be licensed in the State. Fees for criminal history record checks shall be paid by applicants for licensure in conformity with P.L. 1994, c. 60 (53:1-20.6 ), P.L. 2002, c. 104 (45:1-31 ) and 13:59-1.3 and 1.4. In addition to its use in evaluating an application for initial licensure, the Board may obtain criminal history record information from the Division of State Police for any other purpose authorized by statute or regulation.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.14 - Biennial license renewal

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All licenses issued by the Board shall be issued for a two-year biennial licensure period. A licensee who seeks renewal of the license shall submit a renewal application and the renewal fee set forth in N.J.A.C. 13:35-6.13 prior to the expiration date of the license.
(b) The Board shall send a notice of renewal to each licensee at the address registered with the Board at least 60 days prior to the expiration of the license. The notice of renewal shall explain inactive renewal and advise the licensee of the option to renew as inactive. If the notice to renew is not sent at least 60 days prior to the expiration date, no monetary penalties or fines shall apply to the holder for failure to renew, provided that the license is renewed within 60 days from the date the notice is sent or within 30 days following the date of license expiration, whichever is later.
(c) Licensees may renew their license by choosing inactive status. Licensees electing to renew as inactive shall not engage in the practice of medicine or surgery or podiatry or hold themselves out as eligible to engage in the practice of medicine or surgery or podiatry in New Jersey until such time as the license is returned to active status.
(d) If a licensee does not renew the license prior to its expiration date, the licensee may renew the license within 30 days of its expiration by submitting a renewal application, a renewal fee and a late fee, as set forth in N.J.A.C. 13:35-6.13. During this 30-day period, the license shall be valid, and the licensee shall not be deemed to be practicing without a license.
(e) A licensee who fails to submit a renewal application within 30 days of license expiration shall have the license suspended without a hearing.
(f) A licensee who continues to engage in the practice of medicine or surgery or podiatry with a suspended license shall be deemed to be engaging in the unlicensed practice of medicine or surgery or podiatry and shall be subject to action consistent with N.J.S.A. 45:1-14 et seq., even if no notice of suspension has been provided to the individual.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.14A - License reactivation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee who holds an inactive license pursuant to N.J.A.C. 13:35-3.14(c)  may apply to the Board for reactivation of an inactive license. A licensee seeking reactivation of an inactive license shall submit:
1. A renewal application;
2. A certification of employment listing each job held during the period of inactive license which includes the name, address, and telephone number of each employer;
3. The active renewal fee set forth at N.J.A.C. 13:35-6.13;
4. Evidence of having completed all continuing education credits for the current biennial registration period, consistent with the requirements set forth at N.J.A.C. 13:35-6.15; and
5. A completed Criminal History Certification of Authorization form.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.14B - License reinstatement

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A licensee who has had a license suspended pursuant to N.J.A.C 13:35-3.14(e) who seeks reinstatement shall submit:
1. A reinstatement application;
2. A certification of employment listing each job held during the period of suspended license that includes the name, address, and telephone number of each employer;
3. The renewal fee set forth at N.J.A.C. 13:35-6.13 for the biennial period for which reinstatement is sought;
4. The past due renewal fee for the biennial period immediately preceding the renewal period for which reinstatement is sought;
5. The reinstatement fee set forth at N.J.A.C. 13:35-6.13;
6. Evidence of having completed all continuing education credits for the current biennial registration period, consistent with the requirements set forth at N.J.A.C. 13:35-6.15; and
7. A completed Criminal History Certification of Authorization form.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 3 - LICENSING EXAMINATIONS AND ENDORSEMENTS, LIMITED EXEMPTIONS FROM LICENSURE REQUIREMENTS; POST-GRADUATE TRAINING › Section 13:35-3.15 - Postgraduate training

Current through Register Vol. 56, No. 14, July 15, 2024
Postgraduate training shall be taken under the auspices of a hospital or hospitals accredited for such training by the Accreditation Council for Graduate Medical Education (ACGME) or by the American Osteopathic Association (AOA) or by the American Podiatric Medical Association (APMA), as applicable to the profession.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4 - SURGERY › Section 13:35-4.1 - Major surgery; qualified first assistant

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A major surgical procedure is one with a substantial hazard to the life, health or welfare of the patient. By way of example, but not limitation, major surgical procedures include:
1. A procedure performed where the anatomic locality, the condition, the difficulty or the length of time required to operate would constitute a direct hazard to the life of the patient; and
2. A procedure in which an opening is made into any of the three major body cavities (abdomen, chest or head), if the facility's credentials committee, in conjunction with the chair or chief of the relevant department or division, has delineated the procedure as one requiring a qualified first assistant.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.1 - Purpose

Current through Register Vol. 56, No. 14, July 15, 2024
The rules in this subchapter are designed to promote the health, safety, and welfare of the members of the general public who undergo surgery or special procedures (other than minor procedures) and receive anesthesia services in an office, ensuring that such services are offered in a manner consistent with the standard of care.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.2 - Scope

Current through Register Vol. 56, No. 14, July 15, 2024
(a) This subchapter establishes policies and procedures and staffing and equipment requirements for practitioners and physicians who perform surgery or special procedures (other than minor procedures) or administer anesthesia services in an office and represent the standard of care in a surgical practice.
(b) For the purposes of this subchapter, the standards set forth at N.J.A.C. 13:35-4A.6do not apply to those performing non-invasive special procedures, such as non-invasive radiologic procedures. However, the standards set forth at N.J.A.C. 13:35-4A.7do apply to the anesthesia services provided in connection with all special procedures, whether invasive or non-invasive.
(c) For the purposes of this subchapter, the standards in this chapter shall not be applicable to the performance of medication abortions, whether as a result of prescriptions issued by physicians or advanced practice clinicians.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.4 - Policies and procedures requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Practitioners who perform surgery or special procedures (other than minor procedures), and physicians who administer or supervise the administration or monitoring of anesthesia services in an office shall establish written policies and procedures concerning the following:
1. The specific surgical or special procedures which may be performed in the office;
2. The specific anesthesia services which may be performed in the office;
3. The responsibilities of the health care personnel providing services to patients in the office;
4. The infection control practices to be followed, including lawful disposal of hazardous waste;
5. The procedures to be followed in the event that a patient experiences a complication;
6. The procedures to be followed if the patient requires transport for emergency services, including the identity and telephone numbers of the ambulance service if one is to be utilized and the hospital to which the patient is to be transported, and the functions to be undertaken by health care personnel until a transfer of the patient is completed;
7. The procedures to be followed in the event that a surgery or special procedure needs to be terminated because of an equipment malfunction or other complication;
8. The procedures to be followed while a patient is recovering in the office;
9. The objective criteria for discharging patients; and
10. The procedures to be followed to review records, and to ensure follow-up on complications and outcomes.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.5 - Duty to report incidents related to surgery, special procedures, or anesthesia in an office

Current through Register Vol. 56, No. 14, July 15, 2024
Any incident related to surgery, special procedures, or the administration of anesthesia services within the office that results in a patient death, transport of the patient to the hospital for observation or treatment for a period in excess of 24 hours, or a complication, shall be reported to the Executive Director of the Board within seven days, in writing, and on such forms as shall be required by the Board. Such reports shall be investigated by the Board and will be deemed confidential pursuant to N.J.S.A. 45:1-36.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.6 - Standards for performing surgery and special procedures in an office; privileges necessary; pre-procedure counseling; patient records; recovery and discharge

Current through Register Vol. 56, No. 14, July 15, 2024
(a) A practitioner who performs surgery or special procedures (other than minor procedures) in an office shall be privileged to perform that surgery or special procedure by a hospital or an ambulatory surgery center. If a practitioner is not so privileged, but wishes to perform surgery or special procedures in an office, the practitioner shall apply to the Board pursuant to N.J.A.C. 13:35-4A.12 to seek Board-approved privileging.
(b) Before any practitioner may perform surgery or special procedures (other than minor procedures), the practitioner shall have:
1. A written transfer agreement with a licensed hospital with acute care capabilities which can be reached within 20 minutes during all hours in which surgery or special procedures are performed in the office, if the hospital where the practitioner is privileged is not reachable within 20 minutes or if the practitioner is privileged by the Board; and
2. A written policy for handling emergency transport to a hospital at which the practitioner is privileged through 9-1-1 call or a written transfer agreement with a licensed ambulance service which assures immediate transport of patients experiencing complications to the hospital which the practitioner has established a transfer agreement. The written transfer agreement shall be posted in the office and all health care personnel in the office shall specifically be informed of the procedure to be followed.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.8 - Performance of general anesthesia; authorized personnel

Current through Register Vol. 56, No. 14, July 15, 2024
(a) General anesthesia shall be administered and monitored in an office only by the following individuals:
1. A physician privileged by a hospital or the Board pursuant to 13:35-4A.12 to provide general anesthesia services and who, during every consecutive three-year period beginning July 1, 2004, completes at least 60 Category I hours of continuing medical education in anesthesia which either meet the criteria for credit towards the Physician's Recognition Award of the American Medical Association or have been approved by the American Osteopathic Association; or
2. A certified registered nurse anesthetist (CRNA), under the supervision of a physician qualified under (a)1 above.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.9 - Administration of regional anesthesia; authorized personnel

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Regional anesthesia shall be administered and monitored in an office only by the following individuals:
1. A physician privileged by a hospital or the Board pursuant to 13:35-4A.12 to provide regional anesthesia and who, during every consecutive three-year period beginning July 1, 2004, completes at least eight Category I hours of continuing medical education in anesthesia exclusively, or in anesthesia as it relates to the physician's field of practice, which either meet the criteria for credit towards the Physician's Recognition Award of the American Medical Association or have been approved by the American Osteopathic Association; or
2. A certified registered nurse anesthetist (CRNA), under the supervision of a physician qualified under (a)1 above.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.10 - Administration of moderate sedation; authorized personnel

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Moderate sedation shall be administered in an office only by the following individuals:
1. A practitioner privileged by a hospital or the Board pursuant to N.J.A.C. 13:35-4A.12 to provide moderate sedation and who, during every consecutive three-year period beginning July 1, 2004, completes at least eight Category I or II hours of continuing medical education in any anesthesia services, including moderate sedation exclusively, or in anesthesia as it relates to the physician's field of practice, which either meet the criteria for credit towards the Physician's Recognition Award of the American Medical Association or have been approved by the American Osteopathic Association;
2. A certified registered nurse anesthetist (CRNA), under the supervision of a physician qualified under (a)1 above; or
3. A registered professional nurse or physician assistant, who is trained and has experience in the use and monitoring of anesthetic agents, at the specific direction of a physician qualified under (a)1 above, but only for the purpose of administering through an established intravenous line, a specifically prescribed supplemental dose of moderate sedation that was selected and initially administered by the physician who remains continuously present in the procedure room. "Continuously present in the procedure room" does not require that a practitioner remain in the procedure room in violation of human exposure safety standards regularly employed during radiological procedures.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.11 - Administration of minor conduction blocks; authorized personnel

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Minor conduction blocks (with the exception of retrobulbar blocks) shall be administered in an office for surgery or special procedures only by the following individuals:
1. A practitioner;
2. A certified registered nurse anesthetist (CRNA); or
3. An advanced practice clinician who has training and experience in the administration of minor conduction blocks.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.13 - Requirements for anesthetizing locations; emergency equipment and supplies

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An office in which any anesthesia services are to be provided shall be equipped with the appropriate medical equipment, supplies and pharmacological agents which are required or might be needed in order to provide anesthetic and recovery services, as well as to treat any likely complication which might arise as a result of these services, in such manner that complies with the accepted standards of care as set forth in the "Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists" of the American Society of Anesthesiology (520 Northwest Highway, Park Ridge, IL 60068-2573), appearing in Anesthesiology, Vol. 84, No. 2, February 1996, incorporated herein by reference, as amended and supplemented.
(b) An office in which general anesthesia is to be provided shall be equipped with the following additional emergency equipment:
1. Special equipment to manage a difficult airway;
2. Drugs and equipment to treat malignant hyperthermia, shock and anaphylactic reactions;
3. A precordial stethoscope or esophageal stethoscope; and
4. A peripheral nerve stimulator.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.14 - Requirements for anesthetizing locations; safety systems, monitoring devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) An office in which anesthesia services are to be provided shall be equipped with the following safety systems and monitoring devices:
1. A pulse oximeter with appropriate alarms (or an equivalent method of measuring oxygen saturation);
2. A continuous electrocardiograph with paper recorder;
3. Devices for measuring blood pressure, heart rate and respiratory rate;
4. A defibrillator; and
5. An accepted method of identifying and preventing the interchangeability of gases, whenever gases are used.
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.15 - Equipment requirements for recovery areas

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In any office in which anesthesia services are to be provided, a recovery area adjacent to, or within the operating room, shall be established. Access to the recovery area shall be limited to staff and family or significant others, as appropriate. The recovery area shall be equipped with at least the following:
1. A pulse oximeter with appropriate alarms (or an equivalent method of measuring oxygen saturation);
2. A continuous electrocardiogram monitor with paper recorder;
3. A defibrillator;
4. Drugs adequate for cardiopulmonary resuscitation;
5. Emergency equipment for intubation and extubation; and
6. Basic airway management equipment as follows:
i. A source of compressed oxygen (tank with regulator or pipeline supply with flowmeter);
ii. A source of suction, suction catheters, Yankauer-type suction;
iii. Face masks (in appropriate sizes for the patient population);
iv. A self-inflating breathing bag-valve set, oral and nasal airways and lubricant; and
v. A method by which oxygen can be administered (for example, masks, nasal cannulas).
New Jersey Administrative Code › Title 13 - LAW AND PUBLIC SAFETY › Chapter 35 - BOARD OF MEDICAL EXAMINERS › Subchapter 4A - SURGERY, SPECIAL PROCEDURES AND ANESTHESIA SERVICES PERFORMED IN AN OFFICE SETTING › Section 13:35-4A.16 - Maintenance requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All equipment as required by 13:35-4A.13 through 4A.15 is subject to inspection and maintenance as follows:
1. A record shall be maintained of all service and maintenance including that performed on all anesthesia machines, ventilators and vaporizers. The record shall include machine identification; the name of the servicing agent; the problem, if any; the work performed and the date of the work. Maintenance shall conform with maintenance requirements established by the machine manufacturer. Credentials of each servicing agent shall be approved by the machine manufacturer or shall be reasonably determined by the permit holder to be equivalent to the credentials of the manufacturer's servicing agents.
2. All anesthesia equipment shall be inspected fully at the beginning of each day of use by a physician, or a certified registered nurse anesthetist (CRNA), under the supervision of a physician, credentialed to utilize that equipment. A record of each such inspection, including the date of the inspection and the identity of the individual conducting the inspection, shall be maintained for each machine. The inspection shall conform with a checklist that is supplied by the manufacturer of the machine, or issued by the Federal Food and Drug Administration or, alternatively, reasonably developed by the physician and set forth in an appropriate written protocol.
3. Before each use, the physician or the CRNA who is to administer the anesthesia shall inspect all anesthesia equipment. Inspections shall be documented on the anesthesia record.