reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0056 - Limited License, Fellow

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Any physician who proposes to do a fellowship in Oregon and who does not wish
			 to register under OAR 847-020-0120  or 847-020-0130  may apply for a Limited
			 License, Fellow. A fellow is a physician who is pursuing some special line of
			 study as part of a supervised program of an approved school of medicine or
			 affiliated teaching institution. A Limited License, Fellow permits the
			 physician to practice medicine only as part of a supervised fellowship
			 program.
(2) A Limited License,
			 Fellow shall be granted for a period of one year, and upon written request from
			 the head of the training program submitted 30 days before the end of the first
			 year, may be renewed for only one additional year. The two years must be
			 consecutive.
(3) A request for a
			 Limited License, Fellow must be accompanied by a copy of the appointment letter
			 or contract, and a letter sent directly from the head of the training program
			 advising that the applicant has been offered a fellowship position and the
			 dates of the program.
(4) Every
			 physician who is issued a Limited License, Fellow to practice in this state
			 shall complete a limited license application form and pay the limited license
			 fee as of the beginning of his appointment, and 30 days before the end of the
			 first year must submit a new limited license application form and fee for the
			 second year.
(5) Fellowships
			 approved by the Accreditation Council for Graduate Medical Education (ACGME)
			 may be used to qualify for a license under OAR 847-020-0120  or 847-020-0130.
			 Non-approved fellowships may not be used toward licensure.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  677.132
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0060 - Limited License, SPEX/COMVEX, and Limited License, Postgraduate

Current through Register Vol. 63, No. 7, July 1, 2024
A physician who is granted a Limited License, SPEX/COMVEX, or
				Limited License, Postgraduate in the State of Oregon is entitled to apply for
				and obtain a federal narcotic stamp.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  677.132
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0063 - Limited License, Medical Faculty

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A physician qualifying under OAR
			 847-020-0140  may be granted a Limited License, Medical Faculty. This license
			 allows the physician to practice medicine only to the extent that such practice
			 is incident to and a necessary part of the applicant's duties as approved by
			 the Board in connection with the faculty position.
(2) A Limited License, Medical Faculty is
			 valid for one year after issuance and may be renewed as frequently as needed
			 for a total period not to exceed four years. The four years must be
			 consecutive.
(3) Every physician
			 who is issued a Limited License, Medical Faculty to practice in this state and
			 who intends to continue practice in such faculty position beyond the period
			 granted for the license must submit a new limited license application and fee
			 at least 30 days before the expiration date of the license.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  677.100 &
				  677.132
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0064 - Limited License, SPEX/COMVEX

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An applicant for a license to practice
			 medicine, who, being otherwise qualified for the unlimited license, but who
			 must take a Competency Examination (Special Purpose Examination-SPEX or
			 Comprehensive Osteopathic Medical Variable-Purpose Examination-COMVEX), may be
			 issued a Limited License, SPEX/COMVEX provided the applicant has completed an
			 application under ORS
			 677.100 to
			 677.132 which is satisfactory to the Board.
(2) A Limited License, SPEX/COMVEX may be
			 granted for a period of 6 months and permits the licensee to practice medicine
			 only until grade results are available, and the applicant completes the initial
			 registration process.
(3) The
			 Limited License, SPEX/COMVEX would become invalid should the applicant fail the
			 SPEX or COMVEX examination and the applicant, upon notification of failure of
			 the examination, must cease practice in this state as expeditiously as
			 possible, but not to exceed two weeks after the applicant receives notice of
			 failure of the examination. The applicant whose Limited License, SPEX/COMVEX
			 became invalid due to failure of the examination is not eligible for another
			 Limited License, SPEX/COMVEX.
Statutory/Other Authority: ORS
				  677.265
Statutes/Other Implemented: ORS
				  677.120 & 677.132
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0066 - Limited License, Visiting Provider

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Board
			 recognizes that physicians and physician assistants with a particular
			 specialty, skill, or interest are occasionally needed to fill a narrow
			 teaching, clinical, or legal role for a brief period of time upon short notice.
			 In fulfillment of the Board's mission to protect the health, safety, and
			 wellbeing of Oregon patients while promoting access to quality care, the Board
			 may grant limited licenses for visiting physicians and physician assistants for
			 a specified time and purpose.
(2) A
			 Limited License, Visiting Provider is available for the following limited
			 purposes:
(a) To obtain or provide training
			 unrelated to enrollment in a postgraduate training program for a period up to
			 30 days per year in a hospital, ambulatory surgical center, or accredited
			 office-based surgery facility per OAR 847-017-0010.
(b) To provide health care services without
			 compensation at a community nonprofit organization for a period up to five
			 consecutive days per year.
(c) To
			 review medical records, perform physical or mental examinations, and offer an
			 opinion on a person's diagnosis or treatment as an expert witness in an Oregon
			 civil or criminal case for a period up to 30 days per year.
(A) A provider approved under this subsection
			 must report any clinical or secondary findings to the patient's primary care
			 provider or specialist.
(B) A
			 provider approved under this subsection may not prescribe, administer, or
			 dispense medications and may not order laboratory or imaging studies.
(d) To provide care during the 90
			 consecutive days immediately following the end of an emergency declared by the
			 Governor of Oregon.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0068 - Practice in Oregon in the Event of an Emergency

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In the event of an emergency declared by
			 the Governor of Oregon, the Oregon Medical Board may allow physicians and/or
			 physician assistants licensed in another state to provide medical care in
			 Oregon under special provisions during the period of the declared emergency,
			 subject to such limitations and conditions as the Governor may prescribe.
(a) The out-of-state physician and/or
			 physician assistant must submit to the Board the following information:
(A) Verification of a permanent, current, and
			 unrestricted license to practice in another state which is not the subject of a
			 pending investigation by a hospital, a state medical board, or another state or
			 federal agency; and
(B) Current
			 federal or state photo identification, i.e., driver license or
			 passport.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0070 - Competency Examination

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Whenever the Board of Medical Examiners orders a medical competency examination
			 pursuant to ORS 677.420, it may require or
			 administer one, all, or any combination of the following examinations:
(a) The Special Purpose Examination
			 (SPEX);
(b) The Comprehensive
			 Osteopathic Medical Variable-Purpose Examination (COMVEX);
(c) Oral examination;
(d) Any other examination that the Board
			 determines appropriate.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0073 - Reporting Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Board licensees and health care facilities must report to the Board as required
			 by ORS
			 676.150,
			 677.092,
			 677.190,
			 and
			 677.415.
			 These reports include, but are not limited to, the following:
(a) A licensee must self-report to the Board:
(A) Any conviction of a misdemeanor or felony
			 or any arrest for a felony crime to the Board within 10 days after the
			 conviction or arrest;
(B) Any
			 adverse action taken by another licensing jurisdiction or any peer review body,
			 health care institution, professional or medical society or association,
			 governmental agency, law enforcement agency or court for acts or conduct
			 similar to acts or conduct that would constitute grounds for disciplinary
			 action as described in ORS chapter 677;
(C) Any official action taken against the
			 licensee within 10 business days of the official action; or
(D) A voluntary withdrawal from practice,
			 voluntary resignation from the staff of a health care facility or voluntary
			 limitation of the licensee's staff privileges at a health care facility if the
			 licensee's voluntary action occurs while the licensee is under investigation by
			 the health care facility or its committee for any reason related to possible
			 medical incompetence, unprofessional conduct or physical incapacity or
			 impairment.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0075 - Reporting of Alleged Professional Negligence

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As required in ORS
			 742.400 any insurer or approved
			 self insurance association shall report claims of alleged professional
			 negligence to the Oregon Medical Board within 30 days of filing of the claim.
			 Incidents and inquiries not leading to claims need not be filed.
(2) All settlements, awards or judgments
			 against a physician paid as a result of alleged professional negligence shall
			 be reported to the Board within 30 days after the date of settlement, award or
			 judgment.
Stat. Authority: ORS
				  677.265
Stats. Implemented: ORS
				  742
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0078 - Agreement Prohibited between Physician and Patient that Limits a Patient's Rights

Current through Register Vol. 63, No. 7, July 1, 2024
Licensees and applicants shall not make an agreement with a
				patient or person, or any person or entity representing patients, nor provide
				any form of consideration, that would prohibit, restrict, discourage or
				otherwise limit a person's ability to file a complaint with the Oregon Medical
				Board, to truthfully and fully answer any questions posed by an agent or
				representative of the Board, or to participate as a witness in a Board
				proceeding.
Stat. Authority: ORS
				  677.265
Stats. Implemented: ORS
				  677.132
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0081 - Physician-Assisted Death with Dignity

Current through Register Vol. 63, No. 7, July 1, 2024
A licensee's compliance with ORS
				127.800 et seq shall not be
				considered a violation of
				677.190(1),
				unprofessional or dishonorable conduct, as defined in
				677.188(4)(a), (b), or
				(c).
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  127.885
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0090 - Clinical Clerkships and Preceptorships

Current through Register Vol. 63, No. 7, July 1, 2024
A medical student may participate in the diagnosis and
				treatment of Oregon patients under the following circumstances:
(1) The student is enrolled in a medical
			 school accredited by the Liaison Committee on Medical Education or the
			 Commission on Osteopathic College Accreditation;
(2) The student is supervised by an actively
			 practicing, Oregon-licensed health care professional in good standing who is
			 qualified and competent to supervise the student's clinical experience;
			 and
(3) Care is delivered within
			 the scope and context of a course, clerkship, preceptorship or other clinical
			 experience approved by an accredited medical school or affiliated teaching
			 institution in Oregon.
Statutory/Other Authority: ORS
				  677.265
Statutes/Other Implemented: ORS
				  677.265 & ORS
				  677.010
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0095 - Peer Review

Current through Register Vol. 63, No. 7, July 1, 2024
The Oregon Medical Board will participate in a peer review
				process to implement the provisions of ORS
				441.055 by using the following
				rules:
(1) The Board will receive
			 requests to appoint physicians to conduct peer review provided the requests are
			 made jointly by all of the following:
(a) The
			 physician whose practice is being reviewed;
(b) The executive committee of the health
			 care facility's medical staff;
(c)
			 The governing body of the health care facility.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0110 - Physicians and Physician Assistants to Honor Life-Sustaining Treatment Orders

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 physician or physician assistant licensed pursuant to ORS Chapter 677 shall
			 respect the patient's wishes including life-sustaining treatments. Consistent
			 with the requirements of ORS Chapter 127, a physician or physician assistant
			 shall respect and honor life-sustaining treatment orders executed by a
			 physician, physician assistant or nurse practitioner. The fact that a
			 physician, physician assistant or nurse practitioner who executed a
			 life-sustaining treatment order does not have admitting privileges at a
			 hospital or health care facility where the patient is being treated does not
			 remove the obligation under this section to honor the order. In keeping with
			 ORS Chapter 127, a physician or physician assistant shall not be subject to
			 criminal prosecution, civil liability or professional discipline.
(2) Should new information on the health of
			 the patient become available the goals of treatment may change. Following
			 discussion with the patient, or if incapable their surrogate, new orders
			 regarding life-sustaining treatment should be written, dated and
			 signed.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  127.505-127.660,
				  677.265
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0120 - Prescription Drug Monitoring Program

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A licensee with an active registration
			 status and an active United States Drug Enforcement Agency (DEA) registration
			 to prescribe in Oregon must register with the Prescription Drug Monitoring
			 Program established under ORS
			 431A.855.
(2) New licensees with an active DEA
			 registration must register with the Prescription Drug Monitoring Program as
			 specified in section (1) of this rule, within 30 calendar days of Oregon
			 licensure or DEA registration, whichever is later.
Statutory/Other Authority: ORS
				  677.265
Statutes/Other Implemented: ORS
				  677.265,
				  ORS
				  431A.855  & ORS 431A.877
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0130 - Medical Chaperones

Current through Register Vol. 63, No. 7, July 1, 2024
(1) As
			 of July 1, 2023, a licensee must offer a trained chaperone to be physically
			 present for all:
(a) Genital and rectal
			 examinations regardless of gender; and
(b) Breast examinations for patients who
			 identify as female.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0140 - Health Care Interpreters

Current through Register Vol. 63, No. 7, July 1, 2024
(1) For
			 the purpose of this rule, the following terms are defined:
(a) "Certified health care interpreter" has
			 the meaning given in ORS
			 413.550,
			 an individual who has been approved and certified by the Oregon Health
			 Authority under ORS
			 413.558.
(b) "Limited English proficient" or "LEP"
			 means a level of English proficiency that is insufficient to ensure equal
			 access to public services without an interpreter.
(c) "Qualified health care interpreter" has
			 the meaning given in ORS
			 413.550,
			 an individual who has been issued a valid letter of qualification from the
			 authority under ORS
			 413.558.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 10 - GENERAL › Section 847-010-0200 - Physician and Physician Assistant Volunteer Practice

Current through Register Vol. 63, No. 7, July 1, 2024
(1) For the purpose of this rule "health care
			 practitioner" means a physician or physician assistant authorized to practice
			 in another state or United States territory.
(2) For the purposes of ORS
			 677.190 and ORS
			 677.205"registration" includes
			 volunteer authorizations.
(3) Under
			 the provisions of this rule, a health care practitioner may practice in Oregon
			 in connection with a coordinating organization or other entity without
			 compensation for up to 30 days each calendar year if approved to do so by the
			 Oregon Medical Board.
(4) A health
			 care practitioner must submit the following to the Oregon Medical Board, at
			 least 10 days prior to commencing volunteer practice in this state:
(a) Proof that the health care practitioner
			 is in good standing and is not the subject of an active disciplinary action in
			 any jurisdiction in which the health care practitioner is authorized to
			 practice;
(b) An acknowledgement
			 that the health care practitioner may provide services only within the scope of
			 practice of the health care profession that the health care practitioner is
			 authorized to practice and will provide services pursuant to ORS chapter 677
			 and Board rules, whichever is more restrictive;
(c) An attestation that the health care
			 practitioner will not receive compensation for practice in Oregon;
(d) The name and contact information of the
			 coordinating organization or other entity through which the health care
			 practitioner will practice; and
(e)
			 The dates on which the health care practitioner will practice in
			 Oregon.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 12 - PATIENT'S ACCESS TO PHYSICIAN MEDICAL RECORDS › Section 847-012-0000 - Patient's Access to Medical Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Licensees of the Oregon Medical Board
			 must make protected health information in the medical record available to the
			 patient or the patient's representative upon their request, to inspect and
			 obtain a copy of protected health information about the individual, except as
			 provided by law and this rule. The patient may request all or part of the
			 record. A summary may substitute for the actual record only if the patient
			 agrees to the substitution. Board licensees are encouraged to use the written
			 authorization form provided by ORS
			 192.566.
(2) For the purpose of this rule, "health
			 information in the medical record" means any oral, written or electronic
			 information in any form or medium that is created or received and relates to:
(a) The past, present, or future physical or
			 mental health of the patient.
(b)
			 The provision of healthcare to the patient.
(c) The past, present, or future payment for
			 the provision of healthcare to the patient.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES › Section 847-015-0005 - Scheduled II Controlled Substance - Bariatrics Practice

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A licensee shall not utilize a Schedule
			 II controlled substance for purposes of weight reduction or control.
(2) A violation of any provision of this
			 rule, as determined by the Board, shall constitute Unprofessional Conduct as
			 the term is used in ORS
			 677.188(4)(a), (b), or
			 (c), whether or not actual injury to a
			 patient is established.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  677.188 &
				  677.190
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES › Section 847-015-0010 - Schedule III or IV Controlled Substances - Bariatrics Practice

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A licensee
			 shall not utilize a Schedule III or IV controlled substance for purposes of
			 weight reduction, other than in accordance with federal Food and Drug
			 Administration (FDA) product guidelines in effect at the time of utilization
			 and with all the provisions of this rule.
(2) A licensee may utilize a Schedule III or
			 IV controlled substance for purposes of weight reduction in the treatment of
			 Exogenous Obesity in a regimen of weight reduction based on caloric
			 restriction, behavior modification and prescribed exercise, provided that all
			 of the following conditions are met:
(a)
			 Before initiating treatment utilizing a Schedule III or IV controlled
			 substance, the licensee thoroughly reviews the licensee's own records of prior
			 treatment, or thoroughly reviews the records of prior treatment which another
			 treating health care professional or weight-loss program has provided to the
			 licensee, that one of the following conditions exist:
(A) Patient's body mass index exceeds 30 Kg/M
			 sq; or
(B) Patient's body mass index
			 exceeds 27 Kg/M sq and the excess weight represents a threat to the patient's
			 health (as with hypertension, diabetes, or
			 hypercholesterolemia.)
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES › Section 847-015-0015 - Maintenance of Controlled Substances Log by Prescribing Practitioners

Current through Register Vol. 63, No. 7, July 1, 2024
Any practitioner dispensing or administering controlled
				substances from the practitioner's office must have a Drug Enforcement
				Administration registration indicating the address of that office. The
				practitioner shall maintain an inventory log showing all controlled substances
				received, and administered or dispensed. This log shall also list for each
				controlled substance, the patient's name, amounts used, and date administered
				or dispensed. This log shall be available for inspection on request by the
				Oregon Medical Board or its authorized agents. Controlled substances samples
				are included in this rule.
Stat. Auth.: ORS 677
Stats. Implemented: ORS
				  475.165
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES › Section 847-015-0020 - Maintenance of Controlled Substances Log - Ambulance and Medical Rescue Services Receiving Controlled Substances from Physicians

Current through Register Vol. 63, No. 7, July 1, 2024
Any physician providing controlled substances for use by
				ambulance and medical rescue services must have a Drug Enforcement
				Administration registration for the address where the controlled substances and
				inventory log are stored. The inventory log at the registered address shall be
				maintained showing all controlled substances received, or dispensed to the
				emergency vehicle. The administration log shall also show for each controlled
				substance, the patient's name and amount used, date, and by whom administered
				or dispensed, and may be maintained in the emergency vehicle. This log should
				be reviewed for accuracy on a monthly basis and be readily retrievable for
				inspection on request by the Board, the ambulance licensing authority as
				specified in ORS 682.015, or their authorized
				agents.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  682.245
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES › Section 847-015-0025 - Dispensing, Distribution and Administration

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Any actively licensed physician or podiatric physician who dispenses drugs must
			 register with the Board as a dispensing physician before beginning to dispense
			 drugs.
(2) At the time of license
			 registration renewal, all dispensing physicians and podiatric physicians must
			 indicate their status as a dispensing physician on the registration renewal
			 form.
(3) Dispensing of drugs must
			 be documented in the patient record. Documentation must include the name of the
			 drug, the dose, the quantity dispensed, the directions for use and the name of
			 the physician or podiatric physician dispensing the drugs. The physician or
			 podiatric physician must verbally counsel the patient concerning any new
			 medications and must provide written information on the directions for
			 use.
(4) Distribution of samples,
			 without charge, is not dispensing under this rule. Distribution of samples must
			 be documented in the patient record. Documentation must include the name of the
			 drug, the dose, the quantity distributed and the directions for use. The
			 physician or podiatric physician must verbally counsel the patient concerning
			 any new medications and must provide written information on the directions for
			 use.
(5) Administering drugs in the
			 physician's or podiatric physician's office is not dispensing under this rule.
			 Administration of drugs must be documented in the patient record. Documentation
			 must include the name of the drug, the dose and the quantity
			 administered.
(6) Failure to comply
			 with any section of this rule is a violation of the ORS Chapter 677 and is
			 grounds for a $195 fine. The licensee may be subject to further disciplinary
			 action by the Board.
Statutory/Other Authority: ORS 677.265
Statutes/Other Implemented: ORS 677.010, 677.089, 677.510  & 677.515
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES › Section 847-015-0030 - Written Notice Disclosing the Material Risks Associated with Prescribed or Administered Controlled Substances for the Treatment of "Intractable Pain"

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Definitions
(a) "Controlled substance" has the meaning
			 given that term under ORS
			 475.005.
(b) "Intractable pain" means a chronic pain
			 state in which the cause of the pain cannot be removed or otherwise treated and
			 for which, in the generally accepted course of medical practice, no relief or
			 cure of the cause of the pain has been found after reasonable efforts,
			 including, but not limited to, evaluation by the treating health care
			 professional.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES › Section 847-015-0035 - Attending Physicians Prescribing Medications to Physician-Assisted Death with Dignity Patients

Current through Register Vol. 63, No. 7, July 1, 2024
Attending physicians prescribing medications pursuant to ORS
				127.800-127.897 must:
(1) Dispense medications directly, including
			 ancillary medications intended to facilitate the desired effect to minimize the
			 patient's discomfort, provided the attending physician is registered as a
			 dispensing physician with the Oregon Medical Board, has a current Drug
			 Enforcement Administration (D.E.A.) certificate, and complies with the
			 provisions of ORS 677.089, OAR 847-015-0015  and
			 847-015-0025; or
(2) With the
			 patient's written consent:
(a) Contact a
			 pharmacist, and inform the pharmacist of the purpose of the prescription;
			 and
(b) Deliver the written
			 prescription personally or by mail to the pharmacist who will dispense the
			 medications to either the patient, the attending physician, or an expressly
			 identified patient's agent.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES › Section 847-015-0040 - Collaborative Drug Therapy Management

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Collaborative Drug Therapy Management"
			 as used in this section means the participation by a physician and a pharmacist
			 in the management of drug therapy pursuant to a written protocol that includes
			 information specific to the dosage, frequency, duration and route of
			 administration of the drug, authorized by a physician and initiated upon a
			 prescription order for an individual patient and:
(a) Is agreed to by one physician and one
			 pharmacist; or
(b) Is agreed to by
			 one or more physicians in a single organized medical group, such as a hospital
			 medical staff, clinic or group practice, including but not limited to organized
			 medical groups using a pharmacy and therapeutics committee, and one or more
			 pharmacists.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 15 - GENERAL LICENSING RULES, RELATING TO CONTROLLED SUBSTANCES › Section 847-015-0050 - Expedited Partner Therapy for Sexually Transmitted Infection

Current through Register Vol. 63, No. 7, July 1, 2024
The Oregon Medical Board recognizes that the adequate treatment
				of sexually transmitted infections is a public health issue. When identified in
				a patient, the adequate treatment and prevention of recurrence in the patient
				often depends upon treatment of the partner or partners of a patient, who may
				not be available or agreeable for clinical evaluation.
(1) As used in this rule:
(a) "Expedited partner therapy" has the
			 meaning given in ORS
			 676.350,
			 the practice of prescribing or dispensing antibiotic drugs for the treatment of
			 a sexually transmitted infection to the partner of a patient without first
			 examining the partner of the patient.
(b) "Partner of a patient" has the meaning
			 given in ORS
			 676.350,
			 a person whom a patient diagnosed with a sexually transmitted infection
			 identifies as a sexual partner of the patient.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0000 - Preamble

Current through Register Vol. 63, No. 7, July 1, 2024
Licensees of the Oregon Medical Board providing office-based
				invasive procedures are accountable for the welfare and safety of their
				patients and responsible for ensuring that the performance of these procedures
				meets the standard of care.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  677.085,
				  677.097,
				  677.265
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0003 - Classification of Office-Based Surgery

Current through Register Vol. 63, No. 7, July 1, 2024
Office-based surgeries are classified by complexity.
(1) Level I are minor surgical procedures
			 performed without anesthesia or under topical, local, or minor conduction block
			 anesthesia not involving drug-induced alteration of consciousness, other than
			 minimal sedation utilizing preoperative oral anxiolytic medications.
(a) The licensee must pursue continuing
			 medical education in the field for which the services are being provided and in
			 the proper drug dosages, management of toxicity, and hypersensitivity to local
			 anesthetic and other drugs.
(b) The
			 licensee must maintain active American Heart Association Basic Life Support
			 (BLS) certification or equivalent CPR course that includes a practical skills
			 evaluation.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0008 - Standard of Practice

Current through Register Vol. 63, No. 7, July 1, 2024
A licensee performing office-based surgery must have received
				appropriate training and education in the safe and effective performance of all
				surgical procedures performed in the office. Such training and education should
				include:
(1) Indications and
			 contraindications for each procedure;
(2) Identification and selection of
			 appropriate patients for each procedure;
(3) Identification of realistic and expected
			 outcomes of each procedure;
(4)
			 Selection, maintenance, and utilization of products and equipment;
(5) Appropriate technique for each procedure,
			 including infection control and safety precautions;
(6) Pharmacological intervention specific to
			 each procedure;
(7) Identification
			 of complications and adverse reactions for each procedure;
(8) Standards in surgical medical care; and
(9) Emergency procedures to be
			 used in the event of:
(a) Complications;
(b) Adverse reactions; or
(c) Equipment
			 malfunction.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0010 - Licensee Use of Office-Based Surgical Facilities

Current through Register Vol. 63, No. 7, July 1, 2024
A licensee performing office-based surgery must ensure that the
				facility meets standards to ensure patient safety.
(1) Facilities where office-based surgeries
			 are performed must comply with all federal and state laws and regulations that
			 affect the practice.
(2) Facilities
			 where Level II or Level III office-based surgeries are performed must be
			 accredited by an appropriate, Board-recognized accreditation agency, including
			 the QUAD A, the Accreditation Association of Ambulatory Health Care (AAAHC), or
			 the Joint Commission. Licensees of the Board performing office-based procedures
			 in a new or existing facility, must ensure that facility is accredited within
			 one year of the start date of the office-based procedures being performed or
			 the date these rules are adopted, whichever is later. During the period of time
			 the facility is in the accreditation process, the facility will make changes to
			 come into compliance with the Administrative Rules in this Division.
(3) Facilities where Level II or Level III
			 office-based surgeries are performed must provide health care personnel who
			 have appropriate education, training and licensure for administration and
			 monitoring of moderate sedation/analgesia, deep sedation/analgesia, general
			 anesthesia or regional block.
(4) A
			 licensee who holds a MD or DO degree as well as a DDS (Doctor of Dental
			 Surgery) or DMD (Doctor of Dental Medicine) degree and is an active member of
			 the Oregon Society of Oral Maxillofacial Surgeons (OSOMS) may perform
			 maxillofacial procedures in a facility approved by the OSOMS and function under
			 the administrative rules of the Oregon Board of Dentistry, OAR chapter 818,
			 division 026. For all procedures that are not oral maxillofacial in nature,
			 licensees with medical and dental licenses must follow rules laid out in OAR
			 chapter 847, division 017.
Statutory/Other Authority: ORS
				  677.265 & ORS
				  679.255
Statutes/Other Implemented: ORS
				  677.060, ORS
				  677.265 & ORS
				  679.255
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0015 - Selection of Procedures and Patients

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The licensee who performs the
			 office-based surgery or anesthetic is responsible for the safety of the
			 patient.
(a) The licensee must evaluate and
			 document the condition of the patient and the potential risks associated with
			 the proposed treatment plan;
(b)
			 The licensee administering anesthesia for a Level II or Level III procedure
			 must evaluate and document the ASA Physical Status of the patient;
(c) The licensee must be satisfied that the
			 procedure to be undertaken is within the scope of practice of the health care
			 personnel, the capabilities of the facility and the condition of the patient;
			 and
(d) The licensee must examine
			 the patient immediately before the procedure to evaluate the risks of the
			 procedure and the risks of anesthesia if applicable.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0020 - Patient Medical Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A
			 legible, complete, comprehensive and accurate medical record must be maintained
			 for each patient evaluated or treated. The record must include:
(a) Identity of the patient;
(b) History and physical, diagnosis and
			 plan;
(c) Appropriate lab, x-ray or
			 other diagnostic reports;
(d)
			 Documentation of the PARQ conference;
(e) Disclosure of the licensee's specialty
			 board certification through the ABMS, the AOA-BOS, the ABPM, the ABFAS or the
			 NCCPA or lack thereof;
(f)
			 Appropriate preanesthesia evaluation;
(g) Narrative description of
			 procedure;
(h) Intraoperative and
			 postoperative monitoring;
(i)
			 Pathology reports;
(j)
			 Documentation of the outcome and the follow-up plan; and
(k) Provision for continuity of
			 post-procedure care.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0025 - Discharge Evaluation

Current through Register Vol. 63, No. 7, July 1, 2024
The licensee performing the procedure is responsible for the
				determination that the patient is safe to be discharged from the office after
				the procedure.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  677.085,
				  677.097,
				  677.265
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0030 - Emergency Care and Transfer Protocols

Current through Register Vol. 63, No. 7, July 1, 2024
In facilities where Level II or Level III office-based
				surgeries are performed, the licensee must ensure that a written plan is in
				place for the provision of emergency medical care as well as the safe and
				timely transfer of patients to a nearby hospital should hospitalization be
				necessary.
(1) Age-appropriate
			 emergency supplies, equipment, and medication should be provided in accordance
			 with the scope of surgical and anesthesia services provided at the licensee's
			 office.
(2) All office personnel
			 must be familiar with the documented plan for arranging emergency medical
			 services and the safe and timely transfer of patients to a nearby hospital and
			 must be able to take necessary actions. If cardiopulmonary resuscitation (CPR)
			 is instituted, the plan must include immediate contact with emergency medical
			 services.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  677.085,
				  677.097,
				  677.265
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0035 - Quality Assessment

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Office-based surgical practices must develop a system of quality assessment
			 that effectively and efficiently strives for continuous quality improvement.
(2) Documentation of complications
			 and adverse incident review must be available.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  677.085,
				  677.097,
				  677.265
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0037 - Reporting Requirement

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Licensees performing office-based surgery must report the following
			 complications and adverse incidents to the Board within ten business days of
			 the event if the complication occurred within 30 days of the procedure:
(a) Surgical related death;
(b) Emergency transfer of the surgical
			 patient to the hospital;
(c)
			 Anesthetic or surgical event requiring cardiopulmonary resuscitation (CPR); and
(d) Unscheduled hospitalization
			 related to the office-based surgery.
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 17 - OFFICE-BASED SURGERY › Section 847-017-0040 - Facility Administration and Equipment

Current through Register Vol. 63, No. 7, July 1, 2024
The licensee must ensure that specific and current arrangements
				are in place for obtaining laboratory, radiological, pathological and other
				ancillary services as may be required to support the surgical and/or anesthetic
				procedures undertaken.
Stat. Auth.: ORS
				  677.265
Stats. Implemented: ORS
				  677.085,
				  677.097,
				  677.265
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 20 - RULES FOR LICENSURE TO PRACTICE MEDICINE IN OREGON › Section 847-020-0100 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
For the purpose of OAR chapter 847, division 020, the following
				terms are defined:
(1) "Approved
			 school of medicine" means a school offering a full-time resident program of
			 study in medicine or osteopathic medicine leading to a degree of Doctor of
			 Medicine or Doctor of Osteopathic Medicine, such program having been fully
			 accredited or conditionally approved by the Liaison Committee on Medical
			 Education, or its successor agency, or the American Osteopathic Association, or
			 its successor agency, or having been otherwise determined by the Board to meet
			 the association standards.
(2)
			 "School of medicine" means approved schools of medicine (as defined above) and
			 international medical and osteopathic schools.
(3) "Specialty board" means a certification
			 board recognized by the American Board of Medical Specialties (ABMS) or the
			 American Osteopathic Association's Bureau of Osteopathic Specialties
			 (AOA-BOS).
Statutory/Other Authority: ORS 677.265
Statutes/Other Implemented: ORS 677.010 & ORS
				  677.265
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 20 - RULES FOR LICENSURE TO PRACTICE MEDICINE IN OREGON › Section 847-020-0110 - Application for Licensure

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any person
			 who wishes to practice medicine in this state beyond the first post-graduate
			 training year must apply for an Oregon license to practice medicine.
(2) When applying for licensure, the
			 applicant must submit to the Board the completed application, fees, documents,
			 letters, and any civil penalties or hearing costs that may be due.
(3) A person applying for licensure under
			 these rules who has not completed the licensure process within a 12 month
			 consecutive period must file a new application, documents, letters and pay a
			 full filing fee as if filing for the first time.
(4) The applicant may be required to appear
			 before the Board for a personal interview regarding information received during
			 the processing of the application. Unless excused in advance, failure to appear
			 before the Board for a personal interview violates ORS 677.190(17) and may
			 subject the applicant to disciplinary action.
Statutory/Other Authority: ORS 677.265
Statutes/Other Implemented: ORS 677.100 &
				  677.190
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 20 - RULES FOR LICENSURE TO PRACTICE MEDICINE IN OREGON › Section 847-020-0120 - Basic Requirements for Licensure of an Approved Medical School Graduate

Current through Register Vol. 63, No. 7, July 1, 2024
The following requirements for licensure must be met by
				graduates of an approved school of medicine:
(1) Must have graduated from a school
			 offering a full-time resident program of study in medicine or osteopathic
			 medicine leading to a degree of Doctor of Medicine or Doctor of Osteopathic
			 Medicine, such program having been fully accredited or conditionally approved
			 by the Liaison Committee of Medical Education, or the American Osteopathic
			 Association, or having been otherwise determined by the Board to meet the
			 association standards;
(2) Must
			 satisfactorily complete an approved internship, residency or fellowship in the
			 United States or Canada of at least one year in not more than one training
			 program accredited for internship, residency or fellowship training by the
			 Accreditation Council for Graduate Medical Education, the American Osteopathic
			 Association, the College of Family Physicians of Canada, or the Royal College
			 of Physicians and Surgeons of Canada;
(3) Must pass a written licensing examination
			 as provided in ORS 677.110 and OAR 847-020-0170; and
(4) Must satisfactorily meet the requirements
			 of ORS 677.100.
Statutory/Other Authority: ORS 677.265
Statutes/Other Implemented: ORS 677.100 & ORS
				  677.110
Oregon Administrative Rules › Chapter 847 - OREGON MEDICAL BOARD › Division 20 - RULES FOR LICENSURE TO PRACTICE MEDICINE IN OREGON › Section 847-020-0130 - Basic Requirements for Licensure of an International Medical School Graduate

Current through Register Vol. 63, No. 7, July 1, 2024
The following requirements must be met in lieu of graduation
				from an approved school of medicine in order to qualify under ORS
				677.100:
(1) Must have graduated from an international
			 school of medicine:
(a) The medical school
			 must be chartered in the country in which it is located and must provide a
			 resident course of professional instruction, be accredited by an accrediting
			 organization acceptable to the Board, or be recognized by the appropriate civil
			 authorities of the country in which the school is located as an acceptable
			 education program. The Board may determine that the accreditation of an
			 international medical school is not acceptable if the Board receives
			 documentation that the medical school has had its authorization, accreditation,
			 certification or approval denied or removed by any state, country or
			 territorial jurisdiction or that its graduates were refused a license by any
			 state, country or territorial jurisdiction on the grounds that the school
			 failed or fails to meet reasonable standards for medical education
			 facilities.
(b) The graduate must
			 have attended at least four full terms of instruction of eight months each,
			 with all courses having been completed by physical on-site attendance in the
			 country in which the school is chartered. The requirement for four full terms
			 of instruction of eight months each term may be waived for any applicant for
			 licensure who has graduated from an international school of medicine, has
			 substantially complied with the attendance requirements provided herein, and is
			 certified by a specialty board.
(c)
			 Any clinical clerkships obtained in a country other than that in which the
			 school is chartered must be satisfactorily completed.
(d) If requested, the applicant must provide
			 the Board with documentation to substantiate that the medical school from which
			 the applicant graduated meets the requirements in subsection (1)(a) of this
			 rule.