reglab/statecodes huggingface dataset:
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT EDUCATIONAL PROGRAM › Section 25.151 - Certification of physician assistant educational programs

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Subject to the exceptions provided for by
						section 10(f)(2) of the act (63 P. S. §
													271.10(f)(2)), only
						physician assistant education programs certified by the Board will be
						considered toward the training and education requirements for physician
						assistant certification.
(b) The
						criteria for certification by the Board of physician assistant educational
						programs is currently identical to the criteria developed by the Committee on
						Health Education and Accreditation of the American Medical Association. The
						Board will develop criteria for certification of physician assistant
						educational programs after consulting with and receiving advice from
						organizations and accrediting agencies as deemed appropriate by the
						Board.
(c) Other physician
						assistant educational programs seeking certification may be submitted to the
						Board for review and approval.
The provisions of this §
														25.151 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and 16 of the
							 Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and
							 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT EDUCATIONAL PROGRAM › Section 25.152 - Listing of certified physician assistant educational programs

Current through Register Vol. 54, No. 28, July 13, 2024
The Board will maintain a current register of the
						  programs meeting the Board's criteria for physician assistant accredited
						  education. The register will list the full name of the program, the institution
						  of which it is a part, the program director, the mailing address of the
						  institution and the date of accreditation. This register is available for
						  public inspection.
The provisions of this §
														25.152 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and 16 of the
							 Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and
							 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › LICENSURE OF PHYSICIAN ASSISTANTS AND REGISTRATION OF SUPERVISING PHYSICIANS › Section 25.161 - Criteria for licensure as a physician assistant

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Board has approved as a proficiency
						examination the National certification examination on primary care developed by
						the NCCPA. The Board will maintain a current register of approved proficiency
						examinations. This register will list the full name of the examination, the
						organization giving the examination, the mailing address of the examination
						organization and the date the proficiency examination received Board approval.
						This register shall be available for public inspection.
(b) The clinical experience required by the
						Board is at present identical to the clinical experience required by the NCCPA
						for taking the NCPPA examination on primary care. To qualify for an NCCPA
						proficiency examination, the applicant's employment history must be verified by
						the NCCPA in cooperation with the Board and must be evaluated by the NCCPA in
						relation to specific work criteria.
(c) The Board will approve for licensure as a
						physician assistant an applicant who:
(1) Is
						of good moral character and reputation.
(2) Has graduated from a physician assistant
						training program certified by the Board.
(3) Has submitted a completed application
						detailing his education and work experience, together with the required
						fee.
(4) Has passed a proficiency
						examination approved by the Board.
(5) Has completed at least 3 hours of
						mandatory training in child abuse recognition and reporting in accordance with
						§
													25.417(a)
						(relating to child abuse recognition and reporting-mandatory training
						requirement).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › LICENSURE OF PHYSICIAN ASSISTANTS AND REGISTRATION OF SUPERVISING PHYSICIANS › Section 25.162 - Criteria for registration as supervising physician

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The Board will approve for registration
						as a supervising physician, an applicant who:
(1) Possesses a current unrestricted license
						to practice osteopathic medicine and surgery in this Commonwealth.
(2) Has submitted a completed application
						together with the required fee. The application shall require detailed
						information regarding the physician's professional background and specialties,
						medical education, internship, residency, continuing education, membership in
						American Boards of medical specialty, hospital or staff privileges and other
						information the Board may require.
(3) Has submitted a statement that he will
						direct and exercise supervision over the physician assistant in accordance with
						the provisions of this subchapter and that he recognizes that he retains full
						professional and legal responsibility for the performance of the physician
						assistant and the care and treatment of his patients.
(4) Has submitted a written agreement that
						satisfies the following requirements. The agreement must:
(i) Identify and be signed by the physician
						assistant and each physician the physician assistant will be assisting who will
						be acting as a supervising physician. At least one physician shall be an
						osteopathic physician.
(ii)
						Describe in detail the manner in which the physician assistant will be
						assisting each named physician. The description must list functions to be
						delegated to the physician assistant including the procedures enumerated in
						§
														25.171(a)
						(relating to generally) and other delegated tasks.
(iii) Describe detailed instructions for the
						use of the physician assistant in the performance of delegated tasks.
(iv) Describe the time, place and manner,
						method and frequency of supervision and direction each named physician will
						provide the physician assistant, including the frequency of personal contact
						with the physician assistant.
(v)
						Designate one of the named physicians who shall be an osteopathic physician as
						the primary supervising physician.
(vi) Require that the supervising physician
						shall countersign the patient record completed by the physician assistant
						within a reasonable amount of time. This time period may not exceed 10
						days.
(vii) Identify the locations
						and practice settings where the physician assistant will serve.
(viii) Provide the name, address and
						telephone number of at least two physicians who can substitute for the
						applicant when he is either absent or otherwise unavailable.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › LICENSURE OF PHYSICIAN ASSISTANTS AND REGISTRATION OF SUPERVISING PHYSICIANS › Section 25.164 - Professional liability insurance coverage for licensed physician assistants

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A licensed
						physician assistant shall maintain a level of professional liability insurance
						coverage as required under section 10(g.3) of the act (63 P. S. §
													271.10(g.3)).
(b) Proof of professional liability insurance
						coverage may include:
(1) A certificate of
						insurance or copy of the declaration page from the applicable insurance policy
						setting forth the effective date, expiration date and dollar amounts of
						coverage.
(2) Evidence of a plan of
						self-insurance approved by the Insurance Commissioner of the Commonwealth under
						regulations of the Insurance Department in 31 Pa. Code Chapter 243 (relating to
						medical malpractice and health-related self-insurance plans).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT UTILIZATION › Section 25.171 - Generally

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The physician
						assistant shall, under appropriate direction and supervision by a physician,
						augment the physician's data gathering abilities to assist the supervising
						physician in reaching decisions and instituting care plans for the physician's
						patients. The physician assistant shall have as a minimum, the knowledge and
						competency to perform the following functions and should under appropriate
						supervision be permitted by the Board to perform them. This list is not
						intended to be specific or all-inclusive:
(1)
						Screen patients to determine need for medical attention.
(2) Review patient records to determine
						health status.
(3) Take patient
						history.
(4) Perform a physical
						examination.
(5) Perform a
						development screening examination on children.
(6) Record pertinent information
						data.
(7) Make decisions regarding
						data gathering and appropriate management and treatment of patients being seen
						for the initial evaluation of a problem or the follow-up evaluation of a
						previously diagnosed and stablized condition.
(8) Prepare patient summaries.
(9) Initiate request for commonly performed
						initial laboratory studies.
(10)
						Collect specimens for and carry out commonly performed blood, urine and stool
						analyses and cultures.
(11)
						Identify normal and abnormal findings on history, physical examination and
						commonly performed laboratory studies.
(12) Initiate appropriate evaluation and
						emergency management for emergency situations, for example, cardiac arrest,
						respiratory distress, injuries, burns, hemorrhage.
(13) Perform clinical procedures such as:
(i) Venipuncture.
(ii) Intradermal tests.
(iii) Electrocardiogram.
(iv) Care and suturing of minor
						lacerations.
(v) Casting and
						splinting.
(vi) Control of external
						hemorrhage.
(vii) Application of
						dressings and bandages.
(viii)
						Administration of medications with the exception of controlled substances,
						whole blood and blood components.
(ix) Removal of superficial foreign
						bodies.
(x) Cardio-pulmonary
						resuscitation.
(xi) Audiometry
						screening.
(xii) Visual
						screening.
(xiii) Carrying out
						aseptic and isolation techniques.
(14) Provide counseling and instruction
						regarding common patient problems.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT UTILIZATION › Section 25.172 - Prohibitions

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A supervising
						physician may not permit a physician assistant to independently practice
						medicine. Supervision shall be maintained at all times.
(b) A physician assistant may not:
(1) Maintain or manage an office separate and
						apart from the supervising physician's primary office for treating patients
						unless the Board has granted the supervising physician specific permission to
						establish a satellite operation under §
													25.175 (relating to physician
						assistants and satellite operations).
(2) Independently bill patients for services
						provided.
(3) Independently
						delegate a task assigned to him by his supervising physician to another
						individual; list his name independently in a telephone directory or otherwise
						advertise, using the title "Physician Assistant" or "P.A." or another term in a
						manner which would indicate that he functions as an independent health care
						provider.
(4) Perform
						acupuncture.
(5) Pronounce a
						patient dead.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT UTILIZATION › Section 25.173 - Documentation and protocols required

Current through Register Vol. 54, No. 28, July 13, 2024
The supervising physician shall monitor and supervise
						  the activities of the physician assistant and review documentation prepared by
						  the physician assistant which should include organized medical records with
						  symptoms, pertinent physical findings, impressions and treatment plans
						  indicated. Also the supervising physician shall provide written protocols for
						  the use of the physician assistant in the performance of delegated tasks. These
						  established protocols may be modified to require additional steps to be
						  followed by the physician assistant in the performance of delegated tasks. The
						  modifications do not require prior approval by the Board. However, an expansion
						  of the protocol to provide for the delegation of additional services or
						  responsibilities does require prior approval by the Board as set forth in
						  §
												25.162(c)
						  (relating to criteria for registration as supervising physician). The
						  established protocol shall be available for public inspection upon request and
						  may be reviewed by the Board or its agents without prior
						  notice.
The provisions of this §
														25.173 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and 16 of the
							 Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and
							 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT UTILIZATION › Section 25.174 - Supervision of the physician assistant in the absence of the supervising physician

Current through Register Vol. 54, No. 28, July 13, 2024
(a) If the
						registered supervising physician absents himself in such a manner or to such an
						extent that he is unavailable to aid the physician assistant when required, the
						registered supervising physician may not delegate patient care to his physician
						assistant unless he has made appropriate arrangements for substitute
						supervision. Supervision and review of the physician assistant's practice by a
						substitute supervising physician may be no less encompassing and provide for no
						less personal contact than the supervision and review provided by the
						registered supervising physician.
(b) As set forth in §
												25.162(a)(4) 
						(relating to criteria for registration as supervising physician), the
						supervising physician shall provide the Board with the names of at least two
						physicians who are willing to assume the supervising responsibilities in his
						absence. The supervising physician will be notified by the Board upon issuance
						of his registration whether any of his delegated substitutes are unacceptable
						to the Board. Substitute supervision may be provided by another registered
						supervising physician without the need to notify the Board so long as such
						substitution is documented by the registered supervising physician. It is the
						responsibility of the designated supervising physician to insure that
						supervision is maintained in his absence. Failure to do so may provide grounds
						for revocation of his registration as a supervising physician.
(c) Service as a substitute supervising
						physician, at a given time, for the physician assistants registered to assist
						one other supervising physician, may not be considered with respect to the
						prohibition against a physician supervising more than two physician assistants
						at a time. The duration of substitute supervision may not be so excessive as to
						circumvent this prohibition.
(d) An
						allopathic physician may serve as a substitute supervising physician, but while
						serving in such capacity, he shall be subject to the standards imposed upon
						substitute supervising physicians as set forth in this chapter.
The provisions of this §
														25.174 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and 16 of the
							 Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and
							 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT UTILIZATION › Section 25.175 - Physician assistants and satellite operations

Current through Register Vol. 54, No. 28, July 13, 2024
(a) No physician assistant may be permitted
						to be utilized in an office or clinic separate and apart from the supervising
						physician's primary place for meeting patients unless the supervising physician
						has obtained specific approval from the Board. A supervising physician may
						supervise only one satellite operation. The criteria for granting approval is
						that the supervising physician demonstrate the following to the satisfaction of
						the Board:
(1) That the physician assistant
						will be utilized in an area of medical need recognized by the Board.
(2) That there is adequate provision for
						direct communication between the physician assistant and the supervising
						physician and that the distance between the main office and the satellite
						operation is not so great as to prohibit or impede appropriate support
						services.
(3) That provision is
						made for the supervising physician to see each regular patient every fifth
						visit, except for those patients referred to in paragraph (5).
(4) That the supervising physician will visit
						the remote office at least weekly and spend enough time on-site to provide
						supervision and personally review the records of each patient seen by the
						physician assistant in this setting.
(5) That the supervising physician will see
						every child patient from infancy to 2 years of age at least every third visit,
						and from 2 years of age to 18 years of age, at least every other
						visit.
(6) That the physician
						assistant to be utilized in the satellite office has been employed by a
						Pennsylvania Board approved supervising physician in his primary office for at
						least 1 year.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT UTILIZATION › Section 25.176 - Monitoring and review of physician assistant utilization

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Designated representatives of the Board
						will be authorized to make on-site visits to the office of registered
						supervising physicians and medical care facilities utilizing physician
						assistants to review the following:
(1)
						Supervision of physician assistants.
(2) Maintenance of the protocols and
						compliance with them.
(3)
						Utilization in conformity with the provisions of this subchapter.
(4) Identification of physician
						assistants.
(5) Compliance with
						certification and registration requirements.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT UTILIZATION › Section 25.177 - Prescribing and dispensing drugs, pharmaceutical aids and devices

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Prescribing, dispensing and administration of drugs.
(1) The supervising physician may delegate to
						the physician assistant the prescribing, dispensing and administering of drugs
						and therapeutic devices.
(2) A
						physician assistant may not prescribe or dispense Schedule I controlled
						substances as defined under section 4 of The Controlled Substances, Drug,
						Device and Cosmetic Act (35 P. S. §
														780-104).
(3) A physician assistant may prescribe a
						Schedule II controlled substance for initial therapy, up to a 72-hour dose. The
						physician assistant shall notify the supervising physician of the prescription
						as soon as possible, but in no event longer than 24 hours from the issuance of
						the prescription. The physician assistant shall have no authority to prescribe
						a Schedule II controlled substance after the initial therapy of up to a 72-hour
						dose, until the patient has been examined by the supervising physician and the
						supervising physician has reviewed and approved the prescription of a Schedule
						II controlled substance by the physician assistant for up to a 30-day supply.
(i) If the supervising physician determines
						and documents that the patient is chronically ill, the physician assistant may
						write a prescription for a Schedule II controlled substance for up to a 30-day
						supply of the Schedule II controlled substance, only if the prescription of a
						Schedule II controlled substance by the physician assistant is reviewed and
						approved by the supervising physician at least every 30 days.
(ii) If the supervising physician determines
						and documents that the patient is terminally ill, the physician assistant may
						write a prescription for a Schedule II controlled substance for up to a 30-day
						supply if the prescription of a Schedule II controlled substance by the
						physician assistant is reviewed and approved by the supervising physician at
						least every 120 days.
(iii) The
						prescription must clearly state on its face that it is for initial or ongoing
						therapy.
(4) A physician
						assistant may only prescribe or dispense a drug for a patient who is under the
						care of the physician responsible for the supervision of the physician
						assistant and only in accordance with the supervising physician's instructions
						and written agreement.
(5) A
						physician assistant may request, receive and sign for professional samples and
						may distribute professional samples to patients.
(6) A physician assistant authorized to
						prescribe or dispense, or both, controlled substances shall register with the
						Drug Enforcement Administration (DEA).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT UTILIZATION › Section 25.178 - Medical records

Current through Register Vol. 54, No. 28, July 13, 2024
The supervising physician shall timely review, at least
						  weekly, the medical records prepared by the physician assistant to ensure that
						  the requirements of §
												25.213 (relating to medical
						  records) have been satisfied.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANTS AND MEDICAL CARE FACILITIES › Section 25.181 - Physician assistants in medical care facilities

Current through Register Vol. 54, No. 28, July 13, 2024
(a) This chapter may not be construed to
						require medical care facilities to accept physician assistants or to use them
						within their premises. It is appropriate for the physician assistant to provide
						services to the hospitalized patients of the supervising physician under the
						supervision of that physician, if the medical care facility permits
						it.
(b) The medical staff of the
						facility should recommend to the facility's governing authority the
						establishment of a standing committee to develop standards and procedures for
						physician assistants provided they are consistent with this chapter governing
						physician assistant utilization and prohibition.
(c) Physician assistants employed directly by
						medical care facilities shall perform services only under the supervision of a
						clearly identified and registered supervising physician and physician shall
						supervise no more than two physician assistants.
The provisions of this §
														25.181 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and 16 of the
							 Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and
							 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANTS AND MEDICAL CARE FACILITIES › Section 25.182 - Physician assistants and emergency departments

Current through Register Vol. 54, No. 28, July 13, 2024
A physician assistant may provide medical care or
						  services in an emergency department so long as he has training in emergency
						  medicine, functions under specific protocols which govern his performance, and
						  is under the direct supervision of a physician with whom he has ready contact
						  and who is willing to assume full responsibility for the physician assistant's
						  performance. A physician assistant may not substitute for a physician who is
						  "on call" in the emergency department.
The provisions of this §
														25.182 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and 16 of the
							 Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and
							 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANTS AND MEDICAL CARE FACILITIES › Section 25.183 - Institutional medical care facility committee; committee determination of standard policies and procedures

Current through Register Vol. 54, No. 28, July 13, 2024
(a) In
						those medical care facilities providing services in which the practice of
						physician assistants involves the acts of medical diagnosis or prescription of
						medical therapeutic or corrective measures, there shall be a committee whose
						function is to establish standard policies and procedures in each area of
						practice, in writing, pertaining to the scope and circumstances of the practice
						of physician assistants in the medical management of the patient.
(b) The committee shall serve as a
						policymaking body and as an advisory and interpretative body to the various
						staff of medical care facility. The committee shall include representation from
						the medical staff, the nursing staff, the administration, and the physician
						assistant staff.
The provisions of this §
														25.183 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and 16 of the
							 Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and
							 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANTS AND MEDICAL CARE FACILITIES › Section 25.184 - Review and acceptance of standard policies and procedures by the committee

Current through Register Vol. 54, No. 28, July 13, 2024
The standard policies and procedures shall be reviewed
						  and accepted by the committee at least annually and at such other times as
						  necessary.
The provisions of this §
														25.184 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and 16 of the
							 Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and
							 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT REQUIREMENTS IN EMPLOYMENT › Section 25.191 - Physician assistant identification

Current through Register Vol. 54, No. 28, July 13, 2024
(a) No physician assistant may render medical
						services nor a permitted task as set forth in this chapter to a patient until
						the patient has been informed of the following:
(1) That the physician assistant is not a
						physician.
(2) That the physician
						assistant may perform the services required as an employee of the physician and
						as directed by the supervising physician.
(3) That the patient has the right not to be
						treated by the physician assistant if he so desires.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › PHYSICIAN ASSISTANT REQUIREMENTS IN EMPLOYMENT › Section 25.192 - Notification of termination of employment; change of address

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The physician assistant is required to
						notify the Board of a termination of employment or change of mailing address
						within 15 days. Failure to notify the Board, in writing, of change in mailing
						address may result in failure to receive pertinent material distributed by the
						Board.
(b) The supervising
						physician is required to notify the Board of a termination of his supervision
						of a physician assistant within 15 days.
(c) Failure to notify the Board of a
						termination in the physician/physician assistant relationship shall provide a
						basis for disciplinary action against the physician assistant's license, the
						supervising physician's license or registration as a supervising
						physician.
The provisions of this §
														25.192 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and 16 of the
							 Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and
							 271.16); amended under
							 sections 10(f) and (h), 10.1(c), 10.2(f) and 16 of the Osteopathic Medical
							 Practice Act (63 P. S. §§
															271.10(f) and
							 (h),
							 271.10a(c), 271.10b(f) and
							 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter C - PHYSICIAN ASSISTANT PROVISIONS › DISCIPLINARY ACTION AGAINST LICENSE OF PHYSICIAN ASSISTANT › Section 25.201 - Grounds for complaint

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The
						basis upon which the Board may take disciplinary action against the license of
						a physician assistant are set forth in section 15(b) of the act (63 P. S. §
													271.15(b)). A complaint
						against a physician assistant shall allege that the physician assistant is
						performing tasks in violation of statute, regulation or good and acceptable
						standards of practice of physician assistants. The grounds include those
						specifically enumerated in section 15(b) of the act. Unprofessional conduct
						shall include, but is not limited to, the following:
(1) Misrepresentation or concealment of a
						material fact in obtaining a license or a reinstatement thereof.
(2) Commission of an offense under a statute
						of the Commonwealth relating to the practice of physician assistants or under
						this chapter.
(3) The commission of
						an act involving moral turpitude, dishonesty or corruption when the act
						directly or indirectly affects the health, welfare or safety of citizens of the
						Commonwealth. If the act constitutes a crime, conviction thereof in a criminal
						proceeding will not be a condition precedent to disciplinary action.
(4) Conviction of a felony, defined as such
						under the statute of the Commonwealth or under the laws of another state,
						territory or country.
(5)
						Misconduct in his practice as a physician assistant or performing a task
						fraudulently, beyond its authorized scope, with incompetence or with negligence
						on a particular occasion or on repeated occasions.
(6) Performing tasks as a physician assistant
						while the ability to do so is impaired by alcohol, drugs, physical disability
						or mental instability.
(7)
						Impersonation of a licensed physician or another licensed physician
						assistant.
(8) The offering,
						undertaking or agreeing to cure or treat disease by a secret method, procedure,
						treatment or medicine; the treating or prescribing for a human condition by a
						method, means or procedure which the physician assistant refuses to divulge
						upon demand of the Board; or the use of methods or treatment which are not in
						accordance with treatment processes accepted by a reasonable segment of the
						medical profession.
(9) Violation
						of this chapter fixing a standard of professional conduct.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter D - MINIMUM STANDARDS OF PRACTICE › Section 25.212 - Professional advertising

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
					 Advertising in any medium is permitted if it is not misleading, deceptive,
					 untrue or fraudulent on its face or by its effect in actual practice.
(b) Advertising, letterhead, publications or
					 transmissions shall designate or indicate the licensee's school of medical
					 practice by the term "D.O.," "doctor of osteopathy," "osteopathic physician" or
					 "osteopathic physician and surgeon."
The provisions of this §
													25.212 issued under section 16 of
						  the Osteopathic Medical Practice Act (63 P.S. §
														271.16); and section 902(b) of the Health
						  Care Services Malpractice Act (40 P. S. §
														1301.902(b)).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter D - MINIMUM STANDARDS OF PRACTICE › Section 25.213 - Medical records

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A medical
					 record shall be maintained for each patient, identifying the patient, the
					 person making the entry, the date of each contact, pertinent clinical
					 information, diagnoses, findings, laboratory results and other diagnostic,
					 corrective or therapeutic procedures, including prescription drug orders,
					 arising out of the licensee's care of the patient.
(b) A patient's medical record shall be
					 retained for at least 7 years from the last entry. In addition, for minors, the
					 medical record shall be retained until 2 years after the patient's 18th
					 birthday or 7 years from the last entry, whichever is later. Storage may be
					 off-premises.
(c) Medical records
					 shall be kept confidential, unless disclosure is required for bona fide
					 treatment, with the patient's written consent, except as follows:
(1) Upon receipt of a court order for the
					 production of documents.
(2) Upon
					 lawful demand by auditors for public or private third-party payers which have
					 contracted to reimburse the licensee for services provided to the
					 patient.
(3) To defend against
					 allegations of civil or criminal medical malpractice, if the licensee's
					 treatment of the patient has been placed at issue by the complaining party, and
					 only to the extent necessary to controvert factual allegations in the
					 complaint.
(4) To comply with other
					 relevant State or Federal health care laws.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter D - MINIMUM STANDARDS OF PRACTICE › Section 25.214 - Corporate practice and fictitious names

Current through Register Vol. 54, No. 28, July 13, 2024
(a) A licensee may hold ownership interests
					 in businesses formed to provide goods or services related to the practice of
					 medicine, if not otherwise prohibited by law, and if the licensee complies with
					 the disclosure requirements of sections 1-3 of the act of May 26, 1988 (P. L.
					 403, No. 66) (35 P. S. §§
												449.21-449.23).
(b) A licensee may form partnerships or
					 professional corporations, for the practice of medicine, with other licensed
					 physicians, allopathic or osteopathic, optometrists, dentists, psychologists,
					 podiatrists and chiropractors if the incorporation is also authorized by
					 Chapter 5, 16, 23, 29, 33 or 41.
(c) A licensee may practice under a
					 fictitious name which is not misleading, deceptive, untrue or fraudulent, if
					 not otherwise prohibited by law.
(d) Before filing with the Corporation Bureau
					 of the Department of State, a licensee of the Board shall first file corporate
					 documents with the Board for review and approval under this section.
The provisions of this §
													25.214 issued under section 16 of
						  the Osteopathic Medical Practice Act (63 P. S. §
														271.16); and section 902(b) of the Health
						  Care Services Malpractice Act (40 P. S. §
														1301.902(b)); amended under
						  15 Pa.C.S. §
														2903(d)(ii).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter D - MINIMUM STANDARDS OF PRACTICE › Section 25.215 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this
						subchapter, have the following meanings, unless the context clearly indicates
						otherwise:
Board-regulated practitioner
-An
						osteopathic physician, perfusionist, physician assistant, genetic counselor,
						respiratory therapist, licensed athletic trainer, acupuncturist or an applicant
						for a license or certificate issued by the Board.
Immediate family member
-A parent or
						guardian, child, sibling, spouse or other family member, whether related by
						blood or marriage, with whom a patient resides.
Sexual behavior
-Any sexual conduct which
						is nondiagnostic and nontherapeutic; it may be verbal or physical and may
						include expressions of thoughts and feelings or gestures that are sexual in
						nature or that reasonably may be construed by a patient as sexual in
						nature.
Sexual exploitation
-Any sexual behavior
						that uses trust, knowledge, emotions or influence derived from the professional
						relationship.
The provisions of this §
													25.215 issued under sections
						  10.1(c), 15(a)(8)
						  and (b)(9) and 16 of the Osteopathic Medical Practice Act (63 P.S.
						  §§
														271.10a(c),
						  271.15(a)(8) and (b)(9) and
						  271.16); amended under sections 10(f) and (h), 10.1(c), 10.2(f), 10.3, 13.3 and
						  16 of the Osteopathic Medical Practice Act (63 P.S. §§
														271.10(f) and (h),
						  271.10a(c), 271.10b(f),
						  271.10c, 271.13c and 271.16).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter D - MINIMUM STANDARDS OF PRACTICE › Section 25.216 - Sexual misconduct

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Sexual
					 exploitation by a Board-regulated practitioner of a current or former patient,
					 or of an immediate family member of a patient, constitutes unprofessional
					 conduct, is prohibited, and subjects the practitioner to disciplinary action
					 under section 15(a)(8) and (b)(9) of the act (63 P.S. §
												271.15(a)(8) and
					 (b)(9)).
(b) Sexual behavior that occurs with a
					 current patient other than the Board-regulated practitioner's spouse,
					 constitutes unprofessional conduct, is prohibited, and subjects the
					 practitioner to disciplinary action under section 15(a)(8) and (b)(9) of the
					 act.
(c) When a Board-regulated
					 practitioner has been involved with the management or treatment of a patient
					 other than the practitioner's spouse for a mental health disorder, sexual
					 behavior with that former patient which occurs prior to the 2-year anniversary
					 of the termination of the professional relationship constitutes unprofessional
					 conduct, is prohibited, and subjects the practitioner to disciplinary action
					 under section 15(a)(8) and (b)(9) of the act.
(d) A practitioner who engages in conduct
					 prohibited by this section will not be eligible for placement into an impaired
					 professional program in lieu of disciplinary or corrective actions.
(e) Consent is not a defense to conduct
					 prohibited by this section.
The provisions of this §
													25.216 issued under sections
						  10.1(c), 15(a)(8)
						  and (b)(9) and 16 of the Osteopathic Medical Practice Act (63 P.S.
						  §§
														271.10a(c),
						  271.15(a)(8) and (b)(9) and
						  271.16).
This section cited in 49 Pa. Code §
													25.809 (relating to disciplinary
						  action for licensed perfusionist); and 49 Pa. Code §
													25.908 (relating to disciplinary
						  action for applicants and genetic
						  counselors).
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter D - MINIMUM STANDARDS OF PRACTICE › Section 25.217 - Delegation

Current through Register Vol. 54, No. 28, July 13, 2024
(a) An osteopathic
					 physician may delegate to a health care practitioner or technician the
					 performance of a medical service if the following conditions are met:
(1) The delegation is consistent with the
					 standards of acceptable medical practice embraced by the osteopathic physician
					 community in this Commonwealth. Standards of acceptable medical practice may be
					 discerned from current peer reviewed medical literature and texts, teaching
					 facility practices and instruction, the practice of expert practitioners in the
					 field and the commonly accepted practice of practitioners in the
					 field.
(2) The delegation is not
					 prohibited by the statutes or regulations relating to the other health care
					 practitioner.
(3) The osteopathic
					 physician has knowledge that the delegatee has education, training, experience
					 and continued competency to safely perform the medical service being
					 delegated.
(4) The osteopathic
					 physician has determined that the delegation to a health care practitioner or
					 technician does not create an undue risk to the particular patient being
					 treated.
(5) The nature of the
					 service and the delegation of the service has been explained to the patient and
					 the patient does not object to the performance by the health care practitioner
					 or technician. Unless otherwise required by law the explanation may be oral and
					 may be given by the osteopathic physician or the osteopathic physician's
					 designee.
(6) The osteopathic
					 physician assumes the responsibility for the delegated medical service,
					 including the performance of the service, and is available to the delegatee as
					 appropriate to the difficulty of the procedure, the skill of the delegatee and
					 risk to the particular patient.
Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 25 - STATE BOARD OF OSTEOPATHIC MEDICINE › Subchapter E - PERFORMANCE OF RADIOLOGIC PROCEDURES BY AUXILIARY PERSONNEL › Section 25.221 - Definitions

Current through Register Vol. 54, No. 28, July 13, 2024
The following words and terms, when used in this
						subchapter, have the following meanings, unless the context clearly indicates
						otherwise:
ARRT
-The American Registry of Radiologic
						Technologists.
Auxiliary personnel
-Persons other than a
						medical doctor-allopathic physician-osteopathic physician, dentist, podiatrist
						or chiropractor.
Direct supervision
-Directly controlling
						the performance of a procedure by authorizing performance of that procedure
						under the specific instructions of the osteopathic physician, and monitoring
						performance of the procedure to ensure compliance with those
						instructions.
Ionizing radiation
-Gamma rays and
						X-rays, alpha and beta particles, high-speed electrons, neutrons, protons and
						other nuclear particles. The term does not include ultrasound, sound or radio
						waves or visible, infrared or ultraviolet light.
Premises of an osteopathic physician
-A
						location at which an osteopathic physician practices medicine, other than a
						health care facility regulated by the Department of Health, the Department of
						Public Welfare or the Federal government.
Radiologic procedure
-A medical
						diagnostic or therapeutic procedure that utilizes ionizing
						radiation.
The provisions of this §
													25.221 issued under sections 13a
						  and 16 of the Osteopathic Medical Practice Act (63 P. S. §§
														271.13a and
						  271.16); and section
						  812.1 of The Administrative Code
						  of 1929 (71 P. S. §
														279.3a).