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 › GENERAL PROVISIONS › Section 25.142 - 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:
Certification
-The approval of a
						  program by the Board for the training and education of physician
						  assistants.
Direct supervision
-The physical
						  presence of the supervising physician on the premises so that the supervising
						  physician is immediately available to the physician assistant when needed.
						  Where emergency rooms are concerned, direct supervision requires the presence
						  of the supervising physician in the emergency room suite.
NCCPA
-The National Commission on
						  Certification of Physician Assistants, the organization recognized by the Board
						  to certify and recertify physician assistants by requiring continuing education
						  and examination.
Protocol
-Written treatment
						  instructions prepared by the supervising osteopathic physician for use by the
						  physician assistant, containing a detailed description of the manner in which
						  the physician assistant will assist the physician in his practice, a list of
						  functions to be delegated to the physician assistant including the procedures
						  enumerated in §
												25.171(a)
						  (relating to generally) and other specified delegated tasks, detailed
						  instructions for the use of the physician assistant in the performance of
						  delegated tasks, the method and frequency of supervision and the geographic
						  location where the physician assistant will serve.
Registration
-The approval by the Board
						  of an osteo-pathic physician, licensed to practice osteopathic medicine and
						  surgery without restriction, to supervise and utilize a specified physician
						  assistant.
Satellite operations
-An office or
						  clinic separate and apart from the office of the supervising physician
						  established by the physician and manned exclusively by a physician
						  assistant.
Supervising physician
-A physician
						  licensed to practice osteopathic medicine and surgery in this Commonwealth who
						  registers with the Board and who accepts the responsibility for the supervision
						  of services rendered by physician assistants.
Supervision
-The opportunity or ability
						  of the physician, or in his absence a substitute supervising physician, to
						  provide or exercise control and direction over the services of physician
						  assistants. Constant physical presence of the supervising physician on the
						  premises is not required so long as the supervising physician and the physician
						  assistant are or can easily be in contact with each other by radio, telephone
						  or telecommunication. Supervision requires the availability of the supervising
						  physician to the physician assistant. An appropriate degree of supervision
						  includes:
(i) Active and continuing
						overview of the physician assistant's activities to determine that the
						physician's directions are being implemented.
(ii) Immediate availability of the
						supervising physician to the physician assistant for necessary
						consultations.
(iii) Personal and
						regular-at least weekly-review by the supervising physician of the patient
						records upon which entries are made by the physician assistant.
(iv) Periodic-at least monthly-education and
						review sessions held by the supervising physician for the physician assistant
						under his supervision for discussion of specific conditions, protocols,
						procedures and specific patients.
Written agreement
-The agreement
						  between the physician assistant and supervising physician, which satisfies the
						  requirements of §
												25.162(a)(4)
						  (relating to criteria for registration as supervising
						  physician).
The provisions of this §
														25.142 issued under section 506 of
							 The Administrative Code of 1929 (71 P. S. §
															186); and sections 10(h) and (p) and 16 of
							 the Osteopathic Medical Practice Act (63 P. S. §§
															271.10(h) and (p) 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); and section 902(b) of the Health Care Services Malpractice Act
							 (40
							 P. S. §
															1301.902(b)).
This section cited in 49 Pa. Code §
														33.205b (relating to practice as a
							 public health dental hygiene
							 practitioner).