Wisconsin Administrative Code › Medical Examining Board › Chapter Med 26 - Military Medical Personnel › Section Med 26.05 - Documentation of training and experience

Current through June 24, 2024
(1) A military
			 medical personnel who practices pursuant to this chapter shall sign a
			 memorandum of understanding form published by the medical examining board that
			 includes all of the following:
(a) The name of
			 the administering facility at which the military medical personnel will be
			 providing delegated clinical care pursuant to this chapter.
(b) An identification of the military medical
			 personnel as either an army medic, a navy corpsman, a coastguard corpsman, or
			 an air force aerospace medical technician, and the individual's dates of
			 service in such role.
(c) The date
			 of the military medical personnel's date of honorable or regular discharge from
			 military service. Such date must be within the 12 months prior to the date the
			 memorandum of understanding is signed by the military medical personnel and the
			 administering facility.
(d) A
			 description of the medical training and experience the individual received as
			 an army medic, a navy corpsman, a coastguard corpsman, or an air force
			 aerospace medical technician.
(e) A
			 reasonable timeline, consistent with s.
			 440.077 (3)
			 (c), Stats., that describes the actions the
			 military medical personnel intends to take to acquire a license under s.
			 441.06,
			 441.10,
			 448.04,
			 448.61, or
			 448.974, Stats., including the
			 date by which the military medical personnel agrees to acquire the license.
			 Except as provided in s.
			 Med 26.06,
			 the memorandum of understanding shall terminate one day after the date
			 specified above or the date the military medical personnel acquires the
			 license, whichever is earlier. A reasonable timeline shall be subject to
			 approval by the board or it's designee. Such approval may include consideration
			 of any of the following factors:
1. The
			 amount of time left in a military medical personnel's education program related
			 to the license or certification they are applying for.
2. The dates and locations of examinations
			 required for licensure or certification.
3. A military medical personnel's own serious
			 medical condition diagnosed by a physician or that of an immediate family
			 member.
4. Any other information
			 that the board deems necessary to approve a reasonable timeline.
(f) An attestation by the military
			 medical personnel that they will not accept a delegation of practice authority
			 under this chapter to perform a clinical act if his or her training and
			 experience as a military medical personnel did not include that clinical
			 act.
(g) An attestation by the
			 administering facility that it has a written policy governing clinical practice
			 by registered military medical personnel, and that policy is shared with the
			 military medical personnel subject to the memorandum of understanding and those
			 licensed supervising practitioners authorized to delegate clinical acts to the
			 individual.
(h) An attestation by
			 the administering facility that the administering facility to the best of the
			 administering facility's knowledge and with a reasonable degree of certainty,
			 all of the information in the memorandum of understanding is true.
(i) The memorandum of understanding is signed
			 and dated by the military medical personnel and an authorized representative of
			 the administering facility.
Note:
The memorandum of understanding form can be
				located on the department's website at
http://dsps.wi.gov
.