Each physician/physician extender team is responsible for ensuring that the physician extender's basic scope of practice and practice setting is identified; that the delegation of medical tasks is appropriate to the physician extender's level of competence; that the relationship of, and access to, a supervising physician is defined; and that a process for evaluation of the physician extender's performance is established. The constant physical presence of a supervising physician is not required so long as a supervising physician and physician extender are, or can be, easily in contact with one another by radio, telephone, or other telecommunication device.
Each primary supervising physician must prepare and have on file in the practice setting a written, dated plan of supervision containing specific practice descriptions of the elements of supervision as outlined in subparagraph A. This plan of supervision must be reviewed and updated as necessary, but in any event, whenever the physician extender's license is renewed. A statement shall be attached to the plan stating the date the plan was reviewed and any changes to the plan, and shall be signed by the physician extender and supervising physician.
If a physician is to act as a secondary supervising physician, he or she must accept, in writing, delegation of supervision specified in the plan.
A supervising physician shall provide, at the request of any Board member or authorized person, a copy of the plan of supervision, and, if applicable the document showing delegation of that plan to a secondary supervising physician. Such request may be made in writing or by appearing at the practice setting in which case the plan shall be provided immediately. The Board may require the plan to be amended for purposes of ensuing public safety as required by state law.
02-383 C.M.R. ch. 3, § 5