Md. Code Regs. 10.32.03.07

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.32.03.07 - Supervising Physicians

A. A primary supervising physician shall:

(1) File a delegation agreement with the Board, as required under Regulations .05 and .06 of this chapter;

(2) Accept responsibility for any medical acts performed by the physician assistant;

(3) Provide continuous supervision of the physician assistant by means of one or more of the following:

(a) On-site supervision;

(b) Written instructions;

(c) Electronic communication; or

(d) Assignment of one or more alternate supervising physicians by one of the following means:

(i) In any practice setting, by ensuring the documentation of alternate supervising physicians with signed confirmation that each alternate understands and accepts the role as an alternate supervising physician; and

(ii) By ensuring that the alternate supervising physician documentation is readily available, accessible, and provided to the Board upon request;

(4) Delegate only medical acts that:

(a) Are within the scope of practice of the primary supervising physician or an alternate supervising physician; and

(b) Are suitable to be performed by the physician assistant, taking into account the physician assistant's:

(i) Education;

(ii) Training; and

(iii) Level of competence;

(5) Obtain approval for the delegation of any advanced duties as specified in Regulation .06C, D, or E of this chapter;

(6) Except in hospitals, detention centers, correctional facilities, and public health facilities, supervise no more than four physician assistants at one time; and

(7) Report the termination of a delegation agreement for any reason to the Board within 5 days, providing the following information:

(a) Name and license number of primary supervising physician and physician assistant; and

(b) Reason for termination, including a description of conduct or incident that resulted in the termination.

B. An alternate supervising physician shall:

(1) Supervise the physician assistant according to the delegation agreement filed with the Board by the primary supervising physician and the physician assistant;

(2) Except in hospitals, detention centers, correctional facilities, and public health facilities, supervise no more than four physician assistants at one time; and

(3) Accept supervisory responsibility for periods of time not to exceed the lesser of:

(a) The time period specified in the delegation agreement; or

(b) 45 consecutive days.

C. Sudden Departure of the Primary Supervising Physician.

(1) In the event of the sudden departure, incapacity, or death of a primary supervising physician, a designated alternate supervising physician may assume the role of primary supervising physician in order to provide continuity of care for the patients of the former supervising physician.

(2) A physician who assumes the responsibility of primary supervising physician under §C(1) of this regulation shall submit a complete delegation agreement to the Board within 15 days of assuming the responsibility.

Md. Code Regs. 10.32.03.07

Regulations .07 repealed effective March 18, 1991 (18:5 Md. R. 594)
Regulations .07 adopted effective March 18, 1991 (18:5 Md. R. 594)
Regulations .07 adopted as an emergency provision effective August 12, 1999 (26:18 Md. R. 1369); amended permanently effective January 24, 2000 (27:1 Md. R. 76)
Regulations .07 amended as an emergency provision effective November 8, 1996 (23:24 Md. R. 1676); emergency status expired October 1, 1997
Regulation .07A amended effective September 11, 1995 (22:18 Md. R. 1399)
Regulation .07C adopted effective October 2, 1997 (24:17 Md. R. 1214); amended effective 43:1 Md. R. 14, eff.1/18/2016; amended effective 45:6 Md. R. 320, eff. 3/26/2018