49 Pa. Code § 25.173
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.
49 Pa. Code § 25.173
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).