3.
Requirements for Physicians and Physician Groups Entering into Collaborating
Agreements
a. Physicians must be actively
practicing medicine in Colorado by means of a regular and reliable physical
presence in Colorado. For purposes of this Rule, to practice medicine based
primarily on telecommunication devices or other telehealth technologies does
not constitute "actively practicing medicine in Colorado."
b. Performance Evaluation
(1) A physician or physician group who has
entered into a Collaborating Agreement with a physician assistant shall develop
and carry out a periodic Performance Evaluation as required by these Rules and
section 12-240-114.5(1)(c),
C.R.S. The Performance Evaluation should include domains of competency relevant
to the particular practice and utilize more than one modality of assessment to
evaluate those domains of competency. The Performance Evaluation should take
into account the education, training, experience, competency, and knowledge of
the individual physician assistant for whatever practice area in which the
physician assistant is engaged.
(2)
The statutory relationship between the physician or physician group and
physician assistant is by its nature a team relationship. The purpose of the
Performance Evaluation is to enhance the collaborative nature of the team
relationship, promote public safety, clarify expectations, and facilitate the
professional development of an individual physician assistant.
(3) The domains of competency may be
dependent upon the type of practice the physician assistant is engaged in and
may include but are not limited to:
(a)
Medical knowledge;
(b) Ability to
perform an appropriate history and physical examination;
(c) Ability to manage, integrate and
understand objective data, such as laboratory studies, radiographic studies,
and consultations;
(d) Clinical
judgment, decision-making and assessment of patients;
(e) Accurate and appropriate patient
management;
(f) Communication
skills (patient communication and communication with other care
providers);
(g) Documentation and
record keeping;
(h) Collaborative
practice and professionalism;
(i)
Procedural and technical skills appropriate to the
practice.
(4) The
modalities of assessment to evaluate domains of competency may include but are
not limited to:
(a) Co-management of
patients;
(b) Direct
observation;
(c) Chart review with
identification of charts reviewed;
(d) Feedback from patients and other
identified providers.
(5)
Performance evaluations must occur with at least the minimum frequency required
in section
12-240-114.5(2)(b)(I)(C),
C.R.S.
(6) A physician or physician
group must maintain accurate records and documentation of the Performance
Evaluations, including the initial Performance Evaluation and periodic
Performance Evaluations for each physician assistant with whom they have
entered into a Collaborative Agreement.
(7) The Board may audit a physician's or
physician group's performance assessment records. Upon request, the physician
or physician group shall produce records of the performance assessments as
required by the Board.