Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 32 - BOARD OF PHYSICIANS
Chapter 10.32.03 - Delegation of Duties by a Licensed Physician - Physician Assistant
Section 10.32.03.07 - Supervising Physicians
Universal Citation: MD Code Reg 10.32.03.07
Current through Register Vol. 51, No. 19, September 20, 2024
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.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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