Administrative Rules of Montana
Department 24 - LABOR AND INDUSTRY
Chapter 24.156 - BOARD OF MEDICAL EXAMINERS
Subchapter 24.156.27 - Emergency Care Providers
Rule 24.156.2701 - DEFINITIONS

(a) "Clinical experience" means supervised instruction, observation, or practice in a patient care setting as part of a course curriculum.

(b) "Clinical preceptor" means an individual licensed to a licensure level greater than the student, who is responsible for supervising and teaching the student in a clinical setting, under the supervision of the medical director or lead instructor.

(c) "Curriculum" means the combination of the National EMS Educational Standards and Instructional Guidelines prepared by the USDOT, and the Montana ECP Practice Guidelines.

(d) "Endorsement" means a supplement within a level of licensure issued in conjunction with the appropriate standard license type (EMR, EMT, AEMT, or Paramedic). Each endorsement acquired by a licensee indicates the licensee has obtained a defined set of skills and knowledge, determined and approved by the board or its designee, that expands the scope of practice of the ECP.

(e) "Lead instructor" is an endorsement which indicates the endorsed licensee has attended a board-approved instructor training program and is authorized to offer and conduct ECP courses. (f) "Medical director" means a physician or physician assistant who holds a current unrestricted Montana license and is professionally and legally responsible for training, providing medical direction, and oversight of licensed ECPs under the medical director's supervision.

(g) "Montana ECP Practice Guidelines" means the written guidelines developed, approved, and distributed by the board, that provide guidance to medical directors and ECPs licensed to practice at all levels.

(h) "Offline medical direction" means general medical oversight and supervision for an emergency medical service or an ECP, including, but not limited to, review of patient care techniques, emergency medical service procedures, and quality of care.

(i) "Online medical control" means real-time interactive medical advice or orders to ECPs.