Current through Register Vol. 40, No. 6, March 31, 2022
The following definitions shall apply to these rules:
(1) APPROVED PROGRAM: A program for the
education and training of assistants to physicians which has been formally
approved in writing by the Board.
(2) ASSISTANT TO PHYSICIAN. A person who is a
graduate of an approved program, is licensed by the Board, and is registered by
the Board to perform medical services under the supervision of a physician
approved by the Board to supervise the assistant.
(3) BOARD. The Board of Medical Examiners of
the State of Alabama.
CONTINUAL. Repeated regularly and frequently in steady rapid
(5) DIRECT MEDICAL
INTERVENTION. Physical presence of a physician to attend the patient as defined
in the registration agreement protocol.
(6) FCVS, Federation Credentials Verification
Service. A credentials verification service provided by the Federation of State
Medical Boards that assistants to physicians may use to verify core credentials
in connection with applications for licensure. The Board of Medical Examiners
will accept those verified primary source records of credentials provided by
FCVS in lieu of equivalent documentation required to be submitted with an
application for licensure where designated in these rules. Applicants are
responsible for payment of all fees charged by FCVS. Use of FCVS by an
applicant is optional.
GUIDELINES. The written guidelines established by the Board pursuant to Act
94-261 in the most current version which concern the prescribing practices of
assistants to physicians and which do not require publication in accordance
with the Alabama Administrative Procedures Act.
(8) LEGEND DRUG. Any drug, medicine, chemical
or poison, bearing on the label the words, "Caution, Federal Law prohibits
dispensing without prescription" or similar words indicating that the drug,
medicine, chemical or poison may be sold or dispensed only upon the
prescription of a licensed medical practitioner, except that the term legend
drug shall not include any drug, substance or compound which is listed in
Schedules I through V of the Alabama Uniform Controlled Substances
(9) PHYSICIAN. A person who is
licensed to practice medicine in this state and is approved by the Board to
supervise assistants to physicians.
(10) PHYSICIAN SUPERVISION. A formal
relationship between a licensed assistant to a physician and a licensed
physician under which the assistant to the physician is authorized to practice
as evidenced by a written job description approved by the Board. Physician
supervision requires that there shall be at all times a direct, continuing and
close supervisory relationship between the assistant to the physician and the
physician to whom that assistant is registered. The term (4) CONTINUAL.
Repeated regularly and frequently in steady rapid succession.
(11) PRESCRIBE OR PRESCRIBING. The act of
issuing a written prescription for a legend drug.
(12) PRESCRIPTION. An order for a legend drug
which is written and signed by an assistant to a physician authorized to
prescribe and administer the drug and which is intended to be filled,
compounded, or dispensed by a pharmacist. The term "prescription" does not
include an order for medication which is dispensed for immediate administration
to the ultimate user. (e.g., an order to dispense a drug to a bed patient for
immediate administration in a hospital is not a prescription.)
(13) READILY AVAILABLE. Response by the
supervising or covering physician by telephone or telecommunication for
consultation, referral or direct medical intervention for a patient as
indicated by the needs of the patient and based on usual and customary
standards of medical practice.
REMOTE PRACTICE SITE. An approved site for a registration agreement without a
supervising or covering physician on-site. The supervising physician's
principal practice site, acute care hospitals, skilled nursing facilities,
licensed, special-care assisted living facilities and licensed assisted living
facilities are not remote practice sites for the purpose of these
(15) TRAINEE. A person who
is currently enrolled in an approved program in this
Ala. Admin. Code r.
Repealed and Replaced:
Filed September 21, 1998; effective October 26, 1998. Repealed and New Rule:
Filed August 22, 2002; effective September 26, 2002. Repealed and New Rule:
Filed September 19, 2002; effective October 24, 2002. Amended: Filed October
17, 2002; effective November 21, 2002.
Administrative Monthly Volume XXXIV, Issue No. 03, December 31,
2015, eff. 1/30/2016.
Administrative Monthly Volume XXXIX, Issue No. 02, November 30,
2020, eff. 2/14/2021.
Administrative Monthly Volume XL, Issue No. 01, October 29, 2021,
Author: Alabama Board of Medical
Code of Ala.