Fla. Admin. Code Ann. R. 64B15-12.0051 - Limited License for Graduate Assistant Physicians
(1) Any person
desiring to obtain a limited license as a graduate assistant physician pursuant
to Section 459.0075 (2),
F.S., must submit to the Board a completed application form. Form DH-MQA 5090,
Application for Osteopathic Graduate Assistant Physician Initial or Renewal
Limited License, (5/2024), is hereby adopted and incorporated by reference, and
can be obtained from
http://www.flrules.org/Gateway/reference.asp?No=Ref-17145,
the Board office, or
https://floridasosteopathicmedicine.gov/resources/.
(2) Protocol. A graduate assistant physician
must have agreed to enter into a written protocol drafted by a physician with a
full, active, and unencumbered license issued under Chapter 459, F.S., and must
submit a copy of the same with the application for licensure. The protocol must
specify the duties and responsibilities of the graduate assistant physician and
include the following provisions:
(a) Clinical
Supervision. Describes the structure of the supervision, the area of practice,
and specifies the responsibilities of the graduate assistant physician and
supervising physician.
(b)
Delegation. Specifies the delegation of all medical tasks or procedures within
the supervising physician's scope of practice that are appropriate for the
graduate assistant physician's specific level of competency.
(c) Patient Care Guidelines. Details how the
graduate assistant physician should assess, diagnose, and manage patients;
includes evidence-based practices, treatment algorithms, and best practices;
addresses common conditions encountered in the specialty.
(d) Prescriptive Authority. Specifies the
prescriptive authority of the graduate assistant physician. The prescriptive
authority must not exceed that of the graduate assistant physician's
supervising physician and shall be in accordance with state and federal laws.
Graduate assistant physicians are prohibited from prescribing or ordering
controlled substances under their supervising physician's Federal Drug
Enforcement Administration controlled substance registration. All prescriptions
and orders issued by the graduate assistant physician are required to identify
both the graduate assistant physician and the supervising physician.
(e) Documentation and Communication. Outlines
requirements for completing medical records, including taking medical
histories, physical exams, and progress notes; emphasizes effective
communications with patients, families, and interdisciplinary teams, if
applicable.
(f) Procedures and
Skills Training. Lists essential procedures the graduate assistant physician
may perform and the training requirements necessary to perform them.
(g) Identification and Disclosure. Specifies
procedures for identification and disclosure to the patient that he or she is a
graduate assistant physician.
(h)
Ethical and Professional Behavior. Provides requirements for informed consent
and confidentiality; and provides guidance regarding ethics, professionalism,
empathy, and patient-centered care.
(i) Location. Specifies the location(s) and
address(es) of where the supervision and services will be rendered.
(j) Dates. Specifies the dates of
commencement and termination of the supervisory agreement. The date of
termination may not be greater than two (2) years from the date of
commencement.
(k) Evaluation.
Specifies process for the evaluation by the supervising physician of the
graduate assistant physician's performance, including a review of all medical
records related to the clinical encounters of the graduate assistant physician.
The supervising physician's evaluation must include the scope of the practice
and instruction provided to the graduate assistant physician, and shall contain
a statement as to whether or not the graduate assistant physician would be
recommended for a residency position.
(l) Modification. Specifies that any
modifications to the protocol requires the graduate assistant physician to
notify the Board in writing within ten (10) days. The supervisor and graduate
assistant physician must each maintain a copy of the original protocol and any
subsequent modifications.
(m)
Signatures. The original protocol, and any modifications thereto, must be
signed by the supervisor and the graduate assistant.
(3) Supervision. Supervision of a graduate
assistant physician is under direct supervision and requires the physical
presence of the supervising physician at the location where the services are
rendered. A supervising physician may not supervise more than two graduate
assistant physicians with limited licenses.
(a) In addition to the written protocol, the
graduate assistant physician shall submit to the Board for approval the name
and curriculum vitae of the proposed supervisor, and the number of graduate
assistant physicians the proposed supervisor is currently monitoring, if any.
The supervisor must be licensed under Chapter 459, F.S., in good standing, in
active status, without restriction or limitation on his or her license.
Specific grounds for rejecting a proposed supervisor by the Board or its
designee may include but are not limited to the following:
1. The proposed supervisor is currently under
investigation, or is the subject of a pending disciplinary action.
2. The proposed supervisor is not practicing
on the premises.
3. The proposed
supervisor will be monitoring more than two graduate assistant
physicians.
(b)
Immediately upon receipt, an approved supervisor must inform a graduate
assistant physician under supervision of any final agency action taken against
the supervisor's license.
(c) The
Board confers authority on the Chair to temporarily approve a graduate
assistant physician's supervisor. To obtain this temporary approval, the
graduate assistant physician shall submit to the Board the information required
in paragraph (3)(a). Absent said approval, the graduate assistant physician
shall not practice medicine or perform designated procedures until a
supervising physician is approved. Temporary approval shall only remain in
effect until the next meeting of the Board. Final approval is to be made by the
Board.
Notes
Rulemaking Authority 459.0075(2), 459.0075(3) FS. Law Implemented 459.0075(2) FS.
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.