Kan. Admin. Regs. § 100-28a-10 - Supervising physician
(a) Each
supervising physician shall meet all of the following requirements:
(1)Engage in the practice of medicine and
surgery in Kansas;
(2)verify that
the physician assistant has a current license issued by the board;
(3)at least annually, review, evaluate, and
determine whether the physician assistant has performed patient services
constituting the practice of medicine and surgery with professional competence
and with reasonable skill and safety;
(4)at least annually, review the active
practice request form required by K.A.R.
100-28a-9 and determine if any amendments are
necessary. Each amendment shall be conveyed to the physician assistant,
specified in all copies of the active practice request form, and provided to
the board within 10 days of being made;
(5)report to the board any knowledge of
disciplinary hearings, formal hearings, public or private censure, or other
disciplinary action taken against the physician assistant by any state's
licensure or registration authority or any professional association. The
supervising physician shall report this information to the board within 10 days
of receiving notice of the information;
(6)report to the board the termination of
responsibility by the supervising physician or any litigation alleging conduct
by the physician assistant that would constitute grounds for disciplinary
action under the physician assistant licensure act. The supervising physician
shall report this information to the board within 10 days of receiving notice
of the information;
(7)arrange for
a substitute supervising physician to provide supervision on each occasion when
the supervising physician is temporarily absent, is unable to be immediately
contacted by telecommunication, or is otherwise unavailable at any time the
physician assistant could reasonably be expected to provide professional
services; and
(8)delegate to the
physician assistant only those acts that constitute the practice of medicine
and surgery and meet the following conditions:
(A) The supervising physician believes or has
reason to believe that the acts can be competently performed by the physician
assistant, based upon the physician assistant's background, training,
capabilities, skill, and experience; and
(B) the acts are within the supervising
physician's clinical competence and customary
practice.
(b)The
supervising physician shall develop and implement a written method for
evaluating whether the physician assistant has performed patient services
constituting the practice of medicine and surgery with professional competence
and with reasonable skill and safety.
(1) During the first 30 days of the
supervising physician-physician assistant supervisory relationship, the
supervising physician shall review and authenticate all medical records of each
patient evaluated or treated by the physician assistant within seven days of
the date the physician assistant evaluated or treated the patient. The
supervising physician shall authenticate each record by original signature or
initials and shall record the date of the review. Electronically generated
signatures shall be acceptable if reasonable measures have been taken to
prevent unauthorized use of the electronically generated signature.
(2) After the first 30 days of the
supervising physician-physician assistant supervisory relationship, the
supervising physician shall document the periodic review and evaluation of the
physician assistant's performance required by paragraph (a)(3), which may
include the review of patient records. The supervising physician and the
physician assistant shall sign the written review and evaluation and maintain a
copy at each practice location, which shall be made available to the board upon
request.
(c)Except as
otherwise required by K.A.R.
100-28a-13, a supervising physician shall not
be required to cosign orders or prescriptions written in a patient's medical
record by a physician assistant to whom the supervising physician has delegated
the performance of services constituting the practice of medicine and surgery
.
Notes
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