6. CRITERIA FOR SUPERVISION
A. SUPERVISORS
Physician assistants may practice medicine and perform medical activities only when provided supervision by the following:
1. a primary or secondary supervising physician; or
2. a physician in an organized health care delivery system in which there is a primary supervising physician, or
3. a physician licensed by the Board of Osteopathic Licensure who is permitted under rules promulgated by that Board to be a secondary supervisor of physician assistants.
B. TECHNICAL REQUIREMENTS OF SUPERVISION
As a part of the supervising physician/physician assistant team, a physician assistant is responsible for ensuring that the physician assistant's basic scope of practice and practice setting is identified; that the delegation of medical tasks is appropriate to the physician assistant's level of competence; that the relationship of, and access to, a supervising physician is defined; and that a process for evaluation of the physician assistant's performance is established. The constant physical presence of a supervising physician is not required so long as a supervising physician and physician assistant are, or can be, easily in contact with one another by radio, telephone, or other telecommunication device.
C. WRITTEN PLAN OF SUPERVISION
Physician assistants licensed to practice in accordance with these rules and their primary supervising physician must prepare and have on file in the practice setting a written dated plan of supervision containing specific practice descriptions of the elements of supervision as outlined in subparagraph A. This plan of supervision must be reviewed and updated as necessary, but in any event, whenever the physician assistant's license is renewed. A statement shall be attached to the plan stating the date the plan was reviewed and any changes to the plan, and shall be signed by the physician assistant and primary supervising physician. If a physician assistant is to be supervised by a secondary supervising physician, the secondary supervising physician must accept, in writing, delegation of supervision.
D. PLAN TO BE AVAILABLE ON DEMAND
A physician assistant shall provide, at the request of any Board member or authorized person, a copy of the plan of supervision and, if applicable, the document showing delegation of that plan to a secondary supervising physician. Such request may be made in writing or by appearing at the practice setting in which case the plan shall be provided immediately. The Board may require the plan to be amended for purposes of ensuring public safety as required by state law.
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