Ga. Comp. R. & Regs. R. 360-5-.03 - Application for Physician Utilization of a Physician Assistant
(1) In order to obtain approval to supervise
a physician assistant, the physician who will be responsible for the
performance of the Physician Assistant shall submit an application to the
Board. The application shall be made upon forms supplied by the Board and must
be approved by the Board before the supervising physician(s) may delegate
health care tasks to the physician assistant.
(a) The board shall have the authority to
approve or deny any primary or alternate supervising physicians.
(2) The supervising physician(s)
must certify that he/she has received, read, and is familiar with the Medical
Practice Act, Physician Assistant Act and Board rules and regulations by
signing the statement on the application.
(3) The application must include:
(a) The name of the primary supervising
physician.
(b) Alternate
supervising physicians, as designated by the primary supervising physician, if
applicable.
1. Unlimited alternate supervising
physicians may be added to the approved list by submission of the appropriate
form signed by the primary supervising physician, and each alternate to the
Board.
2. An alternate supervising
physician must have the following relationships with the primary supervising
physician:
(i) a similar scope of practice
and:
(ii) an affiliation with the
primary supervisory physician's medical practice; or
(iii) An established formal call
agreement.
(c)
The name and location of the medical school from which the primary supervising
physician was graduated and the date the degree was received.
(d) The type of practice in which the
physician assistant is to provide services;
(e) A Georgia business address for the
practice;
(f) A current Georgia
medical license number.
(g)
Evidence that the physician assistant is licensed in Georgia;
(h) A fee as required by the Board. No fee
will be required if the physician assistant will be providing medical services
as an employee of the state or of a county government; and
(i) A job description meeting the
requirements of law and rules.
(4) Applications submitted to the Board must
be completed in every detail. In order for the Board to complete disposition of
the application, the Board, at its discretion, may request additional
information which shall be submitted in writing by the applicant.
(5) At the option of the Board, the physician
assistant and the applying supervising physician(s) may be required to appear
before the Board for a personal interview.
(6) The primary supervising physician shall
at all times maintain on file, readily available for inspection, documentation
from the Board evidencing current approval for supervision of the physician
assistant, current license status of both parties, and a copy of the applicable
approved job description.
(7) After
receipt of required documents, the board shall provide notification of approval
or disapproval of the physician's application for utilization of a Physician
Assistant.
(8) All applications for
Board approval should be completed and on file with the Board at least ten (10)
days prior to the meeting, in order to be considered by the Physician Assistant
Advisory Committee and the Board at the next meeting.
(9) Upon termination of a physician/physician
assistant relationship, the physician assistant and supervising physician are
required to give notice and date of termination to the board by certified mail
or appropriate verifiable method, and in order to continue practicing, the
physician assistant must submit an application to the Board for a new
supervising physician.
a. An alternate
supervising physician may not assume the primary supervising physician's role
but must submit the appropriate form to the Board and receive its approval
before delegating medical tasks to the physician assistant. Failure to notify
the Board immediately may result in disciplinary action against the physician
assistant and/or the physician(s). Failure to renew the license because of
expiration will not be considered an exception to the requirements of this
paragraph.
Notes
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