Rules and Regulations of the State of Georgia
 

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If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree that you will not copy, print, or download anything from this website for any commercial use. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website.</p> <p> You agree that you will not sell, will not license, and will not otherwise make available in exchange for anything of value, anything that you download, print, or copy from this site.</p> <p> You agree that you will not copy, print, or download any portion of the regulations posted on this site exceeding a single chapter of regulations for sale, license, or other transfer to a third party, except that you may quote a reasonable portion of the regulations in the course of rendering professional advice.</p> <p> If you violate this agreement, or if you access or use this website in violation of this agreement, you agree that Lawriter will suffer damages of at least $20,000. </p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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If you are an entitled government entity pursuant the Georgia Administrative Procedures Act, <a target="_new" href="http://links.casemakerlegal.com/states/GA/books/Code_of_Georgia/browse?ci=25id=gasos&amp;codesec=50-13-7&amp;title=50&amp;#50-13-7(d)">O.C.G.A.§ 50-13-7(d)</a> contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.)</p> <p>To access this website, you must agree to the following: </p> <p> These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. </p> <p> You agree that you will not copy, print, or download anything from this website for any commercial use. </p> <p> You agree not to use any web crawler, scraper, or other robot or automated program or device to obtain data from the website.</p> <p> You agree that you will not sell, will not license, and will not otherwise make available in exchange for anything of value, anything that you download, print, or copy from this site.</p> <p> You agree that you will not copy, print, or download any portion of the regulations posted on this site exceeding a single chapter of regulations for sale, license, or other transfer to a third party, except that you may quote a reasonable portion of the regulations in the course of rendering professional advice.</p> <p> If you violate this agreement, or if you access or use this website in violation of this agreement, you agree that Lawriter will suffer damages of at least $20,000. </p> <p> THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." 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<a href="/GAC/360" title="360">Department 360</a></li> <li>&raquo; Chapter 360-5</li> </ul> </div> </div><div id="doc" class="container" xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns:msxsl="urn:schemas-microsoft-com:xslt" xmlns:nll="uuid:{D3B28627-934D-41bc-8B7A-0549A8802FE4}"> <div id="doc-content" class="content"> <h1><nllchapter>Chapter 360-5 PHYSICIAN'S ASSISTANTS</nllchapter></h1> <h2><a href="/GAC/360-5-.01" name="360-5-.01" title="360-5-.01">Rule 360-5-.01 Purpose</a></h2> <P>The purpose of this Chapter is to implement the "Physician Assistant Act" of 2009, authorizing the Board to adopt rules and perform all acts necessary, proper or incidental to the efficient development of the category of health care as established therein.</P> <h2><a href="/GAC/360-5-.02" name="360-5-.02" title="360-5-.02">Rule 360-5-.02 Qualifications for Physician Assistant Licensure</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An applicant for licensure as a physician assistant must show to the satisfaction of the Board the following: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An affidavit that the applicant is a United States citizen, a legal permanent resident of the United States, or that he/she is a qualified alien or non-immigrant under the Federal Immigration and Nationality Act. If the applicant is not a U.S. citizen, he/she must submit documentation that will determine his/her qualified alien status. The Board participates in the </span><span class=""><B>DHS-USCIS SAVE </B></span><span class="">(Systematic Alien Verification for Entitlements or "SAVE") program for the purpose of verifying citizenship and immigration status information of non-citizens. If the applicant is a qualified alien or non-immigrant under the Federal Immigration and Nationality Act, he/she must provide the alien number issued by the Department of Homeland Security or other federal immigration agency.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Good moral character as demonstrated by two (2) acceptable references from licensed physicians, who are personally acquainted with the applicant. These may not be completed by the physician(s) applying for utilization of the physician assistant.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(1)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Evidence of satisfactory completion of a training program approved by the Board. The Board has approved or will approve those physician assistant programs of training offered by accredited colleges or universities, whose graduates are eligible for the examination administered by either the NCCPA or NCCAA or their successors, and whose curriculum consists of two or more academic years, including clinical experience in health care appropriate to the task of a physician assistant.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(1)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Evidence that the applicant has achieved a passing score on either:</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(1)(d)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The certification examination administered by the National Commission for Certification of Anesthesiologist Assistants (NCCAA) or its successor, or </span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(1)(d)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The certification examination administered by the National Commission on Certification of Physician Assistants (NCCPA) or its successor.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Applications for initial licensure or licensure thereafter as a physician assistant shall be made upon forms supplied by the Board.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The forms must be completed and submitted by the physician assistant along with a recent notarized photograph of the applicant and an application fee. No fee is required if the applicant is an employee of the state or county government.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Applications submitted to the Board must be completed in every detail, unless the response called for is not applicable to the applicant, and, if so, the response shall be made in that manner with accompanying explanation.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All applications for licensure as a physician assistant must be completed and on file with the Board at least (5) days prior to its meeting, in order to be considered by the Physician Assistant Advisory Committee and the Board at the next meeting.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A completed application for licensure may be denied for any of the reasons set forth in O.C.G.A. Section </span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=43-34-8&amp;title=43#" target="_newtab">43-34-8</a></span><span class="">.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(7)">(7)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The physician assistant must certify that he or 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.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(8)">(8)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Upon receipt of all required documents, the board shall provide notification of approval or disapproval of the physician assistant application for licensure.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(9)">(9)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An applicant must complete all requirements for licensure within one year from the date the Board receives the application. Otherwise, the applicant must submit a new application with the required fee. This one year requirement does not include references, which are valid for only six months.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(10)">(10)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Temporary Practice Permits. The Board may issue a temporary permit to any applicant who has otherwise met the requirements for Board licensure and who has either applied to take the next available examination or has already taken the examination and is awaiting the results thereof, with the following conditions: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(10)a.">a.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The applicant must request this permit in writing.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.02(10)b.">b.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Unless otherwise approved by the Board for extenuating circumstances, the permit shall be valid for a maximum period of ninety (90) days, but shall expire immediately upon notification of the applicant's failure to achieve a satisfactory score on the approved certification examination required in </span><span class=""> <a title="360-5-.02" href="360-5-.02">360-5-.02</a></span><span class=""> (1)(c).</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/360-5-.03" name="360-5-.03" title="360-5-.03">Rule 360-5-.03 Application for Physician Utilization of a Physician Assistant</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The board shall have the authority to approve or deny any primary or alternate supervising physicians.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The application must include: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The name of the primary supervising physician.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Alternate supervising physicians, as designated by the primary supervising physician, if applicable.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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. </span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(b)2">2</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An alternate supervising physician must have the following relationships with the primary supervising physician: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(b)2(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> a similar scope of practice and:</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(b)2(ii)">(ii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> an affiliation with the primary supervisory physician's medical practice; or</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(b)2(iii)">(iii)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> An established formal call agreement.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The name and location of the medical school from which the primary supervising physician was graduated and the date the degree was received.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The type of practice in which the physician assistant is to provide services;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A Georgia business address for the practice;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A current Georgia medical license number.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(g)">(g)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Evidence that the physician assistant is licensed in Georgia;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(h)">(h)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(3)(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A job description meeting the requirements of law and rules.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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. If the physician assistant has been out of practice for more than two years, the Board, at its discretion, may require refresher training, continuing education, periodic reports from primary supervising physicians, demonstration of more intense physician supervision, or any other means deemed necessary by the Board to protect the health and safety of the citizens of Georgia.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(7)">(7)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(8)">(8)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All applications for Board approval should be completed and on file with the Board at least fifteen (15) days prior to the meeting, in order to be considered by the Physician Assistant Advisory Committee and the Board at the next meeting.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(9)">(9)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.03(9)a.">a.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> 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.</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/360-5-.04" name="360-5-.04" title="360-5-.04">Rule 360-5-.04 General Job Description</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.04(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The job description is a document signed and dated by both the primary supervising physician and the physician assistant whom the physician is seeking to utilize or already has approval to utilize. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.04(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The job description shall include a description of the medical acts to be performed by the physician assistant. For physician assistants who do not practice as an anesthesiology assistant, attachment of the Job Description provided by the Board shall be deemed adequate compliance with this requirement. However, if the physician assistant is performing an act not covered in the Job Description, then a submission of these additional acts is necessary and express approval by the Board is required. The Job Description does not include the delivery of general, spinal or epidural anesthesia and a physician assistant performing these acts would require additional training and express Board approval.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.04(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A job description shall not be required to contain every activity the physician deems the physician assistant qualified to perform, but shall confine the activities of the physician assistant to those in the scope of practice of the primary supervising physician.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.04(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Physician assistants who have completed a board approved Anesthesiologist Assistant program and will be practicing under the supervision of an anesthesiologist shall complete the job description for the Physician Anesthesiologist Assistant. All other physician assistants shall complete the General Job Description.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.04(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The job description shall contain a provision for immediate consultation between the physician assistant and primary or alternate supervising physician. "Immediate consultation" means that the supervising physician shall be available for direct communication or by telephone or other means of telecommunication.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.04(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In the case of an anesthesiologist assistant delivering general and/or regional anesthesia, the primary or alternate supervising physician must be immediately available in person.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.04(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant may only perform those tasks which are included in his/her job description currently on file with and approved by the Board; provided, however, that tasks outside the job description may be performed by the physician assistant under the direct supervision and in the presence of the physician(s) utilizing him.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.04(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A primary supervising physician may at any time submit a new or amended physician assistant job description to the Board.</span></td> </tr> </table> <h2><a href="/GAC/360-5-.05" name="360-5-.05" title="360-5-.05">Rule 360-5-.05 Limitations on Physician Assistant Practice</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> No person shall practice as a physician assistant without a license or temporary permit from the Board, Board approval of a supervising physician, and Board approval of his/her job description.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician employed by the Department of Community Health, an institution thereof or by a local health department, whose duties are administrative and do not normally include providing health care to patients</span><span class=""><U>,</U></span><span class=""> shall not be authorized to supervise a physician assistant who is employed by these entities.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician may not be an employee of the physician assistant who he/she is required to supervise unless the arrangement was approved by the Board prior to July 1, 2009.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician may serve as primary supervising physician to only four physician assistants. A physician may be an alternate supervising physician for any number of physician assistants.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician may not supervise more than two physician assistants at any one time except: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(5)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> When practicing as a member of a group practice in which other physicians of such group are primary supervising physicians. In these circumstances, a physician may supervise up to four physician assistants at any one time, or</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(5)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> When acting as an alternate supervising physician, a physician may supervise as many as four physician assistants, who are working within the scope of practice of the alternate supervisor. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(5)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In an institutional setting, such as a hospital or clinic.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(5)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> While on call for a primary supervising physician or a group practice</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(5)(b)3.">3.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> When otherwise approved by the board to act as an alternate supervising physician.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant may not perform an abortion or administer, prescribe or issue a drug order that is intended to cause an abortion to occur pharmacologically.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(7)">(7)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant may not be utilized to perform the duties of a pharmacist licensed under Title 26, Chapter 4 of the Official Code of Georgia Annotated, relating to pharmacists, as now or hereafter amended.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(8)">(8)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant may not issue a written prescription for a Schedule II controlled substance. Provided, however, this does not preclude: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(8)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> a physician assistant from preparing such a prescription for administration of a Schedule II controlled substance for signature by the primary or alternate supervising physician on the date that the prescription is issued to the patient. Such prescriptions may not be pre-signed.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(8)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant from issuing a written or verbal order for a Schedule II controlled substance within a health care setting. The supervising or an alternate supervising physician must co-sign such orders in compliance with any provisions required by the location where the physician assistant is practicing.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.05(9)">(9)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant does not have the authority to sign death certificates or assign a percentage of a disability rating.</span></td> </tr> </table> <h2><a href="/GAC/360-5-.06" name="360-5-.06" title="360-5-.06">Rule 360-5-.06 Renewal of Physician Assistant License</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All physician assistant licenses must be renewed biennially on the last day of the month in which the licensee's birthday falls. In order to renew, the licensee must: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Complete the renewal application;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Complete the Board approved continuing education requirements;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(1)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If intending to continue active practice have a Board approved primary supervising physician and approved job description, or if seeking an inactive license, meet the applicable requirements of </span><span class=""> <a title="360-5-.08" href="360-5-.08">360-5-.08</a></span><span class="">; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(1)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Pay a renewal fee.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Approximately 60 days prior to the expiration date, the Board may as a courtesy, email a notice for license renewal to the last email address on file in the Board's records to every person holding a current license. Failure to receive such notification shall not relieve the licensee of the obligation to renew and pay the required fee prior to the expiration date of the license. Deposit of the renewal fee by the Board does not indicate acceptance of the renewal application or that any licensing requirements have been fulfilled.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Failure to renew a license by the designated expiration date shall result in a penalty fee for late renewal as determined by the Board.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Failure to obtain the continuing education required for renewal may result in the denial of the application for renewal, or renewal of the license under a consent order with a fine, public or private reprimand and the requirement of additional continuing education.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Licenses expired for three months or less may be late renewed by meeting all the requirements for renewal and paying a late renewal fee.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Licenses that have been expired for longer than 3 months shall be deemed administratively revoked for failure to renew. Such licensees must apply for reinstatement of the license.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(7)">(7)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Notwithstanding the provisions of paragraph (6) of this rule, any service member as defined in O.C.G.A. </span><span class="">§</span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=15-12-1&amp;title=15#" target="_newtab">15-12-1</a></span><span class=""> whose license to practice medicine expired while on active duty outside the state shall be permitted to practice in accordance with the expired license and shall not be charged with a violation relating to such practice on an expired license for a period of six (6) months from the date of his or her discharge from active duty or reassignment to a location within the state. Such service member shall be entitled to renew such expired license without penalty within six (6) months after the date of his or her discharge from active duty or reassignment to a location within this state. The service member must present to the Board a copy of the official military orders or a written verification signed by the service member's commanding officer to waive any charges.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(8)">(8)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Reinstatement of License </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(8)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In order to reinstate a license to practice as a physician assistant, the Board must receive: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(8)(a)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A completed application;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(8)(a)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A reinstatement fee as required by the Board.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(8)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Reinstatement of a license to practice as a physician assistant is within the discretion of the Board. The physician assistant must be able to demonstrate to the Board's satisfaction that:</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(8)(b)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> He or she has maintained current knowledge, skill and proficiency in the health care area related to the job description as required by O.C.G.A. </span><span class="">§</span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=43-34-103&amp;title=43#" target="_newtab">43-34-103</a></span><span class="">; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(8)(b)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> He or she is mentally and physically able to practice with reasonable skill and safety.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(9)">(9)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant whose license has expired may neither practice nor represent himself as a physician assistant until such time that the Board has approved his application for renewal or reinstatement.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.06(10)">(10)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> All applicants must provide an affidavit and a secure and verifiable document in accordance with O.C.G.A. 50-36-1(f). If the applicant has previously provided a secure and verifiable document and affidavit of United States citizenship, no additional documentation of citizenship is required for renewal. If the applicant for renewal is not a United States citizen, he/she must submit documentation that will determine his/her qualified alien status. The Board participates in the DHS-USCIS SAVE (Systematic Alien Verification for Entitlements or "SAVE") program for purpose of verifying citizenship and immigration status information of non-U.S. citizens. If the applicant for renewal is a qualified alien or non-immigrant under the Federal Immigration and Nationality Act, he/she must provide the alien number issued by the Department of Homeland Security or other federal agency.</span></td> </tr> </table> <h2><a href="/GAC/360-5-.07" name="360-5-.07" title="360-5-.07">Rule 360-5-.07 Continuing Education Requirements</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Physician assistants licensed to practice pursuant to O.C.G.A. 43-34-103 shall complete Board approved continuing medical education of not less than forty (40) hours biennially. Effective with the 2009-2010 biennium, at least ten (10) hours shall be directly related to the specialty of the Board approved primary supervising physician. Physician assistants who are authorized to issue prescription drug orders shall be required as a part of the number of hours of continuing education required herein, to complete a minimum of three (3) hours in practice specific pharmaceuticals in which the physician assistant has prescription order privileges.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Physician assistants who are initially licensed by the Board and who have not renewed their license for the first time shall not be required to complete the 40 hours of continuing education during their first renewal, but physician assistants who have to issue prescriptive drug orders shall be required to complete the 3 hours of continuing education in practice specific pharmaceuticals in which the physician assistant has prescription order privileges.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Physician assistants whose licenses are not active, such as those who are inactive or revoked are not required to complete the continuing education until such time as they are seeking reactivation or reinstatement.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(1)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Except for the three hours of continuing education relating to pharmaceuticals, the Board is authorized to waive the continuing education required for renewal in cases of hardship, disability, illness, service in the United States Congress or Georgia General Assembly, military service or other circumstances as the Board deems appropriate if supported by adequate documentation acceptable to the Board.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(1)(c)1.">1.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Physician assistants seeking such an exemption must submit a written request and documentation to support their eligibility for such an exemption.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(1)(c)2.">2.</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Said request for an exemption shall be submitted to the Board not less than 60 days prior to the expiration of the license to receive a determination from the Board as to whether an exemption would be granted.</span></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The Board accepts the A.M.A. (American Medical Association) Category 1, the A.O.A. (American Osteopathic Association) Category 1, A.A.A.A. (American Academy of Anesthesiologist's Assistants) Category 1, AAFP (American Academy of Family Physicians) Category I, and the A.A.P.A. (American Academy of Physician Assistants) Category 1 credit as meeting its requirement for Board approval. It is the responsibility of the physician assistant to verify approval with the source of the program, not with the Board, and the physician assistant shall verify approval before taking the course.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Each licensed physician assistant must maintain records of attendance and supporting documents for continuing education for a period of 5 years from the date of attendance. At a minimum, the following must be kept:</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(3)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Name of Provider;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(3)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Date of completion;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(3)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Evidence of A.M.A. Category 1 credit; A.O.A. Category 1 credit; A.A.P.A, AAFP, Category 1 credit; or A.A.A.A. Category 1 credit.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The Board will audit a fixed percentage of randomly selected renewal applications to monitor compliance with the continuing education requirements. Any licensee so audited shall be required to furnish documentation of compliance as provided in paragraph (4) of this rule. Any licensee so audited who has been found to be out of compliance with the Board's continuing requirements may be subject to disciplinary action.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If the licensee has not complied with the continuing education requirement by the expiration of the license, his/her license shall not be renewed and the licensee shall not practice as a physician assistant. A licensee may late renew during the three (3) months following the expiration date of his or her license by presenting satisfactory evidence to the Board of completion of the requisite number of hours of Board approved continuing education and the late renewal fee. Licenses that are not renewed within three (3) months following the expiration date of the license shall be revoked for failure to renew. In order to obtain a valid license after revocation for failure to renew, an applicant must apply for reinstatement.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.07(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Continuing education hours that are used to satisfy a deficiency for the previous biennial renewal may not be used for purposes of renewal for the next biennium.</span></td> </tr> </table> <h2><a href="/GAC/360-5-.08" name="360-5-.08" title="360-5-.08">Rule 360-5-.08 Inactive Status</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.08(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A person who wishes to maintain his or her physician assistant license, but who does not intend to practice as a physician assistant may apply to the Board for inactive status by submitting an application and the fee as determined by the Board. An individual with an inactive license may not practice as a physician assistant in this State.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.08(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In order to reactivate a license to practice as a physician assistant, the Board must receive a completed application from the licensee with evidence of 40 hours of continuing education obtained within the previous two years, and a reactivation fee. The physician assistant must be able to demonstrate to the satisfaction of the Board that he or she has maintained current knowledge, skill and proficiency in the medical arts as required by O.C.G.A. </span><span class="">§</span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=43-34-103&amp;title=43#" target="_newtab">43-34-103</a></span><span class=""> and that he or she is mentally and physically able to practice with reasonable skill and safety. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.08(2)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Provided however prior to performing medical tasks, the licensee must demonstrate to the satisfaction of the Board that the completed continuing education required in the above paragraph is pertinent to the job description under which he/she will practice, as required in Continuing Education Requirements 360-05-.07.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.08(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Once the license has been reactivated, the physician assistant may not practice until he/she has on file a completed job description with a primary supervising physician as provided in Rules </span><span class=""> <a title="360-5-.03" href="360-5-.03">360-5-.03</a></span><span class=""> and </span><span class=""> <a title="360-5-.04" href="360-5-.04">360-5-.04</a></span><span class="">. In addition, the physician assistant must demonstrate to the satisfaction of the Board that he/she has sufficient recent continuing education or training pertinent to the job description under which he/she will practice.</span></td> </tr> </table> <h2><a href="/GAC/360-5-.09" name="360-5-.09" title="360-5-.09">Rule 360-5-.09 Temporary Practice Agreements</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Definitions </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(1)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Good standing" shall mean that the person has no disciplinary action taken against him or her by any state within the previous seven (7) years and has not let his/her license in any state expire or become inactive during an investigation by a state medical board into allegations relating to his/her practice as a physician assistant or during a pending disciplinary action.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(1)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> "Georgia Board - Approved Supervisory Arrangement" means when a supervising physician and a physician assistant are working under a basic job description previously submitted to and approved by the Board.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Temporary Practice Agreement. A physician and a physician's assistant may enter into a temporary practice agreement where the physician supervises the services provided by the physician assistant to patients at a specific facility or program operated by an organization exempt from federal taxes pursuant to Section 501(c)(3) of the Federal Internal Revenue Code, provided that: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(2)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Such services are provided in the State of Georgia;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(2)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Such services are provided primarily to financially disadvantaged patients;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(2)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Such services are free or at a charge to the patient based solely on the patient's ability to pay and provided, further, that such charges do not exceed the actual cost to the facility or program; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(2)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Both supervising physician and the physician assistant voluntarily and gratuitously donate their services;</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Requirements for the Temporary Practice Agreement. </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(3)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The temporary practice agreement must be for a specified period of time;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(3)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The physician assistant services must be within the usual scope of practice of the supervising physician;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(3)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The physician assistant and the supervising physician must be in good standing with the Board;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(3)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The temporary practice agreement must be signed by both the supervising physician and the physician assistant;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(3)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Prior to providing any patient services a copy of the signed temporary practice agreement must be on file at the facility or program and a copy of the agreement must have been sent to the Board; and</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(3)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The facility or program must notify the Board of its intent to provide patient services and utilize licensed physicians and physician assistants under the conditions set out in this subsection.</span></td> </tr> </table> </td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.09(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Limitations. This rule does not apply to physicians and physician assistants who are in a Georgia board-approved supervisory arrangement nor preclude physician assistants from practicing under the Georgia Volunteers in Health Care Specialties Act as delineated in OCGA Section </span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=43-1-28&amp;title=43#" target="_newtab">43-1-28</a></span><span class="">.</span></td> </tr> </table> <h2><a href="/GAC/360-5-.10" name="360-5-.10" title="360-5-.10">Rule 360-5-.10 Emergencies</a></h2> <P>In a state of an emergency or a public health emergency, a physician assistant may provide medical care with such supervision as is available at the immediate or local scene where a need for medical care exists or at a relief site established as part of a state or local safety plan pursuant to Chapter 3 of Title 38. Provided:</P> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.10(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The physician assistant must hold a license, certification or authorization in good standing from any state or federal jurisdiction.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.10(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Services shall be provided in response to an appropriate state or local official who is implementing a state or local emergency management plan or program.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.10(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The to practice under such guidelines shall not last longer than 48 hours, unless the Board establishes further supervision guidelines for physician assistants providing care under these circumstances.</span></td> </tr> </table> <h2><a href="/GAC/360-5-.11" name="360-5-.11" title="360-5-.11">Rule 360-5-.11 Standards for Physician Assistant Practice</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.11(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A licensed physician assistant is authorized to practice in those public or private places or facilities where the primary or alternate supervising physician regularly sees patients.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.11(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The physician assistant is not required to be in the presence of the physician to provide medical services, including the evaluation and treatment of new or established patients.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.11(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant may make house calls, nursing home visits, perform hospital duties, serve as an ambulance attendant or perform other functions he is qualified to perform.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.11(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The physician assistant may issue a prescription drug order, and/or order and initiate medical treatment or diagnostic studies in any health care setting, as authorized by his or her supervising physician.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.11(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Any physician, clinic or hospital utilizing physician assistants must post a notice to that effect in a prominent place.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.11(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> While engaged in medical practice, a physician assistant must clearly identify himself as such. He/she must also wear a clearly legible identification name tag with the words "Physician Assistant" on it. A Physician Assistant is to be addressed as Mr., Mrs., Ms., or Miss.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.11(7)">(7)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician who has been approved for supervision of a physician assistant is responsible for medical acts performed by that physician assistant.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.11(8)">(8)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant may pronounce death and certify such pronouncement in the same manner as a physician if he is delegated this by his supervising physician.</span></td> </tr> </table> <h2><a href="/GAC/360-5-.12" name="360-5-.12" title="360-5-.12">Rule 360-5-.12 Guidelines concerning Prescriptive Authority</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If authorized by his/her job description, a physician assistant may issue a prescription drug order for any medical device as defined by Code Section </span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=26-4-5&amp;title=26#" target="_newtab">26-4-5</a></span><span class="">, any dangerous drug as defined in Code Section </span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=16-13-71&amp;title=16#" target="_newtab">16-13-71</a></span><span class=""> or any Schedule III, IV, or V controlled substance as defined in Code Section </span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=16-13-21&amp;title=16#" target="_newtab">16-13-21</a></span><span class="">.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Any physician assistant who has been authorized to issue a prescription drug order for controlled substances must register with the federal Drug Enforcement Administration ("DEA").</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A prescription drug or device order form issued by an authorized physician assistant shall, at a minimum, contain the name, address and telephone number of the primary or alternate supervising physician, the patient's name and address, the drug or device ordered, the directions to the patient for taking the medication, the dosage, the number of refills allowed, the name and DEA number (if applicable) of the physician assistant, and the signature of the physician assistant.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(4)">(4)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The prescription drug order may be transmitted orally, by telephone, on paper, electronically or via facsimile. Any electronic prescription drug order must comply with the provision of O.C.G.A. Title 16, Chapter 13 and Title 26, Chapter 4. A record of the prescription must be maintained in the patient's medical record.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(5)">(5)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A physician assistant may authorize refills of any drug or device for up to 12 months from the date of the original prescription unless otherwise provided by law. Scheduled III, IV or V controlled substances may not be refilled more than six months from date of original prescription.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(6)">(6)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The physician assistant or office staff shall notify the patient that he has the right to see the physician prior to receiving a prescription drug or device order. Prominent signage in the office may serve this purpose.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(7)">(7)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The primary or alternate supervising physician shall evaluate or examine patients receiving controlled substances at least every three months.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(8)">(8)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Except in facilities operated by the Division of Public Health of the Department of Community Health, the primary or alternate supervising physician shall review the physician assistant's prescription drug or device orders and corresponding medical record entries within 30 days. This review may be achieved with a sampling of no less than 50 percent of the prescription drug or device orders and/or corresponding medical record entries.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(9)">(9)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> If authorized by the job description, a physician assistant may request, receive, sign for and distribute professional samples. Professional samples means complimentary doses of a drug, medication vouchers or medical devices provided by the manufacturer for use in patient care. If the professional samples are controlled substances, the physician assistant must also be registered with the federal Drug Enforcement Administration.</span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(9)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The office where the physician assistant practices must maintain a general list of all professional samples that the supervising physician has approved the physician assistant to request, receive, sign for and distribute. Such samples must be consistent with the specialty of the supervising physician.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.12(9)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> A complete list of the specific drugs or devices provided to a patient by a physician assistant must be noted in the patient's medical record.</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/360-5-.13" name="360-5-.13" title="360-5-.13">Rule 360-5-.13 Disciplinary Action/Revocation</a></h2> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(1)">(1)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> When the Board finds that any person is unqualified to be granted a license or to have a license renewed, the Board may refuse to grant the license.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(2)">(2)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> The Board may impose on a physician assistant any disciplinary action authorized by O.C.G.A. Sections </span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=43-34-8&amp;title=43#" target="_newtab">43-34-8</a></span><span class="">, </span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=43-34-103&amp;title=43#" target="_newtab">43-34-103</a></span><span class="">, </span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=43-34-107&amp;title=43#" target="_newtab">43-34-107</a></span><span class="">, and O.C.G.A. Section </span><span class=""> <a href="https://links.casemakerlegal.com/states/ga/books/Code_of_Georgia/browse?ci=25&amp;id=gasos&amp;codesec=16-13-111&amp;title=16#" target="_newtab">16-13-111</a></span><span class="">, or otherwise authorized by law for any of the reasons set forth by law. In addition, the Board may terminate the approval of a physician's utilization of a physician assistant provided in O.C.G.A. Section 3-34-107.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)">(3)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> In addition, the following may be considered by the Board as unprofessional conduct of the physician assistant: </span> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(a)">(a)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Performing duties on a routine basis by the physician assistant, without appropriate supervision by a physician approved by the Board;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(b)">(b)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Routinely performing duties that are not within the scope of practice of the supervising physician.</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(c)">(c)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Issuing pre-signed prescriptions or prescriptions signed in blank or using pre-signed prescriptions;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(d)">(d)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Signing a physician's signature on a prescription form by a physician assistant;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(e)">(e)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Failing to notify the Board within 30 days of becoming unable to perform duties or provide patient services with reasonable skill and safety by reason of illness or the use of alcohol, drugs, narcotics, chemicals or any other type of material;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(f)">(f)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Holding himself or herself out or permitting another to represent him or her as a licensed physician;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(g)">(g)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Being convicted in any court, state or federal, of any felony or other criminal offense involving moral turpitude;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(h)">(h)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Failing to notify the Board of the termination of a physician/physician assistant relationship;</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(i)">(i)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Failing to maintain appropriate patient records; or</span></td> </tr> </table> <table border="0" width="100%" cellspacing="4" cellpadding="4"> <tr> <td valign="top" width="1%" style="white-space:nowrap;text-align:left;width:18px;"><span class=""><a style="white-space:nowrap;" name="360-5-.13(3)(j)">(j)</a></span></td> <td valign="top" style="text-align:left" class="leftalign"><span class=""> Failing to document professional samples that are distributed to a patient in the patient's medical record.</span></td> </tr> </table> </td> </tr> </table> <h2><a href="/GAC/360-5-.14" name="360-5-.14" title="360-5-.14">Rule 360-5-.14 Repealed</a></h2> </div> </div> </div> <div id="toc" class="sidebar noprint"> <ul id="toc-children" class="children"><li><a href="/GAC/360-5-.01" name="360-5-.01" title="360-5-.01">Rule 360-5-.01 Purpose</a></li><li><a href="/GAC/360-5-.02" name="360-5-.02" title="360-5-.02">Rule 360-5-.02 Qualifications for Physician Assistant Licensure</a></li><li><a href="/GAC/360-5-.03" name="360-5-.03" title="360-5-.03">Rule 360-5-.03 Application for Physician Utilization of a Physician Assistant</a></li><li><a href="/GAC/360-5-.04" name="360-5-.04" title="360-5-.04">Rule 360-5-.04 General Job Description</a></li><li><a href="/GAC/360-5-.05" name="360-5-.05" title="360-5-.05">Rule 360-5-.05 Limitations on Physician Assistant Practice</a></li><li><a href="/GAC/360-5-.06" name="360-5-.06" title="360-5-.06">Rule 360-5-.06 Renewal of Physician Assistant License</a></li><li><a href="/GAC/360-5-.07" name="360-5-.07" title="360-5-.07">Rule 360-5-.07 Continuing Education Requirements</a></li><li><a href="/GAC/360-5-.08" name="360-5-.08" title="360-5-.08">Rule 360-5-.08 Inactive Status</a></li><li><a href="/GAC/360-5-.09" name="360-5-.09" title="360-5-.09">Rule 360-5-.09 Temporary Practice Agreements</a></li><li><a href="/GAC/360-5-.10" name="360-5-.10" title="360-5-.10">Rule 360-5-.10 Emergencies</a></li><li><a href="/GAC/360-5-.11" name="360-5-.11" title="360-5-.11">Rule 360-5-.11 Standards for Physician Assistant Practice</a></li><li><a href="/GAC/360-5-.12" name="360-5-.12" title="360-5-.12">Rule 360-5-.12 Guidelines concerning Prescriptive Authority</a></li><li><a href="/GAC/360-5-.13" name="360-5-.13" title="360-5-.13">Rule 360-5-.13 Disciplinary Action/Revocation</a></li><li><a href="/GAC/360-5-.14" name="360-5-.14" title="360-5-.14">Rule 360-5-.14 Repealed</a></li></ul> </div> </div> <!--content ends here--> <div id="footer" class="noprint"><span class="footer">Copyright &copy; 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