Regulation .07 Collaboration Agreements—Advanced Duties.
Regulation .07 Collaboration Agreements—Advanced Duties.LinkCopy Citation
A.
A physician assistant that has sufficient education, training, and experience in the performance of an advanced duty, may perform that advanced duty under a collaboration agreement without Board approval if:
(1)
The physician assistant is practicing at an exempt facility in accordance with Health Occupations Article, §15–302.1, Annotated Code of Maryland and meets the conditions in §A(4) of this regulation;
(2)
The physician assistant has previously received Board approval to perform the advanced duty; or
(3)
The physician assistant has at least 7,000 hours of clinical practice experience as attested to by the physician assistant.
(4)
For a physician assistant practicing at an exempt facility the following shall be met:
(a)
The patient care team physician listed on the collaboration agreement has been credentialed by the exempt facility as a condition of employment;
(b)
The physician assistant listed on the collaboration agreement has been credentialed by the exempt facility as a condition of employment; and
(c)
The advanced duty to be delegated by the patient care team physician to the physician assistant is reviewed and approved in a process approved by the exempt facility before the physician assistant performs the advanced duty.
B.
Except as provided under §A of this regulation, a physician assistant shall receive Board approval to perform an advanced duty prior to performing the advanced duty.
C.
A physician assistant performing X-Ray duties in accordance with Health Occupations Article, §14–306(e), Annotated Code of Maryland, shall:
(1)
Notify the Board of an executed collaboration agreement in a manner approved by the Board;
(2)
Maintain a copy of the collaboration agreement on file at the practice location;
(3)
Obtain Board approval for the X-Ray duty as an advanced duty if practicing at a location other than an exempt facility;
(4)
Perform the X-Ray duty in the medical office of a patient care team physician; and
(5)
Be limited to nonfluoroscopic X-Ray procedures of the extremities, anterior-posterior and lateral, not including the head.
D.
In addition to the requirements of §C of this regulation, a physician assistant performing the advanced duty of nonfluoroscopic X-ray procedures using a mini C-arm or similar low-level radiation machine shall be required to present the Board with evidence of completion of a course that includes:
(1)
Didactic instruction of at least eight hours on the following subject matters:
(a)
Principles of radiography;
(b)
Image acquisition;
(c)
Principles of exposure;
(d)
Image evaluation;
(e)
Radiation safety;
(f)
Equipment overview; and
(g)
Documentation; and
(2)
Clinical instruction, which shall:
(a)
Include anterior-posterior and lateral radiographic studies of extremities, not including the head, on at least 20 separate patients; and
(b)
Be under the direct supervision of the delegating physician or radiologist.