rx3000 Posted December 2, 2014 Share Posted December 2, 2014 Is that possible? I am just asking out of curiosity. thanks. Link to comment Share on other sites More sharing options...
PACdan Posted December 2, 2014 Share Posted December 2, 2014 All the ones that begin with the letters B, E, and J. Link to comment Share on other sites More sharing options...
rx3000 Posted December 2, 2014 Author Share Posted December 2, 2014 All the ones that begin with the letters B, E, and J. Very good kido. Link to comment Share on other sites More sharing options...
LESH Posted December 2, 2014 Share Posted December 2, 2014 The short answer is no. Link to comment Share on other sites More sharing options...
PACdan Posted December 2, 2014 Share Posted December 2, 2014 Very good kido. No problem sport. A simple Google search will reveal that PAs must have a collaborative practice agreement with physicians in each of the 50 states. Link to comment Share on other sites More sharing options...
Moderator ventana Posted December 2, 2014 Moderator Share Posted December 2, 2014 define supervision...... Link to comment Share on other sites More sharing options...
LESH Posted December 2, 2014 Share Posted December 2, 2014 What is required by state regulation or law for a PA to see patients. Maybe not what the OP had in mind but was the basis for my previous answer. Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted December 2, 2014 Moderator Share Posted December 2, 2014 VA requires collaboration, if we are splitting hairs ;) Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted December 3, 2014 Moderator Share Posted December 3, 2014 DMAT (disaster medical assistance teams. i.e. federal disaster teams). I have been a member for over 8 years and never been asked by the state or federal govt or the team itself to arrange a supervisor. it's nowhere in the application packet for PAs, etc. Outside of the US on volunteer/disaster missions (not paid work) it is "suggested" by the aapa that you work with physicians but there is no formal requirement that you do so. Link to comment Share on other sites More sharing options...
ohsnapPA Posted December 14, 2014 Share Posted December 14, 2014 I've shadowed many PAs (cardiology, GI FM, IM, ER, walk-in, etc) in upstate NY and all of them are very independent. They have their own patients, write their own prescriptions, order Xrays, etc. When there's something that they're unsure of, these PAs all have access to their supervising physicians whether that's by phone or in person. But for the most part, these PAs do almost everything independently and just asks a MD to sign off on paperwork. I feel like it definitely depends on location. PAs in rural areas may have more independence than ones in the cities. Also, level of experience and a MD's trust of a PA's skill level adds to the "independence" equation, too. Link to comment Share on other sites More sharing options...
Guest Paula Posted December 14, 2014 Share Posted December 14, 2014 It really comes down to state law. I am licensed in two states. One state allows for PA SOP to be whatever is determined at the practice level. No co-signature required (except in cases where another entity demands it, such as for orders for DME, or for other entities who still practice by old laws and won't recognize the PA sig.) Schedule II-V rights with a letter of delegation kept on file at the practice site. This is my current state of practice and I am 99% "independent" and make autonomous decisions. I discuss cases with the collaborating physician when needed. I work rural, isolated clinic and am expected to practice to the level of a physician....which is also outlined in state law. This state also has higher lawsuits for physicians, not sure about PAs or NPs. The other state SOP laws is outlined in the Medical rules and is more restrictive: No chart co-sig or script co-sig, must practice within the SOP as outlined in the law (making it more restrictive). Schedule II-V rights as delegated with an agreement kept on file, and we must always keep track of traceability ( a new aspect of our law just started due to a surprise addendum that could not get negotiated out with the last go-around to improve our laws). Traceability means the PA must always keep a record of who the collaborating physician is on any and every day they practice and keep on file for 5 years or so.) Chart review is determined at practice level and prescription practice is reviewed once a year. This state has very few lawsuits for MDs, PAs, NPs, etc. We are one of the few states with a patient compensation fund. So, pick your state when you are looking for a job. I love working in the first state I mentioned above, however am making a change to the second state (my residence is located in the second state), so I am choosing to go to a more restrictive state for personal reasons and because of a hostile environment that has developed at the first site in the last year. (Sad for me and the patients, they lose). It is what it is. You have got to make the grass green where ever you practice and then keep advocating for better state laws and loosening of restrictions. Link to comment Share on other sites More sharing options...
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