A. A primary supervising physician shall:
(1) File a delegation agreement with the Board, as required under Regulations .05 and .06 of this chapter;
(2) Accept responsibility for any medical acts performed by the physician assistant;
(3) Provide continuous supervision of the physician assistant by means of one or more of the following:
(a) On-site supervision;
(b) Written instructions;
(c) Electronic communication; or
(d) Assignment of one or more alternate supervising physicians by one of the following means:
(i) In a hospital, correctional facility, detention center, or public health facility, by ensuring the maintenance of a list of alternate supervising physicians with signed confirmation that each alternate understands and accepts his role as an alternate supervising physician; or
(ii) In any other location, through designation of the alternate on the delegation agreement sent to the Board;
(4) Delegate only medical acts that:
(a) Are within the scope of practice of the primary supervising physician or an alternate supervising physician; and
(b) Are suitable to be performed by the physician assistant, taking into account the physician assistantís:
(ii) Training; and
(iii) Level of competence;
(5) Obtain approval for the delegation of any advanced duties as specified in Regulation .06C, D, or E of this chapter;
(6) Except in hospitals, detention centers, correctional facilities, and public health facilities, supervise no more than four physician assistants at one time; and
(7) Report the termination of a delegation agreement for any reason to the Board within 5 days, providing the following information:
(a) Name and license number of primary supervising physician and physician assistant; and
(b) Reason for termination, including a description of conduct or incident that resulted in the termination.
B. An alternate supervising physician shall:
(1) Supervise the physician assistant according to the delegation agreement filed with the Board by the primary supervising physician and the physician assistant;
(2) Except in hospitals, detention centers, correctional facilities, and public health facilities, supervise no more than four physician assistants at one time; and
(3) Accept supervisory responsibility for periods of time not to exceed the lesser of:
(a) The time period specified in the delegation agreement; or
(b) 45 consecutive days.
C. Life-Threatening, Chronic, Degenerative, or Disabling Condition. A patient being treated regularly for a life-threatening, chronic, degenerative, or disabling condition shall be seen initially by the supervising physician and as frequently as the patientís condition requires, but no less than within every five appointments or within 180 days, whichever occurs first.
D. Sudden Departure of the Primary Supervising Physician.
(1) In the event of the sudden departure, incapacity, or death of a primary supervising physician, a designated alternate supervising physician may assume the role of primary supervising physician in order to provide continuity of care for the patients of the former supervising physician.
(2) A physician who assumes the responsibility of primary supervising physician under §C(1) of this regulation shall submit a complete delegation agreement to the Board within 15 days of assuming the responsibility.