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 any practice setting, by ensuring the documentation of alternate supervising physicians with signed confirmation that each alternate understands and accepts the role as an alternate supervising physician; and
(ii) By ensuring that the alternate supervising physician documentation is readily available, accessible, and provided to the Board upon request;
(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. 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.