Med 22.02 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04.
Med 22.03 Med 22.03 Applications and credentials. Every applicant for initial licensure as a perfusionist shall submit:
Med 22.03(1) (1) A completed application form.
Med 22.03(2) (2) The fee specified in s. 440.05, Stats.
Med 22.03(3) (3) One of the following:
Med 22.03(3)(a) (a) For applications submitted before January 1, 2004, satisfactory evidence that the applicant has, for the entire 10 year period prior to May 3, 2002, been practicing perfusion.
Med 22.03(3)(b)1.1. Satisfactory evidence that the applicant has successfully completed an educational program in perfusion recognized by the board and accredited by the Accreditation Committee for Perfusion Education of the Commission on Accreditation of Allied Health Educational Programs.
Med 22.03(3)(b)2. 2. Written verification that the applicant has passed both the perfusion basic science examination and the clinical application in perfusion examination of the American Board of Cardiovascular Perfusion.
Med 22.03(3)(b)3. 3. Evidence of successful completion of the state board statutes and rules examination and an oral examination, if required.
Med 22.03 Note Note: Application forms are available on request to the board office at 1400 East Washington Avenue, P.O. Box 8935, Madison, Wisconsin 53708.
Med 22.03 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04.
Med 22.04 Med 22.04 Examinations; panel review of applications.
Med 22.04(1)(1) An applicant under s. Med 22.03 (3) (b) 3., shall certify on forms provided by the board that he or she has read and understands the statutes and rules relating to the provision of perfusion.
Med 22.04(2) (2) An applicant who meets the criterion under s. Med 22.03 (3) (a), may be required to submit to an oral interview by the board if the applicant meets any of the following:
Med 22.04(2)(a) (a) Has a medical condition which impairs or limits the applicant's ability to practice perfusion with reasonable skill and safety.
Med 22.04(2)(b) (b) Uses chemical substances so as to impair the applicant's ability to practice perfusion with reasonable skill and safety.
Med 22.04(2)(c) (c) Has been disciplined or had licensure denied by a licensing or regulatory authority in Wisconsin or another jurisdiction.
Med 22.04(2)(d) (d) Has been convicted of a crime the circumstances of which substantially relate to the practice of perfusion.
Med 22.04(2)(e) (e) Has been found negligent in the practice of perfusion or has been a party in a lawsuit in which it was alleged that the applicant has been negligent in the practice of perfusion.
Med 22.04(2)(f) (f) Has been diagnosed as suffering from pedophilia, exhibitionism or voyeurism.
Med 22.04(2)(g) (g) Has within the past 2 years engaged in the illegal use of controlled substances.
Med 22.04(2)(h) (h) Has been subject to adverse formal action during the course of perfusion education, postgraduate training, hospital practice, or other perfusion employment.
Med 22.04(3) (3) An applicant for licensure as a perfusionist under s. Med 22.03 (3) (b), shall pass both the perfusion basic science examination and the clinical application in perfusion examination of the American Board of Cardiovascular Perfusion.
Med 22.04(4) (4) An applicant for licensure as a perfusionist under s. Med 22.03 (3) (b), shall pass a state board statutes and rules examination conducted by the council as evidenced by documents submitted directly to the council by the department's office of examinations.
Med 22.04(5) (5) An applicant who meets the criteria under s. Med 22.03 (3) (b), may be required to complete an oral examination if the applicant:
Med 22.04(5)(a) (a) Has a medical condition which impairs or limits the applicant's ability to practice perfusion with reasonable skill and safety.
Med 22.04(5)(b) (b) Uses chemical substances so as to impair the applicant's ability to practice perfusion with reasonable skill and safety.
Med 22.04(5)(c) (c) Has been disciplined or had licensure denied by a licensing or regulatory authority in Wisconsin or another jurisdiction.
Med 22.04(5)(d) (d) Has been convicted of a crime the circumstances of which substantially relate to the practice of perfusion.
Med 22.04(5)(e) (e) Has not practiced perfusion for more than 1,200 hours during the 3-year period preceding the date of application.
Med 22.04(5)(f) (f) Has practiced over 1,200 hours in the last 3 years but practice was limited.
Med 22.04(5)(g) (g) Has been found negligent in the practice of perfusion or has been a party in a lawsuit in which it was alleged that the applicant has been negligent in the practice of perfusion.
Med 22.04(5)(h) (h) Has been diagnosed as suffering from pedophilia, exhibitionism or voyeurism.
Med 22.04(5)(i) (i) Has within the past 2 years engaged in the illegal use of controlled substances.
Med 22.04(5)(j) (j) Has been subject to adverse formal action during the course of perfusion education, postgraduate training, hospital practice, or other perfusion employment.
Med 22.04(6) (6) The council shall conduct oral examinations and interviews. At the request of the council, the board shall provide a medical consultant to the council to provide assistance in evaluating applicants examined under s. Med 22.03 (3) (a) and (b).
Med 22.04(7) (7) All examinations shall be conducted in English.
Med 22.04(8) (8) Where both written and oral examinations are required, they shall be graded separately and the applicant shall achieve a passing grade on all examinations to qualify for a license.
Med 22.04(9) (9) An applicant who fails to receive a passing grade on an examination may reapply by payment of the fee specified in s. 440.05, Stats. If an applicant fails an examination 3 times, the applicant may not retake that examination unless the applicant submits proof of having completed further professional training or education as the board may prescribe. An applicant for an oral examination may reapply twice at not less than 4 month intervals.
Med 22.04(10) (10) If after receipt of additional information from applicants who have been treated for alcohol or drug abuse or impairment or from applicants who have been treated for an acute or chronic psychological impairment the council decides that an oral interview or examination shall be administered, the examination shall be limited to a determination whether at the time of application the applicant's disability appears to pose an actual risk to the health, safety or welfare of patient or public arising from the applicant's demonstrated inability to safely carry out necessary duties and responsibilities inherent to the practice of perfusion.
Med 22.04 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04.
Med 22.05 Med 22.05 Temporary licenses.
Med 22.05(1)(1) An applicant for licensure who meets the criteria under s. Med 22.03 (3) (b) may apply to the board for a temporary license to practice perfusion prior to licensure if the applicant does all of the following:
Med 22.05(1)(a) (a) Submits a completed application form.
Med 22.05(1)(b) (b) Remits the fee specified in s. 440.05, Stats.
Med 22.05(1)(c) (c) Has successfully completed an educational program as defined in s. Med 22.03 (3) (b) 1.
Med 22.05(1)(d) (d) Has not previously failed either of the examinations required in s. Med 22.03 (3) (b) 2., unless the applicant has subsequently passed the examination failed.
Med 22.05(1)(e) (e) Has passed the state board statutes and rules examination.
Med 22.05(1)(f) (f) Is not required to take an oral examination.
Med 22.05(2) (2) Practice during the period of a temporary license shall be under the general supervision of a licensed perfusionist. A person holding a temporary license shall consult at least weekly with the supervising perfusionist who shall at least once a month endorse the activities of the person holding the temporary license.
Med 22.05(3)(a)(a) A temporary license expires one year from the date of its issuance. Upon application, and upon submission of evidence of having passed the perfusion basic scientific examination, the temporary license may be renewed for an additional period of one year. The board may extend the term of the temporary license for an additional 6 months if the applicant was unable to complete the perfusion basic scientific examination within the one year period due to hardship, including but not limited to illness of the applicant, the illness or death of a family member of the applicant, an accident or natural disaster. A written affidavit of the hardship must be provided.
Med 22.05(3)(b) (b) If the applicant fails the perfusion basic science examination prior to the expiration of the temporary license, the applicant shall work under the direct supervision of a licensed perfusionist who is available on the hospital premises to assist.
Med 22.05(3)(c) (c) If the applicant fails the clinical application in perfusion examination prior to the expiration of the temporary license, the temporary license expires.
Med 22.05(4) (4) The application and required documents for licensure and the application for temporary licensure prior to regular licensure will be reviewed by 2 members of the council to determine eligibility. The council may issue a temporary license prior to licensure as a perfusionist to an applicant who meets the requirements of sub. (1).
Med 22.05 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04.
Med 22.06 Med 22.06 Locum tenens license.
Med 22.06(1) (1) An applicant who holds certification in clinical perfusion granted by the American Board of Cardiovascular Perfusion may apply to the board for temporary locum tenens license.
Med 22.06(2) (2) An applicant for a locum tenens license shall submit to the board all of the following:
Med 22.06(2)(a) (a) A completed and verified application form supplied by the board.
Med 22.06(2)(b) (b) A letter from a physician licensed to practice medicine and surgery in this state or a perfusionist licensed to practice perfusion in this state requesting the applicant's services.
Med 22.06(2)(c) (c) Verified evidence of certification in clinical perfusion granted by the American Board of Cardiovascular Perfusion.
Med 22.06(2)(d) (d) A verified statement by the applicant that the applicant is familiar with the state health laws and the rules of the department of health services as related to communicable diseases.
Med 22.06(2)(e) (e) The fees required under s. 440.05, Stats., made payable to the Wisconsin department of safety and professional services.
Med 22.06(3) (3) All applicants shall complete an open book examination on statutes and rules governing the practice of perfusion in Wisconsin.
Med 22.06(4) (4) The holder of a locum tenens license may engage in the practice of perfusion only in the geographical area for which the license is issued.
Med 22.06(5) (5) A locum tenens license expires 90 days from the date of its issuance. For cause shown to the satisfaction of the board, the board may renew the locum tenens license for additional periods of 90 days each, but no license may be renewed more than 3 consecutive times.
Med 22.06 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04; correction in (2) (d), (e) made under s. 13.92 (4) (b) 6., Stats., Register November 2011 No. 671.
Med 22.07 Med 22.07 Examination review by applicant.
Med 22.07(1) (1) An applicant who fails the oral or statutes and rules examination may make a request to review that examination by filing a written request and required fee with the board within 30 days of the date on which examination results were mailed.
Med 22.07(2) (2) Examination reviews are by appointment only.
Med 22.07(3) (3) An applicant may review the statutes and rules examination for not more than one hour.
Med 22.07(4) (4) An applicant may review the oral examination for not more than 2 hours.
Med 22.07(5) (5) The applicant may not be accompanied during the review by any person other than the proctor.
Med 22.07(6) (6) At the beginning of the review, the applicant shall be provided with a copy of the questions, a copy of the applicant's answer sheet or oral examination audiotape and a copy of the master answer sheet.
Med 22.07(7) (7) The applicant may review the examination in the presence of a proctor. The applicant shall be provided with a form on which to write comments, questions or claims of error regarding any item in the examination. The applicant may consult bound reference books during the review. Applicants shall not remove any notes from the area. Notes shall be retained by the proctor and made available to the applicant for use at a hearing, if requested. The proctor shall not defend the examination or attempt to refute claims of error during the review.
Med 22.07(8) (8) An applicant may not review the examination more than once.
Med 22.07 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04.
Med 22.08 Med 22.08 Board review of examination error claim.
Med 22.08(1)(1) An applicant claiming examination error shall file a written request for board review in the board office within 30 days of the date the examination was received. The request shall include all of the following:
Med 22.08(1)(a) (a) The applicant's name and address.
Med 22.08(1)(b) (b) The type of license for which the applicant applied.
Med 22.08(1)(c) (c) A description of the mistakes the applicant believes were made in the examination content, procedures, or scoring, including the specific questions or procedures claimed to be in error.
Med 22.08(1)(d) (d) The facts the applicant intends to prove, including reference text citations or other supporting evidence for the applicant's claim.
Med 22.08(2) (2) The board shall review the claim, make a determination of the validity of the objections and notify the applicant in writing of the board's decision and any resulting grade changes.
Med 22.08(3) (3) If the board confirms the failing status following its review, the application shall be deemed incomplete, and the applicant may be reexamined.
Med 22.08 Note Note: The board office is located at 1400 East Washington Avenue, P.O. Box 8935, Madison, Wisconsin 53708.
Med 22.08 History History: CR 03-023: cr. Register March 2004 No. 579, eff. 4-1-04.
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