Med 8.053(5)
(5) The applicant may not be accompanied during the review by any person other than the proctor.
Med 8.053(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 sheer or oral tape and a copy of the master answer sheet.
Med 8.053(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 items in the examination. Bound reference books shall be permitted. 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 desired. The proctor shall not defend the examination nor attempt to refute claims of error during the review.
Med 8.053(8)
(8) An applicant may not review the examination more than once.
Med 8.053 History
History: Cr.
Register, February, 1997, No. 494, eff. 3-1-97.
Med 8.056
Med 8.056
Board review of examination error claim. Med 8.056(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 reviewed. The request shall include all of the following:
Med 8.056(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 8.056(1)(d)
(d) The facts which the applicant intends to prove, including reference text citations or other supporting evidence for the applicant's claim.
Med 8.056(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 8.056(3)
(3) If the decision does not result in the applicant passing the examination, a notice of denial of license shall be issued. If the board issues a notice of denial following its review, the applicant may request a hearing under
s. SPS 1.05.
Med 8.056 Note
Note: The board office is located at 1400 East Washington Avenue, P.O. Box 8935, Madison, Wisconsin 53708.
Med 8.056 History
History: Cr.
Register, February, 1997, No. 494, eff. 3-1-97; correction in (3) made under s.
13.92 (4) (b) 7., Stats.,
Register November 2011 No. 671.
Med 8.06(1)(1) An applicant for licensure may apply to the board for a temporary license to practice as a physician assistant if the applicant:
Med 8.06(1)(b)
(b) Is a graduate of an approved school and is scheduled to take the examination for physician assistants required by
s. Med 8.05 (1) or has taken the examination and is awaiting the results; or
Med 8.06(1)(c)
(c) Submits proof of successful completion of the examination required by
s. Med 8.05 (1) and applies for a temporary license no later than 30 days prior to the date scheduled for the next oral examination.
Med 8.06(2)(a)(a) Except as specified in
par. (b), a temporary license expires on the date the board grants or denies an applicant permanent licensure. Permanent licensure to practice as a physician assistant is deemed denied by the board on the date the applicant is sent notice from the board that he or she has failed the examination required by
s. Med 8.05 (1) (c).
Med 8.06(2)(b)
(b) A temporary license expires on the first day of the next regularly scheduled oral examination for permanent licensure if the applicant is required to take, but failed to apply for, the examination.
Med 8.06(3)
(3) A temporary license may not be renewed.
Med 8.06(4)
(4) An applicant holding a temporary license may apply for one transfer of supervising physician and location during the term of the temporary license.
Med 8.06 History
History: Cr.
Register, July, 1984, No. 343, eff. 8-1-84; am. (1) (b) and (c),
Register, October, 1989, No. 406, eff. 11-1-89; am. (2) (a),
Register, January, 1994, No. 457, eff. 2-1-94; am. (1) (intro.) and (2) (a),
Register, October, 1996, No. 490, eff. 11-1-96; am. (1) (intro.) and (b) to (3), cr. (4),
Register, December, 1999, No. 528, eff. 1-1-00.
Med 8.07(1)(1)
Scope and limitations. In providing medical care, the entire practice of any physician assistant shall be under the supervision of a licensed physician. The scope of practice is limited to providing medical care specified in
sub. (2). A physician assistant's practice may not exceed his or her educational training or experience and may not exceed the scope of practice of the supervising physician. A medical care task assigned by the supervising physician to a physician assistant may not be delegated by the physician assistant to another person.
Med 8.07(2)
(2) Medical care. Medical care a physician assistant may provide include:
Med 8.07(2)(a)
(a) Attending initially a patient of any age in any setting to obtain a personal medical history, perform an appropriate physical examination, and record and present pertinent data concerning the patient in a manner meaningful to the supervising physician.
Med 8.07(2)(b)
(b) Performing, or assisting in performing, routine diagnostic studies as appropriate for a specific practice setting.
Med 8.07(2)(c)
(c) Performing routine therapeutic procedures, including, but not limited to, injections, immunizations, and the suturing and care of wounds.
Med 8.07(2)(d)
(d) Instructing and counseling a patient on physical and mental health, including diet, disease, treatment and normal growth and development.
Med 8.07(2)(e)
(e) Assisting the supervising physician in a hospital or facility, as defined in s.
50.01 (1m), Stats., by assisting in surgery, making patient rounds, recording patient progress notes, compiling and recording detailed narrative case summaries and accurately writing or executing orders under the supervision of a licensed physician.
Med 8.07(2)(f)
(f) Assisting in the delivery of medical care to a patient by reviewing and monitoring treatment and therapy plans.
Med 8.07(2)(g)
(g) Performing independently evaluative and treatment procedures necessary to provide an appropriate response to life-threatening emergency situations.
Med 8.07(2)(h)
(h) Facilitating referral of patients to other appropriate community health-care facilities, agencies and resources.
Med 8.07(2)(i)
(i) Issuing written prescription orders for drugs under the supervision of a licensed physician and in accordance with procedures specified in
s. Med 8.08 (2).
Med 8.07 History
History: Cr.
Register, July, 1984, No. 343, eff. 8-1-84; am. (2) (i),
Register, July, 1994, No. 463, eff. 8-1-94; am. (1) and (2) (intro.),
Register, October, 1996, No. 490, eff. 11-1-96; am. (1), (2) (intro.), (c), (e), (f) and (i),
Register, December, 1999, No. 528, eff. 1-1-00.
Med 8.08
Med 8.08
Prescribing limitations. Med 8.08(1)
(1) A physician assistant may not prescribe or dispense any drug independently. A physician assistant may only prescribe or dispense a drug pursuant to written guidelines for supervised prescriptive practice. The guidelines shall be kept on file at the practice site and made available to the board upon request.
Med 8.08(2)
(2) A physician assistant may issue a prescription order only if all the following conditions apply:
Med 8.08(2)(a)
(a) The physician assistant issues the prescription order only in patient situations specified and described in established written guidelines, including the categories of drugs for which prescribing authority has been authorized. The guidelines shall be reviewed at least annually by the physician assistant and his or her supervising physician.
Med 8.08(2)(b)
(b) The supervising physician and physician assistant determine by mutual agreement that the physician assistant is qualified through training and experience to issue a prescription order as specified in the established written guidelines.
Med 8.08(2)(d)
(d) The prescription orders prepared under procedures in this section contain all information required under s.
450.11 (1), Stats.
Med 8.08(3)(a)(a) A physician who supervises the prescribing practice of a physician assistant shall conduct a periodic review of the prescription orders prepared by the physician assistant to ensure quality of care. In conducting the periodic review of the prescriptive practice of a physician assistant, the supervising physician shall do at least one of the following:
Med 8.08(3)(a)1.
1. Review a selection of the prescription orders prepared by the physician assistant.
Med 8.08(3)(a)2.
2. Review a selection of the patient records prepared by the physician assistant practicing in the office of the supervising physician or at a facility or a hospital in which the supervising physician has staff privileges.
Med 8.08(3)(a)3.
3. Review by telecommunications or other electronic means the patient record or prescription orders prepared by the physician assistant who practices in an office facility other than the supervising physician's main office of a facility or hospital in which the supervising physician has staff privileges.
Med 8.08(3)(b)
(b) The supervising physician shall determine the method and frequency of the periodic review based upon the nature of the prescriptive practice, the experience of the physician assistant, and the welfare of the patients. The process and schedule for review shall indicate the minimum frequency of review and identify the selection of prescriptive orders or patient records to be reviewed.
Med 8.08 History
History: Cr.
Register, July, 1984, No. 343, eff. 8-1-84; r. (3),
Register, July, 1994, No. 463, eff. 8-1-94; am. (1), (2) (intro.), (a), (b), (c), (d), (e) 1., 2. and 3.,
Register, October, 1996, No. 490, eff. 11-1-96; am. (1) to (2) (d), (e) 2. and 3.,
Register, December, 1999, No. 528, eff. 1-1-00;
CR 09-006: am. (1) and (2) (a), r. (2) (e), cr. (3)
Register August 2009 No. 644, eff. 9-1-09.
Med 8.09
Med 8.09
Employee status. No physician assistant may be self-employed. If the employer of a physician assistant is other than a licensed physician, the employer shall provide for, and may not interfere with, the supervisory responsibilities of the physician, as defined in
s. Med 8.02 (6) and required in
ss. Med 8.07 (1) and
8.10.
Med 8.09 History
History: Cr.
Register, July, 1984, No. 343, eff. 8-1-84; am.
Register, October, 1996, No. 490, eff. 11-1-96.
Med 8.10
Med 8.10
Employment requirements; supervising physician responsibilities. Med 8.10(1)
(1) No physician may concurrently supervise more than 2 physician assistants unless the physician submits a written plan for the supervision of more than 2 physician assistants and the board approves the plan. A physician assistant may be supervised by more than one physician.
Med 8.10(2)
(2) Another licensed physician may be designated by the supervising physician to supervise a physician assistant for a period not to exceed 8 weeks per year. Except in an emergency, the designation shall be made in writing to the substitute supervising physician and the physician assistant. The supervising physician shall file with the board a copy of the substitution agreement before the beginning date of the period of his or her absence.
Med 8.10(3)
(3) The supervising physician or substitute supervising physician shall be available to the physician assistant at all times for consultation either in person or within 15 minutes of contact by telecommunications or other electronic means.
Med 8.10(4)
(4) A supervising physician shall visit and conduct an on-site review of facilities attended by the physician assistants at least once a month. Any patient in a location other than the location of the supervising physician's main office shall be attended personally by the physician consistent with his or her medical needs.
Med 8.10 History
History: Cr.
Register, July, 1984, No. 343, eff. 8-1-84; am. (1),
Register, December, 1999, No. 528, eff. 1-1-00;
CR 09-006: am. (3)
Register August 2009 No. 644, eff. 9-1-09.
