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“... addition to the online application, the following list is provided to help applicants ensure they have submitted all the forms necessary for their application to be processed. Note: This list is general and should in no way be considered a complete list for any one individual applicant.& ... ”
“Acupuncture School Codes
Copy the appropriate school code and paste it into the correct field of the online application.
If you are unable to locate your school on this list, you may enter the code 9999, however, please be aware that this will delay the processing of your application.
... ”
“... have arrived.
You will be contacted with a list of any additional items needed to complete your application, or informed that your application is complete. In many cases more information or documentation is needed. If the item has previously been submitted, the new request will include ... ”
“... at the verification be sent directly to the Texas Medical Board.
Verification of CCAOM Clean Needle Technique course contact the entity where you took this course and examination and request that they furnish you a verification in a sealed envelope with the providers signature across the outside of ... ”
“... etox Training Program Codes
Copy the appropriate school code and paste it into the correct field of the online application.
If you are unable to locate your school on this list, you may enter the code 9999, however, please be aware that this will delay the processing of your application.
Code
... ”
“... hich:
o is approved by the Medical Board
o is 70 hours in length
o includes a clean needle technique course or equivalent universal infection control precaution procedures course approved by the Medical Board
· &n ... ”
“
Full Texas Medical License
Physician in Training Permit
Faculty Temporary License
Out-of-State Telemedicine License
Administrative Medicine License
Provisional License
Medical License Limited to Underserved Areas
Visiting Physician Temporary Permit
Visiting Professor Temporary License
Physician Pub ... ”
“... r chemical dependency, which:
is approved by the Medical Board
is 70 hours in length
includes a clean needle technique course or equivalent universal infection control precaution procedures course approved by the Medical Board
Hold an unrestricted and current license, registration, or certificatio ... ”
“... There is no increase in the number of continuing medical education credits required prior to renewal as part of the biennial renewal system.
Physician assistants need to complete at least 40 credits of continuing medical education every 24 months. (24 month timeline is in relation to th ... ”
“... IN THESE SECTIONS HAVE BEEN VERIFIED BY THE TEXAS MEDICAL BOARD
Verified Information
Current Board Action
Medical Malpractice Investigations
THE INFORMATION IN THESE SECTIONS WAS REPORTED BY THE LICENSEE AND MAY HAVE NOT BEEN VERIFIED BY THE TEXAS MEDICAL BOARD
Self-Reported Informat ... ”
“... ysician, physician assistant, acupuncturist, medical radiologic technologist, non-certified radiological technician, respiratory care practitioner, medical physicist, or perfusionist.
Please note that this evaluation is not a guarantee of eligibility for licensure. Applicants must m ... ”
“TEXAS STATE BOARD OF ACUPUNCTURE EXAMINERS
May 2013
MEMBER ... ”
“... e sent to a third party, such as your acupuncture school. Applicants must also take and pass the Jurisprudence Exam. More information can be found using the links under Apply at the left.
Your application will not be processed until all supplemental information is received.
Individual applicat ... ”
“... mation is seen, processed, or stored by the Texas Medical Board.
The payment portion of the online registration system is handled by Texas.gov, the official website of Texas. The price of this service includes funds that support the ongoing operations and enhancements of Texas.gov, w ... ”
“... dited acupuncture schools in Texas.
AOMA Graduate School of Integrative Medicine
4701 West Gate Blvd. Austin, Texas 78745 Phone: (512) 454-1188 Fax: (512) 454-7001 www.aoma.edu
American College of Acupuncture and Oriental Medicine
9100 Park West Drive Houston, Texas 77063 Phone: (713) 780-9777 Fax: ... ”
Description: Rule Changes September 21, 2012
Document: ... onflict with other provisions of the rule and the Medical Practice Act. The amendment to §187.83 deletes language requiring a panel member to sign cease and desist order, as rule already provides for executive director to sign order. Chapter 189 COMPLIANCE PROGRAM 22 TAC §§189.1, 189.3, 189.5, 189.7 ...
Description: Rule Changes September 19, 2010
Document: ... dor used by the PHP must be approved by the Texas Medical Board, and establishes standards for processing referrals, requiring evaluations, settings terms for agreements with participants, and facilitating interventions. http://www.sos.state.tx.us/texreg/archive/September102010/adopted/22.EXAMINING% ...
Description: Rule Changes September 19, 2002
Document: ... 3.1 and 163.5 that will update the definitions of medical school curriculum and substantially equivalent; and supervision of medical school students. Chapter 164, Physician Advertising. Amendment to '164.3 concerning testimonials used in advertising. Chapter 165, Medical Records. Amendments to ''165 ...
Description: Rule Changes September 18, 2011
Document: ... html#301 CHAPTER 187, PROCEDURAL RULES: The Texas Medical Board (Board) adopts amendments to §187.83, concerning Proceedings for Cease and Desist Orders, without changes to the proposed text as published in the April 29, 2011, issue of the Texas Register (36 TexReg 2690) and will not be republished. ...
Description: Rule Changes September 14, 2003
Document: ... k here for the complete board rules. Chapter 165, Medical Records: Amendments to §§165.1, 165.3, and 165.4 regarding definitions and general cleanup. Chapter 171, Postgraduate Training Permits: Amendment to §171.6 regarding faculty temporary permits that would allow active military physicians , hold ...
Description: Rule Changes September 01, 2009
Document: ... g board, physician health advisory committee, and medical director of the Texas Physician Health Program. The New Rule §180.7, Rehabilitation Orders, provides that rehabilitation orders entered into on or before January 1, 2010 shall be subject to all laws that existed immediately before that date a ...
Description: Rule Changes August 20, 2009
Document: ... cian assistants to obtain six hours of continuing medical education (CME) per year by serving as an expert panel reviewer for the Board and deletes language relating to a 30-day grace period after expiration of license to conform with §204.156, Texas Occupations Code; §185.13, Notification of Intent ...
Description: Rule Changes August 10, 2008
Document: ... rm with biennial registration; §166.2, Continuing Medical Education, updates rule to conform with biennial registration and amends provisions related to administra tive penalties to be consistent with provisions under Chapter 190 related to disciplinary guidelines; §166.5, Relicensure, clean-up of l ...
Description: Rule Changes July 04, 2012
Document: ... 5 The amendment to §163.2, relating to Full Texas Medical License, sets out medical graduation requirements for 5th pathway applicants to be consistent with rules relating to other types of applicants for full licensure. The amendment to §163.4, relating to Procedural Rules for Licensure Applicants, ...
Description: Rule Changes July 04, 2004
Document: ... lating to standards for provision of telemedicine medical services and use of the Internet in transmission of information. Chapter 177, Certification of Non-Profit Health Organizations. Rule review, amendments to §§177.1-177.8, repeal of §§177.9-177.16, and new §§177.9-177.13 for general cleanup of ...
Description: Rule Changes July 03, 2007
Document: ... endments to 163.1, Definitions; 163.2, Full Texas Medical License, regarding recognition of Texas Higher Education Coordinating Board authority to determine a school to be Fraudulent or Substandard and to clarify that any foreign medical school must meet the Boards substantial equivalence requiremen ...
Description: Rule Changes June 29, 2006
Document: ... pter 163, Licensure , to include a limit on Texas medical jurisprudence examination attempts, delegated authority to staff to issue licenses, alternative requirements for graduates of unapproved medical schools, and general rule cleanup. Chapter 166, Physician Registration, to include the addition o ...
Description: Rule Changes June 29, 2003
Document: ... n of graduate of an acceptable unapproved foreign medical school. Chapter 175, Fees, Penalties, and Applications. Amendments to §§175.1 and 175.4 relating to fees and applications required for reissuance of a physician assistant license. Chapter 179, Investigation Files. Rule review and amendments t ...
Description: Rule Changes June 28, 2011
Document: ... itted unprofessional conduct as defined under the Medical Practice Act. http://www.sos.state.tx.us/texreg/archive/June242011/adopted/22.EXAMINING%20BOA RDS.html#361
Chapter 195, Pain Management Clinics: Amendment to §195.2 concerning Certification of Pain Management Clinics, establishes the proced ...
Description: Rule Changes June 24, 2009
Document: ... complete board rules. Chapter 162, Supervision of Medical School Students, with amendments to §162.1 Supervision of Medical Students, which clarifies the intent of the amendment previously adopted, which became effective on March 9, 2009. The Board determined that the revised language was necessary ...
“... at which the physician’s delegates provide medical services may be an important factor in determining the quality of the physician’s supervision. ”
How many miles from my delegating physician can my practice site be?
SB 406 eliminated site based prescriptive authority. The law is silent regarding the practice location of the physician and its proximity to the practice site of the APRN or PA. That said, there has been no change in the law that requires that a physician must provide adequate supervision of delegates. In any given case, the distance between a physician’s primary practice and the practice site at which the physician’s delegates provide medical services may be an important factor in determining the quality of the physician’s supervision.
“... elegation requires adequate supervision under the Medical Practice Act. As such, a physician delegating to an APRN or PA must adequately supervise those individuals. An individual physician may serve in both the supervising and delegating role and does not need to be physically present a ... ”
What are the Texas Medical Board’s requirements for a physician who delegates to an APRN or PA?
All prescriptive delegation requires adequate supervision under the Medical Practice Act. As such, a physician delegating to an APRN or PA must adequately supervise those individuals. An individual physician may serve in both the supervising and delegating role and does not need to be physically present at all times to be considered to have adequate supervision.
“... ity from a licensed physician in order to provide medical aspects of patient care. Historically, this delegation has occurred through a protocol or other written authorization. Rather than requiring multiple documents, delegation protocols can now be included in one document the prescriptive authori ... ”
Do I need to have a protocol in addition to a prescriptive authority agreement?
APRNs and PAs are required to have delegated authority from a licensed physician in order to provide medical aspects of patient care. Historically, this delegation has occurred through a protocol or other written authorization. Rather than requiring multiple documents, delegation protocols can now be included in one document the prescriptive authority agreement. The prescriptive authority agreement need not describe the exact steps that an advanced practice registered nurse or physician assistant must take with respect to each specific condition, disease, or symptom, however.
“No. Free standing clinics, centers or other medical practices that are owned or operated by or associated with a hospital or long term care facility that are not physically located within the hospital or long term care facility are not considered facility based practices. Prescriptive au ... ”
If I work in a clinic owned by the hospital, is this considered a facility-based practice?
No. Free standing clinics, centers or other medical practices that are owned or operated by or associated with a hospital or long term care facility that are not physically located within the hospital or long term care facility are not considered facility based practices. Prescriptive authority agreements are required in these settings.
“... sed practice, the delegating physician may be the medical director, the chief of medical staff, the chair of the credentialing committee, a department chair, or a physician who consents to the request of the medical director or chief of the medical staff to delegate. ... ”
Who may delegate prescriptive authority in a hospital facility-based practice?
In a hospital facility based practice, the delegating physician may be the medical director, the chief of medical staff, the chair of the credentialing committee, a department chair, or a physician who consents to the request of the medical director or chief of the medical staff to delegate.
“... are facility based practice, delegation is by the medical director. ”
Who may delegate prescriptive authority in a long term care facility based practice?
In a long term care facility based practice, delegation is by the medical director.
“... levant federal and state laws, facility policies, medical staff bylaws, and ethical standards.” (Texas Attorney General Opinion No. JC-0117). However, physician supervision during the medical management of a patient while undergoing an anesthetic may require supervision dependent on feder ... ”
Are physicians potentially subject to discipline for violations of the standard of care by CRNAs to whom they have delegated the selection or administration of anesthesia or the care of an anesthetized patient?
Yes, potentially. Although physicians are not required to supervise CRNA’s for delegated tasks, they nonetheless remain subject to potential liability for violations of the standard of care by CRNAs, depending on federal and state statutes and regulations. The degree to which a physician is required to supervise a CRNA during the performance of a task in anesthesia services is left to the “physician’s professional judgment in light of other relevant federal and state laws, facility policies, medical staff bylaws, and ethical standards.” (Texas Attorney General Opinion No. JC-0117). However, physician supervision during the medical management of a patient while undergoing an anesthetic may require supervision dependent on federal and state statutes and regulations.
Additionally, Texas Attorney General Opinion No. KP-0353 found “In authorizing physicians to delegate the administration of anesthesia to CRNAs, the Legislature did not expressly limit the liability of the delegating physician. See TEX. OCC. CODE § 157.058; cf. id. § 157.004(c) (providing that in specified circumstances a physician who issues a standing delegation under chapter 203 generally “is not liable in connection with an act performed under that standing delegation order”). Thus, we cannot conclude that the liability of a physician delegating the administration of anesthesia to a CRNA is limited solely to the determination of competency. Questions of physician liability in any specific context are highly factual and not an appropriate determination for the opinion process. See Tex. Att’y Gen. Op. No. GA-0446 (2006) at 18 (“Questions of fact are not appropriate to the opinion process.”) (Page 4 with emphasis added.)
“... nbsp; The physician retains responsibility of the medical management of the patient. Therefore, the delegating physician must consider the delegatee’s education, training, and experience prior to delegating. Additionally, delegation may be revoked by the delegating physician at any ... ”
When is Physician supervision of a CRNA required?
Regardless of the circumstances when supervision is or is not required, it is important to remember that the delegating physician must abide by all required federal and state statutes and regulations regarding delegation. The physician retains responsibility of the medical management of the patient. Therefore, the delegating physician must consider the delegatee’s education, training, and experience prior to delegating. Additionally, delegation may be revoked by the delegating physician at any time.
The Texas Attorney General has issued three opinions on CRNA supervision. The latest opinion found that although physician supervision of a CRNA is not required in Texas Occupations Code Sec. 157.058, other federal and state statutes and regulations may require physician supervision of a CRNA, a CRNA may not administer an anesthetic that is a controlled substance outside the presence of a physician, and the Legislature did not expressly limit the liability of the delegating physician.
Specifically, Texas Attorney General Opinion KP-0353 found “Section 157.058 of the Occupations Code does not, by itself, require a physician who properly delegates anesthesia-related tasks to a certified registered nurse anesthetist (“CRNA”) to supervise the performance of those acts.” (Page 5)
However, KP-0353 also found “…the language of chapter 157 is not the only relevant authority to consider in addressing the question of physician supervision over acts delegated to a CRNA. Federal regulations limiting Medicare coverage and conditioning hospital participation in Medicare and Medicaid programs require physician supervision of a CRNA when administering anesthesia in certain circumstances. See, e.g., 42 C.F.R. §§ 416.42(b)(2), 482.52(a)(4), 485.639(c)(1)(v), (2) (requiring a CRNA to operate under a physician’s supervision when administering anesthesia in certain circumstances). Furthermore, a CRNA may not administer an anesthetic that is a controlled substance outside the presence of a physician. See TEX. HEALTH & SAFETY CODE §§ 481.002(1)(A) (defining “administer” to require agent to apply controlled substance in presence of physician), .071(a) (prohibiting physician from causing controlled substance to be administered under physician’s “direction and supervision” except for valid medical purpose and in course of medical practice). And a CRNA may not obtain an anesthetic that is a dangerous drug unless a physician has listed that CRNA as the physician’s designated agent. See id. §§ 483.001(4) (defining “designated agent”), .022(a) (requiring physician to name each designated agent in writing). (Page 3 with emphasis added.)
Finally, KP-0353 found “Whether and the extent to which physician supervision is required for an act delegated to a CRNA will depend on the specific act delegated, the type of facility in which the CRNA performs the act, and any relevant regulations of that facility. And while section 157.058 authorizes a physician to delegate to a CRNA, a physician is never required to do so. If a physician is concerned about a CRNA’s ability to perform a delegated act or desires to limit the delegation, the physician retains the authority to refrain from delegating, to limit the delegation, or to supervise the delegation to whatever extent the physician determines necessary. In sum, the authority to delegate provided by section 157.058 of the Occupations Code does not eliminate the need to comply with all other applicable statutes, regulations, bylaws, ethical standards, and a physician’s own professional judgment. See TEX. OCC. CODE § 157.007 (“An act delegated by a physician under [chapter 157] must comply with other applicable laws.”). (Page 4 with emphasis added.)
“... cordance with policies approved by the hospital's medical staff or a committee of the hospital's medical staff as provided by the hospital's bylaws to ensure patient safety and as part of care provided to a patient who: (A) has been admitted to the hospital for an intended length of stay of 24 ... ”
Who can prescribe Schedule II drugs under physician delegation?
APRNs or PAs may prescribe schedule II drugs in the following situations:
(1) in a hospital facility-based practice, in accordance with policies approved by the hospital's medical staff or a committee of the hospital's medical staff as provided by the hospital's bylaws to ensure patient safety and as part of care provided to a patient who:
(A) has been admitted to the hospital for an intended length of stay of 24 hours or greater; or
(B) is receiving services in the emergency department of the hospital; or
(2) as part of the plan of care for the treatment of a person who has executed a written certification of a terminal illness, has elected to receive hospice care, and is receiving hospice treatment from a qualified hospice provider.
“... ltation must be documented in the patient’s medical record. ”
How often is physician consultation required when prescribing controlled substances?
APRNs and PAs must consult with the delegating physician for refills of a prescription for controlled substances after the initial 90 day supply. Consultation is also required when prescribing controlled substances for children under the age of two years. In both cases, the consultation must be documented in the patient’s medical record.
“... ians will have to contact the Federation of State Medical Boards to obtain examination scores.Federation of State Medical Boards 400 Fuller Wiser Rd. Suite 300 Euless, TX 76039-3855 Tel. (817) 868-4000A small percentage of physicians can obtain verification of examination scores from TMB. If you wer ... ”
How do I get a copy of my examination scores sent to another state?
For physicians only:
If another state board requires your examination grades, please be advised that most physicians will have to contact the Federation of State Medical Boards to obtain examination scores.
Federation of State Medical Boards
400 Fuller Wiser Rd.
Suite 300
Euless, TX 76039-3855
Tel. (817) 868-4000
A small percentage of physicians can obtain verification of examination scores from TMB.
please call the Pre-Licensure, Registration and Consumer Services at (512) 305-7030 to confirm the location of your scores.
There is no fee for this verification.
“... t a license type of “Physician” and a list of Specialties will appear for you to choose from. You can also narrow your search by entering in the city you would prefer. ”
I’m looking for a physician of a particular specialty. Does the “Look up a License” system let me do that?
Yes. Select a license type of “Physician” and a list of Specialties will appear for you to choose from. You can also narrow your search by entering in the city you would prefer.
“The requirements are the same for International Medical School Graduates (IMGs) and U.S. or Canadian medical school graduates except that: IMGs must demonstrate that they are either ABMS or BOS specialty board certified, have graduated from a medical ... ”
What are the requirements for an international medical school graduate to get a Full Texas Medical License?
The requirements are the same for International Medical School Graduates (IMGs) and U.S. or Canadian medical school graduates except that:
“... e selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care by a CRNA wo ... ”
Is a CRNA under a valid delegation order, subject to discipline by the Texas Medical Board under the Medical Practice Act for a violation of the standard of care in the selection and administration of anesthesia or the care of an anesthetized patient?
No, while the selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care by a CRNA would be carried out by the Texas Board of Nursing under the authority of the Nursing Practice Act. Ultimate responsibility and accountability for the medical management of a patient under anesthesia remains with the delegating physician who may be subject to discipline for improper delegation dependent upon the facts and circumstances of each case, and how state statutes and regulations apply in those situations.
“... lated fields, contained in a patient's electronic medical record, must contain accurate data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."Non-biographical data/information is data that will ty ... ”
What is "non-biographical" information as it pertains to an Electronic Medical Record (EMR)?
165.1(a) (10) now requires the following:
"All non-biographical populated fields, contained in a patient's electronic medical record, must contain accurate data and information pertaining to the patient based on actual findings, assessments, evaluations, diagnostics or assessments as documented by the physician."
Non-biographical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from the previous encounter non-biographical information such as symptoms, diagnosis, vitals, lab levels, history, previous treatments etc... However, because symptoms often resolve between encounters (as result of treatment), diagnoses may no longer be active or present (because of previous treatments), and vitals fluctuate, such data fields should not contain inaccurate, non-current, or irrelevant data that is not pertinent to the present illness/issue. Such information may be part of the patient’s history, but should not be reflected as current/present unless such symptoms/diagnoses are ongoing. Such information may become part of the patient’s historical data/information contained in the electronic medical record. Non-biographical information/data contained in a medical record for each encounter should be based on actual assessment, evaluations or other diagnostics that are documented by the physician.
Also see: EMR Position Statement