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“... als specializing in infectious diseases, internal medicine, emergency medicine, and those involved during the management of patients with the Ebola Virus Disease.
Learning Objectives
Recognize the epidemiologic risk factors
Identify the clinical signs and symptoms
Understand the modes of transmissi ... ”
“... ty of Respiratory Care, American Academy of Sleep Medicine and the American Association of Sleep Technologists. Marshall received a Bachelor of Science from Baylor University, Master of Science in healthcare administration from Texas State University and Doctorate of Education from The Universi ... ”
“... hysics, therapeutic radiological physics, medical nuclear health and medical health physics.
Some responsibilities of a Medical Physicist may include:
Developing equipment specifications
Developing procedures for initial and continuing evaluation
Performing acceptance testing
Providing consultation ... ”
“... pplication in radiology;
mammography applications
nuclear medicine application;
and radiation therapy applications.
No more than 50% of the required number of hours may be satisfied by completing or participating in learning activities which are related to the use and application of non-ionizi ... ”
“... pplication in radiology;
mammography applications
nuclear medicine application;
and radiation therapy applications.
No more than 50% of the required number of hours may be satisfied by completing or participating in learning activities which are related to the use and application of non-ionizi ... ”
“... pplication in radiology;
mammography applications
nuclear medicine application;
and radiation therapy applications.
No more than 50% of the required number of hours may be satisfied by completing or participating in learning activities which are related to the use and application of non-ionizi ... ”
“... ical Physics (ABMP),
American Board of Science in Nuclear Medicine (ABSNM), or
American Board of Health Physics (ABHP).
A contact hour is defined as 50 minutes of attendance and participation.
Acceptable Continuing Education
CE shall be acceptable if the experience falls into one or ... ”
“... cal Board, including continuing the regulation of medicine, did not pass. Several of the Sunset Commission’s other Medical Board recommendations passed in separate bills, and the commission also adopted five nonstatutory management actions the board must implement:
H.B. 3040 Burkett (Hinojosa ... ”
“... poses. This would include diagnostic radiography, nuclear medicine and radiation therapy.
Some of the responsibilities of an MRT may include:
Performing radiographic studies: CAT scan; MRI; X-rays; PET scan; mammography; fluoroscopy
Performing radiation therapy
Administering radiopharmaceuticals
Pe ... ”
“... Rensselaer Polytechnic Institute and a Doctor of Medicine from The University of Texas Health Science Center at Houston. He completed his radiology training at Washington University in St. Louis.
Nicholas Beckmann, M.D.
Nicholas Beckmann, M.D.
Nicholas Beckmann, M.D., of Houston ... ”
“... ber of years the physician has actively practiced medicine in: (A) The United States or Canada; and (B) Texas;(10) The original date of issuance of the physician's Texas medical license;(11) The expiration date of the physician's registration permit;(12) The phy ... ”
“... sts
Texas Association of Acupuncture and Oriental Medicine
American Association of Acupuncture and Oriental Medicine
National Certification Commission for Acupuncture and Oriental Medicine
Medical Radiological Technologists (MRTs)
Texas Society of Radiologic Technologists
American Society of Radio ... ”
“... pplication in radiology;
mammography applications
nuclear medicine application;
and radiation therapy applications.
No more than 50% of the required number of hours may be satisfied by completing or participating in learning activities which are related to the use and application of non-ionizi ... ”
“... e is in the SPL.
At least 25% of your practice of medicine occurs in the SPL.
Your employer is located in the SPL.
You use the SPL as your state of residence for U.S. Federal Income Tax purposes.
In order to remain active within the Compact, you must maintain your SPL status at all times. You may r ... ”
Description: Press Release March 28, 2006 (PDF File)
Document: ... that Dr. Torres' continuation in the practice of medicine presents a continuing threat to the public welfare. The action was based on the panels finding that Dr. Torres is a real danger to his patients and to the public because of his admitted physical and mental impaired status and his history of ...
Description: Press Release April 01, 2005 (PDF File)
Document: ... that Dr. Bryan's continuation in the practice of medicine presents a continuing threat to the public welfare. The temporary suspension hearing took place yesterday (March 31) under the Board's authority, granted by S.B. 104 of the 78th Legislature, to suspend or restrict a physician's license witho ...
Description: Press Release April 02, 2003 (PDF File)
Document: ... anges. Chapter 200, Integrative and Complementary Medicine: Rule review and amendments to 200.1-.2 for general cleanup of the chapter (informed consent, treatment plan, adequate medical records, therapeutic validity and clinical investigations). Proposed amendments to 200.3 regarding detailed requir ...
Description: Press Release April 07, 2004 (PDF File)
Document: ... he creation of new §163.14, Licensure to Practice Medicine Across State Lines (Telemedicine). Chapter 174, Telemedicine: Proposed repeal of §§174.1-174.16 and proposed new §§174.1-174.5 relating to standards for provision of telemedicine medical services and use of the Internet in transmission of in ...
Description: Press Release April 07, 2005 (PDF File)
Document: ... at Dr. Blessing's continuation in the practice of medicine presents a continuing threat to the public welfare. The suspension is effective immediately. The temporary suspension hearing took place yesterday (Wednesday) under the Board's authority, granted by S.B. 104 of the 78th Legislature, to suspe ...
Description: Press Release April 09, 2001 (PDF File)
Document: ... and conditions. Action due to failure to practice medicine consistent with public health and welfare. Brown, Barry M., M.D., Houston, TX, Lic. #D6234 An Agreed Order was entered on 3-30-01 suspending the physician s license. Action due to unprofessional conduct. Buch, Richard G., M.D., Dallas, TX, L ...
Description: Press Release April 09, 2002 (PDF File)
Document: ... at the physicians continuation in the practice of medicine would constitute a continuing threat to the public welfare. The allegations related to the application for temporary suspension are to be the subject of a disciplinary hearing as soon as can be accomplished under the Administrative Procedure ...
Description: Press Release April 10, 2008 A (PDF File)
Document: ... ues. Dr. Patrick graduated from Baylor College of Medicine in 1962 and trained in neurosurgery at Baylor and the University of Washington. He served in the U.S. Army as the Chief of Neurosurgery at the 24th Evacuation Hospital, Long Binh Vietnam, which, during his tour of duty in 1967-68, was the bu ...
Description: Press Release April 10, 2009 (PDF File)
Document: ... into a Consent Order with the Louisiana Board of Medicine based on allegations of nontherapeutic prescribing. Hyman, Miles D., M.D., Lic. #D0920, Franklin NC On April 3, 2009, the Board and Dr. Hyman entered into an Agreed Order requiring that, within one month, Dr. Hyman request in writing that th ...
Description: Press Release April 13, 2005 (PDF File)
Document: ... ntally and otherwise competent to safely practice medicine, and requiring that he abstain from the consumption of drugs and alcohol and undergo drug and alcohol testing. The action was based on allegations that Dr. Boyles abused cocaine and was arrested for tampering/fabrication of evidence and that ...
Description: Press Release April 13, 2006 (PDF File)
Document: ... eping of at least eight hours
and an Internal Medicine Board Review Course of at least 30 hours. The action was based on allegations that Dr. Corley failed to meet the standard of care in his performance of orthopedic surgery on two patients.
DELANEY, SUSAN DELPHINE, M.D., PLANO, TX, Lic. #G94 ...
Description: Press Release April 14, 2003 (PDF File)
Document: ... cribing to numerous patients, failure to practice medicine consistent with public health and safety, prescribing to persons known to be habitual users of alcohol and/or drugs, unprofessional conduct, and inappropriate prescribing to family members. The length of a temporary suspension order is indef ...
Description: Press Release April 14, 1998 (PDF File)
Document: ... ysicians Practicing Integrative and Complementary Medicine, will establish definitions and standards to allow physicians a "reasonab le and responsible degree of latitude in the kinds of therapies they offer their patients." The proposed rules will provide definitions, establish guidelines for the p ...
Description: Press Release April 16, 2008 A (PDF File)
Document: ... have impaired an applicant's ability to practice medicine; § 163.6, Examinations Accepted for Licensure , provides an exception to the three-attempt limit to conform to statutory requirements adopted by the Legislature in 2007; §163.10, Relicensure , updates requirements to conform to
previous ru ...
Description: Press Release April 18, 2007 A (PDF File)
Document: ... a new §172.14, Limited License for Administrative Medicine, to establish a new limited license for administrative medicine, as authorized by SB 419.
Chapter 173, Physician Profiles, to include amendments to §173.3, Physician Initiated Updates, requiring updates regarding address changes, conviction ...
“The corporate practice of medicine is a legal doctrine, which generally prohibits corporations, entities or individuals (i.e. non-physicians) from practicing medicine.A general summary of the corporate practice of medicine doctrine is that it prohibits physicians from entering into partnerships, emp ... ”
What is the "corporate practice of medicine"?
The corporate practice of medicine is a legal doctrine, which generally prohibits corporations, entities or individuals (i.e. non-physicians) from practicing medicine.
A general summary of the corporate practice of medicine doctrine is that it prohibits physicians from entering into partnerships, employee relationships, fee splitting, or other situations with non-physicians where the physician's practice of medicine is in any way controlled or directed by, or fees shared with a non-physician. Generally, physicians may enter into independent contractor arrangements with non-physicians. However, whether an independent contractor situation exists is a question of law and attendant facts.
Section 165.156 of the Medical Practice Act makes it unlawful for any individual, partnership, trust, association or corporation by use of any letters, words, or terms, as an affix on stationery or advertisements or in any other manner, to indicate the individual, partnership, trust, association or corporation is entitled to practice medicine if the individual or entity is not licensed to do so.
Section 164.052(a)(13) of the Medical Practice Act authorizes disciplinary action against any licensee for impersonation of a licensed practitioner or permitting another to use his license to practice medicine. Section 164.052(a)(17) authorizes disciplinary action against a practitioner for aiding or abetting, directly or indirectly, the practice of medicine by non-licensed individuals or entities.
Beginning in 2011, the Texas Legislature enacted laws authorizing certain types of hospitals and specific hospital districts to directly hire physicians.
Because of the highly technical aspects of this doctrine, a physician should consult with private counsel regarding any actual or contemplated arrangement. Please be advised that the Board staff is not authorized to provide private legal advice.
The following case law/legal authority may be helpful in the analysis and are available from any local law library or private counsel:
a. Garcia v. Texas State Board of Medical Examiners, 384 F.Supp. 434 (W.D. Texas 1974);
b. F.W.B. Rockett v. Texas State Board of Medical Examiners, 287 S.W.2d 190 (Tex. Civ.App.- San Antonio 1956, writ ref'd n.r.e.);
c. Watt v. Texas State Board of Medical Examiners, 303 S.W.2d 884 (Tex. Civ. App.- Dallas 1957, writ ref'd n.r.e.);
d. Flynn Brothers, Inc. v. First Medical Associates, 715 S.W.2d 782 (Tex. Civ. App.- Dallas 1986, writ ref'd n.r.e.)
e. Woodson v. Scott & White Hospital, 186 S.W.2d 720 (Tex. App. 1945, writ ref'd w.o.m.)
f. Tex. Atty. Gen. Op. JM-1042 (1989)
g. Tex. Atty. Gen. Op. WW-278 (1957).
h. Tex. Atty. Gen. Op. JM 369 (1985)
i. Tex. Atty. Gen. Op. DM-138 (1992)
j. Tex. Atty. Gen. Op. M-551 (1970)
k. The Medical Practice Act, Texas Occupations Code Annotated, Title 3, Subtitle B as amended, section 162.001.
l. The Medical Practice Act, Texas Occupations Code Annotated, Title 3, Subtitle B as amended, section 162.001.
m. The Medical Practice Act, Texas Occupations Code Annotated, Title 3, Subtitle B as amended, 151.055.
n. Occupations Code, section 102.001.
“... ification Commission for Acupuncture and Oriental Medicine (formerly NCCA) http://www.nccaom.org/ 11 Canal Center Plaza Suite 300 Alexandria, VA 22314 (703) 548-9004 The Council of Colleges of Acupuncture and Oriental Medicine (CCAOM) http://www.ccaom.org/ 3909 National Drive, Suite 125 Burtonsville ... ”
What is the contact information for the NCCAOM (formerly NCCA), CCAOM, and ACAOM (formerly NACSCAOM)?
Contact information for certifying organizations is as follows: National Certification Commission for Acupuncture and Oriental Medicine (formerly NCCA) http://www.nccaom.org/ 11 Canal Center Plaza Suite 300 Alexandria, VA 22314 (703) 548-9004 The Council of Colleges of Acupuncture and Oriental Medicine (CCAOM) http://www.ccaom.org/ 3909 National Drive, Suite 125 Burtonsville, MD 20866 301-476-7790 (ph) 301-476-7792 (fax) Accreditation Commission for Acupuncture and Oriental Medicine (formerly NACSCAOM) http://www.acaom.org/ Maryland Trade Center #3 7501 Greenway Center Court Suite 820 Greenbelt, MD 20770 (301) 313-0855
“AOMA Graduate School of Integrative Medicine https://www.aoma.edu 4701 West Gate Blvd Austin, Texas 78745 Phone: (512) 492-3017 Fax: (512) 454-7001 American College of Acupuncture and Oriental Medicine http://www.acaom.edu/ 9100 Park West Drive Houston, Texas 77063 Phone: (713) 780-9777 Texas Health ... ”
What acupuncture schools in Texas are accredited or in the candidacy process to become accredited?
AOMA Graduate School of Integrative Medicine https://www.aoma.edu 4701 West Gate Blvd Austin, Texas 78745 Phone: (512) 492-3017 Fax: (512) 454-7001 American College of Acupuncture and Oriental Medicine http://www.acaom.edu/ 9100 Park West Drive Houston, Texas 77063 Phone: (713) 780-9777 Texas Health and Science University (formerly Texas College of Traditional Chinese Medicine) http://www.thsu.edu/ 4005 Manchaca Road, Suite 200 Austin, Texas 78704 Phone: (512) 448-9999 Fax: (512) 444-6345
“... ry order limiting your practice to administrative medicine may be offered. ”
I haven't been practicing medicine for a while. Is that a problem?
Maybe. In order to be eligible for physician licensure in Texas you must prove that you have actively diagnosed or treated patients, or been on the active teaching faculty of a Texas medical school on a full time basis for either of the two years preceding the date of your application. The Board defines "full time" to be at least 20 hours per week for 40 weeks duration during a given year. If you don't meet that requirement the Executive Director may determine that certain conditions must be met before licensure can be granted. Alternatively, licensure under a non-disciplinary order limiting your practice to administrative medicine may be offered.
“... older is restricted to the supervised practice of medicine that is part of and approved by the training program. The permit does not allow for the practice of medicine that is outside of the approved program. ”
Can I moonlight with a PIT permit?
No, a physician-in-training permit holder is restricted to the supervised practice of medicine that is part of and approved by the training program. The permit does not allow for the practice of medicine that is outside of the approved program.
“A Family Medicine resident could reasonably be approved by his or her program director to internally moonlight with a PIT permit in the ER, maternity ward, or ambulatory clinic. An Internal Medicine resident could reasonably be approved by his or her program director to internally moonlight in the E ... ”
What are some examples of acceptable internal moonlighting under a PIT permit for training areas related to the specialty?
A Family Medicine resident could reasonably be approved by his or her program director to internally moonlight with a PIT permit in the ER, maternity ward, or ambulatory clinic. An Internal Medicine resident could reasonably be approved by his or her program director to internally moonlight in the ER, ICU, or on the Critical Care service. However, a Family Medicine or Internal Medicine resident should not internally moonlight with a PIT permit on the Surgery service as it is not related to the specialty.
“... only be concerned with the supervised practice of medicine under a PIT permit. ”
Does conference attendance or observation count as internal moonlighting under a PIT permit?
Not for our purposes. TMB will only be concerned with the supervised practice of medicine under a PIT permit.
“... s well as report CME. The physician's practice of medicine must not include the provision of medical services for either direct or indirect compensation which has monetary value of any kind and the physician's practice is limited to voluntary charity care to indigent populations and receives no dire ... ”
Is there an exemption for retired physicians providing voluntary charity care?
Yes. A retired physician whose only clinical practice is the provision of voluntary charity care to indigent populations shall be exempt from the registration fee but must register the license as well as report CME. The physician's practice of medicine must not include the provision of medical services for either direct or indirect compensation which has monetary value of any kind and the physician's practice is limited to voluntary charity care to indigent populations and receives no direct or indirect compensation of any kind for medical services rendered. Also, the physician's practice cannot include the provision of medical services to family members or the self-prescribing of controlled substances or dangerous drugs. A physician who violates the provisions of this exemption may be subject to disciplinary action. Action may be based on unprofessional or dishonorable conduct likely to deceive, defraud, or injure the public if the physician engages in the compensated practice of medicine, provides medical services to members of the physician's family, or self-prescribes controlled substances or dangerous drugs. Additionally, a physician who attempts to obtain this exemption by submitting false or misleading statements shall be subject to disciplinary action pursuant to the Medical Practice Act, in addition to any civil or criminal actions provided for by the state or federal law.
“... this status is not an active license to practice medicine in Texas. However, a licensee with this status has maintained their registration requirements while the license is suspended, and should that suspension be lifted, the license can return to an active status without additional registration re ... ”
This physician’s profile shows “Suspended, Active”. How can a license be suspended and active at the same time?
The registration status “Suspended, Active” is a suspended status. A license in this status is not an active license to practice medicine in Texas. However, a licensee with this status has maintained their registration requirements while the license is suspended, and should that suspension be lifted, the license can return to an active status without additional registration requirements.
“... an would be liable for the unlicensed practice of medicine. ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.