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“... by the Texas State Board of Acupuncture Examiners based on a review and recommendation of the course content by the Education Committee of the board (see “List of Current Approved Courses” below),
are offered by Approved Providers (see “List of Current Approve ... ”
“... edication assisted tapering and weaning, computer-based training pain coaching, acupuncture, chiropractic, physical therapy, massage, and exercise/movement; or
collaborative care or other behavioral health integration services such as evidenced-based cognitive behavioral therapy interventions for me ... ”
Description: Medical Board 2013 - April - Full Board Minutes
Document: ... o
April 2013.
Process for election of board office
r.
Dr. Zeitler discussed the nomination process to
elect a board officer
; a new Vice
-
President was elected later in the meeting.
Agenda item #4, Medical Director Report.
Dr. Bredt
reported
the
positive outcome of
a recent publ ...
Description: Medical Board 2015 - August - Licensure Committee Minutes
Document: ... y remedial plan
stand.
Th
is recommendation is based on submitting a false statement to the Board.
Mr.
Gallardo seconded the motion. All voted in favor. The motion passed.
Applicant #1
702
appeared before the Committee, with counsel,
in executive session. In
open session,
Mr. Gal
lar ...
Description: TMB disciplines 61 physicians at August meeting, adopts rule changes
Document: ... g
the patient’s lab results but Dr͘ Byrne’s office staff failed to contact the patient until the following day after the patien
t
had already been admitted to the hospital for treatment.
Cahil
l, Jeffrey Paul, M.D., Lic. No. E9047, Henderson
On August 28, 2015, the Board and Jeffrey Pau ...
Description: Medical Physicist Licensure Advisory Committee and Perfusionist Licensure Advisory Committee
Document: ... ssion or committee or in any elected or appointed office?
Yes
No
Entity
Position
Dates
Compensated
(Y/N)
Reimbursed
(Y/N)
Are you or your spouse related to a loca ...
Description: TMB suspends Houston physician
Document: ... chedule II Controlled S
ubstances in his personal office.
Furthermore, it was discovered d
uring the law enforcement investigation that patients were
sometimes seen by unlicensed individuals that would fill the records and prescriptions t
o make it
appear that Dr. Saqer,
or one of the ot
her phy ...
Description: Acupuncture 2015 - October - Licensure Committee Minutes
Document: ... ineligibility
stands
.
This
recommendation is based
on the applica
nt
’
s
inability to provide pro
of of his compliance with all
the
requirements for acupuncture licensure in Texas
.
include
the Board
being bound
by
the statutory requirements for
acupuncture licensure.
The
...
Description: TMB suspends Kingsville physician (Bruschetta)
Document: ... d to have occurred in Dr.
Bruschetta’s medical office during patient visits for treatment of endocrine conditions.
A temporary suspension hearing with notice will be held as soon as practicable with 10 days'
notice to Dr.
Bruschetta, unless the hearing is specifically waived by Dr. Brusche ...
Description: Medical Board 2016 - March - Licensure Committee Minutes
Document: ... ligible
for a license.
This recommen
dation is based on disciplinary action taken by a health care entity and
unprofessional conduct
.
Mr. Gallardo
seconded the motion. All voted in favor. The motion passed.
Applicant #1769
appeared before the Committee in executive session. In open ...
Description: Physician Statistics 2015 Sept - Physicians In and Out of State
Document: ... ncelled.
Statistics are included for location (based on practice address), degree, number of licensees
who are Texas, U.S. or foreign medical graduates, method of licensure, gender, type of license
held and race/Hispanic origin.
RACE
TOTAL
of Hispanic
origin
non Hispanic origin
unknown origi ...
Description: Physician Statistics 2015 Sept - Physicians by Specialty
Document: ... UTRITION
6
0
0
6
OBSTETRICAL ANESTHESIA
1
0
0
1
OBSTETRICS
25
2
0
27
OBSTETRICS & GYNECOLOGICAL SURGERY
115
14
0
129
OBSTETRICS AND GYNECOLOGY
2933
196
0
3129
OCCUPATIONAL ENVIRONMENTAL MEDICINE
34
5
0
39
OCCUPATIONAL MEDICINE
248
31
0
279
ONCOL ...
Description: Medical Board 2015 - December - Licensure Committee Minutes
Document: ... ligible for
a license
.
This recommendation is based on
disciplinary action taken by a health care entity, submitting a false statement to the Board,
and unprofessional conduct.
Dr. Simonson
seconded
the motion. All voted in favor.
The motion passed.
Applicant #
1752
appeared befo ...
Description: RCP Documentation Checklist & Eligibility Requirements 1.2025
Document: ... the
RCP
Licensure
Committee
may be required based on the amount of time out of practice.
☐
Active Practice Statement
A statement explaining how the applicant has kept
current with the
respiratory care
field,
e
mployment plans, and
any CE
courses in the past
three
years
...
Description: TMB disciplines 54 physicians at December meeting, adopts rule changes
Document: ... Definitions
, revise definitions for a facility
-
based physician to include an assistant
surgeon, in accordance with changes made by SB 481, 84th Legislature, R.S. (2015). Other changes are made to correct
references t
o the titl
e of 28 TAC 21.5010.
187.88, Complaint Process and Resolution ...
Description: TMB FY 20 Annual Internal Audit Report
Document: ... ided to management separately.
Conclusion
Based on our evaluation, the
Registration Department
has procedures and controls in place to effective
ly
manage the significant
registration
processes within
TMB
. However,
opportunities
exist
to improve the
effectiveness of the contr ...
Description: TMB disciplines 26 physicians at June meeting
Document: ... er resolves a formal complaint filed at the State Office
of Administrative Hearings.
Freeman, Phillip Neal, M.D., Lic. No. G9851, H
ouston
On June 11, 2021, the Board and Phillip Neal Freeman, M.D., entered into an Agreed Order publicly reprimanding Dr.
Freeman and requiring him to have a ch ...
“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 ... ”
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.
“... te 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 ... ”
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
“... nts can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint. ”
I just found out that my fingerprints were rejected. May I immediately request new fingerprint cards?
Applicants are informed of their fingerprints being rejected by IdentoGo prior to that information being sent to the TMB. Fingerprints can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint.
“... that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety. ”
What is the TMB definition of an analgesic and anxiolytics?
Board rule 173 defines analgesic and anxiolytics as shown below:
Narcotic Analgesics-- Opioid or opioid-like dangerous or scheduled drugs that alleviate pain, but not including non-opioid based drugs such as acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs).
Anxiolytics--Dangerous or scheduled drugs used to provide sedation and/or to treat episodes of anxiety.
“... s 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 prope ... ”
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.