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“... l Review Board (IRB) Annual Report
NEW - Physician Profile Update Request Form
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“... hool of Osteopathic Medicine (San Antonio)
Texas Physician Assistant Programs
Baylor College of Medicine Physician Assistant Program
Interservice Physician Assistant Program - Fort Sam Houston
Texas Tech University - School of Health Professionals - Physician Assistant Program
University of North ... ”
“Only submit forms required by the online application, supplemental documentation checklist, or licensure staff. Although the form may be designed for your license type, it may not be required.
Adobe Acrobat Reader is needed to view PDF files.
Additional Licensure forms are availabl ... ”
“If you're a physician and you will EVER be called upon to sign a death certificate, state law requires you to register with the Texas Department of State Health Services (DSHS) to file the certificate electronically.
You cannot wait until a death has occurred in order to register; that’s too l ... ”
“The Texas Physician Assistant Board issues a physician assistant license to qualified individuals to practice in Texas. In addition to a license, physician assistants in Texas must practice under the supervision of one or more supervising physicians, and if prescribing drugs, must have a presc ... ”
“In 1837, the Medical Practice Act was written by Dr. Anson Jones, one of the few formally trained physicians in Texas at that time. The Congress of the Republic of Texas then created the Board of Medical Censors for the purposes of administering examinations and granting medical licenses. The Board ... ”
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The Texas Medical Board consists of 12 physician members and seven public members appointed for six-year terms by the Governor and confirmed by the Senate. The full Board convenes five times a year. Typical Board business includes interviewing licensure candidates, considering disciplinary matters, ... ”
“ Senate Bill 894 (2011) allows hospitals in certain circumstances to directly hire physicians.
Chief Medical Officer Designation/Contact Form
Compromise of Medical Judgement Report Form
The bill requires that a hospital directly hiring physicians appoint a chief medical officer ... ”
“... abling statutes and practice acts for physicians, physician assistants, acupuncturists, surgical assistants, medical radiologic technologists, medical physicists, perfusionists, and respiratory care practitioners. The relevant chapters are listed below.
The complete code is available here:&nb ... ”
“... h organizations must keep TMB informed of changes in their by-laws and boards of directors, and must file detailed reports with TMB every two years to maintain their certification. Board Rules concerning nonprofit certification are found in Chapter 174.2 of the Board Rules.
List of 162.001(b) ... ”
“... h organizations must keep TMB informed of changes in their by-laws and boards of directors, and must file detailed reports with TMB every two years to maintain their certification. Board Rules concerning non-profit certification are found in Chapter 177 of the Board Rules.
List of 162.001(b) ... ”
“The information in this section includes links to:
the agency's relevant sections of statute (laws/practice acts)
rules for physicians, physician assistants, acupuncturists, and other license types, including adopted rule changes by year, and
the most recent proposed rule changes as well ... ”
“Before You Apply
Application Process
Eligibility Checklist
PA Sample Application - PDF
Documentation Checklist
PA School Codes - PDF
Fees
Apply
General Information
Application
Supplemental Forms
Jurisprudence Exam
Fingerprinting Process
Temporary License - PDF
License Issue Date ... ”
“... ment of the Licensure Division supports the Texas Physician Assistant Board and administers the licensing program for physician assistants.
Phone: (512) 305-7030
Fax: (512) 305-7009 or (888) 550-7516 ”
“... ssues various training permits such as physicians in training, visiting professor, faculty temporary licensing, national health corporation, and consulting physician approval letters.
Phone: (512) 305-7130
Fax: (512) 305-7009 or (888) 550-7516 ”
Description: Press Release March 19, 2008 A (PDF File)
Document: ... after determining that Dr. Roberts' continuation in the practice of medicine would present a continuing threat to the public welfare. The temporary suspension hearing took place yesterday (Tuesday) under the Board's authority, granted by S.B. 104 of the 78th Legislature, to suspend or restrict a ph ...
Description: Press Release March 23, 2004 (PDF File)
Document: ... after determining that Dr. Ruffier's continuation in the practice of medicine presents a continuing threat to the public welfare. The action was based upon allegations that Dr. Ruffier acted unprofessionally or dishonorably by performing unnecessary cardiac procedures and that Dr. Ruffier failed to ...
Description: Press Release March 28, 2006 (PDF File)
Document: ... , after determining 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 ...
Description: Press Release April 01, 2005 (PDF File)
Document: ... , after determining 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 physic ...
Description: Press Release April 02, 2003 (PDF File)
Document: ... its February 28 meeting, the Texas State Board of Physician Assistant Examiners took disciplinary action against two licensed physician assistants. Twenty administrative penalties totaling $49,750 were assessed against physicians and physician assistants.
New Licenses Issued
During its March 27-28 ...
Description: Press Release April 03, 2008 A (PDF File)
Document: ... ., license #E3813, of Fort Worth, after a hearing in which the panel determined Dr. Basped had violated previous orders. The action was based on Dr. Basped's failure to comply with an agreed order dated April 20, 2007, requiring him to take and pass the Special Purpose Examination (SPEX), a test for ...
Description: Press Release April 05, 2002 (PDF File)
Document: ... Releases
April 5, 2002 Medical Board Streamlines Physician Application Process The Texas State Board of Medical Examiners has significantly redesigned its physician licensure application process to fast-track the majority of the applications, while still giving greater scrutiny to more complex appl ...
Description: Press Release April 07, 2004 (PDF File)
Document: ... its February 27 meeting, the Texas State Board of Physician Assistant Examiners took disciplinary action against four licensed physician assistants and assessed administrative penalties in the amount of $6,000.
New Licenses Issued
During its April 1-2 Board meeting, the Board approved the licensure ...
Description: Press Release April 07, 2005 (PDF File)
Document: ... fter determining that 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 Le ...
Description: Press Release April 09, 2001 (PDF File)
Document: ... nditions; 12 restrictions; two public reprimands; in addition, seven administrative penalties totaling $23,000 were assessed. Rule Change The Board adopted the following proposed rule change that was published in the Texas Register: Chapter 183, Acupuncture, amendments to 183.2 and 183.4 regarding ...
Description: Press Release April 09, 2002 (PDF File)
Document: ... llowing proposed rule changes that were published in the Texas Register : Chapter 184, Surgical Assistants: new sections 184.2, 184.3, 184.5, 184.7, 184.9-184.12, 184.14 and 184.16, regarding the regulation of surgical assistants as mandated by HB1183 of the 77th Legislature. In addition, new sectio ...
Description: Press Release April 10, 2000 (PDF File)
Document: ... llowing proposed rule changes that were published in the Texas Register: Chapter 163, Licensure, amendment to 163.4 regarding examinations. Chapter 164, Advertising, repeal of 164.1 and new 164.1-164.5, (except for proposed 164.4 regarding board certification) regarding misleading and deceptive adve ...
Description: Press Release April 10, 2008 A (PDF File)
Document: ... his 70th birthday. Dr. Patrick joined the agency in September, 2001. During his nearly seven years with TMB, he oversaw a reorganization of the licensure application process, increasing efficiency and reducing the time for licensing a qualified physician in Texas. After a series of news articles re ...
Description: Press Release April 10, 2009 (PDF File)
Document: ... 5-7030 or (800) 248-4062. Texas licensing doctors in a month Medical Board Reduces Licensing Time to 30 Days, Issues 575 Licenses Board Disciplines 70 Doctors At its April 2-3 board meeting, the Texas Medical Board issued 575 physician licenses and announced that the average time to issue a Texas me ...
Description: Press Release April 13, 2005 (PDF File)
Document: ... rd meeting. On March 22, the Texas State Board of Physician Assistant Examiners took disciplinary action against one physician assistant. New Licenses Issued During its April 7-8 Board meeting, the Board approved the licensure applications of 376 physicians. Rule Changes The Board adopted the follow ...
“A physician may delegate prescriptive authority via facility based protocol at no more than one licensed hospital or no more than two long term care facilities. ”
At how many facilities can one physician delegate prescriptive authority through protocols?
A physician may delegate prescriptive authority via facility based protocol at no more than one licensed hospital or no more than two long term care facilities.
“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. &n ... ”
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.
“... e 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 ... ”
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.)
“... , 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 del ... ”
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.)
“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 ... ”
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.
“... or delegation of schedule II authority. The physician may only delegate authority to prescribe controlled substances in schedules III through V in this setting. Authority to prescribe dangerous drugs, nonprescription drugs and devices may be delegated in any setting. ... ”
Can schedule II authority be delegated in a free standing emergency department that is affiliated with a hospital?
No. A free standing emergency department is not located within the hospital anddoes not qualify as an eligible site for delegation of schedule II authority. The physician may only delegate authority to prescribe controlled substances in schedules III through V in this setting. Authority to prescribe dangerous drugs, nonprescription drugs and devices may be delegated in any setting.
“... sp;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 consultati ... ”
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.
“... outh, as prescribed for the patient on order of a physician, at a dose level low enough to allow the patient to remain ambulatory.Level II Services: Delivery of analgesics or anxiolytics by mouth in dosages greater than allowed at Level I and tumescent anesthesia, as prescribed for the patient on or ... ”
What are the different levels of anesthesia services relating to OBA?
Level I Services: Delivery of analgesics or anxiolytics by mouth, as prescribed for the patient on order of a physician, at a dose level low enough to allow the patient to remain ambulatory.
Level II Services: Delivery of analgesics or anxiolytics by mouth in dosages greater than allowed at Level I and tumescent anesthesia, as prescribed for the patient on order of a physician.
Level III Services: Delivery of analgesics or anxiolytics other than by mouth, including intravenously, intramuscularly, or rectally.
Level IV Services: Delivery of general anesthetics, including regional anesthetics and monitored anesthesia care.
“ A physician who provides level II-IV anesthesia services in an outpatient setting (including analgesics and anxiolytics). A physician who performs a procedure for which level II-IV anesthesia services are provided in an outpatient setting (including analgesics and anxiolytics). ... ”
Who has to register for office-based anesthesia?
“... tration does not apply to physicians who practice in the following settings: An outpatient setting in which only local anesthesia, peripheral nerve blocks, or both are used. Any setting physically located outside the State of Texas. A licensed hospital, including an outpatient facility of the hospit ... ”
Who does not need to register for office-based anesthesia?
OBA registration does not apply to physicians who practice in the following settings:
Note: physicians that provide only level I services, must still meet all other requirements under Chapter 173.
“You may be entering too much information in your search. Try entering in only the last name and first initial, or only the last name and the city where they practice. If you still have issues, please contact us at (512) 305-7010 for a verbal verification. ... ”
When I search for my physician, I get a “No records Match” message. Does my physician have a license in Texas?
You may be entering too much information in your search. Try entering in only the last name and first initial, or only the last name and the city where they practice. If you still have issues, please contact us at (512) 305-7010 for a verbal verification.
“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. ”
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.
“Unfortunately, at this time temporary physician assistant licenses are not available for verification online. Please contact us at (512) 305-7010 for a verbal verification. ”
The “Look up a License” system will not let me verify the temporary license of a physician assistant. How can I get this verification?
Unfortunately, at this time temporary physician assistant licenses are not available for verification online. Please contact us at (512) 305-7010 for a verbal verification.
“... d, 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 ... ”
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.
“At this time “Look up a License” can give access to any public actions taken against a Surgical Assistant. However, for additional information on the status of a Surgical Assistant license, please look under the “Other Healthcare Professionals” tab on the “Look up a Lic ... ”
How can I verify the license of a Surgical Assistant?
At this time “Look up a License” can give access to any public actions taken against a Surgical Assistant. However, for additional information on the status of a Surgical Assistant license, please look under the “Other Healthcare Professionals” tab on the “Look up a License” page.