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“A pain management clinic is defined in statute and rule as a publicly or privately-owned facility for which a majority of patients are issued, on a monthly basis, a prescription for opioids, benzodiazepines, barbiturates, or carisoprodol, but not including suboxone.
A pain management clinic m ... ”
“
Are the Physicians being singled out?
How much is it going to cost?
Does the fingerprinting fee benefit the TMB?
When do we have to do it?
Can I complete the fingerprint requirement early?
Can I get my fingerprints done anywhere?
What is my Board issued 6-digit ID number?
What if my ... ”
“... , and report continuing education coursework.
All PHYSICIAN, RESPIRATORY CARE PRACTITIONERS, ACUPUNCTURE, MEDICAL RADIOLOGIC TECHNOLOGISTS, ACUDETOX SPECIALISTS, MEDICAL PHYSICISTS AND SURGICAL ASSISTANTS licensees have access to establish a free, basic account with CE Broker. Beginning Ju ... ”
Description: TMB suspends Pearland physician
Document: ... r 800
-
248
-
4062
TMB suspends
Pearland
physician
On
October 29
,
2015
,
a disciplinary panel of the
Texas Medical Board
temporarily suspended,
with
notice, the Texas medical license of
Katherine Louise Blanchette
.,
M.D.,
after determining
her
continuation in the practic ...
Description: PA Board 2015 July - Full Board Minutes
Document: TEXAS PHYSICIAN ASSISTANT BOARDBOARD MEETINGJuly 17, 2015The meeting was called to order at10:25.m.Felix Koo, M.D., Secretary. Board members present wereReginald C. Baptiste, M.D.; Anna Arredondo Chapman; Jason P.
��TEXAS HYSICIAN SSISTANT OARDULY 2015
2
Rodriguez gave a brief re ...
Description: Rule Changes Effective January 3, 2016
Document: ... c
k on the link below for access to the rule text in the Texas Administrative Code:
http://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=3&ti=22&pt=9
CHAPTER 185. PHYSICIAN ASSISTANTS
§185.2, Definitions
The amendment to 185.2, relating to
Definition
s
, changes the de ...
Description: Texas Physician Assistant Board suspends Houston physician assistant
Document: ... 512
-
305
-
7030 or 800
-
248
-
4062
Texas Physician Assistant Board
suspends
Houston
physician
assistant
On
November 13, 2015, a disciplinary panel of the Texas Physician Assistant Board temporarily
suspended, without notice, the Texas physician assistant license of Carroll Jean ...
Description: Medical Board 2016 - March - Licensure Committee Minutes
Document: ... tee close the meeting to the public
and continue in Executive Session for deliberations concerning
Agenda
item
s
2 and 3
a
.
The motion
passed.
Mr. Webb
announced that the meeting would be closed for deliberations at
9:
4
7
a.m. concerning
licensure applications and the character a ...
Description: Medical Board 2015 - August - Full Board Minutes
Document: ... ing and maintaining standards of ex
cellence used in regulating the practice of
medicine and ensuring quality health care for the citizens of Texas through licensure, discipline,
and education
.
There were no items for Agenda item #2.
Agenda item #3, Executive Director Report.
Budget ...
Description: Physician Statistics 2015 Sept - Physicians by Age
Document: ... NOWN
0
0
0
0
TOTAL
49000
22903
32
71935
AGE GROUP
IN STATE
OUT OF STATE
TOTAL
Age 30 & Under
1104
156
1260
Age 31 - 35
6279
1201
7480
Age 36 - 40
8620
1984
10604
Age 41 - 45
8380
2038
10418
Age 46 - 50
7533
1893
9426
Age 51 - 55
7036
1900
8936
Age 56 - 60
6379
1826
8205
Age 61 - 65
5388
1510
6898
A ...
Description: Physician Statistics 2015 Sept - Physicians by Gender and County
Document: ... TALS
38919
18992
22
57933
ACTIVE PHYSICIANS
NOT IN PRACTICE
769
284
1053
229
Counties not reported have no physicians
TOTAL NUMBER OF COUNTIES REPORTED
Description: Physician Statistics 2015 Sept - Physicians In and Out of State
Document: DEGREE
IN STATE
OUT OF STATE
TOTAL
MD
53579
12968
66547
DO
4354
1034
5388
UNKNOWN
0
0
0
TOTAL
57933
14002
71935
MEDICAL SCHOOL
IN STATE
OUT OF STATE
TOTAL
Texas Graduate
24204
3309
27513
US Graduate
19790
6974
26764
International Graduate
13939
3719
17658
UNKNOWN
0
0
0
TOTAL
57933
14002
71935
METHOD ...
Description: Physician Statistics 2015 Sept - Physicians by School of Graduation
Document: MEDICAL SCHOOL
PRACTICE
INSTATE
PRACTICE OUT OF
STATE
TOTAL
UTMB Galveston
4700
625
5325
Baylor Houston
2848
529
3377
Paul L Foster TX Tech
3
0
3
UTHSC Dallas
4257
577
4834
UTHSC San Antonio
3729
488
4217
UTHSC Houston
3539
436
3975
TX Tech
2055
263
2318
TX A&M
1019
124
1143
UNTHSC Ft. Worth
2054
...
Description: Physician Statistics 2015 Sept - Physicians by Specialty
Document: SPECIALTY
M.D.'S
D.O.'S
UNKNOWN
TOTAL
ABDOMINAL RADIOLOGY
3
0
0
3
ABDOMINAL SURGERY
6
0
0
6
ADDICTION MEDICINE
8
2
0
10
ADDICTION MEDICINE - AN
1
0
0
1
ADDICTION MEDICINE - FP
6
3
0
9
ADDICTION MEDICINE - IM
2
0
0
2
ADDICTION MEDICINE - PM
1
0
0
1
ADDICTION PSYCHIATRY
7
0
0
7
ADDICTIVE ...
Description: PA Statistics 2015 Sept - Physician Assistant by Age
Document: ... and Over
13
4
0
17
TOTAL
2643
5075
12
7730
Physician Assistants by Age
September 2015
Description: PA Statistics 2015 Sept - Physician Assistant by Gender
Document: ...
8
6
0
14
Physician Assistants by Gender and County
September 2015
COTTLE
1
0
0
1
CRANE
0
1
0
1
CROCKETT
1
1
0
2
CULBERSON
1
0
0
1
DALLAM ...
Description: PA Statistics 2015 Sept - Physician Assistant by In and Out of State
Document: GENDER
IN STATE
OUT OF STATE
TOTAL
FEMALE
4391
684
5075
MALE
2292
351
2643
UNKNOWN
12
0
12
TOTAL
6695
1035
7730
PA PROGRAM
IN STATE
OUT OF STATE
TOTAL
4130
510
4640
US GRADUATE
2539
524
3063
GRANDFATHERED
0
1
1
TOTAL
1035
7704
RACE
TOTAL
of Hispanic origin
non Hispanic origin
un ...
Description: PA Statistics 2015 Sept - Physician Assistants by School of Graduation
Document: PA PROGRAM
IN STATE
OUT STATE
TOTAL
ACADEMY OF HEALTH SCIENCES, FORT SAM HOUSTON
183
30
213
BAYLOR COLLEGE OF MEDICINE, HOUSTON
436
60
496
FORT SAM HOUSTON/UNIV OF NEBRASKA - IN CONJUNCTION
132
42
FORT SAM HOUSTON/UNIV OF OKLAHOMA- IN CONJUNCTION
9
1
10
SHEP ...
“... 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 ... ”
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.
“To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact th ... ”
My physician license is currently in a retired status. How to I return it to an active status so I can practice?
To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact the Registration department for information on the approval procedure.
“Yes, if you are a physician or a physician assistant. Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this c ... ”
Do I have to let the Medical Board know about my delegates/supervising physicians?
Yes, if you are a physician or a physician assistant.
Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.
PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement. They are also required to notify the Board within 30 days of any change to the scope of the delegation.
APRNs should look to guidance provided by the Texas Board of Nursing for how to register their delegating physicians, as the Medical Board does not have licensing authority for nurses.
“To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure. ”
Are there any additional requirements that I need to complete before I request to return my retired physician license to an active status?
To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure.
“A physician, their delegated midlevel provider, or any other qualified and licensed individual delegated authority to check the PMP may do so on behalf of the prescriber. Ultimately though, it is the prescriber’s responsibility to ensure that the PMP has been checked and that they have r ... ”
Is only the prescriber allowed to check the PMP, or can someone else check on behalf of the physician?
A physician, their delegated midlevel provider, or any other qualified and licensed individual delegated authority to check the PMP may do so on behalf of the prescriber. Ultimately though, it is the prescriber’s responsibility to ensure that the PMP has been checked and that they have reviewed and taken into account any relevant information prior to issuing a prescription.
“There is nothing that discusses how far ahead of time the PMP check can be undertaken, however the reason for the requirement is to ensure that prescribers have as much information as possible in order to make informed decisions about prescribing certain controlled substances. If the PMP check ... ”
How far ahead of time can I check the PMP?
There is nothing that discusses how far ahead of time the PMP check can be undertaken, however the reason for the requirement is to ensure that prescribers have as much information as possible in order to make informed decisions about prescribing certain controlled substances. If the PMP check is completed too far ahead of time, then there may be new information in the PMP that the prescriber is not considering.
The PMP is updated on a 24-hour basis and therefore contains information accurate up to 24 hours prior to completion of the check.
“At this time, all you must do is fill out the waiver application. No additional information is currently required. ”
What do I need to submit to TMB in order to qualify for a waiver?
At this time, all you must do is fill out the waiver application. No additional information is currently required.
“... ted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also c ... ”
How will I be notified if I am granted a waiver?
If you are granted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile.
“Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group. ”
Does everyone at my practice have to apply for a waiver or just the medical director?
Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group.
“If the supervising physician has a waiver, then the prescribing delegate is also covered under that waiver. So long as the prescribing delegate is prescribing under the authority of a physician who has been granted a waiver, then the prescribing delegate may use non-electronic prescribing means.&nbs ... ”
Do delegates who have prescribing authority have to apply for their own waiver or are they covered by the supervising physician’s waiver?
If the supervising physician has a waiver, then the prescribing delegate is also covered under that waiver. So long as the prescribing delegate is prescribing under the authority of a physician who has been granted a waiver, then the prescribing delegate may use non-electronic prescribing means. If a prescribing delegate is issuing a prescription under the authority of a physician who does not have a waiver, then the prescribing delegate must issue the prescription via e-prescribing.
If an individual wants to look up whether a prescribing delegate has a waver they can do so as listed below:
For physician assistants: A PA’s waiver status will not be viewable on their TMB public profile. Each PA’s public profile has a link to their supervising physician’s profile page. The physician’s profile page will list the waiver status.
For nurse practitioners: APRN waivers are determined by the Texas Board of Nursing. Information on the waiver process for the APRNs is available on the Texas Board of Nursing Website.
“ If a physician has a waiver from e-prescribing, it is viewable on their public profile page, under the section entitled “Verified Information.” If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s ... ”
How can someone determine if a practitioner has a waiver?
If a physician has a waiver from e-prescribing, it is viewable on their public profile page, under the section entitled “Verified Information.” If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s public profile. You can look up a prescriber’s public profile here: Look up a License
NOTE: Per the Texas State Board of Pharmacy, a “pharmacist is not responsible for ensuring there is a waiver. In addition, there is no requirement of the pharmacist to ensure an appropriate waiver is granted.”
“... erprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”. ... ”
What if my Board issued ID number is only 5 digits long?
A Board issued 6-digit ID number is required for submitting your fingerprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”.
“... ; While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.st ... ”
I submitted my fingerprints. Why am I still not able to enter the online registration?
Please note that the fingerprint background check results will be required prior to a license being able to access the online registration system. While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.state.tx.us.
“Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Fede ... ”
Can I get my fingerprints done anywhere?
Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.