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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: Acupuncture 2016 - February - Licensure Committee Minutes
Document: ... puncture Education. An acupuncturist may
request in writing and may be exempt from the annual minimum continuing acupuncture
education requirements for one or more of the following reasons:
(1)
the licensee’s
c
atastrophic illness;
(2)
the licensee’s
military service of longer than ...
Description: TMB restricts Houston physician (Marquis)
Document: ... 800
-
248
-
4062
TMB restricts
Houston
physician
On
January 18, 2024
, a disciplinary panel of the Texas Medical Board temporarily restricted,
with notice, the Texas medical license of
Alejandro Felix Marquis
, M.D., (Lic. No.
K1248
) after
determining his continuation in the ...
Description: TMB suspends Grand Prairie physician (Khan)
Document: ... -
248
-
4062
TMB suspends
G
rand Prairie
physician
On
March 11
,
2016
,
a disciplinary panel of the
Texas Medical Board
temporarily suspended,
with
out
notice, the Texas medical license of
Waleed Khan
,
M.D.,
after determining
his
continuation in the practice of medicine ...
Description: Medical Board 2015 - December- Full Board Minutes
Document: ... onclusions of Law of the Administrative Law Judge in the Proposal for Decision for Aldon B. Williams, M.D., and to approvethe staff’s suggested final order filed y Board staff for dismissal.Joseph M. Megwa, M.D., SOAH #5031917. MS. Mr. Freshour gave a procedural overview. Margie Johnson, J.D. ...
Description: Medical Board 2016 - March - Disciplinary Process Review Committee Minutes: Agenda Item 02: TX PHP Report; Agenda Item 08: List of Potential Expert Panelist; Agenda Item 12: Legal Dismissals; Agenda Item 12: Case List
Document: ... enda Item #Reports and discussion regarding Texas Physician Health Program. (Dr. Fitzwater)This was an informational item only and no vote was necessary.Agenda Item #Discussion, recommendation, and possible action regarding renewals involving impaired licensees. (Ms. Robinson)It was announced by Ms. ...
Description: Medical Board 2016 - March - Full Board Minutes
Document: ... es, for possible panelistswho might be interested in servingas experts.Dr. Bredt also gave information on matching rural practitioners with rural expertsand will provide more information in the following monthsAgenda item #5, Public Information Update.JarrettSchneidergave an update onagencyacepage. ...
Description: TMB disciplines 62 physicians at March meeting
Document: ... diologic Technician
.
The Board issued
215
physician licenses at the
March
meeting, bringing the total number of physician licenses issued in
FY
1
6
to
1,619
.
No rules were adopted during
the March meeting.
DISCIPLINARY ACTIONS
QUALITY OF CARE
Altamirano, Ray, M.D., L ...
Description: PA Statistics 2016 Jan - Physician Assistants by School of Graduation
Document: PA PROGRAM
IN STATE
OUT STATE
TOTAL
ACADEMY OF HEALTH SCIENCES, FORT SAM HOUSTON
183
31
214
BAYLOR COLLEGE OF MEDICINE, HOUSTON
440
52
492
FORT SAM HOUSTON/UNIV OF NEBRASKA - IN CONJUNCTION
134
43
FORT SAM HOUSTON/UNIV OF OKLAHOMA- IN CONJUNCTION
9
2
11
SHEP ...
Description: PA Statistics 2016 Jan - Physician Assistant by In and Out of State
Document: GENDER
IN STATE
OUT OF STATE
TOTAL
FEMALE
4568
741
5309
MALE
2334
349
2683
UNKNOWN
12
0
12
TOTAL
6914
1090
8004
PA PROGRAM
IN STATE
OUT OF STATE
TOTAL
4265
538
4803
US GRADUATE
2632
552
3184
GRANDFATHERED
17
0
17
TOTAL
6914
1090
8004
RACE
TOTAL
of Hispanic origin
non Hispanic or ...
Description: PA Statistics 2016 Jan - Physician Assistant by Gender
Document: ...
8
6
0
14
Physician Assistants by Gender and County
January 2016
COTTLE
1
0
0
1
CRANE
0
1
0
1
CROCKETT
1
0
0
1
CULBERSON
1
0
0
1
DALLAM ...
Description: PA Statistics 2016 Jan - Physician Assistant by Age
Document: ... and Over
12
4
0
16
TOTAL
2683
5309
12
8004
Physician Assistants by Age
January 2016
Description: Physician Statistics 2016 Jan - Physicians by Specialty
Document: SPECIALTY
M.D.'S
D.O.'S
UNKNOWN
TOTAL
ABDOMINAL RADIOLOGY
3
0
0
3
ABDOMINAL SURGERY
5
0
0
5
ADDICTION MEDICINE
10
2
0
12
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
8
0
0
8
ADDICTIVE ...
Description: Physician Statistics 2016 Jan - Physicians by School of Graduation
Document: MEDICAL SCHOOL
PRACTICE INSTATE
PRACTICE OUT OF STATE
TOTAL
UTMB Galveston
4694
622
5316
Baylor Houston
523
3363
Paul L Foster TX Tech
4
0
4
UTHSC Dallas
4226
571
4797
UTHSC San Antonio
3743
479
4222
3569
443
4012
TX Tech
2060
264
2324
TX A&M
1030
124
1154
UNTHSC Ft. Worth
2070
264
Total
24236
3290
...
Description: Physician Statistics 2016 Jan - Physicians In and Out of State
Document: DEGREE
IN STATE
OUT OF STATE
TOTAL
MD
53802
12932
66734
DO
4413
1008
5421
UNKNOWN
0
0
0
TOTAL
58215
72155
MEDICAL SCHOOL
IN STATE
OUT OF STATE
TOTAL
Texas Graduate
24236
3290
27526
US Graduate
19881
6910
26791
International Graduate
14098
3740
17838
0
0
0
TOTAL
58215
13940
72155
METHOD OF LICENSURE
...
Description: Physician Statistics 2016 Jan - Physicians by Gender and County
Document: ... TALS
39006
19188
21
58215
ACTIVE PHYSICIANS
NOT IN PRACTICE
760
281
1041
230
Counties not reported have no physicians
TOTAL NUMBER OF COUNTIES REPORTED
“... 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.