What written form of “Supervisory Arrangement” is required between a PA and supervising physician?
A supervisory arrangement is written statement that describes medical acts, tasks, and functions including prescriptive authority instructions delegated to the PA by the primary supervisory physician appropriate to the PA’s qualification, training, skill and competence. The supervisory arrangement must be signed and dated by each primary and back-up supervising physician and the PA, kept on file at all practice sites, and available upon NCMB request.
A supervisory arrangement is a written statement that describes medical acts, tasks and functions (including prescriptive authority instructions) delegated to the PA by the primary supervising physician appropriate to the PA’s qualification, training, skill and competence. The primary supervising physician and the PA must sign and date the supervisory arrangement, keep it on file at all practice sites and make it available to the Board if requested. If there is a back-up supervising physician, they are required to complete the back-up supervising physician form. This form must be signed and dated by the back-up supervising physician, primary supervising physician and the PA. This form must be kept onsite as a part of the supervisory arrangement.
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