MAY-JUN 2018

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

Issue link:

Contents of this Issue


Page 36 of 68

© GETTY IMAGES 34 MAY/JUNE 2018 | Med Esthetics You can review your state's regulations at AANP's web- site (>legislation-regulation>state-legislation>state- practice-environment.) In 47 states, PAs must be supervised by a physician while Alaska and Illinois require a collaborative agreement with a physician. In New Mexico, only specialty PAs and those with fewer than three years experience require supervi- sion. The American Medical Association offers a "State law chart on physician assistants' scope of practice" at its website In the majority of states, the supervising or collaborating physician at the practice site determines the PA's scope of practice, but what "supervision" or "collaboration" entails varies. For example, in Alaska, collaborative plans must include "at least monthly telephone, radio, electronic or direct personal contact between the PA and the primary or alternate collaborating physician reviewing the PAs perfor- mance in the practice, knowledge, skills, patient care and healthcare records." Illinois' state statute notes that collaboration "shall not be construed to necessarily require the personal presence of the collaborating physician at all times at the place where services are rendered, as long as there is communication available for consultation by radio, telephone, telecommuni- cations or electronic communications." California does not require a collaborative agreement, but does require the physician to be available in person or by electronic communication at all times when the PA is caring for a patient. In addition, the supervising physician can delegate only tasks and procedures "consistent with the supervising physician's specialty or usual and custom- ary practice," and the supervising physician is required to observe and/or review the PA's performance until assured of competency. In Washington state, the supervising physician and PA determine which procedures may be performed and the degree of supervision. Jennifer Reichel, MD, owner of Pacifi c Dermatology & Cosmetic Center, with two locations in Washington, has new PAs work directly with a physician for several weeks before they can see patients on their own. When ready, the PA will see patients on their own but meet with the doctor in charge afterward to give a report similar to that of a resident with an attending. They present the patient's medical history, results of the physical and then a management plan. The doctor will then see the patient with the PA and assess the treatment plan. Eventually, the PAs see patients on their own and review with the supervising physician doctor on an as-needed basis. Integrating a New Provider Once the decision has been made to bring a PE into the practice, the physician-owner must determine how that person will function within the practice. Consider where there are gaps in care and how that provider can help fi ll them. For example, are there treatments that you do not want to provide and would like to delegate, or do you want to offer some of your most popular treatments at a lower price point to increase patient volume? EXTENDING CARE Once the decision has been made to bring a PE into the practice, the physician-owner must determine how that person will function within the practice.

Articles in this issue

Links on this page

Archives of this issue

view archives of Medesthetics - MAY-JUN 2018