645—327.4 (148C) Remote medical site.
	   327.4(1) A physician assistant may provide medical services in a remote medical site if one of the following three conditions is met:
	      a.    	 The physician assistant has a permanent license and at least one year of practice as a physician assistant; or
	      b.    	 The physician assistant with less than one year of practice has a permanent license and meets the following criteria:
	       (1)  	 The physician assistant has practiced as a physician assistant for at least six months; and
	       (2)  	 The physician assistant and supervising physician have worked together at the same location for a period of at least three months; and
	       (3)  	 The supervising physician reviews patient care provided by the physician assistant at least weekly; and
	       (4)  	 The supervising physician signs all patient charts unless the medical record documents that direct consultation with the supervising physician occurred; or
	      c.    	 The physician assistant and supervising physician provide a written statement sent directly to the board that the physician assistant is qualified to provide the needed medical services and that the medical care will be unavailable at the remote site unless the physician assistant is allowed to practice there. In addition, for three months the supervising physician must review patient care provided by the physician assistant at least weekly and must sign all patient charts unless the medical record documents that direct consultation with the supervising physician occurred.
	   327.4(2) A supervising physician must provide medical direction and consultation in accordance with the requirements in 645—subrule 326.8(4) and subrule 327.1(1).
[ARC 1909C, IAB 3/18/15, effective 4/22/15]