Title 12 . Professional and Vocational Regulations

Chapter 40 . Big Game Guides and Transporters

Section 410. Collaborative relationship

12 AAC 40.410. Collaborative relationship

(a) A licensed physician assistant may not practice without at least one collaborative relationship established under this chapter.

(b) Documented evidence of an established collaborative relationship consists of a copy of the plan of collaboration approved under 12 AAC 40.980.

(c) A person authorized to practice as a licensed physician assistant shall immediately report to the board, in writing, any change in the physician assistant's collaborative relationship.

(d) A change in a collaborative relationship automatically suspends a licensed physician assistant's authority to practice under that collaborative relationship unless the change is only to replace the primary collaborating physician with an existing alternate collaborating physician and at least once alternate collaborating physician remains in place.

(e) The first time a physician assistant with less than two years of full-time clinical experience practices in a remote location, the physician assistant shall work 160 hours in direct patient care under the direct and immediate supervision of the collaborating physician or alternate collaborating physician. The first 40 hours must be completed before the physician assistant begins practice in the remote location, and the remaining 120 hours must be completed within 90 days of starting practice in the remote location.

(f) A physician assistant with less than two years of full-time clinical experience who practices in a remote location and who has a change of collaborating physician must work 40 hours under the direct and immediate supervision of the new collaborating physician within 60 days of establishing the new collaborative relationship unless the change is only to replace the primary collaborating physician with an existing alternate collaborating physician.

(g) A physician assistant with two or more years of full-time clinical experience who applies for authorization to practice in a remote location shall submit a plan of collaboration that includes the following information or materials:

(1) the location of practice;

(2) a detailed curriculum vitae documenting that the physician assistant's previous experience as a physician assistant is sufficient to meet the requirements of the location assignment;

(3) a written recommendation and approval from the collaborating physician.

(h) In this section, "remote location" means a location in which a physician assistant practices that is 30 or more miles by road from the collaborating physician's primary office.

History: Eff. 1/13/80, Register 73; am 3/12/89, Register 109; am 6/28/97, Register 142

Authority: AS 08.64.100

AS 08.64.107