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Can medical assistants be supervised by a physician assistant in the absence of a physician and surgeon? You may want to review Title 16, California Code of Regulations sections 1399.540 through 1399.546 for information on the supervision of PAs. Is the supervising physician required to sign all of the patient's medical records? Can a PA evaluate a patient for the medical use of Marijuana? Article 4 of the Board's regulations addresses PA practice.The agreement must be completed before the PA starts practicing. The supervising physician is responsible for all medical services provided by a PA under his/her supervision and for following each patient's progress.The document does not need to be submitted to the board. The supervising physician may choose one or more of the following four mechanisms to provide the supervision as required by Section 1399.545 of Title 16 of the California Code of Regulations. The supervising physician is not required to be on site but must be available in person or by electronic communication at all times when the PA is caring for patients. Business and Professions Code section 3502.1 authorizes PAs to issue a drug order.A PA that is authorized to issue drug orders for controlled substances must register with the United States Drug Enforcement Administration (DEA) and obtain a DEA number.PAs that are authorized to issue drug orders for controlled substances must register with the United States Drug Enforcement Administration (DEA) and obtain their own DEA number.

A PA may perform surgical procedures under local anesthesia without the personal presence of the supervising physician.

Title 16 of the California Code of Regulations section 1399.540 requires the supervising physician to delegate in writing those medical services that the PA may provide.

This document is often referred to as a Delegation of Services Agreement.

However, the PA may not administer, provide or issue a drug order for Schedule II through V controlled substances, including refills, without advance approval by the supervising physician for the particular patient, unless the PA completed an approved education course in controlled substances and is delegated by the supervising physician.

The medical record of any patient for a Schedule II drug order must be reviewed, countersigned, and dated by the supervising physician within 7 days.

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