Ch. 540

1997 LAWS OF MARYLAND

(2) IN ACCORDANCE WITH THE PROTOCOLS OF A HOSPITAL, PUBLIC
HEALTH FACILITY, CORRECTIONAL FACILITY, OR DETENTION CENTER.

[(g)] (L) "National certifying examination" means an examination offered by a
national organization, which certifies physician assistants as having achieved a certain
level of training.

[(h)] (M) "Physician assistant" means an individual who is certified under this title
to perform delegated medical acts under the supervision of a physician.

[(i)] (N) "Practice as a physician assistant" means the performance of medical
acts delegated to a physician assistant under this title.

(O) "PROTOCOLS" MEANS WRITTEN POLICIES, BYLAWS, RULES, OR
REGULATIONS ESTABLISHED BY A HOSPITAL PUBLIC HEALTH FACILITY,
CORRECTIONAL FACILITY, OR DETENTION CENTER THAT:

(1) ARE ESTABLISHED IN CONSULTATION WITH AND WITH THE
APPROVAL OF ITS MEDICAL STAFF;

(2) DESCRIBE THE DELEGATED MEDICAL ACTS A PHYSICIAN ASSISTANT
MAY EXECUTE; AND

(3) SPECIFY THE MINIMUM REQUIREMENTS FOR SUPERVISION BY A
PHYSICIAN.

(P) "PUBLIC HEALTH FACILITY" MEANS A FIXED SITE WHERE CLINICAL
PUBLIC HEALTH SERVICES ARE RENDERED UNDER THE AUSPICES OF THE
DEPARTMENT OR, A LOCAL HEALTH DEPARTMENT IN A COUNTY, OR THE
BALTIMORE CITY HEALTH DEPARTMENT.

[(j)] (Q) "Supervising physician" means a physician who has been approved by
the Board to supervise 1 or more physician assistants.

[(k)] (R) "Supervision" means the responsibility of a physician to exercise on site
supervision or immediately available direction for physician assistants performing
delegated medical acts.

15-301.

(a) (1) A certificate issued to a physician assistant shall limit the physician
assistant's scope of practice to:

(i) Services within the training or experience of the physician

assistant;

(ii) Services customary to the practice of the supervising physician;

(iii) Services delegated by the supervising physician; and

(iv) The approved job description from the Board.

(2) Patient services provided by a physician assistant are limited to:

- 2994 -