professional practice authorized by state law. A copy of approved written scope of practice guidelines or approved written protocol, dated and signed by the supervising physician and the practitioner, must be provided to the board by the supervising physician within seventytwo hours of request by a representative of the department or board. (C) In evaluating a written guideline or protocol, the board and supervising physician or medical staff shall consider the: (1) training and experience of the supervising physician; (2) nature and complexity of the delegated medical acts being performed; (3) geographic proximity of the supervising physician to the supervised practitioner; when the supervising physician is to be more than fortyfive miles from not located at the same site as the supervised practitioner, special consideration must be given to the manner in which the physician intends to monitor the practitioner, and prior board approval must be received for this practice; and (4) number of other practitioners the physician or medical staff supervises. Reference must be given to the number of supervised practitioners, as prescribed by law. When the supervising physician assumes responsibility for more than the number of practitioners prescribed by law, special consideration must be given to the manner in which the physician intends to monitor, and prior board approval must be received for this practice. (D)(1) A physician or medical staff who is engaged in practice with an NP, CNM, or CNS must: (a)(i) hold permanent, active, and unrestricted authorization to practice medicine in this State and be actively practicing medicine within the geographic boundaries of this State; or (ii) hold an active, unrestricted academic license to practice medicine in this State and be actively practicing medicine within the geographic boundaries of this State; (b) have in place prior to beginning practice and during its continuation a practice agreement as defined in Section 404720(35), a copy of which the physician must make available to the board within seventytwo hours of a request; (c) not enter into practice agreements with more than the equivalent of six fulltime NPs, CNMs, or CNSs and must not practice in a situation in which the number of NPs, CNMs, or CNSs providing clinical services with whom the physician is working, combined with the number of physician assistants providing clinical services whom the physician is supervising, is greater than six
professional practice authorized by state law. A copy of approved written scope of practice guidelines or approved written protocol, dated and signed by the supervising physician and the practitioner, must be provided to the board by the supervising physician within seventytwo hours of request by a representative of the department or board. (C) In evaluating a written guideline or protocol, the board and supervising physician or medical staff shall consider the: (1) training and experience of the supervising physician; (2) nature and complexity of the delegated medical acts being performed; (3) geographic proximity of the supervising physician to the supervised practitioner; when the supervising physician is to be more than fortyfive miles from not located at the same site as the supervised practitioner, special consideration must be given to the manner in which the physician intends to monitor the practitioner, and prior board approval must be received for this practice; and (4) number of other practitioners the physician or medical staff supervises. Reference must be given to the number of supervised practitioners, as prescribed by law. When the supervising physician assumes responsibility for more than the number of practitioners prescribed by law, special consideration must be given to the manner in which the physician intends to monitor, and prior board approval must be received for this practice. (D)(1) A physician or medical staff who is engaged in practice with an NP, CNM, or CNS must: (a)(i) hold permanent, active, and unrestricted authorization to practice medicine in this State and be actively practicing medicine within the geographic boundaries of this State; or (ii) hold an active, unrestricted academic license to practice medicine in this State and be actively practicing medicine within the geographic boundaries of this State; (b) have in place prior to beginning practice and during its continuation a practice agreement as defined in Section 404720(35), a copy of which the physician must make available to the board within seventytwo hours of a request; (c) not enter into practice agreements with more than the equivalent of six fulltime NPs, CNMs, or CNSs and must not practice in a situation in which the number of NPs, CNMs, or CNSs providing clinical services with whom the physician is working, combined with the number of physician assistants providing clinical services whom the physician is supervising, is greater than six
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