The rule amendment implements HB 3359 (2017), section 34, which requires the Oregon Medical Board to encourage physicians specializing in primary care, geriatrics, or other specialties designated by the Board, to obtain continuing medical education (CME) in the detection and early diagnosis of Alzheimer's disease and in the appropriate prescribing of antipsychotic drugs to treat patients with Alzheimer's disease. The rule amendment also implements part of SB 48 (2017), section 1, which requires the Oregon Medical Board to document the completion of any CME in suicide risk assessment, treatment, and management and report data to the Oregon Health Authority biennially.
The rule amendments incorporate changes at the direction of the House Health Care Committee, which specifically asked for additional restrictions on in-office anesthesia. Four goals were established through a collaborative process with the Nursing and Dental Boards: (1) require ASA physical status evaluation and documentation; (2) prohibit Level II or III office procedures for patients with ASA IV or above; (3) specify that only licensed or permitted anesthesia providers may administer office anesthesia; and (4) require the facility to have a transfer plan.
The rule amendments are necessary to allow podiatric physicians and surgeons to become Board-approved supervising physicians for PAs as required by SB 831 (2017).
OSTEOPATHIC PHYSICIANS (DO)
The rule amendments are conforming amendments as required by HB 3363, which clarifies that doctors of osteopathic medicine practice medicine as physicians and eliminates all references to the inappropriate terms "osteopathy" and "osteopath."
PHYSICIAN ASSISTANTS (PA)
The rule amendment is necessary to allow physician assistants who are practicing outside of rural or underserved areas and who have dispensing privileges to be able to dispense Schedule III and IV controlled substances.
The rule amendment allows the applicant to request a waiver of the requirement to pass the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) exam within four attempts if the applicant has passed the exam on the fifth attempt and has either obtained a Doctor of Acupuncture and Oriental Medicine degree or has experienced extenuating circumstances that do not indicate an inability to safely practice acupuncture as determined by the Board. The waiver will be available to both domestic graduates and international graduates.