The Oregon Medical Board is
charged with protecting the health, safety and wellbeing of Oregonians through
the regulation of the practice of medicine.
As the practice of medicine in medical spas expands, it is incumbent upon
licensees providing services in these settings to be aware of their
responsibilities. In particular, a
licensee who serves as a medical director of a medical spa or similar facility
must clearly understand the duties and responsibilities of the role.
Medical directors must view
medical spa patients as their patients,
not just clients of the facility.
Medical spa patients must be treated the same as a patient in any other
medical facility. This includes
performing an evaluation to establish the appropriate diagnosis and treatment,
obtaining informed consent prior to treatment, and maintaining proper
documentation and patient confidentiality.
Before personally performing
or delegating any procedure to medical spa personnel, the medical director must
consider the type of procedure and its risks.
In addition, the medical director must ensure that the staff member has
the appropriate education and training to perform the procedure. Proper delegation also includes effective
supervision through oversight, direction, evaluation and guidance. The medical director may not delegate the
diagnosis of a medical condition or development of a treatment plan to a staff
member who is not licensed to provide independent medical judgment.
Medical directors authorized
to prescribe scheduled medications must be aware that only they can order, own,
possess or have access to those medications within their medical spa.
The medical director is
responsible for the medical procedures performed at the spa and will be held to
the same standard of care as though the procedure were performed in a medical
facility. Above all, patient safety is
the top priority, and medical directors should act in the best interest and
welfare of their patients at all times.
– Adopted October