Practice Standards

01. Duties of Collaborating Physicians. (7-1-25) a. Responsibilities. A collaborating physician is responsible for complying with the requirements set forth in Title 54, Chapter 18 and IDAPA 24.33.02 when collaborating and consulting in the medical services provided by any physician assistant or graduate physician assistant either through a collaborative practice agreement or through the facility bylaws or procedures of any facility with credentialing and privileging systems. (3-28-23) 02. Duties of Directing Physicians. (7-1-25) a. Responsibilities. The directing physician accepts full responsibility for the acts and athletic training services provided by the athletic trainer and oversees the practice of athletic training of the athletic trainer, and for the supervision of such acts which include, but are not limited to: (3-28-23) i. An on-site visit at least semiannually to personally observe the quality of athletic training services provided; and (3-28-23) ii. Recording of a periodic review of a representative sample of the records, including, but not limited to, records made from the past six (6) months of the review to evaluate the athletic training services that were provided. (3-28-23) b. Scope of Practice. The directing physician must ensure the scope of practice of the athletic trainer, as set forth in IDAPA 24.33.05, and Section 54-3903, Idaho Code, will be limited to and consistent with the scope of practice of the directing physician and exclude any independent practice of athletic training by an athletic trainer. (3-28-23) c. Directing Responsibility. The responsibilities and duties of a directing physician may not be transferred to a business entity, professional corporation, or partnership, nor may they be assigned to another physician without prior notification and Board approval. (3-28-23) IDAHO ADMINISTRATIVE CODE IDAPA 24.33.01 – Rules for the Practice of Div. of Occupational & Professional Licenses Medicine & Osteopathic Medicine in Idaho Section 200 Page 7 d. Available Supervision. The directing physician will oversee the activities of the athletic trainer and must be available either in person or by telephone to supervise, direct, and counsel the athletic trainer. The scope and nature of the direction of the athletic trainer will be outlined in an athletic training service plan or protocol, as set forth in IDAPA 24.33.05. (3-28-23) e. Disclosure. It is the responsibility of each directing physician to ensure that each athlete who receives athletic training services is aware of the fact that said person is not a licensed physician. (3-28-23) 03. Duties of Supervising Physicians of Interns and Residents. (7-1-25) a. Responsibilities. The supervising physician is responsible for the direction and supervision of the medical acts and patient services provided by an intern or resident. The direction and supervision of such activities include, but are not limited to: (3-28-23) i. Synchronous direct communication at least monthly with intern or resident to ensure the quality of care provided; (3-28-23) ii. Recording of a periodic review of a representative sample of medical records to evaluate the medical services that are provided; and (3-28-23) iii. Regularly scheduled conferences between the supervising physician and the intern or resident. (3-28-23) b. Available Supervision. The supervising physician will oversee the activities of the intern or resident, and must always be available either in person or by telephone to supervise, direct and counsel the intern or resident. (3-28-23) c. Disclosure. It is the responsibility of each supervising physician to ensure that each patient who receives the services of an intern or resident is notified of the fact that said person is not a licensed physician. (3-28-23) 04. Duties of Supervising Physicians of Medical Personnel. (7-1-25) a. Purpose. The “practice of medicine,” as defined in Section 54-1803(1), Idaho Code, includes the administration of parenteral admixtures and the performance of cosmetic treatments using prescriptive medical/ cosmetic devices and products which penetrate or alter human tissue. Such treatments can lead to significant complications that may result in permanent injury or death and, therefore, can only be performed as set forth herein. (7-1-25) b. Responsibilities. The supervising physician accepts full responsibility for all treatments provided by medical personnel and for the supervision of such treatments. (7-1-25) i. Patient Record. The supervising physician must document an adequate legible patient record of his evaluation, assessment, and plan for the patient prior to the initial treatment. (7-1-25) ii. Available Supervision. The supervising physician will be on-site or immediately available to respond promptly to any questions or problems that may occur while a treatment is being performed by medical personnel. Such supervision includes, but is not limited to: (7-1-25) (1) Periodic review of the medical records to evaluate the prescribed treatments that are provided by such medical personnel including any adverse outcomes or changes in the treatment protocol; and (7-1-25) (2) Regularly scheduled conferences between the supervising physician and such medical personnel. (3-28-23) iii. Verification of Training. The supervising physician is responsible to ensure that, with respect to any treatment performed, the medical personnel possess the proper training to perform the treatment, the indications for IDAHO ADMINISTRATIVE CODE IDAPA 24.33.01 – Rules for the Practice of Div. of Occupational & Professional Licenses Medicine & Osteopathic Medicine in Idaho Section 300 Page 8 the prescribed treatment, and the pre- and post-procedure care involved. The supervising physician will verify the training of medical personnel upon the board-approved Medical Personnel Supervising Physician Registration form. The Medical Personnel Supervising Physician Registration Form will be maintained on file at each practice location and at the address of record of the supervising physician. (7-1-25) iv. Cosmetic Treatments. (7-1-25) (1) Scope. Cosmetic treatments can only be performed by a physician or by medical personnel under the supervision of a physician. Physicians who supervise cosmetic treatments must be trained in the safety and use of prescriptive medical/cosmetic devices and products. Medical personnel providing cosmetic treatments are limited to using prescriptive medical/cosmetic devices and products that are exclusively non-incisive and non-ablative. The supervising physician will ensure cosmetic treatments provided by medical personnel are limited to and consistent with the scope of practice of the supervising physician. (7-1-25) (2) Supervision. A supervising physician of medical personnel may not supervise more than three (3) medical personnel providing cosmetic treatments contemporaneously. The Board, however, may authorize a supervising physician to supervise a total of six (6) such medical personnel contemporaneously if necessary to provide adequate treatments and upon prior petition documenting adequate safeguards to protect the public health and safety. (7-1-25) v. Disclosure. It is the responsibility of each supervising physician to ensure that every patient receiving treatment from medical personnel is advised of the education and training of the medical personnel rendering the treatment and that such medical personnel are not licensed physicians. (7-1-25) vi. Patient Complaints. The supervising physician will report to the Board of Medicine all patient complaints received against medical personnel that relate to the quality and nature of treatments rendered. (7-1-25) vii. Duties and Responsibilities Nontransferable. The responsibilities and duties of a supervising physician may not be transferred to a business entity, professional corporation, or partnership, nor may they be assigned to another physician or person. (3-28-23) 201. -- 299. (RESERVED)