Definitions

PURPOSE: This rule defines terms used in Chapter 334, RSMo, and this chapter. (1) American Specialty Board—any specialty board formally recognized by the American Board of Medical Specialties or the American Osteopathic Association. (2) Applicant—a person applying for a license as a physician and surgeon or an assistant physician pursuant to Chapter 334, RSMo, and these rules. (3) Approved medical school—a medical school accredited by the Liaison Commission on Medical Education of the American Medical Association or the American Osteopathic Association’s Commission on Osteopathic College Accreditation, or other medical school program that enforces requirements of four (4) terms of thirty-two (32) weeks for actual instruction in each term, including, in addition to class work, such experience in operative and hospital work during the last two (2) years of instruction as is required by the American Medical Association and the American Osteopathic Association. (4) Board-approved medical licensing examination—the United States Medical Licensing Examination (USMLE), or its successor, or the Comprehensive Osteopathic Medical Licensing Exam (COMLEX), or its successor. (5) Collaborative practice arrangement—written agreements, jointly agreed upon protocols, or standing orders, all of which shall be in writing, for the delivery of health care services. (6) Emergency situation—a situation in which medical care is required to prevent loss of life or to mitigate injury and which does not arise in the course of a person’s usual employment. (7) Expired—a license that is not renewed by its expiration date. (8) Extenuating circumstances—the circumstances under which an ordinary prudent person would not have timely re newed his or her license. Failure to receive a renewal notice is not an extenuating circumstance. (9) Hospitals approved by the board—all hospitals who are part of a residency training program approved and accredited to teach graduate medical education by the Accreditation Council on Graduate Medical Education (ACGME) of the American Medical Association or the Program and Trainee Review Council of the American Osteopathic Association. (10) Licensee—a person who holds a physician and surgeon or assistant physician license issued pursuant to Chapter 334, RSMo. (11) Medically underserved area— (A) An area in this state with a medically underserved pop ulation; (B) An area in this state designated by the United States Secretary of Health and Human Services as an area with a shortage of personal health services; (C) A population group designated by the United States Secretary of Health and Human Services as having a shortage of personal health services; (D) An area designated under state or federal law as a medi cally underserved community; or (E) An area that the Department of Health and Senior Services considers to be medically underserved based on rel evant demographic, geographic, and environmental factors. (12) Notarized—attested to in front of a notary public properly commissioned by the jurisdiction where the notary occurred. (13) Official translation—a translation by a professor of a lan guage department in a college or university in the United States, or by the United States Embassy or Consulate in a foreign country. The translator must include documentation certifying that the document is a true translation to the best of their knowledge, that they are fluent in the original language and qualified to translate the document into English. The translator must sign the translation and print their name and address on the translation. (14) Population-based public health services—health services provided to well patients or to those with narrowly circum scribed conditions in public health clinics or community health settings that are limited to immunizations, well-child care, human immunodeficiency virus (HIV) and sexually trans mitted disease care, family planning, tuberculosis control, can cer and other chronic diseases, wellness screenings, services related to epidemiologic investigations, and prenatal care. (15) Primary care—physician services in family medicine, general practice, internal medicine, pediatrics, obstetrics, or gynecology. This shall not include surgery other than minor office based procedures. (16) Telehealth—means the use of medical information ex changed from one (1) site to another via electronic communi cations to improve the health status of a patient. (17) Timely pay—any license renewal fee received by the board prior to the licensure expiration date. Renewal forms post marked by the post office February 1 or after will be considered delinquent, however, should January 31 fall on a Saturday, Sunday, or legal holiday, renewal forms postmarked by the post office on the next business day will not be considered delinquent. (18) Void—a license that becomes void upon the occurrence of events specified by rule. A void license may not be renewed or reactivated. A void license does not give authority for the per son holding the license to practice his or her profession. AUTHORITY: sections 334.045 and 334.046, RSMo 2000, sections 334.090 and 334.100, RSMo Supp. 2013, and sections 334.036, 334.038, and 334.125, RSMo Supp. 2014.* This rule originally filed as 4 CSR 150-2.001. Original rule filed Jan. 19, 1988, effective April 15, 1988. Amended: Filed April 15, 1996, effective Nov. 30, 1996. Amended: Filed July 25, 2000, effective Dec. 30, 2000. Moved to 20 CSR 2150-2.001, effective Aug. 28, 2006. Amended: Filed July 11, 2007, effective Jan. 30, 2008. Rescinded and readopted: Filed June 29, 2016, effective Jan. 30, 2017. *Original authority: 334.036, RSMo 2014; 334.038, RSMo 2014; 334.045, RSMo 1963, AND INSURANCE amended 1981, 1987, 1989, 1993, 1995; 334.046, RSMo 1986, amended 1989, 1996, 1997; 334.090, RSMo 1945, amended 1951, 1959, 1963, 1981, 1987, 2011; 334.100, RSMo 1939, amended 1945, 1959, 1963, 1974, 1976, 1979, 1981, 1983, 1984, 1986, 1987, 1989, 1990, 1993, 1997, 2004, 2010, 2011; and 334.125, RSMo 1959, amended 1993, 1995, 2014.