Title 510
SUBCHAPTER 4. OSTEOPATHIC SUPERVISION OF MID-LEVEL PRACTITIONERS
510:10-4-1. Purpose
The purpose of this Subchapter is to set forth the requirements for osteopathic physicians to supervise any mid-level medical practitioner with prescriptive authority.
[Source: Added at 15 Ok Reg 2762, eff 6-25-98; Amended at 33 Ok Reg 1771, eff 9-11-16; Amended 9-11-22]
510:10-4-2. Definitions
The following words and terms used in this Subchapter, shall have the following meaning unless the context clearly indicates otherwise:
"Board" means the State Board of Osteopathic Examiners.
"Mid-level practitioners" include physician assistants and advanced practice nurses.
"Proper physician supervision" means the supervising physician regularly and routinely reviews the prescriptive practices and patterns of the mid-level practitioners. Proper physician supervision of mid-level practitioners is essential.
[Source: Added at 15 Ok Reg 2762, eff 6-25-98; Amended at 33 Ok Reg 1771, eff 9-11-16; Amended 9-11-22]
510:10-4-3. Eligibility, Limits, and Responsibilities of supervising osteopathic physician
(a) To be eligible to serve as a supervising physician for mid-level practitioners, an osteopathic physician shall meet the following criteria:
(1) Have possession of a full and unrestricted Oklahoma license to practice osteopathic medicine; with Drug Enforcement Agency (DEA) and Oklahoma Bureau of Narcotics and Dangerous Drugs Control (OBNDD) permits.
(2) The supervising physician shall be trained and fully qualified in the field of the mid-level practitioners specialty.
(b) No physician shall supervise more than six (6) mid-level practitioners.
(c) The Board may make an exception to any limit set herein upon written request of the physician.
(d) Subject to approval, disapproval, or modification by the Board, the Executive Director of the Board may temporarily approve a written request to supervise seven (7) or more mid-level practitioners between regularly scheduled meeting of the Board. Under no circumstance shall the Executive Director approve more than ten (10) mid-level practitioners without expressed approval of the Board.
(e) All supervising osteopathic physicians shall have a written agreement with each mid-level practitioner they supervise to memorialize the extent of the authority of the mid-level practitioner to practice under the supervision of the physician. The written agreement shall comply with Oklahoma law.
[Source: Added at 15 Ok Reg 2762, eff 6-25-98; Amended at 33 Ok Reg 1771, eff 9-11-16; Amended 9-11-22]
