Page 10 - APP Collaboration - Assessing the Risk (Part Two)

SVMIC Advanced Practice Provider Collaboration: Assessing the Risk

• Procedure changes

• Issues outside of the APRN’s scope of practice or
questions which generate medical, legal, and/or ethical

concerns

Check with the applicable state boards for sample template
protocols and for required medication formulary documents.

Physician Licensure and Similar Specialty

Every state within the SVMIC service area requires supervising
or collaborating physicians to have a current, unencumbered

state medical license. Further, physicians must normally be

actively engaged in patient care (not retired) to be qualified
to supervise and must have experience or expertise in the
same specialty of medicine as the APP. For example, to be

qualified to supervise an orthopedic physician assistant or nurse

practitioner, a physician must practice within or have experience
in orthopedics.

This is an important aspect of supervision and/or collaboration
to consider and understand. The Tennessee Board of Medical

Examiners addressed this concept and has provided a useful
example in an advisory ruling answering the following question:

Can a board-certified internal medicine physician currently
serving as medical director of a med-psych unit and chief

medical officer for a psychiatric hospital, who has experience
treating psychiatric patients, supervise a psychiatric nurse

practitioner although the physician is not board-certified in
psychiatry? The board offered the following response:

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