Physician Assistants Regulations

t REGULATED HEALTH PROFESSIONS ACT PHYSICIAN ASSISTANTS REGULATIONS PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to August 10, 2024. It is intended for information and reference purposes only. This document is not the official version of these regulations. The regulations and the amendments printed in the Royal Gazette should be consulted on the Prince Edward Island Government web site to determine the authoritative text of these regulations. For more information concerning the history of these regulations, please see the Table of Regulations on the Prince Edward Island Government web site (www.princeedwardisland.ca). If you find any errors or omissions in this consolidation, please contact: Legislative Counsel Office Tel: (902) 368-4292 Email: legislation@gov.pe.ca Physician Assistants Regulations Table of Contents PHYSICIAN ASSISTANTS REGULATIONS Table of Contents Section Page PART 1 – INTERPRETATION AND ADMINISTRATION 5 1. Definitions................................................................................................................................................ 5 2. Designation .............................................................................................................................................. 6 3. College ..................................................................................................................................................... 6 PART 2 – REGISTRATION 6 REGISTER 6 4. Register .................................................................................................................................................... 6 5. General registration .................................................................................................................................. 6 6. Provisional registration ............................................................................................................................ 6 7. Special registration ................................................................................................................................... 7 PRESCRIBED REQUIREMENTS 7 8. Education ................................................................................................................................................. 7 9. Examination ............................................................................................................................................. 7 10. Currency of knowledge and skills ............................................................................................................ 7 11. Insurance .................................................................................................................................................. 7 12. Other requirements ................................................................................................................................... 8 PART 3 - DESIGNATIONS AND RESERVED ACTIVITIES 8 13. Designations ............................................................................................................................................. 8 14. Reserved activities ................................................................................................................................... 8 PART 4 - GENERAL 9 15. Name of corporation ................................................................................................................................ 9 c t Current to: August 10, 2024 Page 3 PART 1 – INTERPRETATION AND ADMINISTRATION Physician Assistants Regulations Section 1 REGULATED HEALTH PROFESSIONS ACT CHAPTER R-10.1 PHYSICIAN ASSISTANTS REGULATIONS Pursuant to sections 2 and 96 of the Regulated Health Professions Act R.S.P.E.I. 1988, Cap. R-10.1, Council made the following regulations: PART 1 – INTERPRETATION AND ADMINISTRATION 1. Definitions In these regulations (a) “Act” means the Regulated Health Professions Act R.S.P.E.I. 1988, Cap. R-10.1; (b) “College” means the College of Physicians and Surgeons of Prince Edward Island, continued under the Regulated Health Professions Act Medical Practitioner Regulations (EC843/21); (c) “Council” means the Council of the College; (d) “physician assistant” means a person who is registered in the register for physician assisting; (e) “physician assisting” means the health profession in which a person applies particular knowledge, skills and judgment in (i) the promotion, maintenance and restoration of health, (ii) the prevention, treatment and palliation of illness and injury, primarily by (A) assessing health status, (B) planning, implementing and evaluating interventions, and (C) coordinating health services, and (iii) conducting research, education, management or administrative activities incidental to those described in subclauses (i) and (ii); (f) “refresher program” means a refresher program in physician assisting consisting of a formal curriculum, a set of individualized assignments of studies and experiences, a set of continuing education credits, a practicum or a combination of these elements. (EC428/23) c t Current to: August 10, 2024 Page 5 PART 2 – REGISTRATION Section 2 Physician Assistants Regulations 2. Designation Physician assisting is designated as a regulated health profession. (EC428/23) 3. College The College of Physicians and Surgeons of Prince Edward Island is the college for physician assisting. (EC428/23) PART 2 – REGISTRATION Register 4. Register The register for physician assisting is divided into the following parts: (a) general registration; (b) provisional registration; (c) special registration. (EC428/23) 5. General registration (1) The registrar shall register an applicant in the general registration part of the register where (a) the registrar is satisfied that the applicant meets all the requirements for registration set out in subsection 12(2) of the Act and these regulations and registers the applicant pursuant to subsection 12(3) of the Act; or (b) the Council directs the registrar to register the applicant pursuant to subsection 12(6) of the Act or reinstate the registration of the applicant pursuant to subsection 24(4) of the Act. Reinstatement period (2) For the purpose of subsection 24(1) of the Act, a former member may apply for reinstatement of general registration within three years after a lapse in the registration. (EC428/23) 6. Provisional registration (1) Where an applicant for general registration has not successfully completed an examination set out in section 9, the Council may direct the registrar to register the applicant in the provisional registration part of the register, subject to the term or condition that the applicant successfully completes an examination set out in section 9 within a specified time period. Satisfaction of term or condition (2) Where a physician assistant with provisional registration satisfies the term or condition imposed under subsection (1), the registrar shall register the physician assistant in the general registration part of the register. Subject to direct supervision (3) A physician assistant with provisional registration shall be directly supervised in practising physician assisting by a medical practitioner referred to in clause 12(1)(a). Page 6 Current to: August 10, 2024 t c PART 2 – REGISTRATION Physician Assistants Regulations Section 7 No reinstatement (4) Provisional registration may not be reinstated. (EC428/23; 227/24) 7. Special registration (1) Where the Council directs the registrar to register an applicant pursuant to subsection 13(3) of the Act, the registrar shall register the applicant in the special registration part of the register. No renewal or reinstatement (2) Special registration may not be renewed or reinstated. (EC428/23) Prescribed Requirements 8. Education For the purpose of clause 12(2)(c) of the Act, an applicant shall have successfully completed (a) a post-secondary program in physician assisting recognized by the Physician Assistant Certification Council of Canada or accredited by the Accreditation Review Commission on Education for the Physician Assistant in the United States of America; or (b) an education program that the Council considers to be substantially equivalent to one referred to in clause (a). (EC428/23) 9. Examination For the purpose of clause 12(2)(d) of the Act, an applicant shall have successfully completed (a) the Physician Assistant Certification Examination administered by the Physician Assistant Certification Council of Canada; (b) the Physician Assistant National Certifying Examination® (PANCE) administered by the National Commission on Certification of Physician Assistants in the United States of America; or (c) an examination the Council considers to be substantially equivalent to one referred to in clause (a) or (b). (EC428/23) 10. Currency of knowledge and skills For the purpose of clauses 12(2)(f), subclause 22(2)(a)(ii) and clause 24(4)(c) of the Act, to demonstrate currency of professional knowledge and skills, an applicant shall have done one of the following within the three years immediately preceding the application: (a) successfully completed the education requirement under section 8; (b) actively practised physician assisting in the province or in another jurisdiction recognized by the Council, to an extent that is acceptable to the Council; (c) successfully completed a refresher program approved by the Council. (EC428/23) 11. Insurance For the purpose of clause 12(2)(j), subclause 22(2)(a)(v) and clauses 24(4)(f) and 25(3)(c) of the Act, an applicant or a physician assistant, as the case may be, shall hold or be covered by professional liability insurance under a policy that provides coverage of not less than c t Current to: August 10, 2024 Page 7 PART 3 - DESIGNATIONS AND RESERVED ACTIVITIES Section 12 Physician Assistants Regulations $10,000,000 per claim or occurrence and an aggregate limit of not less than $10,000,000, excluding legal or court costs. (EC428/23) 12. Other requirements (1) For the purpose of clause 12(2)(k), subclause 22(2)(a)(v.1) and clause 24(4)(g) of the Act, an applicant shall have (a) entered into an agreement with a medical practitioner or medical practitioners, approved by the Council, to oversee and supervise the applicant’s practise; and (b) submitted a practice description, approved by the Council, describing the duties of and services to be provided by the applicant. Term and condition (2) It is a term and condition of a physician assistant’s registration that the agreement and practice description shall be maintained and amended when changes occur. Qualifications of supervisor (3) For the purpose of clause (1)(a), a medical practitioner may be approved to oversee and supervise a physician assistant’s practise if the medical practitioner (a) is not subject to supervision in practising medicine; (b) is not subject to restrictions or limitations imposed by Council on the medical practitioner’s registration; (c) actively practises medicine in the area or discipline in which the physician assistant will be assisting; (d) is in good standing with the College and is not the subject of an active complaint; (e) is not, in the Council’s opinion, unsuitable to act as a supervisor because the medical practitioner has been, in this or another jurisdiction, (i) the subject of a finding of professional misconduct or incompetence, (ii) the subject of a judgment in negligence, or (iii) found guilty of an offence. (EC428/23) PART 3 - DESIGNATIONS AND RESERVED ACTIVITIES 13. Designations For the purpose of subsection 89(1) of the Act, the designations of a physician assistant include “physician assistant” or “PA”. (EC428/23) 14. Reserved activities (1) Subject to subsections (2) and (3) and any terms or conditions on the registration, a physician assistant is authorized to perform the following reserved activities: (a) performing a procedure on tissue below the dermis, below the surface of a mucous membrane or on the surface of the cornea; (b) setting or casting a fracture of a bone or a dislocation of a joint; (c) ordering a therapeutic diet that is to be administered by enteral instillation or parenteral instillation; Page 8 Current to: August 10, 2024 t c PART 4 - GENERAL Physician Assistants Regulations Section 15 (d) administering a substance by injection, transfusion, inhalation, mechanical ventilation, irrigation, enteral or parenteral instillation; (e) prescribing or dispensing a drug, as defined in the Pharmacy Act R.S.P.E.I. 1988, Cap. P-6.1; (f) administering a drug or vaccine by any means; (g) putting an instrument, hand or finger (i) beyond the external ear canal, (ii) beyond the point in the nasal passages where they normally narrow, (iii) beyond the pharynx or larynx, (iv) beyond the opening of the urethra, (v) beyond the labia majora, (vi) beyond the anal verge, or (vii) into an artificial opening into the body; (h) ordering and interpreting screening and diagnostic tests that do not use prescribed forms of energy; (i) applying or ordering the application of sound energy or electrical energy, other than ionizing radiation; (j) ordering the application of electrical energy in the form of ionizing radiation to conduct an X-ray; (k) managing labour or conducting the delivery of a baby; (l) performing allergy challenge testing by any method; (m) performing a psycho-social intervention with an expectation of modifying a substantial disorder of thought, mood, perception, orientation or memory that grossly impairs judgment, behaviour, the capacity to recognize reality or the ability to meet the ordinary demands of life. Supervision agreement and practice description (2) A physician assistant shall not perform a reserved activity referred to in subsection (1) except in accordance with the physician assistant’s supervision agreement and practice description referred to in section 12. Other conditions (3) A physician assistant shall not perform a reserved activity referred to in subsection (1) unless (a) the physician assistant is competent to perform the reserved activity; and (b) it is appropriate in the clinical circumstances. (EC428/23; 227/24; 754/24) PART 4 - GENERAL 15. Name of corporation (1) For the purpose of clause 15(1)(d) of the Act, the name of a corporation applying for a permit to carry on the business of providing the professional services of a physician assistant shall be, in the opinion of the registrar, in good taste, dignified and professional. Change of name (2) Before changing its name, a health profession corporation shall obtain written confirmation from the registrar that the proposed name meets the requirements of subsection (1). (EC428/23) c t Current to: August 10, 2024 Page 9 PART 4 - GENERAL Section 15 Physician Assistants Regulations Page 10 Current to: August 10, 2024 t c