r the direction and supervision of the physician or physician assistant; (3) Assists in the care of a patient; and (4) Is not required to be certified or licensed by an administrative agency to provide that assistance. [Bd. of Medical Exam’rs, § 630.230, eff. 12?20?79]—(NAC A 6?23?86; 9?19?90; 1?13?94; 7?18?96; R007?99, 9?27?99; R089?00, 7?19?2000; R108?01, 11?29?2001) DISCIPLINARY ACTION NAC 630.240 Voluntary surrender of license. (NRS 630.130, 630.298) 1. If a licensee desires to surrender his license to practice medicine, he shall submit to the Board a sworn written statement of surrender of his license accompanied by delivery to the Board of the actual license issued to him. The Board will accept or reject the surrender of the license. If the Board accepts the surrender of the license, the surrender is absolute and irrevocable and the Board will notify any agency or person of the surrender and the conditions under which the surrender occurred, as the Board considers advisable. 2. The voluntary surrender of a license or the failure to renew a license does not preclude the Board from hearing a complaint for disciplinary action made against the licensee. [Bd. of Medical Exam’rs, § 630.240, eff. 12?20?79]—(NAC A 6?23?86) NAC 630.243 Procedure for dealing with findings of exposure to human immunodeficiency virus. (NRS 630.130, 630.275) If a committee conducting an investigation pursuant to NRS 630.311 becomes aware that the physician or physician assistant who is subject to the investigation has tested positive for exposure to the human immunodeficiency virus, the committee shall appoint a group of specialists in the fields of public health and infectious diseases who shall: 1. Review all the circumstances of the practice of the physician or physician assistant; and 2. Advise the committee, in accordance with the guidelines on “Health Care Workers Infected with HIV” established by the Centers for Disease Control and Prevention, on the action, if any, the committee should take concerning the physician or physician assistant. (Added to NAC by Bd. of Medical Exam’rs by R007?99, eff. 9?27?99; A by R108?01, 11?29?2001) NAC 630.251 Grounds: “Gross malpractice” interpreted. (NRS 630.130, 630.301) For the purposes of NRS 630.301, as that section existed before October 1, 1997, a physician shall be deemed to have committed gross malpractice if, before October 1, 1997, he has failed to exercise the required degree of care, skill or knowledge and such failure amounts to: 1. A conscious indifference to the consequences which may result from the malpractice; and 2. A disregard for and indifference to the safety and welfare of a patient. (Added to NAC by Bd. of Medical Exam’rs, eff. 7?18?96; A by R149?97, 3?30?98) NAC 630.255 Exemption from grounds: “Intractable pain” defined. (NRS 630.135) For the purposes of NRS 630.3066, “intractable pain” means a condition of discomfort for which the cause cannot be removed or otherwise treated and for which a method of providing relief, or of which a cure for the cause, has not been found after reasonable efforts have been taken in accordance with accepted standards for the practice of medicine, including, but not limited to, evaluation by an attending physician and one or more physicians specializing in the treatment of the area, system, or organ of the body which is believed to be the source of the discomfort. (Added to NAC by Bd. of Medical Exam’rs, eff. 7?18?96) NAC 630.260 Notice of technical or scientific facts. (NRS 630.130) Parties to a disciplinary hearing before the Board will be notified, either before or during the hearing, of supposed technical or scientific facts of which the Board may take notice, and the parties will be afforded an opportunity to contest those facts. The Board’s experience, technical competence and specialized knowledge may be utilized in the evaluation of evidence. [Bd. of Medical Exam’rs, § 630.260, eff. 12?20?79] NAC 630.270 Disposition of findings and order of Board. (NRS 630.130, 630.275) A copy of the disciplinary findings and order of the Board: 1. Will be served by personal service or by certified mail upon the person affected by them at the address of the person on file with the Board and his attorney of record; 2. Will be delivered by first-class mail to each hospital in the geographical area in which the physician or physician assistant practices; and 3. May be delivered by first-class mail to members of the media. [Bd. of Medical Exam’rs, § 630.270, eff. 12?20?79]—(NAC A by R149?97, 3?30?98; R007?99, eff. 9?27?99) NAC 630.275 Confidentiality of certain information regarding physicians and physician assistants. (NRS 630.130, 630.275, 630.336) The Board will, pursuant to paragraph (e) of subsection 3 of NRS 630.336, keep confidential all records relating to a program established by the Board to enable a physician or physician assistant to correct: 1. A dependence upon alcohol or a controlled substance; or 2. Any other impairment which could result in the revocation of his license. (Added to NAC by Bd. of Medical Exam’rs, eff. 7?18?96) PHYSICIAN ASSISTANTS NAC 630.280 Qualifications of applicants. (NRS 630.130, 630.275) An applicant for licensure as a physician assistant must have the following qualifications: 1. If he has not practiced as a physician assistant for 12 months or more before applying for licensure in this State, he must, at the order of the Board, have taken and passed the same examination to test medical competency as that given to applicants for initial licensure. 2. Be able to communicate adequately orally and in writing in the English language. 3. Be of good moral character and reputation. 4. Have attended and completed a course of training in residence as a physician assistant approved by the Committee on Allied Health Education and Accreditation, the Commission on Accreditation of Allied Health Education Programs or the Accreditation Review Committee on Education for the Physician Assistant, which are affiliated with the American Medical Association. 5. Be certified by the National Commission on Certification of Physician Assistants. 6. Possess a high school diploma, general equivalency diploma or postsecondary degree. [Bd. of Medical Exam’rs, § 630.280, eff. 12?20?79]—(NAC A 6?23?86; 11?21?88; 9?12?91; R149?97, 3?30?98; R108?01, 11?29?2001) NAC 630.290 Application for license. (NRS 630.130, 630.275) 1. An application for licensure as a physician assistant must be made on a form supplied by the Board. The application must state: (a) The date and place of the applicant’s birth and his sex; (b) The applicant’s education, including, without limitation, high schools and postsecondary institutions attended, the length of time in attendance at each and whether he is a graduate of those schools and institutions; (c) Whether the applicant has ever applied for a license or certificate as a physician assistant in another state and, if so, when and where and the results of his application; (d) The applicant’s training and experience as a physician assistant; (e) Whether the applicant has ever been investigated for misconduct as a physician assistant or had a license or certificate as a physician assistant revoked, modified, limited or suspended or whether any disciplinary action or proceedings have ever been instituted against him by a licensing body in any jurisdiction; (f) Whether the applicant has ever been convicted of a felony or an offense involving moral turpitude; (g) Whether the applicant has ever been investigated for, charged with or convicted of the use or illegal sale or dispensing of controlled substances; and (h) The various places of his residence from the date of: (1) Graduation from high school; (2) R

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