the licensee on record with the Board. 4. If a licensee fails to pay the fee for biennial registration after it becomes due, his license to practice in this State is automatically suspended. Within 2 years after the date his license is suspended, the holder may be reinstated to practice as a physician assistant if he: (a) Pays twice the amount of the current fee for biennial registration to the Secretary-Treasurer of the Board; and (b) Is found to be in good standing and qualified pursuant to chapter 630 of NAC. [Bd. of Medical Exam’rs, § 630.350, eff. 12?20?79]—(NAC A 6?23?86; 1?13?94; R149?97, 3?30?98; R108?01, 11?29?2001) NAC 630.353 Continuing education: Course of instruction relating to medical consequences of act of terrorism involving use of weapon of mass destruction. (NRS 630.130, 630.253, 630.275) 1 Pursuant to the provisions of NRS 630.253, a physician assistant shall complete a course of instruction relating to the medical consequences of an act of terrorism that involves the use of a weapon of mass destruction: (a) If the physician assistant was initially licensed by the Board on or after October 1, 2003, within 2 years of initial licensure. (b) If the physician assistant was initially licensed by the Board before October 1, 2003, on or before September 30, 2005. 2. In addition to the requirements provided pursuant to NRS 630.253, a course of instruction relating to the medical consequences of an act of terrorism that involves the use of a weapon of mass destruction: (a) Except as otherwise provided in subsection 3, must offer, upon successful completion of the program, a certificate of Category 1 credit as recognized by the American Medical Association to the physician assistant; and (b) Is in addition to the continuing education required pursuant to NAC 630.350. 3. A course of instruction relating to the medical consequences of an act of terrorism that involves the use of a weapon of mass destruction will be deemed to satisfy the requirements of paragraph (a) of subsection 2 if the course was provided to a physician assistant: (a) After January 1, 2002; and (b) As a part of the training the physician assistant received: (1) While serving in the military; or (2) While serving as a public health officer. (Added to NAC by Bd. of Medical Exam’rs by R145?03, eff. 12?16?2003) NAC 630.357 Continuing education: Credit for continuing education class on geriatrics and gerontology. (NRS 630.130, 630.253, 630.275) 1. Except as otherwise provided in subsection 2, if a physician assistant takes a continuing education class on geriatrics and gerontology, the physician assistant is entitled to receive credit towards the continuing medical education required pursuant to NAC 630.350 equal to twice the number of hours the physician assistant actually spends in a continuing education class on geriatrics and gerontology. 2. During any biennial licensing period, a physician assistant may receive a maximum credit pursuant to subsection 1 of 8 hours of continuing medical education for 4 hours of time spent in a continuing education class on geriatrics and gerontology. 3. As used in this section, “continuing education class on geriatrics and gerontology” means a class that meets the requirements of: (a) For a class of continuing medical education, NAC 630.350; and (b) For a continuing education class on geriatrics and gerontology, NRS 630.253. (Added to NAC by Bd. of Medical Exam’rs by R145?03, eff. 12?16?2003) NAC 630.360 Performance of authorized medical services; identification; misrepresentation; notification of change regarding supervising physician. (NRS 630.130, 630.275) 1. The medical services which a physician assistant is authorized to perform must be: (a) Commensurate with his education, training, experience and level of competence; and (b) Within the scope of the practice of his supervising physician. 2. The physician assistant shall wear at all times while on duty a placard, plate or insigne which identifies him as a physician assistant. 3. No physician assistant may represent himself in any manner which would tend to mislead the general public or the patients of the supervising physician. 4. A physician assistant shall notify the Board in writing within 72 hours after any change relating to his supervising physician. [Bd. of Medical Exam’rs, § 630.360, eff. 12?20?79]—(NAC A 6?23?86; 9?12?91; 1?13?94; R149?97, 3?30?98; R108?01, 11?29?2001) NAC 630.370 Supervising physician: Duties; qualifications. (NRS 630.130, 630.275) 1. The supervising physician is responsible for all the medical activities of his physician assistant. The supervising physician shall ensure that: (a) The physician assistant is clearly identified to the patients as a physician assistant; (b) The physician assistant performs only those medical services which have been approved by his supervising physician; (c) The physician assistant does not represent himself in any manner which would tend to mislead the general public, the patients of the supervising physician or any other health professional; and (d) There is strict compliance with: (1) The provisions of the certificate of registration issued to his physician assistant by the State Board of Pharmacy pursuant to NRS 639.1373; and (2) The regulations of the State Board of Pharmacy regarding controlled substances, poisons, dangerous drugs or devices. 2. Except as otherwise required in subsection 3 or 4, the supervising physician shall review and initial selected charts of the patients of the physician assistant. He shall be available at all times that his physician assistant is providing medical services to consult with his assistant. Those consultations may be indirect, including, without limitation, by telephone. 3. At least once a month, the supervising physician shall spend part of a day at any location where the physician assistant provides medical services to act as a consultant to the physician assistant and to monitor the quality of care provided by the physician assistant. 4. If the supervising physician is unable to supervise the physician assistant as required by this section, he shall designate a qualified substitute physician, who practices medicine in the same specialty as the supervising physician, to supervise the assistant. 5. A physician who supervises a physician assistant shall develop and carry out a program to ensure the quality of care provided by a physician assistant. The program must include, without limitation: (a) An assessment of the medical competency of the physician assistant; (b) A review and initialing of selected charts; (c) An assessment of a representative sample of the referrals or consultations made by the physician assistant with other health professionals as required by the condition of the patient; (d) Direct observation of the ability of the physician assistant to take a medical history from and perform an examination of patients representative of those cared for by the physician assistant; and (e) Maintenance by the supervising physician of accurate records and documentation regarding the program for each physician assistant supervised. 6. Except as otherwise provided in subsection 7, a physician may supervise a physician assistant if the physician: (a) Holds an active license in good standing to practice medicine issued by the Board; (b) Actually practices medicine in this State; and (c) Has not been specifically prohibited by the Board from acting as a supervising physician. 7. If the Board pursuant to NAC 630.410 has disciplined a physician assistant, a physician shall not supervise that physician assistant unless the physician has been specifically approved by the Board to act as the supervising phy

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