OAR 337-010-0033: Fluoroscopy Permits for Physician Assistants

(1) Physician Assistant (PA), as defined in ORS 677.505 to 677.525, may apply for a Limited Permit to practice Fluoroscopy provided all of the following are completed in the order listed and time frames indicated in this section. A Physician Assistant must: (a) Successfully complete and obtain certification of a passing score on the post-test of the didactic component of the Board-approved version of the Fluoroscopy Educational Framework (Fluoroscopy Framework) dated December 2009 for the Physician Assistant; a program that was developed through collaboration of the American Academy of Physician Assistants (AAPA) and the American Society of Radiologic Technologists (ASRT); and (b) Complete and submit to the OBMI a Board-approved device orientation checklist for each manufacturer and model intended to be used in the course of practicing fluoroscopy; and (c) Document and submit to the OBMI all required clinical experience as outlined in the Fluoroscopy Framework and by adhering to all of the following; (A) A Temporary Permit is not required to complete Clinical requirements; however, the PA must have the supervisor-evaluator in the room to personally supervise and evaluate all clinical training. (B) Supervision while obtaining clinical experience must be personally provided, in the room, during all clinical procedures by physician assistant’s supervising physician, a licensed radiologist, licensed radiographer or medical physicist. (d) Copy of current physician assistant license in good standing from the Oregon Medical Board; the license must indicate active, locum tenens, or military/public health active registration. (e) Apply for, take and pass the American Registry of Radiologic Technologists (ARRT) Fluoroscopy Examination. (A) Applicants desiring to sit for the Fluoroscopy Exam are designated as “applicants” and must properly submit to the Board applications for examinations and fees in accordance with this rule. Applicants are the only persons authorized to submit ARRT examination applications to the Board and to sit for the ARRT Fluoroscopy exam. Applicant status expires upon whichever of the following occurs first: (i) One year from the date of successful completion of the didactic component of the fluoroscopy framework, as reflected on the certificate indicating a passing score on the post-test, or (ii) Immediately upon failure of the third attempt to pass the ARRT fluoroscopy examination within the one-year time-frame, or (iii) Immediately upon passing the ARRT fluoroscopy examination. (B) The examination application must be accompanied by a non-refundable processing fee of $20 plus the examination fee set by the ARRT for each examination application submitted. (C) Upon submission of the complete application, which includes completed requirements as specified in this section, the OBMI will register the applicant for the ARRT Fluoroscopy Examination with the ARRT. (D) A passing score is 75%. The applicant may attempt to pass the examination up to three times. An applicant who fails to pass the ARRT Fluoroscopy Examination after the third attempt is required to retake and complete all of the didactic and clinical components before applying to sit for the examination again. A new exam application and associated non-refundable fees must be submitted to the OBMI for each time an applicant wishes to sit for the exam. (E) The examination will be administered at computer-based testing sites identified by the ARRT. The applicant is subject to the rules regarding test administration at the testing site. (F) The application fee for the examination is non-refundable. (2) To obtain a 2-year Permanent Initial Limited Permit in fluoroscopy, a PA must submit to the Board and adhere to all of the following: (a) Possess a current unexpired physician assistant license in good standing from the Oregon medical board indicating active, locum tenens, or military/public health active registration; and (b) Provide documentation of successful completion of the didactic and clinical components of the fluoroscopy educational framework developed jointly by the ASRT and the AAPA; and (c) Pass the ARRT fluoroscopy examination; and (d) Complete and submit a Permanent Initial Limited Permit in fluoroscopy application to the Board of Medical Imaging, in the form and manner specified by the Board; and (e) Pay the non-refundable permit fee established by the Board of Medical Imaging; and (f) Submit to a criminal background check as specified by the Board of Medical Imaging. (g) Applicants must provide current verification of General supervision. General supervision means that the supervisor is not required to be on-site, but must be available for direct communication, either in person, by telephone, or other electronic means. (3) Permanent Limited Permit Fluoroscopy Renewal. Permit holders must renew a Limited Permit and pay all renewal application fees every 2 years in accordance with established Oregon Board of Medical Imaging Birth month renewal OAR 337-020-0015 and including all of the following: (a) Possess a current unexpired physician assistant license in good standing from the Oregon Medical Board indicating active, locum tenens, or military/public health active registration ; and (b) Complete and submit a permit application to the Board of Medical Imaging, in the form and manner specified by the Board of Medical Imaging; and (c) Pay the nonrefundable permit fee established by the Board of Medical Imaging; and (d) Complete required Continuing Education(CE) as follows: 4 hours of CE per year or 8 hours for a 2-year renewal. Two of the yearly required 4 hours must be related to radiation use and safety, and two hours must be related to the clinical use of fluoroscopy; and (e) Permit holders must provide current verification of General supervision. General supervision means that the supervisor is not required to be on-site, but must be available for direct communication, either in person, by telephone, or other electronic means. (f) For a fluoroscopy permit applicant whose permit has been expired for 24 continuous months, the applicant must follow all the steps as outlined in section (3) of this rule and provide documentation of having passed the ARRT Fluoroscopy Examination within the previous 12 months.