Maryland Register
Issue Date:  August 5, 2016
Volume 43 • Issue 16 • Page 917
Title 10
10.32.03 Delegation of Duties by a Licensed Physician — Physician Assistant
Authority: Health Occupations Article, §§15-301—15-502, Annotated Code of Maryland
Notice of Proposed Action
The Secretary of Health and Mental Hygiene proposes to amend Regulation .05 under COMAR 10.32.03 Delegation of Duties by a Licensed Physician-Physician Assistant. This action was considered at a public hearing on May 25, 2016, notice of which was given by publication on the Board's Website from May 17, 2016, through May 25, 2016, pursuant to General Provisions Article, §3-302 (c), Annotated Code of Maryland.
Statement of Purpose
The purpose of this action is to establish the course requirements for a physician assistant who intends to use a Mini-C-Arm device as an advanced duty pursuant to a delegation agreement.
Comparison to Federal Standards
There is no corresponding federal standard to this proposed action.
Estimate of Economic Impact
The proposed action has no economic impact.
Economic Impact on Small Businesses
The proposed action has minimal or no economic impact on small businesses.
Impact on Individuals with Disabilities
The proposed action has no impact on individuals with disabilities.
Opportunity for Public Comment
Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to, or fax to 410-767-6483. Comments will be accepted through September 6, 2016. A public hearing has not been scheduled.
.05 Delegation Agreements — Contents.
A.—E. (text unchanged)
F. A physician assistant who has filed a delegation agreement with the Board for approval to perform the advanced duty of nonfluoroscopic X-ray procedures using a mini C-arm or similar low-level radiation machine shall present the Board with evidence of completion of a course on those procedures. The required course shall include:
(1) Didactic instruction of at least 8 hours on the following subject matters:
(a) Principles of radiography;
(b) Image acquisition;
(c) Principles of exposure;
(d) Image evaluation;
(e) Radiation safety;
(f) Equipment overview; and
(g) Documentation; and
(2) Clinical instruction, which shall:
(a) Include anterior-posterior and lateral radiographic studies of extremities, not including the head, on at least 20 separate patients; and
(b) Be under the direct supervision of the delegating physician or radiologist.
Secretary of Health and Mental Hygiene