Texas Podiatry Jurisprudence Exam
How is a temporary residency license identified in Texas
"T" followed by numerals
How much does it cost to duplicate license/replacement license?
$25
How much does the license for NO/O2 cost?
$25
What is the cost to extend the temporary license?
$50
How much does renewal of the Podiatric medicine license cost?
$700
How much does doctor of Podiatric medicine initial license?
$750
If a license suspension is probated, the commission or executive director may require the licensee to:
(1) report regularly to the department on matters that are the basis of the probation; (2) limit practice to the areas prescribed by the commission or executive director; or (3) continue or review continuing professional education until the licensee attains a degree of skill satisfactory to the department in those areas that are the basis of the probation.
How long is a provisional license valid for?
-180 days
How many times can a provisional license be renewed?
-3 times
What qualifications must a sponsor for an applicant's provisional license hold?
-5 years of good standing under the act -ensure the applicant is working within the same office as the licensee under direct supervision
How many members are on the Podiatric medical examiners advisory board? Who appoints these members?
-9 members -the governor
What additional information can be required from an applicant for permanent licensure if the applicant has been out of practice for 2 years?
-additional education -examinations -training
Which members in the office must be trained in CPR if NO/O2 is being used?
-all of them
What certifications are required to practice conscious sedation with NO/O2?
-basic CPR -advanced CPR
What are conditions not considered acute pain?
-chronic pain -cancer treatment -hospice care -palliative care
When can CME be exempted?
-hardships for the practitioner which the executive director can clear
What qualifies as appropriate CME crediting events?
-hospital Podiatric medical grand rounds -APMA/APMA affiliated organizations -TPMA -state -county or regional Podiatric medical association -university sponsored pod medical meetings -hospital Podiatric medical meetings
What are grounds for dismissal of a member of Podiatric medical examiners advisory board?
-not qualified -does not maintain qualifications -ineligible for membership -illness or disability which prevents member from completing their duties -absence from more than half of the regularly scheduled advisory board meetings w/o majority vote for excused absence
How many CME credit hours can a practitioner receive for a published article?
1 hr
How long is a temporary residency license active?
1 year
If a practitioner has a waiver to prescribe meds outside of electronic means, how long does waiver last? When can renewal be started?
1 year 30 days or less from expiration of waiver
How long is a Podiatric medical radiological technician license valid? When are the licenses renewed?
1 year Sept 1 2020
How long is the HBOT certificate active and what is the cost for the certificate?
1) $25 2) 1 year
How many credits of CME is CPR training worth? How many CME hours is ACLS worth? Can you get credit for both?
1) 3 hours 2) 6 hours 3) no
What equipment safety criteria must be met for gas machine?
1) 30% oxygen flow min 2) glass tubes present 3) room air flow if bag is empty 4) NO fail safe (will not flow without oxygen) 5) non-rebreathing check valve 6) O2 flush 7) auxiliary oxygen outlet with one demand valve resuscitation assembly per office
What are the requirements of the didactic and clinical course which includes aspects of monitoring patients and the hands-on use of the gas machine?
1) directed by a licensed and certified MD, DO, DDS, or DPM in the state of Texas with advanced educational and clinical experience in NO/O2 2) minimum of 4 hours didactic work 3) minimum of 6 hours clinical works
A practitioner's waiver of electronic prescribing request form must contain sufficient evidence of one or more of the following that, in the judgment of the executive director, justify the issuance of a waiver:
1) economic hardship 2) technological limitations 3) ISSUANCE OF FIFTY OR LESS PRESCRIPTIONS FOR CONTROLLED SUBSTANCES IN THE YEAR IMMEDIATELY PRIOR TO REQUEST FOR WAIVER 4) exceptional circumstance that is shown by the practitioner
Under what circumstances can you prescribe controlled substances outside of electronic means?
1) emergency 2) if medication is filled out of state 3) if the prescriber and dispenser are in the SAME location under the SAME license 4) for a drug that the FDA requires more information that can be submitted online 5) for a non-patient-specific prescription pursuant of standing order, approved protocol for drug therapy, collaborative drug mngmt, comprehensive medication mngmt, or in response to public health emergency 6) drug for research protocol 7) practitioner with a waiver 8) if it is impractical for patient to obtain meds if prescribed electronically
What requirements are needed for all practitioners using NO?
1) functioning vacuum 2) scavenger system 3) appropriate emergency drugs and equipment for resuscitations 4) manifold to provide for protection against over-pressure with AUDIBLE alarm system
How does the audit process look like?
1) random selection of sample license holders 2) if selected, the license holder shall submit copies of certificates, transcripts, or other documentation satisfactory to the department, verifying the license holder's attendance and participation and completion of the continuing education 3) failure to timely furnish this information w/in 30 days or providing false info can be grounds for disciplinary action 4) if selected for continued education during renewal period, license holder may submit renewal fees at that time for permanent licensure
What are the responsibile steps need to be taken prior to prescribing controlled substances to patients?
1) review Texas Prescription Monitoring Program (PMP) database 2) pt's identifiers match 3) initial H&P performed and documented 4) schedule II prescription copies must be placed in records and charts 5) alternative therapies are noted as discussed and prescribed
Which requirements are needed for a certifying board that is not recognized by the council on Podiatric Medical Education of the American Podiatric Medical Association?
1) written and oral examinations must be passed within speciality of pod med 2) certifying board had written proof by IRA that the board is tax exempt 3) HAS AT LEAST 100 DULY LICENSED CERTIFICANTS FROM 1/3 of states 4) has certifying board with permanent headquarters and staff 5) all practitioners who are seeking certification have completed identifiable and substantial training
Since what date have controlled substances been requested to be ordered electronically?
1//1/21
When did Texas begin the National boards Part III/PM Lexis requirement for licensure come into effect?
1/29/1992
How many hours can carry over to the next CME period if there is an excess of 50 hours completed biannually?
10 credit hours
How long do certificate holders have to inform the department of any address change or change of hospital setting no later than ___ days?
10 days
If there is a change of address, how long does the practitioner have to report the changes?
10 days
In the event that the payment for imaging is not routed with request for records within ___ days after receiving request, the practitioner will notify the requesting party in WRITING of the need for payment and may withhold information until payment is complete
10 days
How many days worth of opioids can a podiatrist prescribe for acute pain?
10 days worth
How old do you have to be a Podiatric medical radiological technician?
18 or older
How many hours of CME are required to be completed regarding approved procedures of prescribing and monitoring controlled substances?
2 hours
How many of the 50 hours of CME is required to be ethics related?
2 hours
How often does a licensed podiatrist who prescribed opioids have to attend a course covering best practices, alternative treatment options, and multi-modal approaches to pain management per CME period? How long does each session have to be?
2 times, once annually 1 hour course
How long is a doctor of Podiatric medicine license valid?
2 years
How many hours of clinical and didactic training requirements are required for proof of completion for a Podiatric medical radiological technician?
20 hrs
How long do all practitioners need to retain records of recordings, transcripts, or copies of all public communications?
24 months
How many CME hours need to be completed for the voluntary charity care status?
25 hours
How many members of the Podiatric medical examiners advisory board are public members?
3 members
How long can a temporary residency license be extended?
3 months
How often does the NO/O2 machine need to be service checked up?
3 year basis
How much time does a provider have to complete delinquent hours?
3 years
How long does a resident have to provide proof of residency completion for their MOU?
30 days after end of residency graduation
How long do radiological records of Podiatric care need to be retained?
5 years after treatement
How many hours of CME are required every 24 months?
50 hours
How many members of the Podiatric medical examiners advisory board must be licensed practicing podiatrists?
6 members who have had at least practiced for 5 years prior to appointment
How many successful productions of x-rays are required for out of classroom training?
60
How many semester hours of undergrad must a candidate for a temporary residency license complete?
90 semester hours
public communication
Any written, printed, visual, or oral statement or other communication made or distributed, or intended for distribution, to a member of the public
Where can HBOT be done?
In a hospital setting
When does a temporary podiatry license expire?
June 30th of every year
Can a resident who holds a doctor of Podiatric medicine license practice podiatry under the new title prior to completion of residency?
NO! while still a resident, the provider will practice under the temporary license, and will remain subject to the scope and limits of the GPME program, and shall not practice podiatry under the Doctor of Podiatric Medicine license until after successful completion and graduation from the GPME program and after providing to the department proof of such completion and graduation
Can CME required for disciplinary action be counted towards biannual CME requirements?
No
Can a person be a member of the advisory board if they are requesting compensation for their activities related to the board or have family members who are involved with a similar health care board?
No
Can the terms "board eligible" or "board qualified" be used for advertising?
No
What is the document that determines the scope of HBOT practice of a podiatrist?
Podiatric Medical Practice Act
what was the Texas legislature that allowed authority to establish a 1 or 2 year license term for licensees?
Texas Legislature 85 in chapter 202
Which agency published the recommendations for HBOT care?
Undersea and Hyperbaric medical society (UHMS)
Does a pod medical rad tech need to be registered?
YES
Can a practitioner give notification given before to discontinue treatment to a patient to give the patient reasonable time to secure the services of another practitioner or all Podiatric medical services actually begun have been completed and there is no contract or agreement to provide further treatment?
Yes
Can the practitioner hold onto requested information until payment is received?
Yes
What is anonymous complaints?
a complaint that lacks sufficient information to identify the source of the name of the person who filed the complaint
What does "Texas trade association" stand for
a cooperative and voluntarily joined statewide association of business or professional competitors in this state designed to assist its members and its industry or profession in dealing with mutual business or professional problems and promoting their common interest
What is the scope of practice for a temporary license holder?
a person in training who is limited by the GPME program for residency based supervised patient encounters, supervision of which is designated to protect patients and citizens of Texas
When can a podiatrist prescribe an opioid-antagonist?
a podiatrist may prescribe an opioid antagonist to a person at risk of experiencing an opioid-related drug overdose or to a family member, friend, or other person in a position to assist the person who is at risk of experiencing an opioid-related drug overdose
Solicitation
a private communication to a person concerning the performance of a Podiatric service for such a person
publication
any and all public communications relating to the practitioner's practice, including but not limited to, advertisements, announcements, invitations, press releases, journal articles, periodical articles, leaflets, news stories, materials distributed by private or by United States mail, and signs or placards placed in public view or electronic submission
What constitutes sexual impropriety?
behavior, gestures, or expressions that are seductive, sexually suggestive, or sexually demeaning to a patient/staff (ex examination of genitals without gloves)
What is sexual exploitation?
breakdown of professionalism in the physical/patient/staff relationship constituting sexual abuse (ex coercive power)
What is the role of presiding officer?
calls meetings, votes before the rest of the board
How often does the voluntary charity care status need to be renewed?
every 2 years
When does PMP not need to be evaluated prior to prescribing meds?
hospice care, cancer pts
When do CME hours need to be sent to the department for review?
if audited
When can GPME requirements be waived for provisional license?
if the applicant has been practicing for at least 5 years in another state under license of that state with acceptable record from the state in which the applicant was licensed
What are the consequences of making superior claims with advertising?
lose license, grounds for denial
How many times can a temporary residency license extension be granted?
maximum of 2 times
What is voluntary charity care
medical care provided for no compensation to indigent populations, medically underserved areas, disaster relief
What document does a resident have to sign in their final year in order to apply for the podiatry license?
memorandum of understanding for conditional issuance Texas doctor of Podiatric medicine license
Define acute pain
normal, predicted, physiological response to stimulus such as trauma, disease, and operative procedures
What is true about schedule 1 drugs in USA?
not prescribed because of concern for addiction
What aspects of the patient's medical state need to be documented prior to conscious sedation?
patient's health and medical status to ensure that NO/O2 is medically appropriate
define insurance agent
person licensed under under chapter 4504
What are the duties of the advisory board?
providing advice and recommendation to the department on technical matters relevant to the administration
supervision
responsibility for the control of quality, radiation safety and protection, and technical aspects of Podiatric radiological procedures utilized in Podiatric medicine for diagnostic purposes
How do members of the advisory board serve their terms?
staggered 6 year terms, 3 members expiring on 2/1 of each ODD numbered year
Who appoints the presiding officer of the Podiatric medical examiners advisory board?
the governor
Define Conscious sedation?
the production, by pharmacological or non-pharmalogical methods, or a combination thereof, of an altered level of consciousness in a patient
Whose responsibility is it to ensure that a Podiatric medical radiological technician is trained an registered with the department?
the provider
How many hours of home study and self-study programs will be accepted for CME credit hours?
up to 20 hrs
How long does a practitioner have to send records of imaging once medical records are requested?
w/in 30 days
How soon after a complaint or claim must information be provided and what information needs to be sent in addition?
within 30 days, copy of claim letter or petition
