It is the responsibility of the supervising physician to direct and review the work, records, and practice of the Physician Associate (PA) on a continuous basis to ensure that appropriate directions are given and understood and that appropriate treatment is rendered consistent with the applicable practice role. Supervision includes, but is not limited to: 

• The continuous availability of direct communication either in person or by electronic communications between the Physician Associate and supervising physician. 
• The personal review of the PA practice at regular intervals including an assessment of referrals made or consultations requested by the PA with other health professionals. 
• Regular chart review; including review of all new ACC claims/chart notes. 
• The delineation of a plan for emergencies. 
• The designation of an alternate supervising physician in the absence of the supervisor. 
• Medication support – Signing all prescriptions electronically or physically. We are working forwards prescription rights in the future.