Texas jurisprudence exam |61 questions and answers.

How long do you have to report child abuse and neglect 48hrs How long do you have to issue birth certificate 5 days How long do you have to issue death certificate 10 days How long do you have to report most communicable disease 7 days How long do you have to report Tb and pertussis 1 day How long do you have to supply medical records 15 days TMB is composed of how many people and who? 19 : 12 physicians (9 MD 3 DO) and 7 lay-persons TMB is appointed by who and for how long Governor for 6 years Is non-compensated emergency care governed by the Texas medical practice act? No - covered by Good Samaritan law Do laws covered by Texas medical practice act (MPA) apply to nurses, med students, podiatrists, optometrists, dentists No, only physicians in Texas or telemedine for Texas Licensure criteria Complete college (60hrs) Have MD or DO Pass USMLE Step 1-3 within 7 years and JP exam Complete intern year How often to renew license Every 2 years If license is expired, how much fine if less than 30 days No fine If license is expired, how much fine if less than 90 days $75 If license is expired, how much fine if less than 365 days $145 What happens if license is expired at 1 year License is canceled entirely. Must reapply and pay all processing fees What happens if license is expired after 2 years? Retake JP exam in addition to reapply If you practice with expired license after 30 days what is the crime? 3rd degree felony How many hrs of CME do you need per 2 years and what is the component 48 hrs - 1/2 formal and 1/2 informal. Must include 2 hrs of medical ethics/ professional responsibility How long to inform the board of name and practice address changes 30 days Is malpractice insurance required in Texas No If you receive a lawsuit but don't have medical malpractice insurance what must you do Inform the TMB yourself within 30 days. If you have insurance, they will do it for you If the governing body of a hospital is forced to take disciplinary action against a physician that affects privileges for longer than 30 days, what must happen? TMB must be notified Do you need a full license to practice telemedicine in Texas No What license do you need to practice telemedicine in Texas and must you take the JP exam Telemedicine license - licensed in good standing in another state, board certified in a specialty and not actually physically practicing in the state of Texas Need JP exam What are the scenarios that don't need special telemedicine license Contiguous states (OK, AR, LA, NM) ordering home health and hospice services for patients in Texas Providing expert opinion to other physicians within or across state lines Who can perform initial visit for workers comp and what do you need to have? And doctor can do this but need to have a certificate of registration and be on the approved Texas department of insurance (TDI) list to evaluate workers comp visits and get paid Is the PIT permit institution specific? Yes. If you change residency location, need to apply for a new PIT permit 90 days before switching Can podiatrists admit patients to a hospital? No- podiatry patients must be admitted under MD or DO physician What is vicarious liability? Any delegated actions and their consequences are entirely the responsibility of the supervising physician Midlevels can prescribe controlled substances from what schedule and what is the circumstance 3 and 4, under the license of their supervising physician For 2, in limited circumstances like the hospital (with an intended length of stay of 24 hrs or greater), in a hospital-based (not free-standing) ER, or for patients in hospice The supervising physician must be generally reachable, physically on-site at remote practice locations 10% of the time, and must review at least 10% of charts of each mid level The patient has the right to request the supervising physician How many mid levels can a physician delegate outpatient prescriptive authority to? What about if you worked in a hospital or medically underserved area? 7 full time or 14 half time If hospital or underserved area, there is no mid level limit For mid level supervision, how often must the physician visit Every 10 days. The doctor must be remotely available T/F a licensed surgical assistant can directly bill for their services True If you are indicted for a felony what happens to your license License is suspended If you are convicted for a felony, what happens to your license License is revoked - gone for good Violating the medical practice act is what offense? Class A misdemeanor. Getting caught a second time makes it a third degree felony This includes things like dangerous prescribing (giving propofol as a sleep med? Practicing medicine without a license is what offense Third degree felony What is deferred adjudication? Equivalent to pleading/ being found guilty The only difference is that it's presence on your record is temporary assuming you fulfill the requirements to have your crime adjudicated Even if you are eligible for deferred adjudication for a misdemeanor (such as DUI) you still have to report the crime to the TMB even if the crime is eventually waived. You can then petition to have your misdemeanor removed from the TMB website if successfully adjudicated. What does your TMB profile page contain? Demographics Felony and most misdemeanor convictions, charges with deferred adjudication, from ANY state Malpractice claims Formal complaints Disciplinary action from the medical board from ANY state When does TMB remove records of formal complaints and malpractice investigations After 5 years if they didn't amount to anything and no action was taken against the physician Is an order for drug rehab or mental health treatment confidential? Yes, as long as you never endangered a patient or violated standard of care while impaired How long do you have to let the TMB know about a conviction for felonies, drug violations, Medicare/Medicaid fraud, or misdemeanors that involve moral turpitude (counter to the standards of decency/conduct) 30 days When should regular misdemeanors including those eligible for deferred adjudication be reported? During the scheduled renewal process What is the 3 claims in 5 years rule Being named in 3 lawsuits within a 5-year period automatically generates an official review of your license License may be temporarily suspended without notice or hearing if there is concern for a continuing danger to public welfare. With a formal hearing to follow within 10 days. How many days do you have to appeal 30 days