1. (1) There shall be at all times a direct continuing and close supervisory relationship between the bridge year graduate physician and the supervising physician. The supervising physician shall at all times be responsible for the activities of the bridge year graduate physician.

2. (2) The bridge year graduate physician shall provide medical services within the education, training, and experience of the bridge year graduate physician that are delegated by the supervising physician. These services include, but are not limited to:

   1. (a) Obtaining patient histories and performing physical examinations;
   2. (b) Ordering and/or performing diagnostic and therapeutic procedures;
   3. (c) Formulating a working diagnosis;
   4. (d) Developing and implementing a treatment plan;
   5. (e) Monitoring the effectiveness of therapeutic interventions;
   6. (f) Assisting at surgery;
   7. (g) Offering counseling and education to meet patient needs;
   8. (h) Making appropriate referrals; and
   9. (i) Administering any legend drug which they are authorized to prescribe under this Chapter.
3. (3) The job description approved by the Board as a model job description shall be acceptable to the Board if submitted by a qualified applicant for a bridge year graduate physician permit in compliance with these Rules.
4. (4) A bridge year graduate physician may write admission orders for inpatients and nursing home patients as directed by the supervising physician and subsequent orders in accordance with established guidelines and institutional policies.
5. (5) A bridge year graduate physician may not provide any pain management services, practice within any physician practice which advertises or holds itself out to the public as a provider of pain management services as defined in Board Rules, Chapter 540-X-19, or practice under the supervision of a physician who solely provides pain management services.

Author: Alabama Board of Medical Examiners

Statutory Authority: Code of Ala. 1975, §34-24-75.2 and Act No. 23-233.

History: New Rule: Published May 31, 2024; effective July 15, 2024.