Controlled Substance Education Course Information

Business and Professions Code section 3502.1 includes provisions that eliminate the requirement that a physician assistant obtain patient specific authority prior to writing a drug order for a controlled substance (Schedule II through V), if a physician assistant completes an approved education course in controlled substances and if delegated by a supervising physician.

The education course shall be provided either by an accredited continuing education course provider or by a California-approved physician assistant training program.

The approved controlled substance education course must meet the requirements of California Code of Regulations sections 1399.610 and 1399.612.

Upon completion of the course, a physician assistant shall make their certificate of completion available for inspection upon request by his or her employer, prospective employer, supervising physician, or the Physician Assistant Board.

Physician assistants are not required to return their course certificate of completion to the Physician Assistant Board unless requested to do so by the Board.

Physician assistants who successfully complete a controlled substance education course and are authorized by a supervising physician to write drug orders for controlled substances must ensure that their Delegation of Services Agreement is updated to reflect this amendment.

If a physician assistant elects not to take the course, then the requirements for the patient specific authority remain unchanged.

For a list of course providers, click here.

For information about establishing an approved controlled substances education course, click here.

SOME COURSES THAT MEET THE CRITERIA

As of November 2008, the following courses are being offered to satisfy the requirements of Business and Professions Code section 3502.1(c)(2):

California Academy of Physician Assistants
2318 S. Fairview St.
Santa Ana, CA 92704
714.427.0321
Email: CAPA@capanet.org
www.capanet.org

APPex: Advanced Practice Provider Executives
P.O. Box 61180
Palo Alto, CA 94306
Email: info@APPexecutives.org
https://www.appexecutives.org/

Providers who wish to offer a controlled substance education course as required by Business and Professions Code section 3502.1(c)(2) must meet the requirements established by California Code of Regulations sections 1399.610 and 1399.612.

If you wish to be added to this list as a course provider, please contact the Physician Assistant Board at:

Physician Assistant Board
2005 Evergreen Street, Suite 1100
Sacramento, CA 95815
Contact person: Julie Caldwell, Education Coordinator
916.561.8781
Email:Julie.Caldwell@mbc.ca.gov
www.pac.ca.gov

CONTROLLED SUBSTANCE EDUCATION COURSES

Providers who wish to offer a controlled substance education course as required by Business and Professions Code section 3502.1(c)(2) must meet the requirements established by California Code of Regulations sections 1399.610 and 1399.612.

If you have questions regarding these requirements please contact the Physician Assistant Board at 916 561-8780.

1399.610. Requirements for an Approved Controlled Substance Education Course to Administer, Provide or Issue a Drug Order for Schedule II – V Controlled Substances without Advance Approval From a Supervising Physician.

A controlled substance education course shall be deemed approved by the Board if it meets all of the following criteria:

(a) The course includes all of the following learning objectives:
(1)Describes the applicable federal and state laws and regulations pertaining to the provision, administration and furnishing of controlled substances and the legal and professional relationship between a physician assistant and his or her supervising physician.
(A) This objective shall include a description of the applicable patient charting requirements and the use of secure drug order forms.
(2)Assessment strategies for the recognition, prevention and management of acute and chronic pain.
(3)Comparison of efficacy data and safety profiles which influence the selection, usage and conversion of pharmacological agents.
(4)The evaluation and comparison of the safety and efficacy profiles of controlled substances and the clinical rationale for their use.
(5)Describes disorders routinely requiring a therapeutic regimen of controlled substances for clinical management.
(6)Assessment of a controlled substance's potential for abuse and addiction, its psychosocial aspects, the recognition of the symptoms (including controlled substance-seeking behaviors) thereof and medically appropriate alternatives, if any,
(7)Evaluation of the response and compliance of the patient to the controlled substances.
(8)Provision of appropriate patient education regarding controlled substances. For the purposes of this subdivision, "controlled substances" means Schedule II through Schedule V controlled substances.

(b) The course includes a comprehensive written examination, proctored by the course provider at the conclusion of the course, of the material presented. The licensee must successfully complete the examination to receive a certificate of completion issued pursuant to subdivision (b) of section 1399.612.

(c) The course is at least six (6) hours in duration, of which a minimum of three (3) hours shall be exclusively dedicated to Schedule II controlled substances. A course provider shall not include the time for the written examination specified in subdivision (b) in the (6) six hour requirement. The course shall be completed on or after January 1, 2008.

(d) The course is provided by one of following entities:

(1)A physician assistant program approved by the board in accordance with section 1399.530.
(2)A continuing education provider approved by the Medical Board of California for Category I continuing medical education.
(3)A Category I continuing education provider approved by American Academy of Physician Assistants.
(4)A Category I continuing education provider approved by the American Medical Association, the California Medical Association and/or the American Osteopathic Association.

Note: Authority cited: Sections 3502, 3502.1, and 3510, Business and Professions Code. Reference: Sections 2058, 3502, 3502.1, and 3509 Business and Professions Code.

1399.612. Responsibilities of Course Providers and Attendees.

(a) A course provider of any controlled substance educational course intended to meet the requirements of section 1399.610 shall use qualified instructors and shall provide course attendees with a written course outline or syllabus, as applicable. For the purposes of this section, a qualified instructor is a person who holds a current valid license to practice in the appropriate healing arts discipline, is free from any disciplinary action by the applicable licensing jurisdiction, and is knowledgeable, current and skilled in the subject matter of the course, as evidenced through either of the following:
(1) Experience in teaching similar subject matter content within two years immediately preceding the course; or,
(2) Has at least one year experience within the last two years in the specialized area in which he or she is teaching.
(b) A controlled substance course provider shall issue a certificate of completion to each licensee who has successfully completed the course. A certificate of completion shall include the following information:
(1) Name and license number of the physician assistant.
(2) Course title and each instructor's name.
(3) Provider's name and address.
(4) Date of course completion.
(c) A controlled substance education course provider shall retain the following records for a period of four years in one location within the State of California or in a place approved by the board:
(1) Course outlines of each course given.
(2)The date and physical location for each course given.
(3)The examination proctored at the conclusion of each course and the score of each physician assistant who took the examination.
(4)Course instructor curriculum vitas or resumes.
(5)The name and license number of each physician assistant taking an approved course and a record of any certificate of completion issued to a physician assistant.
A course provider shall make the records specified above available to the board upon request. A course provider may retain the records required by this subdivision in an electronic format.
(d) A physician assistant shall make his or her certificate of completion available for inspection upon the request of his or her employer or prospective employer, supervising physician or the board.

Note: Authority cited: Sections 3502 and 3510, Business and Professions Code. Reference: Sections 2058, 3502, 3502.1, and 3509 Business and Professions Code.