The Montana Board of Medical Examiners requires medical direction at every level of EMT beyond the Basic EMT (including endorsements). The Board defines the Medical Director and has established requirements for the Medical Director. Below is the current administrative rule as adopted by the Board and published by the Montana Secretary of State.
24.156.2732 MEDICAL DIRECTION
(1) Within 60 days of taking on the responsibilities of providing medical oversight as a medical director to an individual or group of ECPs, a physician or physician assistant shall:
(a) notify the board they are providing medical direction to ECPs on a form provided by the board; and
(b) provide proof of completion of a board-specified medical director training program or a board-approved exemption from the training on a form provided by the board.
(2) A physician or physician assistant who fails to comply with the requirements of (1) may not function as a medical director.
(3) The medical director shall be responsible for the overall medical care provided by the ECPs for whom the director agrees to provide medical oversight.
(4) The medical director must assure and have access to records of all ECPs for whom the director provides medical oversight. These records must include, but are not limited to:
(a) the name, address, and current Montana licensure of the ECP, including any endorsements;
(b) date when medical oversight began and at what level the ECP is authorized to function; and
(c) any changes to limit or approve the ECP's ability to function at the ECP's current licensure level.
(5) The medical director must develop a process to assure continued appropriate patient care. This process may include regular review of patient care reports (PCR), direct observation of care, skills demonstrations, and ongoing involvement in ECP education. Documentation of these activities must be maintained.
(6) A medical director may assign duties where appropriate, but retains the responsibility for all assigned duties.
(a) The medical director may delegate local offline medical direction responsibilities to another unrestricted Montana licensed physician or physician assistant.
(7) The medical director will approve and review the offering of online medical control.
(a) Online medical control must be provided by any unrestricted Montana licensed physician or physician assistant who has been contacted for this purpose.
(8) The medical director may cease medical oversight by providing written notice to the ECP and the board.
(9) The medical director of an ECP course shall be responsible for the overall quality, consistency, and management of the ECP course in which they agree to provide medical oversight. The medical director may delegate duties where appropriate.
(a) Medical oversight of an ECP course consists of review of agenda, selection of instructors, review of evaluation tools, and review of clinical offerings and objectives.
(b) Medical direction of an AEMT or paramedic course consists of approval of agenda, approval and selection of instructors, involvement in the development and implementation of evaluation tools, participation as an instructor, approval of clinical offerings and objectives to be met in clinical components, and identification of successful course completion for each student.
(10) The medical director shall be responsible for and approve the system to assure the inventory, storage, and security of all the medications utilized by the ECPs to whom the medical director provides medical oversight. The medical director may delegate the day-to-day duties where appropriate, but retains the overall responsibility.
(11) The board or their designee may conduct onsite visits with medical directors for technical assistance and/or to assure compliance.
History: 50-6-203, MCA; IMP, 50-6-203, MCA; NEW, 2009 MAR p. 416, Eff. 4/17/09; AMD, 2013 MAR p. 120, Eff. 2/1/13; AMD, 2015 MAR p. 820, Eff. 6/26/15; AMD, 2017 MAR p. 487, Eff. 4/29/17.