Texas Jurisprudence Exam Physician Assistant Practice Exam

Under what circumstances can a physician assistant perform medical tasks without a supervising physician?

1. When tasks are not performed for compensation

2. When the physician is on vacation

3. When the physician assistant is in a different state

4. When tasks exceed their scope of practice

The correct answer is: When tasks are not performed for compensation

The correct reasoning for the situation where a physician assistant can perform medical tasks without a supervising physician revolves around the concept of delegation and supervision in medical practice. In Texas, physician assistants operate under the supervision of a licensed physician, which typically includes a collaborative practice agreement outlining their duties and responsibilities. When tasks are not performed for compensation, this situation may create a context where the usual supervisory obligations may not strictly apply, allowing the physician assistant to perform certain medical tasks independently. This approach aligns with the delegation principles that allow for flexibility in healthcare delivery, acknowledging that volunteer or uncompensated work could operate differently than professional roles that involve compensation. The other circumstances presented do not align with Texas Medical Board regulations regarding the practice of physician assistants. For instance, a physician being on vacation does not eliminate the need for supervision; the PA would still need to be under some form of agreed supervision or have an alternative supervising physician ensure continuity of care. Performing tasks in a different state introduces licensure issues that complicate the legality of practice without supervision, as each state has its own regulations and requirements. Finally, when tasks exceed a PA's scope of practice, it is not permissible regardless of supervision status, as practicing beyond defined competencies could lead to regulatory violations and potential harm to