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SCOPE OF PRACTICE OF HEALTH PROFESSIONALS

Prepared byPublic Sector ConsultantsProject ManagerResearcher/WriterPeter PrattLisa KatzMichigan State Medical SocietyMichigan Osteopathic AssociationSCOPE OF PRACTICE OFHEALTH PROFESSIONALSIN THE STATE OF MICHIGANSCOPE OF PRACTICE OF HEALTH PROFESSIONALS IN THE STAT E OF MICHIGANiiTable of ContentsINTRODUCTION .. 1 THE REGULATORY SYSTEM .. 3 DEFINING HEALTH PROFESSIONS .. 5 Allopathic Medicine andOsteopathic Medicine and Surgery .. 5 Physician Assistance .. 7 Nursing .. 7 Psychology .. 9 Chiropractic .. 9 Optometry .. 10 SCOPE OF PRACTICE AND LIMITATIONS .. 13 Physicians .. 13 Physician Assistants .. 16 Nurses .. 20 Psychologists, Chiropractors, and Optometrists .. 24 DELEGATION AND SUPERVISION .. 33 Physicians .. 35 Physician Assistants .. 39 Nurses .. 39 Psychologists, Chiropractors, and Optometrists .. 42 EDUCATION, TRAINING, AND EXAMINATION .. 43 Doctor of Medicine .. 44 Doctor of Osteopathic Medicine and Surgery .. 56 Physician Assistants.

While federal programs and/or regulations can influence health professionals in their practice or employment setting (e.g., through Medicare and Medicaid funding requirements), health professional regulation is the domain of state government. Not surprisingly, this has meant that health professionals in different states are regulated differently.

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