(1) Effective June 30, 2009 and within six months of taking on the responsibilities as an EMT off-line medical director, a physician or physician assistant shall:

(a) complete a board specified training program;

(b) demonstrate the principals of medical direction; or

(c) receive approval from the board in the event that (1)(a) or (b) is not available in that six month period.

(2) A physician or physician assistant who fails to comply with the requirements of (1) may not function as a medical director.

(3) The off-line medical director shall be responsible for the overall medical care provided by EMTs for whom the director agrees to provide medical oversight.

(4) The off-line medical director must assure and have access to records of all EMTs 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 EMT including any endorsements;

(b) date when medical oversight began and at what level the EMT is authorized to function; and

(c) any changes to limit or approve the EMT's ability to function at the EMT's current licensure level.

(5) The off-line 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 EMT education. Documentation of these activities must be maintained.

(6) An off-line medical director may assign duties where appropriate but retains the responsibility for all assigned duties.

(7) The off-line medical director may cease medical oversight by providing written notice to the EMT and the board.