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PHYSICIAN
                                                                                                     RETIREMENT













        Physicians Upon Retirement





        Transfer and Disposal of Medical       Recent changes to Board rule 165.5 have ex-  available to patients, specifying who has cus-
        Records                              panded the options for notification to patients.   todianship of the records, and how the med-
          When a physician retires, terminates em-  Notification shall be accomplished by:   ical records may be obtained.
        ployment, or otherwise leaves a medical prac-  •   either:                 Board rule 165.5 states that a copy of the
        tice, he or she is responsible for:    o posting such notice on the physician's   posted notices shall be submitted to the
        •   ensuring that patients receive reasonable   or practice website; or   board within 30 days from the date of termi-
           notification and are given the opportunity   o publishing notice in the newspaper of   nation, sale, or relocation of the practice.
           to obtain copies of their records or   greatest general circulation in each   The Notification of Departure/Closure of
           arrange for the transfer of their medical   county in which the physician prac-  Practice Form is available to assist with the
           records to another physician; and     tices or practiced and in a local news-  submission of this information to the board.
        •   notifying the board when they are termi-  paper that serves the immediate
           nating practice, retiring, or relocating, and   practice area; and    Exceptions
           therefore no longer available to patients,   •   placing written notice in the physician's   Recent changes to Board rule 165.5 have
           specifying who has custodianship of the   office; and                 expanded the exceptions to providing notice
           records, and how the medical records may   •   notifying patients seen in the last two   to patients.
           be obtained.                        years of the physician's discontinuance of   A physician is not required to provide no-
           Employers of the departing physician are   practice by either:        tice of his or her discontinuation of practice
        not required to provide notification, how-  o sending a letter to each patient; or   to patients if the physician:
        ever, the departing physician remains respon-  o sending an email to each patient, in a   •   treated the patient while in a locum
        sible for providing notification consistent   manner that is compliant with state   tenens position at a practice location for
        with the rules under §165.5.             and federal law.                   a period of no longer than six months at
          Under Board rule 165.5, other licensed   A copy of the posted notices shall be sub-  that location. For the purpose of this sec-
        physicians remaining in the practice may   mitted to the board within 30 days from the   tion, "locum tenens" is defined as a posi-
        not prevent the departing physician, re-  date of termination, sale, or relocation of the   tion in which a physician is employed or
        quired to provide notice, from posting no-  practice.                       contracted on a temporary or substitute
        tice and the sign.                     Notices placed in the physician's office   basis to provide physician services; or
          A physician, physician group, or organiza-  shall be placed in a conspicuous location in   •   only treated the patient in the following
        tion (professional association, non-profit   or on the facade of the physician's office, a   settings:
        health organization, etc.) may not withhold   sign, announcing the termination, sale, or re-  o a hospital, as defined under Texas Oc-
        information from a departing physician, re-  location of the practice. The sign shall be   cupations Code Section 157.051(6);
        quired to provide notice, that is necessary for   placed at least thirty days prior to the termi-  o an emergency room;
        notification of patients.            nation, sale or relocation of practice and shall   o a birthing center; or
                                             remain until the date of termination, sale or   o an ambulatory surgery center; or
        Patient Notification                 relocation.                         •   only provided the following:
          The physician shall provide notice to pa-                                 o anesthesia services in a setting de-
        tients of when the physician intends to ter-  Notification to the Board       scribed above; or
        minate the practice, retire or relocate, and   When a physician retires, terminates em-  o radiology services based on an order by
        will no longer be available to patients, and   ployment, or otherwise leaves a medical prac-  a treating physician or in a setting de-
        offer patients the opportunity to obtain a   tice, he or she is responsible for notifying the   scribed in above; or
        copy of their medical records or have their   board when they are terminating practice, re-  o pathology services in a setting de-
        records transferred.                 tiring, or relocating, and therefore no longer   scribed above.

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