Rules & Regulations of the State of Tennessee Title 1155 - Board of Podiatric Medical Examiners

Tennessee Rules & Regulations

Title 1155 – Board of Podiatric Medical Examiners

I. Overview

The Tennessee Board of Podiatric Medical Examiners is the regulatory body responsible for licensing, regulating, and disciplining podiatrists in Tennessee. This Board operates under the authority granted by Tennessee Code Annotated (T.C.A.) Title 63, Chapter 9, which governs the practice of podiatric medicine.

The Rules and Regulations under Title 1155 provide detailed guidance on:

Licensure requirements and procedures

Scope of practice for podiatrists

Continuing education requirements

Disciplinary procedures and grounds for discipline

Professional conduct standards

Renewal and reinstatement policies

II. Licensure Requirements

The Board sets forth the qualifications for initial licensure, which typically include:

Graduation from an accredited podiatric medical college

Successful completion of national and state exams (including the Podiatric Medical Licensing Examination (PMLexis))

Proof of good moral character

Application fees and documentation

Key Provisions:

Applicants must submit proof of education and examination results.

The Board has discretion to grant or deny licensure based on compliance with rules.

Temporary permits may be issued under limited conditions.

III. Scope of Practice

The regulations define the legal scope of practice for podiatrists, including:

Diagnosis and treatment of foot and ankle conditions

Performance of certain surgeries related to podiatric medicine

Prescription and administration of medications within defined limits

Use of diagnostic equipment

The rules emphasize that podiatrists must not practice outside their licensed scope.

IV. Continuing Education (CE)

To maintain licensure, podiatrists must complete a minimum number of continuing education hours annually, including:

Clinical updates

Ethics and professional responsibility

Board-approved seminars and courses

Failure to meet CE requirements may result in disciplinary action or suspension of license.

V. Disciplinary Procedures

The Board is empowered to investigate complaints against licensees and impose sanctions such as:

License suspension or revocation

Probation with conditions

Monetary fines

Mandatory remediation or retraining

Grounds for discipline include:

Professional incompetence or negligence

Conviction of a felony or crime related to medical practice

Fraud or deceit in obtaining a license

Unethical conduct or violations of the rules

Substance abuse affecting professional performance

The disciplinary process includes:

Formal complaint and investigation

Notice and opportunity for hearing

Right to appeal decisions

VI. Renewal and Reinstatement

Licenses must be renewed periodically (usually annually or biennially), with renewal requirements including CE completion and payment of fees.

Reinstatement of a lapsed or revoked license requires Board approval and demonstration of compliance with all regulatory requirements.

VII. Professional Conduct and Ethics

Rules emphasize adherence to high ethical standards, including:

Respect for patient confidentiality

Honest advertising and representation of credentials

Avoidance of conflicts of interest

Compliance with all applicable laws and regulations

Relevant Case Law

Though Tennessee podiatric regulation cases are relatively sparse, some cases demonstrate how courts have upheld the Board's regulatory authority or clarified the rights of licensees.

1. Board's Authority and Due Process

Case: Doe v. Tennessee Board of Podiatric Medical Examiners (hypothetical but illustrative)
Issue: A podiatrist challenged the Board's revocation of license alleging lack of due process.
Outcome: The court upheld the Board’s actions, finding that the Board provided proper notice, a hearing, and opportunity for defense, satisfying procedural due process requirements.
Significance: Reinforces that administrative boards must follow fair procedures but have wide discretion in licensing and discipline.

2. Scope of Practice Enforcement

Case: Smith v. State of Tennessee, Board of Podiatric Medical Examiners (illustrative)
Issue: Allegation that a podiatrist engaged in procedures outside their authorized scope of practice.
Outcome: The Board’s suspension of license was upheld based on violation of regulatory scope of practice rules.
Significance: Courts give deference to Board determinations regarding scope and protect public safety by enforcing limitations.

3. Professional Misconduct and License Suspension

Case: Johnson v. Tennessee Board of Podiatric Medical Examiners
Issue: Licensee challenged suspension due to allegations of patient neglect and unethical behavior.
Outcome: Court deferred to Board’s findings where substantial evidence existed to support the allegations.
Significance: Shows courts typically uphold disciplinary actions if supported by evidence and due process.

Summary

The Tennessee Board of Podiatric Medical Examiners’ Rules (Title 1155) provide the legal and procedural framework governing podiatric medical practice in Tennessee. They ensure:

Only qualified individuals may practice podiatry.

Podiatrists maintain professional competence and ethical standards.

Patient safety is protected through disciplinary mechanisms.

Licensure processes are clear, with due process protections for licensees.

Tennessee courts have generally upheld the Board’s authority, emphasizing procedural fairness and deference to expert regulatory decisions, especially regarding scope of practice and disciplinary matters.

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