Nevada § 630.253 - Active licensees: Continuing education

§ 630.253. Active licensees: Continuing education

1. The Board shall, as a prerequisite for the: (a) Renewal of a license as a physician assistant; (b) Renewal of a license as an anesthesiologist assistant; or (c) Biennial registration of the holder of a license to practice medicine, require each holder to submit evidence of compliance with the requirements for continuing

education as set forth in regulations adopted by the Board. 2. These requirements: (a) May provide for the completion of one or more courses of instruction relating

to risk management in the performance of medical services. (b) Must provide for the completion of a course of instruction, within 2 years after

initial licensure, relating to the medical consequences of an act of terrorism that

involves the use of a weapon of mass destruction. The course must provide at least 4 hours of instruction that includes instruction

in the following subjects: (1) An overview of acts of terrorism and weapons of mass destruction; (2) Personal protective equipment required for acts of terrorism; (3) Common symptoms and methods of treatment associated with exposure to, or injuries

caused by, chemical, biological, radioactive and nuclear agents; (4) Syndromic surveillance and reporting procedures for acts of terrorism that involve

biological agents; and (5) An overview of the information available on, and the use of, the Health Alert

Network. (c) Must provide for the completion by a holder of a license to practice medicine

of a course of instruction within 2 years after initial licensure that provides at

least 2 hours of instruction on evidence-based suicide prevention and awareness as

described in subsection 6. (d) Must provide for the completion of at least 2 hours of training in the screening,

brief intervention and referral to treatment approach to substance use disorder within

2 years after initial licensure. (e) Must provide for the biennial completion by each psychiatrist and each physician

assistant practicing under the supervision of a psychiatrist of one or more courses

of instruction that provide at least 2 hours of instruction relating to cultural competency

and diversity, equity and inclusion. Such instruction: (1) May include the training provided pursuant to NRS 449.103 , where applicable. (2) Must be based upon a range of research from diverse sources. (3) Must address persons of different cultural backgrounds, including, without limitation: (I) Persons from various gender, racial and ethnic backgrounds; (II) Persons from various religious backgrounds; (III) Lesbian, gay, bisexual, transgender and questioning persons; (IV) Children and senior citizens; (V) Veterans; (VI) Persons with a mental illness; (VII) Persons with an intellectual disability, developmental disability or physical

disability; and (VIII) Persons who are part of any other population that a psychiatrist or a physician

assistant practicing under the supervision of a psychiatrist may need to better understand,

as determined by the Board. (f) Must allow the holder of a license to receive credit toward the total amount of

continuing education required by the Board for the completion of a course of instruction

relating to genetic counseling and genetic testing. (g) Must provide for the completion by a physician or physician assistant who provides

or supervises the provision of emergency medical services in a hospital or primary

care of at least 2 hours of training in the stigma, discrimination and unrecognized

bias toward persons who have acquired or are at a high risk of acquiring human immunodeficiency

virus within 2 years after beginning to provide or supervise the provision of such

services or care. 3. The Board may determine whether to include in a program of continuing education

courses of instruction relating to the medical consequences of an act of terrorism

that involves the use of a weapon of mass destruction in addition to the course of

instruction required by paragraph (b) of subsection 2. 4. The Board shall encourage each holder of a license who treats or cares for persons

who are more than 60 years of age to receive, as a portion of their continuing education,

education in geriatrics and gerontology, including such topics as: (a) The skills and knowledge that the licensee needs to address aging issues; (b) Approaches to providing health care to older persons, including both didactic

and clinical approaches; (c) The biological, behavioral, social and emotional aspects of the aging process;

and (d) The importance of maintenance of function and independence for older persons. 5. The Board shall encourage each holder of a license to practice medicine to receive,

as a portion of his or her continuing education, training concerning methods for educating

patients about how to effectively manage medications, including, without limitation,

the ability of the patient to request to have the symptom or purpose for which a drug

is prescribed included on the label attached to the container of the drug. 6. The Board shall require each holder of a license to practice medicine to receive

as a portion of his or her continuing education at least 2 hours of instruction every

4 years on evidence-based suicide prevention and awareness, which may include, without

limitation, instruction concerning: (a) The skills and knowledge that the licensee needs to detect behaviors that may

lead to suicide, including, without limitation, post-traumatic stress disorder; (b) Approaches to engaging other professionals in suicide intervention; and (c) The detection of suicidal thoughts and ideations and the prevention of suicide. 7. The Board shall encourage each holder of a license to practice medicine or as a

physician assistant to receive, as a portion of his or her continuing education, training

and education in the diagnosis of rare diseases, including, without limitation: (a) Recognizing the symptoms of pediatric cancer; and (b) Interpreting family history to determine whether such symptoms indicate a normal

childhood illness or a condition that requires additional examination. 8. A holder of a license to practice medicine may not substitute the continuing education

credits relating to suicide prevention and awareness required by this section for

the purposes of satisfying an equivalent requirement for continuing education in ethics. 9. Except as otherwise provided in NRS 630.2535 , a holder of a license to practice medicine may substitute not more than 2 hours

of continuing education credits in pain management, care for persons with an addictive

disorder or the screening, brief intervention and referral to treatment approach to

substance use disorder for the purposes of satisfying an equivalent requirement for

continuing education in ethics. 10. As used in this section: (a) “ Act of terrorism ” has the meaning ascribed to it in NRS 202.4415 . (b) “ Biological agent ” has the meaning ascribed to it in NRS 202.442 . (c) “ Chemical agent ” has the meaning ascribed to it in NRS 202.4425 . (d) “ Primary care ” means the practice of family medicine, pediatrics, internal medicine, obstetrics

and gynecology and midwifery. (e) “ Radioactive agent ” has the meaning ascribed to it in NRS 202.4437 . (f) “ Weapon of mass destruction ” has the meaning ascribed to it in NRS 202.4445 .