(2) Physician assistants. Physician assistants (PA) are skilled persons who
are qualified by academic and practical training to provide evaluation, diagnosis,
treatment, and other patient services under the supervision and direction of a physician.
(3) Dental therapy assistants. A dental therapy assistant (DTA) is an
expanded duty dental auxiliary who performs a variety of reversible clinical procedures
under the direct supervision of a dentist and as a member of an Oral Health Care
Delivery team (OHCDT). This dental treatment extender is qualified for the
performance of assigned expanded duties by the completion of a specific course of
instruction developed and monitored by the Academy of Health Sciences, U.S. Army.
The DTA is often referred to as an Expanded Duty Dental Auxiliary (EDDA) or an
Expanded Duty Dental Assistant (EDDA) in the civilian community.
(4) Physical therapists. Designated physical therapists may perform the
primary evaluation of patients seeking care for musculoskeletal complaints, primarily
nontraumatic spasms, pain, and minor strains under the supervision and direction of a
physician. The MEDDAC commander will delineate, in writing, the scope and limits of
clinical practice to include the designation of the supervising physician.
(5) Occupational therapists. Designated occupational therapists may
perform the primary evaluation, diagnosis, and treatment of patients with neuromuscular
and/or musculoskeletal disorders of the hand under the supervision and direction of a
(6) AMOSISTS. The acronym AMOSIST was derived from the Automated
Military Outpatient System (AMOS) Project. An AMOSIST is a specially trained
nonprofessional person who works under the direct supervision of a physician to
evaluate, diagnose, and treat patients who have acute minor illnesses. The limits of
function for the nonprofessional person are specifically delineated in logic flow charts
that are physician prepared.
PRESCRIPTION WRITING FOR HEALTH CARE PROVIDERS
As you know, not all health care providers are authorized to prescribe all
medications to all people. It is important for you to know which health care providers
are authorized to prescribe medications. Furthermore, you must know the medications
these health care providers are authorized to prescribe. This paragraph will discuss the
limitations on prescribing as established by AR 40-2 and AR 40-48. Of course, local
limitations on prescribing may be made. Therefore, you should ask your pharmacy
officer for any pertinent information he might have in this area. The following personnel
are authorized to prescribe medications in an Army MTF as noted: