scope-of-practice-and-supervision

name	scope-of-practice-and-supervision
description	Map the med-spa compliance structure — scope of practice, good-faith exam / medical supervision, consent and adverse-event protocols, product handling — as operational structure, flagging every state-specific rule [verify-at-use] and routing the actual determination to the medical director and a licensed professional. Flag, never decide.

Scope of Practice & Supervision

Aesthetic medicine sits under a compliance structure that is easy to blur into an ops convenience — who may inject, what a good-faith exam requires, what supervision a mid-level needs, what consent must capture. This skill maps that structure so the medical director and a licensed professional can make the determinations. It flags; it does not decide.

The loop

1. Separate structure from determination. Describe the shape of the question — there is a delegating physician, a supervision level, a good-faith-exam requirement, a consent capture — without asserting what the rule is. The rule is state-specific and belongs to a professional.
2. Map the service to its structure. For each service: who performs it, who delegates/supervises, what exam precedes it, what consent it needs. Traverse the scope & supervision structure tree in ../../knowledge/med-spa-decision-trees.md.
3. Flag every specific. Scope, supervision ratios, good-faith-exam rules, corporate-practice-of-medicine, and MSO structure are [verify-at-use] and state-specific — route each to the medical director and a licensed attorney/regulator.
4. Enumerate the consent + adverse-event elements. Informed consent captured, complication escalation path, documentation, follow-up — as structure to have in place. The language and legal sufficiency is a professional's call.
5. Vet marketing claims. Copy reading as a medical/efficacy claim or implying scope beyond the license is a flag; route it.

What this skill does NOT do

• It does not state the scope-of-practice rule for any state.
• It does not decide who may inject, what supervision is sufficient, or whether a consent form is legally adequate.
• It does not render a corporate-practice-of-medicine / MSO determination.
• It does not handle patient PHI/PII.

Those are determinations — they route to the medical director and a licensed professional. This skill makes the map; they make the call.

Anti-patterns

• Answering "can this person inject in our state?" with a rule instead of a routed flag.
• Treating scope as an ops convenience to keep the schedule full.
• Scaling a service before the consent and adverse-event protocol exists.
• Shipping marketing copy with an unreviewed medical claim.

See also

• Best practices: ../../best-practices/scope-of-practice-is-a-medical-director-call.md.
• Knowledge: ../../knowledge/med-spa-reference-2026.md (every scope/supervision row is [verify-at-use] + route-to-professional).