physician's assistant to

initiate or transmit orders to others to act in emergencies. The

first authorizes the physician assistant to "institute treatment

procedures" when necessary and essential for the life of the

patient but also contemplates that the physician will be called

immediately.   We think this is limited to actions which the

physician assistant does directly and personally.      The second

provides the procedures to be followed when the emergency occurs

when the supervising physician is not on the premises. These call

for transport of the patient to other facilities and back up by

other available physicians. They do not contemplate a physician

assistant directing the treatment actions of others in emergency

situations.     The   written   procedures   might  well   include

authorization to thethe physical presence of an approved

     supervising physician who is directly in attendance and

     assisting the physician assistant in the performance of

     the procedure;


          "(b)   In an approved program;


          "(c) In a medical school approved by the Division

     of Licensing under Section 1314;


          "(d) In a residency or fellowship program approved

     by the Division of Licensing under Section 1321;


          "(e)   In a facility or clinic operated by the

