proper protocols and written responses are in place, prescribe medications, refill prescriptions, or give patients any medical advice (Shepard, 2017). Possible sanctions for violating the MA code of ethics include reprimand, probation, and temporary or permanent revocation of CMA/AAMA credentialing (AAMA, 2017). The physician or the licensed medical provider of the practice is utterly responsible for the oversight of the MA and therefore are just as liable, if not more liable if the MA practices beyond what their state designates are allowed. It is imperative that MAs receive a written job description that states explicitly what their job responsibilities are and what they are not permitted to do. The MA and the doctor should mutually sign the job description, and it should be kept in the MAs folder. Specific protocols with orders and directions should be set in place for every procedure or task the MA is allowed to do. These protocols should also be signed by both parties and placed in the MAs folder. Having signatures on documents certifies the employee cannot say they were unaware of such rules or responsibilities.