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<section article="gho" article_name="Health Occupations" number="14-5D-01" title_number="14" title_name="Physicians" subtitle_number="5D" subtitle_name="Athletic Trainers">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Alternate supervising physician” means one or more physicians designated by the supervising physician to provide supervision of an athletic trainer:</text>
    <level label="1">
      <text>During the absence of the supervising physician; and</text>
    </level>
    <level label="2">
      <text>In accordance with the evaluation and treatment protocol on file with the Board.</text>
    </level>
  </level>
  <level label="c">
    <text>“Athletic individual” means an individual who participates in an athletic activity, a job function, or a job–related activity that requires physical strength, range of motion, flexibility, control, speed, stamina, or agility.</text>
  </level>
  <level label="d">
    <text>“Board” means the State Board of Physicians.</text>
  </level>
  <level label="e">
    <text>“Committee” means the Athletic Trainer Advisory Committee established under § 14–5D–04 of this subtitle.</text>
  </level>
  <level label="e–1">
    <text>“Dry needling” means an intramuscular manual therapy that:</text>
    <level label="1">
      <text>Involves the insertion of one or more solid needles into the muscle and related tissues to effect change in the muscle and related tissues;</text>
    </level>
    <level label="2">
      <text>Requires ongoing evaluation, assessment, and reevaluation of an impairment;</text>
    </level>
    <level label="3">
      <text>Is used only in parts of the body with neuromuscular or musculoskeletal links to an impairment; and</text>
    </level>
    <level label="4">
      <text>Is not performed for:</text>
      <level label="i">
        <text>The purposes of acupuncture as defined in § 1A–101 of this article; or</text>
      </level>
      <level label="ii">
        <text>Any purpose outside of the scope of practice of athletic trainers.</text>
      </level>
    </level>
  </level>
  <level label="f">
    <text>“Evaluation and treatment protocol” means a document that is executed by a physician and an athletic trainer that meets the requirements of § 14–5D–11 of this subtitle.</text>
  </level>
  <level label="g">
    <text>“License” means a license issued by the Board to practice athletic training.</text>
  </level>
  <level label="h">
    <text>“Licensed athletic trainer” means an individual who is licensed by the Board to practice athletic training.</text>
  </level>
  <level label="i">
    <text>“Licensed health care practitioner” means an individual licensed, certified, or otherwise authorized to practice a health occupation under this article.</text>
  </level>
  <level label="j">
    <text>“National certifying board” means the National Athletic Trainers’ Association Board of Certification, Inc., or its successor organization.</text>
  </level>
  <level label="k">
    <text>“Nonsupervising physician” means a physician licensed by the Board who is not the supervising physician of the licensed athletic trainer.</text>
  </level>
  <level label="l">
    <text>“Outside referral” means a request for treatment from a nonsupervising physician or licensed health care practitioner.</text>
  </level>
  <level label="m">
    <level label="1">
      <text>“Practice athletic training” means application of the following principles and methods for managing injuries for athletic individuals in good overall health under the supervision of a licensed physician:</text>
      <level label="i">
        <text>Prevention and wellness promotion;</text>
      </level>
      <level label="ii">
        <text>Clinical evaluation, examination, assessment, and determination of a plan of care, including appropriate referrals;</text>
      </level>
      <level label="iii">
        <text>Immediate care and emergency care; and</text>
      </level>
      <level label="iv">
        <text>Treatment, rehabilitation, and reconditioning.</text>
      </level>
    </level>
    <level label="2">
      <text>“Practice athletic training” includes:</text>
      <level label="i">
        <text>Organization and administration of an athletic training program;</text>
      </level>
      <level label="ii">
        <text>Instruction to coaches, athletes, parents, medical personnel, and community members regarding the care and prevention of injuries; and</text>
      </level>
      <level label="iii">
        <text>Recognition and management of a concussion, including management of an athletic individual’s progressive return to activity.</text>
      </level>
    </level>
    <level label="3">
      <text>“Practice athletic training” does not include:</text>
      <level label="i">
        <text>The practice of:</text>
        <level label="1">
          <text>Chiropractic, including adjustments, manipulation, or high velocity mobilizations of the spine or extremities;</text>
        </level>
        <level label="2">
          <text>Massage therapy;</text>
        </level>
        <level label="3">
          <text>Medicine;</text>
        </level>
        <level label="4">
          <text>Occupational therapy;</text>
        </level>
        <level label="5">
          <text>Physical therapy; or</text>
        </level>
        <level label="6">
          <text>Podiatry;</text>
        </level>
      </level>
      <level label="ii">
        <text>The reconditioning of systemic neurologic injuries, conditions, or disease; or</text>
      </level>
      <level label="iii">
        <text>The treatment of disease.</text>
      </level>
    </level>
  </level>
  <level label="n">
    <text>“Supervising physician” means a physician who has been approved by the Board to supervise one or more athletic trainers.</text>
  </level>
  <level label="o">
    <text>“Supervision” means the responsibility of a physician to provide ongoing and immediately available instruction, in person, by telephone, or by other electronic means, that is adequate to ensure the safety and welfare of a patient and is appropriate to the setting.</text>
  </level>
</section>
