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<regulation prefix="Regulation" num=".02" citation="COMAR 10.32.10.02" title_num="10" subtitle_num="32" chapter_num="10" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“ARRT” means the American Registry of Radiologic Technologists.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>“Board” means the Board of Physicians.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Certification” means recognition of an individual who has satisfied certain standards required by a national certifying board.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Committee” means the Radiation Therapy, Radiography, Nuclear Medicine Technology, and Radiology Assistance Advisory Committee of the Board.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Computed tomography (CT)” means the use of a machine that produces ionizing radiation to obtain cross-sectional images.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Direct Supervision.</text>
      <paragraph num="(a)">
        <text>“Direct supervision” means supervision by a licensed physician who is:</text>
        <paragraph num="(i)">
          <text>In the physical presence of the licensee and a patient; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Observing and directing the licensee as the licensee performs a procedure.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Direct supervision” includes, for purposes of meeting the examination eligibility requirements set out in Regulation .10B of this chapter, supervision by a:</text>
        <paragraph num="(i)">
          <text>Licensed nuclear medicine technologist with the post-primary computed tomography (CT) credential;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Licensed radiographer with the post-primary CT credential; or</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Licensed radiologist or radiation oncologist.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“Hybrid nuclear medicine/CT device” means a machine that combines two distinct imaging modalities.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Immediately available direction” means the responsibility of a licensed physician to provide necessary direction for a licensee in person, by telephone, or by other electronic means if the licensee needs assistance with a procedure.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“JRCNMT” means the Joint Review Committee on Educational Programs in Nuclear Medicine Technology.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Licensee” means an individual who is licensed to practice radiography, radiation therapy, nuclear medicine technology, or radiology assistance in Maryland.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“NMTCB” means the Nuclear Medicine Technology Certification Board.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Nuclear medicine technologist” means an individual licensed by the Board to practice nuclear medicine technology.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“On-site supervision” means the responsibility of a licensed physician to provide necessary direction for a licensee when the physician is:</text>
      <paragraph num="(a)">
        <text>Physically present in the facility; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Able to respond in person if the licensee needs assistance with a procedure.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(14)">
      <text>“Physician” means an individual who is licensed by the Board to practice medicine.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Post–primary computed tomography (CT) credential” means passing a specialty examination by the ARRT or the NMTCB to establish competency in performing computed tomography.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Practice nuclear medicine technology” means to:</text>
      <paragraph num="(a)">
        <text>Prepare and administer radiopharmaceuticals to human beings; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Conduct in vivo detection and measurement of radioactivity for medical purposes to assist the physician in the diagnosis and treatment of disease or injury.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(17)">
      <text>“Practice radiation therapy” means to perform tumor localization radiography and apply therapeutic doses of radiation for the treatment of disease or injury.</text>
    </paragraph>
    <paragraph num="(18)">
      <text>“Practice radiography” means to use ionizing radiation to:</text>
      <paragraph num="(a)">
        <text>Demonstrate portions of the human body to assist the physician in the diagnosis of disease or injury; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Perform tumor localization radiography.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(19)">
      <text>“Practice radiology assistance” means to:</text>
      <paragraph num="(a)">
        <text>Practice radiography; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Perform:</text>
        <paragraph num="(i)">
          <text>Fluoroscopy and selected radiology procedures;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Patient assessment; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Patient management.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(20)">
      <text>“Radiation therapist” means an individual licensed by the Board to practice radiation therapy.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Radiographer” means an individual who is licensed by the Board to practice radiography.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Radiologist” means a licensed physician who:</text>
      <paragraph num="(a)">
        <text>Specializes in radiology; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Has current certification in radiology by one of the following organizations:</text>
        <paragraph num="(i)">
          <text>American Board of Radiology;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>American Osteopathic Board of Radiology;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>British Royal College of Radiology; or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Royal College of Physicians and Surgeons of Canada.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(23)">
      <text>“Special procedure request” means a written request to the Board to allow a licensed radiologist assistant to perform one or more procedures listed in Regulation .11E of this chapter.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Supervision” means the responsibility of the licensed physician to exercise on-site direction or immediately available direction for licensees.</text>
    </paragraph>
  </paragraph>
</regulation>