<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".01" citation="COMAR 10.41.11.01" title_num="10" subtitle_num="41" chapter_num="11" 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>“Audiology assistant” means an individual who:</text>
      <paragraph num="(a)">
        <text>Meets the minimum qualifications established under:</text>
        <paragraph num="(i)">
          <text>Health Occupations Article, Title 2, Subtitle 3A, Annotated Code of Maryland; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>This chapter;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Does not work independently; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Works under the general supervision of an audiologist licensed under Health Occupations Article, Title 2, Annotated Code of Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Board” means the State Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Continuing education unit (CEU)” means 1 hour of attendance at a Board-approved program as described in COMAR 10.41.03.06.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>“Credit hour” means 1 academic credit hour of an academic course conducted by an accredited academic institution.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>“Delegation agreement” means an agreement between a speech-language pathology assistant or an audiology assistant and a supervising speech-language pathologist or audiologist which identifies the supervising speech-language pathologist or audiologist and the facility at which the speech-language pathology assistant or the audiology assistant will be practicing.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Direct supervision</text>
      <paragraph num="(a)">
        <text>“Direct supervision” means on-site, in-view, observation and guidance by a supervising speech-language pathologist or audiologist while on an assigned activity.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Direct supervision” includes the supervising audiologist viewing and communicating with the speech-language pathology assistant or audiology assistant via telecommunication technology to provide clinical services.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>“Direct supervision” does not include reviewing a recorded session at a later time.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>“General supervision” means the supervision of a licensed speech-language pathology assistant or audiology assistant by a licensed speech-language pathologist or audiologist who may or may not be present when the licensed speech-language pathology assistant or audiology assistant assists in the practice of speech-language pathology or audiology.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Indirect supervision” means those activities other than direct observation and guidance conducted by a supervising speech-language pathologist or audiologist including, but not limited to:</text>
      <paragraph num="(a)">
        <text>Review of charts and records;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Attendance at meetings; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Phone contact.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>“Speech-language pathology assistant” means an individual who:</text>
      <paragraph num="(a)">
        <text>Assists the supervising speech-language pathologist clinically in the implementation of treatment and other defined activities; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Meets the minimum requirements set forth in this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(10)">
      <text>“Supervising speech-language pathologist” means an individual who meets all requirements set forth in this chapter and who:</text>
      <paragraph num="(a)">
        <text>Is licensed by the Board; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>In exempt settings, holds the Certificate of Clinical Competence (CCC) in Speech-Language Pathology from the American Speech-Language Hearing Association (ASHA).</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Supervision” means both direct and indirect supervision.</text>
    </paragraph>
  </paragraph>
</regulation>