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<chapter num="12" heading="Supervision of Students" title_num="10" subtitle_num="41">
  <regulation prefix="Regulation" num=".01" heading="Scope.">
    <text>This chapter governs procedures and matters for licensed audiologists and speech-language pathologists supervising students enrolled in a graduate program for audiology or speech-language pathology.</text>
  </regulation>
  <regulation prefix="Regulation" num=".02" 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>“Direct supervision” means on-site and personal oversight by an individual licensed under Health Occupations Article, Title 2, Annotated Code of Maryland, who assumes responsibility for another individual's conduct, whether it is consistent or fails to be consistent with the professional standards and provisions set forth in Health Occupations Article, Title 2, Annotated Code of Maryland.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>“On-site” means present and working within the specific facility where the supervised student is evaluating the patient.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>“Supervisor” means the licensed individual who is employed by the facility and works on site.</text>
      </paragraph>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".03" heading="Supervision.">
    <paragraph num="A.">
      <text>The supervisor shall provide direct on-site supervision of the student at all times.</text>
    </paragraph>
    <paragraph num="B.">
      <text>The supervisor is personally responsible for each patient the student evaluates and treats.</text>
    </paragraph>
    <paragraph num="C.">
      <text>Signing of Patient Reports.</text>
      <paragraph num="(1)">
        <text>Both supervisor and student shall sign reports with their full name and credentials.</text>
      </paragraph>
      <paragraph num="(2)">
        <text>A student may sign with the highest degree earned.</text>
      </paragraph>
      <paragraph num="(3)">
        <text>A student may not sign with credentials for a degree they are currently pursuing.</text>
      </paragraph>
      <paragraph num="(4)">
        <text>The title or designation of “student” shall be placed after the student's name in the report statement.</text>
      </paragraph>
      <paragraph num="(5)">
        <text>The supervisor shall sign all electronic records that only accept one signature.</text>
      </paragraph>
    </paragraph>
    <paragraph num="D.">
      <text>A supervisor may not supervise more than the equivalent of two full-time students per day in off-site placements from a university.</text>
    </paragraph>
    <paragraph num="E.">
      <text>A licensed audiologist or speech-language pathologist with clinical experience and credentials that meet the standards of the individual university program shall provide clinical supervision and mentoring.</text>
    </paragraph>
    <paragraph num="F.">
      <text>The licensed audiologist or speech-language pathologist acting as a supervisor shall have 3 years post-degree clinical experience, including clinical fellowship.</text>
    </paragraph>
  </regulation>
  <regulation prefix="Regulation" num=".04" heading="Exceptions.">
    <paragraph num="A.">
      <text>An audiology student who is enrolled full-time as a 4th-year doctoral student at a university and has completed 375 clinical training hours with 100 percent direct on-site supervision may utilize the following schedule as a minimum for supervision:</text>
      <paragraph num="(1)">
        <text>For 3 months or the first 1/3 of the 4th year of clinical work, whichever is longer — 90 percent on-site supervision;</text>
      </paragraph>
      <paragraph num="(2)">
        <text>For 3 months or the second 1/3 of the 4th year of clinical work, whichever is longer — 75 percent on-site supervision; and</text>
      </paragraph>
      <paragraph num="(3)">
        <text>For 3 months or the last 1/3 of the 4th year of clinical work, whichever is longer — 50 percent on-site supervision.</text>
      </paragraph>
    </paragraph>
    <paragraph num="B.">
      <text>A supervisor shall be available either on site or by telephone for consultation at all times.</text>
    </paragraph>
    <paragraph num="C.">
      <text>An audiology student who is enrolled full-time as a fourth year doctoral student at a university and holds a hearing aid dispenser license shall follow the requirements of §A of this regulation while working toward the degree.</text>
    </paragraph>
  </regulation>
  <annotations>
    <annotation type="Authority">Health Occupations Article, §§2-205 and 2-302, Annotated Code of Maryland</annotation>
    <annotation type="History" subtype="Administrative History">Effective date: October 20, 2008 (35:21 Md. R. 1824)</annotation>
  </annotations>
</chapter>