<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.43.05.04" title_num="10" subtitle_num="43" chapter_num="05" heading="Permitted Delegation.">
  <paragraph num="A.">
    <text>A preceptor who is a Board-approved licensed chiropractor or an extension faculty member may delegate duties within the scope of one’s license, which constitute the practice of chiropractic, to an extern in accordance with COMAR 10.43.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A preceptor may permit an extern to perform chiropractic duties as part of a clinical program, subject to the following conditions:</text>
    <paragraph num="(1)">
      <text>The preceptor shall maintain direct supervision of the extern;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The clinical training program shall be governed by a written agreement between the extern’s accredited Board-approved educational institution and the preceptor that:</text>
      <paragraph num="(a)">
        <text>Has been approved by the Board;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Describes the specific program;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Enumerates the functions the extern may perform; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Indicates the legal responsibilities assumed by the extern’s accredited Board-approved educational institution;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The accredited Board-approved educational institution shall submit to the Board the names of those doctors selected as extension faculty members. The Board shall notify the educational institution of those approved for the program;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A licensed chiropractor may not supervise more than one extern during the same period;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A licensed chiropractor may delegate or permit only duties and functions which are established as part of the clinical training program;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The extern may not supervise chiropractic assistants or trainees; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>An extern applicant that is a licensed chiropractor in another state shall have a preceptor sponsor.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A preceptor may permit a licensed extern to perform chiropractic duties as part of the chiropractic practice providing the preceptor:</text>
    <paragraph num="(1)">
      <text>Maintains direct supervision of the extern; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Ensures the compliance of the extern to the conditions set forth under Regulation .03B(7) of this chapter.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A preceptor with a license to practice chiropractic with physical therapy privileges may supervise an applicant applying for a license to practice chiropractic:</text>
    <paragraph num="(1)">
      <text>With physical therapy privileges; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Without physical therapy privileges.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A preceptor with a license to practice chiropractic without physical therapy privileges may only supervise an extern applying for a license to practice chiropractic without physical therapy privileges.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Malpractice insurance in an amount defined by the Council on Chiropractic Education shall be obtained:</text>
    <paragraph num="(1)">
      <text>Before the clinical program begins, by the extern’s:</text>
      <paragraph num="(a)">
        <text>Accredited Board-approved educational institution; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Extension faculty member participating in the clinical program; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>By the preceptor sponsor of an extern applicant.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>A licensed chiropractor seeking preceptor status shall:</text>
    <paragraph num="(1)">
      <text>Submit a completed written application to the Board;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Pay the fee as set forth in COMAR 10.43.06;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Provide written evidence of malpractice insurance as requested by the Board; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Agree to an administrative inspection of the chiropractic office spaces, equipment, and records as directed by the Board.</text>
    </paragraph>
  </paragraph>
</regulation>