# COMAR Title 10 — Maryland Department of Health

## Subtitle 43 — Board of Chiropractic Examiners

### Chapter 07 — Chiropractic Assistants

#### Regulation .11 Chiropractic Assistants with X-ray Privileges.

*COMAR 10.43.07.11*

A. A chiropractic assistant may perform the duties of a chiropractic assistant with X-ray privileges only as directed by a supervising chiropractor.

B. A chiropractic assistant, with or without X-ray privileges, may not:

  (1) Provide oral or written diagnosis; or

  (2) Work independently.

C. A chiropractic assistant may perform X-rays only after the completion of:

  (1) 60 hours of didactic training in a Board-approved course of instruction that includes:

    (a) Radiation physics;

    (b) Radiation biology;

    (c) Radiation protection;

    (d) Imaging principles in radiation exposure;

    (e) Patient preparation and positioning;

    (f) Human anatomy and physiology; and

    (g) Emergency procedures; and

  (2) 46 X-ray studies under the direct supervision of a supervising chiropractor that include:

    (a) 10 cervical series which include at least one of each of the following views:

      (i) Anterior to posterior;

      (ii) Lateral;

      (iii) Anterior to posterior open mouth;

      (iv) Flexion;

      (v) Extension; and

      (vi) Oblique;

    (b) 6 thoracic series which include at least one of each of the following views:

      (i) Anterior to posterior;

      (ii) Lateral;

      (iii) Flexion; and

      (iv) Extension;

    (c) 10 lumbar series which include at least one of each of the following views:

      (i) Anterior to posterior;

      (ii) Lateral;

      (iii) Flexion;

      (iv) Extension; and

      (v) Oblique; and

    (d) 20 extremity views which include at least one of each of the following:

      (i) Shoulder;

      (ii) Elbow;

      (iii) Wrist;

      (iv) Hand;

      (v) Ribs;

      (vi) Hip;

      (vii) Knee;

      (viii) Ankle; and

      (ix) Foot.