<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.43.07.11" title_num="10" subtitle_num="43" chapter_num="07" heading="Chiropractic Assistants with X-ray Privileges.">
  <paragraph num="A.">
    <text>A chiropractic assistant may perform the duties of a chiropractic assistant with X-ray privileges only as directed by a supervising chiropractor.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A chiropractic assistant, with or without X-ray privileges, may not:</text>
    <paragraph num="(1)">
      <text>Provide oral or written diagnosis; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Work independently.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A chiropractic assistant may perform X-rays only after the completion of:</text>
    <paragraph num="(1)">
      <text>60 hours of didactic training in a Board-approved course of instruction that includes:</text>
      <paragraph num="(a)">
        <text>Radiation physics;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Radiation biology;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Radiation protection;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Imaging principles in radiation exposure;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Patient preparation and positioning;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Human anatomy and physiology; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Emergency procedures; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>46 X-ray studies under the direct supervision of a supervising chiropractor that include:</text>
      <paragraph num="(a)">
        <text>10 cervical series which include at least one of each of the following views:</text>
        <paragraph num="(i)">
          <text>Anterior to posterior;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Lateral;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Anterior to posterior open mouth;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Flexion;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Extension; and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Oblique;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>6 thoracic series which include at least one of each of the following views:</text>
        <paragraph num="(i)">
          <text>Anterior to posterior;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Lateral;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Flexion; and</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Extension;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>10 lumbar series which include at least one of each of the following views:</text>
        <paragraph num="(i)">
          <text>Anterior to posterior;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Lateral;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Flexion;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Extension; and</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Oblique; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>20 extremity views which include at least one of each of the following:</text>
        <paragraph num="(i)">
          <text>Shoulder;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Elbow;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Wrist;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Hand;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Ribs;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Hip;</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Knee;</text>
        </paragraph>
        <paragraph num="(viii)">
          <text>Ankle; and</text>
        </paragraph>
        <paragraph num="(ix)">
          <text>Foot.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>