<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.43.10.04" title_num="10" subtitle_num="43" chapter_num="10" heading="Accreditation and Approval of Continuing Education.">
  <paragraph num="A.">
    <text>The Board shall:</text>
    <paragraph num="(1)">
      <text>Base accreditation and approval of continuing education courses and programs on their content and instructor qualifications; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Ensure that continuing education courses and programs are directed toward improvement, advancement, and extension of professional skill and knowledge related to chiropractic.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Pre-Approved Providers.</text>
    <paragraph num="(1)">
      <text>Pre-approved providers shall submit continuing education courses or programs to the Board within 30 days before commencement of the course or program date.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A course or program conducted by a pre-approved provider is considered approved without further review, provided that the course or program meets the subject-matter requirements of §D of this regulation.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The Board shall post the list of pre-approved providers on the Board's website for public view.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Non-Pre-Approved Providers.</text>
    <paragraph num="(1)">
      <text>Non-pre-approved providers shall submit continuing education courses or programs to the Board 60 days prior to commencement of course or program date for review.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Board shall formally respond to submittals in a timely manner.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The process for submission for approval shall be published on the Board’s website.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The Board shall post the list of approved courses or programs from non-pre-approved providers on the Board's website for public view.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>For license renewal credit, the Board may approve a course or program consisting of one of the following subjects or a combination of these subjects:</text>
    <paragraph num="(1)">
      <text>Chiropractic principles and adjusting techniques;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Chiropractic ethics and jurisprudence;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>X-ray quality assurance program;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Diagnostic imaging;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Physical diagnosis;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Clinical laboratory diagnosis;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Orthopedic diagnosis;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Neurological diagnosis;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Rehabilitative procedures;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Nutritional diagnosis;</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Physical therapy;</text>
    </paragraph>
    <paragraph num="(12)">
      <text>Risk management;</text>
    </paragraph>
    <paragraph num="(13)">
      <text>Cultural competency or diversity awareness; or</text>
    </paragraph>
    <paragraph num="(14)">
      <text>A subject with clinical application approved by the Board.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Term of Approval.</text>
    <paragraph num="(1)">
      <text>The Board shall approve a course or program for a period of 5 years.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>At the expiration of the 5-year approval period, the provider:</text>
      <paragraph num="(a)">
        <text>May resubmit the course or program; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Shall meet the approval requirements of this regulation.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A licensee may:</text>
    <paragraph num="(1)">
      <text>Submit a request for review of continuing education from the Board if the:</text>
      <paragraph num="(a)">
        <text>Continuing education is not already approved or disapproved by the Board; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Licensee submits a request to the Board at least 60 days prior to the commencement of the course or program containing, but not exclusive to, information set forth in this chapter; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Achieve up to 12 hours for verified participation as an instructor, volunteer, or mentor under structured, sponsored courses or programs reviewed and approved by the Board.</text>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>A continuing education processing review fee shall be paid in accordance with COMAR 10.43.06.02.</text>
  </paragraph>
  <paragraph num="H.">
    <text>A continuing education course may not exceed 12 hours during any renewal period.</text>
  </paragraph>
  <paragraph num="I.">
    <text>In addition to the required hours of continuing education set forth in this chapter, a licensee or registrant shall maintain a current CPR certification at the healthcare provider level from a Board-approved CPR provider for each renewal period.</text>
  </paragraph>
  <paragraph num="J.">
    <text>Approved credits are not transferable and are acceptable toward fulfillment of the continuing education requirement only in the renewal period in which the approved credits are earned.</text>
  </paragraph>
</regulation>