<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.53.05.02" title_num="10" subtitle_num="53" chapter_num="05" heading="Standards of Practice.">
  <paragraph num="A.">
    <text>An electrologist shall be primarily concerned with the welfare of the patient.</text>
  </paragraph>
  <paragraph num="B.">
    <text>An electrologist shall seek professional treatment and refrain from the practice of electrology, if the electrologist suffers from a physical, mental, emotional, or chemical impairment which negatively impacts the electrologist's ability to practice electrology.</text>
  </paragraph>
  <paragraph num="C.">
    <text>An electrologist shall:</text>
    <paragraph num="(1)">
      <text>Use professional discretion and integrity in relationships with other members of the health care community;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Engage in professional conduct at all times, with honesty, integrity, self-respect, and fairness;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Remain free from conflicts of interest, fulfill the objectives, and maintain the integrity of the electrology profession;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide accurate fee information to:</text>
      <paragraph num="(a)">
        <text>Patients;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Individuals responsible for payment for treatment; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Insurers;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Respect a patient's dignity, autonomy, and privacy; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Practice electrology only as defined in the scope of practice set forth in Health Occupations Article, Title 8, Annotated Code of Maryland, and remain in compliance with all federal, State, and local laws governing the practice of electrology.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Relationships with Patients. An electrologist shall:</text>
    <paragraph num="(1)">
      <text>Use professional judgment in evaluation and treatment procedures;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Make a full disclosure to each patient who cannot reasonably be expected to benefit from treatment;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Terminate a professional relationship with a patient in an appropriate manner;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Upon termination:</text>
      <paragraph num="(a)">
        <text>Provide the patient with sufficient notice to permit the patient to obtain the services of another professional; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If appropriate, assist the patient by providing referrals;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Maintain written records of a patient under the electrologist's care for at least 7 years after termination of treatment;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Make a patient's records available to the patient upon request, complying with applicable laws for disclosure of medical records;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Arrange for another professional to provide for the needs of patients during anticipated absences when the electrologist would be unavailable to patients;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Accurately inform patients, other health care professionals, and the public of the limitations of the practice of electrology;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Adequately assess each patient before beginning treatment to determine if contraindications against treatment exist; and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Exercise independent professional judgment in the treatment or evaluation, or both, of patients, regardless of whether the patient was referred by another health care provider.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Records, Confidentiality, and Informed Consent. An electrologist shall:</text>
    <paragraph num="(1)">
      <text>Respect and maintain the privacy and confidentiality of each patient;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Disclose patient records or information about a patient only with the patient's consent or as required by law;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Adequately safeguard confidential patient information, and properly store and dispose of records;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide sufficient information to a patient to allow the patient to make informed decisions regarding treatment, including:</text>
      <paragraph num="(a)">
        <text>The purpose and nature of any evaluation or treatment regimen;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Alternatives to treatment;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Side effects and benefits of any treatment regimen proposed and alternatives to that treatment;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The estimated cost of treatment;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The right of the patient to withdraw from treatment at any time, as well as the risks associated with withdrawing from treatment;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The patient's right to decline to participate in treatment if any aspect of the treatment will be recorded, documented, photographed, observed, or otherwise used in any educational or other program; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Participating in research programs only if the programs comply with federal and State laws and only under the following conditions:</text>
        <paragraph num="(i)">
          <text>Informed consent of the patient is obtained;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>There is no direct or implied penalty for the patient's refusal to participate; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The patient's autonomy and dignity are respected.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Maintain medical records in accordance with Health-General Article, Title 4, Subtitle 4, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Treatment.</text>
    <paragraph num="(1)">
      <text>An electrologist may not perform treatments or provide services which:</text>
      <paragraph num="(a)">
        <text>The electrologist is not qualified to perform; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Are beyond the scope of the electrologist's education, training, capabilities, experience, and scope of practice.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>An electrologist shall obtain additional training, information, and supervision as needed:</text>
      <paragraph num="(a)">
        <text>To perform a new electrology technique or service in a new specialty area; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>To employ a new treatment modality.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>An electrologist shall maintain current licensure to practice electrology and satisfy continuing education requirements established by the Board.</text>
    </paragraph>
  </paragraph>
</regulation>