The curriculum shall meet criteria as stated under COMAR 10.65.01.07. Changes in course offerings that will alter the curriculum, objectives, outcomes, competencies, or conceptual framework of the program shall: Be reported to the Board in the annual report; and Include the following information: The rationale for changes; and The methods of evaluation to be used to determine the effect of the change. Clinical learning experiences shall be sufficient in quantity and quality to provide opportunities for students to achieve the stated objectives, outcomes, or competencies. Students shall have sufficient opportunities to develop the knowledge, skills, and abilities essential for a safe and effective massage therapy practice. Evaluation methods and tools used for measuring students’ knowledge, skills, and abilities shall be developed and implemented in order to ensure satisfactory progression of students.