<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 13A.06.08.04" title_num="13A" subtitle_num="06" chapter_num="08" heading="Training.">
  <paragraph num="A.">
    <text>Each local school system shall train each coach in concussion risk and management. At a minimum, the coach’s training shall include:</text>
    <paragraph num="(1)">
      <text>The nature of the risk of a brain injury;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The risk of not reporting a brain injury;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Criteria for removal and return to play;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Understanding concussions;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Recognizing concussions;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Signs and symptoms; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Response and action plan.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Each school system shall require a certificate of completion from a coaches’ training course with refresher training every 2 years as a condition of coaching employment.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Each school system shall require all Physical Education teachers to provide a certificate of completion of concussion education training.</text>
  </paragraph>
</regulation>