4734-6-04 Preceptorships.
(A)
TheIn accordance with section 4734.27 of the Revised Code, the board may approve the limited practice of chiropractic in this state by a student intern of a boardauthorizedapproved doctor of chiropracticeducational institutiondegree program or institution that offersan approveda preceptorship program.The chiropracticeducational institution, the intern, and the practice of chiropractic by the internmust meet the criteria established by the board.(B) Definitions.
(1) Preceptorship program is a clinical program in which chiropractic interns participate under direct supervision of
aan Ohio licensed chiropractic physician who has been approved byan authorizeda doctor of chiropracticeducational institutiondegree program and the board to serve as a preceptor.(2)
Authorized chiropractic educational institution is a board approved chiropracticeducational institution permitted to engage in preceptorship programs underthese rules.(3)
Approved program is a preceptorship program approved by the board andconducted under the auspices of an authorized chiropractic educationalinstitution as outlined in section 4734.21 of the Revised Code.(4)(2) Preceptoror extension faculty memberisaan Ohio licensed chiropractic physicianwho has beenappointed to the extension faculty ofan authorizedadoctor of chiropractic
educational institutiondegree programand
has beenapproved by the board to provide direct supervision of the limited practice of chiropractic in this state by a student intern.
(5)(3) Intern is an individual enrolled inan authorizeda doctor of chiropracticeducational institutiondegree program who has completed all requirements for the doctor of chiropractic degree except for the final clinical phase of the program and is approved by the board to practice chiropractic in Ohio in accordance with section 4734.27 of the Revised Code.(6) A limited license is a certificate issued by the board to an applicant who hassuccessfully completed all requirements for the doctor of chiropractic degreeexcept for the final clinical phase of the program and who has met therequirements of section 4734.27 of the Revised Code and this chapter of theAdministrative Code.(7)(4) Direct supervision of an intern means initial and ongoing direction, procedural guidance, observation, and evaluation bya licensed chiropracticphysicianthe approved preceptor who shall remain on the premises and shallsupervise and monitor the intern's performance.
(8) Board shall mean the Ohio state chiropractic board.(C) Preceptorship program approval.
(1) The board shall consider the degree of consumer protection provided by the defined standards and practices of the
chiropractic educational institution'spreceptor program, as well as the degree of consumer protection demonstrated by the actual operation of thechiropractic educationalinstitution's preceptorprogram.(2) The board shall approve a
chiropractic educational institutionpreceptorship program that meets all of the following criteria:(a) The
preceptorshipprogram is conducted by a doctor of chiropracticeducational institutiondegree program approved by the board.(b) The
preceptorshipprogram is an established component of the curriculum of the doctor of chiropracticeducational institutiondegree program.(c) The
preceptorshipprogram operates in a setting where chiropractic services are typically and traditionally provided and where each preceptor's practice will provide the intern with an adequately diverse, broad, and extensive clinical experience utilizing practice procedures that include appropriate history, physical examinations and diagnostic procedures.(d) The
preceptorshipprogram is certified by the doctor of chiropracticeducational institutiondegree program, on forms prescribed by the board, to meet all the following:(i) All interns who participate in the preceptorship program are in the last semester, trimester or quarter of their education and have met all requirements for graduation from the doctor of chiropractic
educational institutiondegree program except for the completion of the preceptorship period;(ii) No
chiropractic physician who is apreceptor shall supervise more than one intern simultaneously;(iii) All
chiropractic physicians who participate aspreceptors arefaculty orextension faculty of the doctor of chiropracticeducational institutiondegree program; and(iv)
That theThe preceptor and the intern have agreed on the goals of the preceptorship program to be completed by the intern.(3)
The chiropractic educational institution shall send quarterly lists to the boardidentifying the preceptor and intern participants in the approved peceptorshipprogram.(D) Preceptor approval.
(1) The board
shallmay approve a chiropractic physician to be a preceptor if the chiropractic physician certifies to the board, on forms prescribed by the board, that he or she meets all of the following conditions:(a) The
preceptorlicensee has been continuously licensed and actively practicing in Ohio forthe previousseven years preceding the date of application ;, that there are no pending disciplinary actions ormalpractice claims against the preceptor, and that there have been nodisciplinary actions taken against the preceptor.(b) The licensee has no pending disciplinary action;
(c) Within the seven years preceding the date of application there have been no malpractice payment reports and no disciplinary action in any jurisdiction against the licensee;
(b)(d) Thepreceptorlicensee is a member of thefaculty orextension faculty of the doctor of chiropracticeducational institutiondegree program from which the preceptor will accept an intern into a preceptorship program.;(c)(e) Thepreceptorlicensee will assume responsibility for the practice of the intern.;(d)(f) Thepreceptorlicensee shows proof of current valid malpractice insurance.(2)
The preceptor's practice must provide the intern with an adequately diverse,broad, and extensive clinical experience.(3)
The preceptor utilizes practice procedures that include appropriate history,physical examinations and diagnostic procedures.(4)(2) The preceptor is approved by the intern's doctor of chiropracticeducationalinstitutiondegree program and subject to the board's approval.(a) The
preceptor understands and agrees that theboard shall have the right to refuse to allow, or withdraw its approvalfor, any licenseeof theto act asapreceptor at any time.(E) Intern approval.
(1) Each
applicantintern shall apply for a special limited license to participate in a board-authorizedapproved preceptorship program and shall submit on board prescribed forms satisfactory evidence of his or her qualifications as prescribed by section 4734.27 of the Revised Code and this rule. Applications shall be signed by the applicant in his or her own handwriting and acknowledged before a notary public. Incomplete applications will not be considered and will be returned to the applicant with the notation application incomplete.(2) It
shall beis the responsibility of the applicant to furnish the necessary credentials, facts and materials as the board deems necessary or as required by law. Submission of credentials does not guaranteeacceptanceapproval.(3) A complete application including a non-refundable application fee in the amount of seventy five dollars made payable to the treasurer, state of Ohio, and all required credentials must be filed with the board postmarked no later than fourteen days before the intended initiation of the scheduled preceptorship.
(4) An application for a
temporaryspecial limited license shall include the following:(a) An attestment from the academic dean that the applicant is in good academic standing at the
authorizeddoctor of chiropracticeducationalinstitutiondegree program and has completed all requirements for the doctor of chiropractic degree except for the clinical phase of the program;(b)
Three letters of recommendation, on forms prescribed by the board, fromtwo professors and a dean of the intern's authorized chiropracticeducational institution, attesting to the intern's good moral character andclinical proficiency. Said letters shall be submitted directly to the boardby the individuals making the recommendations.(c)(b) A passport type photograph taken within the preceding six months. The photo is to be signed by the applicant on the back of the photograph. All photographs shall be no smaller than two inches by two inches and no larger than three inches by five inches.(5) Applicants
for this limited licensehave an ongoing obligation to update and supplement all information provided to the board in writing withinthirtyten days of any change.(6)
Each applicant for a limited license to participate in a board-authorizedpreceptorship program will be required to sign an affidavit under oath thatthey have fully reviewed and understand and will abide by Chapter 4734. ofthe Revised Code and agency 4734 of the Administrative Code.(7)(6) The board may refuse or deny an applicant for a limited license to participate in a board-authorized preceptorship program in this state if the applicant does not meet the licensure requirements as outlined in section 4734.27 of the Revised Code or this rule, or if the applicant has committed any act which indicates that the applicant does not possess the character and fitness to practice chiropractic, including any act that would be grounds for disciplinary action as outlined in section 4734.31 of the Revised Code. The burden of proof is on the applicant to prove by clear and convincing evidence to the board that he or she meets the conditions for licensure.(8)(7) Any applicant that the board proposes to refuse or deny limited licensure shall be entitled to a hearing on the question of such proposed refusal or denial. Notice and hearing requirements incident to such proposed refusal or denial shall be in compliance with the provisions of Chapter 119. of the Revised Code and Chapter 4734-4 of the Administrative Code.(9)(8) The board may take disciplinary action against any intern upon proof, satisfactory to the board, that the intern has engaged in practice in this state outside the scope of the preceptorship program for which he or she has been approved, or upon other proof, satisfactory to the board, that the intern has engaged in conduct that is grounds for action under Chapter 4734. of the Revised Code.(10)(9) Any violation of Chapter 4734. of the Revised Code or agency 4734 of the Administrative Code by the intern constitutes grounds for the board to:(a) Prohibit the intern from taking the examination for licensure; and
(b) Take appropriate disciplinary action against the supervising preceptor.
(F) Preceptorship standards and procedures.
(1) The preceptor shall exercise direct on-premises supervision of the intern at all times during which the intern is engaged in any facet of patient care in the preceptorship program.
(2) The preceptor shall identify the intern to the patients of the preceptorship practice in such a way that no patient will be misled as to the status of the intern.
(3)
The preceptor shall obtain written informed consent from each patient or parentor guardian of each patient prior to initiating examination and or treatment ofthat patient by the intern.(4)(3) At all times when an intern is providing direct chiropractic care to a patient the intern shall display a name badge identifying the intern's status as an intern.(5)(4) The preceptor must monitor and track the intern's activity and regularly evaluate the intern's performance.(6)(5) Interns may assist preceptors in the performance of those duties that are lawful and ethical under Chapter 4734. of the Revised Code and agency 4734 of the Administrative Code including but not limited to physical examinations, patient consultation, x-rayexaminationsinterpretation, specific chiropractic adjustment procedures and physical therapeutics. An intern shall not perform radiologic procedures without a valid general x-ray operator license issued by the Ohio department of health.(7)(6) Interns are required to document all patient encounters in a logbook. Entries shall be made for all patient encounters, including observation. These entries should accurately reflect patient identification, involvement, and services rendered.(a) Copies of logbook entries may be requested by the
state chiropracticboard at any time.(b) Failure to provide logbook copies upon request by the board or falsification of logbooks
willmay result in punitive measures.(8)(7)It is the responsibility of theThe preceptortoshall maintain copies of all logbook records for one year followinggraduation from the chiropracticeducational institution orconclusion of the preceptorship program.(9)(8) The board may conduct random inspections of a preceptor site, including inspection of all pertinent documents to determine whether the program maintains the minimum standards required by the board.(G) Preceptorship prohibitions.
(1) In addition to the prohibitions set forth in Chapter 4734. of the Revised Code and agency 4734 of the Administrative Code, an intern shall not:
(a) Diagnose the condition of a patient;
(b) Establish a plan of treatment or prognosis for a patient;
(c) Perform any service, except at the direction and supervision of an approved preceptor;
(d) Bill independently of the supervising preceptor for any service rendered; or
(e) Sign insurance forms or any other forms which require a licensed chiropractic physician's signature.
(H) Preceptorship termination.
(1) A preceptorship shall terminate upon the occurrence of the earliest applicable of the following:
(2) An intern participating in a preceptorship program graduates from the doctor of chiropractic
educational institution operating the programdegree program;(3) An intern is formally charged with a criminal offense, the circumstances of which substantially relate to the practice of chiropractic.
(4) An intern is found to have violated the statutes or administrative rules pertaining to the practice of chiropractic.
(5) An intern is formally named in a civil or malpractice action.
(I) Any change in preceptor must be pre-approved by the board in writing.
Effective: 05/25/2014
R.C. 119.032 review dates: 03/10/2014 and 05/25/2019
CERTIFIED ELECTRONICALLY
Certification
05/15/2014
Date
Promulgated Under: 119.03
Statutory Authority: 4734.10, 4734.27
Rule Amplifies: 4734.27
Prior Effective Dates: 9/3/02, 8/1/07 , 4/5/09
Document Information
- Effective Date:
- 5/25/2014
- File Date:
- 2014-05-15
- Last Day in Effect:
- 2014-05-25
- Five Year Review:
- Yes
- Rule File:
- 4734-6-04_PH_FF_A_RU_20140515_1633.pdf
- Related Chapter/Rule NO.: (1)
- Ill. Adm. Code 4734-6-04. Preceptorships