332-020-0010 Continuing Education (1) Standard Continuing Education Renewal Requirements: To maintain licensure, an LDM must complete at least 35 continuing education hours every two years from the date of initial licensure, and every two years thereafter. Continuing education under this rule must be related to the services listed in ORS 687.405, cultural competency, patient charting, ethics, communication, or professional development. (2) In addition to the requirements listed in section (1) of this rule five of the 35 hours listed in subsection (1) of this rule must be related to legend drugs and devices pursuant to OAR Chapter 332, Division 26, which must include at least one (1) of the following: (a) Pharmacology covering drugs listed in ORS 687.493, OAR 332-026-0010 and 332-026-0020. (b) Administration of medications through injection. (c) Advanced treatment of shock. (d) Intravenous therapy. (e) Suturing. (3) Initial Legend Drugs and Devices Continuing Education: An LDM must complete 40 hours of instruction in an approved curriculum prior to purchasing or administering legend drugs and devices listed in OAR Chapter 332, Division 26 of these rules or by the date of first renewal following initial licensing as an LDM. The initial continuing education is comprised of theory, hands-on practice, and skills testing for competency which must include: (a) 10 hours in pharmacology, covering drugs listed in ORS 687.493, OAR Chapter 332, Division 26 including; (b) Four hours of administration of medications through injection; (c) Four hours in advanced treatment of shock; (d) 12 hours in intravenous therapy; and (e) 10 hours in suturing. (4) In addition to the requirements listed in subsection (1) of this rule and in accordance with ORS 687.425, an LDM who has attended fewer than five births in the previous renewal year must obtain an additional 10 hours of continuing education separate from all other continuing education requirements. The additional 10 hours of continuing education must be obtained during the next license renewal cycle. The additional 10 hours of continuing education must be related to subjects listed in subsection (1) of this rule. An example pertaining to the timing of when the additional 10 hours of continuing education must be obtained is: An LDM who held a license from April 2018 to April 2019 who attended fewer than five births during that time period must obtain an additional 10 continuing education hours between April 2019 and April 2020. (5) Continuing education may be obtained through online courses, attendance at lectures, sessions, courses, workshops, symposiums seminars or other presentations offered by: (a) Institutions or programs accredited by a federally recognized accrediting body; (b) Institutions or programs approved by the Oregon Higher Education Coordinating Commission; (c) An organization offering continuing medical education opportunities, including legend drugs and devices training, including but not limited to, Accreditation Council for Continuing Medical Education, MEAC accredited or pre-accredited schools and the Oregon Midwifery Council; or (d) Any Board-approved professional organization, or association, hospital, or health care clinic offering continuing education related to the subject matter listed in subsection (1) or (7) of this rule. (6) Continuing education relating to the subject matter listed in subsection (1) of this rule may also be obtained through research, authorship or teaching, provided that no more than half the required hours be in research, authorship or teaching. (7) Up to 10 hours of continuing education relating to subject matter listed in subsection (1) of this rule may be completed through self-study that may include clinical service learning. Documentation substantiating the completion of continuing education through self-study must be submitted on forms provided by the Office. (8) Notwithstanding any other continuing education requirements and of the 35 continuing education hours listed under subsection (1) of this rule, in order to be eligible to renew a license, an authorization holder must obtain one hour of continuing education in cultural competency (CCCE) every other time the authorization is subject to renewal. The requirement of this paragraph is effective on and after July 1, 2021. The CCCE must be either: (a) Approved by the Oregon Health Authority; or (b) Meet the skills requirements established by the Oregon Health Authority by rule; or (c) One of the educational institutions or organizations listed in subsection (4) of this rule which are in compliance with one of the requirements listed in subsection (8) of this rule. (9) The Board encourages completion of required CCCE from the approved list promulgated by the Oregon Health Authority, available on the Board’s website. The Board shall also accept CCCE that is not obtained from the Oregon Health Authority’s approved list, to the extent the Board determines the CCCE meets the skills requirements established by the Oregon Health authority in rules that are effective at the time the CCCE is obtained. (10) Section (8) does not apply to authorization holders who are: (a) Retired and not practicing the profession in any state; (b) Not practicing the profession in this state; or (c) Residing in this state, but not practicing in the profession in any state. (11) Obtaining and maintaining proof of participation in continuing education is the responsibility of the licensee. The licensee must ensure that adequate proof of attainment of required continuing education is available for audit or investigation or when otherwise requested by the Office. Adequate proof of participation is listed under OAR 332-020-0015(3). (12) Hours of continuing education that are obtained in excess of the minimum requirements listed in this rule will not be carried forward. (13) Documentation of participation in continuing education requirements must be maintained for five years following renewal and must be available to the Office upon request. (14) For the purpose of this rule, continuing education must include periods of continuous instruction and education. One hour of continuing education is one hour of actual class time, not to include breaks, rest periods, travel, registration or meals. (15) A copy of Board-approved curriculum objectives January 2021 Legend Drugs and Devices Program is available at the Health Licensing Office or on the Office website. Payment of administrative fees may be required. Refer to OAR 331-010-0030 for applicable public record request fees. (16) Requirements listed under OAR 332-020-0000 cannot be used towards the continuing education requirements listed in this rule. Statutory/Other Authority: ORS 687.425, ORS 676.615 & ORS 676.850 Statutes/Other Implemented: ORS 687.425 & ORS 676.850 History: DEM 1-2021, amend filed 05/21/2021, effective 06/01/2021 DEM 3-2019, amend filed 12/19/2019, effective 01/01/2020 DEM 1-2017, f. & cert. ef. 8-15-17 DEM 2-2015, f. & cert. ef. 7-1-15 DEM 2-2014, f. 12-31-14, cert. ef. 1-1-15 DEM 2-2013, f. 12-30-13, cert. ef. 1-1-14 DEM 1-2013(Temp), f. 7-10-13, cert. ef. 7-12-13 thru 1-8-14 DEM 5-2010, f. 12-30-10, cert. ef. 1-1-11 DEM 1-2009, f. 3-31-09, cert. ef. 4-1-09 DEM 2-2008(Temp), f. 9-15-08 cert. ef. 10-1-08 thru 3-30-09 DEM 1-2004, f. 6-29-04, cert. ef. 7-1-04 DEM 1-2002, f. 2-25-02 cert. ef. 3-1-02 DEM 1-2001(Temp), f. & cert. ef. 10-1-01 thru 3-29-02 DEM 1-1994, f. & cert. ef. 6-15-94 DEM 1-1993(Temp), f. & cert. ef. 12-22-93