Hawaii Administrative Rules › Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS › Chapter 76 - CHIROPRACTORS › Subchapter 2 - PROCESSING APPLICATION FOR LICENSE › Section 16-76-8 - Educational requirements

Current through June, 2024
(a) Each applicant
				for chiropractic licensure shall present evidence of having attended and
				graduated from a chiropractic college accredited by, or recognized as a
				candidate for accreditation by the Council of Chiropractic Education (CCE), or
				any chiropractic college accrediting agency recognized by the United States
				Department of Education (USDOE). Any student who has matriculated in a degree
				granting chiropractic college prior to October 15, 1984, shall be exempted from
				this provision.
(b) Each applicant
				shall furnish proof of having acquired a minimum of sixty semester hours, or
				equivalent, of college credit leading toward a baccalaureate degree at an
				institution or institutions accredited at the college level by an accrediting
				body that has been listed as nationally recognized by the USDOE.
(c) Doctor of chiropractic degree programs
				(including clinical experience) shall provide a curriculum designed and
				implemented in a manner in which students are able to integrate relevant
				information presented in the basic, clinical, and chiropractic sciences with
				the clinical, laboratory, and patient care experiences in clinical decision
				making. The total curriculum shall include a minimum of four thousand two
				hundred fifty-minute hours of the following:
(1) The courses offered in the curriculum
				include, but are not limited to, at least the following subjects: anatomy;
				biochemistry; physiology; microbiology; pathology; public health; physical,
				clinical and laboratory diagnosis; gynecology; obstetrics; pediatrics;
				geriatrics; dermatology; otolaryngology; diagnostic imaging procedures;
				psychology; nutrition; biomechanics; orthopedics; first aid and emergency
				procedures; spinal analysis; philosophy, principles and practice of
				chiropractic; adjustive techniques; research methods and procedures; and
				professional practice ethics;
(2)
				Courses offered in the curriculum shall be taught in sufficient depth to
				fulfill the standards of the doctor of chiropractic program as set forth by the
				CCE or any chiropractic accrediting agency recognized by the USDOE;
(3) The chiropractic program shall require
				its doctor of chiropractic degree candidates, as conditions of graduation, to
				have met the following quantitative clinic requirements:
(A) Performed, in the clinical setting, at
				least twenty-five examinations with case history for the purpose of developing
				a diagnostic or clinical impression of the status of the patient relative to
				chiropractic care;
(B) Performed
				and interpreted, ordered and interpreted, or interpreted, in the clinical
				setting, at least twenty-five area radiographic (diagnostic imaging)
				examinations with written reports of findings;
(C) Interpreted, while in the degree program,
				clinical laboratory tests to include at least twenty-five urinalysis, twenty
				hematology procedures such as complete blood counts, and ten clinical
				chemistry, microbiology or immunology procedures or profiles on human blood and
				other body fluids;
(D) Demonstrated
				an ability to palpate specific anatomical landmarks associated with spinal
				segments and other articulations; selected and effectively utilized palpatory
				and other appropriate methods to identify subluxations of the spine and other
				articulations; performed a minimum of two hundred fifty adjustments (or
				manipulations), at least two hundred of which must be spinal, occurring during
				at least two hundred fifty separate patient care visits;
(E) Integrated the elements of the basic,
				chiropractic, clinical sciences and clinical instruction into clinical
				decisions;
(F) Ordered, performed,
				and integrated the data utilizing appropriate services from those listed above
				for case management and follow-up for a minimum of ten different outpatients;
				and
(G) Demonstrated proficiency
				upon completion of the course of study in the clinical competencies consistent
				with the CCE Standards or any chiropractic accrediting agency recognized by the
				USDOE.
The board shall establish an addendum to the rules which
				  shall list specific courses as examples of the courses addressed in (1) for the
				  purpose of clarification and which may from time to time be amended to reflect
				  current trends and changes in chiropractic curriculum. The board shall refer to
				  these changes in the minutes of its meetings.
(4) Programs accredited by the CCE or any
				accrediting agency recognized by the USDOE may be deemed approved by the
				board.
(5) This approval may be
				subject to review if there are changes in the program's or the accrediting
				body's philosophy, curriculum, or objectives, or at any time the board
				determines it necessary for good cause.