Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices › Section 10.32.09.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. In this chapter,
				  the following terms have the meanings indicated.
B. Terms Defined.
(1) "ACCME" means the Accreditation Council
				  on Continuing Medical Education.
(2) "ACGME" means the Accreditation Council
				  for Graduate Medical Education.
(3)
				  "AOA" means the American Osteopathic Association.
(4) Cosmetic Medical Device.
(a) "Cosmetic medical device" means a device
				  that alters or damages living tissue.
(b) "Cosmetic medical device" includes any of
				  the following items, when the item is used for cosmetic purposes:
(i) Laser;
(ii) Device emitting light or intense pulsed
				  light;
(iii) Device emitting radio
				  frequency, electric pulses, or sound waves; and
(iv) Devices used for the injection or
				  insertion of foreign or natural substances into the skin, fat, facial tissue,
				  muscle, or bone.
(5) Cosmetic Medical Procedure.
(a) "Cosmetic medical procedure" means a
				  procedure using a cosmetic medical device or medical product to improve an
				  individual's appearance.
(b)
				  "Cosmetic medical procedure" includes the following:
(i) Skin treatments using lasers;
(ii) Skin treatments using intense pulsed
				  light;
(iii) Skin treatments using
				  radio frequencies, microwave, or electric pulses;
(iv) Chemical peels that ablate living skin
				  tissue;
(v) - (ix) (text
				  unchanged)
(vi)
				  Dermabrasion;
(vii) Subcutaneous,
				  intradermal, or intramuscular injections of medical products;
(viii) Treatments intended to remove or cause
				  destruction of fat; and
(ix) Any
				  treatment using a cosmetic medical device for the purpose of improving an
				  individual's appearance.
(6) "Delegate" means to entrust a duty to a
				  physician assistant under Health Occupations Article, Title 15, Annotated Code
				  of Maryland.
(7) "Delegation" means
				  the entrusting of a duty by a physician to a physician assistant under Health
				  Occupations Article, Title 15, Annotated Code of Maryland.
(8) "Dermabrasion" means an abrasive process
				  to remove epidermis and superficial dermis, resulting in a smoothing of contour
				  irregularities.
(9) "Direct
				  supervision" means oversight exercised by a supervising physician who is:
(a) In the physical presence of a
				  non-physician and a patient; and
(b) Instructing the non-physician in the
				  performance of a cosmetic medical procedure, or observing the performance of a
				  non-physician being trained in the procedure.
(10) "Immediately available supervision"
				  means the responsibility of a licensed physician to provide necessary direction
				  in person, by telephone, or by other electronic means.
(11) "Non-Physician" means an individual who:
(a) Meets the requirements of Regulation .04
				  of this chapter; and
(b) Is not
				  licensed in Maryland as a physician.
(12) "On-site supervision" means oversight
				  exercised by a supervising physician who is:
(a) Present at the site; and
(b) Able to respond in person during a
				  delegated or assigned cosmetic medical procedure.
(13) "Physician assistant" means a physician
				  assistant with a current certificate to practice in Maryland.