reglab/statecodes huggingface dataset:
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.09 - Scope of Practice - Radiography

Current through Register Vol. 51, No. 14, July 12, 2024
A. The scope of practice of radiography
				  includes the following:
(1) Analysis and
				  correlation of procedure requests and clinical information provided by a
				  physician or patient, or both, for preprocedure determination of the
				  appropriate exam, its extent, and its scope;
(2) Evaluation of the physical and emotional
				  status of the patient with respect to the ability to undergo the procedure
				  requested;
(3) Selection,
				  preparation, and operation of radiography equipment and accessories to perform
				  procedures;
(4) Positioning patient
				  to best demonstrate anatomy of interest, while respecting patient's physical
				  limitations and comfort;
(5)
				  Determination of radiographic exposure factors, setting of factors on control
				  panel, and application of x-ray exposures;
(6) Application of radiation protection
				  principles to minimize radiation exposure to patient, self, and
				  others;
(7) Evaluation of images
				  for technical quality;
(8)
				  Performance of noninterpretive fluoroscopic procedures according to
				  institutional policy;
(9) Oversight
				  of image processing standards and the appropriate labeling of images;
(10) Administering contrast media after
				  consultation with, and under the supervision of, a physician who is immediately
				  and physically available; and
(11)
				  Performing any other duties that the Board determines may be performed by a
				  radiographer.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.10 - Scope of Practice - Nuclear Medicine Technology

Current through Register Vol. 51, No. 14, July 12, 2024
A. The scope of practice of nuclear medicine
				  technology includes the following:
(1) Scope
				  of practice for diagnostic in-vivo procedures and in-vitro procedures which
				  includes:
(a) Analysis and correlation of
				  procedure request and clinical information provided by the referring physician
				  or patient, or both, for determination of appropriate exam, extent, and
				  scope;
(b) Evaluation of the
				  physical and emotional status of the patient with respect to the ability to
				  undergo the procedure requested;
(c) Immediate predose review of patient's
				  identification, prescribed dose quantity and route of administration, and
				  identification of the test agent designed to prevent dose
				  misadministration;
(d) Preparation
				  of the appropriate radiopharmaceutical with measurement of dose
				  activity;
(e) Administration of
				  appropriate diagnostic dose levels of radiopharmaceuticals;
(f) Administration of nonradioactive
				  pharmaceuticals utilized in conjunction with a nuclear medicine imaging or
				  in-vivo procedure, for example, cholecystokinin, furosemide, vitamin B12, in
				  accordance with hospital or facility procedures, excluding narcotic and
				  sedating medication;
(g) Selection
				  of appropriate imaging or test parameters, or both;
(h) Obtaining images according to established
				  protocols and any special views to optimize information as
				  appropriate;
(i) Placement of
				  patient in proper position using supportive materials and immobilizer as
				  necessary;
(j) Assuring appropriate
				  image labeling as to patient identification, position, and appropriate anatomic
				  land marks for each view;
(k)
				  Evaluation of images or data, or both, for technical quality;
(l) Recognition of unusual variances in the
				  images or data, or both, caused by instrumentation malfunction and initiating
				  appropriate action;
(m) Monitoring
				  of patient and equipment during procedure for determination and application of
				  any corrective actions necessary;
(n) Monitoring of data collection and
				  processing and performance of technical analysis of test results;
(o) Preparation and performance of laboratory
				  in-vivo nuclear medicine procedures, inclusive of the selection and operation
				  of laboratory counting equipment, performance of calculations and data
				  processing necessary for completion of lab procedures and the submission of
				  results to the physician or licensee;
(p) Oversight and application of image
				  development; and
(q) Performance of
				  in-vitro testing of serum, plasma, or other body fluids using radio
				  immunoassay, or similar ligand assay methods;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.11 - Scope of Practice - Radiologist Assistant

Current through Register Vol. 51, No. 14, July 12, 2024
A. The scope of practice of a radiologist
				  assistant includes the following activities to obtain the clinical history and
				  physical examination of the patient:
(1)
				  Review the patient's medical record to verify the appropriateness of a specific
				  exam or procedure;
(2) Interview
				  the patient to obtain, verify, or update medical history;
(3) Explain procedure to the patient or
				  significant others, including a description of risks, benefits, alternatives,
				  and follow-up;
(4) Obtain informed
				  consent;
(5) Determine if the
				  patient has followed instructions in preparation for the exam such as diet and
				  premedications;
(6) Assess risk
				  factors that may be contraindications to the procedure such as health history,
				  medications, pregnancy, psychological indicators, and alternative
				  medicines;
(7) Obtain and evaluate
				  vital signs;
(8) Perform physical
				  examination and analysis of data such as signs and symptoms, laboratory values,
				  and significant abnormalities, as required by the imaging procedure to be
				  conducted; and
(9) Report findings
				  related to Regulation .10A(1)-(5) of this chapter to the supervising
				  radiologist.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.12 - Request for Radiologist Assistant to Perform Advanced Procedures

Current through Register Vol. 51, No. 14, July 12, 2024
A. Eligibility. The
				  Board may grant a radiologist assistant permission to perform one or more of
				  the procedures specified in Regulation .11E of this chapter based on the
				  following criteria:
(1) Evidence of
				  satisfactory completion of an adequate number of cases for the procedure being
				  requested; and
(2) Level of
				  supervision of the radiologist assistant, as specified by the
				  radiologist.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.15 - Investigations, Hearings, and Appeals

Current through Register Vol. 51, No. 14, July 12, 2024
A. Complaints alleging prohibited conduct
				  shall be referred to the Board to be investigated according to the Board's
				  procedures.
B. A hearing on charges
				  issued under Regulation .14A of this chapter or Health Occupations Article,
				  § 14-5 B-14(a), Annotated Code of Maryland, shall be held in accordance
				  with the hearing provisions of Health Occupations Article, §
										14-405, Annotated
				  Code of Maryland.
C. Proceedings
				  for crimes of moral turpitude, under Health Occupations Article, § 14-5
				  B-14(c), Annotated Code of Maryland, or Regulation .14D of this chapter shall
				  be held in accordance with COMAR
				  10.32.02.04F.
D. All other hearings shall be
				  held in accordance with the Administrative Procedure Act.
E. Appeals from a final Board decision shall
				  be taken in accordance with Health Occupations Article, § 14-5 B-14.1,
				  Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.16 - Penalties, Fines, and Sanctioning Guidelines

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board may impose a civil fine of not
				  more than $5,000 on an individual who is not licensed to practice radiation
				  therapy, radiography, nuclear medical technology, or radiology assistance in
				  Maryland if the individual:
(1) Represents to
				  the public in any way that the individual is authorized to practice radiation
				  therapy, radiography, nuclear medicine technology, or radiology
				  assistance;
(2) Practices or
				  attempts to practice radiation therapy, radiography, nuclear medicine
				  technology, or radiology assistance; or
(3) Violates any provision of Health
				  Occupations Article, Title 14, Subtitle 5B, Annotated Code of Maryland, or any
				  regulation in this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.17 - Required Reports

Current through Register Vol. 51, No. 14, July 12, 2024
A. Except as
				  provided in §B of this regulation, an employer of a licensed radiation
				  therapist, licensed radiographer, a licensed nuclear medical technologist, or
				  licensed radiologist assistant shall report to the Board if the employer
				  limits, reduces, or otherwise changes the responsibilities of or terminates a
				  licensed therapist, licensed radiographer, licensed nuclear medical
				  technologist, or licensed radiologist assistant for any reason that might be
				  grounds for disciplinary action under Health Occupations Article, Title 14,
				  Subtitle 5B, Annotated Code of Maryland, or any regulation in this
				  chapter.
B. If the action taken by
				  an employer under §A relates to alcohol or drug impairment, reporting
				  shall be in compliance with Health Occupations Article, § 14-5
				  B-15(b),(c), and (d), Annotated Code of Maryland.
C. A licensed radiation therapist, licensed
				  radiographer, licensed nuclear medical technologist, or licensed radiologist
				  assistant shall notify the licensee's employer of a decision to enter an
				  accredited alcohol or drug treatment program.
D. An accredited alcohol or drug treatment
				  program that is treating a licensed radiation therapist, licensed radiographer,
				  licensed nuclear medical technologist, or licensed radiologist assistant who
				  has given notice to his employer under §C of this regulation shall notify
				  the employer if the licensed radiation therapist, licensed radiographer,
				  licensed nuclear medical technologist, or licensed radiologist assistant is
				  found to be noncompliant with the treatment program's policies and
				  procedures.
E. An individual is not
				  required to make a report under this regulation that would be in violation of
				  any federal or State law, rule, or regulation concerning the confidentiality of
				  alcohol and drug abuse patient records.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.10 - Licensure of Radiation Therapists, Radiographers, Nuclear Medicine Technologists, and Radiation Therapists › Section 10.32.10.18 - Fees

Current through Register Vol. 51, No. 14, July 12, 2024
The following fees are applicable to radiation therapists,
					 radiographers, nuclear medicine technologists, and radiologist
					 assistants:
A. Application for initial
				  licensure fee . . . $150;
B.
				  Renewal Fees:
(1) Renewal of license fee . . .
				  $135; and
(2) Maryland Health Care
				  Commission (MHCC) fee . . . As determined by MHCC under COMAR
				  10.25.03;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the practice of respiratory care.
B. This chapter does not prohibit any
				  respiratory care student who is currently enrolled in an approved respiratory
				  care educational program from performing any of the procedures described in
				  this chapter as part of that program's respiratory care clinical
				  curriculum.
C. This chapter does
				  not prohibit an individual from practicing a health occupation that the
				  individual is authorized to practice under the Health Occupations Article,
				  Annotated Code of Maryland.
D. This
				  chapter does not apply to an individual employed by the federal government as a
				  respiratory care practitioner while the individual is practicing within the
				  scope of that employment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.02 - 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) "AARC" means the American Association for
				  Respiratory Care.
(2) "Accredited
				  respiratory care education program" means a program accredited by the
				  Commission on Accreditation for Respiratory Care or its successor.
(3) "Board" means the Board of
				  Physicians.
(4) "Clinical
				  supervision" means the responsibility of a respiratory care practitioner to
				  exercise on-site or immediately available direction for respiratory care
				  departments, the provision of any respiratory care services, licensed
				  respiratory care practitioners, or students practicing respiratory
				  care.
(5) "Collaboration" means a
				  respiratory care practitioner practicing in association with and under the
				  direction of a physician to plan and implement a regimen of care.
(6) "Committee" means the Respiratory Care
				  Professional Standards Committee of the Board.
(7) "Licensee" means a licensed respiratory
				  care practitioner.
(8) "Mechanical
				  ventilation" means utilizing positive or negative pressure to provide
				  inspiratory support by invasive or noninvasive means.
(9) "National Certifying Board" means the
				  National Board for Respiratory Care, Inc. or its successor.
(10) "Physician" means an individual licensed
				  to practice medicine in Maryland.
(11) "Practice of respiratory care" means the
				  diagnostic evaluation, care and treatment, management, and rehabilitation of
				  patients who have deficiencies and abnormalities which affect the pulmonary
				  system and associated aspects of the cardiopulmonary and other
				  systems.
(12) "Respiratory care
				  practitioner" means an individual licensed by the Board to practice respiratory
				  care.
(13) "Supervision" means the
				  responsibility of a physician to exercise on-site or immediately available
				  direction for a licensed respiratory care practitioner performing delegated
				  medical acts.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.03 - Incorporation by Reference

Current through Register Vol. 51, No. 14, July 12, 2024
The American Association for Respiratory Care Clinical
					 Practice Guidelines (1997) is incorporated by reference.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.04 - Committee

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall
				  establish a Respiratory Care Professional Standards Committee composed of the
				  following individuals:
(1) Three licensed
				  respiratory care practitioners;
(2)
				  One licensed physician whose specialty is thoracic surgery;
(3) One licensed physician whose specialty is
				  pulmonary medicine;
(4) One
				  licensed physician whose specialty is anesthesiology; and
(5) One consumer member who meets the
				  requirements specified in Health Occupations Article, § 14-5 A-06(b),
				  Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.05 - Code of Ethics

Current through Register Vol. 51, No. 14, July 12, 2024
A. A
				  respiratory care practitioner shall:
(1)
				  Practice medically acceptable methods of treatment and may not endeavor to
				  practice beyond the competence and the authority vested in the respiratory care
				  practitioner by the physician;
(2)
				  Continually strive to increase and improve the knowledge and skill to render to
				  each patient the full measure of the respiratory care practitioner's
				  ability;
(3) Be responsible for the
				  competent and efficient performance of assigned duties;
(4) Expose incompetence and illegal or
				  unethical conduct of members of the profession;
(5) Hold in strict confidence all privileged
				  information concerning the patient;
(6) Refer all inquiries to the physician in
				  charge of the patient's medical care;
(7) Accept no gratuities for preferential
				  consideration of the patient;
(8)
				  Guard against conflicts of interest;
(9) Uphold the dignity and honor of the
				  profession and abide by its ethical principles;
(10) Be familiar with existing State and
				  federal laws governing the practice of respiratory care and comply with those
				  laws; and
(11) Cooperate with other
				  health care professionals and participate in activities to promote community
				  and national efforts to meet the health needs of the public.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.06 - Qualifications for Licensure as a Respiratory Care Practitioner

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant
				  shall:
(1) Be 18 years old or
				  older;
(2) Be of good moral
				  character;
(3) Demonstrate spoken
				  and written competency in English by any of the following:
(a) Graduation from a recognized
				  English-speaking high school or undergraduate or graduate school after at least
				  3 years of enrollment;
(b)
				  Graduation from a recognized English-speaking professional school; or
(c) Receipt of a grade of:
(i) At least 79 on the Internet-based Test of
				  English as a Foreign Language; and
(ii) At least 26 on the "Speaking" section of
				  the Internet-based Test of English as a Foreign Language;
(4) Graduate from an accredited
				  respiratory care educational program; and
(5) Have active certification by the National
				  Certifying Board as at least one of the following:
(a) Certified respiratory therapist;
				  or
(b) Registered respiratory
				  therapist.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.07 - Examination

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board may
				  require an applicant for licensure or a licensee to submit to one or more
				  physical, mental, or other examinations, by a physician or evaluation program
				  for treatment of impaired respiratory care practitioners, or both, chosen by
				  the Board to determine the applicant's ability to practice respiratory
				  care.
B. The applicant or licensee
				  shall pay the costs of the evaluations required in §A of this
				  regulation.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.08 - Qualifications for Respiratory Care Practitioners Practicing Polysomnography

Current through Register Vol. 51, No. 14, July 12, 2024
A. A respiratory
				  care practitioner licensed by the Board to practice respiratory care on or
				  before December 31, 2012, whose duties include practicing respiratory care in a
				  sleep laboratory or practicing polysomnography, is not required to obtain an
				  additional license to practice polysomnography.
B. A respiratory care practitioner licensed
				  after December 31, 2012, whose duties include practicing polysomnography shall
				  obtain a separate license to practice polysomnography.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.10 - Standard of Care

Current through Register Vol. 51, No. 14, July 12, 2024
A. In
				  evaluating the standard of care for the practice of a licensed respiratory care
				  practitioner, the Board adopts and incorporates by reference the National
				  Clinical Practice Guidelines published by the American Association of
				  Respiratory Care (AARC).
B. If a
				  particular practice issue has not yet been addressed in the AARC guidelines,
				  the Board may consult with the Maryland/District of Columbia Society for
				  Respiratory Care or any licensed respiratory care practitioner to determine
				  whether a respiratory care practitioner being investigated by the Board is
				  practicing within the acceptable standard of care.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.11 - Renewal, Reinstatement, and Continuing Education

Current through Register Vol. 51, No. 14, July 12, 2024
A. Renewal.
(1) The Board may not renew a license until
				  the Comptroller of Maryland has verified that the individual has paid all
				  undisputed taxes and unemployment insurance contributions, or arranged for
				  repayment, as required by COMAR 10.31.02.
(2) An individual who has been licensed by
				  the Board as a respiratory care practitioner may renew the license every 2
				  years on the date specified by the Board by:
(a) Completing an online renewal application
				  on a form supplied by the Board;
(b) Paying the required renewal fee set by
				  the Board;
(c) Attesting to the
				  completion of at least 16 hours of approved continuing respiratory care
				  education, earned during the 2-year period preceding the expiration of the
				  license for respiratory care, as described in §C of this regulation; and
(d) Meeting any additional renewal
				  requirements set by the Board.
(3) The continuing
				  education requirement applies to all renewal applications after the first
				  renewal.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.12 - Fees

Current through Register Vol. 51, No. 14, July 12, 2024
The following fees are applicable to respiratory care
					 practitioners:
A. Initial licensure
				  fee . . . $200;
B. License renewal
				  fees:
(1) License renewal fee . . . $150;
				  and
(2) Maryland Health Care
				  Commission (MHCC) fee . . . As determined by MHCC under COMAR
				  10.25.02;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.14 - Required Reports

Current through Register Vol. 51, No. 14, July 12, 2024
A. Except as
				  provided in §B of this regulation, an employer of a licensed respiratory
				  care practitioner shall report to the Board within 10 days of the action if the
				  employer limits, reduces, or otherwise changes the responsibilities of or
				  terminates a licensed respiratory care practitioner for any reason that might
				  be grounds for disciplinary action under Health Occupations Article, Title 14,
				  Subtitle 5A, Annotated Code of Maryland, or any regulation in this
				  chapter.
B. If the action taken by
				  an employer under §A of this regulation relates to alcohol or drug
				  impairment, reporting shall be in compliance with Health Occupations Article,
				  § 14-5 A-18(b), (c), and (d), Annotated Code of Maryland.
C. A licensed respiratory care practitioner
				  shall notify the licensed respiratory care practitioner's employer of a
				  decision to enter an accredited alcohol or drug treatment program.
D. An accredited alcohol or drug treatment
				  program that is treating a licensed respiratory care practitioner who has given
				  notice to his employer under §C of this regulation shall notify the
				  employer if the licensed respiratory care practitioner is found to be
				  noncompliant with the treatment program's policies and procedures.
E. An individual is not required to make a
				  report under this regulation that would be in violation of a federal or State
				  law, rule, or regulation concerning the confidentiality of alcohol and drug
				  abuse patient records.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.11 - Licensing of Respiratory Care Practitioners › Section 10.32.11.15 - Penalties, Fines and Sanctioning Guidelines

Current through Register Vol. 51, No. 14, July 12, 2024
A. An individual who violates any provision
				  of Health Occupations Article, Title 14, Subtitle 5A, Annotated Code of
				  Maryland, is guilty of a misdemeanor and on conviction is subject to a fine not
				  exceeding $1,000, or imprisonment not exceeding 1 year, or both.
B. The Board may impose a civil fine of not
				  more than $5,000 on an individual who:
(1) Is
				  not licensed to practice respiratory care in Maryland and represents to the
				  public in any way that the individual is authorized to practice respiratory
				  care in Maryland; or
(2) Violates
				  any provision of Health Occupations Article, Title 14, Subtitle 5A, Annotated
				  Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.12 - Delegation of Acts by a Licensed Physician › Section 10.32.12.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
A. This chapter
				  governs the delegation of technical acts by a licensed physician to an:
(1) Assistant not otherwise authorized under
				  the Health Occupations Article or the Education Article, Annotated Code of
				  Maryland; and
(2) RCIS assisting in
				  the physician's performance of fluoroscopy during a cardiac catheterization
				  procedure under certain circumstances as authorized under Regulation .06 of
				  this chapter.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.12 - Delegation of Acts by a Licensed Physician › Section 10.32.12.02 - 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) "Assistant" means an individual to whom
				  only routine technical acts are delegated by a licensed physician and who is:
(a) Trained as defined in §B(17) of this
				  regulation and not certified, registered, or licensed by the Board or any other
				  State health occupation board; or
(b) Certified, registered, or licensed by the
				  Board or any other State health occupation board and is not acting under the
				  authority of that certification, registration, or license granted by a State
				  health occupation board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.12 - Delegation of Acts by a Licensed Physician › Section 10.32.12.03 - Standards for the Licensed Physician Delegating to an Assistant

Current through Register Vol. 51, No. 14, July 12, 2024
A. A licensed
				  physician who delegates shall:
(1) Evaluate
				  the risk to the patient and the outcome of the delegated acts;
(2) Delegate only those technical acts that
				  are customary to the practice of the licensed physician;
(3) Delegate only those technical acts for
				  which the assistant has been trained;
(4) Be responsible for the acts of the
				  assistant; and
(5) Supervise the
				  assistant.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.12 - Delegation of Acts by a Licensed Physician › Section 10.32.12.04 - Scope of Delegation to an Assistant

Current through Register Vol. 51, No. 14, July 12, 2024
A. A licensed physician may not delegate to
				  an assistant technical acts which are exclusively limited to any individual
				  required to be licensed, certified, registered, or otherwise recognized
				  pursuant to any provision of the Health Occupations Article and the Education
				  Article, Annotated Code of Maryland.
B. A licensed physician may delegate
				  technical acts consistent with national standards in the medical community and
				  the approved policies and procedures of the sites for the delivery of health
				  services in the following categories:
(1)
				  Surgical technical acts that the delegating physician directly orders while
				  present, scrubbed, and personally performing the surgery in the same surgical
				  field; and
(2) Nonsurgical
				  technical acts while the assistant is under the licensed physician's direct
				  supervision or on-site supervision if the assistant performs the act in
				  accordance with procedures of the site.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.12 - Delegation of Acts by a Licensed Physician › Section 10.32.12.05 - Prohibited Conduct and Penalties

Current through Register Vol. 51, No. 14, July 12, 2024
A. An assistant or RCIS acting beyond the
				  scope of this chapter may be:
(1) Considered
				  to be engaged in the unlicensed practice of medicine; and
(2) Subject to all applicable penalties and
				  fines in accordance with Health Occupations Article, §§
											14-602 and
				  14-607, Annotated
				  Code of Maryland, and COMAR 10.32.02.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.12 - Delegation of Acts by a Licensed Physician › Section 10.32.12.06 - RCIS Assistance in the Delegating Physician's Performance of Fluoroscopy

Current through Register Vol. 51, No. 14, July 12, 2024
A. Scope of
				  Regulation.
(1) This regulation governs:
(a) A licensed physician's delegation of
				  technical acts to an RCIS assisting in the physician's performance of
				  fluoroscopy provided the delegation is in accordance with the entirety of this
				  chapter; and
(b) The
				  responsibilities of the hospital in which the cardiac catheterization
				  laboratory is located to verify and document the qualifications of an RCIS and
				  to ensure that all requirements of Health Occupations Article, §
												14-306, Annotated
				  Code of Maryland and this regulation are met for each procedure.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.12 - Delegation of Acts by a Licensed Physician › Section 10.32.12.07 - Enforcement

Current through Register Vol. 51, No. 14, July 12, 2024
A. The Board shall
				  conduct any necessary investigation regarding the failure to comply with the
				  requirements of Health Occupations Article, §
										14-306, Annotated
				  Code of Maryland, and this chapter.
B. Any matter regarding a hospital's failure
				  to comply with the requirements of Health Occupations Article, §
										14-306, Annotated
				  Code of Maryland, and Regulation .06 of this chapter shall be adjudicated in
				  accordance with COMAR 10.32.02.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.13 - Physician License by Conceded Eminence › Section 10.32.13.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
These regulations establish the qualifications for an
					 individual to become licensed in Maryland to practice medicine by virtue of
					 conceded eminence and authority in the profession and to set limits on the
					 license.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.13 - Physician License by Conceded Eminence › Section 10.32.13.02 - Definitions

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant
				  shall:
(1) Complete an application on a form
				  supplied by the Board;
(2) Pay an
				  application fee set by the Board in COMAR
				  10.32.01.12;
(3) Be of good moral character; and
(4) Be at least 18 years old.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.13 - Physician License by Conceded Eminence › Section 10.32.13.03 - Qualifications for Special License by Conceded Eminence

Current through Register Vol. 51, No. 14, July 12, 2024
A. An applicant shall:
(1) Complete an application on a form
				  supplied by the Board;
(2) Pay an
				  application fee set by the Board in COMAR
				  10.32.01.12;
(3) Be of good moral character; and
(4) Be at least 18 years old.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.13 - Physician License by Conceded Eminence › Section 10.32.13.04 - Limited Practice

Current through Register Vol. 51, No. 14, July 12, 2024
An applicant for licensure is restricted so that the
					 applicant shall:
A. Practice medicine
				  only in the limited field approved by the Board that is consistent with the
				  applicant's area of conceded eminence experience;
B. For the first 6
				  months of practice, practice medicine only
(1)
				  Within the institution and program specified within the application;
				  and
(2) Under the supervision of a
				  licensed physician;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.13 - Physician License by Conceded Eminence › Section 10.32.13.05 - Unrestricted License

Current through Register Vol. 51, No. 14, July 12, 2024
Nothing in these regulations entitles an individual
					 licensed by conceded eminence in the profession to practice beyond the scope of
					 these regulations without having qualified for an unrestricted license under
					 Health Occupations Article, §
										14-307 or
					 14-308, Annotated
					 Code of Maryland, and regulations promulgated under those
					 sections.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.13 - Physician License by Conceded Eminence › Section 10.32.13.06 - Term and Renewal of License by Conceded Eminence and Authority in the Profession

Current through Register Vol. 51, No. 14, July 12, 2024
A. Term
				  and Tenure.
(1) The initial license is active
				  for a period 1 year, and, after that, may be renewed twice for a term
				  established by the Board. After two renewals, a licensee seeking any additional
				  renewals shall provide documentation to the Board 3 months before the
				  expiration of the licensee's license indicating the continued significance of
				  the licensee's work at the sponsoring institution that requires the license to
				  be renewed for another term.
(2)
				  Unless the Board has been advised and approves of an appointment at a new
				  institution, a license issued under this regulation expires immediately when an
				  individual leaves the appointment at the sponsoring institution.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.13 - Physician License by Conceded Eminence › Section 10.32.13.07 - Licensure Required

Current through Register Vol. 51, No. 14, July 12, 2024
Practicing medicine beyond the scope of these regulations,
					 including practicing without notifying the Board and without approval of the
					 Board at any institution or place outside the institution approved by the
					 Board, constitutes practicing without a license under Health Occupations
					 Article, §
										14-404(a)(3),
					 Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.13 - Physician License by Conceded Eminence › Section 10.32.13.08 - Termination and New Appointment

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  On termination of the licensee's approved appointment, the conceded eminence
				  license terminates and becomes null and void.
B. A licensee has a duty to inform the Board
				  of the termination of an appointment within 30 days of the
				  termination.
C. Failure of the licensee to inform the Board of the
				  termination of an appointment within 30 days constitutes unprofessional conduct
				  under Health Occupations Article, §
										14-404(a)(3),
				  Annotated Code of Maryland.
D. New Appointment.
(1) If a licensee wishes to receive a
				  conceded eminience license with another institution, the licensee shall apply
				  for a new appointment with another institution.
(2) The Board may approve the new appointment
				  at the Board's discretion.
(3)
				  Board approval shall be obtained before the individual may begin the
				  appointment.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.14 - Unlicensed X-Ray Assistant › Section 10.32.14.01 - Scope

Current through Register Vol. 51, No. 14, July 12, 2024
Upon written receipt of notice from the Maryland
					 Radiological Society that, before October 1, 2002, an individual met the
					 requirements of Health Occupations Article, §
										14-306(e),
					 Annotated Code of Maryland, the Board shall issue a certificate authorizing the
					 individual to perform X-ray duties without a license as described in Health
					 Occupations Article, §
										14-306(e),
					 Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.15 - Registration of Physicians to Perform Acupuncture › Section 10.32.15.01 - 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) "Applicant" means a physician who has
				  applied to the Board for registration to perform acupuncture in this
				  State.
(2) "Board" means the State
				  Board of Physicians.
(3) "Medical
				  acupuncture course of study" means a sequence of study in acupuncture approved
				  by the Board, which sequence may consist of combinations of course work from
				  unrelated institutions completed within 5 years of the date of application,
				  that includes at least 200 hours of instruction in general and basic aspects,
				  specific uses and techniques of acupuncture, and indications and
				  contraindications of acupuncture administration.
(4) "Medical acupuncture program" means a
				  program of study in acupuncture which has been approved for Category I
				  continuing medical education credit by an institution accredited or recognized
				  by the Accreditation Council on Continuing Medical Education to conduct
				  Category I continuing medical education courses.
(5) "Physician" means an individual licensed
				  to practice medicine in Maryland.
(6) "To perform acupuncture" means to
				  stimulate a certain point or points on or near the surface of the human body by
				  the insertion of needles to prevent or modify the perception of pain or to
				  normalize physiological functions, including pain control, for the treatment of
				  ailments or conditions of the body and for maintenance of good
				  health.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.15 - Registration of Physicians to Perform Acupuncture › Section 10.32.15.02 - Application

Current through Register Vol. 51, No. 14, July 12, 2024
To qualify for registration, a physician shall:
A. Complete an application on a form supplied
				  by the Board, enclosing:
(1) Required
				  supplementary materials, which are in English, and
(2) English translations of certified,
				  required documentation with costs borne by the applicant;
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.15 - Registration of Physicians to Perform Acupuncture › Section 10.32.15.03 - Unprofessional Conduct

Current through Register Vol. 51, No. 14, July 12, 2024
Unprofessional conduct in the practice of medicine includes
					 the failure of a physician to:
A.
				  Comply with the statute and regulations governing physicians who perform
				  acupuncture, and includes representing oneself as a registered acupuncturist
				  without having met all the previous requirements; and
B. Be registered by the Board, or to have met
				  all the requirements of Health Occupations Article, §§ 1A -101-1A-502
				  and §14-302(4) -(5), Annotated Code of Maryland.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.15 - Registration of Physicians to Perform Acupuncture › Section 10.32.15.04 - Advertising

Current through Register Vol. 51, No. 14, July 12, 2024
A. A physician who
				  has been registered by the Board to perform acupuncture may advertise services
				  subject to the provisions of this regulation.
B. An advertisement may not express
				  statements:
(1) Containing misrepresentation
				  of facts;
(2) That are likely to
				  mislead or deceive because in context the statement makes only a partial
				  disclosure of relevant facts;
(3)
				  That intend to or are likely to create false or unjustified expectations of
				  favorable results;
(4) Relating to
				  fees, other than a standard consultation fee or a range of fees for specific
				  types of services, without fully disclosing all relevant variables so that the
				  statement would not be misunderstood or be deceptive to a layman;
(5) Conveying the impression that the
				  physician who has been registered by the Board to perform acupuncture could
				  improperly influence a public body, official, corporation, or an individual on
				  behalf of a patient; or
(6)
				  Containing representations that a physician who has been registered by the
				  Board to perform acupuncture is:
(a) Willing
				  to perform any procedure which is illegal under the laws or regulations of
				  Maryland or the United States, or
(b) A licensed acupuncturist under Health
				  Occupations Article, § 1A -101 et seq., Annotated Code of Maryland, unless
				  licensed by the State Acupuncture Board.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.16 - Petition for Declaratory Ruling › Section 10.32.16.01 - 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) "Board" means the Board of
				  Physicians.
(2) "Designee" means a
				  person or committee to whom the Board has delegated responsibility for
				  consideration of a petition.
(3)
				  "Person" means:
(a) An individual;
(b) An agency;
(c) An association;
(d) A corporation; or
(e) Any other entity.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.16 - Petition for Declaratory Ruling › Section 10.32.16.02 - Petition

Current through Register Vol. 51, No. 14, July 12, 2024
A. An interested
				  person may file with the Board a petition for a declaratory ruling with respect
				  to the manner in which the Board would apply:
(1) A statute;
(2) A regulation; or
(3) An order which the Board enforces to a
				  particular case based on the facts presented in the petition.
Code of Maryland Regulations › Title 10 - MARYLAND DEPARTMENT OF HEALTH › Part 4 › Subtitle 32 - BOARD OF PHYSICIANS › Chapter 10.32.16 - Petition for Declaratory Ruling › Section 10.32.16.03 - Consideration and Disposition

Current through Register Vol. 51, No. 14, July 12, 2024
A.
				  Consideration.
(1) A petition will be granted
				  whenever the Board or the Board's designee considers issuing a declaratory
				  ruling advisable under the circumstances.
(2) In rendering its ruling, the Board or the
				  Board's designee:
(a) Shall consider all
				  materials submitted with the petition;
(b) May consider any document, data, or other
				  relevant material;
(c) May consult
				  individuals;
(d) May consider
				  comments from the staff; and
(e)
				  May require argument of the question or permit the introduction of evidence by
				  the petitioner or, in the Board's sole discretion, by other persons.
(3) Consideration of the proposed
				  rulings prepared by the Board's designee shall be conducted according to
				  procedures adopted by the Board in each case.