Missouri Code of State Regulations › Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE › Division 2197 - Board of Therapeutic Massage › Chapter 4 - Apprenticeship › Section 20 CSR 2197-4.030 - Apprenticeship Training Program

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This amendment clarifies the apprentice
				  training requirements and application process.
(1) An apprenticeship training program shall
				encompass those activities as defined within section
				324.240(7),
				RSMo, and shall consist of at least five
				hundred (500) hours of supervised instruction pursuant to section 324.265.1(2),
				RSMo. The content of supervised instruction shall be subject to board approval
				and consist of the following:
(A) One (1)
				clock hour of instruction within an apprenticeship training program shall
				consist of no less than fifty (50) minutes;
(B) Three hundred (300) clock hours dedicated
				to the study of massage theory and practice techniques taught by the certified
				mentor;
(C) One hundred (100) clock
				hours dedicated to the study of anatomy and physiology taught by one (1) of the
				following:
1. A certified mentor with an
				associate, bachelor, or advanced degree in a science related field from a
				college, university, or other institution of higher learning in the United
				States accredited by a regional accrediting commission recognized by the U.S.
				Department of Education that includes a course of study in anatomy and
				physiology. Such degrees include but are not limited to physical therapy,
				chiropractic, osteopathy, medicine, nursing, chemistry, or biology;
2. A school, college, university, or other
				institution of higher learning in the United States accredited by a regional
				accrediting commission recognized by the U.S. Department of Education, a
				massage therapy program approved by the Missouri Coordinating Board for Higher
				Education (CBHE), or an out-of-state school approved by an agency equivalent to
				the Missouri CBHE; or
3. A
				certified mentor with fifteen (15) semester hours or twenty-five (25) quarter
				hours in science or science related courses from a college, university, or
				other institution of higher learning in the United States accredited by a
				regional accrediting commission recognized by the U.S. Department of Education.
				All course work must have a passing grade and at least eight (8) semester hours
				or fifteen (15) quarter hours of the course of study shall be in anatomy and
				physiology. For the purpose of this regulation, a semester hour is equivalent
				to fifteen (15) clock hours and a quarter hour is equivalent to ten (10) clock
				hours;
(D) Fifty (50)
				clock hours dedicated to business practice, professional ethics, hygiene, and
				massage law in the state of Missouri taught by the certified mentor with
				documented experience in the course of instruction; and
(E) Fifty (50) clock hours dedicated to
				ancillary therapies taught by the certified mentor with documented experience
				in a related field. The fifty (50) clock hours shall include but not be limited
				to cardiopul-monary resuscitation (CPR) and first aid which shall be provided
				by an instructor who holds the respective certification. If the certified
				mentor is unable to provide a course of instruction in CPR and/or first aid, an
				apprentice may obtain the required training from a massage therapy program
				approved by the Missouri Coordinating Board for Higher Education (CBHE) or
				organization such as the American Heart Association or American Red
				Cross.
(F) The proposed
				apprenticeship training program shall include a proposed timeline for
				completion of the apprenticeship training program.
1. The apprenticeship training program shall
				be at least five (5) months in duration and shall be completed within
				twenty-four (24) months of commencement. A request to extend an apprenticeship
				beyond twenty-four (24) months shall be at the board's discretion and upon
				receipt of a written request outlining the reason(s) for additional
				time.
2. A certified mentor shall
				provide an apprenticeship training program for no more than four (4)
				apprentices enrolled at any given time and no more than eight (8) apprentices
				per calendar year.
3. The
				apprenticeship training program is not intended to be a method of providing
				massage therapy in the absence of progress toward licensure. A certified mentor
				shall discontinue an apprenticeship if the certified mentor has knowledge the
				apprentice does not intend to obtain a license or is enrolled in the
				apprenticeship training program with the intent to evade the licensing
				requirements.
4. An apprentice
				shall be under the direct supervision of a certified mentor and shall be
				subject to all applicable laws and regulations relating to massage therapy. As
				used in this section, direct supervision shall mean face-to-face direction,
				guidance, and support of the apprentice by the mentor during the course of
				study and student clinic/intern-ship/practicum, and at any time an apprentice
				is providing massage therapy. The apprentice shall not receive reimbursement
				for massage therapy services provided as part of the approved apprenticeship
				program.
5. Instruction meeting the
				educational requirements for licensure shall not include unsupervised
				instruction provided via correspondence course, audiotape, videotape, or the
				Internet unless approved by the board. The course of instruction shall be
				face-to-face, visually and verbally interactive, between the certified mentor
				and the appren-tice(s).
6. When
				providing massage therapy to the general public, the certified mentor shall
				conduct such training at a massage therapy business licensed by the
				board.
7. Any certified mentor
				desiring to change or modify the board approved apprenticeship training program
				shall submit a written request to the board at least sixty (60) days in advance
				of the proposed changes.