MD Chiro Juris flashcards
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- COMAR Title 10.43
- The subtitle of the Maryland Code of Regulations that contains the rules adopted by the State Board of Chiropractic Examiners governing licensure, practice, and discipline.
- Maryland Chiropractic Act
- Health Occupations Article, Title 3, the statute that creates the Board, defines the scope of chiropractic practice, and authorizes disciplinary action against licensees.
- Board composition
- The State Board of Chiropractic Examiners includes licensed chiropractor members and consumer members appointed by the Governor, with a majority of professional members actively practicing in Maryland.
- Unlicensed practice penalty
- Practicing chiropractic without a license is a criminal offense under the Health Occupations Article and may also result in a Board cease-and-desist order and civil penalty.
- License renewal cycle
- Maryland chiropractic licenses renew biennially; a late fee applies to a renewal filed after the expiration date, and continued practice on an expired license is prohibited.
- Continuing education requirement
- Licensees must complete 40 hours of continuing education per two-year renewal cycle, including Board-specified hours in ethics and record keeping.
- NBCE examination requirement
- Applicants for initial licensure must pass National Board of Chiropractic Examiners Parts I, II, III, and IV, or an equivalent examination accepted by the Board.
- Criminal history records check
- Initial licensure requires an FBI fingerprint-based criminal history records check under Health Occupations Article §3-302.1, with results reported to the Board.
- Jurisprudence examination
- Maryland requires applicants to pass an examination on the Chiropractic Act and COMAR Title 10.43 before the Board issues an initial license.
- License display requirement
- A licensee must display the license at the practice location and produce it on request of the Board or an authorized agent during an inspection.
- Scope of chiropractic practice
- The detection and correction of subluxations and the adjustment or manipulation of human articulations, including the spine, using manual and adjunctive non-invasive modalities.
- Physical therapy modalities
- Chiropractors may use heat, cold, ultrasound, electrical stimulation, and therapeutic exercise as adjuncts to chiropractic adjustment within the scope of practice.
- Dry needling training
- A chiropractor may perform dry needling only after completing Board-approved training covering anatomy, contraindications, and supervised clinical practice with filiform needles.
- Dry needling vs acupuncture
- Dry needling targets myofascial trigger points and is within chiropractic scope after training; acupuncture is regulated separately under the Maryland Acupuncture Act.
- Prohibited procedures
- Chiropractors may not perform surgery, prescribe controlled substances, or administer drugs except as authorized by law; practice is limited to non-invasive and manual modalities.
- Diagnostic imaging authority
- A chiropractor may order and interpret plain film radiography and may refer patients to other providers for advanced imaging such as MRI or CT.
- Referral obligation
- A chiropractor must refer a patient to an appropriate provider when the patient's condition falls outside the chiropractic scope of practice or fails to improve.
- Grounds for discipline
- The Board may discipline a licensee for unprofessional conduct, fraud, gross negligence, practicing while impaired, or conviction of a crime involving moral turpitude.
- Record retention period
- Patient records must be retained at least five years after the last treatment date; records for minors must be kept until the patient reaches age 21.
- Record content requirements
- Records must document chief complaint, history, examination findings, diagnosis, treatment plan, informed consent, and progress notes in a legible, contemporaneous manner.
- Disciplinary sanctions
- Board sanctions include reprimand, probation, suspension, revocation, and civil penalties, and may require remedial education or a practice monitor.
- Confidentiality duty
- A chiropractor must keep patient information confidential and may disclose records only with patient authorization or as required by law.
- Adverse action reporting
- A licensee must report to the Board within 30 days any adverse action taken against the license by another jurisdiction.
- Emergency suspension
- The Board may summarily suspend a license when continued practice poses an imminent danger to the public, with a hearing to follow within a Board-defined period.
- Board subpoena power
- The Board may issue subpoenas for records and testimony during an investigation of a complaint against a licensee.
- Appeal of Board order
- A final Board order may be appealed to the circuit court for the county where the licensee resides under the Maryland Administrative Procedure Act.
- Civil penalty authority
- The Board may impose a civil penalty in addition to, or instead of, suspension or revocation, as authorized by the Health Occupations Article.
- Advertising restrictions
- Advertising must be truthful and not misleading; a chiropractor may not claim a specialty without recognized board certification or guarantee a cure.
- Informed consent
- A chiropractor must obtain and document informed consent before initiating treatment, including the nature, risks, and alternatives of the proposed care.
- Dry needling sterile technique
- Dry needling requires sterile technique and disposal of used needles in an approved sharps container to prevent transmission of bloodborne pathogens.
- Practice name restriction
- A chiropractor may not practice under a name other than the name on the license without Board approval, and must maintain professional liability insurance.
- Mandated reporting
- A chiropractor must report suspected child abuse or neglect to the appropriate Maryland authority as required by state law.