Chapter 4734-5 | Chiropractic Program Standards and Requirements

Rule 4734-5-01 | Board approved doctor of chiropractic degree programs.

• Effective: January 1, 2019
• Promulgated Under: 119.03

(A) It shall be the objective of doctor of chiropractic degree programs approved by the state chiropractic board to prepare the graduate doctor of chiropractic as a primary health care provider, as a portal of entry into the health delivery system, trained to examine, diagnose, and assume responsibility for the care of patients of all ages and genders and to care for the human body in both health and disease. The graduate doctor of chiropractic shall be qualified to consult with, refer to, and/or receive referrals from, other health care providers.

(B) The curriculum of doctor of chiropractic degree programs shall include, but not be limited to, the following subject matter: Foundations: principles, practices, philosophy and history of chiropractic. Basic sciences: anatomy; physiology; biochemistry; microbiology and pathology. Clinical sciences: physical, clinical and laboratory diagnosis; diagnostic imaging; spinal analysis; orthopedics; biomechanics; neurology; spinal adjustment/manipulation; extremities manipulation; rehabilitation and therapeutic modalities/procedures (active and passive care); toxicology/pharmacology; patient management; nutrition; organ systems; special populations; first aid and emergency procedures; wellness and public health; and clinical decision-making. Professional practice: ethics and integrity; jurisprudence; business and practice management and professional communications.

(C) The board adopts the "CCE Accreditation Standards; Principles, Processes & Requirements for Accreditation, January 2018" (hereinafter "Standards") issued by the council on chiropractic education (hereinafter "CCE" or "council").

(D) In considering whether to approve a doctor of chiropractic degree program, or to continue approval of a doctor of chiropractic degree program, the board shall utilize the "Standards" of the council in making its decision.

(E) Doctor of chiropractic degree programs with board approval prior to the effective date of this rule shall continue to have approval for its doctor of chiropractic graduates to be eligible for licensure in Ohio. This approval continues until it is removed in accordance with this chapter. Board approval of programs and institutions runs concurrently with council accreditation.

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 1/1/2024
Prior Effective Dates: 4/9/2004, 8/1/2007

Rule 4734-5-02 | Board relationship with the council on chiropractic education.

• Effective: May 25, 2014
• Promulgated Under: 119.03

(A) The board shall maintain a cooperative relationship with the council on chiropractic education (hereinafter "CCE" or "council"). The board may accept the "CCE" designation of "accredited doctor of chiropractic program/institution" of a doctor of chiropractic degree program and grant board approval of those institutions or programs for graduates of a doctor of chiropractic degree program to be eligible for Ohio licensure. If the "CCE" removes accreditation from an institution or program, the board may ratify this decision by removing its approval, permitting the institution or program the due process procedures contained within Chapter 119. of the Revised Code. However, the board need only prove that the "CCE" has withdrawn its accreditation for the board to revoke its approval of the program or institution.

(B) The board shall, in good faith, participate to the extent possible in the activities and programs of the "CCE", to the extent that the interests of the board and of the "CCE" are consistent.

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 4/30/2024
Prior Effective Dates: 4/9/2004

Rule 4734-5-03 | Site visitation procedures.

• Effective: May 25, 2014
• Promulgated Under: 119.03

(A) Purpose. For the purpose of obtaining factual information, the board may appoint a site visitation team to make an on-site visit to a doctor of chiropractic degree program and to provide the board with a written report of its findings. The site visit may occur when a program applies for board approval or at any time the board believes it is in the best interests of Ohioans to determine facts concerning the operation of a board approved institution or program.

(B) Composition. The site visitation team shall be appointed by the board and may consist of not more than seven members, including a chairperson appointed by the board. The team shall conduct an on-site visit of the program for the purpose of evaluation. The team shall consist of members with particular backgrounds and expertise to provide a comprehensive assessment of the program.

(C) Logistics. The entire projected cost of the team visit shall be paid by the program directly to the team members. Such expenses shall include, but not be limited to, meals, lodging, travel and per diem expenses of eight hours per day in addition to time for travel. Expenses shall also include the time required for preparing the report and presenting the report to the board. The program shall be notified at least forty-five days in advance of the visit. Receipts of expenses incurred by the site visitation team shall be submitted to the board for documentation and approval prior to submission to the program for reimbursement. Failure to pay monies due is grounds for denying or removing board approval.

(D) Report. At the completion of the on-site visit the team shall prepare a report and present it to the board. The site visitation team chairperson shall be responsible for preparing the report of findings of the team. The team report shall include, but not be limited to, a detailed analysis of the program's eligibility factors contained in its application for approval and self-study documentation as well as other relevant information.

Copies of the report shall be filed with the board and the chief administrative officer of the program. All clerical, administrative, printing and related expenses of the team shall be paid by the program. The board shall review the report and shall notify the program of its decision within one hundred twenty days of the filing of the report. This time period may be extended for good cause at the board's discretion.

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 4/30/2024
Prior Effective Dates: 4/9/2004

Rule 4734-5-04 | Initial approval of chiropractic educational institutions or programs.

• Effective: January 1, 2019
• Promulgated Under: 119.03

(A) Application. For a doctor of chiropractic degree program to seek initial approval by the board for its doctor of chiropractic graduates to obtain Ohio licensure, it must first apply to the board. The chief administrative officer of the program shall send a letter of intent to the board and shall include a copy of all self-study documentation required by the council on chiropractic education (hereinafter "CCE" or "Council") in its "CCE Accreditation Standards; Principles, Processes & Requirements for Accreditation, January 2018" (hereinafter "Standards"). This rule does not require an applicant to also apply to the "CCE" for accreditation, but if the applicant has done so, it should provide the same information to the board as it provided to the "CCE".

(B) Review. The board may review the application or appoint a committee to review the application materials. If the applicant has applied to the "CCE" for accreditation, the board may hold the application as pending, until the "CCE" has fully reviewed and ruled on the application. If the applicant has not applied to the "CCE", the board or committee will then review the application and materials and follow the procedures outlined in the "CCE" Standards. The board may then order a site visit of the applicant, pursuant to rule 4734-5-03 of the Administrative Code.

(C) Ruling. Once the board has considered the information submitted by the applicant and/or its review committee and/or site visitation team, it may propose to either approve or deny the application of the program. When it is the intention of the board to deny approval of a program that has requested board-approval, the applicant shall be entitled to a hearing on the question of such proposed denial.

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 1/1/2024
Prior Effective Dates: 4/9/2004, 5/25/2014

Rule 4734-5-06 | Revocation of approval of a doctor of chiropractic degree program.

• Effective: January 1, 2019
• Promulgated Under: 119.03

(A) The board may investigate allegations that a board-approved doctor of chiropractic degree program is not complying with the following:

(1) The "CCE Accreditation Standards; Principles, Processes & Requirements for Accreditation, January 2018" (hereinafter "Standards") promulgated by the council on chiropractic education (hereinafter "CCE" or "Council")

(2) If a "CCE" accredited program, maintaining that accreditation;

(3) If not a "CCE" accredited program, complying with the "Standards" as interpreted by the board;

(4) Chapter 4734. of the Revised Code and/or agency 4734 of the Administrative Code;

(5) All statutes and rules governing the operation of such a program in its state of domicile;

(B) During an investigation of a program pursuant to this rule, the program shall provide information and documentation requested by the board to complete its investigation. The board may order a site visit as described in rule 4734-5-03 of the Administrative Code.

(C) Once the board has considered the information obtained during its investigation as submitted by the program and/or the board's committee and/or site visitation team, it may propose to either continue to approve or revoke approval of the program. When it is the intention of the board to revoke the status of a board-approved program pursuant to this rule, the board shall issue a notice of intent to revoke approval and opportunity for hearing to the program. The program shall be entitled to a hearing on the question of such proposed revocation.

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 1/1/2024
Prior Effective Dates: 4/9/2004, 5/25/2014