Chapter 4734-5 Chiropractic Program Standards and Requirements

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

(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 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 subjects: anatomy; biochemistry; physiology; microbiology; pathology; public health; physical, clinical, and laboratory diagnosis; gynecology; obstetrics; pediatrics; geriatrics; dermatology; otolaryngology; diagnostic imaging procedures; psychology; nutrition/dietetics; biomechanics; orthopedics; neurology; first aid and emergency procedures; spinal analysis; principles and practice of chiropractic; adjustive techniques; rehabilitative procedures, including physiological therapeutics and/or ancillary therapeutics; clinical decision making; research methods and procedures; and professional practice ethics.

(C) The board adopts the "Standards for Doctor of Chiropractic Degree Programs and Requirements for Institutional Status, January 2007" (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.

Effective: 06/01/2013
R.C. 119.032 review dates: 03/11/2013 and 06/01/2018
Promulgated Under: 119.03
Statutory Authority: 4734.10
Rule Amplifies: 4734.21
Prior Effective Dates: 4/9/2004, 8/1/2007

4734-5-02 Board relationship with the Council on Chiropractic Education.

(A) The board shall maintain a cooperative relationship with the council on chiropractic education (hereinafter "CCE"). The board may accept the "CCE" designations of "full accreditation" and "recognized candidate for accreditation" of a chiropractic educational institution or 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.

Eff 4-9-04
Rule promulgated under: RC 119.03
Rule authorized by: RC 4734.10
Rule amplifies: RC 4734.21
R.C. 119.032 review dates: 04/08/2009 and 04/08/2014

4734-5-03 Site visitation procedures.

(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 chiropractic educational institution or program and to provide the board with a written report of its findings. The site visit may occur when the institution or program is a candidate for accreditation with the Council on Chiropractic Education (hereinafter "CCE") and thus a candidate for board approval, pursuant to Administrative Rule 4734-5-01 , during the time period a program or an institution seeks to renew its CCE accreditation(renew 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.

(B) Composition. The site visitation team shall be appointed by the board and shall consist of not less than five members, nor more than seven members, including a chairperson appointed by the board. The team shall conduct an on-site visit of the institution for the purpose of evaluation. The team shall consist of at least two doctors of chiropractic practicing in Ohio, one member who is either an administrator or faculty member at a non-chiropractic institution of higher learning, one member who holds the doctor of chiropractic degree and is either an administrator or faculty member of a board-approved chiropractic college, and a representative of the public who holds at least a bachelor degree. The board may also appoint up to two additional team members with particular backgrounds which would be useful to the team and/or board.

(C) Logistics. Any on-site visit shall be conducted over a minimum of three days at the site of the institution. This time period may be extended at the discretion of the board, for just cause. The entire projected cost of the team visit shall be paid in advance by the chiropractic educational institution to the board, or directly to the team members, as directed by the board. Such expenses shall include, but not be limited to, meals, lodging and per diem expenses of twenty-four hours per day including the time for travel to and from the applicant and the time of the on-site visit. Expenses shall also include the time required for preparing the report and presenting such report to the board. The institution shall be notified at least forty-five days in advance of the visit and the actual expenses required by the site visitation team. Projected travel expenses shall be computed at the rate per mile allowed by the state of Ohio or actual cost of transportation at the discretion of the board. Receipts of expenses incurred by the site visitation team shall be submitted to the board for documentation and approval. In the event the expenses incurred by the team are less than the amount prepaid by the institution, the institution shall be reimbursed for this amount. In the event the expenses of the team exceed the amount paid in advance by the program or institution, the institution shall pay the additional amount due. Failure to pay over 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, which reflects the findings of the team. The team report shall include, but not be limited to, a detailed analysis of the institution or program and its curriculum, faculty, governance, programs, finances, its relationship to other chiropractic educational institutions and the educational standards recognized by the board, as well as other relevant information.

Copies of this report shall be filed with the board and the chief executive officer of the program or institution. All clerical, administrative, printing and related expenses of the team shall be paid by the institution. The board shall review the report and shall notify the program or institution 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.

Eff 4-9-04
Rule promulgated under: RC 119.03
Rule authorized by: RC 4734.10
Rule amplifies: RC 4734.21
R.C. 119.032 review dates: 04/08/2009 and 04/08/2014

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

(A) Application. For a chiropractic educational institution or 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 executive or academic officer of the institution or program shall send a letter of intent to the board. The letter of intent shall include a copy of all self-study documentation required by the council on chiropractic education's (hereinafter "CCE") commission on accreditation in its standards for doctor of chiropractic programs and requirements for institutional status (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 institution or program. When it is the intention of the board to deny approval of an institution or program that has requested board-approval, the applicant shall be entitled to a hearing on the question of such proposed denial. Notice and hearing requirements incident to such proposed denial shall be in compliance with the provisions of Chapter 119. of the Revised Code and Chapter 4734-4 of the Administrative Code.

Eff 4-9-04
Rule promulgated under: RC 119.03
Rule authorized by: RC 4734.10
Rule amplifies: RC 4734.21
R.C. 119.032 review dates: 04/08/2009 and 04/08/2014

4734-5-05 Renewing approval of chiropractic educational institution or programs. [Rescinded].

Rescinded eff 4-5-09

4734-5-06 Revocation of approval of chiropractic educational institutions or programs.

(A) The board may investigate credible allegations that a board-approved chiropractic educational institution or program is not complying with the following laws and standards of the Ohio state chiropractic board or the standards for doctor of chiropractic programs and requirements for institutional status (hereinafter "Standards") promulgated by the council on chiropractic education (hereinafter "CCE"):

(1) If a "CCE" accredited institution or program, maintaining that accreditation;

(2) If not a "CCE" accredited institution or program, complying with the "CCE" standards as interpreted by the board;

(3) Complying with Revised Code Chapter 4734. and Administrative Code Chapter 4734;

(4) Complying with all statutes and rules governing the operation of such a program or institution in its state of domicile;

(B) During an investigation of a program or institution pursuant to this rule, the program or institution 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 Rule.

(C) Once the board has considered the information obtained during its investigation as submitted by the institution or 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 institution or program. When it is the intention of the board to revoke the status of board-approved institution or program pursuant to this rule, the board shall issue a notice of intent to revoke approval and opportunity for hearing to the institution or program. The institution or program shall be entitled to a hearing on the question of such proposed revocation. Notice and hearing requirements incident to such proposed denial shall be in compliance with the provisions of Chapter 119. of the Revised Code and Chapter 4734-4 of the Administrative Code.

Eff 4-9-04
Rule promulgated under: RC 119.03
Rule authorized by: RC 4734.10
Rule amplifies: RC 4734.21
R.C. 119.032 review dates: 04/08/2009 and 04/08/2014