(A) In accordance with section 4734.27 of
the Revised Code, the board may approve the limited practice of chiropractic in
this state by a student intern of a board approved doctor of chiropractic
degree program or institution that offers a preceptorship program.
(B) Definitions.
(1) Preceptorship program
is a clinical program in which chiropractic interns participate under direct
supervision of an Ohio licensed chiropractic physician. Only board approved
doctor of chiropractic degree programs may conduct preceptorship programs in
this state.
(2) Preceptor is an Ohio licensed
chiropractic physician approved by the intern's doctor of chiropractic
degree program and the board to provide direct supervision of the limited
practice of chiropractic in this state by a student intern.
(3) Intern is an individual enrolled in a
doctor of chiropractic degree program who has completed all requirements for
the doctor of chiropractic degree except for the final clinical phase of the
program and is approved by the board to practice chiropractic in Ohio in
accordance with section 4734.27 of the Revised Code.
(4) Direct supervision of an intern means
initial and ongoing direction, procedural guidance, observation, and evaluation
by the approved preceptor who shall remain on the premises and shall supervise
and monitor the intern's performance.
(C) Preceptor approval.
(1) The board may approve
a chiropractic physician to be a preceptor if the chiropractic physician
certifies to the board, on forms prescribed by the board, that he or she meets
all of the following conditions:
(a) The licensee has been continuously licensed and actively
practicing in Ohio for five years preceding the date of
application;
(b) The licensee has no pending disciplinary action;
(c) Within the seven years preceding the date of application
there has been no disciplinary action in any jurisdiction against the
licensee;
(d) The licensee is approved by the intern's doctor of
chiropractic degree program;
(e) The licensee shows proof of current valid malpractice
insurance during the time period of the preceptorship program.
(2) The board may refuse
to approve, or withdraw its approval of the preceptor at any time.
(D) Intern approval.
(1) Each intern shall
apply for a special limited license and shall submit satisfactory evidence of
his or her qualifications as prescribed by section 4734.27 of the Revised Code
and this rule. A complete application, including a non-refundable application
fee in the amount of seventy-five dollars made payable to the treasurer, state
of Ohio, and all required credentials, facts and materials as the board
requires must be filed with the board.
(2) An application for a special limited
license shall include the following:
(a) An attestment from the academic dean that the applicant is in
good academic standing with the doctor of chiropractic degree program and has
completed all requirements for the doctor of chiropractic degree except for the
clinical phase of the program;
(b) A passport type photograph taken within the preceding six
months.
(3) Applicants have an ongoing obligation
to update and supplement all information provided to the board in writing
within ten days of any change.
(4) The board may refuse or deny an
applicant for a limited license to participate in a preceptorship program in
this state if the applicant does not meet the licensure requirements as
outlined in section 4734.27 of the Revised Code or this rule, or if the
applicant has committed any act which indicates that the applicant does not
possess the character and fitness to practice chiropractic, including any act
that would be grounds for disciplinary action as outlined in section 4734.31 of
the Revised Code. The burden of proof is on the applicant to prove by clear and
convincing evidence to the board that he or she meets the conditions for
licensure.
(5) Any applicant that the board proposes
to refuse or deny limited licensure shall be entitled to a hearing on the
question of such proposed refusal or denial.
(6) The board may take disciplinary
action against any intern upon proof, satisfactory to the board, that the
intern has engaged in practice in this state outside the scope of the
preceptorship program for which he or she has been approved, or upon other
proof, satisfactory to the board, that the intern has engaged in conduct that
is grounds for action under Chapter 4734. of the Revised Code.
(7) Any violation of Chapter 4734. of the
Revised Code or agency 4734 of the Administrative Code by the intern
constitutes grounds for the board to:
(a) Prohibit the intern from taking the examination for
licensure; and
(b) Take appropriate disciplinary action against the supervising
preceptor.
(E) Preceptorship standards and procedures.
(1) The preceptor shall
exercise direct on-premises supervision of the intern at all times during which
the intern is engaged in any facet of patient care in the preceptorship
program.
(2) The preceptor shall
identify the intern to the patients of the preceptorship practice in such a way
that no patient will be misled as to the status of the intern.
(3) The intern shall display a name badge
identifying the intern's status as an intern at all times when the intern
is providing direct care to a patient.
(4) The preceptor must monitor and track
the intern's activity and regularly evaluate the intern's
performance.
(5) Interns may assist preceptors in the
performance of those duties that are lawful and ethical under Chapter 4734. of
the Revised Code and agency 4734 of the Administrative Code including but not
limited to physical examinations, patient consultation, radiologic procedures,
x-ray interpretation, specific chiropractic adjustment procedures and physical
therapeutics.
(6) Interns are required to document all
patient encounters in a logbook. Entries shall be made for all patient
encounters, including observation. These entries should accurately reflect
patient identification, involvement, and services rendered.
(a) Copies of logbook entries may be requested by the board at
any time.
(b) Failure to provide logbook copies upon request by the board
or falsification of logbooks may result in punitive measures.
(7) The preceptor shall maintain copies
of all logbook records for one year following conclusion of the preceptorship
program.
(8) The board may conduct random
inspections of a preceptor site, including inspection of all pertinent
documents to determine whether the program maintains the minimum standards
required by the board.
(F) Preceptorship prohibitions. In addition to the prohibitions
set forth in Chapter 4734. of the Revised Code and agency 4734 of the
Administrative Code, an intern shall not:
(1) Diagnose the
condition of a patient;
(2) Establish a plan of
treatment or prognosis for a patient;
(3) Perform any service,
except at the direction and supervision of an approved preceptor;
(4) Bill independently of
the supervising preceptor for any service rendered; or
(5) Sign insurance forms
or any other forms which require a licensed chiropractic physician's
signature.
(G) Preceptorship termination. A preceptorship shall terminate
upon the occurrence of the earliest applicable of the following:
(1) An intern participating in a
preceptorship program completes the preceptorship;
(2) An intern is formally charged with a
criminal offense, the circumstances of which substantially relate to the
practice of chiropractic.
(3) An intern is found to have violated
the statutes or administrative rules pertaining to the practice of
chiropractic.
(4) An intern is formally named in a
civil or malpractice action.
(H) Any change in preceptor must be pre-approved by the board in
writing.
