1. A. The physician is responsible for assuring that any individual to whom the physician delegates or assigns the performance of a cosmetic medical procedure or the operation of a cosmetic medical device is properly trained. Training shall include both theoretical instruction and clinical instruction.

2. B. Theoretical instruction shall include:

   1. (1) Cosmetic-dermatological indications and contraindications for treatment;
   2. (2) Identification of realistic and expected outcomes of each procedure;
   3. (3) Selection, maintenance, and utilization of equipment;
   4. (4) Appropriate technique for each procedure, including infection control and safety precautions;
   5. (5) Pharmacological intervention specific to the procedure;
   6. (6) Identification of complications and adverse reactions for each procedure;

   7. (7) Emergency procedures to be used in the event of:

      1. (a) Complications;
      2. (b) Adverse reactions;
      3. (c) Equipment malfunction; or
      4. (d) Any other interruption of a procedure; and
   8. (8) Appropriate documentation of the procedure in the patient's chart.

3. C. Clinical instruction shall include:

   1. (1) Observation of performance of the procedure or use of the device by an individual experienced in performing the procedure; and
   2. (2) Performing the procedure or using the device under the direct supervision of the delegating physician who is present and observing the procedure a sufficient number of times to assure that the non-physician is competent to perform the procedure without direct supervision.

Authority: Health Occupations Article, §§14-205, 14-306, 14-404, 14-606, and 15-302, Annotated Code of Maryland

Effective date: August 23, 2010 (37:17 Md. R. 1185)

Regulation .02B amended effective March 14, 2016 (43:5 Md. R. 386); December 31, 2018 (45:26 Md. R. 1246)