1. A. In this chapter, the following terms have the meanings indicated.

2. B. Terms Defined.

   1. (1) “Accredited Board-approved educational institution” means a chiropractic school, college, or university accredited by the Council on Chiropractic Education or its successor.
   2. (2) “Approved program” means a program that has been approved by the Board and the Council on Chiropractic Education or its successor.
   3. (3) “Board” means the Maryland Board of Chiropractic Examiners.

   4. (4) “Chiropractic extern program” means:

      1. (a) A 2-semester clinical program:

         1. (i) In which a chiropractic student, that has completed all requirements to graduate, participates under the direct supervision of a licensed chiropractor who has been approved by the Board to serve as a preceptor; and
         2. (ii) That operates in a facility where chiropractic services have been approved by the Board; or

      2. (b) A 6-month clinical program in which an individual has:

         1. (i) Begun the process of applying for licensure, but has not met certain requirements set forth under COMAR 10.43.04;
         2. (ii) Graduated from an accredited Board-approved educational institution;
         3. (iii) Taken and passed the examination of the National Board of Chiropractic Examiners (NBCE);
         4. (iv) Been approved for an extern license by the Board; and
         5. (v) Agreed to practice under the direct supervision of a preceptor who is a Board-approved licensed chiropractor while the extern license is in effect.

   5. (5) “Direct supervision” means a licensed chiropractor:

      1. (a) Remains on the premises at all times;
      2. (b) Directly supervises and continuously monitors the extern’s performance within the practice; and
      3. (c) Is immediately available to offer assistance.

   6. (6) “Extern” means:

      1. (a) An individual who has:

         1. (i) Enrolled in an accredited Board-approved educational institution and has completed all requirements for the Doctor of Chiropractic program except for the final clinical phase of the program; or
         2. (ii) Graduated from an accredited Board-approved educational institution and is in the process of applying to the Board for a license to practice chiropractic, but has yet to meet certain requirements set forth under COMAR 10.43.04 to qualify for a license; or
      2. (b) A chiropractor licensed in another state who is in the process of applying to the Board for a license to practice chiropractic, but has yet to meet certain requirements set forth under COMAR 10.43.04 to qualify for a license.
   7. (7) “Extern applicant” means an individual who applies to the Board to be approved for the chiropractic externship program.
   8. (8) “Licensed chiropractor” means a chiropractor who is licensed by the Board to practice chiropractic or to practice chiropractic with the right to practice physical therapy, and whose license is in good standing.
   9. (9) “Preceptor or extension faculty member” means a licensed chiropractor actively practicing in the State in good standing who has been appointed to the extension faculty of an accredited Board-approved educational institution.

   10. (10) “Preceptor sponsor” means a licensed chiropractor approved by the Board to supervise the following who are in the process of applying for licensure:

       1. (a) A recent graduate that has completed a preceptorship program; or
       2. (b) A chiropractor licensed in another state, whose license is in good standing.

Authority: Health Occupations Article, §§3-205 and 3-301, Annotated Code of Maryland

Effective date: June 17, 1985 (12:12 Md. R. 1165)

Regulation .02 amended effective June 13, 2011 (38:12 Md. R. 705)

Regulation .02B amended effective August 6, 2001 (28:15 Md. R. 1398); October 22, 2007 (34:21 Md. R. 1915)

Regulation .03A amended effective June 13, 2011 (38:12 Md. R. 705)

Regulation .03B amended effective August 6, 2001 (28:15 Md. R. 1398)

Regulation .04B amended effective October 22, 2007 (34:21 Md. R. 1915); June 13, 2011 (38:12 Md. R. 705)

Regulation .04D adopted effective August 6, 2001 (28:15 Md. R. 1398)

Subtitle name amended to be, Board of Chiropractic Examiners, Chiropractic Externship Program, effective January 2, 2017 (43:26 Md. R. 1446)

Regulation .01 amended effective May 20, 2019 (46:10 Md. R. 490)

Regulation .02B amended effective January 2, 2017 (43:26 Md. R. 1446); May 20, 2019 (46:10 Md. R. 490)

Regulation .03 amended effective May 20, 2019 (46:10 Md. R. 490)

Regulation .03A amended effective January 2, 2017 (43:26 Md. R. 1446)

Regulation .04 amended effective May 20, 2019 (46:10 Md. R. 490)