Md. Code Regs. 30.08.05.08 – Non-Surgical Specialty.

	PARC	I	II	III	ED
A. Anesthesia. Anesthesia requirements are as follows:
(1) Board-certified, fellowship trained Anesthesiology Attending in-house, dedicated 24 hours a day to trauma care should be at the bedside upon arrival, and documented at least 80 percent of the time;	E	NA	NA	NA	NA
(2) Board-certified or board-eligible, in-house attending 24 hours a day;	NA	E	E	E	NA
(3) Attending anesthesiologist or CRNA taking trauma call shall be at the bedside within 15 minutes of being called with institution-specific criteria defining conditions requiring an immediate response, and present for all operations; and	NA	E	E	E	NA
(4) A liaison to the trauma QM program with 50 percent attendance.	E	E	E	E	E
B. Emergency Medicine. Emergency Medicine (EM) requirements are as follows:
(1) Physician Director or designated Director of Trauma Services in Emergency Medicine who:
(a) Is Board certified or board eligible in EM with evidence of active participation in daily emergency care;	NA	E	E	E	D
(b) Has administrative duties in the Emergency Department (ED);	NA	E	E	E	D
(c) Demonstrates the successful completion of the ATLS® course, at least once; and	NA	E	E	E	E
(d) Maintains ATLS® certification;	NA	E	E	E	E
(2) Emergency physician in-house 24 hours a day who is:
(a) Board certified or board eligible in EM;	NA	E	E	E	E
(b) Board certified or board eligible in a non-EM specialty with at least 7,000 hours of emergency practice and current ATLS® certification;	NA	NA	NA	E	E
(c) If certified by boards other than EM and treating trauma patients in the ED, current ATLS® status; or	NA	E	E	E	E
(d) Has demonstrated special capabilities through commitment, continuing education, and experience;	NA	NA	NA	NA	E
(3) Advanced Practice Professionals (APP) providing care to the trauma patient who have current ATLS® certification; and	NA	E	E	E	E
(4) A liaison to the trauma QM program with 50 percent attendance.	NA	E	E	E	E
C. Critical Care. Critical care requirements are as follows:
(1) Intensive care with a designated surgical director who is fellowship trained and board certified in surgery or critical care;	E	E	D	NA	NA
(2) A board certified surgeon who serves as director or co-director of the ICU and is actively involved in, and responsible for, setting policies and administrative decisions related to trauma ICU patients;	NA	NA	E	D	NA
(3) A trauma surgeon who retains responsibility for the patient and coordinates all therapeutic decisions;	NA	E	E	E	NA
(4) If Telemedicine is used, physician/s who have privileges in critical care and be approved by the TMD; and	E	E	E	E	NA
(5) A liaison to the trauma QM program with 50 percent attendance.	E	E	E	E	NA

Authority: Education Article, §13-509, Annotated Code of Maryland

Effective date: March 24, 1997 (24:6 Md. R. 488)

Regulation .03F amended effective June 4, 2007 (34:11 Md. R. 972)

Regulation .13A amended effective July 1, 2002 (29:12 Md. R. 933)

Regulation .13F amended as an emergency provision effective June 1, 2006 (33:15 Md. R. 1277); amended permanently effective October 23, 2006 (33:21 Md. R. 1679)

Regulation .15A amended effective July 1, 2002 (29:12 Md. R. 933)

Regulation .15B amended effective June 4, 2007 (34:11 Md. R. 972)

Regulation .17A amended effective July 1, 2002 (29:12 Md. R. 933)

Regulations .20 and .21 adopted as an emergency provision effective November 7, 1997 (24:25 Md. R. 1718); adopted permanently effective March 9, 1998 (25:5 Md. R. 371)

Regulation .20 amended effective July 1, 2002 (29:12 Md. R. 933)

Regulation .20D amended effective June 4, 2007 (34:11 Md. R. 972)

Chapter revised effective July 1, 2018 (45:9 Md. R. 463)

Regulation .03C amended effective July 21, 2025 (52:14 Md. R. 714)

Regulation .13A, B amended effective April 17, 2023 (50:7 Md. R. 302)