1. A. Internal Continuing Education.

   1. (1) Medical staff internal continuing education shall consist of:

      1. (a) Participation in weekly case management conferences;
      2. (b) Participation in weekly lecture series;

      3. (c) Attendance at monthly specialized conferences that include the following subject areas:

         1. (i) Amputee;
         2. (ii) Microsurgery;
         3. (iii) Plastic surgery;
         4. (iv) Congenital deformities; and
         5. (v) Anatomy;
      4. (d) Participation in monthly hand surgery journal club;
      5. (e) Attendance at yearly visiting professor lecture and anatomy laboratory;
      6. (f) Access to electronic educational materials in the specialty;

      7. (g) Access to video library including:

         1. (i) Hand surgery; and
         2. (ii) Microsurgery topics; and
      8. (h) Completion of microsurgery laboratory refresher course.

   2. (2) Operating room and inpatient nursing staff internal continuing education shall consist of:

      1. (a) Participation in nurse specialty education opportunities and American Society for Surgery of the Hand meetings;
      2. (b) Attendance at lectures by attending hand surgeons;
      3. (c) Access to hand and upper extremity trauma center lecture series;
      4. (d) Access to hand surgery and hospital library services; and
      5. (e) Participation in case presentations and discussions as appropriate;

   3. (3) Hand therapist internal continuing education shall consist of:

      1. (a) Access to full schedule of hand center lecture series;
      2. (b) Access to monthly congenital conference;
      3. (c) Access to monthly hand surgery journal club; and
      4. (d) Attendance at National Hand Therapy and American Society for Surgery of the Hand meetings.

2. B. Special Training in Trauma Protocols. Training in trauma protocols shall include:

   1. (1) Review of the new attending and house staff manual;

   2. (2) Completion of an orientation/training session for new:

      1. (a) Physicians;
      2. (b) Nurses; and
      3. (c) Therapists; and

   3. (3) Review of trauma registry data including:

      1. (a) Inclusion criteria;
      2. (b) Definitions; and
      3. (c) Reports.
3. C. External Continuing Education. External continuing education programs concerning the care and treatment of hand and upper extremity trauma injury including attendance at external symposia and lectures are required.

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

Effective date: August 13, 2007 (34:16 Md. R. 1433)

Regulation .02A amended effective July 21, 2025 (52:14 Md. R. 714)