PURPOSE: This rule defines postgraduate education, sets out the requirements for sponsoring organizations and explains procedures for inactive chiropractic physicians to obtain a semester of review prior to reactivation of a license.

1. (1) Postgraduate study as used in this rule and as used in section 331.050, RSMo is defined as a program which provides instruction in, but not limited to, the following: general anatomy, physiology, general diagnosis, microbiology, hygiene and sanitation, X-ray and radiation protection, biochemistry, neurology, orthopedics, spinal anatomy, pathology, principles of chiropractic, chiropractic adjusting and jurisprudence. The program must provide instruction on a level designed to instruct individuals who are already licensed as chiropractic physicians in Missouri. The term postgraduate study may be used interchangeably with the terms continuing education and postgraduate education.
2. (2) For board approval of postgraduate education programs, sponsoring organizations shall forward to the board two (2) copies of the completed application, syllabus or outline of material covered in the course and vitae on the speaker(s). This material must be received in the board office at least forty-five
3. (45) days prior to the seminar to receive board approval. A request for approval of a seminar will not be considered by the board if the request is made after the seminar has occurred.

4. (3) All postgraduate education programs shall be subject to the following criteria:

   1. (A) The program shall meet the definition of postgraduate education as defined in section (1) of this rule;
   2. (B) The sponsor shall properly monitor the attendance of the chiropractic physician at the program; and
   3. (C) The sponsor shall notify the board of the date, title, hours, names of speakers and location of seminar and contact person.
5. (4) If any program submitted for board approval does not meet the requirements of section (3) of this rule, such program(s) will not be approved.
6. (5) Continuing education programs in diagnostic imaging shall be taught by a Diplomate, American Board of Chiropractic Radiology (DACBR) or a medical radiologist.
7. (6) Any postgraduate program offered for license renewal must carry the following disclaimer: “Approval of this course is not an acknowledgement or ruling by the board that the methods taught in this course are recognized and approved by the board as the appropriate practice of chiropractic as defined in section 331.010, RSMo.” This disclaimer shall be on all brochures and handouts or on a separate piece of paper distributed at each program.

8. (7) All postgraduate education sponsors shall provide each licensee with a certificate verifying his/her attendance at an approved postgraduate education seminar. The certificate shall be provided to the licensee by the sponsor within thirty (30) days from the date of the licensee’s attendance at the seminar and it shall contain, at a minimum, the following information:

   1. (A) Name, address and telephone number of the sponsoring organization;
   2. (B) Name, address and license number of the licensee in attendance at the approved seminar;
   3. (C) Course approval number which will be provided to the sponsor at the time the sponsor is notified by the board of its approval of the seminar;
   4. (D) Title, date(s) and location of the seminar; and

   5. (E) The total number of hours that the licensee was in attendance at the seminar. These hours must be reflected within the following categories:

      1. 1. General chiropractic education;
      2. 2. Diagnostic imaging;
      3. 3. Differential or physical diagnosis;
      4. 4. Emergency procedures or boundary

training; and

1. 5. Human Immunodeficiency Virus

1. (HIV) or infectious diseases.

2. (8) When a chiropractic physician applies to reinstate a license that has been expired for at least three (3) years and s/he must return to a Council on Chiropractic Education (CCE)- accredited chiropractic college for a semester of review in the clinical subjects, the following subjects shall be covered in the semester of review:

   1. (A) X-ray (case presentation or interpretation);
   2. (B) Physical examination;
   3. (C) Neuromusculoskeletal (NMS) diagnosis;
   4. (D) Neurological and orthopedic examination or diagnosis;
   5. (E) Laboratory diagnosis/interpretation; and
   6. (F) An adjusting technique course.
3. (9) When a chiropractic physician must return to a CCE-accredited chiropractic college for a semester of review, the review shall be completed successfully.

AUTHORITY: sections 331.050, RSMo Supp. 2003 and 331.100.2, RSMo 2000.* This rule originally filed as 4 CSR 70-2.081. Original rule filed April 16, 1990, effective June 30, 1990. Amended: Filed Aug. 26, 1993, effective April 9, 1994. Amended: Filed March 4, 1994, effective Aug. 28, 1994. Amended: Filed Dec. 18, 1995, effective June 30, 1996. Amended: Filed July 23, 1998, effective Feb. 28, 1999. Amended: Filed July 31, 2003, effective Jan. 30, 2004. Moved to 20 CSR 2070-2.081, effective Aug. 28, 2006.

*Original authority: 331.050, RSMo 1939, amended 1945, 1947, 1969, 1987, 1999, 2001; and 331.100.2, RSMo 1939, amended 1949, 1969, 1980, 1981.