PURPOSE: This rule allows preceptorship programs by approved chiropractic colleges and explains the allowable activities by interns.

1. (1) For the purpose of this chapter, the following definitions shall apply:

   1. (A) “Chiropractic college” means a school having accredited status with the Council on Chiropractic Education (CCE) and approved by the board.
   2. (B) “Intern” means a student that has completed a requisite curriculum for a doctor of chiropractic degree from a chiropractic college except for the final clinical phase and is approved by a chiropractic college to participate in a preceptorship program.
   3. (C) “Preceptor” means a chiropractic physician currently licensed and practicing in this state that has been approved by the chiropractic college and board to participate in a preceptorship program.

   4. (D) “Preceptorship program” means a clinical course of study for an intern that includes the following:

      1. 1. Examination and diagnosis;
      2. 2. Treatment protocols;
      3. 3. Outcome measures;
      4. 4. Doctor and patient communication

skills;

1. 5. Record keeping;
2. 6. Case management; and
3. 7. Interdisciplinary communication.
4. (E) “Supervision” means the preceptor shall be present and physically observe the intern at any time the intern is providing chiropractic services to a patient within the definition of section 331.010, RSMo. The preceptor shall provide direct supervision regarding services provided by the intern and shall have no more than one (1) intern providing services during the duration of preceptorship.

1. (2) A chiropractic college seeking to provide a preceptorship program shall submit an application to the board for approval of the preceptorship program and shall describe and document the following:

   1. (A) The college shall clearly identify a preceptorship program supervisor or director. When a preceptorship program supervisor or 20 CSR 2070-3

director changes, the chiropractic college shall notify the board in writing within fifteen (15) days of such change;

1. (B) Proposed organization, content, duration, and schedule of the preceptorship program;
2. (C) Functions or duties of the intern;
3. (D) Legal responsibilities assumed by the chiropractic college;
4. (E) Functions, responsibilities, and duties of the preceptor(s);
5. (F) Forms to be used for evaluating intern performance; and
6. (G) Evidence of comprehensive general liability insurance that covers college employees and interns engaged in the preceptorship program.

1. (3) A licensed chiropractic physician must have the following qualifications to be considered for participation in a preceptorship program. Such documentation must be submitted to the chiropractic college and board for consideration as a preceptor.

   1. (A) Malpractice insurance;
   2. (B) Documentation of fifty (50) patient visits per week;
   3. (C) Three (3) years of licensed, active practice of chiropractic in this state pursuant to section 331.010, RSMo or in another state;
   4. (D) No discipline or complaints filed with the board or with the licensure board of another state; and
   5. (E) Letter of approval and affiliation to the chiropractic college approved by the board for a preceptorship program.
2. (4) A preceptor shall submit to the chiropractic college a detailed list of duties the intern shall be assigned. The intern shall be allowed to provide only those chiropractic services as authorized in section 331.010, RSMo and 20 CSR 2070-2.020 and 20 CSR 2070-2.030 under the supervision of the preceptor.
3. (5) No preceptorship program shall be considered as having been approved by the board until the chiropractic college has received a written letter of approval from the board. AUTHORITY: section 331.100.2, RSMo 2000.* This rule originally filed as 4 CSR 70- 3.010. Original rule filed April 16, 1990, effective June 30, 1990. Amended: Filed Aug. 13, 1990, effective Dec. 31, 1990. Amended: Filed Oct. 15, 1990, effective April 29, 1991. Amended: Filed July 31, 2003, effective Jan. 30, 2004. Amended: Filed April 1, 2005, effective Oct. 30, 2005. Moved to 20 CSR 2070-3.010, effective Aug. 28, 2006. Amended: Filed June 27, effective Jan. 30, 2008. *Original authority: 331.100.2, RSMo 1939, amended 1949, 1969, 1980, 1981.