To become an acupuncturist or acupuncture and Eastern medicine practitioner, an applicant must complete a minimum of five hundred hours of supervised clinical training in acupuncture or Eastern medicine including no more than one hundred hours of observation which includes case presentation and discussion. At least four hundred hours must be patient treatment.

1. (1) Qualified instructors must observe and provide guidance to the student as appropriate. Instructors must be qualified to provide instruction in their areas of specialization in acupuncture or Eastern medicine as demonstrated by possession of the following:

   1. (a) Broad and comprehensive training in acupuncture or Eastern medicine; and
   2. (b) Two years of relevant current work experience or teaching experience in acupuncture or Eastern medicine.
2. (2) Qualified instructors must be available within the clinical facility to provide consultation and assistance to the student for patient treatments. Prior to initiation of each treatment, instructors must have knowledge of and approve the diagnosis and treatment plan.

3. (3) "Patient treatment" includes:

   1. (a) Conducting a patient intake interview concerning the patient's past and present medical history;
   2. (b) Performing acupuncture or Eastern medicine examination and diagnosis;
   3. (c) Discussion between the instructor and the student concerning the proposed diagnosis and treatment plan;
   4. (d) Applying acupuncture or Eastern medicine treatment principles and techniques; and
   5. (e) Charting of patient conditions, evaluative discussions and findings, and concluding remarks.

[Statutory Authority:RCW 18.06.160, chapter 18.06 RCW, 2019 c 308, 2020 c 229 and 2020 c 76. WSR 21-09-008, § 246-803-230, filed 4/8/21, effective 5/9/21. Statutory Authority: Chapter 18.06 RCW and 2010 c 286. WSR 11-17-105, § 246-803-230, filed 8/22/11, effective 9/22/11.]