Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 32 - BOARD OF PHYSICIANS
Chapter 10.32.09 - Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices
Section 10.32.09.07 - Training of Non-Physicians

Universal Citation: MD Code Reg 10.32.09.07

Current through Register Vol. 51, No. 19, September 20, 2024

A. The physician is responsible for assuring that any individual to whom the physician delegates or assigns the performance of a cosmetic medical procedure or the operation of a cosmetic medical device is properly trained. Training shall include both theoretical instruction and clinical instruction.

B. Theoretical instruction shall include:

(1) Cosmetic-dermatological indications and contraindications for treatment;

(2) Identification of realistic and expected outcomes of each procedure;

(3) Selection, maintenance, and utilization of equipment;

(4) Appropriate technique for each procedure, including infection control and safety precautions;

(5) Pharmacological intervention specific to the procedure;

(6) Identification of complications and adverse reactions for each procedure;

(7) Emergency procedures to be used in the event of:
(a) Complications;

(b) Adverse reactions;

(c) Equipment malfunction; or

(d) Any other interruption of a procedure; and

(8) Appropriate documentation of the procedure in the patient's chart.

C. Clinical instruction shall include:

(1) Observation of performance of the procedure or use of the device by an individual experienced in performing the procedure; and

(2) Performing the procedure or using the device under the direct supervision of the delegating physician who is present and observing the procedure a sufficient number of times to assure that the non-physician is competent to perform the procedure without direct supervision.

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