Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 32 - BOARD OF PHYSICIANS
Chapter 10.32.21 - Licensure, Regulation, and Discipline of Naturopathic Doctors
Section 10.32.21.02 - Definitions
Universal Citation: MD Code Reg 10.32.21.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Approved naturopathic medical program"
means a naturopathic medical education program:
(a) In the United States that:
(i) Provides the degree of Doctor of
Naturopathy or Doctor of Naturopathic Medicine;
(ii) Offers a 4-year graduate level full-time
didactic and supervised clinical training;
(iii) Is accredited or has achieved candidacy
status for accreditation, by the council on naturopathic medial education or an
equivalent federally and Board recognized accrediting body for naturopathic
medical education programs; and
(iv) Is part of an institution of higher
education that is either accredited, or is a candidate for accreditation, by a
regional or national institutional accrediting agency recognized by the United
States Secretary of Education;
(b) In a diploma-granting, degree-equivalent
college or university in Canada that:
(i)
Offers graduate level, full-time didactic and supervised clinical training;
and
(ii) Is accredited, or has
achieved candidacy status for accreditation, by the council of naturopathic
medical education or an equivalent federally and Board recognized accrediting
body for participation in government-funded student aid programs; or
(c) Has provincial approval for
participation in government-funded student aid programs.
(2) "Articular manipulation" means
manipulation of the joints up to but not including manipulation beyond the
elastic limit and exclusive of low amplitude, high velocity thrusts, also known
as Grade V manipulations.
(3)
"Attestation" means a statement of intent.
(4) "Board" means the State Board of
Physicians.
(5) "Central Repository"
means the Criminal Justice Information System Central Repository of the
Department of Public Safety and Correctional Services.
(6) "Collaborate" means a cooperative
relationship between naturopathic doctors and licensed physicians, which does
not imply or create a supervisory relationship between the licensed physician
and the naturopathic doctor.
(7)
"Collaboration and consultation agreement" means an agreement whereby a
naturopathic doctor and physician will collaborate and consult regarding a
patient's care, but in which the:
(a) Patient
does not enter the care of the consulted physician;
(b) Consultation does not create a
physician-patient relationship; and
(c) Consulted physician does not direct
patient care or engage directly in the care of the patient.
(8) "Committee" means the
Naturopathic Medicine Advisory Committee.
(9) "Consult" or "consultation" means a
process whereby a naturopathic doctor seeks the advice or opinion of a licensed
or certified health care provider as needed in the treatment of a patient,
which may include discussion of the:
(a)
Patient's diagnosis;
(b)
Differential diagnoses and diagnostic method;
(c) Current naturopathic treatment;
(d) Patient's response thus far to
naturopathic treatment;
(e)
Potential medical and other options outside the naturopathic doctors scope of
practice that might benefit the patient;
(f) Patient's potential response to
diagnostic and treatment options outside the naturopathic doctor's scope of
practice; and
(g) Patient's
expected prognosis.
(10)
"Corrective and orthopedic gymnastics" means therapeutic exercises, stretching,
and other movement therapies intended to promote healing and
rehabilitation.
(11) "Criminal
history records check" means the performance of both a State criminal history
check by the Central Repository, and a national criminal history check by the
Federal Bureau of Investigation.
(12) "Criminal history records information"
means information provided by the criminal history records check regarding an
applicant's criminal arrests, charges, and convictions, and the disposition of
pending criminal charges.
(13)
"Diagnostic imaging" includes, but is not limited to, X-ray, ultrasound,
mammogram, bone densitometry, computed tomography (CT scans), magnetic
resonance imaging (MRI scans), endoscopic exam, and all other forms of nuclear
imaging.
(14) "Electromagnetic
energy" means electric and magnetic energy administered through the use of a
therapeutic device, including, but not limited to, transcutaneous electrical
nerve stimulation, microcurrent electrical muscle stimulation, diathermy,
infrared, ultra-violet treatments, and other devices which utilize electrical
or magnetic force for therapeutic effect.
(15) "Electrotherapy" means treatment through
application of electric energy administered through the use of therapeutic
devices, including, but not limited to, transcutaneous electrical nerve
stimulation, microcurrent electrical neuromuscular stimulation, and other
devices which utilize electrical force for therapeutic effect.
(16) Goods.
(a) "Goods" means items that can be
sold.
(b) "Goods" includes, but is
not limited to, natural medicines referenced in Health Occupations Article,
§ 14-5 F-14(a)(3) and (4), Annotated Code of Maryland.
(17) Hydrotherapy.
(a) "Hydrotherapy" means external and
internal applications of hot and cold water, ice, and steam for therapeutic
purposes.
(b) "Hydrotherapy"
includes, but is not limited to, hot or cold compresses, hydrocollator packs,
hot or cold baths or showers involving the full body or specific body
parts.
(18) "Licensed
naturopathic doctor" means a naturopathic doctor who is licensed by the Board
to practice naturopathic medicine.
(19) "Mechanical sciences of healing" means
techniques and therapies which attempt to promote healing via mechanical or
physical applications.
(20)
"Mechanotherapy" means treatment by mechanical means including the use of
durable medical and therapeutic devices.
(21) "Natural medicine" means medicine
derived from mineral, animal, or botanical origin.
(22) "Naturopathic doctor" means an
individual who practices naturopathic medicine.
(23) Naturopathic Medicine.
(a) "Naturopathic medicine" means the
prevention, diagnosis, and treatment of human health conditions, injury, and
disease using only patient education and naturopathic therapies and their
therapeutic substances recognized by the council of naturopathic therapies and
therapeutic substances recognized by the Council of Naturopathic Medical
Education.
(b) "Naturopathic
medicine" includes:
(i) Counseling;
(ii) The practice of the mechanical sciences
of healing, including mechanotherapy, articular manipulations, corrective and
orthopedic gymnastics, hydrotherapy, electrotherapy, and phototherapy; and
(iii) The practice of the material
sciences of healing, including nutrition, phytotherapy, treatment by natural
substances, and external applications.
(24) "Naturopathic musculoskeletal
mobilization" means the treatment by manual and other mechanical means of all
body tissues exclusive of high-velocity thrusts at or beyond the end range of
normal joint motion.
(25)
"Non-bona-fide treatment" means when:
(a) A
naturopathic doctor treats or examines a patient in a way that involves sexual
contact when there is no medical reason for the procedure; or
(b) The procedure falls outside a
naturopathic doctor's scope of practice.
(26) "Phototherapy" means treatment through
application of light, including visible light, ultraviolet light, infrared,
natural sources of light, and artificial sources of light.
(27) Physiological Function Tests.
(a) "Physiological function tests" means all
tests performed to assess and diagnose physiological processes in all bodily
systems.
(b) "Physiological
function tests" include, but are not limited to, respiratory testing, heart
rate, percent body fat, body composition, and others, as consistent with
naturopathic medical education.
(28) "Phytotherapy" means treatment by use of
botanical medicines.
(29)
"Prescription drug" means any drug defined in the federal Food, Drug, and
Cosmetic Act, 21 U.S.C. §§ 503(b), as amended, if the drug's label is
required to bear the statement "Rx only".
(30) "Sexually exploitative relationship"
means a naturopathic doctor taking advantage of an unequal relationship between
the naturopathic doctor and patient, staff member, or student.
(31) "Therapeutic deception" means
representation by a naturopathic doctor that sexual contact or sexual activity
by or with a patient is consistent with or part of a patient's
treatment.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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