Current through Register Vol. 63, No. 9, September 1, 2024
(1) Continuing chiropractic education (CE) is
to improve the competence and skills of Oregon chiropractic licensees, and to
help assure the Oregon public of the continued competence of these licensees
within the statutory scope of practice.
(2) In order to renew a license or
certificate, each licensee shall complete an affidavit attesting to successful
completion of education per their license or certificate status.
(a) Chiropractic physician first year initial
status - 8 hours which must include the following:
(A) Over-the-counter, non-prescriptive
substances - 4 hours;
(B)
Evidence-based medicine - 2 hours;
(C) Cultural competency - 1 hour;
(D) Suicide intervention training - 1
hour;
(b) Chiropractic
physician second year active status - 20 hours which must include the
following:
(A) Pain Management Education - 7
hours (6 accredited hours in pain management, palliative care, and end of life
care or a combination of both, and 1 hour of pain management module through the
Pain Management Commission);
(B)
Cultural competency - 2 hours;
(C)
Suicide intervention training - 1 hour;
(D) Maintenance of Basic Life Support (BLS)
for Healthcare Providers or its equivalent as determined by the Board - up to 6
hours accepted towards general continuing education requirement;
(E) General continuing education - 10
hours;
(c) Chiropractic
physician active status - 20 hours which must include the following:
(A) Cultural competency - 2 hours;
(B) Suicide intervention training - 1
hour;
(C) Maintenance of Basic Life
Support (BLS) for Healthcare Providers or its equivalent as determined by the
Board - up to 6 hours accepted towards general continuing education
requirement;
(D) General continuing
education - 17 hours;
(d) Chiropractic physician senior active
status - 6 hours which must include the following;
(A) Cultural competency - 1 hour;
(B) Suicide intervention training - 1
hour;
(C) Maintenance of Basic Life
Support (BLS) for Healthcare Providers or its equivalent as determined by the
Board - up to 6 hours accepted towards general continuing education
requirement;
(D) General continuing
education - 4 hours;
(e)
Chiropractic assistant - 6 hours which must include the following:
(A) Cultural competency - 1 hour;
(B) Maintenance of Basic Life Support (BLS)
for Healthcare Providers or its equivalent as determined by the Board - up to 6
hours accepted towards general continuing education requirement;
(C) General continuing education - 5
hours.
(f) The Board may
require additional specific courses as part of a licensee's annual renewal
hours for an upcoming license or certificate period.
(3) Continuing education course or activity
hours must be completed during the preceding license or certification period. A
licensee may not claim more than 20 hours of continuing education completed in
one 24-hour period. Courses shall not be taken simultaneously. Each licensee
shall maintain records to support the attestation of completed hours.
(4) Courses or activities determined by
licensees to meet the criteria herein are presumed to be approved until or
unless specifically disapproved by the Board. Licensees will be informed of any
disapproved courses in a timely manner. The Board will maintain a list of
disapproved courses available for review by licensees.
(5) Any chiropractic physician who is also
actively licensed in a healthcare profession with prescriptive rights is exempt
from the over-the-counter, non-prescriptive substances requirements.
(6) Any chiropractic physician changing
license status from inactive to active or senior active shall take the required
hours referenced in section (2). It shall be within the Board's discretion to
determine, on a case-by-case basis, the required continuing education based on
the time away from active status.
(7) Approved continuing chiropractic
education shall be obtained from courses or activities which meet the following
criteria:
(a) They do not misrepresent or
mislead;
(b) They are presented by
a chiropractic physician, licensed here or in another state, other appropriate
health care provider, or other qualified person;
(c) They exclude practice-building subjects
and the primary purpose of the program may not be to sell or promote a
commercial product. However, the mere mention of practice-building concepts
shall not disqualify a program's eligibility for CE credit.
(d) The material covered shall pertain to the
practice of chiropractic in Oregon or be related to the licensee's specific
practice;
(e) Continuing education
hours for Board activities must assist in assuring the competence and skills of
the licensee; and
(f) Shall be
quality courses or activities adequately supported by evidence or rationale as
determined by the Board.
(8) The Board may accept a maximum of 6
credit hours from each of the following categories:
(a) Being an original author of an article,
published in a peer reviewed journal, given in the year of
publication;
(b) Participation in a
formal protocol writing process associated with an accredited health care
institution or state or government health care agency;
(c) Participation as an OBCE board member or
on an OBCE committee;
(d)
Participation in a research project, approved by the Board, related to
chiropractic health care directed by an educational institution or other
qualified chiropractic organization;
(e) Teaching courses at an accredited health
care institution;
(f) Teaching
chiropractic continuing education courses;
(g) Professionally licensed staff of the
OBCE; and
(h) Professionally
licensed non-board member attending public OBCE board meetings. Each meeting,
the attendee will be given a maximum of 2 hours.
(9) The Board may accept a maximum of 12
credit hours from each of the following categories:
(a) Participation on a National Board of
Chiropractic Examiners' (NBCE) examination; or
(b) NBCE test writing committee.
(10) The Board may accept credit
hours from courses, seminars, or other activities. Completion of other
activities as chiropractic continuing education is defined as follows:
(a) Continuing medical education
(CME);
(b) Video or pre-recorded
continuing education courses or seminars, unless specifically required by the
Board to be taken in person;
(c)
Successful completion of online or in-person college courses related to
chiropractic health care taught at an educational institution; and
(d) BLS/CPR/AED courses.
(11) All licensees are required to keep full,
accurate, and complete records:
(a) A
verification of attendance for all CE courses or activities showing hours
claimed for renewal credit, and or proof of completion signed by the sponsor
and licensee.
(b) Video or
pre-recorded courses shall be supported through record-keeping with a letter,
memo, or on a form provided by the Board, that includes the dates and times,
vendor's or presenter's name/s, total hours claimed for each course, location,
and includes the following statement: "I swear or affirm that I viewed or
listened to these continuing education courses in their entirety on the dates
and times specified in this report."
(c) A copy of a published article including
the date of publication;
(d) A
written record of hours in clinical protocol development and research projects.
The record shall include the names and addresses of the institutions involved,
name of supervisors, and their signatures verifying hours.
(e) For licensees claiming CE hours under the
provisions of (8)(d), for participation on a Board committee, or assisting with
a National Board of Chiropractic Examiners' (NBCE) examination or NBCE test
writing committee, certification from the Board or NBCE.
(f) For licensees claiming CE hours under the
provisions of (8)(f), a record of employment by health care institutions,
signed by their supervisor, a copy of the course syllabus if applicable, and
verification of hours.
(g) For
licensees claiming CE hours under the provisions of (8)(g), licensee shall
obtain and keep verification of the course taught including, the dates of the
course, a syllabus and the sponsoring organization.
(12) The Board will generate a random
computer list of a minimum of 10% or up to 100% of renewing licensees, who will
have their CE records audited and reviewed to ensure compliance with this rule.
Licensees shall respond to this request within 30 days by supplying the Board
with verification of their CE courses or activities.
(13) Any licensee who has submitted
inadequate, insufficient, or deficient CE records or who otherwise appears to
be in noncompliance with the requirements of this rule will be given written
notice by the Board and will have 30 days from the date of notice to submit
additional documentation, information or written explanation to the Board
establishing the licensee's compliance with this rule. The Board may issue
civil citations for noncompliance of this rule.
(14) At its discretion, the Board may audit,
by attendance, the content of any program in order to verify the content
thereof. Denial of an audit is grounds for disapproval.
(15) Any licensee seeking a hardship waiver
from their continuing education requirements shall apply to the Board, in
writing, as soon as possible after the hardship is identified and prior to the
close of licensure for that year. Specific details of the hardship must be
included. In order to approve an application for a hardship waiver, the Board,
within its discretion, must find that such hardship exists.
(16) The Board shall maintain and make
available, through its web page and electronic communications to licensees, a
list of disapproved courses, if any. The Board may disapprove a course or CE
activity after giving the sponsor and/or licensees the opportunity to provide
additional information of compliance with the criteria contained in this rule,
and opportunity for contested case hearing under the provisions of ORS
183.341, if requested. Any CE
sponsor or licensee may request the Board to review any previously disapproved
course at any time.
Statutory/Other Authority: ORS
684.155
Statutes/Other Implemented: ORS
684.092
