Current through Register Vol. 63, No. 9, September 1, 2024
(1) A Minor Surgery/ Proctology Review
Committee may be appointed by the Board. Members will serve at the pleasure of
the Board. The committee may review the applications and rotation plans. The
committee will review the results of the rotation and make a recommendation to
the Board regarding the certification. The committee may advise the Board on
all issues related to minor surgery and proctology.
(2) A chiropractic physician licensed in
Oregon who wishes to practice minor surgery and/or proctology must apply to,
and receive from, the Board a certification of special competency in minor
surgery and/or proctology. To receive and maintain certification, the applicant
must fulfill the following requirements:
(a)
Give written application to the Board to practice minor surgery and/or
proctology, provide evidence of completion of 36 hours of undergraduate or
postgraduate coursework in minor surgery/proctology, and propose a plan to
complete a rotation for practical experience in not less than 25 minor
surgery/proctology cases. The purpose of the rotation is to learn and
demonstrate competencies, as determined by the Board, under the guidance of one
or more supervising licensed physicians. The numbers of procedures required in
each of these areas will be determined by the Board.
(A) The rotation must include no less than
five cases where all aspects of the cases are performed solely by the
chiropractic physician, and observed by the supervising licensed
physician.
(B) The remainder of the
rotation not covered in paragraph (A) shall consist of cases where the
chiropractic physician observes and/or assists.
(C) Adequate documentation of the
chiropractic physician's participation in all cases is required on forms
provided by, and returned to, the Board, and signed by the supervising licensed
physician. It is required the rotation be completed within one year.
(b) In lieu of eight (8) hours of
the continuing education requirement, a chiropractic physician may document
performance or observation of twelve (12) minor surgery/proctology procedures
every three years. Reasonable documentation of the procedure or observation is
a copy of the patient schedule and/or patient billing or other patient record
with the patient name redacted which indicates the type of procedure and date
performed.
(3) A
chiropractic physician who is also licensed in Oregon as a doctor of
naturopathy may make written application to practice minor surgery and
proctology. The application may be approved by the Board if the chiropractic
physician can demonstrate their naturopathic training and experience is
equivalent to that required under section (2).
(4) A chiropractic physician licensed in
Oregon who wishes to practice obstetrics must apply to and receive from the
Board a certification of special competency in obstetrics. To receive and
maintain certification, the applicant must fulfill the following requirements:
(a) Successfully complete at least 200 hours
of direct instruction (pre and/or post-graduation) at an approved chiropractic,
naturopathic, medical, osteopathic college or hospital in obstetrics and
furnish a signed log showing evidence that subsections (b) and (c) of this
section have been completed under the direct supervision of a licensed
practitioner with specialty training in obstetrics and/or natural
childbirth;
(b) After being
licensed as a chiropractic physician, the licensee applicant must also complete
the following:
(A) Take part in the supervised
care of 50 pregnant persons in both the prenatal (including obstetrics intakes)
and postnatal periods;
(B) Observe
and assist in the intrapartum care and delivery of 50 natural childbirths in a
hospital or alternative birth setting. These births must be under the
supervision of a licensed practitioner with specialty training in obstetrics
and/or natural childbirth. A labor and delivery that starts under the care of
someone licensed to assist in childbirth and includes hospitalization shall
count as a birth.
(C) Within the
last five years, pass the OBCE OB/GYN examination.
(c) Submit annually, at the time certificate
holders submit their general continuing education hours, 15 hours of continuing
education in obstetrics. All 15 hours in obstetrics may be used to satisfy OAR
811-015-0025(4).
(5) Licensing action by the Board
under ORS 684 shall be deemed to have an equal effect upon a certificate of
special competency issued the practitioner, unless specifically provided
otherwise in the Board action.
(a) When the
subject of a disciplinary proceeding relates specifically to the practice of
minor surgery, proctology, or obstetrics by a licensee who possesses a
certificate of special competency, the license action may, in lieu of affecting
the entire scope of the licensee's practice, suspend, revoke, or curtail only
the practitioner's authority under the certificate of special
competency.
(b) To address
emergency or other circumstances which indicate the use of substances or
procedures not authorized for use by chiropractic physicians, a plan to access
these must be developed in a timely fashion and entered in the patient's
chart.
(6)
Notwithstanding section (4), a chiropractic physician may obtain a license as a
direct entry midwife from the Board of Direct Entry Midwifery. Any chiropractic
physician licensed as a naturopathic physician and certified in natural
childbirth by the Oregon Board of Naturopathic Examiners, may also practice
natural childbirth/obstetrics as a chiropractic physician to the extent allowed
by ORS 684.
Statutory/Other Authority: ORS 684
Statutes/Other Implemented: ORS
684.155
