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STATE OF CALIFORNIA
Board of Chiropractic Examiners 2525 Natomas Park Drive, Suite
260 Sacramento, California 95833~2931 Telephone (916) 263-5355 FAX
(916) 263-5369 CA Relay Service TIITDD (BOO) 735-2929 Consumer
Complaint Hotline (866) 543~1311
Jlt!P.jfyfli'N.Cllif.Q..J!E..:.9.Q.Y.
NOTICE OF PUBLIC MEETING
Continuing !=ducation Committee
September 24, 2008
8:30a.m.
State Capitol
Assembly Room 126
Sacramento, CA 95814
AGENDA
CALL TO ORDER
Approval of Minutes • September 4, 2008
Discussion and Possible Action • Update on the Draft Proposal to
Amend the Continuing Education Regulations
Discussion and Possible Action • Process to Review and Approve
Continuing Education Courses
Public Comment
Future Agenda Items
ADJOURNMENT
CONTINUING EDUCATION COMMITTEE
Richard Tyler, D.C., Chair
Hugh Lubkin, D.C.
The Board of Chiropractic Examiners' paramount responsibility is
to protect California consumers from the fraudulent, negligent, or
incompetent practice of chiropractic care.
A quorum of the Board may be present at the Committee meeting.
However, Board members Wh.o are not on the committee may observe,
but may not participate or vote. Public comments will be taken on
agenda items at the time the specific item is raised. The Committee
may take action on any item listed on the agenda, unless listed as
informational only. All times are approximate and subject to
change. Agenda items may be taken out of order to accommodate
speakers and to maintain a quorum. The meeting may be cancelled
without notice. For verification of the meeting, call (916)
263~5355 or access the· Board's Web Site at www.chiro.ca.gov.
The meeting is accessible to the physically disabled. If a
person needs disability~related accommodations or mOdifications in
order to participate in the meeting, please make a request no later
than five working days before the meeting to the Board by
contacting Marlene Valencia at {916) 2635355 ext. 5363 or sending a
written request to that person at the Board of Chiropractic
Examiners, 2525 Natomas Park Drive, Suite 260, Sacramento, CA
95833. Requests for further Information should be directed to Ms.
Valencia at the same address and telephone number.
http:www.chiro.ca.govhttps://www.chiro.ca.gov/
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STATE OF CALIFORNIA ARNOLD SCHWARZENEGGER, Governor
Board of Chiropractic Examiners 2525 Natomas Park Drive, Suite
260 Sacramento, California 95833-2931 Telephone (916) 263-5355 FAX
(916) 263-5369 CA Relay Service TTffDD (800) 735-2929 Consumer
Complaint Hotline (866) 543-1311 www.chiro.ca.qov
BOARD OF CHIROPRACTIC EXAMINERS
MEETING MINUTES
Continuing Education Committee
September 4, 2008 · ·
2525 Natomas Park Drive, Ste. 100 Sacramento, CA 95833
Committee Members Richard Tyler, D.C., Chair Hugh Lubkin,
D.C.
Staff Present Brian Stiger, Executive Officer LaVonne Powell,
Senior Staff Counsel John Melendez, Staff Services Manager April
Alameda, Staff Services Analyst Genie Mitsuhara, Senior Staff
Analyst Valerie James, Office Technician
Call to Order j/. '.,
Dr. Tyler6alled the rneeting to,order 2:29p.m.
Ron·call
Dr. Lubkin called the roll. All committee members were
present.
Approval of Minutes
April 24, 2008
DR. LUBKIN MOVED TO APPROVE THE APRIL 24, 2008, MINUTES; DR.
TYLER SECONDED THE MOTION; VOTE 2-0; MOTION CARRIED.
Process to Review and Approve Continuing Education Courses
Dr. Tyler provided a brief overview of the past review and
approval process for continuing education courses. The process
involved committee members meeting with Board staff to review and
approve
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https://www.chiro.ca.gov/
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staff recommendations for course approval. . Dr. Tyler
emphasized that in the prior review and approval process licensed
chiropractors were involved.
Dr. Tyler raised concerns with the current process in that it
does not include a chiropractic presence for the final
approval.
Dr. Lubkin provided the highlights of a discussion he had with
Mr. Stiger regarding the current approval process. He recommended
that staff consult one of the Board's experts to assist staff
review and evaluate continuing education courses. The experts would
be selected by their specialties. Dr. Lubkin also cautioned that
the staff should not be micro-managed to the extent that they
become ineffective.
Dr. Lubkin also mentioned that appeals should be heard by the
Continuing Education committee if the appeal was not resolved by
the Executive Officer. ·. ·
Ms. Powell raised concerns about a three tier appeal system,
which slows down·the process and the final decision is ultimately
made by the full Board. Under the committee's proposal the appeals
would include the Executive Officer then the Continuing Education
Committee then the full Board Ms. Powell indicated that course
providers have not raised any complaints to the Board regarding the
current review and approval process.
Dr. Tyler raised concerns with staff making determi11ations on
course approvals without being a chiropractor. Dr. Lubkin stated
that Board staff has the ability to consult a Board trained subject
matter expert when issues arise:
Ms. Powell stated that state employees are professionals and
that Genie Mitsuhara is a professional in reviewing and approving
continuing education courses and probably knows more than anyone in
the state about these courses.
Dr. Tyler mentioned that af:ter the continuing education
regulations are revised, what would be the purpose ofthe continuing
education committee? Ms. Powell said that the committee needs to
focus on polic;y issues.··· · ·
Mr. Stiger explained how chiropractic experts are selected,
trained, and used during the review and approval process of
continuing education courses.
Dr. Charles Davis, International Chiropractic Association of
California stated that many courses are repeated on a yearly
basis,which does not require an expert to be involved in every
single continuing education course ..He stated that some courses
need to be audited.
Dr. Lubkin stated he would like to see the Board audit 10% of
the continuing education courses approved by the Board on an annual
basis.
DR. TYLER MOVED THAT MR. STIGER DEVELOP A REVIEW PROCESS THAT
INCLUDE THE USE OF BOARD EXPERTS THAT WILL BE PRESENTED TO THE FULL
BOARD; DR. LUSKIN SECONDED THE MOTION; VOTE 2-0; MOTION
CARRIED.
"2
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Update on the Draft Proposal to Amend the Continuing Education
Regulations
Dr. Davis recommended that chiropractors be required to take the
same courses required of all health care providers and let
chiropractors select the remainder of the courses to make up the
required number of hours.
Mr. Stiger provided a brief update on the progress of the
workgroup created to draft a proposed rewrite of the continuing
education regulations. Mr. Stiger indicated five areas of change
including: increase CE hours from 12 hours to 24 hours; up to 12
hours could be"earned through distance learning; a combination of
mandatory and elective courses; the 50 minute hour; and a new fee
structure. ' ·
Dr. Tyler believes that adjustive technique should be a
mandatory course. Dr. Davis recommends that adjustive techniques
should be an elective course.
Dr. Ray Welch expressed appreciation for being on the work
group. He also opp()ses the increase in required number of hours
and supports mandatpry hours for adjustive technique.
Kristine Shultz, California Chiropractic Association, made
positive comments about the work group.
Dr. Tyler asked Mr. Stiger to prepare an· update of the working
group's progress at the next meeting.
ADJOURNMENT
Dr. Tyler adjourned the meeting at 3:17p.m.
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Draft Proposed Regulatory Language for Continuing Education
Revised September 17,2008
§355. Renewal, and Restoration and Reinstatement.
(a) Commeneing with tho rene\val period for 1973, The doctor of
chiropractic license expires at midnight annually on the last day
of the licensee's bitih month. A licensee may not·engage in the
practice of chitupractic in Califomia under an expired license. The
licensee shall submit, prior to expiration of the
·license, a renewal application, an annual renewal fee of one
hundred alldJifty dollars ($150.00), and a statement that he or she
has completed within the past twelve (12}inonths.coniinuing
education meeting the requirements of section 356. eaeh lieense and
eaeh applieant for restoration o{aJieense that was forfeited for
failnre to renew shall, as a eendition to renewal or
restoratiqn··af his or her lioonse .. ari:din addition to paying
the ll!lffilal renewal fee of one hnndred fifty dollars ($150,00)
or restoration fee of d.ollilie .the annnal renewal fee as provided
by seetion 12 of the Aet (California Business and Professions Code
se10tioa 1000 12), and sllilmit evidentiary doenmeatation proof
that he or she has. completed .vti:hin the past 12 moB:ths a eonrse
of eontinning ed.neation approved l3y the board on a form (No,
09Rf'iJ[Sf91) provided l3ytlie hoard titled Rent¥.val Applieation.
The Renewal Applieiition as provided by .the~ board. will indieate
the eurront year of renB'Nal. Continuing education requirements
must be completedpriodo expiration of the license.
(b) In lien of snl3mitting the proof of e~mpietien of eontinning
eaaeation reEtHired nnder sooseetion (a) al3ove, any sueh lieensee
or applieant may submit a statement, ·.vhleh shall be verified or
eertified uoder penalty of perjmy, that he or she vlill not engage
.m the praetieeof Chiroprcaetie y;itilia the State of California
d.nriug the period for whish renewal or restoration is sought
i:mlesslle or she first eompletes an approved eeurse of eontinning
ed.nejitien and sllilmits prooftheroof to the board; and that fie
or sfie understands that failure to de so y;ill eonstiMe grounds
for the suspension or revoeation of his or fier lieense. f, lieense
that fias 63lplred for failure to renew may Be renewed at
any·tiffie within three years after the B*piratiOB date. If BO
applieation is reeeived within three years, the Board sfiall eaneel
the lieense. A licensee may request that his or her license be
placed on inactive status. The licensee miw not engage in the
practice of chiropractic in Califomia under an inactive license. ··
To renew a license as inactive, the licensee shall submit a renewal
applicationi:u1d renewal .fee prior to expiration of the liCense.
To restore an inactive license to active status, the licen:sing
shall c-omplete a foim provided by the Board titled "Inactive to
Active License Request" and documentation that he or she has
either. (1) completed continuing education meeting the requirements
of section 356 for each year thatthe license was inactive; or (2)
held an active license in another state.
(c)To restore a caneelled lieense, ilie pemon must submit to the
Board's offiee, in eomplianee with the applieation instrnetions, an
app!ieation for restoration, pay a fee of twiee the annnal amount
of the renewal fee,
· ··:·and previde.evidence of Board approved emi.l:inning
ed.neation, as specified in California Code of Regulations, ·
seetion 356, for eaefl'Jil month -period in whiefi the lieense was
eaneelled. Coni:iniling ed.neatioi1 requiTed to · restore a
eaneelled·lieensed.must be eommeneed and eompleted d.nring the 12
month period irnmediately preceding the reEtHest for restoration. A
license that is not renewed within sixty (60) days of its
expiration is forfeited. A forfeited license may be renewed at any
time within three (3) years after t11e expiration date. To restore
a forfeited license, the licensee shall submit an application on a
form provided by the Board titled "Restoration Application",
provide documentation that he or she has completed the continuing
education meeting the requirements of section 356 for each year
tl1at the license was forfeited, and pay a fee of twice the annual
renewal fee.
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(d) Licenses for doeters of chiropractic which heretofore
GKpired on the last day of December each year will henceforH1
GJl]3ire on the last day of the birth month of the licensee in each
year.
To facilitate the conversion to the llirthdate rene·.val system
for aoctors of chiro:J3raetic, licenses that Bll]3ire on December
31, 1991 willlle renewed for :J3eriods from seven (7) to eighteen
(18) months. The fee to lle :J3aiEl shall be that determined by
niDltij3lyffig 1112 of the renewal fee by the RRJ']1Bilr of months
of licensure in accord with the following schedule. All fees shall
be roundea to the neamst_whole clollaL
Will Be Licensed for
Licensees Bam In The Period ..-o .·. .Months of Licensure
--~Jen!l1Uu~ar~yL-------------~J*armnnuarar~~·~9~2riJ~arnnuwarH¥y~9~3--~"~···~··~------~1~3.
_
--f'FeBil33fnnllaraFVy--------------~JJ.fllfmnnuilfm~~·.J,91:.!2,.-JF"nru'lfariF)v-'.Y.93"-.·""··~/~·c,.c'------------,1144
March January 92 March 93. / . .. 15 -~--. ···-...~ cA:J3ril
Jilflliary 92 April 93 .. •· Hi ·~-
May Jilflliary n May 93 ·. . F . 17 .. Jllly Jilffllary 92 Jllly
92 ·.. ·· ·· 7
August Jilffllary 92 f.ugust 92 g
S0:J3tembar January 92SBJ3tl$-~ar 92 9
Octoller Jilflliary 92 betober·n _ 10
This will be a one time'reduetion or·merease, cftective
Jilflliary 1992 all licenses willlle annually renewed OR a
birtlJ.c:late Fef!Bwal'!iystem. • . • \ .
This suBsection shaJ.i 'l'effiaHl ffi effect until June 30,
199;!, end on such date is r6:J3ealed. ·. . ----,-
A license that-cis. not renewed "-'ithin three (3)y~ars of its
expiration shall be cancelled. To restore a cancelled license, the
licensee shall submit an application on a form provided by the
Bom:d titled "Application for Restoration After Cancellation",
provide documentation tbat he or she has completed tbe continuing
education 1neeting the requirements ·of section 356 for each year
tl1at the license was cancelled, and pay a fee of twice ~e annual
renewal fee.< · · ·· ..... ..
NOTE: Autbbrity cited: Sections 1000-4(b) and 1000-10(a),
Busi1.1ess and Professions Code. Reference: Section 1 000~12,
Business m1d Professions Code. HISTORY: '· . , '
· 1. New article 6 (~eetions3S5 thTough 358) filed 1-31-72;
effective thirtieth day thei'eafter' (Registe1'72, No;'·· ',·._6).
' .
2. Amendment of subsection (a) filed 5-26-88; operative 6-25-88
(Register 88, No. 23). 3. Amendment of subsection (a) m1d new
subsection (c) filed 4-23-91; operative 5-23-91 (Register 91,
No.
21). .· !
.4. Amendment of subsection (b), new subsection (c) m1d
subsection relettering filed 3-19-2001; operative 418-2001
(Register 2001, No. 12).
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§355.1. Continued Jurisdiction of a License.
The suspension, expiration, cancellation, or forfeiture by
operation of law. of a license issued by the board, or its
suspension, or forfeiture, by order of the board or by order of a
court of law, or its surr-ender without the written consent of the
board shall not, during any period in which it may be renewed,
restored, reissued, or reinstated, deprive the board of its
authority to institute or continue a disciplinary proceeding
against the licensee upon any ground provided by law or to enter an
order suspending or revoking the license or otherwise taking
disciplinary action against the licensee on any such ground. // ·
·
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business
...~fl Professions Code (Chiropractic Initiative Act of California,
Stats. 1923, p.lxxxviii). Reference: Secticms lOOOA(b)and 1000-10,
Business and Professions Code (Chiropractic Initiative Act of
California, $tat~.)923,p. lxxx\rii~): HISTORY: ..... '·.
_,/
1. New section filed 12-6-2000; operative 1-5-2001
(R()gister2ooo, No. 49). 2. Editorial corr-ection restoring
inadvertently omitted iy6i;d (Register 20()l,No. 3). 3. Amendment
filed 7-7-2003; operative 8-6-2003 (ReglSl()r'@003, Np:Z8)/
•.C,§355.2. Inaetive Lieense. ·' . ~-
l< licBRseEI chlro13ractor may ~flly to the fu~ata·to
teEjf!est that ffi;'~{hsrlicease be fllaeeEI oa ffiaetive statas.
An iaaetive licBRse shall be reaeweEI ooriag tb.!> sametiqle
perioEI at vibjghfll} active lieease is reae·.veEI. The Fefl8'Nal
fee for a licease ifl all ffiactiye staffis shall be thesame 'fee
assess~efJor reaewal of all active lieBRSo;l. Liceasees holEling aa
inactive,bieefi§e sllall be eJte¥,ptfroJ'R co!lti~g eElu0atloa
reqHiremerus.
The bo!Eler of aa iaaetiV'~ lieease sh~not eagag~ia th~
f!raetiee of ehlrof!raetic ooring the tiFRO the lieense is
iaaetive. ·
Liceasees on inaeti'.:: ~ta:tas who.h~:
niifeOffirajttealm-J'acts or criFROs coastitatiag grmmEls for
Elisciflliae may sH!Jmit a writteRnlqHest for ail a§ti'!e
Jfeease~afid i!J.e-fellowing:
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(a) B>tidence of b6at_d 8-]'lf!ro·ied e.offiiooiag eoocatioa
for each 12 month 13eriod or f!Ortioa thereof the liC6l1S~ 'lias
inactive. The eoirunuiago',~d'ucation fllUSt be tallen f!rior to
the reqHest for aetP;atioa aad shall comt3ly '11ith Califomia Cod~
~fReglliatiE;JHSS?ctioa35€i; or
(b) lf fl~etieiag ia aaother state, 13roviEle 13roof of
lieeasure and eoatiooing eooeatioa from that state for each 12
FRO!lth f!erioEI the liceas,e 'Nils iaaetive ia California.
NOTE: ·Authority cited:' Se~tiohs 1000-4(b) and 1000-10,
Business and Professions Code. (Chiropractic· ·
Initiative Act of California, Stats. 1923, p.lxxxviii).
Reference: Sections 1000-4(b) and 1000-10, Business and
Professions Code. (Chiropractic Initiative Act of California,
Stats . .1923, p. lxxxviii).
HISTORY; ,,
' 1. New section filed 7-2-2001; operative 8-1"2001 (Register
2001; No. 27). '
§356. Continuing Education Requirements Cearse Centent.
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(a) A.ll aostors engaged in astive praetise, v:hether on a fnll
time or part tirne basis, shall somplete a mini11111m eftwelve (12)
honrs pe1·1isensing year of sontinning erlnsation sonrses approved
by tbe boai·a.
The boai·a shall sonsiaer for approval tbe applisation of any
sontinning erlnsation sourse whish sonforms to ~:be eriteria below
ana is sponsored by a beard approved eontiBUing erlneation
provider.
f, sontinuing erlnsation conrse rnay sontain more tban tv;elve
(12) hours ofaj3pro•
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(4) fusurance procedures and reporting.
(c) Licensees may earn continuing education credit for courses
offered by providers that are approved by the California Depatiment
of Industrial Relations, Division of Workers Compensation.
(d) Licensees may eat11 np to two (2) continuing education honrs
for each renewal cycle offered by providers that are approved by
atlV board or bureau in Division 2 of the Business and Professions
Code; or approved by atlV orgat1ization authorized to approve
continuing education by atlY boat·d orhureau in Division 2 of the
Business atld Professions Code. _.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e),
Business ~dProfessions Code. Reference: Sections 1 000-4(b) at1d 1
000-10( a), Business at1d Professions Code,·· .. HISTORY: 1.
Amendment filed 5-5-78; effective thirtieth day thereaftei~egister
78, No. 18). · ·· .. 2. Amendment of subsection (d) filed 7-30-87;
operatiye 8c29c87 (Register 87, No. 32). ·· ... 3. Amendment of
subsection (d) filed 6-3-92; operative 7-3-92 (Register92, No. 23).
, 4. Amendment filed 3-22-99; operative 3-22-99
pursm!nttoGovernrilen~Code section 1134i4(d) (Register 99, No. 13).
" ~c; ~ .··
§356.1. Cardiopulmonary Resuscitatio~lls{cJ:,ife.Support
Tfali1jng. \/_:-~~"-
..
NOTE: Authority cited: Section 1000-4(b), Bu's¥le~s
at1dProfessiqns Code{Qhiropractic Initiative Act of
Califomia, Stats. 1923, p.lxxxvii}Reference: Sectixm
100.0A(e);B1Jsiness ali.d Professions Code
(Chiropractic Initiative Actof California;Stats. 192$,
p:·IxXxvii). ·· · ·
HISTORY: 1. New section filed 10-22:2()03; operative 11-21-2003
(Register 2003, No. 43).
2. Repea)erfiled 4-9-2007, 9perative 5-9~2007 (Register 2007,
No. 15)
§356.5. Continuing EdrielJ.tii:m Pr.ovi(le!"Ag:(ll'oxa},putjes
and Responsibilities . .. ~-:_----
(a) In pl'der to B()COmeand i~mffin eligible for il]3j3n)val. ey
the eoard as a continuing education provider, each pro;ri~1· must
eoffltiiY ·.vith pro;lisions (13)(1) through (13)(10) of this
section and provisions of sectioa 357.}lailure to co;nply .,.;}th
these prtwisioas may result ia the vcithdrawal. of approval. of the
provider by the board; A provider that has had l;t~
approv~;..:!thdrawn ey the eoard shal.l not be eligiBle to provide
continuing educatiofi,!Jfedit until the board fsinstates
thepro\•ider · . ,\ provider·that·has lost appmvru may reapply to
the eoard for approval. as a continuing education provider after a
period Of suspension established by the board at the time that
approval. is withdrawn not to eKceed two . - - . '
. years. . ·.. .·· ...•. (B) Each continuing educatioa provider
shal.l:
(1) Make writtea application to the board .for approval. as a
continuing education previder, and al.so prBYiE!e to the board a
written mission statement that outlines ~11e pwvider's continuing
education objectives and declares the provider's comnxitrnent to
eonform to the standards set forth in tlxis section. f
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date sf FB!Oei[Jt. Complete 8flplieations will be re>liewed
at tbe scbednled board meeting and notifieation of tbe board's
deeision will be provided in writing witbin t>.vo weeks
follov?ing tbe board meeting;
(2) Have engaged -ifr.tbe business of providing edneation to
lieensed· befrltb eare professionals eonsisting of no less tban one
eourse in eaeb year of a five year period immediately preeeding the
date of applieation for approval by tbe board as a eontinuing
edneation provider;
(3) Designate a person responsible for overseeing ad! eontinuing
edneaj:ib;~ aetivities of tbe provider and provide written
notifieation to 'ibe board identifying that individual; · ·
.· .
(4) Use teaehing metbods tbat ensure student eomprehension
of.·tbe ~~~ct matter and eoneepts being taught; ..· ·.
,.·· ·.. ·- ..
(5) EstalJlish and maintain proeednres for doeumenting eo~letion
of eourses, r~ilin attendanee reeords for at least four (4) years
from tbe date of emlrse eompl¢tion, and finnish tbe board with a
roster of persons eompleting the eourse, ineluding tbe name and
state ebirepraetie lieense number of eael3. eeurse partiei[Jant,
within 60 days sf eourse eompletion. Failure to submit the lfst of
eo!lrse pa£tiei]3ants within siXty (60) days of eourse eompletion
may be grounds for withdrawal or denial of em±rSe approval;
'.. . - -.---=:-
(6) If any partici[Jant's alJsenee from the·~
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§357. Continuing Education Exemptions, Reductions and
Accommodations f..ppreval ef Cenfuming Edueatien CeHFSes . (a) The
application for apprO\'al of a eoBi:inHing edHeation eoHrse shall
be sHllmitted to the lloili·d office at least 45 days prior to the
date of the eoHrse aad shall ineffide a nonrefundable application
fee of $50.00 aad ili1Y other dorumentili·y information required
lly the lloard pursuaat to section 358. Tl1e application fee for
ongoing postgradHate comses presented lly ehiropraetic instilHtions
accredited lly the CoHneil on Chiropractic EdHeation (C.C.E.) is
dHe apon initial receipt of the application for
appwval;regili·dless of the numller of comse meetings in one
ealenda1· )'Bili". CoHrses with sehedHies eontinuing_iilto a second
calendar yeili· must sHbmit a new apj3lieation for the second
ycili· if contim01ing cdHea!ion cre"ditJwurs are to lle offered for
that year. The llO'.V application for the second year must
coBi:aill the requ~dfce ($50.00) .
.· (_
If a coHrse fi!Cets the criteria of the board, the lloard
shall.xmtify the proi.'i~er when a comse has been approved.
......
Me!lcioll of such approval shall be ineffided ill
aanouneel3-leBi:s of the pwgriliH aad the wlnted program itself as
fellows: "Approved lly the California State Boili·d ofGhiropraetie
EN;~ers for lieenser~e~al."
·.,__-·
(b) Any lloard msmber, or memllers, or llqard designee
shalll'lave the right to inspect or audit any approved ehiropraetie
eoHrse in progrsss.
(e) The boili'd, may, after notification and an:oj3poifunity to
be heili·t(withdntw approval of aay continuing edHeation course,
aad shall inrmediately notify the pro•.i-Qe£ Of sHeh actiet'l(
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(a) The following licensees are.exellipt from the
tontinuini/~ducatio~'ieguirements of section 356: ··-_)/
(1) Inactive licensees;.·"
(2) New licensees ~hoirre in their inilialyear of licensure;
(3) Full-timeand.part-tirrieinstnitton;'wnifteach ~ore ~l1an 20
hours per week at a Council on Chiropractic Education accredited
college for atleast six (6) months in the renewal year. The
instructor must provide certification from thecollegeverlfving the
hours taught.
(4tBoard Members who]1ave'served one full year on the Board will
be exempt only for each year he or she serves oil the Board.
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(b) A license~s who teach a board-approved continuing education
course may earn two (2) hours credit for ... :>.each
hour·of.lecturh1g up to a'maximum of eight (8) credit hours. Credit
for the same course, presentation·
shall be granted only cmceduringeach renewal cycle. ··· '·, · ·
· · r ' '' '· · · '
(1) Commissioners on Exantination who administer the practical
examination at least twelve (12) hours annually will be credited
twelve (12) hours. towards their twenty-fdur hours of continuing
education in the years they act as Commissioners on Examination.
Commissioners on Examination must provide a certification from the
National Board of Chiropractic Examiners confirming the
comnussioner's involvement.
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(c) If a licensee is unable to attend continuing education
courses due to a physical disability or serving as active duty in
the military the board may approve upon request that the licensee
obtain all required credit through distant leaming courses. The
licensee shall provide evidentiary documentation on a form provided
by the Board.
NOTE: Authority cited: Sections 1000-4(b), 1000-(e), Business
and Professions Code. Reference: Sections 1000-4(b), 1000-lO(a),
Business and Professions Code. HISTORY; // 1. Amendment filed
1-4-77; effective thirtieth day thereafter (Register 77{No, 2). 2.
Amendment filed 5-5-78; effective thiltieth day thereafter
(Register 78, .No. 18). 3. Amendment of subsection (a) filed
2-15-79; effective thirtieth dqythereafte~ (Register 79, No.7). 4.
Amendment of subsection (a) filed 7-30-87; operative
8-29-87(gegister 87,Np. 32). 5. Editorial correction of subsection
(a) printing en'Or.(Registef 87, No. 38). .. 6. Amendment filed
3-22-99; operative 3-22-99 pursuanttci Govenrment Code seCtion
H343.4(d) (Register
99, No. 13). // .___ . ',=cc-'c.,-c-,
§358. Exemfltions and Reduetien of Reftllkement. C()ntinuing
Education Providers. 0 '/
(a) All Eloetors of ebHepi'a€tie speeifieally exempteEI
from,.orobtaiaing a reEiaetioa in eoatinHiag eEiueation
requifeareats iaeluEie the following: · . . ·
(1) Inaetive lieeatiates;
(2) New lieeatiates in the )'ear ofinitiallieenslire;
(3) TeaeheFS. A full time teaehBF, aaEI_ part time teaehers who
teaeh more than 20 hom·s pBF week as ElefineEI, l3y C.C.Il.
mgHlation,shalll3e ffimmpt from the required hems Hatil no
long& engages in full time ehiropraetie teaehiag. · . . · ·
(4) Leemrers. A leetHrBF shallB\l'gi:ventv'ID-hrmrsereEiitfor
eaeh hoHr of aetHalleemling at a reeogaizeEI eomse.
Creclitforthe_sarae eOJoJrsepreseirtatioa shalll3e grameEI only
onee EIHFing ea€h year.
(5) Ifii~:etorisuaa~le«J~~nd a eoatinuing eEiaeation eourse Elae
to ill health, emEiit may l3e granteEil3y · the 1-)oa£0, \lfJon
request fol' AoeHmem;eEI eompletioa of twelve (12) twenty four (24)
hoHrs of roeorEieEI or YiEiecitapeEI approves eoatinui~ eEiaeatiofl
course v1ork. 8Heh an exe!IljJtioH requ13st mHst l3e maEie prior to
the Elate tha:t $erequireEI continuing 'eEiaeatioa must l3e
OD!IljJleteEI ana in '.vt'itiag to tho BOai'EI's offiee ana must
also l3e a€eo!)olpimieEil3y an attefi?ing Eloetor's
state111ent.
. . -, :
.. :: .. . ...... ' The lieeasee sh
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(7) f.ctiYe Board Members. Professional boa±"d members who have
served one full year on fue Board of Chiroj3ractic BKaminers shall
be ffitemj3t from fue contiHUing edflcation reE[Uiremeflt in each
yeffi· of bo8l·d member service. Applicants who wish to become
board approved providers shall meet the qualifications of
either:
(a) Applicants who wish to become continuing education providers
who are authorized to approve their own courses shall complete the
form entitled "Application for CE Providers Authorized to Approve
Own Courses" (Rev. ) which is incmporated herein by reference and
shall meet all ofthe requirements contained in the application.
(b) Applicants who wish to become continuing education providers
W'h~m~st obtain Board approval before they are authorized to
provide a course shall complete the form entitled "Application
forCE Providers not Authorized to Approve Their Own Courses" (Rev.
) which is incomorated herein by reference and shall meet all of
the requirements contained in the ·application. . · ·
(c) If denied, an applicant may petition the board for
re~~~sideration within 30 days fromthe date of denial. The petition
will be heard by the full board at the next available board
meeting. · -· ·
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NOTE: Authority cited: Section 1000-4(b), ~usiness and
Professions Code. Reference: Sections 1000-4(b) and 1000-4(e),
Business and Professions Code.J ·. .. ·. •.-.···· · HISTORY: . \ \
.-.. -. . . - • ··. •··
1. Amendment filed 1-4-77; effective thirtietli cfuy
there&fter (Register71, No. 2). 2. Repealer and new section
filed 5-5-78; effective thirtiethdayi:hereaftet'(Re.gister 78, No.
18). 3. New subsection (6) filed 9c27~79; effective th.it1ieth day
thereafter (Register 79, No. 39).
· 4. Amendment filed 7-30-87; operatiye 8c29-87 (Regisfer87, No.
32). · · 5. Amendment filed 3-~2:99;operativ~ 3-22-99 pursuant to
Government Code section 11343.4(d) (Register
99, No. 13). f. ·· ' .
§359. Revoked BF Suspen;ded Lieeases Colltiriuing Education
Course Requirements. ' - -- ' - .. - - c---·
Any pe.rs~k ffiiaki~g-application; for
reffistatemefltbrrestoration of a license whlch has been revoJr..ed
or suspenciel'l. 'fRay be requjt~do, as ~ part of the relief
graa~eEl, to complete aa approved course of cofltiHUiHg edflcaUOR,
Dr to COmplete Stt~ft ~tuey Of training as fue board may
reE[UirB.
(a). The-basic objectives ~ridgoals of continuing education are
the growth, maintenance of knowledge and competency, ths
cultivation of ~kills, and greater understanding, with a continual
striving for excellence in chiropractic care and the improvement in
the health and welfare of the public.
(b)The application for apProval of a continuing education course
shall be completed on a form prescribed by the board. Continuing
education course applications must be received by the board office
at least 45 days prior to the date of the course and shall include
a nonrefundable application fee of $ per each hour of course
content requested.
(c) The board shall consider for approval the application of any
con tinning education course, which conforms to the criteria below
and is sponsored by a board approved continuing education
provider.
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(1) A continuing education course may contain more than
twenty-four (24) hours of approved subject material. No more than
12 hours of instruction shall be given during any twenty- four (24)
hour period.
(2) Each course approved by the board must present subject
material directly related to the concepts of chiropractic,
principles and practice including diagnostic procedures, patient
care and patient management. No course may include, reference to,
or advertise increased profit or ot11er financial gain, methods to
increase patient volume, or advocate recommending se1.Yices to
patients to generate income.
(3)Topics that may be approved for continuing education inchide
... butare not limited to, mandatory requirements as outlined in
Section 356; principles of practice; patient documentation;
nutrition; public healili; diagnostic imaging and interpretation;
laboratory 1-esults and interpretation; philosophy of chiropractic;
clinical science; pain management; rehabilitation; and
Cardiopulm:On_aryResuscitation;
(4)Continuing education credit shall be based on a contact hour
defined ascfifti((50) minutes of participation. Regular class
breaks shall be at the discretion of tM··instrnctor and shallbe
scheduled to promote learning. Calculation of continuing .education
courseim~dit shall not include tiine for breaks. IT aoy
participant's absence from ilie room exceeds ten (10)·illil1utes
during any contact hour, credit for iliat hour shall be forfeited.
, • . · " ·
(5) Continuing education courses offered as:distance
lear~inglnay include manuals, compact disks (CD), digital disc
CDVD), audio andvideo·tapes, computer or ihternet courses and other
emerging formats as determined by the board.·... . .. . · .. .
(A) Distance learrungcourses shall include awell defined·selof
learning objectives and a testing component that reflects mastery
of ilie key learning objectives.
(B) Internet based courses must include a mechanism to
demonstrate the participant is interacting with the-program during
each full hour of learning.
(C) The certificate of cmnpletion. issued for ·a. Internet based
course must include the date ilie _.. program was completed
aloni(with the log ih and log out times for the program.
·-- --/·,
(d)Topidthat \;/ill not b~ approved are iliose iliat only
benefit the licensee; financial management, income generation,
billing, collections, self-motivation, practice-building, and
patient recrnitment.
'..,_, - - ·,- ----
(e) Applicarits with incomplete information.~ill be notified of
the deficiencies in writing within two (2) weeks from ilie date
ofreceipt. '
. ', .'
(f) Any change of course content requires submitthl of anew·
application. ' __• ..- 1 '
(g) The board or board designee, after notification and an
opportunity to be heard , wiilidrawal approval of any continuing
education course, and shall notify tlle provider of such
action.
(h) Any board member, or members, or board designee shall have
the right to inspect or audit any approved chiropractic course in
progress.
-
HISTORY: 1. New section filed 5-5-78; effective thirtieth day
thereafter (Register 78, No. 18).
' §360. Continuing Education Audits.
The Board shall conduct random audits to verify compliance with
Continuing Education requirements of active licensees. Licensees
shall retain documents of completion issued tq.tliem·at the time of
attendance of Board-approved Continuing Education courses for a
period of four years 'and.shall forward such proof to the Board
within 30 days upon request. /
.. ·.
Licensees who fail to retain documents of completion shal!;btain
du;lleate documents, from Boardapproved Continuing Education
providers, who shall issue c!up!icates only to lic.ensees.whose
names appear on the providers' rosters of course attendees. The
docilments of completion sh_all be clearly marked "duplicate" and
shall contain the licensees' names andJfcense numbers, as well as
prdv.iders' names, course approval numbers, dates of attendance,
and hours earnec;Lc ' .· . · ·. ··.. .
Licensees who fuinish false or misleading informati~~ to)iie
B6~~ 1'eg~·ding their Conti:~ing Education hours shall be subject
to disciplinary action./>,·. ·.,__ ; I
• c-• • ·~. "'•.- ·•,
·.. NOTE: Anthority cited: Section 1000-4(b), B11silless
andl?rofessions'Code (Chiropractic Initiative Act of
California, Stats. 1923, p.lxxxviii).
Referenc;e:.Sectionsi_OOOA[b), 1000,4~e)and 1000-10, Business
and
Professions Code (Chiropractic Initiative Act o(ca:Iifornia,
Stat8:c1923, p: btxx,viii).
HISTORY: 1. New section filedl0~16-2003; operfttlve
1J::'15-2003_(R,egister 2003, No. 42).
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II -_r~
II
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STATE OF CALIFORNIA
· Board of Chiropractic Examiners 2525 Natomas Park Drive, Suite
260
Sacramento, California 95833~2931
Telephone (916) 263-5355 FAX (916) 263-5369
CA Relay Service TT/TDD (800) 735-2929
Consumer Complaint Hotline (866) 543-1311
Ww.N.chiro.ca.gov
Memorandum
Date: September 17, 2008
To: Continuing Education Committee
Board Chiropractic Examiners
Via:
From: John Melendez
Licensing and Continuing Education
Subject: Re11ised Continuing Education Approval Process
This memorandum is intended to describe the current Continuing
Education Course approval process.
Within 21 days of receipt, the Licensing Analyst completes a
comprehensive review of the documentation submitted by the approved
continuing education course provider.
During the initial phase of the review, the Licensing Analyst
ensures the following required documents and information have been
received:
);> Course Syllabi
);> Completed Course Application
);> Hour By Hour Course Outline
);> Course Dates and Locations
);> Brochure-Promotional Materials
);> Sample Certificate of Completion
J;> Instructors and Corresponding Hours of Instruction
J;> Number of Continuing Education Hours Requested
Throughout the initial phase of the evaluation process, the
Licensing Analyst verifies the accuracy and consistency of the
information provided.
https://www.chiro.ca.gov/
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It is significant to note that efforts will be directed toward
"fast tracking" courses meeting
the following criteria:
>- Prior year Board approval
>- No Change to Course Content
>- No Change in Number of Hours of Instruction
>- No Change in the Number of Continuing Education Hours
Requested
During the second phase of the evaluation process, the Licensing
Analyst utilizes all available resources, to perform a detailed
analysis of the course content in order to
·ensure that the course information to be presented is fully
consistent with established chiropractic scope of practice
parameters. The Licensing Analyst maintains a comprehensive
worksheet delineating relevant course analysis data.
The Licensing Analyst will consult with a fully vetted and
trained Chiropractic Expert in
the event a question or concern regarding the appropriateness of
a course arises during
this phase.
Following completion of the evaluation process, the Licensing
Analyst provides written . notification of course approval or
denial. Should a course be denied, the provider is fully advised of
the established appeal process.
There appear to be numerous benefits to the current continuing
education approval process when compared to the previous process.
These benefits include the following:
>- The utilization of fully vetted and trained Chiropractic
Experts to review and resolve questions regarding course
appropriateness.
>- The establishment of a timely appeal process which allows
the provider to present an appeal to the Executive Officer.
>- An expedited approval process resulting in a sixty-five
percent reduction in approval process time when compared to the
prior process (i.e. 21 days versus 60 days).
>- Substantial reduction of the pre-course course submission
timeframe as provider course submission is no longer required to be
completed 30 days prior to the Board meeting.
>- A significant reduction in staff time previously devoted
to the completion of committee worksheets and written rationale for
course approval, denial or reduction of approved hours; as well as
the resources required to copy-mail course applications and
attachments to Committee Members for review.
>- The Continuing Education Committee is no longer burdened
with performing an extensive and time cC!nsuming review process
thereby allowing the devotion of additional time to estai:Jiishing,
improving and refining continuing education policy.
-
>- Alleviation of. potential conflict of interest issues upon
appeal to the Board.
>- Elimination of the previously required provision of
handouts and lecture notes by providers
Since the implementation of the revised approval process
approximately one year ago, there has been no evide11ce that a
continuing education course has been inappropriately approved.
Moreover, the appeal process has been effective in resolving
disputed course denials. Of the four appeals received and heard by
the Executive Officer, two resulted in course approval while the
remaining two appeals resulted in confirmed denials. There have
been no appeals beyond the Executive OffiCer level to date.
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