Md. Code Regs. 10.43.16.04

Current through Register Vol. 52, No. 1, January 10, 2025

Section 10.43.16.04 - Minimum Education and Training Required

A. A chiropractor with physical therapy privileges shall be in good standing before registering to perform dry needling.

B. The Board shall accept a dry needling course completed before May 18, 2020, if:

(1) The same course, in substantially similar form, is sponsored by a continuing education provider approved by the Board; and

(2) The chiropractor seeking to perform dry needling provides the Board with a certificate of completion of 3 hours of a recertification course in dry needling.

C. In order to perform dry needling, a chiropractor with physical therapy privileges shall complete a minimum of 80 hours of total instruction in the following content areas, including:

(1) 60 hours of:

(a) Academic coursework obtained through completion of a college program accredited by the Council of Chiropractic Education, as part of the Doctor of Chiropractic program, including the following minimum requirements:

(i) Foundations;

(ii) Basic sciences;

(iii) Clinical sciences; and

(iv) Professional practice; or

(b) Coursework required to sit for Part I, Part II, Part III, Physiotherapy, and Part IV of the examination administered by the National Board of Chiropractic Examiners; and

(2) Board-approved coursework consisting of 20 hours to be done in a hands-on classroom setting, including but not limited to the following learning topics:

(a) Philosophy and historical perspective of dry needling;

(b) Indications, contra-indications, and qualifications for treatment;

(c) Protocols, doctor and patient safety, usage of dry needling, and dry needling as a diagnostic tool;

(d) Case management and jurisprudence; and

(e) Direct, hands-on implementation and testing for competency in dry needling of:

(i) Cervical, thoracic, lumbar, and pelvic regions;

(ii) Anterior and posterior thoracic and ribs;

(iii) The upper and lower extremity;

(iv) The face and head;

(v) Technique; and

(vi) Needle size and gauge appropriateness.

Md. Code Regs. 10.43.16.04

Regulations .04 recodified to .04 effective 43:26 Md. R. 1446, eff. 1/2/2017; adopted effective 47:10 Md. R. 519, eff. 5/18/2020; amended effective 49:7 Md. R. 467, eff. 4/4/2022