216-40-05 R.I. Code R. § 17.6

Current through June 20, 2024
Section 216-RICR-40-05-17.6 - Licensing of Chiropractic Physicians with the Practice of Physiotherapy
17.6.1By Examination:
A. Applicants shall be required to successfully pass such examination(s) as established by the Division to determine the applicant's qualifications to practice chiropractic medicine and physiotherapy.
B. For Chiropractic Physicians: Written Examinations:
1. The Division shall utilize for the examination in the basic sciences, subjects of microbiology, anatomy, physiology, chemistry and pathology, vertebral palpation and adjusting, the National Board of Chiropractic Examiners' examinations (Parts I and II) and the Written Clinical Competency Examination (WCCE or Part III) and Part IV of the National Board of Chiropractic Examiners, or such other examination that, in the opinion of the Division, is substantially equivalent thereto.
C. For Physiotherapists:
1. The applicant shall qualify for licensure based upon the requirements of §17.4.2 of this Part.
D. Passing Score:
1. The Division shall accept the recommended passing score for Parts I, II, III, IV and the Special Purposes Examination for Chiropractic (SPEC) examinations of the National Board of Chiropractic Examiners as acceptable for applicants seeking licensure in Rhode Island.
17.6.2Continuing Education
A. Continuing education requirements are in accordance with R.I. Gen. Laws § 5-30-13. Every chiropractic physician licensed to practice chiropractic medicine in Rhode Island under the provisions of the Act and this Part, on or before the thirtieth (30th) day of October of every third year, shall apply to the Board for certification of triennial registration of continuing education.
1. The application shall include satisfactory evidence to the Board of completion of at least sixty (60) hours of instruction as defined in § 17.2 of this Part, and completed over the three (3) year period preceding recertification. No less than fifty (50) hours of this 60-hour requirement shall be in clinically-related courses.
2. The Board may designate that course work in specific practice areas in specific amounts be included in the time period above. Notification of specific requirements, if any, will be made to each licensee prior to the start of the three (3) year cycle. In addition, within a given three (3) year cycle, the Board may designate that licensees attend programs in specific content areas in response to emerging public health concerns or other immediate concerns identified by the Board. Adequate notice shall be given to allow all licensees the opportunity to attend any specific content area courses so designated.
3. At least thirty (30) hours of instruction in the three (3) year continuing education cycle shall be obtained in live, didactic learning experiences. Such live learning experiences shall include hours of instruction acquired through attendance or participation at programs that provide for direct interaction between faculty and participants and may include lectures, symposia, live teleconferences, or workshops.
B. It shall be the sole responsibility of the individual practitioner to obtain documentation from the sponsoring organization, agency, institution or other as approved by the Division, of his/her participation in a learning experience or course and the number of dated hours of instruction earned.
1. The documents shall be safeguarded by the individual practitioner for review by the Board as may be requested. These documents shall be retained by each licensee for no less than two (2) years (i.e., from the date of license renewal) and are subject to random audit by the Department.
C. A chiropractic physician failing to comply with the requirements of this Part shall be subject to the sanctions of the Act, except when the educational requirements for a practitioner are waived by the Division for due cause such as an applicant has suffered hardship or for any sufficient reason which prevented the applicant from meeting the continuing educational requirements and said reasons are found acceptable to the Division.
17.6.3Issuance and Renewal of License and Fee
A. Upon recommendation of the Board, the Director shall issue an initial license to applicants who have satisfactorily met the licensure requirements of this Part. Subsequent to the initial license issuance, license renewals shall be issued upon recommendation of the Board to the Director for those applicants who meet the licensure requirements of this Part, including the continuing education requirements. Said license to practice chiropractic medicine and/or chiropractic medicine with physiotherapy, unless sooner suspended or revoked shall expire on the following October 30th following the date of issuance of the original license and annually on November 1st thereafter.
B. Every licensed person who wishes to renew his/her license shall file a renewal application with the Division, during the month of October, together with the renewal fee as set forth in the Fee Structure for Licensing, Laboratory and Administrative Services Provided by the Department of Health (Part 10-05-2 of this Title).
C. Any person who allows his/her license to lapse by failing to renew it on or before the first of November annually as provided in this Part, may be reinstated by the Director upon submission of an application and on payment of the current renewal fee, unless the license has been suspended or revoked.
17.6.4Rights and Duties of Chiropractic Physicians

The Rights and Duties of Chiropractic Physicians are set forth in R.I. Gen. Laws § 5-30-11.

17.6.5Advertisement.
A. The name of the licensed chiropractic physician shall be included in any advertisement, sign, stationery or other means which identifies the offering of chiropractic medical treatment.
1. Any person practicing pursuant to the provisions of R.I. Gen. Laws Chapter 5-30, shall be required to post his/her name on the premises where the services are being offered in such a manner as to be clearly visible to the public at the entrance to the premises and on any sign visible outside of the premises which offers the delivery of chiropractic medical services.
2. Any chiropractic physician or group of chiropractic physicians who advertise in print media shall state the name(s) of the chiropractic physician(s) responsible for said advertisement.
B. Chiropractic medical records shall be legible and contain the identity of the chiropractic physician or physician extender and supervising chiropractic physician by name and professional title who is responsible for rendering, ordering, supervising or billing each diagnostic or treatment procedure. The records shall contain sufficient information to justify the course of treatment, including, but not limited to, patient histories, including medications, examination results, and test results leading to a differential diagnosis; and reports of consultations and hospitalizations.
17.6.6Grounds for Denial, Revocation or Suspension of License
A. Pursuant to the provisions of R.I. Gen. Laws § 5-30-13 of the Act, the Division may, after due notice and hearing, deny, revoke or suspend the license of a chiropractic physician. In addition to the definition of "gross unprofessional conduct" as set forth in R.I. Gen. Laws § 5-30-13(b), the following activities are grounds for denial, revocation or suspension of a license:
1. The practice of chiropractic medicine under a false or assumed name that shall include the practice of chiropractic medicine under a fictitious name that does not include the name of a chiropractic physician in its advertising;
2. The advertising for the practice of chiropractic medicine in a deceptive or unethical manner which shall include soliciting professional patronage by agents or persons or profiting from acts of those representing themselves to be agents of the licensed chiropractic physician;
3. Sexual misconduct: any violation of the chiropractic physician-patient relationship in which the licensed chiropractic physician engages in, or attempts to induce a patient who is not the chiropractic physician's spouse to engage in any sexual activity, whether consensual or non-consensual, while such a physician-patient relationship exists;
17.6.7Rules Governing Practices and Procedures

All hearings and reviews required under the provisions of the Act shall be held in accordance with the provisions of the Act and the rules and regulations regarding Practices and Procedures before the Department of Health (Part 10-05-4 of this Title) and Access to Public Records (Part 10-05-1).

216 R.I. Code R. § 216-RICR-40-05-17.6