Md. Code Regs. 10.43.07.11

Current through Register Vol. 51, No. 25, December 13, 2024

Section 10.43.07.11 - Chiropractic Assistants with X-ray Privileges

A. A chiropractic assistant may perform the duties of a chiropractic assistant with X-ray privileges only as directed by a supervising chiropractor.

B. A chiropractic assistant, with or without X-ray privileges, may not:

(1) Provide oral or written diagnosis; or

(2) Work independently.

C. A chiropractic assistant may perform X-rays only after the completion of:

(1) 60 hours of didactic training in a Board-approved course of instruction that includes:

(a) Radiation physics;

(b) Radiation biology;

(c) Radiation protection;

(d) Imaging principles in radiation exposure;

(e) Patient preparation and positioning;

(f) Human anatomy and physiology; and

(g) Emergency procedures; and

(2) 46 X-ray studies under the direct supervision of a supervising chiropractor that include:

(a) 10 cervical series which include at least one of each of the following views:

(i) Anterior to posterior;

(ii) Lateral;

(iii) Anterior to posterior open mouth;

(iv) Flexion;

(v) Extension; and

(vi) Oblique;

(b) 6 thoracic series which include at least one of each of the following views:

(i) Anterior to posterior;

(ii) Lateral;

(iii) Flexion; and

(iv) Extension;

(c) 10 lumbar series which include at least one of each of the following views:

(i) Anterior to posterior;

(ii) Lateral;

(iii) Flexion;

(iv) Extension; and

(v) Oblique; and

(d) 20 extremity views which include at least one of each of the following:

(i) Shoulder;

(ii) Elbow;

(iii) Wrist;

(iv) Hand;

(v) Ribs;

(vi) Hip;

(vii) Knee;

(viii) Ankle; and

(ix) Foot.

Md. Code Regs. 10.43.07.11

Regulation .11 amended effective August 6, 2001 (28:15 Md. R. 1398); amended effective 46:26 Md. R. 1164, eff. 12/30/2019; amended effective 49:7 Md. R. 467, eff. 4/4/2022