Fla. Admin. Code Ann. R. 64B2-13.004 - Continuing Education
(1) Required Hours.
For the purpose of renewing a license, a licensed Chiropractic Physician must
demonstrate to the Board that he or she completed at least forty (40) contact
classroom hours during the past two (2) years. Only those contact classroom
hours earned at Board approved continuing education courses or which comply
with the provisions of this rule are acceptable. For purpose of this rule, the
term "contact classroom hour" shall mean fifty (50) minutes of instruction
offered through in-person courses or through online attendance continuing
education courses complying with subsection (3).
(2) Required Areas.
(a) Risk Management. At least three (3) hours
shall be in the area of risk management. Two (2) of these three risk management
hours shall specifically relate to the laws and rules of the board and the
Department of Health. For the purpose of this rule, risk management means the
identification, investigation, analysis, and evaluation of risks and the
selection of the most advantageous method of correcting, reducing or
eliminating identifiable risks. The laws and rules of the Board and the
regulatory agency under which the Board operates include Chapters 456 and 460,
F.S., and rule Title 64B2, F.A.C.
(b) Record Keeping/Documentation, Coding, and
Ethics and Boundaries. Six (6) hours of the forty (40) shall be in the area of
record keeping/documentation and coding; and two (2) hours of the forty (40)
must be in the area of ethics and boundaries.
(3) Online Attendance Continuing Education.
(a) Definitions. For purposes of this rule,
the following definitions shall apply.
"Online attendance continuing education course" means a learning course presented through live, synchronous technology or through prerecorded video coupled with a means for course attendees to ask questions of the instructor(s) and receive responses in a timely manner. Such courses may be presented through video conferencing technologies or interactive computer based applications.
(b) Online
Hours Allowed. A licensee may elect to obtain all continuing education hours
through online attendance continuing education courses.
(c) No continuing education course may be
repeated for credit within the same biennium.
(4) Licensees Certified in Acupuncture. Each
licensee certified in acupuncture by the Board shall obtain four (4) hours of
Board approved acupuncture continuing education. Two (2) hours shall be in the
area of safety and risk management and two (2) hours shall be in the area of
technique. These four (4) hours shall be obtained as part of the forty (40)
hours required in each licensure biennium and may be obtained through online
courses. Licensees certified in acupuncture must complete the hours required in
subsection 64B2-13.004(2),
F.A.C.
(5) Approval of Continuing
Education Courses.
(a) Provider approval
fees. Continuing education providers, including providers of continuing
education in AIDS and risk management, seeking initial approval of continuing
education courses by the Board shall pay a fee of $250.00. Continuing education
providers seeking renewal of previously approved courses with no change in
course content or instructor shall also pay a $250.00 fee each biennium. The
initial fee and renewal fee shall be assessed per provider and not per
course.
(b) Duration of approval.
All continuing education courses are approved for credit for a period of two
(2) years from the date first approved.
(c) Requirements for approval of all courses.
To receive Board approval, all continuing education courses:
1. Shall be submitted for the Board's
approval at least sixty (60) days prior to the date of the scheduled
presentation;
2. Must be offered
for the purpose of keeping the licensee apprised of advancements and new
developments in at least one of the following areas, provided that the
continuing education is within the scope of chiropractic practice as defined in
Chapter 460, F.S.:
a. General or spinal
anatomy,
b. Physiology,
c. General or neuro-muscular
diagnosis,
d. Imaging technique or
interpretation,
e.
Chemistry,
f. Pathology,
g. Microbiology,
h. Public health,
i. Principles or practice of
chiropractic,
j. Risk
management,
k. Laboratory
diagnosis,
l. Nutrition,
m. Physiotherapy,
n. Phlebotomy,
o. Acupuncture,
p. AIDS,
q. Law relating to the practice of
chiropractic, the Board of Chiropractic Medicine and the regulatory agency
under which the Board operates,
r.
Practice management and cost containment. Practice management is defined as the
development or mechanics of establishing and managing an office, including
enhancement of patient care, insurance issues, and working with managed care
programs. It does not include methods of increasing business profits, marketing
of chiropractic services, investments, or financial management.
3. Shall submit to the Board at
least the following:
a. A detailed course
outline or syllabus, including such items as method of instruction, educational
objectives, testing materials, if any;
b. A current curriculum vitae of each speaker
or lecturer appearing in the program; and
c. The proposed date, location, method of
presentation, and continuing education hours requested; and
d. The procedure to be used for recording
attendance of those attendees seeking to apply for continuing education credit
and the procedure for certification by the provider to be submitted to the
Board as verification. The course provider must certify each licensee's
attendance and the provider or licensee must submit verification to the Board.
A signed declaration statement of course completion from a licensee shall be
considered a valid form of recording attendance by the provider. The licensee
must retain course completion certificates to document completion of the
continuing education acknowledged on the renewal form for a period of not less
than four (4) years. Upon request of the Board or Department, the licensee must
submit satisfactory documentation of compliance with the requirements set forth
herein.
4. Shall be
taught by one or more speakers or lecturers with at least one of the following
qualifications:
a. A current faculty member of
a chiropractic college or school maintaining a standard and reputability
approved by the Board, or a current faculty member at a medical or osteopathic
college or a university which college or university is accredited by, or has
status with, an agency or its successor which is recognized and approved by the
United States Office of Education or the Council on Post Secondary
Accreditation; or
b. A
post-graduate level instructor of a chiropractic college or school maintaining
a standard and reputability approved by the Board, or a post-graduate level
instructor at a medical or osteopathic college or a university which college or
university is accredited by, or has status with, an agency or its successor
which is recognized and approved by the United States Office of Education or
the Council on Post Secondary Accreditation; or
c. A bachelor's degree and two (2) years of
experience in the subject matter being taught; or
d. An associates' degree and four (4) years
of experience in the subject matter being taught; or
e. A post-graduate degree.
5. Shall ensure the security of
payment of registration fees.
6.
Shall not present any marketing or promotional material during the delivery of
the continuing education.
(6) Additional requirements for approval of
online attendance courses. In addition to the requirements of subsection (5),
to receive Board approval, all online attendance continuing education courses
must meet the following additional requirements.
(a) The continuing education provider must
explain the appropriate level of technology required for the licensee to
participate in the course.
(b) The
continuing education provider must have technical assistance available as
appropriate to the course format.
(c) The provider must allow access to the
online program to a Board member for auditing purposes.
As an alternative to submission of online courses to the Board for review, providers may submit online courses through the Federation of Chiropractic Licensing Boards, Providers of Continuing Education (PACE) Pre-Check Expedited Course Submission process. If this process is used, the course must be submitted to the Board for final approval.
(7) Continuing education course
instructors or related entities shall not compensate continuing education
providers or related entities by any means in exchange for their services or
materials.
(8) Any course that does
not go through the proper approval process shall be denied and attendees shall
not receive credit for attending these courses.
(9) Acupuncture Certification. Hours
completed to satisfy the requirements of Rule
64B2-11.012, F.A.C., shall
satisfy the requirements of this rule.
(10) Alternative Means of Earning Continuing
Education Credits.
(a) Attendance at Board
Meetings. Five (5) hours of continuing chiropractic education in the subject
area of risk management may be obtained by attending one full day or eight (8)
hours of a Board meeting (whichever is shorter) at which disciplinary hearings
are conducted by the Board of Chiropractic Medicine in compliance with the
following:
1. The licensee must sign in on the
attendance roster and provide or verify his or her email address before the
meeting day begins.
2. The licensee
must remain in continuous attendance.
3. The licensee must sign out on the
attendence roster at the end of the meeting day or at such other earlier time
as affirmatively authorized by the Board. A licensee may receive CE credit in
risk management for attending the Board meeting only if he or she is attending
on that date solely for that purpose; he or she may not receive such credit if
appearing at the Board meeting for another purpose.
4. The licensee shall receive a certificate
or attendance from the Executive Director of the Board or designee within
thirty (30) days following the adjournment or the meeting; and is responsible
for uploading the certificate of attendance into the Florida Department of
Health's designated continuing education tracking system.
(b) Expert Witnesses. In addition to the
continuing chiropractic education credits authorized above, any volunteer
expert witness who is providing expert witness opinions for cases being
reviewed pursuant to Chapter 460, F.S., shall receive five (5) hours of credit
in the area of risk management for each case reviewed up to a maximum of ten
(10) hours per biennium. In this regard, volunteer expert witnesses are
encouraged to perform a literature survey in conjunction with a review of cases
for the Board.
(c) Course
Instructors; Speakers; Panelists. In addition to the continuing chiropractic
education credits authorized above, a course instructor or speaker, for one
presentation only per biennium, will receive ten (10) hours of credit for a
continuing education program offered by a Board approved provider. A panelist
at a conference of healthcare professionals at a Board approved conference,
shall receive five (5) hours of risk management continuing education credit per
biennium.
(d) Department Test
Examiners and Consultants. In addition to the continuing chiropractic education
credits authorized above, test examiners who have passed their trainee period
and were used by the Department of Health during the biennium and test
consultants who assist the Department in writing and reviewing the questions
for the laws and rules examination will receive two (2) hours of laws and rules
continuing education credit for the biennium.
(e) Service on Probable Cause Panels. In
addition to the continuing chiropractic education credits authorized above,
former Board members will receive thirteen (13) hours of continuing education
credit for the required hours in laws and rules, risk management, prevention of
medical errors, boundaries and ethics, and record-keeping and documentation per
biennium for service on a Probable Cause Panel.
(f) NBCE Test Examiners or Graders. In
addition to the continuing chiropractic education credits authorized above, any
Florida licensee who participates as an examiner/grader, the lead examiner,
also known as the Overall in Charge (OIC) or as a trainer, also known as a
Patient Trainer (PT), for the National Board of Chiropractic Examiners (NBCE)
shall receive up to nineteen (19) hours of general continuing chiropractic
education for each examination administration in which he/she
participates.
(g) Board Members.
Board members shall receive thirteen (13) hours of continuing education for the
required hours in laws and rules, risk management, prevention of medical
errors, boundaries and ethics, and record-keeping and documentation credit for
each full or partial biennium served on the Board.
Notes
Rulemaking Authority 456.013, 456.025(7), 460.408(3) FS. Law Implemented 456.013(6), (8), (9), 456.025(7), 456.036(10), 460.408, 460.4165(13)(b) FS.
New 1-10-80, Amended 11-25-80, 1-13-82, Formerly 21D-13.04, Amended 6-22-86, 7-5-87, 1-25-88, 10-17-90, 10-15-92, Formerly 21D-13.004, Amended 10-26-93, Formerly 61F2-13.004, Amended 3-16-95, 7-18-95, 6-11-96, Formerly 59N-13.004, Amended 6-24-98, 8-4-99, 7-11-02, 11-30-03, 4-17-05, 11-14-06, 11-13-07, 7-1-09, 5-17-10, 8-22-11, 10-21-12, 7-10-13, 7-8-15, 11-15-16, 5-30-17, 1-22-18, 8-5-18, 9-5-19, 7-22-21, 11-17-21, 5-3-23, 9-17-23.
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