TITLE 16 OCCUPATIONAL AND PROFESSIONAL
LICENSING
CHAPTER 4 CHIROPRACTIC PRACTITIONERS
PART 17 SUPERVISION OF INTERNS
16.4.17.1 ISSUING AGENCY: New Mexico Chiropractic Board, PO Box 25101,
Santa Fe, New Mexico 87504.
[16.4.17.1 NMAC - Rp 16 NMAC 4.17.1, 8/10/2019]
16.4.17.2 SCOPE: All chiropractic physicians.
[16.4.17.2 NMAC - Rp 16 NMAC 4.17.2, 8/10/2019]
16.4.17.3 STATUTORY AUTHORITY: These rules of practice and procedure govern
the practice of chiropractic in New Mexico and are promulgated pursuant to and
in accordance with the Chiropractic Physician Practice Act, Subsection F of Section
61-4-3 NMSA 1978.
[16.4.17.3 NMAC - Rp 16 NMAC 4.17.3, 8/10/2019]
16.4.17.4 DURATION: Permanent.
[16.4.17.4 NMAC - Rp 16 NMAC 4.17.4, 8/10/2019]
16.4.17.5 EFFECTIVE DATE: August 10, 2019, unless a later date is cited
at the end of a section.
[16.4.17.5 NMAC - Rp 16 NMAC 4.17.5, 8/10/2019]
16.4.17.6 OBJECTIVE: To establish requirements for supervising
chiropractic physicians to safely train interns.
[16.4.17.6 NMAC - Rp 16 NMAC 4.17.6, 8/10/2019]
16.4.17.7 DEFINITIONS: (Refer to 16.4.1 NMAC).
[16.4.17.7 NMAC - Rp 16 NMAC 4.17.7, 8/10/2019]
16.4.17.8 SUPERVISION OF INTERNS PRE AND
POST:
A. The purpose for the intern program
in New Mexico shall be to safely complete advanced training for the under
graduate and graduate chiropractic intern in the areas including, but not
limited to, history taking, exams, imaging procedures, proper shielding and
radiation monitoring procedures and interpretation, patient report of findings,
treatment recommendations, treatment room control, staff management, general
clinic policies, problem solving skills, team concepts, goal setting,
administrative skills, and other training the doctor may feel appropriate to
complete the intern’s advanced chiropractic training. This purpose enhances the professional
training of the intern, the chiropractic college curriculum, the teaching
skills of the doctor, the professional status of the profession of chiropractic
and the professional standard of chiropractic health care available to New
Mexico consumers.
B. Supervising doctor must have a
current New Mexico license in “good standing” with the board and have been in
active practice for at least three years.
C. Supervising doctor must have written
verification from the college that intern or unlicensed graduate of a council
on chriopractic education (CCE), or board approved equivalent thereof,
accredited chiropractic college sanctioned intern program, and the doctor must
assure compliance to the guidelines of the intern program.
D. Supervising doctor must personally
train intern in chiropractic procedure.
E. Supervising doctor must be
physically in the same building and immediately available in order for the
intern to adjust any patient.
F. Public must be informed that the
intern is an “intern chiropractor, not licensed in the state”, and must sign an
informed consent document approved by the board to this effect.
G. The supervising doctor must consult
with intern prior to the intern’s initial treatment of any patient.
H. Supervising doctor must continue to
supervise progress of the patient and must personally treat the patient at
least every third visit, or at any time there is a significant change in the
patient’s condition.
I. Supervising doctor may allow intern
to assist in various exams and therapies after being trained and cleared by the
supervising doctor on proper chiropractic procedures.
J. The supervising doctor must inform
the college and the board if the intern is deemed professionally incompetent in
diagnosis or treatment or if the intern has other personal habits (alcoholism,
drug addiction, moral turpitude, etc.) that would be unsafe for the public.
K. A supervising doctor may not
supervise more than two interns at one time. The board must approve the
training of more than four interns in any individual or group practice at the
same time.
L. Supervising doctor must register
with the New Mexico board of chiropractic examiners the interns’ names, the
college they are from, and the term of the internship, and provide proof of
malpractice insurance for the supervising doctor in minimum amount of $100,000
per person - $300,000 per occurrence coverage, at least 15 days before the
first day of the internship.
M. Supervising doctor must sign an
affadavit agreeing to abide by the rule as set forth in 16.4.17 NMAC.
N. The board is to be sent a copy of
any regular report sent to the college involving the intern at the time the
report is sent to the college.
[16.4.17.8 NMAC - Rp 16 NMAC 4.17.8, 8/10/2019]
16.4.17.9 CHIROPRACTIC INSURANCE
CONSULTANTS AND PEER REVIEW CONTRACTORS:
A. Chiropractic insurance
consultants and peer review contractors advise insurance companies, third-party
administrators and other similar entities of New Mexico standards of:
(1) recognized
and accepted chiropractic services and procedures permitted by the New Mexico
chiropractic statute, usual and customary practices and procedures and
administrative rules; and
(2) the
propriety of chiropractic diagnosis and care.
B. All
licensees who review chiropractic records for the purposes of determining the
adequacy or sufficiency of chiropractic treatments, or the clinical indication
for those treatments, shall notify the board annually that they are engaged in
those activities and of the location where those activities are performed.
C. Any person or professional shall not hold themselves out as
chiropractic insurance consultants or provide chiropractic peer review services
unless they meet the following requirements:
(1) hold
a current chiropractic license in New Mexico;
(2) have
practiced chiropractic in the state of New Mexico during the immediately
preceding five years;
(3) are
actively involved in a chiropractic practice during the term of employment as a
chiropractic insurance consultant or peer review consultant; active practice
includes but is not limited to maintaining an office location and providing
clinical care to patients that comprises more than fifty percent of their total
compensable work product.
[16.4.17.9 NMAC - Rp 16 NMAC 4.17.9, 8/10/2019]
HISTORY OF
16.4.17 NMAC:
Pre-NMAC History: The
material in this part was derived from that previously filed with the State
Records Center and Archives under:
Rule 13-92,
Supervision of Interns, filed 4/2/1992.
History of
Repealed Material: 16 NMAC 4.17, Supervision of Interns filed
12/15/2004 Repealed effective 8/10/2019.
Other History:
Rule 13-92,
Supervision of Interns (filed 4/2/92) was renumbered, reformatted and replaced
by 16 NMAC 4.17, Supervision of Interns, effective 11/16/1997.
16 NMAC 4.17,
Supervision of Interns (filed 10/17/1997) was renumbered, reformatted, amended
and replaced by 16.4.17 NMAC, Supervision of Interns, effective 1/15/2005.
16 NMAC 4.17,
Supervision of Interns filed 12/15/2004 was replaced by 16.4.17 NMAC,
Supervision of Interns effective 8/10/2019.