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10.32.09.00.htm 10.32.09.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 32 BOARD OF PHYSICIANS Chapter 09 Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices Authority: Health Occupations Article, ยง14-205, 14-306, 14-404, 14-606, and 15-302, Annotated Code of Maryland
10.32.09.01.htm 10.32.09.01. 01 Scope.. A. This chapter governs the performance, delegation, assignment, and supervision of cosmetic medical procedures, and the use of cosmetic medical devices by a physician or under a physician's direction.B. This chapter does not govern use of medical procedures or medical devices for the purpose of treating a disease.C. This chapter does not endorse or certify the safety of any cosmetic medical device or cosmetic medical procedure.D. This chapter does not
10.32.09.02.htm 10.32.09.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) "ACCME" means the Accreditation Council on Continuing Medical Education.. 2) "ACGME" means the Accreditation Council for Graduate Medical Education.. 3) "AOA" means the American Osteopathic Association.. 4) Cosmetic Medical Device.. a) "Cosmetic medical device" means a device that alters or damages living tissue.. b) "Cosmetic medical device" includes any of the f
10.32.09.03.htm 10.32.09.03. 03 Physician Qualifications.. A. License. A physician shall obtain a license to practice medicine in Maryland before the physician may perform, delegate, assign, or supervise cosmetic medical procedures or the use of cosmetic medical devices.B. Education.. 1) A physician who performs, assigns, supervises, or delegates the performance of cosmetic medical procedures by a non-physician first shall obtain training in the indications for and performance of the cosmetic medical proce
10.32.09.04.htm 10.32.09.04. 04 Qualifications of Individual to Whom Acts May Be Delegated and Assigned.. A. A cosmetic medical procedure may be delegated to a physician assistant or assigned to any other health care provider licensed under Health Occupations Article, Annotated Code of Maryland, whose licensing board has determined that the procedure falls within the provider's scope of practice.B. A physician may not permit any individual who performs cosmetic medical procedures delegated or a
10.32.09.05.htm 10.32.09.05. 05 Physician Responsibilities.. A. A physician shall:. 1) Develop and maintain at each site where the delegated, assigned, or supervised cosmetic medical procedures will be rendered written office protocols for each such cosmetic medical procedure;2) Personally perform the initial assessment of each patient;. 3) Prepare a written treatment plan for each patient, including diagnosis and planned course of treatment and specification of the device and device settings to be used;
10.32.09.06.htm 10.32.09.06. 06 Written Protocols.. Written protocols for cosmetic medical procedures and equipment shall include the following:. A. List of all equipment, including:. 1) Manufacturer's specifications;. 2) Operating instructions; and. 3) Maintenance log;. B. Documentation regarding initial and periodic training of all users of the equipment;. C. Role of the physician for each procedure;. D. Role of the non-physician for each procedure;.
10.32.09.07.htm 10.32.09.07. 07 Training of Non-Physicians.. A. The physician is responsible for assuring that any individual to whom the physician delegates or assigns the performance of a cosmetic medical procedure or the operation of a cosmetic medical device is properly trained. Training shall include both theoretical instruction and clinical instruction.B. Theoretical instruction shall include:. 1) Cosmetic-dermatological indications and contraindications for treatment;.
10.32.09.08.htm 10.32.09.08. 08 Non-Physician's Responsibility.. A. A physician who delegates or assigns a cosmetic medical procedure or the use of a cosmetic medical device to a non-physician or who supervises a non-physician performing these functions shall assure that the non-physician complies with this regulation.B. A non-physician may not use a cosmetic medical device or perform a cosmetic medical procedure unless the individual has re1) The training described in Regulation .07 of this chapter; and.
10.32.09.09.htm 10.32.09.09. 09 Grounds for Discipline.. A. Physician. A physician may be disciplined for any of the following:. 1) Delegating, assigning, or supervising a cosmetic medical procedure performed by an individual who is not a physician assistant or another licensed health care provider whose licensing board has determined that the procedure is within the scope of practice of the individual;2) Delegating cosmetic medical procedures to an individual who has not had:.
10.32.09.9999.htm 10.32.09.9999. Administrative History Effective date: August 23, 2010 (37:17 Md. R. 1185). Regulation .02B amended effective March 14, 2016 (43:5 Md. R. 386).
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