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OREGON BOARD OF NATUROPATHIC MEDICINE

 

DIVISION 40

CONTINUING EDUCATION

850-040-0210

Continuing Education

(1) Continuing education (CE) is required as part of the naturopathic physician's license renewal per OAR 850-030-0195. The purpose of CE is to offer education that promotes competency and skills necessary to assure the citizens of Oregon the highest standard of naturopathic medical care.

(2) CE required for an active license is as follows:

(a) For the annual renewal period beginning on January 1, 2010, at least 35 hours of CE, with at least 10 of these hours in pharmacology.

(b) For the annual renewal period beginning on January 1, 2011, at least 40 hours of CE, with at least 10 of these hours in pharmacology.

(c) For the annual renewal period beginning on January 1, 2012, at least 45 hours of CE, with at least 10 of these hours in pharmacology.

(d) Effective January 1, 2013, at least 50 hours of CE every year, with at least 10 of these hours in pharmacology.

(3) Each licensee holding an inactive license must obtain at least 10 hours of CE every year.

(4) A natural childbirth certificate requires 15 hours in obstetrics each year per OAR 850-035-0230, which may be included as part of the annual CE requirement.

(5) New licensees are not required to obtain CE in the initial year of licensure.

(6) Effective January 1, 2010, licensees with an active license must obtain at least two hours of medical ethics education every year, which may be included as part of the annual CE requirement.

(7) Each Licensee must obtain the one-time mandatory pain management education as required by ORS 409.500 through 409.570, within 24 months of initial license renewal.

(8) CE obtained in December not used in the year the hours were obtained, may be used in the following year for CE credit.

(9) CE credit will be rounded to the nearest quarter hour.

(10) Licensees holding an active license must obtain at least 10 hours of Board approved CE annually in pharmacology. These hours may be part of the CE required for renewal. The following are examples of previously approved pharmacy programs:

(a) Substances listed in OAR 850-060-0225 and their application in patient care;

(b) Biopharmacology;

(c) Non-formulary substances or drugs relevant to patient care;

(d) Drug-drug, drug-herb, drug-nutrient interactions or contraindications;

(e) Research of formulary substances and drugs in conjunction with naturopathic medical care.

(11) Any licensee using intramuscular (IM) or subcutaneous (SC) or intravenous (IV) therapeutic injection of vitamins or minerals, or preventive injections (IM, SC, or IV) must have qualifying education per OAR 850-060-0212.

(12) To be considered for approval, programs of continuing education for licensees must:

(a) Be presented by naturopathic physicians, other physicians or other professionally acknowledged health care educators with expertise in the subject matter;

(b) Foster the competency and skills of the naturopathic physician;

(c) Consist of education covering review, new, experimental, research or specialty subjects relevant to the practice of naturopathic medicine;

(d) Exclude the selling or promotion of proprietary products or practice building;

(e) Not misrepresent or mislead the end result/skill to be gained by the education or training offered.

(13) Licensees may receive credit for the qualifying education. Licensees are encouraged to request pre-approval for any program not clearly meeting the criteria in this rule. Continuing education may be approved based on the following criteria:

(a) Continuing Medical Education (CME) provided by recognized professional health care licensing agencies, hospitals, or institutions; programs accredited by the Accreditation Council for Continuing Medical Education (ACCME); the American Council on Pharmaceutical Education (ACPE); or programs approved by the Board. A verification of attendance for all CE courses or activities showing hours claimed or proof of completion must be signed by the program provider;

(b) Video or audio taped CE courses or seminars: Verification of video or audio taped credit for previously Board approved presentations must include an original outline of the presentation as well as the name and date of the presentation and the date of review, length of taped course or seminar and sponsor information;

(c) Literature Review: credit for literature review is determined by the length of the article(s) and the complexity of the topic(s). Articles must be from peer-reviewed publications. Verification must include concise information including an original outline of the literature reviewed;

(d) Internet education: Internet education is accepted for credit in accordance with the standards of the ACCME or ACPE including verification of completion;

(e) Authoring: Credit may be given for being an author of an article related to naturopathic medicine in a professional publication or book. Credit is determined by the length of the article and the complexity of its content. Credit for such activities will be credited in the year the project is completed. Verification must include a copy of the article or book;

(f) CPR: CPR courses in the year taken, with proof of current certification;

(g) Preceptorship: Preceptoring credit must be offered by qualifying persons per (12)(a) of this rule. Verification of preceptor hours must include the date and place, an outline of the information studied, and a signed acknowledgement from the preceptor;

(h) Protocol Writing: Credit may be given for participation in a formal protocol writing process associated with an accredited health care institution or government health care agency. Verification must include a written record of hours of development and research, the names and addresses of the institutions involved, the name of supervisors and their signatures verifying qualified hours;

(i) Research: Credit may be given for participation in research related to the advancement of naturopathic medicine and should be directed by a Board recognized educational or medical institution or organization, or self-directed. Verification must include the type of research being conducted, purpose and summary of research, dates of participation and disclosure of any fiduciary relationships;

(j) Teaching/ Presentation: Credit may be given for actual presentation hours for an initial course or initial seminar offering and up to three hours for preparation for each hour of the presentation, when subject is specific to professional level health education;

(k) Graduate Level Education: Credit may be given for participation in an accredited graduate level health related program relevant to the practice of naturopathic medicine;

(l) Participation in the Naturopathic Physicians Licensing Examinations (NPLEX) committee for the development and writing of the NPLEX examinations;

(m) Activities specific to patient charting and record keeping;

(n) Other courses or activities specifically authorized by the Board.

(14) Exception to the CE requirements in OAR 850-040-0210 is allowed for:

(a) A full-time residency, which is CNME or Board approved, requiring at least 6 months of participation in the calendar year;

(b) A fellowship with a Board recognized professional organization, requiring at least six months of active participation in the calendar year.

(15) Credit will not be given for hours received for:

(a) Teaching, except as permitted in OAR 850-040-0210(13)(j);

(b) Community service seminars and activities;

(c) Self-growth/self-help activities;

(d) Practice building activities;

(e) Medical/insurance billing presentations;

(f) Nonprofessional level health related programs presented by a lay person;

(g) Nonprofessional level health related programs presented to the lay public;

(h) Proprietary programs, which promote exclusive services and/or products;

(i) Information not within or directly related to the scope of practice of naturopathic medicine.

Stat. Auth.: ORS 685.125
Stats. Implemented: ORS 685.102
Hist.: NE 6, f. 6-1-73, ef. 6-15-73; NE 5-1980, f. & ef. 9-11-80; NE 2-1984, f. & ef. 2-28-84; NE 1-1986, f. & ef. 4-10-86; NE 1-1992, f. & cert. ef. 1-15-92; NE 2-1993, f. & cert. ef. 9-23-93; NE 1-1996, f. & cert. ef. 10-18-96; NE 2-1997(Temp), f. 12-1-97, cert. ef. 12-2-97 thru 5-31-98; BNE 2-1998, f. 7-31-98, cert. ef. 8-3-98; BNE 6-2000, f. & cert. ef. 12-6-00; BNE 7-2002, f. & cert. ef. 12-10-02; BNE 4-2004, f. & cert. ef. 6-10-04; Renumbered from 850-010-0210, BNE 8-2005, f. & cert. ef. 10-27-05; BNE 3-2006, f. & cert. ef. 10-13-06; BNE 4-2009, f. & cert. ef. 10-6-09; BNE 5-2009(Temp), f. & cert. ef. 10-13-09 thru 12-31-09; BNE 6-2009, f. 11-2-09, cert. ef. 1-1-10

850-040-0230

Continuing Education Approval: Licensee Submissions

Continuing education should support, develop, and increase the knowledge, skills, and professionalism of naturopathic physicians.

(1) CE approval requests must clearly foster the competency and skills of naturopathic physicians and

(a) Consist of new or review material on recognized naturopathic practices; or

(b) Research in the advancement of naturopathic medicine; or

(c) Education in areas of specialty practice when recognized by the Board; and

(d) Should be received by the Board at least four weeks prior to the event.

(2) CE approval requests received more than 30 days after the presentation may not be considered by the Board for credit.

(3) CE credit is determined in quarter hour increments.

(4) CE approval requests must be complete and submitted on an application form provided by the Board and contain the following:

(a) Title of the program;

(b) Syllabus or course outline for all offerings in the program:

(A) Pharmacy hours must be clearly delineated in each request with supporting documentation and meet the standards set in 850-040-0210(10),

(B) Hours in Obstetrics must be clearly delineated with supporting documentation, and

(C) Ethics education hours must be clearly delineated with supporting documentation;

(c) Date(s);

(d) Start and end time for individual presentations;

(e) Include the total hours for the entire program;

(f) Location(s) of presentation; and

(g) A copy of the curriculum vitae for each presenter, who must be a naturopathic physician, other licensed physician or other professionally acknowledged health care educator with expertise in the subject matter.

(5) The Board reserves the right to decline for consideration programs that are not submitted with adequate documentation.

(6) CE approval requests will not be considered for programs that:

(a) Are proprietary in nature, promoting exclusive services, companies or products;

(b) Misrepresent or mislead the end result or skill obtained by the education or training offered;

(c) Are community service seminars and activities;

(d) Are self-growth/self-help activities;

(c) Are practice building activities;

(e) Are medical or insurance billing presentations;

(f) Are nonprofessional health related programs presented by a lay person(s);

(g) Are nonprofessional health related programs directed to the lay public;

(h) Are not relevant to the scope of practice of naturopathic medicine.

(7) A CE program request that has been submitted to the Board with inaccurate or misleading information will lose CE approval for the program even it has already been presented.

(8) If a program has been denied approval, the licensee may submit a request for review by the Board with additional substantiating documentation.

Stat. Auth.: ORS 685.125
Stats. Implemented: ORS 685.102
Hist.: BNE 1-2006, f. & cert. ef. 10-13-06

850-040-0240

Continuing Education Program Approval: Professional Development Providers (PDP)

A Professional Development Provider (PDP) is any organization or individual offering CE to naturopathic physicians. PDP approval requests must consist of educational activities that serve to maintain, develop or increase the knowledge, skills and professional performance and relationships of naturopathic physicians in services for patients, the public, the profession. CE must offer education and skills recognized and accepted by the profession in areas pertaining to research, basic medical sciences, clinical practice, or public health care.

(1) Professional Development Provider (PDP) approval requests must be received by the Board at least 8 weeks before the event offering:

(a) the program must foster the continuing competency and skills in the practice of naturopathic medicine, and

(b) provide education in new, review, experimental research or specialized education and training specific to the practice of naturopathic medicine.

(2) CE credit hours will be determined in quarter hour increments.

(3) PDP approval requests must be submitted on an application form provided by the Board and contain the following:

(a) Title of the program;

(b) Syllabus or course outline for all offerings in the program:

(A) Pharmacy hours must be delineated in each request with supporting documentation and meet the standards set in 850-040-0210(10), and

(B) Natural Childbirth hours must be delineated with supporting documentation, and

(C) Ethics hours must be delineated with supporting documentation;

(c) Date(s);

(d) Start and end time for individual presentations;

(e) Total hours for entire program;

(e) Location(s) of presentation;

(f) A copy of the curriculum vitae for each presenter who must be a naturopathic physician, other licensed physician, or other professionally recognized health care educator with expertise in the subject matter;

(g) A signed letter of agreement provided by the Board, for each presenter stating the intent of the individual program, and disclosing any conflict of interests. Presenter must disclose at the beginning of each presentation any fiduciary or other conflict of interests, and

(h) A copy of the certificate of attendance or completion that is to be provided to attendees.

(4) PDP must maintain attendance records for all approved presentations for at least five years from the date of presentation.

(5) The PDP approval request must be received before any publication indicating approval or pending approval by this Board. In the event that "CE Approval", "Pending Board Approval" or other indications are published prior to the receipt of a complete CE application, credit will be denied.

(6) Any changes to an already approved program, including but not limited to, presenter, content, and length of program or sponsorship must be submitted for approval by the Board within two weeks of the changes. Any submission received after this time will be retroactively denied approval.

(7) The Board reserves the right to decline for consideration programs that are not submitted with adequate documentation.

(8) Approved PDP programs are valid for two years.

(9) It is the PDP responsibility to make a new application on a biennial basis from the date of original approval.

(10) CE approval submissions will not be considered for programs that:

(a) Misrepresent or mislead the end result or skill obtained by the education or training offered;

(b) Are proprietary in nature, promoting exclusive services, companies or products;

(c) Are community service oriented in nature;

(d) Are nonprofessional health related programs presented by a lay person(s);

(e) Are nonprofessional health related programs directed to the lay public;

(f) Are not relevant to the scope of practice of naturopathic medicine.

(g) Pertain to personal-growth/ personal-help;

(h) Pertain to practice building; or

(i) Pertain to medical or insurance billing;

(11) A PDP program that has been submitted to the Board with inaccurate or misleading information will retroactively lose CE approval for the program, even if the program has already occurred.

(12) At its discretion, the Board may appoint a member of the Board or other designee to audit, by attendance, any program in order to verify appropriateness for approval of CE hours.

(13) The Board may require a taped copy of the entire presentation be provided for review after the initial presentation for verification of content.

(14) If a program has been denied approval, the provider may submit a request for review by the Board with additional substantiating documentation.

(15) If a PDP fails to follow the provisions of this rule, the Board may revoke, deny or limit the approval.

Stat. Auth.: ORS 685.125
Stats. Implemented: ORS 685.102
Hist.: BNE 1-2006, f. & cert. ef. 10-13-06

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