New Mexico Register / Volume XXXV, Issue 20 / October 22, 2024

 

 

This is an amendment to 16.2.18 NMAC, Section 8, 9, 12, 13, 15, 19, 20, 24 and 25 effective 10/22/2024.

 

16.2.18.8               GENERAL REQUIREMENTS FOR EDUCATIONAL COURSE APPROVAL:  The board shall approve an educational course for a specific category of expanded practice upon completion of the following general requirements and the specific requirements listed for the specific category of expanded practice educational course approval.  All courses, with the exception of basic injection therapy, shall adhere to ICE or NCCA credentialing standards.  All references to application in this section refer to the educational course application.

                A.            The educational course shall provide at least the minimum number of hours of education in the areas listed for the specific category of educational course hours.  One hour of education shall be equal to that defined by the accreditation commission for acupuncture and herbal medicine (ACAHM).  The education shall be in addition to the education required to meet the minimum educational program requirements for licensure as a doctor of oriental medicine.

                B.            The educational course application shall include a description of the education being provided as required by the educational course general curriculum defined in 16.2.18.11 NMAC and the educational course curriculum defined for the specific category of expanded practice for which the educational course is applying for approval.

                C.            The educational course application shall include the curriculum vitae for all teachers, and proposed substitute teachers all classes shall be taught by qualified teachers approved by the board, provided the following conditions are met:

                                (1)           the education in the pharmacology of the authorized substances shall be taught by a licensed pharmacist, Pharm D or a Ph.D. in pharmacology; and

                                (2)           the education in the clinical therapeutic use of the authorized substances shall be taught by a licensed health care practitioner with appropriate training and a minimum of five years experience using the authorized substances.

                D.            The educational course application shall include documentation that all required clinical practice hours shall have a teacher to student ratio of at least one teacher to no more than eight students.

                E.            The educational course application shall include examples of the test questions that students enrolled in the course are required to successfully pass in order to ensure competence in all required areas. Testing methodology shall be approved by the board and with the exception of basic injection therapy, the testing shall be administered, subject to approval by a credentialed PhD psychometrician, as described in the ICE or NCCA credentialing standards and as approved by the board.  The educational course shall send all student test scores and evaluation scores directly to the board.

                F.            The educational course application shall include an example of the certificate that shall be given for successful completion of the educational course.

                G.            Each educational course shall be completed within two years of commencement of that course.

                H.            A student who is allergic or hypersensitive to an authorized substance may be excused from participating in clinical practice when such an authorized substance is being used.

                I.             A board member or an agent of the board has the authority to observe, audit and evaluate educational courses at any time after an application has been filed.  A course audit or evaluation may result in denial, suspension or revocation of the course’s approval by the board in accordance with law.

                J.             The educational course provider shall specify whether the organization offering the educational course is a sole proprietorship, partnership, LLC, corporation or non-profit corporation and shall provide proof of such legal business status.

                K.            An educational course shall submit a new application on the form approved by the board, pay the appropriate fee defined in 16.2.10 NMAC and comply with all other new application requirements if any of the following changes:

                                (1)           ownership;

                                (2)           faculty; and

                                (3)           curriculum.

                L.            An educational course shall inform the board in writing, provided that the educational course certifies that all factors defined in Subsection J of 16.2.18.8 NMAC remain unchanged, if any of the following changes:

                                (1)           name;

                                (2)           address; and

                                (3)           phone number.

[16.2.18.8 NMAC - Rp, 16.2.18.7 NMAC, 6/16/2015; A, 4/25/2023; A, 10/22/2024]

 

16.2.18.9               EDUCATIONAL COURSE APPROVAL BOARD REQUIREMENTS:

                A.            The board shall have final authority for approval of all educational courses including classes and teachers.

                B.            The board shall notify the applicant in writing by mail postmarked no more than 75 days after the receipt of the initial application as to whether the application is complete or if not complete, what documentation is needed to complete the application.

                C.            If the requested information is not received at the board office within [seventy five (75)] 75 days after notification the board shall notify the applicant in writing by mail that the application has expired.

                D.            Teaching must commence for an approved course within six [(6)] months of approval.

                [E.           In the interim between regular board meetings the expanded practice Rx committee or an authorized representative of the board shall issue an interim temporary educational course approval to a qualified applicant who has filed, with the board, a complete application and complied with all requirements for educational course approval.  The interim temporary educational course approval shall automatically expire on the date of the next regular board meeting and final educational course approval shall only be granted by the board.  If the application is denied, the notice of denial shall state the reason the application was denied.

                F.] E.      If the application is expired or is denied, the applicant will have to reapply as a new applicant.

[16.2.18.9 NMAC - Rp, 16.2.18.8 NMAC, 6/16/2015; A, 10/22/2024]

 

16.2.18.12             BASIC INJECTION THERAPY EDUCATIONAL COURSE APPROVAL:  The board shall approve a basic injection therapy educational course after the educational course provider submits to the board:

                A.            [the] a completed application [form provided by the board];

                B.            the payment of the application fee for expanded practice educational course approval specified in 16.2.10 NMAC;

                C.            documentation of having complied with all educational course approval general requirements defined in 16.2.18.8 NMAC;

                D.            documentation demonstrating that it will provide the educational course general curriculum defined in 16.2.18.11 NMAC;

                E.            documentation demonstrating that it will provide the basic injection therapy educational course hours defined in 16.2.18.13 NMAC; and

                F.            documentation demonstrating that it will provide the basic injection therapy educational course curriculum defined in 16.2.18.14 NMAC; and

                G.            [documentation demonstrating that proposed test instruments have been reviewed and approved by a credentialed PhD psychometrician, as described in the ICE credentialing standards.] A passing grade of seventy [(70)] percent is required for certification to demonstrate learned knowledge.

[16.2.18.12 NMAC - Rp, 16.2.18.11 NMAC, 6/16/2015; A, 10/22/2024]

 

16.2.18.13             BASIC INJECTION THERAPY EDUCATIONAL COURSE HOURS:  The education offered shall consist of a minimum total of [fifty-eight (58)] 58 contact hours with at least the minimum number of hours of education in the areas listed below:

                A.            eight [(8)] hours in pharmacology and biomedical differential diagnosis relative to the prescription, administration, compounding and dispensing of the authorized substances in the basic injection therapy formulary including homeopathic medicines;

                B.            two [(2)] hours in the drawing and compounding of the authorized substances intended for injection in compliance with USP 797, utilizing approved aseptic technique and proper record keeping and, storage and dispensing of substances; at least half of the required hours shall be clinical practice;

                C.            [fourteen (14)] 14 hours in orthopedic and neurological evaluation; at least half of these required hours shall be clinical practice;

                D.            two [(2)] hours in the theory and practice of vapocoolant spray and stretch techniques using the authorized vapocoolants; at least half of these required hours shall be clinical practice;

                E.            [twenty-eight (28)] 28 hours in the theory and practice of injection therapy including: [eleven (11)] 11 hours of trigger point therapy and injection of acupuncture points; [eleven (11)] 11 hours of basic mesotherapy; six [(6)] hours of basic neural therapy, and therapeutic injections (vitamins), using the authorized substances in the basic injection therapy formulary; at least half of these required hours shall be clinical practice;

                F.            one [(1)] hour in pharmaceutical law as provided by the New Mexico board of pharmacy;

                G.            one [(1)] in oriental medicine scope of practice relative to the authorized substances and techniques; and

                H.            a minimum of two [(2)] hours in the use of inhaled oxygen O2 and IM epinephrine for emergency use.

[16.2.18.13 NMAC - Rp, 16.2.18.12 NMAC, 6/16/2015; A, 10/22/2024]

 

16.2.18.15             INJECTION THERAPY EDUCATIONAL COURSE APPROVAL:  The board shall approve an injection therapy educational program requirements:

                A.            [the] a completed application [form provided by the board];

                B.            payment of the application fee for expanded practice educational course approval specified in 16.2.10 NMAC;

                C.            documentation that it will comply with all educational course approval general requirements defined in 16.2.18.8 NMAC;

                D.            documentation demonstrating that it will provide the educational course general curriculum defined in 16.2.18.11 NMAC;

                E.            documentation demonstrating that it will provide the injection therapy educational course hours defined in 16.2.18.17 NMAC;

                F.            documentation demonstrating that it will provide the injection therapy educational course curriculum defined in 16.2.18.18 NMAC; and

                G.            documentation demonstrating that proposed test instruments have been reviewed and approved by a credentialed PhD psychometrician as described in the ICE credentialing standards.  A passing grade of seventy (70) percent is required for certification to demonstrate learned knowledge.

[16.2.18.15 NMAC - Rp, 16.2.18.14 NMAC, 6/16/2015; A, 10/22/2024]

 

16.2.18.19             INTRAVENOUS THERAPY EDUCATIONAL COURSE APPROVAL REQUIREMENTS FOR CERTIFICATION:  The board will approve an intravenous therapy educational course for certification after the educational course provider submits to the board:

                A.            [the] a completed application [form provided by the board];

                B.            the payment of the application fee for expanded practice educational course approval specified in 16.2.10 NMAC;

                C.            documentation of having complied with all educational course approval general requirements defined in 16.2.18.8 NMAC;

                D.            documentation demonstrating that it will provide the educational course general curriculum defined in 16.2.18.10 NMAC;

                E.            documentation demonstrating that it will provide the intravenous therapy educational course hours defined in 16.2.18.20 NMAC;

                F.            documentation demonstrating that it will provide the intravenous therapy educational course curriculum defined in 16.2.18.21 NMAC; and

                G.            documentation that proposed test instruments have been reviewed and approved by a credentialed PhD psychometrician, as described in the ICE credentialing standards. A passing grade of [70] seventy percent is required for certification to demonstrate learned knowledge.

[16.2.18.19 NMAC - N, 6/16/2015; A, 10/22/2024]

 

16.2.18.20             INTRAVENOUS THERAPY COURSE PREREQUISITES:  Only a New Mexico licensed DOM, in good standing, and board certified in basic injection therapy, may apply for an intravenous therapy educational course in expanded practice.

                A.            Proof of current BLS/CPR certification that will be current for two [(2)] years from an American heart association, American red cross, or American safety and health institute provider.

                B.            Proof of completion of at least three [(3)] semester hours of college level biochemistry from an accredited institution that provides evaluation of competencies by examination.  A board approved college level on line course is acceptable.

[16.2.18.20 NMAC - N, 6/16/2015; A, 10/22/2024]

 

16.2.18.24             BIOIDENTICAL HORMONE THERAPY EDUCATIONAL COURSE APPROVAL:  The board shall have final authority for approval of a bioidentical hormone educational program upon completion of the following requirements. The educational course shall submit to the board:

                A.            [the] a completed application [form provided by the board];

                B.            payment of the application fee for expanded practice educational course approval specified in 16.2.10 NMAC;

                C.            documentation that it will comply with all educational course approval general requirements defined in 16.2.18.8 NMAC;

                D.            documentation demonstrating that it will provide the educational course general curriculum defined in 16.2.18.11 NMAC;

                E.            documentation demonstrating that it will provide the bioidentical hormone therapy educational course hours defined in 16.2.18.25 NMAC;

                F.            documentation demonstrating that it will provide the bioidentical hormone therapy educational course curriculum defined in 16.2.18.26 NMAC; and

                G.            documentation demonstrating that proposed test instruments have been reviewed and approved by a credentialed PhD psychometrician, as described in the ICE credentialing standards.  A passing grade of seventy [(70)] seventy percent is required for certification to demonstrate learned knowledge.

[16.2.18.24 NMAC - Rp, 16.2.18.19 NMAC, 6/16/2015; A, 10/22/2024]

 

16.2.18.25             BIOIDENTICAL HORMONE THERAPY EDUCATIONAL COURSE HOURS:  The bioidentical hormone educational course shall consist of a minimum total of [eighty (80)] 80 hours of education, with at least [twenty four (24)] 24 hours of practical experience defined in Subsections B, C, D, E and F of 16.2.18.25 NMAC in the areas listed below:

                A.            eight [(8)] hours in the pharmacology of bioidentical hormones;

                B.            [eighteen (18)] 18 hours in an overview of the endocrine system, including the anatomy and interactive physiology of the hypothalamic-pituitary-adrenal-thyroid (HPAT) and gonadal axis, the stress response and normal adrenal and thyroid function; also to include normal male and female sex hormone physiology; at least half of these hours shall be in practice or review of case studies;

                C.            [twenty (20)] 20 hours in theory and practice of endocrinology including evaluation and treatment of the patient with hormonal dysfunction and imbalances including but not limited to; adrenal fatigue, auto-immune endocrine disorders, hypothyroid, hyperthyroid, men’s hormone imbalances and women’s hormonal imbalances pre, peri and post menopause and consideration and assessment for treatment with bio-identical hormone replacement therapy, BHRT; at least half of these hours will be in practice or review of case studies;

                D.            [fourteen (14)] 14 hours in blood chemistry analysis including but not limited to; CBC, CMP, LFT, lipids, ferritin, homocysteine, vitamin D, iodine, hs CRP, fibrinogen, ANA, ESR, HgBAIC, insulin antibodies;

                E.            two [(2)] hours in urine analysis;

                F.            [sixteen (16)] 16 hours in the assessment and treatment of hormone and neurotransmitter  imbalances through blood, urine and saliva hormone testing and evaluation; appropriate treatment options for the biomedical differential diagnoses including, but not limited to; adrenal fatigue, thyroid imbalances, andropause, menopausal syndrome, and other male and female hormone imbalances; at least half of these hours shall be in practice or case study review;

                G.            one [(1)] hour in pharmaceutical law as provided by the New Mexico board of pharmacy; and

                H.            one [(1)] hour in oriental medicine scope of practice relative to the prescription or administration of the authorized substances.

[16.2.18.25 NMAC - Rp, 16.2.18.20 NMAC, 6/16/2015; A, 10/22/2024]