HAR §16-76-8. Educational requirements

(a) Each applicant for chiropractic licensure shall present evidence of having attended and graduated from a chiropractic college accredited by, or recognized as a candidate for accreditation by the Council of Chiropractic Education (CCE), or any chiropractic college accrediting agency recognized by the United States Department of Education (USDOE). Any student who has matriculated in a degree granting chiropractic college prior to October 15, 1984, shall be exempted from this provision. §16-76-4 76-6 (b) Each applicant shall furnish proof of having acquired a minimum of sixty semester hours, or equivalent, of college credit leading toward a baccalaureate degree at an institution or institutions accredited at the college level §16-76-8 76-7 by an accrediting body that has been listed as nationally recognized by the USDOE. (c) Doctor of chiropractic degree programs (including clinical experience) shall provide a curriculum designed and implemented in a manner in which students are able to integrate relevant information presented in the basic, clinical, and chiropractic sciences with the clinical, laboratory, and patient care experiences in clinical decision making. The total curriculum shall include a minimum of four thousand two hundred fifty-minute hours of the following: (1) The courses offered in the curriculum include, but are not limited to, at least the following subjects: anatomy; biochemistry; physiology; microbiology; pathology; public health; physical, clinical and laboratory diagnosis; gynecology; obstetrics; pediatrics; geriatrics; dermatology; otolaryngology; diagnostic imaging procedures; psychology; nutrition; biomechanics; orthopedics; first aid and emergency procedures; spinal analysis; philosophy, principles and practice of chiropractic; adjustive techniques; research methods and procedures; and professional practice ethics; (2) Courses offered in the curriculum shall be taught in sufficient depth to fulfill the standards of the doctor of chiropractic program as set forth by the CCE or any chiropractic accrediting agency recognized by the USDOE; (3) The chiropractic program shall require its doctor of chiropractic degree candidates, as conditions of graduation, to have met the following quantitative clinic requirements: (A) Performed, in the clinical setting, at least twenty-five examinations with case history for the purpose of developing a diagnostic or clinical impression of the status of the patient relative to chiropractic care; (B) Performed and interpreted, ordered and interpreted, or interpreted, in the clinical setting, at least twenty-five area radiographic (diagnostic imaging) examinations with written reports of findings; (C) Interpreted, while in the degree program, clinical laboratory tests to include at least twenty-five urinalysis, twenty hematology procedures such as complete blood counts, and ten clinical chemistry, microbiology or immunology procedures or profiles on human blood and other body fluids; §16-76-8 76-8 (D) Demonstrated an ability to palpate specific anatomical landmarks associated with spinal segments and other articulations; selected and effectively utilized palpatory and other appropriate methods to identify subluxations of the spine and other articulations; performed a minimum of two hundred fifty adjustments (or manipulations), at least two hundred of which must be spinal, occurring during at least two hundred fifty separate patient care visits; (E) Integrated the elements of the basic, chiropractic, clinical sciences and clinical instruction into clinical decisions; (F) Ordered, performed, and integrated the data utilizing appropriate services from those listed above for case management and follow-up for a minimum of ten different outpatients; and (G) Demonstrated proficiency upon completion of the course of study in the clinical competencies consistent with the CCE Standards or any chiropractic accrediting agency recognized by the USDOE. The board shall establish an addendum to the rules which shall list specific courses as examples of the courses addressed in (1) for the purpose of clarification and which may from time to time be amended to reflect current trends and changes in chiropractic curriculum. The board shall refer to these changes in the minutes of its meetings. (4) Programs accredited by the CCE or any accrediting agency recognized by the USDOE may be deemed approved by the board. (5) This approval may be subject to review if there are changes in the program’s or the accrediting body’s philosophy, curriculum, or objectives, or at any time the board determines it necessary for good cause. [Eff 3/16/73; am and ren §16-76-8, 7/30/81; am and comp 8/3/84; comp 6/28/85; am and comp 6/1/89; am and comp 9/22/01] (Auth: HRS §442-5) (Imp: HRS §442-2)