CHAPTER 44
CONTINUING EDUCATION FOR CHIROPRACTIC PHYSICIANS
[Prior to 7/24/02, see 645—Ch 43]
645—44.1(151) Definitions. For the purpose of these rules, the following definitions shall apply:
“Active license” means a license that is current and has not expired.
“Audit” means the selection of licensees for verification of satisfactory completion of continuing education requirements during a specified time period.
“Board” means the Iowa board of chiropractic.
“Clinical case management” means coursework pertaining to diagnosis, treatment, and appropriate referral or coordination of care.
“Continuing education” means planned, organized learning acts meeting the standards set forth in these rules, acquired during licensure, and designed to maintain, improve, or expand a licensee’s knowledge and skills in order for the licensee to develop new knowledge and skills relevant to the enhancement of chiropractic practice, education, or theory development to improve the safety and welfare of the public.
“Hour of continuing education” means at least 50 minutes spent by a licensee in actual attendance at and completion of an approved continuing education activity.
“Inactive license” means a license that has expired because it was not renewed by the end of the grace period. The category of “inactive license” may include licenses formerly known as lapsed, inactive, delinquent, closed, or retired.
“Independent study” means a subject/program/activity that a person pursues autonomously that meets standards for approval criteria in the rules and includes a posttest and certificate of completion.
“License” means license to practice chiropractic in Iowa.
“Licensee” means any person licensed to practice as a chiropractic physician in Iowa.
[ARC 9109B, IAB 10/6/10, effective 11/10/10; ARC 3962C, IAB 8/15/18, effective 9/19/18]
645—44.2(272C) Continuing education requirements.
	44.2(1) The biennial continuing education compliance period shall extend for a two-year period beginning on July 1 of each even-numbered year and ending on June 30 of each even-numbered year two years later. Starting with the 2018-2020 biennium, each person who is licensed to practice as a licensee in this state shall be required to complete a minimum of 40 hours of continuing education approved by the board.
	44.2(2) Requirements of new licensees. Those persons licensed for the first time shall not be required to complete continuing education as a prerequisite for the first renewal of their licenses with the exception of two hours in the content areas of 645—Chapters 41 through  45 and Iowa Code chapter 151. Continuing education hours acquired anytime from the initial licensing until the second license renewal, with the exception of two hours in the content areas of 645—Chapters 41 through  45 and Iowa Code chapter 151, may be used. The new licensee will be required to complete a minimum of 40 hours of continuing education per biennium for each subsequent license renewal.
	44.2(3) Hours of continuing education credit may be obtained by attending and participating in a continuing education activity. These hours must be in accordance with these rules.
	44.2(4) No hours of continuing education shall be carried over into the next biennium except as stated in  44.2(2) and 44.3(2)“a”(3). A licensee whose license is reactivated during the current renewal compliance period may use continuing education earned during the compliance period for the first renewal following reactivation.
	44.2(5) It is the responsibility of each licensee to finance the cost of continuing education.
[ARC 3962C, IAB 8/15/18, effective 9/19/18]
645—44.3(151,272C) Standards.
	44.3(1) General criteria. A continuing education activity which meets all of the following criteria is appropriate for continuing education credit if the continuing education activity:
	a. 	Constitutes an organized program of learning which contributes directly to the professional competency of the licensee;
	b. 	Pertains to subject matters which integrally relate to the practice of the profession;
	c. 	Is conducted by individuals who have specialized education, training and experience by reason of which said individuals should be considered qualified concerning the subject matter of the program. At the time of audit, the board may request the qualifications of presenters;
	d. 	Fulfills stated program goals, objectives, or both; and
	e. 	Provides proof of attendance to licensees in attendance including:
	(1)	Date(s), location, course title, presenter(s);
	(2)	Number of program clock hours; and
	(3)	Certificate of completion or evidence of successful completion of the course provided by the course sponsor.
	44.3(2) Specific criteria.
	a. 	Continuing education hours of credit shall be obtained by completing:
	(1)	At least 36 hours of continuing education credit obtained from a program that directly relates to clinical case management of chiropractic patients. At least 20 of these hours shall be earned by completing a program in which an instructor conducts the class by employing a traditional in-person, classroom-type presentation and the licensee is in attendance in the same room as that instructor. The remaining 16 hours of continuing education credit relating to clinical case management of chiropractic patients may be obtained by independent study, including any online instruction, that complies with conditions specified in 44.3(1).
	(2)	A minimum of two hours per biennium in professional boundaries regarding ethical issues related to professional conduct that may include but are not limited to sexual harassment, sensitivity training and ethics.
	(3)	A minimum of 12 hours per biennium of continuing education in the field of acupuncture if the chiropractic physician is engaged in the practice of acupuncture. Chiropractic physicians not engaged in the active practice of acupuncture may take continuing education hours in the field of acupuncture for continuing education credit.
	(4)	Classes on child abuse and dependent adult abuse that meet the criteria in 645—subrules 41.8(4) and 44.3(1).
	(5)	Two hours of continuing education credit at the time of the first biennial renewal period and one hour every biennial renewal period after that in the content areas of the administrative rules related to chiropractic physicians in Iowa, found at 645—Chapters 41 through  45 and the statutory provisions specific to the practice of chiropractic in Iowa, found at Iowa Code chapter 151.
	b. 	Continuing education hours of credit may be obtained by:
	(1)	Teaching at a Council on Chiropractic Education (CCE)-approved program or board of chiropractic-approved institution. A maximum of 15 hours per biennium may be obtained for each course taught.
	(2)	Completing electronically transmitted programs/activities or independent study programs/activities that have a certificate of completion.
	(3)	A licensee who is a presenter of a continuing education program may receive credit once per biennium for the initial presentation of the program.
	(4)	Completing a program provided by a CCE-accredited chiropractic college in the United States, the Iowa Chiropractic Society, American Chiropractic Association or International Chiropractors Association.
	(5)	Completing continuing education courses/programs that are certified by the Providers of Approved Continuing Education (PACE) through the Federation of Chiropractic Licensing Boards (FCLB).
	(6)	Proctoring at the NBCE examination. Fifteen hours of continuing education hours per NBCE examination event may be claimed up to a maximum of 30 hours of continuing education credit per biennium. The proctoring hours may apply toward the clinical requirement.
	c. 	Continuing education may not be obtained by completing or teaching classes in basic anatomy and physiology or undergraduate level coursework.
	44.3(3) Specific criteria for presenters. All instructors/presenters of a continuing education activity must include, as part of the continuing education activity, verbal and written statements to the participants regarding any affiliations or employment relationships with any entity promoting, developing or marketing products, services, procedures or treatment methods.
[ARC 9109B, IAB 10/6/10, effective 11/10/10; ARC 0211C, IAB 7/25/12, effective 8/29/12; ARC 1201C, IAB 12/11/13, effective 1/15/14; ARC 2202C, IAB 10/14/15, effective 11/18/15; ARC 3962C, IAB 8/15/18, effective 9/19/18]
645—44.4(151,272C) Audit of continuing education report. Rescinded IAB 8/13/08, effective 9/17/08.
645—44.5(151,272C) Automatic exemption. Rescinded IAB 8/13/08, effective 9/17/08.
645—44.6(272C) Continuing education exemption for disability or illness. Rescinded IAB 8/13/08, effective 9/17/08.
645—44.7(151,272C) Grounds for disciplinary action. Rescinded IAB 8/13/08, effective 9/17/08.
645—44.8(272C) Continuing education exemption for inactive practitioners. Rescinded IAB 8/3/05, effective 9/7/05.
645—44.9(272C) Continuing education exemption for disability or illness. Rescinded IAB 8/3/05, effective 9/7/05.
645—44.10(272C) Reinstatement of inactive practitioners. Rescinded IAB 8/3/05, effective 9/7/05.
645—44.11(272C) Hearings. Rescinded IAB 8/3/05, effective 9/7/05.
These rules are intended to implement Iowa Code section 272C.2 and chapter 151.
[Filed 12/8/00, Notice 10/18/00—published 12/27/00, effective 1/31/01]1
[Filed 7/3/02, Notice 5/1/02—published 7/24/02, effective 8/28/02]
[Filed 11/6/03, Notice 7/23/03—published 11/26/03, effective 12/31/03]
[Filed emergency 5/14/04—published 6/9/04, effective 5/14/04]
[Filed 7/14/05, Notice 5/25/05—published 8/3/05, effective 9/7/05]◊
[Filed 1/27/06, Notice 11/9/05—published 2/15/06, effective 3/22/06]
[Filed 4/13/06, Notice 2/15/06—published 5/10/06, effective 6/14/06]
[Filed 1/28/08, Notice 11/7/07—published 2/27/08, effective 4/2/08]
[Filed 7/17/08, Notice 5/7/08—published 8/13/08, effective 9/17/08]◊
[Filed ARC 9109B (Notice ARC 8782B, IAB 6/2/10), IAB 10/6/10, effective 11/10/10]
[Filed ARC 0211C (Notice ARC 0010C, IAB 2/22/12), IAB 7/25/12, effective 8/29/12]
[Filed ARC 1201C (Notice ARC 1012C, IAB 9/18/13), IAB 12/11/13, effective 1/15/14]
[Filed ARC 2202C (Notice ARC 2094C, IAB 8/5/15), IAB 10/14/15, effective 11/18/15]
[Filed ARC 3962C (Notice ARC 3774C, IAB 5/9/18), IAB 8/15/18, effective 9/19/18]
◊	Two or more ARCs
1	Effective date delayed 70 days by the Administrative Rules Review Committee at its meeting held January 29, 2001; delay lifted by the committee at its meeting held February 9, 2001, effective 2/10/01.