A chiropractic physician who desires to participate in the program as a preceptor shall make application to the Board, on a form prescribed by the Board, for approval as a preceptor. If the Board finds that said chiropractic physician meets the standards and qualification set forth in 140:25-3-4, the application shall be approved by the Board and said chiropractic physician shall be notified of such approval in writing. If the application is disapproved by the Board, said chiropractic physician shall be notified in writing.
"Preceptor" means a chiropractic physician who is participating in the Chiropractic Undergraduate Preceptorship Program and provides on-site supervision and evaluation of an intern in a clinical setting for hands-on training. "Intern" means a student at an accredited chiropractic college who is participating in the Chiropractic Undergraduate Preceptorship Program.
A student at an accredited chiropractic college who desires to participate in the program as an intern shall make application to the Board, on a form prescribed by the Board, for approval as an intern.
- The application shall be accompanied by:
- Certification by an official of the student's college that the student has satisfactorily completed the prerequisite portion, as determined by the college, of the curriculum at the college to qualify said student for participation as an intern in the Program; and
- A money order, certified check or cashier's check, payable to the Board, in the amount of Thirty-five Dollaras ($35.00), as payment of the application fee, which shall not be refundable under any circumstances.
The organization, content, duration and weekly schedule of each intern's Practicum Education Experience shall be jointly developed by the designated representative of the intern's college and the preceptor at least one month prior to the beginning of the Experience.
A chiropractic physician who desires to participate in the program as a preceptor shall meet the following standards and qualifications:
- hold an original license and current renewal license;
- have a minimum of three (3) years of experience as a practicing chiropractic physician;
- have a chiropractic practice with a minimum of fifty (50) patient visits per week;
- have a chiropractic office, clinic or facility with a professional appearance. Such office, clinic or facility must be approved in writing by the intern's college and shall be subject to the approval and inspection by the Board and/or Advisory Committee;
- utilize the following procedures in chiropractic practice:
- taking a patient's medical history;
- physical examination of a patient; and
- diagnostic procedures where indicated;
- have current, valid malpractice insurance, which shall include under its coverage the intern; and
- the ability to supervise no more than one (1) intern per semester.
A preceptor shall have the following responsibilities to the intern, the intern's college, and the Board:
- to confer with the designated representative of the college prior to the beginning of each experience to develop the organization, content, duration and weekly schedule of the intern's experience;
- to maintain complete records of the intern's performance and provide an evaluation to the college on a form provide by the college and approved by the Board;
- to permit, upon reasonable request, and inspection by the college or the Board, or both, of:
- the preceptor's chiropractic office, clinic, or facility;
- services available for the experience;
- the intern's records; and
- any other items related to the experience;
- to submit in writing to the college the name and professional credentials of all persons who assist with the experience at the preceptor's office, clinic, or facility;
- to notify the college and the Board of any change of a preceptor;
- to provide a detailed list of the intern's duties in the preceptor's chiropractic office, clinic, or facility to the intern, the college and the Board;
- to provide the intern with a schedule of weekly office hours with a minimum of twenty-five (25) hours per week; and
- to provide immediate, on-site preceptor supervision of the intern if the intern is allowed to provide or assist in the provision of any therapeutic services or procedures, including, but not limited to, chiropractic adjustment(s) and injections.
- to provide immediate notice to the Board of Chiropractic Examiners of any change of status during the course of the internship.
An intern shall have the following responsibilities to the intern's college, the preceptor and the Board:
- to provide a current telephone number and address of his location in the state to the preceptor and the Board within a reasonable time after arrival, and to provide any change of telephone number or address to the preceptor and the Board within twenty-four (24) hours after any such change;
- to complete any appropriate forms requested by the college or the Board;
- to serve as an intern for the period of time specified by the college of the purpose of augmenting his competence in all areas of the practice of chiropractic;
- to follow all policies and procedures of the preceptor's chiropractic office, clinic, or facility;
- to wear proper attire at the preceptor's chiropractic office, clinic, or facility;
- to provide his own transportation and living arrangements;
- to report to the preceptor on time; and
- to refrain from submitting for publication any material related to the experience without prior written approval of the preceptor and the college;
- to provide immediate notice to the Board of Chiropractic Examiners of any change of status of intern during the course of the internship.
- An intern shall be allowed to perform only those duties which are lawful and ethical in the practice of chiropractic.
- Any incident reports related to an intern's experience shall be maintained by the preceptor and shall be the sole property of the preceptor, except as may be otherwise provided by law; provided, however upon receipt of a written request by the intern's college or the Board, the preceptor shall provide to the college or the Board a copy of such report.
- A preceptor may request an intern's college to withdraw from an experience any intern:
- whose performance, conduct, demeanor, or willingness to cooperate with co-workers or to serve patients in unsatisfactory;
- whose personal characteristics prevent desirable relationships with the preceptor's chiropractic office, clinic, or facility; or
- whose health status is a detriment to the intern's experience.
- A preceptor shall not be liable for the payment of any wage, salary or compensation of any kind for services performed by any instructor, supervisor or other person associated with the intern's college, and a preceptor shall not be required to cover any such person in any manner under his Worker's Compensation insurance policy.
- In an emergency, as determined by a preceptor in his sole discretion, said preceptor shall have the right to summarily relieve an intern from a specific assignment or to summarily request an intern to leave the preceptor's chiropractic office, clinic, or facility, pending determination of the intern's future assignment by the intern's college.
If you wish to submit a Preceptor application, please print off the application below and submit to the Board office.
If you wish to submit an Intern application, please print off the application below and mail into the Board office with the $35.00 fee.