Reported by Steven Malins, DOM, NMSAAM Vice-President
The New Mexico Board of Acupuncture and Oriental Medicine (BAOM) met on the morning of Wednesday, December 17th in Santa Fe. The major topics of discussion were the upcoming requirements for the intravenous injection therapy expanded practice module. There was some editing that needs to be done, but the content of the requirements is ready to be sent to the Board of Pharmacy for approval.
Barbara Maddoux will present the rules for approval of the Board of Pharmacy (BP) at their next regular meeting on Jan 16th. Pending approval by the Board of Pharmacy, the BAOM will present the final language for inclusion into the NM administrative code at their next meeting on January 30th, 2015.
Ratification of Applicants
The following DOMs had their application for expanded practice certification for Basic Injection Therapy ratified by unanimous vote of the BAOM:
Kaymie L. Hettler
Monica Tess Rempen
Joint Committee Report
The joint committee, formed in partnership with the BP, met twice in November to draft language for the educational requirements for the intravenous expanded practice module. There are minor edits that need to be made to ensure the intent is clear and precise. The content is ready to be presented to the BP. The educational course will require 137 hours of instruction, based on recommendations from the BP members on the joint committee. The 137 hours will be further broken down in to specific subject areas that must be covered. The course will also require 3 semester hours of biochemistry as a prerequisite in addition to completion of the basic injection module.
The course requirements include 24 hours training in oxidative therapies, including ultraviolet radiation of blood and ozone therapy. In the joint committee meetings, the BP members requested that the BAOM or other members of the acupuncture profession provide references to studies of the safety and efficacy of these procedures. These therapies are listed in the New Mexico Administrative Code 126.96.36.199 as being included in the intravenous certification formulary. Additionally, “oxygen” is listed in the Acupuncture and Oriental Medicine Practice Act as being in the expanded practice allowed substances. Since this is included in the governing law, it has been interpreted by several DOMs in New Mexico to refer to ozone therapy and ultraviolet radiation of blood.
Rules Committee Report
The rules committee has been working on revisions to sections 16.2.9, 16.2.18, and 16.2.19 to be included in the rules change when the intravenous course requirements are added. Many of the changes are clarifications that were brought to light with the first group of licensees receiving the basic injection designation under the new rules.
One issue is that 188.8.131.52 specifies 5 expanded practice license designations. This is a problem because the Acupuncture and Oriental Medicine Practice Act only authorizes the BAOM to provide for 4 designations. The 5th designation is for DOMs previously designated Rx1 that wish to continue doing prolotherapy. Prolotherapy was originally included in the Rx1 scope of practice, but is not included in the Basic Injection scope of practice. There are other therapies included in the injection therapy scope of practice that DOMs previously designated Rx1 may not have been trained in. The consensus was that the Rx committee would need to contact all DOMs previously designated with the Rx1 expanded practice and determine if they want to continue doing prolotherapy. If not, they can simply be designated Basic Injection. If they do, they will need to do extra CEUs each year in prolotherapy and the Rx committee will have to make a recommendation for each DOM as to their license designation. This topic will be on the agenda for the next regular meeting, currently scheduled for January 30th.
Blood-borne Pathogens and Needle Stick Protocol
The joint committee also recommended that all expanded practice DOMs receive blood-borne pathogen training and maintain a needle stick protocol for their clinics. The Accreditation Commission for Acupuncture and Oriental Medicine (ACAOM) already requires accredited schools to have a needle stick protocol for their clinics. The BAOM discussed requiring all DOMs to have a needle stick protocol for their clinics, but no official action was taken on the matter. It is expected to come up as part of the rule changes at the January 30th meeting.
Educational Course Approval
The rules committee received a request to approve CEUs that had been approved by other state licensing boards but which were not NCCAOM-approved. The reasoning is that some states, for example California, do not charge a fee each time a course is taught as long as it is the same course. This reduces the financial burden on course providers. No official action was taken on this matter. The rules committee is expected to provide a recommendation to the full board on this matter at the January 30th meeting.
Letter from ATEAM
The BAOM received a letter on Nov 20th from the Association for Traditional East Asian Medicine (ATEAM). The letter was not available for the public to review at this time. The subject was legislation that ATEAM is proposing, and they wanted the BAOM to support their legislative efforts. The consensus was that at this time the BAOM would not take an official action or make any statements regarding the letter or proposed legislation. No motions were made regarding this agenda item.