Sec. 10.32.09.07. Training of Non-Physicians

A. The physician is responsible for assuring that any individual to whom the physician delegates or assigns the performance of a cosmetic medical procedure or the operation of a cosmetic medical device is properly trained. Training shall include both theoretical instruction and clinical instruction.

B. Theoretical instruction shall include:

(1) Cosmetic-dermatological indications and contraindications for treatment;

(2) Identification of realistic and expected outcomes of each procedure;

(3) Selection, maintenance, and utilization of equipment;

(4) Appropriate technique for each procedure, including infection control and safety precautions;

(5) Pharmacological intervention specific to the procedure;

(6) Identification of complications and adverse reactions for each procedure;

(7) Emergency procedures to be used in the event of:

(a) Complications;

(b) Adverse reactions;

(c) Equipment malfunction; or

(d) Any other interruption of a procedure; and

(8) Appropriate documentation of the procedure in the patient's chart.

C. Clinical instruction shall include:

(1) Observation of performance of the procedure or use of the device by an individual experienced in performing the procedure; and

(2) Performing the procedure or using the device under the direct supervision of the delegating physician who is present and observing the procedure a sufficient number of times to assure that the non-physician is competent to perform the procedure without direct supervision.