(a) The department will accept a professional clinical residency having standards that are equivalent to or exceed NCOPE standards and those set forth in the Act and this chapter, at the time the residency was being completed.
(b) The Texas licensure requirements in this section apply only to residencies and residency programs fulfilled or conducted in Texas.
(c) Professional clinical residency programs must meet or exceed current NCOPE standards.
(d) The resident's involvement in patient care must meet or exceed current NCOPE standards.
(e) A clinical resident must be directly involved in providing patient care, under the supervision of a Texas licensed practitioner whose license is in the same discipline in which the professional clinical residency is being completed.
(f) Notwithstanding the supervision requirements in this section, the department may establish procedures, processes, and mechanisms for the monitoring and reporting of the supervision requirements.
(g) A professional clinical residency must provide the residents with a written description of the educational program, including the scope and duration of assignments to other facilities if part of the residency. The written description of the program must demonstrate equivalency to NCOPE requirements and must include:
(1) the term of residency;
(2) job description;
(3) pertinent policies and procedures;
(4) safety requirements;
(5) patient confidentiality;
(6) liability and malpractice insurance;
(7) expectations;
(8) limitations and restrictions of residency;
(9) the name of the practitioner who is designated as the residency program director; and
(10) the requirement under the Act to hold a current student registration during the term of the residency.
(h) Facility requirements. A facility offering a professional clinical residency program must:
(1) be accredited by the department unless the facility is one to which the accreditation requirement does not apply in accordance with §605.260(e) of the Act;
(2) have the resources and adequate facilities for residents to fulfill their education and patient care responsibilities;
(3) have resources and adequate facilities for residents to develop proficiency in laboratory skills in prosthetic and orthotic fabrication; and
(4) meet current NCOPE requirements.
(i) Responsibilities of the residency program director.
(1) Each residency program director must meet the current NCOPE requirements.
(2) The prosthetic and orthotic supervising licensee-to-resident ratio shall not exceed one Texas licensed practitioner to two residents.
(3) The program director shall maintain documentation of residents' agreements.
(4) The program director shall ensure that residents hold a current student registration during the term of the residency.
(5) The program director shall supervise residents during patient care.
(6) Evaluation of a resident's ability to assume graded and increasing responsibility for patient care must be completed quarterly. This determination is the residency program director's responsibility, in consultation with members of the teaching staff. The facility administration shall assure that, through the residency program director and staff, each program:
(j) Resident responsibilities and qualifications.
(1) The resident shall participate in safe, effective and compassionate patient care under supervision commensurate with his or her level of advancement and responsibility.
(2) The resident must hold a student registration issued under the Act.
(3) After completing the clinical residency, a registered student may continue to work as a resident under supervision in accordance with the applicable requirements of §114.30.
(k) Residency objectives.
(1) Clinical assessment. Upon completion of a residency, a person must be proficient in current NCOPE requirements, including clinical assessment skills for an individual requiring prosthetic or orthotic services as demonstrated by the ability to:
(2) Patient management. Upon completion of a residency, a person must be proficient in patient management skills under current NCOPE requirements for prosthetic or orthotic patients as displayed by the ability to:
(l) Completion of residency. The residency program director shall certify that a resident has successfully completed the residency only if the residency was conducted in accordance with this section.
Source Note: The provisions of this §114.30 adopted to be effective October 1, 2016, 41 TexReg 4467; amended to be effective September 1, 2018, 43 TexReg 5362