Original Notice.

     Exempt from preproposal statement of inquiry under RCW 34.05.310(4).

     Title of Rule: WAC 246-919-330 Postgraduate medical training defined.

     Purpose: This rule will change the name of the accrediting organization for the Canadian postgraduate program to meet one of the licensure requirement options for the state of Washington.

     Other Identifying Information: WAC 246-919-330.

     Statutory Authority for Adoption: RCW 18.71.017 and 18.71.050.

     Statute Being Implemented: Chapter 18.71 RCW.

     Summary: The accrediting organization for Canadian postgraduate medical training has changed to the Royal College of Physicians and Surgeons of Canada (RCPSC) and the College of Family Physicians of Canada (CFPC). The rule needs to be amended to reflect this change.

     Reasons Supporting Proposal: The reason to amend the language of the existing rule is to ensure we properly identify the Canadian accrediting organization.

     Name of Agency Personnel Responsible for Drafting and Implementation: Beverly A. Teeter, Health Administrator, 1300 S.E. Quince Street, Olympia, WA, (360) 236-4788; and Enforcement: Maryella Jansen, Acting Executive Director, 1300 S.E. Quince Street, Olympia, WA, (360) 236-4789.

     Name of Proponent: Medical Quality Assurance Commission and Department of Health, governmental.

     Rule is not necessitated by federal law, federal or state court decision.

     Explanation of Rule, its Purpose, and Anticipated Effects: This rule has been developed in response to the change in the Canadian accrediting organization. This will allow Washington state to appropriately license individuals who have attended the recognized accredited postgraduate training programs of Canada.

     Proposal Changes the Following Existing Rules: Existing rules pertaining to postgraduate training do not reflect the current accrediting programs of Canada.

     No small business economic impact statement has been prepared under chapter 19.85 RCW. This proposed language is exempt under RCW 19.85.025(3) and 34.05.310(4) because the rules are merely updating accreditation names and do not change requirements.

     RCW 34.05.328 does not apply to this rule adoption. This rule does not change requirements for licensure, just the name of the accrediting programs for postgraduate training programs in Canada.

     Hearing Location: Phoenix Inn, 415 Capitol Way North, Olympia Room, Olympia, WA 98501, on July 11, 2001, at 7:00 p.m.

     Assistance for Persons with Disabilities: Contact Beverly A. Teeter by June 30, 2001, TDD (800) 833-6388, or (360) 236-4788.

     Submit Written Comments to: Beverly A. Teeter, fax (360) 586-4573, by July 6, 2001.

     Date of Intended Adoption: July 11, 2001.

May 22, 2001

Maryella E. Jansen

Acting Executive Director

OTS-4813.3

AMENDATORY SECTION(Amending WSR 96-03-073, filed 1/17/96, effective 2/17/96)

WAC 246-919-330   Postgraduate medical training defined.   (1) For the purposes of this chapter, postgraduate medical training ((shall be considered to)) means clinical training approved by the commission in general medicine or surgery, or a recognized specialty or subspecialty in the field of medicine or surgery. The training must be acquired after completion of a formal course of undergraduate medical instruction outlined in RCW 18.71.055. Only satisfactory clinical performance ((deemed unsatisfactory by the program performance)) evaluations will ((not)) be accepted. This definition ((shall be considered to)) includes, but is not be limited to, internships, residencies and fellowships in medical or surgical subjects.

     (2) The commission approves only the following postgraduate clinical training courses:

     (a) Programs accredited by the ((American Medical Association)) Accreditation Council for Graduate Medical Education (ACGME) which are listed in the 1984-85 directory of residency programs, or programs approved by the ((American Medical Association)) Accreditation Council at the time of residency.

     (b) ((Preregistration training)) Programs ((approved as of July 1, 1982,)) accredited by the ((Canadian National Joint Committee on Accreditation of Preregistration Physician Training Programs)) Royal College of Physicians and Surgeons of Canada (RCPSC) or the College of Family Physicians of Canada (CFPC), or programs ((approved)) accredited by the ((Canadian National Joint Committee on Accreditation of Preregistration Physician Training Programs)) RCPSC or CFPC at the time of residency.

[Statutory Authority: RCW 18.71.017 and 18.71A.020. 96-03-073, § 246-919-330, filed 1/17/96, effective 2/17/96.]

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