WSR 04-22-112

PROPOSED RULES

DEPARTMENT OF HEALTH


(Medical Quality Assurance Commission)

[ Filed November 3, 2004, 9:03 a.m. ]

Original Notice.

Title of Rule and Other Identifying Information: WAC 246-919-330 Postgraduate training defined, this rule will add clarifying language to assist applicants in selecting post-graduate training programs. This change was initially proposed through expedited rule making. The commission received an objection to the proposal which has been resolved, and is now resubmitting the proposed rule with additional amendments to improve clarity.

Hearing Location(s): Holiday Inn Select, One South Grady Way, Renton, WA 98055, (425) 226-7700, on January 14, 2005, at 8:00 a.m.

Date of Intended Adoption: January 14, 2005.

Submit Written Comments to: Beverly A. Thomas, Administrator, P.O. Box 47866, Olympia, WA 98504, e-mail beverly.thomas@doh.wa.gov, fax (360) 236-4768, by January 7, 2005.

Assistance for Persons with Disabilities: Contact Beverly A. Thomas by January 7, 2005, TTY (800) 833-6388 or (360) 236-4788.

Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: The rule amendment will clarify language for applicants regarding postgraduate training requirements. The proposed amendment will clarify the name of the recognized specialty board or subspecialty board to "as recognized by the American Board of Medical Specialties and listed in the 2004 Official ABMS Annual Report and Reference Handbook, published March 18, 2004." The proposal also rearranges existing requirements to improve the rule's clarity.

Reasons Supporting Proposal: Amending this rule will assure this rule on post-graduate training is up-to-date and to clarify current licensing requirements.

Statutory Authority for Adoption: RCW 18.71.017 and 18.71.050.

Statute Being Implemented: Chapter 18.71 RCW.

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

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

Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Beverly A. Thomas, 310 Israel Road S.E., Tumwater, WA 98501, (360) 236-4788.

No small business economic impact statement has been prepared under chapter 19.85 RCW. The commission has not completed a small business economic impact statement (SBEIS). An SBEIS is not necessary under RCW 19.85.030, the proposal imposes no new costs on small businesses. The proposed rule only clarifies the language without changing its effect.

A cost-benefit analysis is not required under RCW 34.05.328. The proposed amendment is exempt under RCW 34.05.328 (5)(iv). A cost-benefit is not necessary as the proposed rule only clarifies language without changing its effect.

October 15, 2004

Maryella E. Jansen

Acting Executive Director

OTS-7022.2


AMENDATORY SECTION(Amending WSR 01-18-087, filed 9/5/01, effective 10/6/01)

WAC 246-919-330   Postgraduate medical training defined.   (1) For the purposes of this chapter, postgraduate medical training 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 as recognized by the American Board of Medical Specialties and listed in the 2004 Official ABMS Annual Report and Reference Handbook, published March 18, 2004. ((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 evaluations will be accepted. This definition includes, but is not 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 Accreditation Council for Graduate Medical Education (ACGME) which are listed in the 1984-85 directory of residency programs, or programs approved by the Accreditation Council at the time of residency.

(b) Programs accredited by the Royal College of Physicians and Surgeons of Canada (RCPSC) or the College of Family Physicians of Canada (CFPC), or programs accredited by the RCPSC or CFPC at the time of residency.

(3) Postgraduate medical training includes, but is not limited to, internships, residencies and medical or surgical fellowships.

(4) The physician must acquire this training after completion of a formal course of undergraduate medical instruction outlined in RCW 18.71.055. The commission will accept only satisfactory clinical performance evaluations.

[Statutory Authority: RCW 18.71.017, 18.71.050 and chapter 18.71 RCW. 01-18-087, 246-919-330, filed 9/5/01, effective 10/6/01. 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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