DEPARTMENT OF LICENSING AND REGULTORY AFFAIRS
DIRECTOR'S OFFICE
ATHLETIC TRAINERS – GENERAL RULES
Filed with the secretary of state on
These rules take effect immediately upon filing with the secretary of state unless adopted under section 33, 44, or 45a(9) of the administrative procedures act of 1969, 1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections become effective 7 days after filing with the secretary of state.
(By authority conferred on the director of the department of licensing and regulatory affairs by sections 16145, 16148, 16178, 16186, 16204, 16205, 16215, 16287, 17904, and 17905 of the public health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.16178, 333.16186, 333.16204, 333.16205, 333.16215, 333.16287, 333.17904, and 333.17905 and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)
PART 1. GENERAL PROVISIONS
Rule 1. (1) As used in these rules:
(a) "Board" means the Michigan athletic trainer board.
(b) “BOC” means the Board of Certification, Inc.
(c) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.
(d) "Department" means the department of licensing and regulatory affairs.
(e) “Emergency cardiac care” means training in the performance or use of adult cardiopulmonary resuscitation (CPR), pediatric CPR, second rescuer CPR, automated external defibrillator, airway management, and barrier devices.
(2) Terms defined in the code have the same meanings when used in these rules.
PART 2. LICENSURE
R 338.1303 Training standards for identifying victims of human trafficking;
requirements.
Rule 3. (1) Pursuant to
section 16148 of the code, MCL 333.16148, an individual licensed or seeking
licensure shall have completed complete training in identifying victims
of human trafficking that meets the following standards:
(a) Training content must cover all of the following:
(i) Understanding the
types and venues of human trafficking in Michigan this state or
the United States.
(ii) Identifying victims of human trafficking in health care settings.
(iii) Identifying the warning signs of human trafficking in health care settings for adults and minors.
(iv) Resources for reporting the suspected victims of human trafficking.
(b) Acceptable providers or methods of training include any of the following:
(i) Training offered by a nationally recognized or state-recognized, health-related organization.
(ii) Training offered by, or in conjunction with, a state or federal agency.
(iii) Training obtained in an educational program that has been approved by the board for initial licensure, or by a college or university.
(iv) Reading an article related to the identification of victims of human trafficking that meets the requirements of subdivision (a) of this subrule and is published in a peer review journal, health care journal, or professional or scientific journal.
(c) Acceptable modalities of training include any of the following:
(i) Teleconference or webinar.
(ii) Online presentation.
(iii) Live presentation.
(iv) Printed or electronic media.
(2) The department may select and audit a sample of individuals and request documentation of proof of completion of training. If audited by the department, an individual shall provide an acceptable proof of completion of training, including either of the following:
(a) Proof of completion certificate issued by the training provider that includes the date, provider name, name of training, and individual’s name.
(b) A self-certification statement by an individual. The certification statement must include the individual’s name and either of the following:
(i) For training completed pursuant to subrule (1)(b)(i) to (iii) of this rule, the date, training provider name, and name of training.
(ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of article, author, publication name of peer review journal, health care journal, or professional or scientific journal, and date, volume, and issue of publication, as applicable.
(3) Pursuant to section 16148
of the code, MCL 333.16148, the requirements specified in subrule (1) of this
rule apply to license renewals beginning 2019 and for initial licenses issued after
April 22, 2021.
R 338.1309 Licensure by examination.
Rule 9. An applicant for an athletic trainer license by examination shall submit a completed application on a form provided by the department with the requisite fee. In addition to satisfying the requirements of the code and the rules promulgated under the code, the applicant shall satisfy all of the following requirements:
(a) Have graduated from an athletic training program that satisfies the requirements of R 338.1354.
(b) Have passed the examination adopted in R 338.1325.
(c) Have successfully completed emergency
cardiac care training from a program that satisfies the requirements of R 338.1355
within 3 years before licensure and hold an unexpired emergency cardiac care
certification.
R 338.1317 Licensure by endorsement.
Rule 17. (1)
An applicant for an athletic trainer license by endorsement shall submit a
completed application on a form provided by the department with the requisite
fee. In addition to satisfying the requirements of the code and the rules
promulgated under the code, the applicant shall satisfy all of the following
requirements:
(a) Be licensed, registered, or certified as an athletic trainer in another state of the United States or licensed in a province of Canada immediately preceding the application for licensure.
(b) Establish
Provide verification that he or she holds a current, valid BOC certification,
which includes verification from the BOC showing that disciplinary proceedings
are not pending against the applicant and sanctions are not in force at the
time of application.
(d) Comply with both of the following:
(i) Disclose each license, registration, or certification in a health profession or specialty issued by any other state, the United States military, the federal government, or another country on the application form.
(ii) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, which include verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.
(2) An applicant’s
license, registration, certification, or other athletic training professional
endorsement recognized by the BOC must be verified by the licensing and regulatory
agency of any state of the United States, province of Canada, or other country,
in which the applicant holds or has ever held a license, registration, certification,
or athletic training professional endorsement to practice as an athletic
trainer or other athletic training professional recognized by the BOC for certification.
Verification includes, but is not limited to, any disciplinary action taken
against the license, registration, certification, or other athletic training
professional endorsement.
R 338.1321 Licensure of foreign-trained applicants.
Rule 21. (1) If an applicant was foreign-trained and does not meet the requirements of
R 338.1309 or R 338.1317, then the applicant shall submit a completed application on a form provided by the department with the requisite fee, and in addition to satisfying the requirements of the code and the rules promulgated under the code, satisfy all of the following requirements:
(a) Provide
verification that the applicant holds Hold a national licensure, registration,
certification, or other athletic training professional endorsement recognized by
the BOC, which includes verification from the BOC showing that disciplinary
proceedings are not pending against the applicant and sanctions are not in
force at the time of application.
(b) Pass the examination adopted in R 338.1325.
(c) Be
verified, on a form provided by the department, by the licensing or registration
agency of any state of the United States, province of Canada, or other country
in which the applicant holds a current license or registration or has ever held
a license, registration, certification, or other athletic training professional
endorsement to practice as an athletic trainer. This includes, but is not
limited to, showing proof of any disciplinary action taken or pending disciplinary
action imposed upon the applicant.
(d)
(c) Have successfully completed emergency cardiac care training from a
program that satisfies the requirements of R 338.1355 within 3 years before licensure
and hold an unexpired emergency cardiac care certification.
(d) Comply with both of the following:
(i) Disclose each license, registration, or certification in a health profession or specialty issued by any other state, the United States military, the federal government, or another country on the application form.
(ii) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, which include verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.
(2) If an applicant holds current certification in good standing by the BOC, the applicant is presumed to have satisfied the requirements of subrules (1)(a) and (1)(b) of this rule. The applicant’s certification must be verified by the BOC. Verification from the BOC must show that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application.
R 338.1345 Relicensure.
Rule 45. (1) An applicant for relicensure whose Michigan license has lapsed, under the provisions of section 16201(3) or (4) of the code, MCL 333.16201, as applicable, may be relicensed by complying with the requirements of the code, the rules promulgated and under code, and the following requirements as noted by (√):
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Lapsed 3 years or more |
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An applicant who is or has ever been licensed, registered, or certified in a health profession or specialty by any other state, the United States military, the federal government, or another country, shall do both of the following: (A) Disclose each license, registration, or certification on the application form. (B) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, which include verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application. |
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Lapsed 3 years or more |
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An applicant who is or has ever been licensed, registered, or certified in a health profession or specialty by any other state, the United States military, the federal government, or another country, shall do both of the following: (A) Disclose each license, registration, or certification on the application form. (B) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174, which include verification from the issuing entity showing that disciplinary proceedings are not pending against the applicant and sanctions are not in force at the time of application. |
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R 338.1349 License renewal requirements; adoption of BOC continuing education
standards.
Rule 49. (1) Until the end
of the applicant’s current renewal cycle, An an applicant for
license renewal shall satisfy the requirements of R 338.7001 to R 338.7005
and satisfy both of the following requirements within the 3-year
renewal cycle:
(a) Complete emergency cardiac care training from a program that satisfies the requirements of R 338.1355 and hold an unexpired emergency cardiac care certification.
(b) Before the expiration date of the license, complete a total of 75 hours of continuing education that comply with R 338.1357, including a minimum of 3 hours of continuing education hours in pain and symptom management, as required under section 16204 of the code, MCL 333.16204.
(2) Beginning with the licensee’s first renewal cycle following promulgation of these rules, an applicant for license renewal shall satisfy the requirements of R 338.7001 to R 338.7005 and both of the following:
(a) The continuing education standards established by the BOC in the publication titled Certification Maintenance Requirements for Certified Athletic Trainers, Reporting Period Ending December 31, 2021, which are adopted by reference in these rules as required under section 17905(2) of the code, MCL 333.17905. This document is available free of charge from the BOC at https://bocatc.org/athletic-trainers/maintain-certification/continuing-education/continuing-education or at a cost of 10 cents per page from the Department of Licensing and Regulatory Affairs, Bureau of Professional Licensing at 611 West Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.
(b) As a part of the continuing education required under subpart (a) of this subrule, complete a minimum of 3 hours of continuing education in pain and symptom management, as required under section 16204 of the code, MCL 333.16204.
(2)(3) Submission
of an application for renewal of a license constitutes the applicant's certification
of compliance with this rule.
(3)(4) The board
may require the licensee to submit evidence to demonstrate compliance with this
rule.
(4)(5) The licensee
shall retain documentation of satisfying the requirements of this rule for a
period of 4 years from the date of applying for license renewal.
(5)(6) A request
for a waiver under section 16205 of the code, MCL 333.16205, must be received
by the department before the expiration date of the license.
PART 4. CONTINUING EDUCATION
R 338.1357 Limitations for accumulating continuing education; approved continuing
education.
Rule 57.
(1) Until the end of the applicant’s current renewal cycle, A a
licensee who accumulates the 75 hours of continuing education required pursuant
to R 338.1349 for the renewal of an athletic trainer license is subject to all
of the following limitations:
(a) A licensee may not accumulate more than 12 credit hours of continuing education during 1 24-hour period.
(b) A licensee may not carry forward the continuing education hours earned during 1 renewal cycle to the next renewal cycle for activities listed in subrule (5)(b) to (g) of this rule.
(c) A licensee may not earn continuing education credit for completing a program or activity that is identical or substantially identical to a program or activity for which the licensee has already earned credit during the same renewal cycle.
(d) A licensee may not earn more than 50 hours of continuing education per renewal cycle for activities listed in subrule (5)(d) to (g) of this rule.
(2) Approved courses for accumulating continuing education hours in pain and symptom management, as required in R 338.1349(1)(b) or R 338.1349(2)(b), as applicable, include, but are not limited to, courses in behavior management, psychology of pain, pharmacology, behavior modification, stress management, clinical applications, and drug interventions as they relate to professional practice.
(3) Until the end of the applicant’s current renewal
cycle, The the board approves and adopts by reference the
standards of the BOC set forth in the publication entitled titled
“Practice Analysis, 7th Edition, Outline: Domains and Tasks,”
effective for April 2017 exam and January 1, 2018 continuing education. This
document is available free of charge from the BOC at , available at https://bocatc.org/system/document_versions/versions/24/original/boc-pa7-content-outline-20170612.pdf?1497279231
or at a cost of 10 cents per page from the Department of Licensing and
Regulatory Affairs, Bureau of Professional Licensing at 611 West Ottawa Street,
P.O. Box 30670, Lansing, Michigan 48909.
(4) Until
the end of the applicant’s current renewal cycle, Any any
continuing education program approved by the BOC is considered approved by the
board.
(5) Until
the end of the applicant’s current renewal cycle, the The board
approves all of the following for continuing education credit:
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Activity and Proof of Completion |
Number of continuing education hours granted/permitted for each activity |
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(a) |
Maintenance of BOC certification during each year of the renewal cycle.
If audited,
the licensee shall provide evidence from the BOC that the licensee held a
valid BOC certification during each year of the renewal cycle. |
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(b)
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Attendance at or participation in a continuing education program or activity related to the practice of athletic training, which includes but is not limited to, live and in person programs; interactive or monitored teleconference, audio-conference, or web-based programs; online programs; and journal articles or other self-study programs approved or offered by any of the following:
If audited, the licensee shall submit a copy of a letter or certificate of completion showing the licensee’s name, number of continuing education hours earned, sponsor name or the name of the organization that approved the program or other activity for which the continuing education credit was given, and the date on which the program or activity was completed. |
The number
of continuing education hours earned for a specific program or
activity is the number of hours approved by the sponsor or the approving
organization for the specific program or activity. |
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Initial presentation of continuing education program related to the practice of athletic trainer to a state, regional, national, or international athletic training organization.
To receive credit, the presentation must not be a part of the licensee’s regular job description and must be approved or offered for continuing education credit by any of the following:
If audited, the licensee shall submit a copy of the presentation notice or advertisement showing the date of the presentation, the licensee’s name listed as a presenter, and the name of the organization that approved or offered the presentation for continuing education credit. |
Ten hours
of continuing education credit are |
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Initial presentation of a scientific exhibit, poster, scientific paper, or clinical demonstration to an athletic training organization.
To receive credit, the presentation must not be part of the licensee’s regular job description or performed in the normal course of the licensee’s employment.
If audited, the licensee shall submit a copy of the document presented with evidence of presentation or a letter from the program sponsor verifying the length and date of the presentation. |
Ten hours
of continuing education are
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Initial publication of an article related to the practice of athletic training in a peer-reviewed journal.
If audited, the licensee shall submit a copy of the publication that identifies the licensee as the author of the publication or an acceptance letter. |
Fifteen hours
of continuing education are |
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Initial publication of a chapter related to the practice of athletic training in any of the following:
If audited, the licensee shall submit a copy of the publication that identifies the licensee as the author or a publication acceptance letter. |
Ten hours
of continuing education are
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Passing an academic course or residency program related to the practice of athletic training that is offered by either of the following:
If audited, a licensee shall submit a copy of the transcript showing credit hours of the academic course related to athletic training. |
Ten hours of
continuing education are |
(6) Beginning with the licensee’s first renewal cycle following promulgation of these rules, an applicant for license renewal shall comply with all BOC continuing education standards adopted by reference in R 338.1349(2)(a). If audited, the licensee shall provide evidence of 1 of the following:
(a) Verification from the BOC that the renewal applicant held a valid BOC certification during each year of the renewal cycle.
(b) Proof that during the 3-year license renewal cycle the renewal applicant completed the BOC continuing education standards for the renewal of a 2-year certification and the BOC requirements for the renewal of a 1-year certification. The proof must be a copy of the letter or certificate issued by the BOC-approved continuing education provider, which must include all of the following:
(i) The participant’s name.
(ii) The number of continuing education hours earned.
(iii) The sponsor’s name and BOC approval number.
(iv) The date or dates the licensee participated in the program or activity.
PART 5. DELEGATION AND ADOPTION BY REFERENCE OF
PROFESSIONAL STANDARDS
R 338.1369 Delegation and supervision; requirements.
Rule 69. (1) Pursuant to section 16215(1) of the code, MCL 333.16215, a licensee may delegate the performance of an athletic training act, task, or function if the licensee maintains a record of the name of the individual to whom the act, task, or function was delegated. The record must be maintained pursuant to section 16213 of the code, MCL 333.16213.
(2) The licensee shall provide direct supervision if
A the licensee who delegates an act, task, or function
related to the practice of athletic training shall provide supervision as
follows:
(a) If
the delegatee is licensed under the code and the act, task, or function is within
the delegatee’s scope of practice, the supervision shall be general supervision
as defined in section 16109(2) of the code, MCL 333.16109.
(b) If
the to a delegatee who is unlicensed or licensed and or
the act, task, or function does not fall within the delegatee’s licensed scope
of practice, the supervision shall be direct supervision. As used in this
subdivision subrule, “direct supervision” means the licensee is
physically present and immediately available for face-to-face direction and
supervision at the time the act, task, or function is performed and the
licensee has direct contact with the individual upon whom the act, task, or
function was performed.
(3) A licensee shall not delegate a job, task, or function to a secondary-school student that requires the secondary-school student to engage in the practice of athletic training.
(4) At any given time, the number of unlicensed individuals to whom a licensee may provide direct supervision must not exceed 8 individuals.