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RHB - RENEWAL OF SUPERVISOR & OPERATOR PERMIT - Required Every 2 Years (Last
Update 21-January-2012) Beginning 2004, Section 30403 of Title 17, California Code
of Regulations (CCR), administered by the California Department of Health Services, Radiologic Health
Branch (RHB), requires that all California X-Ray Supervisor And Operator Permit (XSOP) holders earn
10 approved x-ray Continuing Education Credits (CEC) before renewal, which is every two years. “An
approved CEC is one hour of instruction received in subjects related to the application of x-ray
to the human body and accepted for purposes of credentialing, assigning professional status or certification
by any of the following groups: (a) American Registry of Radiologic Technologists; (b) Medical Board
of California; (c) Osteopathic Medical Board of California; (d) Board of Podiatric Medicine; (e)
California Board of Chiropractic Examiners; (f) Board of Dental Examiners” -- per RHB.
Note that acceptable course subjects include x-ray physics, technology and protection; x-ray diagnosis;
x-ray therapy; even CT and fluoroscopy. Courses in non-x-ray imaging such as sonography,
MRI and nuclear medicine (bone scan, PET, SPECT, etc.) are NOT acceptable. Note that the biannual
x-ray requirement administered by the RHB is separate and distinct from the SBCE annual chiropractic
license renewal requirements. The RHB invoices doctors every two years for XSOP renewal.
This is totally independent from the SBCE which invoices chiropractors every year for relicensing.
I recommend that every DC visit the SBCE website at www.chiro.ca.gov (LINK AT BOTTOM OF THIS PAGE) to confirm that any prospective post-graduate course is approved.
Section 30403 of the CCR also states that you file your renewal paperwork and pay the renewal
fee at least thirty (30) days prior to the expiration date of your XSOP, to assure adequate processing time. If you
do not renew your XSOP, it will automatically be suspended the day after the expiration date on your XSOP. To REINSTATE your suspended XSOP, either e-mail the RHB or send them a letter requesting to be reinstated.
Your California XSOP will be revoked if you do not pay your renewal fees and earn your required continuing education credits
within six (6) months of suspension. A revoked XSOP can be reinstated within five (5) years of suspension if you pay your
renewal plus penalty fees and earn your required number of continuing education credits. If more than five (5) years lapse after suspension, your XSOP is considered
permanently revoked. You must file a new application
for a California XSOP, and re-sit the whole examination process. This requires
a $85.00 application fee plus a non-refundable testing fee of several hundred dollars. And, you keep re-paying the non-refundable testing fee of several hundred dollars over and over
again, until you pass the test. This is an EXTREME hassle for
most doctors! If you need to apply for a new CA XSOP, do the
following: Browse to the bottom of this webpage and click on the link to the RHB website.
After the Radiologic Health Branch webpage loads, browse to the bottom to the section titled Radiologic Technology
Certification and Schools and click on Radiologic (X-ray) Technology Certification. After that
page loads, browse to the bottom of the page to the section titled Application Forms, FAQs & Study Syllabi
and click on Applications, Syllabi and FAQs. After the next page loads, browse down the page to the section
titled Licentiate Forms (i.e., MD, DO, DC, DPM) and click on CDPH 8230 (PDF, new Window) California
Licentiate Supervisor & Operator Permits. A 2-page pdf instruction and application form will load.
Print it out. On the same web page, directly above in the section titled Radiologic Technologist (RT)
Forms, click on the pdf form titled: Radiography Radiation Protection Syllabus. It is a 137
page document designed by the RHB to be your study guide for the XSOP exam. I strongly recommend you use it. Fill out the Application Form, and send it to the RHB with all supporting documents and a non-refundable application
fee of $85.00. You will be contacted by the RHB with instructions on which examinations you must pass within one hundred
eighty (180) days and how to submit payment of the non-refundable examination fee. If your application is not acceptable
to the RHB, they will contact you with instructions for more documentation, fees, etc., which you must submit within thirty
(30) days to make your application acceptable. I highly recommend that you not allow your
XSOP to lapse, because returning your permit to active status is a big hassle! SEE LINKS AT BOTTOM OF THIS PAGE.
IMPORTANT: You MUST RENEW
your XSOP every two years as required (w/fees & CE credits), period. It does not matter whether or not
you 'use it' to take x-rays -- you still have the permit. It is a separate renewal mailing, unrelated to Chiropractic
renewal and not included in your biannual tube registration fee. If you stop getting DHS-RHB XSOP renewal notices,
for any reason, it is YOUR RESPONSIBILITY, to contact the RHB immediately and get back on their renewal mailing list.
Be especially wary if you changed your address recently. Failure to renew is ALWAYS considered to be the doctors
fault, not the RHB. For your protection, keep track, and good records, of your XSOP renewals. If you
stop getting renewal notices, contact the RHB by phone and in writing ASAP. Too many panicked doctors have contacted
me lately because they were not paying attention when they fell off the RHB radar screen. A link to the RHB is located
at the bottom of this page.
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2012 CHIROPRACTIC CE REQUIREMENTS - (Last Update 29-November-2011) The California State Board Of Chiropractic Examiners (SBCE) requires all Doctors Of
Chiropractic to earn 12 hours of approved continuing education for 2012. The adjustive technique requirement has
been discontinued as of this year. Prospective courses must be approved by the SBCE. Note that any x-ray
hours earned to renew your X-Ray Supervisor And Operator permit (XSOP) also apply to your 12 hour annual Chiropractic
license requirement as general education, as long as they were completed at a CA SBCE approved seminar. Up to six
(6) hours of approved distance learning courses will be allowed for 2012. Note the new fingerprint submission requirement - Effective January 14, 2011: Licensees
who have either not previously submitted fingerprints to the board, or who were initially licensed prior to January 1, 1997,
or for whom a record of an electronic submission of fingerprints no longer exists, or who are directed by the board shall
successfully complete a state and federal level criminal offender record information search conducted through the Department
of Justice as provided in subdivision (b) by the licensee's renewal date that occurs on or after June 1, 2011. A licensee's
failure to comply with this requirement by the date designated by the board is unprofessional conduct and may result in the
board taking disciplinary action against his or her license. A link to this document is provided below. NEW FINGERPRINT SUBMISSION REQUIREMENT
http://www.chiro.ca.gov/res/docs/FingerPrintReg.pdf For more information,
A LINK TO THE SBCE IS PROVIDED AT THE BOTTOM OF THIS PAGE.
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NEW CHIROPRACTIC CE REQUIREMENTS - Beginning
2013 (Last Update 31-May-2011) Effective June 8,
2011 the California Board of Chiropractic Examiners has increased the required annual number of CE hours from twelve (12)
to twenty four (24). No more than twelve (12) hours may be taught in one day, and no less than fifty (50) minutes of
actual instruction must take place in each hour credited. The actual implementation date for these changes will be June 8,
2013. Beginning 2013, based upon your DC license expiration date: If your license expires from January 1, 2013 to June 7, 2013, your
CE requirement remains at twelve (12) hours, and you may now complete up to a maximum six (6) of those twelve (12) hours through
distance learning as defined in Section 363.1. If your license
expires on or after June 8, 2013, your CE requirement increases to twenty four (24) hours, and you may complete up
to a maximum twelve (12) of those twenty four (24) hours through distance learning as defined in Section 363.1. After
December 31, 2013, all California DCs will be on the new twenty four (24) hour CE requirement.
On or after June 8, 2013, licensees shall complete the following
MANDATORY six (6) course hours:
______________________________________________________________________________________ Minimum of two (2) hours in subdivision (g) (11)
- Ethics and law: including but not limited to: truth in advertising; professional boundaries; mandatory reporting
requirements for child abuse/neglect, elder abuse/neglect; spousal or cohabitant abuse/neglect; sexual boundaries between
patient and doctors; review of the specific laws, rules and regulations related to the practice of chiropractic in the State
of California,
Minimum of four (4) hours
in any one of, or a combination of, the following three subject areas: Subdivision (g) (3) History Taking and Physical Examination Procedures, instruction in various basic
to comprehensive history taking and physical examination procedures, including but not limited to orthopedic, neurological
and general diagnosis related to evaluation of the neuro-musculoskeletal systems, and includes general diagnosis and differential
diagnosis of all conditions that affect the human body. or Subdivision (g) (5) - Chiropractic Adjustive Techniques or Chiropractic Manipulation
Techniques. or Subdivision (g) (10) Proper and Ethical Billing and Coding - Instruction in proper
and ethical billing and coding, including accurate and effective record keeping and documentation of evaluation, treatment
and progress of a patient. This is not to include practice building or patient recruitment/retention or business techniques
or principles that teach concepts to increase patient visits or patient fees per case. _______________________________________________________________________________________ With the exception of the six (6) hours of mandatory courses
referenced above, the remaining eighteen (18) hours may be in any of the subjects listed below in subdivision
(g) (1-16), and you may complete up to a maximum twelve (12) hours through distance learning as defined in Section
363.1. Acceptable courses must be approved by either of the following: 1) The California Department of Industrial Relations, Division of Workers Compensation. 2) Any Healing Arts Board or Bureau within Division 2 of the Business and Professions Code
or approved by any organization authorized to approve continuing education by any Healing Arts Board or Bureau in Division
2 of the Business and Professions Code. *The continuing
education providers and courses referenced here do not need to be approved by the CA State Board of Chiropractic Examiners
for credit to be granted nor do they need to meet the requirements contained in Sections 362, 363, and 363.1.s*
______________________________________________________________________________________
Subdivision (g) (1-16): Courses approved by the Board shall be limited
to the following subject areas:1. Philosophy of chiropractic,
including the historical development of chiropractic as an art and science and health care approach; the vertebral subluxation
complex and somato-visceral reflexes including their relationships between disease and health; and other chiropractic theory
and philosophy. 2. Instruction in basic sciences of anatomy, histology,
neurology, physiology, nutrition, pathology, biochemistry or toxicology. 3.
Instruction in various basic to comprehensive history taking and physical examination procedures, including but not limited
to orthopedic, neurological and general diagnosis related to evaluation of the neuro-musculoskeletal systems, and includes
general diagnosis and differential diagnosis of all conditions that affect the human body. 4. Diagnostic testing procedures, interpretation and technologies that aid in differential diagnosis
of all conditions that affect the human body. 5. Chiropractic adjustive
techniques or chiropractic manipulation techniques. 6. Pain management
theory, including, but not limited to, current trends in treatment and instruction in the physiology and anatomy of acute,
sub-acute and chronic pain. 7. Physiotherapy. 8. Instruction in Manipulation Under Anesthesia including the safe handling of patients under anesthesia. 9. Instruction in the aspects of special population care, including, but not limited
to, geriatric, pediatric, and athletic care as related to the practice of chiropractic. 10. Instruction in proper and ethical billing and coding, including accurate and effective record keeping and documentation
of evaluation, treatment and progress of a patient. This is not to include practice building or patient recruitment/retention
or business techniques or principles that teach concepts to increase patient visits or patient fees per case. 11. Ethics and law: including but not limited to: truth in advertising; professional
boundaries; mandatory reporting requirements for child abuse/neglect, elder abuse/neglect; spousal or cohabitant abuse/neglect;
sexual boundaries between patient and doctors; review of the specific laws, rules and regulations related to the practice
of chiropractic in the State of California. 12. Adverse event avoidance,
including reduction of potential malpractice issues. 13. Pharmacology,
including side effects, drug interactions and the pharmodynamics of various commonly prescribed and over-the-counter drugs;
drug reactions and interactions with herbs, vitamins and nutritional supplements; blood and urinalysis testing used in the
diagnosis and detection of disease, including use of and interpretation of drug testing strips or kits utilizing urinalysis,
saliva, hair and nail clippings. 14. A licensee may earn up to a maximum
of two (2) hours of continuing education credit in cardiopulmonary resuscitation, basic life support or use of an automated
external defibrillator. 15. Board Meeting: A licensee may earn a maximum
of four (4) hours of continuing education credit per renewal period for attending a full board meeting that includes the hearing
of cases related to petitioners seeking the reinstatement of revoked licenses or early termination of probationary licenses.
A petitioner may not earn any continuing education hours for attending a board meeting on the same day in which said petitioner's
hearing is conducted. The attendance of a licensee at a board meeting under this subparagraph shall be monitored and confirmed
by board staff designated by the Executive Officer. 16. Any of the
following as related to the practice of chiropractic:
A) Principles of practice.
B) Wellness. (prevention, health maintenance)
C) Rehabilitation.
D) Public health.
NEW FINGERPRINT SUBMISSION REQUIREMENT
http://www.chiro.ca.gov/res/docs/FingerPrintReg.pdf COPY OF REGULATIONS
http://www.chiro.ca.gov/res/docs/pdf/ce/CE%20&%20Annual%20License%20Renewals%20Regs%20_360%20-%20372_.pdf COPY OF NEEDED HOURS AND DATES
http://www.chiro.ca.gov/res/docs/pdf/ce/AR-M550U_20110518_142155%20(2).pdf
For more information,
CLICK ON THE LINKS AT THE BOTTOM OF THIS PAGE.
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The American Chiropractic
College Of Radiology (ACCR) is the parent organization to which all Diplomates of the American Chiropractic Board Of Radiology
(Chiropractic Radiologists - DACBR) in good standing belong. The initials DACBR is trademarked and belongs to the ACBR.
Only DCs who have passed the rigorous ACBR exam may display the initials DACBR after their name. X-Ray CEC taught by
a DC and applied to renewal of your XSOP must be taught by a DACBR, per SBCE. To find information about becoming a chiropractic
radiologist (DACBR), or about the ACCR, browse to the ACBR: www.acbr.org or ACCR: www.accr.org, websites, or CLICK THE LINKS below.
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