Section R4-11-1306. Education; Continued Competency

A.      To obtain a Section 1301, permit by satisfying the education requirement of R4-11-1301(B)(6), a dentist shall successfully complete an advanced graduate or post-graduate education program in pain control.

1.        The program shall include instruction in the following subject areas:

a.         Anatomy and physiology of the human body and its response to the various pharmacologic agents used in pain control;

b.        Physiological and psychological risks for the use of various modalities of pain control;

c.         Psychological and physiological need for various forms of pain control and the potential response to pain control procedures;

d.        Techniques of local anesthesia, sedation, and general anesthesia, and psychological management and behavior modification, as they relate to pain control in dentistry; and

e.         Handling emergencies and complications related to pain control procedures, including the maintenance of respiration and circulation, immediate establish- ment of an airway, and cardiopulmonary resuscita- tion.

2.        The program shall consist of didactic and clinical train- ing. The didactic component of the program shall:

a.         Be the same for all dentists, whether general practi- tioners or specialists; and

b.        Include each subject area listed in subsection (A)(1).

3.        The program shall provide at least one calendar year of training as prescribed in R4-11-1301(B)(6)(a).

B.       To maintain a Section 1301 or 1302 permit under R4-11-1301 or R4-11-1302 a permit holder shall:

1.        Participate in 30 clock hours of continuing education every five years in one or more of the following areas:

a.         General anesthesia,

b.        Parenteral sedation,

c.         Physical evaluation,

d.        Medical emergencies,

e.         Monitoring and use of monitoring equipment, or

f.         Pharmacology of drugs and non-drug substances used in general anesthesia or parenteral sedation; and

2.        Provide confirmation of completing coursework within the two years prior to submitting the renewal application from one or more of the following:

a.         Advanced cardiac life support (ACLS) from the American Heart Association or another agency that follows the same procedures, standards, and tech- niques for training as the American Heart Associa- tion;

b.        Pediatric advanced life support (PALS) in a practice treating pediatric patients; or

c.         A recognized continuing education course in advanced airway management;

3.        Complete at least 10 general anesthesia, deep sedation or parenteral sedation cases a calendar year; and

4.        Apply a maximum of six hours from subsection (B)(2) toward the continuing education requirements for subsec- tion (B)(1).

C.      To maintain a Section 1303 permit issued under R4-11-1303, a permit holder shall:

1.        Participate in 30 clock hours of continuing education every five years in one or more of the following areas:

a.         Oral sedation,

b.        Physical evaluation,

c.         Medical emergencies,

d.        Monitoring and use of monitoring equipment, or

e.         Pharmacology of oral sedation drugs and non-drug substances; and

2.        Provide confirmation of completing coursework within the two years prior to submitting the renewal application from one or more of the following:

a.         Cardiopulmonary resuscitation (CPR) Health Care Provider level from the American Heart Associa- tion, American Red Cross or another agency that follows the same procedures, standards, and tech- niques for training as the American Heart Associa- tion or American Red Cross;

b.        Advanced cardiac life support (ACLS) from the American Heart Association or another agency that follows the same procedures, standards, and tech- niques for training as the American Heart Associa- tion;

c.         Pediatric advanced life support (PALS);

d.        A recognized continuing education course in advanced airway management; and

3.        Complete at least 10 oral sedation cases a calendar year.

Historical Note

Section R4-11-1306 renumbered from R4-11-1305 and amended by final rulemaking at 9 A.A.R. 1054, effective May 6, 2003 (Supp. 03-1). Amended by final rulemaking

at 19 A.A.R. 341, effective April 6, 2013 (Supp. 13-1).