| (a) Purpose. The purpose of this section is to describe
the unique qualifications a person must possess to qualify for licensure
as a prosthetist, orthotist or prosthetist/orthotist under the Act, §605.254.
(b) Unique qualifications. A uniquely qualified person
means a person who, through education, training and experience, is
qualified to perform prosthetic or orthotic care.
(c) The department will determine whether a person
is uniquely qualified on a case-by-case basis based on the information
supplied by the applicant and other information deemed relevant by
the department.
(d) Applicants may apply for licensure as a uniquely
qualified person in accordance with paragraph (1), (2), or (3):
(1) Applicants with at least fifteen (15) years of
extensive orthotic or prosthetic experience in the discipline for
which they have applied. These applicants must demonstrate proof of
having taken at least seventy-five (75) hours of continuing education
that meets the requirements of §114.50, within the five years
before application.
(2) Applicants with at least fifteen (15) years of
extensive orthotic experience and fifteen years of extensive prosthetic
experience who are applying for the prosthetist/orthotist license.
These applicants may accumulate extensive orthotic experience concurrently
with the accumulation of extensive prosthetic experience. These applicants
must demonstrate proof of having taken at least one hundred (100)
hours of continuing education that meets the requirements of §114.50,
in both orthotics and prosthetics, within the five years before application.
(3) Applicants who meet the academic requirements under §114.24,
but who have not completed a professional clinical residency meeting
NCOPE requirements. These applicants shall submit proof of at least
two years of applicable orthotic or prosthetic experience within the
five years before application that was obtained under supervision
of a licensed or certified orthotist or prosthetist in the discipline
for which they have applied.
(e) The following is applicable to persons applying
for licensure under subsection (d)(1) and (2).
(1) The practitioner with extensive orthotic practice
experience must, within the limits set by the department, demonstrate
application of all of the elements of extensive orthotic practice,
as defined in §114.10(16), to at least two-thirds of the following
types of orthoses: foot orthosis; ankle-foot orthosis; knee-ankle-foot
orthosis; hip-knee-ankle-foot orthosis; hip orthosis; knee orthosis;
cervical orthosis; cervical-thoracic orthosis; thoracic-lumbar-sacral
orthosis; lumbar-sacral orthosis; cervical-thoracic-lumbar-sacral
orthosis; hand orthosis; wrist-hand orthosis; shoulder-elbow orthosis;
shoulder-elbow-wrist-hand orthosis.
(2) The practitioner with extensive prosthetic practice
experience must, within the limits set by the department, demonstrate
application of the elements of extensive prosthetic practice, as defined
in §114.10(17), to at least two-thirds of the following types
of prostheses: wrist disarticulation prosthesis; below elbow prosthesis;
above elbow prosthesis; shoulder disarticulation prosthesis; partial
foot prosthesis; symes prosthesis; below knee prosthesis; above knee
prosthesis; hip disarticulation prosthesis.
(f) Applicants who meet the requirements of this section
but for whom a determination under this section is inconclusive may
be required to pass the practitioner exam required under §114.22,
to demonstrate unique qualifications for a practitioner license.
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| Source Note: The provisions of this §114.23 adopted to be effective October 1, 2016, 41 TexReg 4467; amended to be effective September 1, 2018, 43 TexReg 5362; amended to be effective February 1, 2020, 45 TexReg 542 |
