Education; Continued Competency

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 establishment of an airway, and cardiopulmonary resuscitation. 2. The program shall consist of didactic and clinical training. The didactic component of the program shall: practi- a. Be the same for all dentists, whether general tioners or specialists; and b. Include each subject area listed in subsection (A)(1). 25-3 September 30, 2025 Arizona TITLE 4. PROFESSIONS CHAPTER 11. STATE BOARD 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- Associa- niques for training as the American Heart 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) subsec- toward the continuing education requirements for 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 Association, American Red Cross or another agency that tech- follows the same procedures, standards, and niques for training as the American Heart Association 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- Associa- niques for training as the American Heart 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). September 30, 2025 Supp. Administrative Code 4 A.A.C. 11 AND OCCUPATIONS OF DENTAL EXAMINERS