239 - Course work or training in infection control practices.

§  239.  Course  work  or training in infection control practices. (a)  Every physician, physician assistant and specialist assistant practicing  in  the  state  shall,  on  or  before  July  first,  nineteen   hundred  ninety-four  and  every  four  years thereafter, complete course work or  training, appropriate to the professional's practice,  approved  by  the  department   regarding   infection   control  and  barrier  precautions,  including engineering and work practice  controls,  in  accordance  with  regulatory  standards promulgated by the department in consultation with  the department of education, to prevent the transmission of HIV, HBV  or  HCV  in the course of professional practice. Such coursework or training  must also be completed by every medical student,  medical  resident  and  physician  assistant  student  in  the  state as part of the orientation  programs conducted by medical schools, medical  residency  programs  and  physician assistant programs.    (b)   Every  physician,  physician  assistant,  specialist  assistant,  medical student, medical resident and physician assistant  student  must  provide  to the department documentation demonstrating the completion of  and competence in the coursework or training required under  subdivision  (a)  of  this  section, provided however, that physicians subject to the  provisions of paragraph (f) of subdivision one of  section  twenty-eight  hundred  five-k  of  this  chapter shall not be required to provide such  documentation to the department.    (c) The department shall provide an exemption  from  the  requirements  imposed  by  subdivision (a) of this section to anyone who requests such  an exemption and  who  (i)  clearly  demonstrates  to  the  department's  satisfaction that there would be no need for him or her to complete such  course  work or training because of the nature of his or her practice or  (ii) that he or she has completed course work or training deemed by  the  department to be equivalent to the standards for course work or training  approved  by  the  department  pursuant  to  this section. An individual  granted an exemption must reapply to continue such exemption every  four  years.    (d)  The department shall consult with organizations representative of  professions, institutions and those with expertise in infection  control  and  HIV,  HBV,  and  HCV  with  respect  to  the  regulatory  standards  promulgated pursuant to this section. On or before September first,  two  thousand  eight,  and periodically thereafter as determined necessary by  the commissioner, the department, including its patient  safety  center,  in  consultation  with  the council on graduate medical education, shall  review and revise the content of the coursework or training in infection  control practices as necessary to ensure that such content: (i) reflects  the current infection  control  practices  and  standards  accepted  and  promoted  by  the  medical  and  scientific  communities;  (ii)  focuses  particular attention on instruction in standards of practice  for  which  compliance is suboptimal based on the department's experience; and (iii)  emphasizes  the application of infection control standards and practices  in outpatient and ambulatory settings.