Polysomnographic Technologists

Notice for Respiratory Therapists about Polysomnographic Technologist Licensure in Maryland

On November 30, 2016, the Maryland Board of Physicians (the Board) approved a recommendation from the Polysomnography Professional Standards Committee that will assist respiratory therapists seeking licensure as polysomnographic technologists in Maryland.

The Board voted to accept the Sleep Disorders Specialty (SDS) examination as an additional examination that an applicant may take as a prerequisite to licensure as a polysomnographic technologist. The SDS exam is administered by the National Board for Respiratory Care (NBRC).

According to the NBRC, the SDS examination program is designed specifically for a respiratory therapist with an NBRC respiratory care credential and experience or education in the field of sleep medicine. A Certified Respiratory Therapist (CRT) or a Registered Respiratory Therapist (RRT) who successfully completes the SDS examination will earn a CRT-SDS or RRT-SDS credential.

In approving the SDS exam, the Board also recognizes the CRT-SDS and RRT-SDS credentials.

The applicant shall complete an applicationsupplied by the Board:

  1. Be of good moral character.
  2. Be at least 18 years old.
  3. Pay the application fee.
  4. Graduation from either of the following programs accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP):
    • A polysomnographic educational program;
    • A respiratory care educational program with a polysomnography add-on track; or
    • An electroneurodiagnostic technology educational program with a polysomnography add-on track.
    • Graduation from a sleep technologist educational program accredited by the American Academy of Sleep Medicine (AASM) and provide:
      1. Proof of meeting core competencies in the 3 years preceding the date of the submission of the licensure application as assessed by a sleep technologist credentialed as a Registered Polysomnographic Technologist, a sleep technologist with national certification approved by the Board, or a physician who is either board-eligible or board-certified in sleep medicine by the American Board of Sleep Medicine (ABSM), American Board of Medical Specialties (ABMS), or American Osteopathic Association (AOA);
      2. Letter of attestation for completion of clinical hours and competencies from a physician who is either board-eligible or board-certified in sleep medicine by the ABSM, the ABMS, or the AOA, where the applicant practiced.
  5. Certification as a Registered Polysomnographic Technologist (RPSGT) administered by the Board of Registered Polysomnographic Technologists (BRPT) or other certification examination approved by the Board.
  6. Demonstrate oral and written competency in English as required by the Board.
  7. Complete a criminal history records check.
  8. Meet any other requirements established by the Board.

Yes. Applicants who did not graduate from a polysmnographic educational program accredited by CAAHEP may obtain a license if the applicant meets the requirements of the alternate pathways listed below:
  1. A respiratory care educational program with a polysomnography add-on track; or
  2. An electroneurodiagnostic technology educational program with a polysomnography add-on track.
  3. Listed clinical experience on the core clinical competency forms provided on the >American Association of Sleep Technologist Core Competency website
    1. Polysomnography
    2. Scoring Sleep Stages and Clinical Events in Polysomnographic Technology
    3. Pap Titration in Sleep Technology
    4. Supplemental Low Flow Oxygen and Titration
    5. Monitoring Pulse Oximetry
    6. Maintenance, Cleaning and Safety Precautions in Polysomnography Technology
  4. Letter of attestation for completion of clinical hours and competencies from a physician who is either board-eligible or board-certified in sleep medicine by the ABSM or the ABMS.
  5. Proof of meeting 546 hours of core clinical competencies within the three years preceding the submission of the application. Core competencies must be assessed by a credentialed RPSGT, a sleep technologist with a national certification approved by the Board; or a physician who is either board-eligible or board-certified in sleep medicine by the ABSM or the ABMS. Applicants may demonstrate proof of completing the 546 hours of clinical experience in the three years preceding the submission of the application as either:
    1. A student supervised by a sleep technologist credentialed as an RPSGT or a sleep technologist with national certification approved by the Board at an AASM-accredited sleep laboratory or sleep laboratory accredited by The Joint Commission; or
    2. A sleep technologist with a current, active, unrestricted license in another state, or who is otherwise recognized and has practiced as a sleep technologist in another state, who has:
      • Full-time practice experience as a sleep technologist in another state at an AASM-accredited sleep laboratory or sleep laboratory accredited by The Joint Commission for a minimum of six months in the three years preceding the application; and
      • Maintained an average of thirty continuing education units in the three years preceding the date of the submission on the initial application.

The application process, on average, takes approximately 3-6 weeks. However, the process may take longer depending on the individual applicant's circumstances or if the individual does not provide the required documentation on a timely basis.

Yes.
Note: An RCP who was licensed by the Board to practice respiratory care on or before December 31, 2012, and whose duties include practicing polysomnography, will not need a license to practice polysomnography in Maryland.

No. A polysomnographic technologist must practice under the supervision of a licensed Maryland physician.

Yes.

No. Maryland has its own requirements. Maryland requires certification and education by the educational program.

Yes. Regardless of where the polysomnographic technologist resides, if the polysomnographic technologist practices in Maryland, the polysomnographic technologist must hold a Maryland license.

According to the AASM and the AAST, low-flow oxygen is defined as up to 6 liters per minute.

No. Setting up CPAP and BPAP devices is not limited to polysomnographic technologists or RCPs. Durable Medical Equipment (DME) companies typically provide the equipment to patients. DME companies follow guidance from their regulating authorities and are not regulated by this body.

Click to view Regulations.

  1. Completion of a reinstatement application approved by the Board.
  2. Payment of a reinstatement fee.
  3. Satisfactory evidence of compliance with the continuing education requirements.*
  4. Complete a criminal history records check.
  5. Meet any additional requirements set by the Board.

*The continuing education requirement does not apply to the first renewal after initial certification or reinstatement of certification.

Twenty (20) hours of sleep-related continuing education earned within the two (2) years immediately preceding the submission of an application for renewal or reinstatement. The Board will recognize the sleep-related continuing education approved by one of the following organizations:

  1. American Medical Association;
  2. American Association of Sleep Technologists;
  3. American Academy of Sleep Medicine;
  4. American Society of Electroneurodiagnostic Technologists, Inc.;
  5. American Association for Respiratory Care; or
  6. American Nursing Association.
  7. Board of Registered Polysomnographic Technologists.

Technologists are required to obtain and retain continuing education documentation for the succeeding six years for possible inspection by the Board. The required documentation should contain the:

  1. Program title;
  2. Sponsor's name;
  3. Polysomnographic technologist's name;
  4. Number of continuing education hours earned;
  5. Verification of successful completion by signature, stamp, or other official proof; and
  6. Date of the continuing education activity.

The continuing education requirement does not apply to the first renewal after initial licensure or reinstatement.

The Board issues a license for a two(2) year period. At least one (1) month prior to the expiration of the license, the Board will notify the licensee about the renewal status by letter. This notification will include instructions for renewal and how to contact the Board if you have questions.

Upon receiving the appropriate documents for renewal, the Board will review the submitted documents, and if the licensee meets the statutory requirements, the Board will process the license for renewal.