Code

Code of practice, conduct and ethics of the
SCENAR Association Bulgaria registered SCENAR practitioner

This Code was adopted by the General Meeting of the SCENAR Association Bulgaria (SAB) on 21st November 2009, as a document, which in its whole will govern the professional conduct of the registered to the SAB SCENAR Practitioners (SP). 

The purpose of this Code is:
- to provide the SP registered to SAB with guidance on the professional conduct expected of them, 
- to advise and assure the public that the SP registered to SAB practice to uniformly high
standards of professional conduct and client care.

The Register of the Bulgarian SP is maintained by the Board of managers (BM) of the SAB.

Preamble
SCENAR (Self-Controlled Energo-Neuro Adaptive Regulation) is a noninvasive, drug-free therapeutic technology developed within the Russian Space Scientific Program. The SCENAR Therapy is aimed at activation of human organism defense reserves and promotion of its adaptation, self-regulatory and self-healing powers and mechanisms. SCENAR is a bio-dirigible, individually-dosed electro-impulse therapy, which combines the principles of ancient Eastern healing art with the modern electronic technology – an electronic energy -informational electropuncture.

The SP, as specialists in the field of Complementary and Alternative Medicine (CAM), adhere to the same 
high professional standards governing conventional medical practitioners and pledge to –
- make the care of their patients their first concern
- treat every patient politely and considerately
- respect patients' dignity and privacy
- listen to patients and respect their views
- give patients information in a way they can understand
- respect the rights of patients to be fully involved in decisions about their care
- uphold at all times the standards of good practice and care expected of them
- keep their professional knowledge and skills up to date
- recognize the limits of their professional competence
- be honest and trustworthy
- respect and protect confidential information
- make sure that personal beliefs do not prejudice their patients' care
- avoid abusing their position of trust
- work with colleagues in ways that best serve the patients' interests.

1. The Patient - Practitioner Relationship
1.1 The relationship between SP and patient is that of professional and client and should at all times be conducted appropriately and on the basis of complete confidentiality.
1.2 The SP will maintain at all times patient documentation in the format and detail prescribed by SAB. According to the legislation in force the SP is obliged to obtain and write in the Visiting Book the following basic information about the patient:
- name, address, contact telephone numbers
- date and place of birth;
- essential details of medical history, incl. details of their regular GP;
- current and recent medication;
- dates and number of treatments;
- details of treatments;
1.3 The SP is obliged to obtain a written consent from the patient prior to SCENAR treatment. The nature of SCENAR therapy requires that the SP, on first accepting a patient, explain to this patient how SCENAR works and what the healing process may entail (e.g the healing crisis). The SP shall further exercise restraint and caution with regard to the administration of any form of treatment which may potentially be to the detriment of the patient. Whenever possible, any specific treatment to be provided should be explained in advance so that the patient is given an opportunity to ask additional questions or express reservations.
1.4 The SP should never exaggerate the gravity of a patient's condition, nor make any promise, nor give any guarantee as to the results of SCENAR treatment, to the patient, to the patient's representative, or in any other public forum.
1.5 SPs shall at all times conduct themselves in a courteous manner, and with due regard to their professional relationship with their patients, irrespective of a person's age, disability, race, religion, gender, sexual orientation or political affiliation.
1.6 In situations in which the patient's treatment may require medical diagnosis or reaches beyond the competency or experience of a SP, s/he is required to seek appropriate advice from a suitably qualified supervisor or medical doctor.
1.7 A SP must not abuse or disturb the nature of the professional relationship between practitioner and patient. Under no circumstances shall a SP exploit a patient financially, sexually, emotionally or in any other manner.

2.0 Examination and Treatment of Patients
2.1 Non-medical SP may not prescribe, advise treatments or recommend medication or foods by virtue of their SCENAR qualification alone; they may only do so where their other qualifications so permit, or where prior approval of the Professional Standards Committee (PSC) has been obtained, or where they do so expressly in a lay-capacity. SPs may however advise the patient to seek certain types of help from other professions when, in their professional opinion, such appear appropriate.
2.2 For purposes of treatment planning, the SP may rely on the information provided on patient's registration as being accurate and complete where the patient has expressly so stated and confirmed by original signature in the registration documentation.
2.3 If, for any purpose treatment or examination of a sexually sensitive area is necessary, the reasons for such, and a description of the procedure, must be given to the patient prior to such an examination; and the written consent of this patient needs to be obtained prior to the commencement of the physical examination and/or treatment. It is recommended that a chaperone of the patient's gender be present during such a sensitive examination and treatment. For the purposes of this Code, sexually sensitive areas are defined as the internal and external genitalia; the anus, rectum and peri-anal area, and the breasts.
2.4 The right of a patient to refuse any particular treatment should at all times be respected by the SP.
2.5 Except with the express consent of the patient or, in the case of a minor, his/her parent or guardian, no third party may be present during consultation or treatment.
2.6 Good practice requires that the SP inform his/her patient whenever in his/her view continued SCENAR treatment is unlikely to achieve the desired effect.

3.0 Patient Records and Confidentiality
3.1 The SP shall maintain careful records of all patient contacts, consultations, treatments etc., in the manner from time to time prescribed by the SAB’ PSC. These records need to be securely retained for a period of not less than 10 years.
3.2 All information held by the SP with regard to a patient shall at all times remain strictly confidential, except when the explicit and unequivocal consent of the patient has been obtained.
3.3 A patient has the right to see all information held on her/himself by the SP, who should ensure that any medical or specialist terms used should be explained to the patient.
3.4 A SP is responsible for ensuring all information held by him/herself with regard to a patient remains confidential and up to date, in accordance with data protection legislation in the country of practice.
3.5 A SP may disclose confidential information regarding a patient to another SP or medical person for the purposes of gaining a second opinion, or maintaining statistical information, providing that the patient is not named, nor any other method of identification of the patient is included.
3.6 SP should make adequate arrangements for the care of their patients in the event of holiday or unexpected absences.

4. Responsibilities of SP to the Profession and Association
4.1 A SP shall not bring SCENAR or SAB into disrepute, and shall refrain from disparaging the work of colleagues, or in any way speak disrespectfully of them, in public. Where grounds exist to believe that a SP has conducted him- or her-self inappropriately, or is continuing to do so, a confidential note should be addressed to the Secretary of the SAB who will refer the matter to the PSC, who in turn will raise the matter with the SP concerned.
4.2 A SP shall maintain the high standards of professional conduct appropriate to membership of any professional association and shall observe the highest degree of integrity and responsibility in SCENAR practice.
4.3 A SP shall maintain, by means of continuous update of information and/or prescribed training, a level of competence commensurate with membership of a professional body. All SPs are required to maintain an annual continuing professional development (CPD) program. SAB will maintain careful records of training achievements for each registered SP. No SP shall offer, undertake or participate in the training or teaching of SCENAR technology unless formally qualified to do so.
4.4 No claim of any kind shall be made, in writing or otherwise, by a SP in respect of the cure of any specific disease by SCENAR Therapy, unless formal clinical trial results have been advised by the SAB’ PSC.
4.5 No SP shall entice patients from the care of professional colleagues. The SP should respect the patient’s wish to change SP. 
4.6 SP shall not use titles or descriptions suggesting medical qualifications unless they possess such.
4.7 SP are required to ensure that they practice from premises that comply with local health & safety regulations.
4.8 SPs are required to give maximum notice of any changes of address, contact details, and other relevant changes in circumstances to the Secretary of SAB, as well as to their existing clients.
4.9 The availability of insurances covering medical malpractice, professional indemnity, patient and public liabilities is a recommended condition for inclusion in the Register of SAB. 

5.0 Practitioners Training and Levels
5.1 All Registered SP are required to undergo a thorough, multi-stage Training program. The Program includes Introductory and Basic Course, CPD and Individual training, provided by accredited by SAB.
5.2 The minimal requirements for registration to SAB are:
- To posses the minimal medical qualification as required by the Law. 
- successfully completed Basic SCENAR course;
- participation in at least 1 CPD event;
- successful treatment of a set number of patients and providing of at least 3 Treatment histories to the PSC (in a form approved by PSC). SP, who meets the set requirements, is eligible for registration to SAB.
5.3 Following the successful treatment of a set number of patients, being in practice for a minimum number of years, and passing certain prescribed exams, a registered SP may be invited to attend advanced training to become a SCENAR teacher or a specialist in certain applications of SCENAR.
5.4 To remain on the respective the SPs are required to participate in Continuing Professional Development (CPD) programs offered periodically under the auspices of.

6.0 Legal Requirements
6.1 A SP is required to act in accordance with all laws pertaining to the practice of complementary and alternative medicine and patient- and health-care in the country in which s/he practices.
6.2 A SP shall not treat any condition which s/he is proscribed from doing by statute, or law. It is the responsibility of each SP to be informed about which conditions they may or may not treat and their medico-legal position.
6.3 Notifiable Diseases should be reported in accordance with applicable regulations for the country in which the treatment is being given.

7.0 Professional Misconduct, Complaints & Disciplinary Procedures
7.1 All registered SPs expressly undertake to adhere to the provisions of this Code. A plea of ignorance in respect of any or all of the provisions of this Code shall therefore not be deemed justifiable defense for a SP found to have contravened them.
7.2 A SP found to be in breach of this Code shall be served with written notice by the PSC that his/her behavior is contrary to the Code and that s/he is required to present him/herself before the PSC to explain his/her behavior, offer apologies and undertake to cease such behavior forthwith.
7.3 The PSC, by majority decision, may strike any SP from the Register if s/he continues to act in breach of the Code here given.
7.4 Any SP will be automatically be suspended from the Register if s/he is found guilty by any Court of Law of 
- (a) either assault - sexual, physical or otherwise - upon a patient under his/her treatment, or (b) any other criminal activity which conflicts with his/her professional status and standing as a registered SP.
7.5 Any form of addiction to drugs and other intoxicating substances will be treated as ground for immediate suspension of a SP's registration, and, wholly at the discretion of the PSC with due regard to the particular circumstance, may lead to the SP being struck off or suspended.
7.6 A SP may appeal to the BD of SAB to have the decision of the PSC with regard to disciplinary matters reconsidered, or set aside, except where this arises automatically from a conviction by a court of law.
7.7 The BD of SAB will schedule a time-slot at its next meeting, at which the SP's appeal will be heard. Appeals must be presented in person to the meeting. All decisions of SAB’ BD with regard to such appeals are final.
7.8. Any patient or third party wishing to raise a complaint against any registered SP may do so in writing to the Secretary of SAB. Such complaints should however be limited to perceived breaches of this Code, any others should be pursued through the usual legal channels available to complainants in their locality.