Below is a list of state medical/osteopathic board regulations on continuing medical education (CME) for licensure re-registration. States that contain no information do not have regulations concerning CME.

BUcme.org members should verify this information with their state board of medical licensure. See Notes

State Required CME
Per Year(s)
Avg. Hours
Per Year
AMA/AOA/
AAFP/ACOG
Cat. 1 Hours
Certificates Accepted as Equivalent State-mandated CME Content/Additional Notes
Alabama 12 1 yr 12 12 ABMS  
Alaska 50 2 yrs 25 50 AMA PRA, ABMS, GME  
Arizona 40 2 yrs 20   AMA PRA, AMA PRA app, ABMS, GME  
Arizona DO 20 1 yr 20 12/yr (AOA 1-A) AOA, ABMS, GME 12 AOA 1-A credits per year
Arkansas 20 1 yr 20 Not specified AMA PRA, AOA, GME  
California* 100 4 yrs 25 100 AMA PRA app, ABMS, SMS, Pain management, geriatric medicine, end-of-life care
California DO* 150 3 yrs 50 60 (AOA 1-A or B) AOA, AAFP, CMA, CAFP Pain management, geriatric medicine, end-of-life care; AOA cert. accepted when accompanied by AOA activity registration
Colorado            
Connecticut 50 2yrs 25     Infectious disease, risk management, sexual assault, domestic violence
Delaware 40 2 yrs 20 40 AMA PRA app  
D.C. 50 2yrs 25 50 AMA PRA app, AOA, GME  
Florida* 40 2 yrs 20 40 AMA PRA, GME HIV/AIDS, domestic violence, TB, end of life palliative care, med error
Florida DO 40 2 yrs 20 20 (AOA Category 1-A) AMA PRA app, GME HIV/AIDS, domestic violence, risk management, FL rules/laws, use of controlled substances, 2 hrs prevention of med errors
Georgia 40 2 yrs 20 40 AMA PRA app, GME  
Guam 100 2 yrs 50 25 AMA PRA app, AOA, NSS, ACEP Ethics (2 credits every 2 years)
Hawaii 40 2 yrs 20 40 AMA PRA, SMS, NSS, GME  
Hawaii DO         AMA PRA, SMS, NSS, GME  
Idaho 40 2 yrs 20 40 AMA PRA, AMA PRA app, AOA, ABMS, GME  
Illinois 150 3 yrs 50 60 AMA PRA, SMS, NSS, GME SMS, NSS if ACCME-accredited
Indiana            
Iowa* 40 2 yrs 20 40 AMA PRA, ABMS (cert and recert), GME  
Kansas 50 1 yr 50 20 AMA PRA, AMA PRA app, ABMS, SMS, GME  
Kentucky 60 3 yrs 20 30 AMA PRA, AOA, NSS, GME HB 1 (passed in 2012) requires a minimum of 4.5 hours every licensing cycle for physicians who are authorized to prescribe or dispense controlled substances in Kentucky. HB 157 (passed on 2014) requires pediatricians, radiologists, family practitioners, and emergency medicine and urgent care physicians to complete 1 hour of training on abusive head trauma that is approved by the KBML prior to December 31, 2017. Primary care physicians granted licensure after July 1, 1996, are required to complete a 3 hour domestic violence training course within 3 years of the date of initial licensure.
Louisiana 20 1 yr 20 20 AMA PRA One-time board orientation course
Maine 100 2 yrs 50 40 AMA PRA, AMA PRA app, ABMS, SMS, GME  
Maine DO 100 2 yrs 50 40 (AOA 1-A or B)    
Maryland* 50 2 yrs 25 50 AMA PRA app, ABMS+ +Partial credit for ABMS
Massachusetts 100 2 yrs 50 40 (40 AOA 1-A for DOs) AMA PRA, AMA PRA app, ABMS, SMS Study board reqs; risk mgmt.
Michigan 150 3 yrs 50 75 AMA PRA app 75 Category 1 AMA PRA
Michigan DO 150 3 yrs 50 60 (AOA 1-A or B) ABMS, GME 60 hours Category 1-A or 1-B
Minnesota 75 3 yrs 25 75 AMA PRA, ABMS, MOCOMP ABMS cert/recert accepted
Mississippi* 40 2 yrs 20 40 (DOs: AOA 1-A) AMA PRA app, ABMS*, GME  
Missouri* 50 2 yrs 25 50 ABMS, GME  
Montana            
Nebraska 50 2 yrs 25 50 AMA PRA, AOA  
Nevada* 40 2 yrs 20 40 AMA PRA app, GME Ethics (2 credits), 20 credits in specialty; other 18 hrs can be any in Category 1; 4 credits in WMD/bioterrorism (new applicants only)
Nevada DO* 35 1 yr 35 10 (AOA 1-A) AMA PRA app, AOA, ABMS  
New Hampshire 150 3 yrs 50 60 AMA PRA, ABMS, GME Credits reported to NH Med Society; CME reporting cycle changing to 2 years
New Jersey* 100 2 yrs 50 40 GME Cultural Competence
New Mexico 75 3 yrs 25 75 AMA PRA, ABMS, GME  
New Mexico DO 75 3 yrs 25 75 AMA PRA, ABMS, USMLE Active membership in AOA may replace 75 hours of CME
New York            
North Carolina 150 3 yrs 50 60    
North Dakota 60 3 yrs 20 60 AMA PRA, AMA PRA app, ABMS, MOCOMP  
Ohio 100 2 yrs 50 40 (DOs: AMA 1-A or B) AMA PRA app, AOA All CME must be certified by the OSMA or OOA
Oklahoma 60 3 yrs 20 60 AMA PRA, ABMS, GME+ +50 hours for each year of GME
Oklahoma DO 16 1 yr 16 16 (AOA 1-A or B)   1 credit on prescribing controlled substances (every 2 yrs)
Oregon 7 by 2009         Pain management and end-of-life care, completed by 1/2/09
Pennsylvania 100 2 yrs 50 20 SMS, GME 12 hrs patient safety/risk mgmt
Pennsylvania DO 100 2 yrs 50 20 (AOA 1-A)   12 hrs patient safety/risk mgmt
Puerto Rico 60 3 yrs 20 40 AMA PRA  
Rhode Island 40 2 yrs 20 40 AMA PRA, AMA PRA app, AOA, ABMS, SMS, NSS, GME 2 credits: universal precautions, bioterrorism, end of life, OHSA, ethics, or pain management
South Carolina 40 2 yrs 20 40 ABMS, GME 75% specialty education (30 credits every 2 years)
South Dakota            
Tennessee 40 2 yrs 20 40 AMA PRA Appropriate prescribing (1 credit every 2 years)
Tennessee DO 40 2 yrs 20 40 (AOA 1-A or 2-A)   Appropriate prescribing (1 credit every 2 years)
Texas 24 1 yr 24 12 (12 AOA 1-A for DOs) AMA PRA, ABMS, GME Of 12 Category 1 credits, at least 1 in ethics and/or professional responsibility
Utah MDs and DOs 40 2 yrs 20 40 GME  
Vermont            
Vermont DO 30 2 yrs 15   AMA PRA At least 12 of 30 hours must be in osteopathic medical education
Virgin Islands 25 1 yr 25 25    
Virginia 60 2 yrs 30 30 AMA PRA app, GME  
Washington 200 4 yrs 50 Not specified AMA PRA, ABMS, SMS, NSS  
Washington DO* 150 3 yrs 50 60 (AOA 1-A or B) AMA PRA, AMA PRA app, ABMS, SMS, GME Also accepted as equivalent: current certification of CME from medical practice academies and original certification or recertification within 6 years by specialty board
West Virginia 50 2 yrs 25 50 AMA PRA One-time requirement for two credits in end-of-life care, including pain management, and 30 credits related to physician's designated specialty
West Virginia DO 32 2 yrs 16 16 (AOA 1-A or B)   One-time requirement for two credits in end-of-life care, including pain management, and 30 credits related to physician's designated specialty
Wisconsin 30 2 yrs 15 30 AMA PRA  
Wyoming 60 hrs 3 yrs 20 60 AMA PRA, ABMS  

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Abbreviations

ABMS—certification or recertification by a member board of the American Board of Medical Specialties
AMA PRA—American Medical Association Physician’s Recognition Award
AOA—American Osteopathic Association
AAFP—American Academy of Family Practice
ACOG—American College of Obstetricians and Gynecologists
APA—American Pediatric Association
CMA—California Medical Association
CAFP—California Academy of Family Physicians
CME—Continuing Medical Education
FLEX—Federation Licensing Examination
GME—graduate medical education
MOCOMP—Royal College of Physicians and Surgeons of Canada
OSMA—Ohio State Medical Association
USMLE—United States Medical Licensing Association

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State CME Licensure Notes

California MD and DO - All general internists and family physicians who have a patient population of which more than 25% are 65 years of age or older shall complete at least 20 hours of all mandatory continuing education in geriatric medicine or the care of older patients. All physicians and surgeons (except pathologists and radiologists) must complete mandatory continuing education in the subjects of pain management and the treatment of terminally ill and dying patients (one-time requirement of 12 credits). Physicians must complete this requirement by their second license renewal date or within 4 years, whichever comes first.

Florida MD - First time license renewal: One hour HIV/AIDS, 2 hours in prevention of medical errors. Second and subsequent renewals: Two hours in prevention of medical errors. Every third renewal: Forty hours, including 2 hours in prevention of medical errors and 2 hours in domestic violence CME. Note: End-of-life care and palliative care can no longer be completed in lieu of HIV/AIDS or domestic violence courses.

Florida DO - First time license renewal: One hour HIV/AIDS, risk management, Florida laws and rules, controlled substances; 2 hours domestic violence and prevention of medical errors. Of the remaining required hours, at least 20 must be AOA Category 1-A. Second and subsequent renewals: One hour each in risk management, Florida laws and rules, and controlled substances; 2 hours each in domestic violence and prevention of medical errors. Every third renewal: 2 hours of domestic violence. For each license renewal, of the remaining required hours at least 20 must be AOA Category 1-A; all other hours (including those in the required content categories) can be either AMA PRA Category 1 Credit™ or AOA Category 1-A credit.

Continuing medical education with regard to risk management, Florida laws and rules, controlled substances, and the prevention of medical errors must be obtained by completing live, participatory attendance courses.

Iowa - Training for identifying and reporting abuse required every 5 years for EM, FM, IM, FP, OB/GYN, and Psych, and others who regularly provide primary care to children and adults.

Maryland - Partial CME credit is offered for ABMS certification, select peer review, serving as an intervenor or monitor on a physician rehabilitation committee or professional committee, and serving as a preceptor for resident physicians or medical students. For first license renewal, the CME requirement is waived, but the licensee must have completed an approved orientation program.

Mississippi - Initial certification only (not renewal); for DOs, all credit must be AOA 1-A.

Missouri - The CME license renewal requirement can be met by a) completing 50 hours AMA PRA Category 1 Credits™, AOA Category 1-A or 2-A credits, or AAFP Prescribed credits; b) completing 40 hours of AMA PRA Category 1 Credit™ or AOA Category 1-A credit if each course, seminar, or activity includes a post-test of the material covered in the 40 CME credits; c) specialty board certification or recertification; or d) participating in an ACGME- or AOA-approved internship or residency program during the reporting period if at least 60 days of the reporting period were spent in the internship or residency.

Nevada - Ethics (2 credits), 20 credits in specialty; other 18 credits can be any in Category 1; 4 credits in WMD/Bioterrorism (new applicants only)

New Jersey - The six credits for cultural competence are in addition to the 100-hour requirement for physicians licensed prior to 3/24/05; these credits may be included if licensed after this date.

For newly licensed physicians, the Board requires attendance at an orientation program; no CME is given for this.

Washington MD - The board classifies CME into five different categories. A candidate for relicensure may earn all 200 required hours every 4 years in Category 1; a maximum of 80 hours may be earned in any of the other four categories.

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