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.


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

StateRequired CME
Per Year(s)
Avg. Hours
Per Year
AMA/AOA/
AAFP/ACOG
Cat. 1 Hours
Certificates Accepted as EquivalentState-mandated CME Content/Additional Notes
Alabama121 yr1212ABMS 
Alaska502 yrs2550AMA PRA, ABMS, GME 
Arizona402 yrs20 AMA PRA, AMA PRA app, ABMS, GME 
Arizona DO201 yr2012/yr (AOA 1-A)AOA, ABMS, GME12 AOA 1-A credits per year
Arkansas201 yr20Not specifiedAMA PRA, AOA, GME 
California*1004 yrs25100AMA PRA app, ABMS, SMS,Pain management, geriatric medicine, end-of-life care
California DO*1503 yrs5060 (AOA 1-A or B)AOA, AAFP, CMA, CAFPPain management, geriatric medicine, end-of-life care; AOA cert. accepted when accompanied by AOA activity registration
Colorado      
Connecticut502yrs25  Infectious disease, risk management, sexual assault, domestic violence
Delaware402 yrs2040AMA PRA app 
D.C.502yrs2550AMA PRA app, AOA, GME 
Florida*402 yrs2040AMA PRA, GMEHIV/AIDS, domestic violence, TB, end of life palliative care, med error
Florida DO402 yrs2020 (AOA Category 1-A)AMA PRA app, GMEHIV/AIDS, domestic violence, risk management, FL rules/laws, use of controlled substances, 2 hrs prevention of med errors
Georgia402 yrs2040AMA PRA app, GME 
Guam1002 yrs5025AMA PRA app, AOA, NSS, ACEPEthics (2 credits every 2 years)
Hawaii402 yrs2040AMA PRA, SMS, NSS, GME 
Hawaii DO    AMA PRA, SMS, NSS, GME 
Idaho402 yrs2040AMA PRA, AMA PRA app, AOA, ABMS, GME 
Illinois1503 yrs5060AMA PRA, SMS, NSS, GMESMS, NSS if ACCME-accredited
Indiana      
Iowa*402 yrs2040AMA PRA, ABMS (cert and recert), GME 
Kansas501 yr5020AMA PRA, AMA PRA app, ABMS, SMS, GME 
Kentucky603 yrs2030AMA PRA, AOA, NSS, GMEHB 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.
Louisiana201 yr2020AMA PRAOne-time board orientation course
Maine1002 yrs5040AMA PRA, AMA PRA app, ABMS, SMS, GME 
Maine DO1002 yrs5040 (AOA 1-A or B)  
Maryland*502 yrs2550AMA PRA app, ABMS++Partial credit for ABMS
Massachusetts1002 yrs5040 (40 AOA 1-A for DOs)AMA PRA, AMA PRA app, ABMS, SMSStudy board reqs; risk mgmt.
Michigan1503 yrs5075AMA PRA app75 Category 1 AMA PRA
Michigan DO1503 yrs5060 (AOA 1-A or B)ABMS, GME60 hours Category 1-A or 1-B
Minnesota753 yrs2575AMA PRA, ABMS, MOCOMPABMS cert/recert accepted
Mississippi*402 yrs2040 (DOs: AOA 1-A)AMA PRA app, ABMS*, GME 
Missouri*502 yrs2550ABMS, GME 
Montana      
Nebraska502 yrs2550AMA PRA, AOA 
Nevada*402 yrs2040AMA PRA app, GMEEthics (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*351 yr3510 (AOA 1-A)AMA PRA app, AOA, ABMS 
New Hampshire1503 yrs5060AMA PRA, ABMS, GMECredits reported to NH Med Society; CME reporting cycle changing to 2 years
New Jersey*1002 yrs5040GMECultural Competence
New Mexico753 yrs2575AMA PRA, ABMS, GME 
New Mexico DO753 yrs2575AMA PRA, ABMS, USMLEActive membership in AOA may replace 75 hours of CME
New York      
North Carolina1503 yrs5060  
North Dakota603 yrs2060AMA PRA, AMA PRA app, ABMS, MOCOMP 
Ohio1002 yrs5040 (DOs: AMA 1-A or B)AMA PRA app, AOAAll CME must be certified by the OSMA or OOA
Oklahoma603 yrs2060AMA PRA, ABMS, GME++50 hours for each year of GME
Oklahoma DO161 yr1616 (AOA 1-A or B) 1 credit on prescribing controlled substances (every 2 yrs)
Oregon7 by 2009    Pain management and end-of-life care, completed by 1/2/09
Pennsylvania1002 yrs5020SMS, GME12 hrs patient safety/risk mgmt
Pennsylvania DO1002 yrs5020 (AOA 1-A) 12 hrs patient safety/risk mgmt
Puerto Rico603 yrs2040AMA PRA 
Rhode Island402 yrs2040AMA PRA, AMA PRA app, AOA, ABMS, SMS, NSS, GME2 credits: universal precautions, bioterrorism, end of life, OHSA, ethics, or pain management
South Carolina402 yrs2040ABMS, GME75% specialty education (30 credits every 2 years)
South Dakota      
Tennessee402 yrs2040AMA PRAAppropriate prescribing (1 credit every 2 years)
Tennessee DO402 yrs2040 (AOA 1-A or 2-A) Appropriate prescribing (1 credit every 2 years)
Texas241 yr2412 (12 AOA 1-A for DOs)AMA PRA, ABMS, GMEOf 12 Category 1 credits, at least 1 in ethics and/or professional responsibility
Utah MDs and DOs402 yrs2040GME 
Vermont      
Vermont DO302 yrs15 AMA PRAAt least 12 of 30 hours must be in osteopathic medical education
Virgin Islands251 yr2525  
Virginia602 yrs3030AMA PRA app, GME 
Washington2004 yrs50Not specifiedAMA PRA, ABMS, SMS, NSS 
Washington DO*1503 yrs5060 (AOA 1-A or B)AMA PRA, AMA PRA app, ABMS, SMS, GMEAlso accepted as equivalent: current certification of CME from medical practice academies and original certification or recertification within 6 years by specialty board
West Virginia502 yrs2550AMA PRAOne-time requirement for two credits in end-of-life care, including pain management, and 30 credits related to physician's designated specialty
West Virginia DO322 yrs1616 (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
Wisconsin302 yrs1530AMA PRA 
Wyoming60 hrs3 yrs2060AMA 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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