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CME Information by State

Continuing Medical Education for Licensure Reregistration

Fifty-four boards require anywhere from 12 hours (Alabama) to 50 hours (several states) of continuing medical education (CME) per year for license reregistration. Some states also mandate CME content, such as HIV/AIDS, risk management, or medical ethics. In addition, many states also require that a certain percentage of CME be Category 1 as measured, for example, through the American Medical Association Physician's Recognition Award.

Alabama

Required Number of CME Hours per Year(s)	25 - 1yr
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	25
Certificates/Awards Accepted as Documentation	ABMS


Alaska

Required Number of CME Hours per Year(s)	50 - 2yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	50
Certificates/Awards Accepted as Documentation	AMA PRA, ABMS, GME
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Arizona

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
Certificates/Awards Accepted as Documentation	AMA PRA, AMA PRA application, ABMS, GME,

Arizona DO:
Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	12 per yr (AOA 1-A)
Certificates Accepted as Equivalent	AOA, ABMS, GME


Arkansas

Required Number of CME Hours per Year(s)	20 - 1yr
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	not specified
Certificates/Awards Accepted as Documentation	AMA PRA, AOA, GME
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California*

Required Number of CME Hours per Year(s)	50 - 2yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	50
Certificates/Awards Accepted as Documentation	AMA PRA application, ABMS, SMS
State-Mandated CME Content/ Additional Notes	Pain management/ geriatric medicine, end-of-life care (see notes, below)

California DO:
Required Number of CME Hours per Year(s)	150 - 3yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	60 (AOA 1-A or B)
Certificates/Awards Accepted as Documentation	AOA*
State-Mandated CME Content/ Additional Notes	Pain management, geriatric medicine, end-of-life care (see page 54); AOA cert. accepted when acompanied by AOA activity registration
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Colorado

Required Number of CME
Hours per Year(s)

None


Connecticut

Required Number of CME Hours per Year(s)	50 - 2yrs
Average Hours per Year	25
State-Mandated CME Content/ Additional Notes	Infectious disease, risk management, sexual assault, domestic violence, cultural competence


Delaware

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA application
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District of Columbia

Required Number of CME Hours per Year(s)	50 - 2 yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	50
Certificates Accepted as Equivalent	AMA PRA application, AOA, GME


Florida*

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates Accepted as Equivalent	AMA PRA, GME
State-Mandated CME Content/ Additional Notes	See notes, below.

Florida DO:
Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	20 (AOA 1-A)
Certificates/Awards Accepted as Documentation	AMA PRA application, GME
State-Mandated CME Content/ Additional Notes	See notes, below.
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Georgia

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA application, AOA, GME


Guam

Required Number of CME Hours per Year(s)	100 - 2yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	25
Certificates/Awards Accepted as Documentation	AMA PRA application, AOA, NSS, ACEP
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Hawaii

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA, AOA, SMS, NSS, GME


Idaho

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA, AMA PRA application, AOA, ABMS, GME
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Illinois

Required Number of CME Hours per Year(s)	150 - 3yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	60
Certificates/Awards Accepted as Documentation	AMA PRA, SMS, NSS, GME
State-Mandated CME Content/ Additional Notes	SMS, NSS if ACCME-accredited


Indiana

Required Number of CME
Hours per Year(s)

None


Iowa

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA, ABMS (cert and recert), GME
State-Mandated CME Content/ Additional Notes	Training for identifying and reporting abuse required every 5 yrs for EM, FM, IM, GP, OB/GYN, and Psych, and others who regularly provide primary care to children and adults
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Kansas

Required Number of CME Hours per Year(s)	50 - 1yr
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	20
Certificates/Awards Accepted as Documentation	AMA PRA, AMA PRA application, AOA, ABMS, SMS, GME


Kentucky

Required Number of CME Hours per Year(s)	60 - 3yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	30
Certificates/Awards Accepted as Documentation	AMA PRA, AOA, NSS, GME
State-Mandated CME Content/ Additional Notes	One time domestic violence course for primary care physicians; 2 credits HIV/AIDS every 10 yrs; course must be KY-approved
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Louisiana

Required Number of CME Hours per Year(s)	20 - 1yr
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	20
Certificates/Awards Accepted as Documentation	AMA PRA
State-Mandated CME Content/ Additional Notes	One-time board orientation course


Maine

Required Number of CME Hours per Year(s)	100 - 2yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA, AMA PRA application, ABMS, SMS, GME

Maine DO:
Required Number of CME Hours per Year(s)	100 - 2yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40 (AOA 1-A or B)
State-Mandated CME Content/ Additional Notes	Specialists may obtain other than AOA Category 1 credits
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Maryland*

Required Number of CME Hours per Year(s)	50 - 2yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	AMA PRA application, ABMS^†
State-Mandated CME Content/ Additional Notes	^†Partial credit for ABMS


Massachusetts

Required Number of CME Hours per Year(s)	100 - 2yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40 (AOA 1-A for DOs)
Certificates/Awards Accepted as Documentation	AMA PRA, AMA PRA application, ABMS, SMS
State-Mandated CME Content/ Additional Notes	Study board requirements; risk management
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Michigan

Required Number of CME Hours per Year(s)	150 - 3yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	75

Michigan DO:
Required Number of CME Hours per Year(s)	150 - 3yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	60 (AOA 1-A or B)
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	ABMS, GME


Minnesota

Required Number of CME Hours per Year(s)	75 - 3yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	75
Certificates/Awards Accepted as Documentation	AMA PRA, ABMS, MOCOMP,
State-Mandated CME Content/ Additional Notes	ABMS cert/recert accepted
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Mississippi

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40 (DOs: AOA 1-A)
Certificates/Awards Accepted as Documentation	AMA PRA application, ABMS*, GME
State-Mandated CME Content/ Additional Notes	Initial certification only (not renewal)


Missouri

Required Number of CME Hours per Year(s)	50 - 2yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	50
Certificates/Awards Accepted as Documentation	ABMS, GME
State-Mandated CME Content/ Additional Notes	See note, below


Montana

Required Number of CME Hours per Year(s)	None
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Nebraska

Required Number of CME Hours per Year(s)	50 - 2yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	50
Certificates/Awards Accepted as Documentation	AMA PRA, AOA


Nevada

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA application, GME
State-Mandated CME Content/ Additional Notes	Ethics (2 credits), 20 credits in specialty; other 18 credits can be any in Category 1; 4 credits in WMD/ bioterrorism (new applicants only)

Nevada DO:
Required Number of CME Hours per Year(s)	35 - 1 yr
Average Hours per Year	35
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	10 (AOA 1-A)
Certificates Accepted as Equivalent	AMA PRA application, AOA, ABMS
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New Hampshire

Required Number of CME Hours per Year(s)	100 - 2yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	60
Certificates/Awards Accepted as Documentation	AMA PRA, ABMS, GME
State-Mandated CME Content/ Additional Notes	Credits reported to NH Med Society


New Jersey*

Required Number of CME Hours per Year(s)	100 - 2yrs
AMA/AOA/AAFP/ACOG Category 1 Hours Required	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	GME
State-mandated CME Content/Additional Notes	Cultural competence
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New Mexico

Required Number of CME Hours per Year(s)	75 - 3yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	75
Certificates/Awards Accepted as Documentation	AMA PRA, ABMS, GME

New Mexico DO:
Required Number of CME Hours per Year(s)	75 - 3 yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	75
Certificates/Awards Accepted as Documentation	AMA PRA, ABMS, USMLE
State-Mandated CME Content/ Additional Notes	Active membership in AOA may replace 75 CME credits
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New York

Required Number of CME Hours per Year(s)	None
State-Mandated CME Content/ Additional Notes	Infection control, child abuse


North Carolina

Required Number of CME Hours per Year(s)	150 - 3 yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	60
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North Dakota

Required Number of CME Hours per Year(s)	60 - 3yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	60
Certificates/Awards Accepted as Documentation	AMA PRA, AMA PRA application, ABMS, MOCOMP


Ohio

Required Number of CME Hours per Year(s)	100 - 2yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40 (DOs: AOA 1-A or B)
Certificates/Awards Accepted as Documentation	AMA PRA application, AOA
State-Mandated CME Content/ Additional Notes	CME must be OSMA/OOA-certified
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Oklahoma

Required Number of CME Hours per Year(s)	60 - 3yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	60
Certificates/Awards Accepted as Documentation	AMA PRA, ABMS, GME^†
State-Mandated CME Content/ Additional Notes	^†50 hrs for each yr of GME

Oklahoma DO:
Required Number of CME Hours per Year(s)	16 - 1yr
Average Hours per Year	16
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	16 (AOA 1-A or B)
State-Mandated CME Content/ Additional Notes	1 credit on prescribing controlled substances (every 2 yrs)
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Oregon

Required Number of CME Hours per Year(s)	60 - 2 yrs
Average Hours per Year	60
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	30


Pennsylvania

Required Number of CME Hours per Year(s)	100 - 2yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	20
Certificates/Awards Accepted as Documentation	SMS, GME
State-Mandated CME Content/ Additional Notes	12 credits risk management or patient safety

Pennsylvania DO:
Required Number of CME Hours per Year(s)	100 - 2yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	20 (AOA 1-A)
Certificates/Awards Accepted as Documentation	SMS, GME
State-Mandated CME Content/ Additional Notes	12 credits risk management or patient safety
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Puerto Rico

Required Number of CME Hours per Year(s)	60 - 3yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA


Rhode Island

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA, AMA PRA application, AOA, ABMS, SMS, NSS, GME
State-Mandated CME Content/ Additional Notes	2 credits: universal precautions, bioterrorism, end of life, OSHA, ethics, or pain management
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South Carolina

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	ABMS, GME
State-Mandated CME Content/ Additional Notes	75% specialty education (30 credits every 2 yrs)


South Dakota

Required Number of CME
Hours per Year(s)

None


Tennessee*

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	AMA PRA
State-Mandated CME Content/ Additional Notes	1 credit (every 2 years) in appropriate prescribing

Tennessee DO:
Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40 (AOA 1-A or 2-A)
State-Mandated CME Content/ Additional Notes	See note above for Tennessee MD board
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Texas

Required Number of CME Hours per Year(s)	24 - 1yr
Average Hours per Year	24
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	12 (DOs: AOA 1-A)
Certificates/Awards Accepted as Documentation	AMA PRA, AOA, ABMS, GME
State-Mandated CME Content/ Additional Notes	Of 12 Category 1 credits, at least 1 in ethics and/or professional responsibility


Utah

Required Number of CME Hours per Year(s)	40 - 2yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	GME
State-Mandated CME Content/ Additional Notes	Six hours may be from Division of Occupational and Professional Lic.

Utah DO	40 - 2 yrs
Average Hours per Year	20
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	40
Certificates/Awards Accepted as Documentation	GME
State-Mandated CME Content/ Additional Notes	See note above for Utah MD board


Vermont

Required Number of CME Hours per Year(s)	None

Vermont DO:
Required Number of CME Hours per Year(s)	30 - 2yrs
Average Hours per Year	15
Certificates/Awards Accepted as Documentation	AMA PRA
State-Mandated CME Content/ Additional Notes	At least 12 of 30 credits must be osteopathic med education
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Virgin Islands

Required Number of CME Hours per Year(s)	25 - 1yr
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	25


Virginia

Required Number of CME Hours per Year(s)	60 - 2yrs
Average Hours per Year	30
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	30
Certificates/Awards Accepted as Documentation	AMA PRA application, GME
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Washington*

Required Number of CME Hours per Year(s)	200 - 4yrs
Average Hours per Year	50
Certificates/Awards Accepted as Documentation	Not specified
Certificates/Awards Accepted as Documentation	AMA PRA, ABMS, SMS, NSS

Washington DO
Required Number of CME Hours per Year(s)	150 - 3 yrs
Average Hours per Year	50
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	60 (AOA 1-A or B)
Certificates/Awards Accepted as Documentation	AMA PRA, AMA PRA application, ABMS, SMS, GME, Other (see note)
State-Mandated CME Content/ Additional Notes	Also accepted as equivalent: Current certification of CME from medical practice academies and original certification or recertification within 6 yrs by specialty board


West Virginia

Required Number of CME Hours per Year(s)	50 - 2yrs
Average Hours per Year	25
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	50
Certificates/Awards Accepted as Documentation	AMA PRA
State-Mandated CME Content/ Additional Notes	30 credits related to physician's designated specialty; 2 credits (onetime requirement) in end-of-life care, including pain management

West Virginia DO:
Required Number of CME Hours per Year(s)	32 - 2yrs
Average Hours per Year	16
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	16 (AOA 1-A or B)
Certificates/Awards Accepted as Documentation	AOA, GME
State-Mandated CME Content/ Additional Notes	2 credits (one-time requirement) in end-of-life care, including pain management
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Wisconsin

Required Number of CME Hours per Year(s)	30 - 2yrs
Average Hours per Year	15
AMA PRA Category 1™ or Equivalent AOA, AAFP or ACOG Credits	30
Certificates/Awards Accepted as Documentation	AMA PRA


Wyoming

Required Number of CME Hours per Year(s)	60 - 3 yrs
Average Hours per Year	20
AMA/AOA/AAFP/ACOG Category 1 Hours Required	60
Certificates Accepted as Equivalent	AMA PRA, AOA, ABMS, GME
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*Additional Notes for Specific Licensing Jurisdictions

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 CME in geriatric medicine or the care of older patients.

All physicians and surgeons (except pathologists and radiologists) must complete mandatory CME 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.

All CME must be AMA PRA Category 1 Credit™, except for domestic violence and prevention of medical errors. Domestic violence and prevention of medical errors courses offered by any state or federal government agency or professional association, including any provider of AMA PRA Category 1 Credit™, is acceptable.

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 Cateogory 1-A credit.

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

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.

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 American Academy of Family Physicians 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.

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 more information, see: www.njconsumeraffairs.gov/bme/press/cultural.htm.

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

Tennessee MD—Physicians who focus on providing care to persons with intractable pain should refer to item (6)(c) at: www.painpolicy.wisc.edu/domestic/states/TN/mbreg.pdf

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. See: http://tinyurl.com/6gbd8w

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.

All information should be verified with the licensing board; medical licenses are granted to those physicians meeting all state requirements — at the discretion of the board.