CME Requirements by State for Psychiatrists
Reviewed by CME Psychiatry Center editorsLast reviewed against state medical-board rules158 primary sourcesHow we verify
Every state licenses physicians on its own clock, and none of them care that you are a psychiatrist — the rules below apply to all MDs/DOs. Your ABPN Continuing Certification block (90 CME, 16 SA-CME, every 3 years) is a separate requirement, so the number that matters is whichever of the two sets the faster pace. The table shows the state figure; open a state for the psychiatrist-specific reading, mandated-topic overlap and sources.
9 of 51 states have been migrated to the structured format; the rest show summary bullets on their own page and will be updated in priority order.
| State | Hours | Cycle | Cat 1 min. | Pace vs ABPN | Mandated topics | Reviewed |
|---|---|---|---|---|---|---|
| Alabama | see page | Credits cannot be carried over to the next year; Holders of an Alabama Controlled Substances Certificate (ACSC) must complete 2 AMA PRA Category 1 credits every 2 years in controlled substance prescribing practices, recognizing abuse or misuse of controlled substances, or controlled substance prescribing for chronic pain (applies even if otherwise exempt from the 25-credit requirement); Beginning 2025, all actively licensed physicians must complete a one-time 2-hour Board-designated professional boundaries course (deadline December 31, 2025 for existing licensees; within 12 months of licensure for new licensees); Exempt from the annual 25 credits: physicians who do not reside or practice in Alabama, those initially licensed that calendar year, residents/fellows in training during the year, deployed military, and holders of retirement or disability waivers | ||||
| Alaska | see page | Credit must be AMA Category 1 (or AOA Category 1 or 2) CME; a current AMA PRA, specialty board certification or recertification during the period, or residency participation are accepted as equivalents; At least 2 of the required hours must be in pain management and opioid use and addiction, unless the licensee certifies that they do not hold a DEA registration; Extensions for illness or extenuating circumstances require a memorandum of agreement with the board | ||||
| Arizona | see page | Physicians authorized to prescribe Schedule II controlled substances (DEA registrants) must complete at least 3 hours of opioid-related, substance use disorder-related, or addiction-related CME each renewal cycle (effective 2018); One credit hour per clock hour of participation; excess hours cannot be carried over to the next cycle; Extensions may be granted on written application for illness, military service, missionary activity, or foreign residence | ||||
| Arkansas | see page | 50% of the hours must be in subjects pertaining to the physician's primary area of practice and designated AMA PRA Category 1; At least 1 hour each year must specifically address prescribing of opioids and benzodiazepines (may count within the 20 hours); effective 2018; Extensions may be granted on written application for illness, military service, missionary activity, foreign residence, or other extenuating circumstances | ||||
| California | 50 | 2 yr | 50 | ABPN (30/yr) | Pain management and treatment of terminally ill and dying patients (incl. Schedule II addiction risks if licensed on/after 1/1/2019) (12h, once); Geriatric medicine / dementia / elder care (20% of CME) (10h); Cultural and linguistic competency + implicit bias content (embedded in every California-accredited CME course; no separate hours for the licensee) (0h) | |
| Colorado | see page | Accepted credit: ACCME-accredited AMA PRA Category 1, AAFP Prescribed credit, AOA Category 1-A, or programs required to maintain national board certification; Physicians self-select topics; there are no state-mandated subject areas; Excess hours cannot be carried over to the next license period; The former 2-hour-per-cycle opioid prescribing / substance use disorder training mandate (SB19-228) was repealed by SB26-138, effective August 12, 2026; the Board is repealing Rule 1.29 accordingly | ||||
| Connecticut | see page | Exempt at the first license renewal; In the first renewal period in which CME is required and at least once every 6 years thereafter, at least 1 contact hour in each of: infectious diseases (including HIV/AIDS), risk management (including controlled substance prescribing, pain management, and cancer/endometriosis screening), sexual assault, domestic violence, cultural competency (including implicit bias and transgender/gender-diverse care), and behavioral health; The behavioral health requirement may be met with at least 2 contact hours on suicide prevention, or on diagnosing and treating cognitive conditions (Alzheimer's, dementia, delirium) or mental health conditions including those common to veterans and their families; Accepted providers include AMA, AOA, state medical societies, hospitals, and accredited academic institutions; no carry-over provision; Waivers of up to 10 hours for service on the Medical Examining Board or hearing panels; medical disability waivers available | ||||
| Delaware | see page | First renewal: 20 hours if licensed more than 1 year; none if licensed less than 1 year; Controlled substance registrants must complete 2 hours every 2 years in controlled substance prescribing practices, treatment of chronic pain, or other topics related to prescribing controlled substances, plus a one-time 1-hour course on Delaware controlled substance law within the first year of registration; Residents and fellows in approved training programs may submit proof of participation in lieu of CME; the Board may waive for good cause | ||||
| District of Columbia | see page | At least 10% of the 50 hours (5 hours) must be in subjects designated by the DC Health Director as District public health priorities (list published periodically by DC Health); 2 Category 1 (or AAFP-prescribed equivalent) hours in LGBTQ cultural competence or clinical care, since the renewal period ending December 31, 2018; Exempt at the first renewal of a license granted by examination and for initial licensees; the older statutory HIV/AIDS CME requirement (D.C. Code 3-1205.10(b)(4)) is waived; Exemptions available for hardship, disability, serious illness, congressional or military service, and postgraduate training | ||||
| Florida | 40 | 2 yr | 40 | ABPN (30/yr) | Prevention of medical errors (2h); Prescribing controlled substances (opioids, alternatives, naloxone; sickle-cell pain management from July 1, 2026) (2h); Domestic violence (2h, every third renewal (every 6 years)); HIV/AIDS (Category 1) (1h, first renewal only); Human trafficking (1h, once (statutory deadline January 1, 2021)) | |
| Georgia | see page | Accepted credit: AMA PRA Category 1, AOA Category 1, AAFP Prescribed, ACOG Cognates Category 1, or ACEP Category 1; Exempt at the first renewal after initial licensure and while enrolled in an ACGME/AOA residency or fellowship; Physicians with an active DEA certificate who prescribe controlled substances: one-time 3 hours of Category 1 CME on controlled substance prescribing practices (guidelines, recognizing abuse/misuse, chronic pain), certified at the first renewal after licensure (since January 1, 2018); counts toward the 40 hours; One-time 2-hour course on professional boundaries and physician sexual misconduct, certified at the first renewal after January 1, 2022 or after licensure; counts toward the 40 hours; Physicians without pain/palliative certification whose opioid pain patients are 50% or more of their practice must complete 20 hours of pain management or palliative medicine CME each biennium; Waivers: 1 hour per 4 hours of uncompensated care (max 10 per biennium) and 2 hours per Board peer review (max 8); retired physicians providing uncompensated care need 10 hours | ||||
| Hawaii | see page | Only 20 hours required at the first renewal if initially licensed in the first year of the biennium; none if licensed in the second year; No mandated topic areas; Specialty board certification or passing a board exam does not satisfy the requirement; a waiver or modification may be requested for geographic isolation, incapacity, or undue hardship; Note: HAR 16-85-33 still reads 100 hours (40 Category 1 + 60 Category 2); the Board's current audit notices apply the 40 Category 1 hour standard | ||||
| Idaho | see page | No specific topic requirements | ||||
| Illinois | 150 | 3 yr | 60 | State (50/yr) | Sexual harassment prevention training (1h); Implicit bias awareness training (1h); Alzheimer's disease and other dementias (assessment/diagnosis, communication strategies, management and care planning) (1h, once before the end of the first renewal period requiring CME, then every 6 years (every 2 renewal periods)); Cultural competency training (1h, once, then every 6 years (every 2 renewal periods), for renewals on or after Jan 1, 2025); Safe opioid prescribing practices (1h, every Controlled Substance Registration renewal (no first-renewal exemption); 1 hour is the current rule for renewals on/after Jan 1, 2025 (older IDFPR forms citing 3 hours are out of date)); Mandated reporter training (child abuse and neglect), administered by DCFS (1h, within 3 months of starting a role that involves children, then every 6 years; attested at each IDFPR renewal) | |
| Indiana | see page | 2 hours of continuing education in opioid prescribing and opioid abuse for controlled substances registration renewal | ||||
| Iowa | see page | 2 hours in chronic pain management and 2 hours in end-of-life care every 5 years for primary care physicians | ||||
| Kansas | see page | At least 20 hours must be Category 1 credits | ||||
| Kentucky | see page | At least 30 hours must be AMA or AOA approved Category 1 credits | ||||
| Louisiana | see page | At least 1 hour must be in drug diversion training, best practices in prescribing of controlled substances, or appropriate treatment for addiction | ||||
| Maine | see page | At least 40 hours must be Category 1 credits | ||||
| Maryland | see page | 2 hours related to the prescribing or dispensing of controlled substances for CDS registration | ||||
| Massachusetts | see page | 2 hours in end-of-life care, 3 hours in opioid education and pain management, 10 hours in risk management, 2 hours in electronic health records, and 3 hours in sexual and domestic violence training | ||||
| Michigan | see page | 1 hour in medical ethics, 3 hours in pain and symptom management, and 2 hours in human trafficking | ||||
| Minnesota | see page | No specific topic requirements | ||||
| Mississippi | see page | 5 hours must be related to prescribing controlled substances | ||||
| Missouri | see page | Hours must be AMA PRA Category 1, AOA Category 1-A or 2-A, or AAFP Prescribed credit; Alternative: 40 hours per cycle if every activity includes a post-test and all hours are AMA Category 1 or AOA Category 1-A; No state-mandated CME topics (no opioid, ethics, or other content requirement); Exempt: physicians in their first renewal period after initial licensure, those who obtained specialty board certification or recertification during the period, residents/fellows in approved training (60+ days), retired physicians with an affidavit on file, and physicians on active military duty; No carry-over of excess hours to the next reporting period | ||||
| Montana | see page | The Board's rules (ARM Title 24, Chapter 156) contain no physician continuing-education rule; board-certified physicians satisfy CME through their specialty board's MOC requirements; No mandated topics (no opioid, pain, or ethics requirement) | ||||
| Nebraska | see page | Alternative: a current AMA Physician's Recognition Award or AOA CME Certification earned within the 24 months before expiration; Carry-over: hours earned beyond 50 in a renewal period may be carried forward, up to 25 hours, to the next 24-month period; One year of participation in an approved graduate medical education program counts as 50 hours of Category 1 CME; Physicians who prescribe controlled substances must complete at least 3 hours of CE on prescribing opiates each biennium, including one-half hour on the Nebraska Prescription Drug Monitoring Program (Neb. Rev. Stat. 38-145; effective with renewal periods beginning on or after October 1, 2018; sunsets January 1, 2029); No other state-mandated CME topics | ||||
| Nevada | see page | At least 20 of the 40 hours must be within the physician's scope of practice or specialty; At least 2 hours every biennium in ethics, pain management, or addiction care (all licensees); If registered to dispense controlled substances: 2 hours every 2 years in misuse and abuse of controlled substances, prescribing of opioids, or addiction; Psychiatrists (and PAs supervised by a psychiatrist): 2 hours every 2 years in cultural competency and diversity, equity, and inclusion; 2 hours on suicide detection, intervention, and prevention within 2 years of initial licensure and once every 4 years thereafter; 2 hours of Screening, Brief Intervention, and Referral to Treatment (SBIRT), one time, within 2 years of initial licensure; Physicians who provide or supervise emergency medical services in a hospital or primary care: 2 hours, one time, on stigma, discrimination, and unrecognized bias toward persons with or at high risk of HIV (within 2 years of beginning such services); Up to 4 hours of double credit for courses in geriatrics/gerontology, effective management of medications, or diagnosis of rare diseases including pediatric cancer; CME is not required for inactive licensees; the remaining hours may be in any other medical subject | ||||
| New Hampshire | see page | At least 40 hours must be Category I (AMA PRA or equivalent); no more than 60 hours may be Category II; Physicians who hold a DEA registration must include 3 hours in pain management and/or addiction disorder within the 100 hours each biennial cycle (opioid-prescribing competency under RSA 318-B:40); Passing an American specialty board exam (initial or recertification) counts as 100 Category I hours; proof of current maintenance of certification satisfies the requirement for the preceding 2 years; Each year of full-time ACGME/AOA-accredited residency or fellowship counts as 50 Category I hours; Biennial CME report is due by February 28 of the renewal year; the NH Medical Society audits compliance on the Board's behalf; The Board may grant up to a 6-month extension for good cause if petitioned before the 2-year period ends (Med 402.03) | ||||
| New Jersey | 100 | 2 yr | 40 | State (50/yr) | End-of-life care (2h); Prescription opioid drugs (responsible prescribing, alternatives, abuse and addiction) (1h); Sexual misconduct prevention (includes informed consent, power dynamics, human trafficking identification) (2h); Cultural competency training (6h, once); Explicit and implicit bias (evidence-based training) (1h) | |
| New Mexico | see page | Accepted credit: AMA PRA Category 1, AOA/ACCME/AAFP Category 1-A or 1-B, New Mexico Medical Society-certified New Mexico-specific CME (up to 40 hours), and other activities listed in 16.10.4.11 NMAC; 1 of the 75 hours must be earned by reviewing the New Mexico Medical Practice Act and Board rules; physicians certify completion at triennial renewal; Physicians who hold both a DEA registration and a New Mexico controlled-substances registration must complete 5 hours of CME in pain management and controlled-substance prescribing each triennial cycle, counted within the 75 hours (16.10.14.11 NMAC); courses must cover pharmacology and risks of controlled substances, abuse/addiction/diversion, state and federal prescribing regulations, and management of pain; ABMS or osteopathic specialty board certification or recertification during the cycle, AMA PRA, or passing SPEX/COMVEX during the cycle also satisfies the requirement (16.10.4.10 NMAC); CME is not required for federal emergency, telemedicine, postgraduate training, public service, temporary teaching, or youth camp/school licenses; Records must be kept for 1 year after the renewal cycle; audits may be conducted at any time | ||||
| New York | see page | 2 yr | Infection control and barrier precautions (HIV/HBV, engineering and work-practice controls) (0h, once at licensure, then every 4 years); Pain management, palliative care and addiction (8 required content areas incl. state and federal prescribing rules, screening for addiction, end-of-life care) (3h, once within each 3-year period); Identification and reporting of child abuse and maltreatment (updated curriculum incl. implicit bias, adverse childhood experiences, virtual interactions) (2h, once (updated-curriculum refresh required of all mandated reporters by April 1, 2025; further update by November 17, 2026)) | |||
| North Carolina | 60 | 3 yr | 60 | ABPN (30/yr) | Controlled-substance prescribing practices (must cover prescribing practices and chronic pain management; abuse/misuse recognition and non-opioid options also qualify) (3h) | |
| North Dakota | see page | Accepted credit: AMA PRA Category 1 (ACCME-accredited providers), AOA Category 1, AAFP Prescribed/Elective credit, RCPSC Section 1, or other courses the Board approves as equivalent (50-04-01-03); No state-mandated CME topics (no opioid, ethics, or other content requirement); Physicians licensed more than 1 but less than 2 full years at their first reporting must show 20 hours for that initial period; Exempt: physicians in accredited residency/fellowship, locum tenens permit and special license holders, physicians who have not yet renewed for the first time, fully retired physicians with an affidavit on file, and physicians holding current ABMS/AOA/RCPSC certification or MOC at the time of audit (50-04-01-02); Compliance is reported on the renewal form; random audits, with a $500 fee for failure to document; records must be kept for at least 1 year after reporting | ||||
| Ohio | 50 | 2 yr | 50 | ABPN (30/yr) | Duty to report misconduct (ORC 4731.224) (1h); Pain medicine, including the potential for addiction (20h) | |
| Oklahoma | see page | Physicians who hold a DEA registration must complete at least 1 hour of CME in pain management or in opioid use or addiction each year preceding license renewal (59 O.S. 495a.1; effective November 1, 2018); licensees without a DEA registration are exempt on demonstration to the Board; Health care providers associated with an inpatient facility must view the Oklahoma State Department of Health online presentation under 63 O.S. 3162 at least once every 2 calendar years; the time counts toward required CME; Newly licensed physicians begin reporting 3 years from the date of licensure; Accepted as verification on audit: current AMA PRA, ABMS specialty certification or recertification during the 3-year period, or residency/fellowship training (50 hours per completed year), or Category 1 certificates | ||||
| Oregon | see page | Alternative: ongoing participation in ABMS or AOA-BOS maintenance of certification satisfies the CME requirement; lifetime-certified physicians not in MOC must submit the 60 hours; 1 hour of pain management continuing education from the Oregon Pain Management Commission at initial licensure and every 24 months; it may count toward the 60 hours (OAR 847-008-0075; amended January 2022, replacing the former 6-hour plus 1-hour requirement); Cultural competency: at least 1 hour per year, reported at least every other renewal cycle; may count toward the 60 hours (OAR 847-008-0077, effective July 1, 2021); CME in suicide risk assessment, treatment, and management is deemed relevant for all licensees and counts toward the 60 hours, but is not mandated; Exempt from the CME and cultural competency rules: licensees in residency training and Volunteer Camp licensees; Emeritus licensees need 15 hours per year; Audit deficiency: $250 fine with 120 days to comply, rising to $1,000, then a minimum 90-day suspension at 180 days | ||||
| Pennsylvania | 100 | 2 yr | 20 | State (50/yr) | Patient safety and risk management (12h); Child abuse recognition and reporting (Act 31) (2h); Pain management, identification of addiction, or opioid prescribing/dispensing (Act 124) (2h); Organ and tissue donation and recovery process (effective May 1, 2026) (2h, once) | |
| Rhode Island | see page | All 40 hours must be Category 1; participation in ABMS Maintenance of Certification or AOA Osteopathic Continuous Certification is accepted as equivalent; No general mandated topics in the physician licensure rule (the earlier 'topics of current concern' language no longer appears in 216-RICR-40-05-1); Prescribers of Schedule II opioids must complete a one-time 8 hours of Category 1 CME on opioid prescribing (appropriate prescribing for pain, pharmacology, adverse events, dependence, tolerance, substance use disorder, non-opioid alternatives) before renewal of the controlled substance registration or within 2 years, whichever is longer; DATA 2000 waiver training qualifies (216-RICR-20-20-4 § 4.4(P)); All practitioners must register with the RI Prescription Drug Monitoring Program as a condition of controlled substance registration and renewal; Board may grant a single 6-month extension of the CME deadline; keep CME documentation for 3 years; No first-renewal exemption is stated in the rule | ||||
| South Carolina | see page | All 40 hours must be Category 1; at least 30 of them must relate directly to the licensee's practice area; At least 2 of the 40 hours must cover approved procedures for prescribing and monitoring Schedule II-IV controlled substances, taken from an ACCME-recognized statewide accreditor or a statewide organization accredited through its national body; a certificate of participation must accompany each renewal form; In place of the 40 hours, the statute accepts: ABMS/AOA specialty board certification, added qualifications, or recertification by exam; completion of an ACGME/AOA residency or fellowship; passage of SPEX/COMVEX; or a Board-approved clinical skills assessment; First renewal after initial licensure: meeting the original licensure requirements is sufficient (no CME required); Reactivation after less than 4 years lapsed/inactive: 40 Category 1 hours (30 practice-related) or one of the alternatives within the preceding 2 years | ||||
| South Dakota | see page | Physicians remain subject to hospital, specialty-board (MOC), and federal (DEA MATE Act 8-hour one-time) training obligations that are independent of the state license; Renewal is the licensee's responsibility; failure to renew results in automatic forfeiture under statute | ||||
| Tennessee | see page | All 40 hours must be ACCME-accredited AMA PRA Category 1, AAFP Prescribed, or AOA credit; hours may be completed in any distribution across the 2-year window; 2 of the 40 hours must address controlled substance prescribing and must include the Tennessee Department of Health treatment guidelines on opioids, benzodiazepines, barbiturates, and carisoprodol (course must be Tennessee-specific); applies to all licensees unless exempt under T.C.A. § 63-1-402(c); Statutory exemption from the 2-hour prescribing course: physicians board-certified (ABMS/AOA/ABPS) in pain management, anesthesiology, physical medicine and rehabilitation, neurology, or rheumatology; psychiatrists are not exempt; New licensees: exempt from CME only for the calendar year of licensure if licensed in the same calendar year as passing USMLE Step 3; retired/inactive licensees are exempt; No carry-over; a course counts only once per calendar year; Retain CME documentation for 4 years after the end of the calendar year in which it was earned; deficiencies draw a $100-per-hour civil penalty plus 10 penalty hours under Board policy; Board may waive CME for illness, disability, or undue hardship if requested in writing before the renewal period ends | ||||
| Texas | 48 | 2 yr | 24 | ABPN (30/yr) | Medical ethics and/or professional responsibility (2h); Pain management and opioid prescribing (2h, first two renewals (first within 1 year of licensure), then every 8 years); Human trafficking prevention (HHSC-approved course) (1h, first renewal, then every third renewal (every 6 years)); Life of the Mother Act training (SB 31), one-time TMB course; counts only as ethics credit (1h, once); Forensic evidence collection (HB 47), course approved by the Governor's Sexual Assault Survivors' Task Force, renewals on/after Sept 1, 2026 (2h) | |
| Utah | see page | At least 34 of the 40 hours must be ACCME Category 1; up to 6 hours may come from DOPL-provided education; up to 15% may be earned through volunteer health care (1 credit per 4 documented hours); residency participation counts pro rata; Controlled substance prescribers (anyone with authority to prescribe Schedule II-III opioids, hypnotic depressants, or psychostimulants, which includes psychiatrists) must complete at least 3.5 hours of Category 1 controlled substance prescribing CE each licensing period, with a post-course knowledge assessment, covering the Utah/national opioid problem, the FDA opioid REMS Blueprint, Utah prescribing resources, documentation, office policies, and medical cannabis (Utah Code 58-37-303, renumbered from 58-37-6.5 by 2026 Ch. 362, effective July 1, 2026); A one-time 3.5-hour SBIRT (Screening, Brief Intervention, and Referral to Treatment) training class is required for controlled substance prescribers beginning with licensing periods starting after January 1, 2024; completing it satisfies the 3.5-hour prescribing requirement for that period; The 3.5 prescriber hours count within the 40-hour total and do not add to it; a DATA 2000 waiver obtained on or after July 1, 2017 may satisfy the 3.5 hours for two consecutive periods; Controlled substance prescribers must also complete a 0.5-hour online tutorial and test on the Utah Controlled Substance Database each cycle, waivable by attesting on the renewal form that the database was used during the period (R156-37-402(3)(c)); Physicians must complete at least one DOPL-listed online suicide prevention training per renewal (e.g., Suicide Safety Planning with Patients, Talking to Patients About Suicide, Counseling on Access to Lethal Means; 0.5 credit each, counted toward CME); Hours are prorated from the date of licensure for licensees not licensed for the full 2-year period; retain documentation for 2 years after the cycle ends | ||||
| Vermont | see page | At least 1 hour every renewal must be on hospice, palliative care, or pain management services (26 V.S.A. § 1400(b)); Licensees who hold or have applied for a DEA registration must complete at least 2 hours every renewal on controlled substance prescribing, covering abuse and diversion, safe use, storage and disposal, use of the Vermont Prescription Monitoring System, addiction risk assessment, opioid alternatives, tapering/cessation, and relevant state and federal opioid laws (Rule 24.1.6); both mandated subjects count within the 30 hours; First renewal: no CME if licensed less than 1 year at renewal; 15 hours (including the required subjects) if licensed 1 year or more but less than the full cycle; the same proration applies to deployed military licensees; One year of full-time participation in an approved residency/fellowship may count for 15 hours of CME; Inactive practitioners renewing must still complete all 30 hours including required subjects; no carry-over; Licensees short on hours must file a Board-approved make-up plan (up to 120 days) with the renewal; retain CME documentation for 4 years after submission for audit | ||||
| Virginia | 30 | 2 yr | 30 | ABPN (30/yr) | Bias reduction training (implicit and explicit bias in health care; first topic: racial bias in pregnancy and postpartum care) (0h, every biennial renewal (once Board regulations are in effect)) | |
| Washington | see page | All 200 hours may be Category I (ACCME/WSMA-accredited); Categories II (non-accredited programs), III (teaching), IV (papers/publications), and V (self-directed study, board-exam prep, QA committees) are each capped at 80 hours (WAC 246-919-460); In lieu of the 200 hours, a physician may renew with a current AMA Physician's Recognition Award held in at least 2 of the preceding 4 years, ABMS board certification obtained within the preceding 4 years, or current participation in ABMS Maintenance of Certification; ACGME residency or fellowship participation may be credited 50 Category I hours per year of training toward the 200; One-time suicide assessment, treatment, and management training of at least 6 hours, from the DOH model list, due by the end of the first full reporting period after initial licensure (RCW 43.70.442(5); residents with limited licenses are exempt); Physicians who prescribe opioids must complete a one-time CME of at least 1 hour on opioid prescribing best practices or the Washington opioid prescribing rules, by the end of the first full reporting period after January 1, 2019 or after initial licensure, whichever is later (WAC 246-919-875); At least 2 hours of health equity continuing education every 4 years (WAC 246-12-820, effective December 24, 2022, implementing RCW 43.70.613); Mandated-topic hours count toward the 200-hour total in their respective category | ||||
| West Virginia | see page | Acceptable CME is AMA or AAFP Category 1; at least 30 of the 50 hours must relate to the physician's specialty area(s); Up to 20 hours may come from teaching or precepting medical students, residents, or physicians; ABMS certification/recertification or MOC participation, or completion of 12 months of ACGME training, during the reporting period may count for up to 50 hours (47 if the prescribing course below is mandatory for the licensee); Licensees who prescribed, administered, or dispensed any controlled substance during the reporting period must complete a 3-hour Board-approved course on Risk Assessment and Responsible Prescribing of Controlled Substances (drug diversion, best-practice prescribing, opioid antagonist) every renewal; it counts toward the 50 hours and is waived for non-prescribers (Rule 11-6-3.2); New licensees who prescribe controlled substances must complete the same 3-hour course within 1 year of initial licensure regardless of renewal date (Rule 11-6-3.1); Effective June 12, 2026 (HB 4951, 2026), the CME requirement must include medical education in nutrition; the Board has rulemaking authority and has not yet specified the hours; Keep CME records for 6 years; the Board may request supporting documentation within 30 days | ||||
| Wisconsin | see page | All 30 hours must be AMA or AOA Category 1 (or equivalent) from ACCME/AMA/AOA-recognized providers; 1 clock hour equals 1 CME hour (Med 13.03); Physicians holding a DEA registration at renewal must complete at least 2 of the 30 hours on prescribing opioids and other controlled substances; since October 1, 2023 (CR 22-067) no Board pre-approval of the course is needed, and the requirement does not apply to physicians without a DEA number (Med 13.02(1x)); Psychiatrists may earn credit for voluntary, uncompensated assistance to the Department of Health Services in evaluating community outpatient mental health programs (4 hours of assistance = 1 CME hour, with advance registration) (Med 13.03(2)); Three consecutive months of Board-approved postgraduate training equals 30 hours of CME (Med 13.04); The Board may waive CME for prolonged illness, disability, or similar circumstances on individual application (Med 13.02(2)); The state requirement is separate from the federal DEA MATE Act 8-hour training, but a qualifying course may count toward both | ||||
| Wyoming | see page | Hours may be any combination of AMA Category I or II, AOA-approved CME, a current AMA Physician's Recognition Award, a current ABMS specialty board certificate (credited at the hours the board deems equivalent), other documented self-assessment/quality-improvement activity, or volunteer service to the Board as a medical consultant (1 CME hour per 2 hours of service, max 20 per year); Licensees holding a Wyoming Board of Pharmacy controlled substance registration must complete 1 hour of CME on responsible prescribing of controlled substances or treatment of substance use disorders every 2 years (W.S. 33-26-202(b)(xiv), enacted by 2019 SF0047); Exempt from the 60-hour requirement: physicians licensed in Wyoming less than 3 years at renewal, those certified or recertified by an ABMS board within the past 3 years, those enrolled in an ACGME/RCPSC residency within the past 3 years, and inactive licensees; Board may grant an exemption for circumstances beyond the licensee's control (disability, military service, declared disaster) or a deadline extension of up to 1 year on written request before the renewal date; Keep CME records for at least 4 years; the Board randomly audits about 10% of active licensees each cycle (45 days to respond, 6 months to cure a deficiency) |
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