Iowa Admin. Code r. 653-11.4 - Continuing education and training requirements for renewal or reinstatement
A licensee shall meet the requirements in this rule to qualify for renewal of a permanent license, an administrative medicine license, or special license or to qualify for reinstatement of a permanent license or an administrative medicine license.
(1)
Continuing education and training requirements.
a.
Continuing education for permanent
license or administrative medicine license renewal. Except as provided
in these rules, a total of 40 hours of category 1 credit or board-approved
equivalent shall be required for biennial renewal of a permanent license or an
administrative medicine license. This may include up to 20 hours of credit
carried over from the previous license period and category 1 credit acquired
within the current license period.
(1) To
facilitate license renewal according to birth month, a licensee's first license
may be issued for less than 24 months. The number of hours of category 1 credit
required of a licensee whose license has been issued for less than 24 months
shall be reduced on a pro-rata basis.
(2) A licensee desiring to obtain credit for
carryover hours shall report the carryover, not to exceed 20 hours of category
1 credit, on the renewal application.
b.
Continuing education for special
license renewal. A total of 20 hours of category 1 credit shall be
required for annual renewal of a special license. No carryover hours are
allowed.
c.
Training for
identifying and reporting child and dependent adult abuse for permanent or
special license renewal. The licensee in Iowa shall complete the
training for identifying and reporting child and dependent adult abuse as part
of a category 1 credit or an approved training program. The licensee may
utilize category 1 credit received for this training during the license period
in which the training occurred to meet continuing education requirements in
paragraph 11.4(1)"a."
(1)
Training to identify child abuse. A licensee who regularly provides primary
health care to children in Iowa must complete at least two hours of training
provided by the department of human services pursuant to Iowa Code section
232.69(3)
"c" in child abuse identification and reporting every three
years. If a licensee completes at least one hour of additional child abuse
identification and reporting training prior to the three-year expiration
period, the licensee shall be deemed in compliance with the training
requirements of this subparagraph for an additional three years. "A licensee
who regularly provides primary health care to children" means all emergency
physicians, family physicians, general practice physicians, pediatricians, and
psychiatrists, and any other physician who regularly provides primary health
care to children.
(2) Training to
identify dependent adult abuse. A licensee who regularly provides primary
health care to adults in Iowa must complete at least two hours of training
provided by the department of human services pursuant to Iowa Code section
235B.16(5)
"c" in dependent adult abuse identification and reporting
every three years. If a licensee completes at least one hour of additional
dependent adult abuse identification and reporting training prior to the
three-year expiration period, the licensee shall be deemed in compliance with
the training requirements of this subparagraph for an additional three years.
"A licensee who regularly provides primary health care to adults" means all
emergency physicians, family physicians, general practice physicians,
internists, obstetricians, gynecologists, and psychiatrists, and any other
physician who regularly provides primary health care to adults.
d.
Training for chronic
pain management for permanent or special license renewal. The licensee
shall complete the training for chronic pain management as part of a category 1
credit. The licensee may utilize category 1 credit received for this training
during the license period in which the training occurred to meet continuing
education requirements in paragraph 11.4(1)"a."
(1) A licensee who has prescribed opioids to
a patient during the previous license period must complete at least two hours
of category 1 credit regarding the United States Centers for Disease Control
and Prevention (CDC) guideline for prescribing opioids for chronic pain,
including recommendations on limitations on dosages and the length of
prescriptions, risk factors for abuse, and nonopioid and nonpharmacologic
therapy options, every five years. A licensee may attest as part of the license
renewal process that the licensee is not subject to the requirement to receive
continuing medical education credits pursuant to this paragraph, due to the
fact that the licensee did not prescribe opioids to a patient during the
previous licensure cycle.
(2) A
licensee who had a permanent or special license on January 1, 2019, has until
January 1, 2024, to complete the chronic pain management training and shall
then complete the training once every five years thereafter.
e.
Training for
end-of-life care for permanent or special license renewal. The
licensee shall complete the training for end-of-life care as part of a category
1 credit. The licensee may utilize category 1 credit received for this training
during the license period in which the training occurred to meet continuing
education requirements in paragraph 11.4(1) "a."
(1) A licensee who regularly provides direct
patient care to actively dying patients in Iowa must complete at least two
hours of category 1 credit for end-of-life care every five years.
(2) A licensee who had a permanent or special
license on January 1, 2019, has until January 1, 2024, to complete the
end-of-life care training and shall then complete the training once every five
years thereafter.
(2)
Exemptions from renewal
requirements.
a. A licensee shall be
exempt from the continuing education requirements in subrule 11.4(1) when, upon
license renewal, the licensee provides evidence for:
(1) Periods that the licensee served
honorably on active duty in the U.S. armed forces, reserves or national
guard;
(2) Periods that the
licensee practiced in another state or district and did not provide medical
care, including telemedicine services, to patients located in Iowa, if the
other state or district had continuing education requirements for the
profession and the licensee met all requirements of that state or district for
practice therein;
(3) Periods that
the licensee was a government employee working in the licensee's specialty and
assigned to duty outside the United States; or
(4) Other periods of active practice and
absence from the state approved by the board.
b. The requirements for training on chronic
pain management and end-of-life care for license renewal shall be suspended for
a licensee who provides evidence for:
(1)
Periods described in subparagraph 11.4(2)"a"(1), (2), (3), or
(4); or
(2) Periods that the
licensee resided outside of Iowa and did not practice in Iowa.
(3)
Extension for completion of or
exemption from renewal requirements. The board may, in individual
cases involving physical disability or illness, grant an extension of time for
completion of, or an exemption from, the renewal requirements in subrule
11.4(1).
a. A licensee requesting an extension
or exemption shall complete and submit a request form to the board that sets
forth the reasons for the request and has been signed by the licensee and
attending physician.
b. The board
may grant an extension of time to fulfill the requirements in subrule
11.4(1).
c. The board may grant an
exemption from the educational requirements for any period of time not to
exceed one calendar year.
d. If the
physical disability or illness for which an extension or exemption was granted
continues beyond the period of waiver, the licensee must reapply for a
continuance of the extension or exemption.
e. The board may, as a condition of any
extension or exemption granted, require the applicant to make up a portion of
the continuing education requirement by methods it prescribes.
(4)
Reinstatement
requirement. An applicant for license reinstatement whose license has
been inactive for one year or more shall provide proof of successful completion
of 40 hours of category 1 credit completed within 24 months prior to submission
of the application for reinstatement or proof of successful completion of SPEX
or COMVEX-USA within one year immediately prior to the submission of the
application for reinstatement.
(5)
Cost of continuing education and training for renewal or
reinstatement. Each licensee is responsible for all costs of
continuing education and training required in 653-Chapter 11.
(6)
Documentation. A
licensee shall maintain documentation of the continuing education and training
requirements in 653-Chapter 11, including dates, subjects, duration of
programs, and proof of participation, for five years after the date of the
continuing education and training.
(7)
Audits. The board may
audit continuing education and training documentation at any time within the
five- or three-year period, as applicable. If the board conducts an audit of
continuing education and training, a licensee shall respond to the board and
provide all materials requested, within 30 days of a request made by board
staff or within the extension of time if one has been granted.
(8)
Grounds for discipline.
A licensee may be subject to disciplinary action for failure to comply with
continuing education and training requirements in 653-Chapter 11.
Notes
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