Mich. Admin. Code R. 338.2443 - Acceptable continuing education; requirements; limitations

Rule 143.

(1) The 150 hours of continuing education required under R 338.2441 must satisfy the following requirements, as applicable:

(a) Credit for a continuing education program or activity that is identical or substantially equivalent to a program or activity for which the licensee has already earned credit during the renewal period cannot be granted.

(b) A minimum of 1 hour of continuing education must be earned in medical ethics.

(c) A minimum of 3 hours of continuing education must be earned in pain and symptom management under section 17033(2) of the code, MCL 333.17033. At least 1 of the 3 hours must include controlled substances prescribing. Continuing education hours in pain and symptom management may include, but are not limited to, any of the following areas:

(i) Public health burden of pain.

(ii) Ethics and health policy related to pain.

(iii) Michigan pain and controlled substance laws.

(iv) Pain definitions.

(v) Basic sciences related to pain including pharmacology.

(vi) Clinical sciences related to pain.

(vii) Specific pain conditions.

(viii) Clinical physician communication related to pain.

(ix) Management of pain, including evaluation and treatment and non-pharmacological and pharmacological management.

(x) Ensuring quality pain care and controlled substances prescribing.

(xi) Michigan programs and resources relevant to pain.

(d) A minimum of 75 continuing education credits must be obtained through category 1 programs listed in subrule (2) of this rule.

(e) Completion of implicit bias training under R 338.7004 during the 3 years immediately preceding the application for renewal may be used toward satisfaction of the requirements of R 338.2441(2) and subrule (1) of this rule.

(2) The following activities are acceptable category 1 continuing education:

	Activity and Proof of Completion	Number of Continuing Education Hours granted/allowed for the activity
(a)	Attendance at or participation in a continuing education program or activity related to the practice of medicine, including, but not limited to, live, in-person programs, interactive or monitored teleconference, audioconference, or web-based programs, online programs, and journal articles with a self-study component or other self-study programs approved or offered by any of the following organizations: - American Medical Association. - Michigan State Medical Society. - Accreditation Council for Continuing Medical Education (ACCME) including non-ACCME accredited providers engaging in joint providership with ACCME accredited providers. - American Osteopathic Association. - Michigan Osteopathic Association. If audited, the licensee must provide a copy of the letter or certificate of completion showing the licensee's name, number of continuing education hours earned, sponsor name or the name of the organization that approved the program or activity for continuing education credit, and the date the program was held or the activity completed.	The number of continuing education hours for a specific program or activity is the number of hours approved by the sponsor or the approving organization for the specific program. A maximum of 150 continuing education hours may be earned for this activity during the renewal period.
(b)	Taking and passing a specialty board certification or recertification examination for a specialty board recognized by the American Board of Medical Specialties, the American Board of Physician Specialties, or the National Board of Physicians and Surgeons. If audited, the licensee shall provide proof from the specialty board of the successful passing of the examination.	Fifty continuing education hours are granted for successfully passing a specialty board certification or recertification examination during the renewal period. A maximum of 50 continuing education hours may be earned for this activity in each renewal period.
(c)	Successfully completing an activity that is required for maintenance of a specialty certification for a board recognized by the American Board of Medical Specialties, the American Board of Physician Specialties, or the National Board of Physicians and Surgeons that does not satisfy the requirements of subrule (2)(a) or (b) of this rule. If audited, the licensee shall provide proof from the specialty board that the activity was required for maintenance of certification, that the activity was successfully completed, and the date of completion.	One continuing education hour is granted for every 60 minutes spent on the activity. A maximum of 30 continuing education hours may be earned for this activity in each renewal period.
(d)	Participation in a clinical training program that satisfies any of the requirements of R 338.2421(2), (3), or (4) or is accredited by a board recognized by the American Board of Medical Specialties, the American Board of Physician Specialties, or the National Board of Physicians and Surgeons. To receive credit, the licensee shall be enrolled for a minimum of 5 months in a 12-month period. If audited, the licensee shall provide a letter from the program director verifying the licensee took part in the program.	Fifty continuing education hours per year may be granted for this activity. A maximum of 150 continuing education hours may be earned per renewal period.

(3) The following activities are acceptable category 2 continuing education:

	Activity and Proof of Completion	Number of Continuing Education Hours granted/allowed for the activity
(a)	Serving as a clinical instructor for medical students or residents engaged in a postgraduate training program that satisfies requirements of R 338.2421(2), (3), or (4). To receive credit, the clinical instructorship must not be the licensee's primary employment function. If audited, the licensee shall provide proof of scheduled instructional hours and a letter from the program director verifying the licensee's role.	Two continuing education hours are granted for each 50 to 60 minutes of scheduled instruction. Additional credit for preparation of a lecture cannot be granted. A maximum of 48 continuing education hours may be earned for this activity in each renewal period.
(b)	Initial presentation of a scientific exhibit, poster, or paper to a professional medical organization. If audited, the licensee shall provide a copy of the document presented with proof of presentation or a letter from the program sponsor verifying the date of the presentation.	Two continuing education hours are granted for each presentation. No additional credit is granted for preparation of the presentation. A maximum of 24 continuing education hours may be earned in this activity in each renewal period. Under R 338.2443(1)(a), credit for a presentation is granted only once per renewal period.
(c)	Publication of a scientific article relating to the practice of medicine in a peer-reviewed journal or periodical. If audited, the licensee shall provide a copy of the publication that identifies the licensee as the author or a publication acceptance letter and documentation of the peer-review process.	Six continuing education hours are granted for serving as the primary author. Three continuing education hours are granted for serving as a secondary author. A maximum of 24 continuing education hours may be earned for this activity in each renewal period. Under R 338.2443(1)(a), credit for an article is granted once per renewal period.
(d)	Initial publication of a chapter or a part of a chapter related to the practice of medicine in either of the following textbooks: - A professional healthcare textbook. - A peer-reviewed textbook. If audited, the licensee shall provide a copy of the publication that identifies the licensee as the author or a publication acceptance letter.	Five continuing education hours are granted for serving as the primary author. Two continuing education hours are granted for serving as a secondary author. A maximum of 24 continuing education hours may be earned for this activity in each renewal period. Under R 338.2443(1)(a), credit for publication is granted once per renewal period.
(e)	Participating on any of the following committees: - A peer-review committee dealing with quality of patient care as it relates to the practice of medicine. - A committee dealing with utilization review as it relates to the practice of medicine. - A healthcare organization committee dealing with patient care issues related to the practice of medicine. - A national or state committee, board, council, or association related to the practice of medicine. Participation in a committee, board, council, or association is considered acceptable if it enhances the participant's knowledge and understanding of the field of medicine. If audited, the licensee shall provide a letter from an organization official verifying the licensee's participation in not less than 50% of the regularly scheduled meetings of the committee, board, council, or association.	Eighteen continuing education hours are granted for taking part on a committee. A maximum of 18 continuing education hours may be earned for this activity in each renewal period.

Notes

Mich. Admin. Code R. 338.2443

2016 AACS; 2021 AACS; 2023 AACS; 2024 MR 6, Eff. 3/19/2024