DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
DIRECTOR'S OFFICE
OSTEOPATHIC MEDICINE AND SURGERY - GENERAL RULES
Filed with the secretary of state on
These rules take effect immediately upon filing with the secretary of state unless adopted under section 33, 44, or 45a(6) of the administrative procedures act of 1969, 1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections become effective 7 days after filing with the secretary of state.
(By authority
conferred on the director of the department of licensing and regulatory affairs
by sections 16145, 16148, 16174, 16204, 16215, 16287, 17531, 17533,
and 17548 of the public health code, 1978 PA 368, MCL 333.16145,
333.16148, 333.16174, 333.16204, 333.16215, 333.16287, 333.17531, 333.17533,
and 333.17548, and Executive Reorganization Order Nos. 1996-1, 1991-9,
1996-2, 2003-1, and 2011-4, MCL 330.3101, 338.3501, 445.2001,
445.2011, and 445.2030)
R 338.111, R 338.115, R 338.117, R 338.119, R 338.120, R 338.121, R 338.123, R 338.125, R 338.127, R 338.129, R 338.133, R 338.141, and R 338.143 of the Michigan Administrative Code are amended, R 338.114 is added, and R 338.113 and R 338.131 are rescinded, as follows:
PART 1. GENERAL PROVISIONS
R 338.111 Definitions.
Rule 11. (1) As used in these rules:
(a) "Board"
means the Michigan board of osteopathic medicine and surgery created in under
section 17521 of the code, MCL 333.17521.
(b) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.
(c) “Department” means the department of licensing and regulatory affairs.
(2) A term defined in the code has the same meaning when used in these rules.
R 338.113 Name of
practitioner; display of name. Rescinded.
Rule 13. A person shall
not engage in the practice of osteopathic medicine and surgery under a personal
name other than the name under which he or she is licensed.
R 338.114 Telehealth.
Rule 14. (1) Consent for treatment must be obtained before providing a telehealth service under section 16284 of the code, MCL 333.16284.
(2) Proof of consent must be maintained in the patient’s up-to-date medical record and retained in compliance with section 16213 of the code, MCL 333.16213.
(3) A physician providing a telehealth service may prescribe a drug if the physician is a prescriber acting within the scope of his or her practice and in compliance with section 16285 of the code, MCL 333.16285, and if he or she does both of the following:
(a) If medically necessary, refers the patient to a provider that is geographically accessible to the patient.
(b) Makes himself or herself available to provide follow-up care services to the patient, or to refer the patient to another provider, for follow-up care.
(4) A physician providing any telehealth service shall do both of the following:
(a) Act within the scope of his or her practice.
(b) Exercise the same standard of care applicable to a traditional, in-person health care service.
R 338.115 Code of ethics.
Rule 15. (1) The standards
of the American Osteopathic Association, 142 E. Ontario St., Chicago, IL
60611-2864 set forth in the “Code of Ethics” dated April 24, 2014, July
24, 2016, are adopted by reference in these rules. The code of ethics may
be obtained at no cost from the association’s website at: http://www.osteopathic.org/inside-aoa/about/leadership/Pages/aoa-code-of-ethics.aspx. https://osteopathic.org/about/leadership/aoa-governance-documents/code-of-ethics/.
(2) A licensee shall not violate the code of ethics.
(3) Copies of the adopted
standards referenced in subrule (1) of this rule are available for inspection
and distribution at a cost of 10 cents per page from the Board of
Osteopathic Medicine and Surgery, Bureau of Health Care Services, Professional
Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa,
P.O. Box 30670, Lansing, Michigan 48909.
R 338.117 Delegation to Prescribing
of drugs by physician’s assistants; written authorization requirements.
procedures and protocols.
Rule 17. (1) Under section 17548(3)
and (4) of the code, MCL 333.17548, and under the terms of a practice
agreement, A physician who supervises a physician’s assistant may
prescribe a drug, including a controlled substance that is included in
schedules 2 to 5 of part 72 of the code, MCL 333.7201 to MCL 333.7231, subject
to the following requirements: under sections 17548 and 17549 of the
code, MCL 333.17548 and 333.17549, shall establish a written authorization that
delegates to the physician’s assistant the performance of medical care services
or the prescribing of schedule 2 to 5 controlled substances, or both. The
written authorization shall contain all of the following:
(a) The name, license number, and
signature of the supervising physician.
(a) If a physician’s assistant prescribes a drug, the physician’s assistant’s name must be used, recorded, or otherwise indicated in connection with that prescription.
(b) The name, license number, and
signature of the physician’s assistant.
(b) If a physician’s assistant prescribes a drug that is included in schedules 2 to 5, the physician’s assistant’s DEA registration number must be used, recorded, or otherwise indicated in connection with that prescription.
(c) The limitations or exceptions
to the delegation of any medical care services or prescription of schedules 2
to 5 controlled substances.
(d) The effective date of the
delegation.
(2) The supervising physician shall
review and update the written authorization prior to the renewal of the
physician’s assistant’s license or in the interim as needed. A supervising
physician shall note the review date on the written authorization. Under
section 17548(3) and (5) of the code, MCL 333.17548, and under the terms of a
practice agreement, a physician’s assistant may order, receive, and dispense
complimentary starter dose drugs, including controlled substances that are
included in schedules 2 to 5 of part 72 of the code, MCL 333.7201 to MCL
333.7231, subject to the following requirements:
(a) If a physician’s assistant orders, receives, or dispenses a complimentary starter dose drug, the physician’s assistant’s name must be used, recorded, or otherwise indicated in connection with that order, receipt, or dispensing.
(b) If a physician’s assistant orders, receives, or dispenses a complimentary starter dose drug that is included in schedules 2 to 5, the physician’s assistant’s DEA registration number must be used, recorded, or otherwise indicated in connection with that order, receipt, or dispensing.
(3) A supervising physician shall
ensure that an amendment to the written authorization is in compliance with
subrule (1) of this rule.
(4) A supervising physician shall
maintain the signed, written authorization at the supervising physician’s
principal place of practice.
(5) The supervising physician shall
provide a copy of the signed, written authorization to the physician’s
assistant.
(6) A supervising physician shall
not delegate the prescription of a drug or device individually, in combination,
or in succession for a woman known to be pregnant with the intention of causing
either a miscarriage or fetal death.
R 338.119 Delegation of prescribing
controlled substances to nurse practitioners or nurse midwives; an
advance practice registered nurse; limitation.
Rule 19. (1) A physician may delegate the prescription of controlled substances listed in schedules 2 to 5 of part 72 of the code, MCL 333.7201 to MCL 333.7231, to a registered nurse who holds specialty certification under section 17210 of the code, MCL 333.17210, with the exception of a nurse anesthetist, if the delegating physician establishes a written authorization that contains all of the following information:
(a) The name, license number, and signature of the delegating physician.
(b) The name, license number, and
signature of the nurse practitioner, or nurse midwife.,
or clinical nurse specialist.
(c) The limitations or exceptions to the delegation.
(d) The effective date of the delegation.
(2) A The delegating physician
shall review and update a written authorization on an annual basis from the
original date or the date of amendment, if amended. A The delegating
physician shall note the review date on the written authorization.
(3) The delegating physician shall
ensure that an amendment to the written authorization is in compliance with
subrule (1) of this rule. The delegating physician shall maintain a
written authorization at the delegating physician’s primary place of practice.
(4) A delegating physician shall
maintain the signed, written authorization at the delegating physician’s
primary place of practice. The delegating physician shall provide a copy
of the signed, written authorization to the nurse practitioner, nurse midwife,
or clinical nurse specialist.
(5) The delegating physician shall
provide a copy of the signed, written authorization to the nurse practitioner
or nurse midwife. The delegating physician shall ensure that an
amendment to the written authorization is in compliance with subrules (1), (2),
(3), and (4) of this rule.
(6) A delegating physician shall not
may authorize a nurse practitioner, or a nurse midwife,
or a clinical nurse specialist to issue a multiple prescription
prescriptions allowing the patient to receive a total of up to a 90-day
supply for of a schedule 2 controlled substance. with
a quantity greater than a 30-day supply.
(7) A delegating physician shall not delegate the prescription of a drug or device individually, in combination, or in succession for a woman known to be pregnant with the intention of causing either a miscarriage or fetal death.
R 338.120 Training standards for identifying victims of human trafficking; requirements.
Rule 20. (1) Pursuant to Under
section 16148 of the code, MCL 333.16148, a licensed physician or licensure
applicant shall complete training in identifying victims of human trafficking
that meets satisfies the following standards:
(a) Training content shall must
cover all of the following:
(i) Understanding the types and venues of human trafficking in the United States.
(ii) Identifying victims of human trafficking in health care settings.
(iii) Identifying the warning signs of human trafficking in health care settings for adults and minors.
(iv) Using resources for reporting the suspected victims of human trafficking.
(b) Acceptable providers or methods of training include any of the following:
(i) Training offered by a nationally recognized or state recognized health-related organization.
(ii) Training offered by, or in conjunction with, a state or federal agency.
(iii) Training obtained in an educational program that has been approved by the board for initial licensure, or by a college or university.
(iv) Reading an article related to
the identification of victims of human trafficking that meets satisfies
the requirements of subdivision (a) of this subrule and is published in a
peer review journal, health care journal, or professional or scientific
journal.
(c) Acceptable modalities of training include any of the following:
(i) Teleconference or webinar.
(ii) Online presentation.
(iii) Live presentation.
(iv) Printed or electronic media.
(2) The department may select and audit a sample of individuals and request documentation of proof of completion of training. If audited by the department, an individual shall provide an acceptable proof of completion of training, including either of the following:
(a) Proof of completion certificate issued by the training provider that includes the date, provider name, name of training, and individual’s name.
(b) A self-certification statement by
an individual. The certification statement shall must include
the individual’s name and either of the following:
(i) For training completed pursuant
to under subrule (1)(b)(i) to (iii) of this rule, the date, training
provider name, and name of training.
(ii) For training completed pursuant
to under subrule (1)(b)(iv) of this rule, the title of article,
author, publication name of peer review journal, health care journal, or
professional or scientific journal, and date, volume, and issue of publication,
as applicable.
(3) Pursuant to Under section
16148 of the code, MCL 333.16148, the requirements specified in subrule (1) of
this rule apply to for license renewals beginning with the first
2017 renewal cycle after the promulgation of this rule and for
initial licensure beginning December 20, 2021. licenses issued 5 or
more years after the promulgation of this rule.
PART 2. LICENSES
R 338.121 Accreditation standards for approval of osteopathic medical schools, postgraduate training programs, and institutions; adoption by reference.
Rule 21. (1) The board
approves and adopts by reference the standards for accrediting osteopathic
medical schools developed and adopted by the American Osteopathic Association
Commission on Osteopathic College Accreditation, 212 East Ohio Street, 142
E. Ontario St., Chicago, IL 60611, Illinois 60611-2864, as
set forth in the publication entitled “Accreditation of Colleges of Osteopathic
Medicine: COM Accreditation Standards and Procedures” effective July 1,
2014, August 29, 2016, which is available at no cost on the
association’s website at: www.osteopathic.org.
The board shall consider considers any osteopathic school of
medicine accredited by the commission on osteopathic college accreditation
Commission on Osteopathic College Accreditation approved by the board.
(2) The board approves and
adopts by reference the standards of the American Osteopathic Association
Council on Postdoctoral Training, 212 East Ohio Street, 142 E.
Ontario St., Chicago, IL 60611, Illinois 60611-2864, as set
forth in the publication entitled “The Basic Documents for Postdoctoral
Training,” effective July 1, 2014, March 1, 2018, which is
available at no cost on the association’s website at: www.osteopathic.org. The board shall consider considers any
osteopathic postgraduate training program accredited by the American osteopathic
association council on postdoctoral training Osteopathic Association
Council on Postdoctoral Training approved by the board.
(3) The board approves and
adopts by reference the standards of the American Osteopathic Association
Council on Osteopathic Postdoctoral Training Institutions, 212 East Ohio
Street, 142 E. Ontario St., Chicago, IL Illinois 60611,
60611-2864, as set forth in the publication entitled “OPTI Accreditation
Handbook,” effective March 2014, which is available at no cost on the
association’s website at: www.osteopathic.org.
The board shall consider considers any osteopathic institution
accredited by the American osteopathic association council on osteopathic
postdoctoral training institutions Osteopathic Association Council on
Osteopathic Postdoctoral Training Institutions as approved by the
board.
(4) The board approves and
adopts by reference the standards for the approval of a postgraduate training
program developed and adopted by the Accreditation
Council for Graduate Medical Education, Suite 2000, 515 North State
Street, Chicago, IL 60654, 401 N. Michigan Avenue, Suite 2000, Chicago,
Illinois 60611, effective January 1, 2014, July 1, 2016, which
and available at no cost on the council’s website at: www.acgme.org/acgmeweb. The board shall consider considers any
medical postgraduate training program accredited on or after July 1, 2015,
by the accreditation council for graduate medical education Accreditation
Council for Graduate Medical Education as approved by the board.
(5) Copies of the standards
and criteria are available for inspection and distribution at a cost of
10 cents per page at from the Board of Osteopathic Medicine
and Surgery, Bureau of Health Care Services, Professional Licensing, Licensing
and Regulatory Affairs, 611 W. Ottawa Street, P.O. Box 30670, Lansing, Michigan
48909.
R 338.123 Licensure by examination.
Rule 23. An applicant for
licensure by examination, shall submit a completed application on a
form provided by the department together with the requisite fee. In in addition
to meeting satisfying the requirements of the code, and
the administrative rules, an applicant for licensure by examination
shall meet satisfy all of the following requirements:
(a) The applicant shall
have completed the requirements for a degree in
osteopathic medicine from a school of osteopathic medicine approved by the
board in R 338.121(1). Submit the required fee and a completed
application on a form provided by the department.
(b) The applicant shall
have satisfactorily completed 1 year of postgraduate clinical training that
satisfies either of the following requirements: Possess a degree from a
school of osteopathic medicine that satisfies the standards set forth in R
338.121(1).
(ii) A postgraduate
training program approved by the board in R 338.121(4).
(c) Certification of
satisfactory completion of postgraduate clinical training under sub-division
(b)(i) and (ii) of this rule shall be accepted by the board not more than 30
days before completion of the first year of training. Have passed all
parts of the Comprehensive Osteopathic Medical Licensing Examination (COMLEX)
adopted under R 338.129.
(d) The applicant shall
have passed all parts of the examination conducted and scored by the national
board of osteopathic medical examiners as set forth in R 338.129. Have completed a minimum of 1 year of postgraduate
clinical training in a program that satisfies either of the following
requirements:
(i) A postgraduate training program that satisfies the requirements of R 338.121(2) at a training institution that satisfies the requirements of R 338.121(3).
(ii) A postgraduate training program approved by the board in R 338.121(4).
R 338.125 Licensure by endorsement.
Rule 25. (1) An applicant
for an osteopathic medicine and surgery license by endorsement shall
submit the required fee on and a completed application on a form
provided by the department. An applicant who satisfies the requirements of
the code and this rule is presumed to meet the requirements of section
16186(1)(a) and (d) of the code, MCL 333.16186(1)(a) and (d).
(2) An applicant for an
osteopathic medicine and surgery license shall meet satisfy either
1 of the following requirements:
(a) Has first been
licensed in good standing in another state to and actively
engage engaged in the practice of osteopathic medicine and
surgery for at least 5 years before the date of filing of an the
application.
(b) Has first been
licensed in good standing in another state and has passed all
components of the national board of osteopathic medicine examination adopted in
R 338.129. actively engaged in the practice of osteopathic medicine and
surgery less than 5 years before the date of filing the application and
satisfies both of the following requirements:
(i) Passed all parts of the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) adopted under R 338.129.
(ii) Completed a minimum of 1 year of postgraduate clinical training in a program that satisfies either of the following requirements:
(A) A postgraduate training program that satisfies the requirements of R 338.121(2) at a training institution that satisfies the requirements of R 338.121(3).
(B) A postgraduate training program approved by the board in R 338.121(4).
(3) An applicant’s license shall
must be verified by the licensing agency of any state of the United
States in which the applicant holds a current license or has ever held a
license as an osteopathic physician. Verification includes, but is not limited
to, showing proof that the applicant’s license is in good standing and, if
applicable, any disciplinary action taken or pending against the applicant.
R 338.127 Educational limited license.
Rule 27. (1) An individual
not eligible for a Michigan osteopathic medicine and surgery license must
shall obtain an educational limited license before engaging in
postgraduate training.
(2) An applicant for an
educational limited license, in addition to meeting satisfying the
requirements of the code, and these rules shall satisfy all of
the following: following requirements:
(a) Submit the required fee and a completed application on a form provided by the department.
(b) Have documentation
provided directly to the department from an osteopathic medical school that meets
satisfies the requirements of R 338.121(1) verifying that the applicant
has graduated or is expected to graduate in within 3 months.
months of the date of the application.
(c) Have documentation
provided directly to the department verifying that the applicant has been
accepted into a postgraduate training program that meets satisfies the
requirements of R 338.121(2) or (4).
(3) Pursuant to Under
section 17512(2) of the code, MCL 333.17512(2), an educational limited
license may be renewed no not more than 5 times. years.
R 338.129 Examination; adoption;
required passing score. scores; limitation on attempts;
time limitations.
Rule 29. (1) The board
adopts the comprehensive osteopathic medical licensing examination (comlex)
Comprehensive Osteopathic Medical Licensing Examination (COMLEX) developed
and administered by the national board of osteopathic medical examiners
(nbome). National Board of Osteopathic Medical Examiners (NBOME).
(2) The passing score for
each component part of the comlex COMLEX accepted
for licensure shall be is the passing score established by the nbome.
NBOME.
(3) An applicant cannot make more than 6 attempts to pass any part of the COMLEX.
(4) An applicant shall successfully pass all parts of the COMLEX within 7 years from the date that he or she first passed any part of the COMLEX. An applicant may request consideration of a variance of the 7-year requirement by providing, at a minimum, proof of both of the following requirements to the board:
(a) That the applicant has already passed all parts of the COMLEX, but that the time taken to pass all parts is more than 7 years.
(b) That the applicant has completed 1 of the following activities:
(i) Graduation from an accredited graduate degree program in addition to osteopathic medical school.
(ii) Completion of a residency or fellowship program with demonstrated consistent participation in the program.
R 338.131 Examination
eligibility. Rescinded.
Rule 31. (1) To be
eligible to sit for any component of the comprehensive medical licensure
examination (comlex) adopted in R 338.129, an applicant shall satisfy the requirements
of the national board of osteopathic medical examiners.
(2) An applicant shall
make no more than 6 attempts to pass any part of the comlex.
(3) An applicant shall
successfully pass all components of the comlex within 7 years from the date
that he or she first passed any component of the comlex.
R 338.133 Relicensure. requirements.
Rule 33. (1) An applicant
whose Michigan osteopathic medicine and surgery license has lapsed for less
than 3 years preceding the date of application for relicensure may be
relicensed under section 16201(3), 16201(3) of the code, MCL
333.16201(3), of the code if the applicant meets satisfies
both all of the following requirements:
(a) Submits the required fee and a completed application on a form provided by the department.
(b) Submits proof to
the department of completing not less than 150 hours of continuing
education that satisfies the requirements of R 338.141. R 338.141
during the 3 years immediately preceding the date of the application for relicensure.
(c) Establishes that he or she is of good moral character as defined under 1974 PA 381, MCL 338.41 to 338.47.
(d) An applicant who holds or has ever held a license to practice osteopathic medicine and surgery shall establish all of the following requirements:
(i) Disciplinary proceedings are not pending against the applicant.
(ii) If sanctions have been imposed against the applicant, the sanctions are not in force at the time of application.
(iii) A previously held license was not surrendered or allowed to lapse to avoid discipline.
(2) An applicant whose
Michigan osteopathic medicine and surgery license has been lapsed for more
than 3 years but less than 5 years shall submit fingerprints as set
forth in section 16201(4) of the code, MCL 333.16201, and meet satisfy
the requirements of subrule (1) of this rule and any 1 of the
following requirements:
(a) Presents evidence
proof to the department that he or she was is actively
licensed and is in good standing as an osteopathic physician in another
state. at any time during the 3-year period immediately preceding the
date of application.
(b) Takes and passes
the comprehensive osteopathic medical variable-purpose examination (comvex)
offered by the national board of osteopathic medical examiners (nbome). The
passing score shall be the score established by the nbome for passing. Completes
1 of the following during the 3 years immediately preceding the date of the
application for relicensure:
(i) Takes and passes the Comprehensive Osteopathic Medical Variable-Purpose Examination (COMVEX) offered by the NBOME. The passing score is the passing score established by the NBOME.
(ii) Successfully completes a postgraduate training program that satisfies the requirements of R 338.121(2) or (4).
(iii) Successfully completes a physician re-entry program accredited by the Coalition for Physician Enhancement (CPE).
(iv) Successfully completes a physician re-entry program affiliated with an osteopathic medical school that satisfies the requirements of R 338.121(1).
(c) Successfully
completes a postgraduate training program that satisfies the requirements of R
338.121(2) or (4).
(d) Successfully
completes a physician re-entry program that is accredited by the coalition for
physician enhancement.
(3) An applicant whose
Michigan osteopathic medicine and surgery license has been lapsed for 5
years or more shall submit fingerprints as set forth in section 16201(4) of
the code, MCL 333.16201, and satisfy the requirements of subrule (1) of
this rule and either 1 of the following requirements:
(a) Presents evidence
proof to the department that he or she was is actively
licensed and is in good standing as an osteopathic physician in another
state. at any time during the 3-year time period immediately
preceding the date of application.
(b) Successfully
completes both of the following requirements: Completes
both of the following during the 3 years immediately preceding the date of the
application for relicensure:
(ii) Successfully
completes either 1 of the following training options:
(A) A post-graduate
postgraduate training program that satisfies the requirements of R
338.121(2) or (4).
(B) A physician
re-entry program that is accredited by the coalition for physician
enhancement. CPE.
(C) A physician re-entry program affiliated with an osteopathic medical school that satisfies the requirements of R 338.121(1).
(4) If required to complete
the requirements of subrules (2)(b) (2)(c), (2)(d), or (3)(b) of
this rule, the applicant may obtain a an educational limited
license for the sole purpose of completing the required that training.
(5) An applicant with an educational limited license may be relicensed under section 16201(3) or (4) of the code, MCL 333.16201, if he or she complies with subrule (1) of this rule and R 338.127.
(5) (6) An
applicant shall must have his or her license verified by the
licensing agency of any state of the United States in which the applicant holds
or has ever held a license to practice osteopathic medicine. Verification shall
must include information that the license is in good standing and, if
applicable, the record of any disciplinary action taken or pending against the
applicant.
R 338.141 Continuing
education as condition of license renewal. License renewals.
Rule 41. (1) This part applies to an application for renewal of an osteopathic medicine and surgery license under section 17531 of the code, MCL 333.17531, and an osteopathic medicine and surgery special volunteer license under section 16184 of the code, MCL 333.16184.
(2) An applicant for license
renewal who has been licensed in the 3-year period immediately preceding the
application for renewal shall accumulate a minimum of 150 hours of continuing
education in activities approved by the board under these rules R
338.143 during the 3 years immediately preceding the application for
renewal.
(3) Submission of an
application for renewal shall constitute constitutes the
applicant’s certification of compliance with the requirements of this rule. The
licensee shall retain documentation of meeting satisfying the
requirements of this rule for 4 years from the date of applying for license
renewal. Failure to comply with satisfy this rule is a violation
of section 16221(h) of the code, MCL 333.16221(h).
(4) The department may select
and audit a sample of licensees who have renewed their license and request
proof of compliance with subrule (2) of this rule. If audited, a licensee shall
must submit documentation as specified in R 338.143.
R 338.143 Acceptable
continuing education; requirements; and limitations.
Rule 43. (1) The 150 hours
of continuing education required pursuant to under R 338.141 shall
comply with must satisfy the following, following
requirements, as applicable:
(a) Credit for a
continuing education program or activity that is identical or substantially
identical to a program or activity for which the licensee has already earned
credit during the renewal period shall not cannot be granted.
(b) Beginning 1 year or
more after the effective date of these rules, a minimum of 3 hours of
continuing education must be earned in the area of pain and symptom management
pursuant to section 17533(2) of the code, MCL 333.17533(2). Continuing
education hours in pain and symptom management may include, but are not limited
to, public health burden of pain; ethics and health policy related to pain;
Michigan pain and controlled substance laws; pain definitions; basic sciences
related to pain including pharmacology; clinical sciences related to pain;
communication related to pain; management of pain, including evaluation and
quality pain care; or Michigan programs and resources relevant to pain. A
minimum of 1 hour of continuing education must be earned in the area of medical
ethics.
(c) A minimum of 60
continuing education credits must be earned through category 1 programs listed
in subrule (2) of this rule. For license renewals filed December 20,
2017, or later, a minimum of 3 hours of continuing education must be earned in
the area of pain and symptom management under section 17533(2) of the code, MCL
333.17533. 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 60 continuing education credits must be obtained through category 1 programs listed in subrule (2) of this rule.
(2) The board shall
consider considers any of the following activities as
acceptable category 1 continuing education:
|
|
Activity and Proof of Completion |
Number of continuing
education hours granted/permitted for |
|
(a) |
Attendance at or
participating in a continuing education program or activity related to the
practice of osteopathic medicine, which includes, but is not limited
to, live, in-person programs; and journal articles with a self-study
component, interactive or monitored teleconference; audio conference,
web-based programs; or online programs approved or offered by any of the ·
· Michigan Osteopathic Association.
If audited, a licensee shall submit a copy of a letter or certificate of completion showing the licensee’s name, number of credits earned, sponsor name or the name of the organization that approved the program or activity for continuing education credit, and the date or dates on which the program or activity was completed. |
The number of continuing
education hours for a specific program or activity is the number of hours
assigned by the sponsoring organization for the specific program or activity.
A minimum of 40 hours of continuing education
|
|
(b) |
Attendance at or
participating in a continuing education program or activity related to the
practice of osteopathic medicine which includes, but is not limited to, live,
in-person programs; and journal articles with a self-study component,
interactive or monitored teleconference; audio conference; web-based
programs; or online programs approved or offered by any of the
·
American ·
Accreditation ·
Michigan
If audited, the licensee shall submit a copy of a letter or certificate of completion showing the licensee’s name, number of credits earned, sponsor name or the name of the organization that approved the program or activity for continuing education credit, and the date or dates on which the program or activity was completed. |
The number of continuing education hours for a specific program or activity is the number of hours assigned by the sponsoring organization for the specific program or activity. A maximum of 110 hours of continuing education may be earned for this activity in a renewal period. |
|
(c) |
Taking
If audited, the licensee
shall provide |
|
|
(d) |
Successfully completing an
activity that is required for maintenance of a specialty certification for a
specialty board recognized by the American
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 hour of continuing
education |
|
(e) |
Serving as a teacher,
lecturer, preceptor, or moderator-participant in a medical education or
training program that
If audited, the licensee shall submit a letter from the program director verifying the licensee’s role, length of lecture or lectures, and the date on which the lecture or lectures were held. |
Two hours of continuing
education |
|
(f) |
Conducting a formal
inspection of an
If audited, the licensee shall submit documentation from the accrediting organization verifying the licensee’s role and participation in the inspection. |
Five hours of continuing
education |
|
(g) |
Participating in any of the · A peer review committee dealing with quality patient care as it relates to the practice of osteopathic medicine and surgery. · A committee dealing with utilization review as it relates to the practice of osteopathic medicine. · A health care organization committee with patient care issues related to the practice of osteopathic medicine. · A national or state committee, board, council, or association related to the practice of osteopathic medicine.
A committee, board, council, or association is considered acceptable by the board if it enhances the participant’s knowledge and understanding of the practice of osteopathic medicine. If audited, the licensee shall submit a letter from an organization official verifying the licensee’s participation in at least 50% of the regularly scheduled meetings. |
Fifteen hours per each
committee per year |
|
(h) |
Providing individual supervision for a disciplinary limited osteopathic physician.
If audited, the licensee shall submit an affidavit from the disciplinary limited osteopathic physician who received the supervision. The affidavit shall attest to the licensee’s role as supervisor and the number of hours spent providing supervision to the disciplinary limited osteopathic physician. |
One hour of continuing
education |
|
(i) |
Participating in a
If audited, the licensee shall submit a letter from the program director verifying the dates that the licensee was enrolled in the program. |
Fifty continuing education
credits per year |
|
(j) |
Publication of a scientific article relating to the practice of osteopathic medicine in a peer-reviewed journal or periodical.
If audited, the licensee shall submit a copy of the publication that identifies the licensee as the author or a publication acceptance letter and documentation |
Ten hours of continuing
education |
|
(k) |
Initial publication of a
chapter or a portion of a chapter related to the practice of osteopathic
medicine in either of the · A professional health care textbook. · A peer-reviewed text book.
If audited, the licensee shall submit a copy of the publication that identifies the licensee as the author or a publication acceptance letter. |
Ten hours of continuing
education |
|
(l) |
Until
If audited, the licensee shall submit a copy of the letter or certificate of completion showing the licensee’s name, number of continuing education hours earned, sponsor name, and the date on which the program was held or the activity completed. |
The number of continuing education
hours for a specific program or activity |
(3) The board considers
any of the following activities as acceptable Category category 2
activities are as follows: continuing education:
|
|
Activity and Proof of Completion |
Number of continuing
education hours granted/permitted for |
|
(a) |
Independently reading a
peer-reviewed journal that does not satisfy the requirement of subrule
(2)(a). The reading
If audited, the licensee shall submit a signed document, listing the journals read, including title, publisher, volume number, article read, and the authors. |
Three hours of continuing
education |
|
(b) |
Initial presentation of a scientific exhibit, poster, or paper to a professional osteopathic medicine organization.
If audited, the licensee
shall submit a copy of the document presented with |
Ten hours of continuing
education |
|
(c) |
Completing a multimedia
self-assessment that does not
If audited, the licensee shall submit a certificate of self-assessment provided by the program sponsor. |
The number of continuing
education hours |