DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
DIRECTOR'S OFFICE
MEDICINE - 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(9) 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, 17031, 17033, 17048, and 17076 of the public health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.16174, 333.16204, 333.16215, 333.16287, 333.17031, 333.17033, 333.17048, and 333.17076, and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL 338.3501, 445.2001, 445.2011, and 445.2030)
R 338.2401, R 338.2407, R 338.2411, R 338.2413, R 338.2421, R 338.2423, R 338.2425, R 338.2427, R 338.2429, R 338.2431, R 338.2435, R 338.2437, R 338.2441, and R 338.2443 of the Michigan Administrative Code are amended, as follows:
PART 1. GENERAL PROVISIONS
R 338.2401 Definitions.
Rule 101. (1) As used in these rules:
(a) “Board” means the Michigan board of medicine created under section 17021 of the code, MCL 333.17021.
(b) “Code” means the public health code, 1978 PA 368,
MCL 333.1101 to 333.25211. “CK” means clinical knowledge.
(c) “Department” means the department of licensing and
regulatory affairs. “Code” means the public health code, 1978 PA 368,
MCL 333.1101 to 333.25211.
(d) “Department” means the department of licensing and regulatory affairs.
(e) “ECFMG” means the Educational Commission for Foreign Medical Graduates.
(f) “FSMB” means the Federation of State Medical Boards.
(g) “USMLE” means the United States Medical Licensing Examination.
(2) A term defined in the code has the same meaning when used in these rules.
R 338.2407 Telehealth.
Rule 107. (1) A licensee shall obtain Consent
consent for treatment must be obtained before providing a
telehealth service under section 16284 of the code, MCL 333.16284.
(2) A licensee shall keep Proof proof of
consent for telehealth treatment must be maintained in the
patient’s up-to-date medical record and retained in compliance with satisfy
section 16213 of the code, MCL 333.16213.
(3) A physician licensee providing a
telehealth service may prescribe a drug if the physician licensee is
a prescriber acting within the scope of his or her the licensee’s practice
and in compliance with section 16285 of the code, MCL 333.16285, and if he
or she the licensee does both of the following:
(a) If medically necessary, refers the patient to a provider who is geographically accessible to the patient.
(b) Makes himself or herself the licensee 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 licensee providing any
a telehealth service shall do both of the following:
(a) Act within the scope of his or her the
licensee’s practice.
(b) Exercise the same standard of care applicable to a traditional, in-person health care service.
R 338.2411 Delegation of prescribing controlled substances to an advanced practice
registered nurse; limitation.
Rule 111. (1) A physician may delegate the prescription
of controlled substances listed in schedules 2 to 5 to a registered nurse who
holds a specialty certification under section 17210 of the code, MCL 333.17210,
with the exception of except for a nurse anesthetist, if the
delegating physician establishes a written authorization that contains has
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, nurse midwife, or clinical nurse specialist.
(c) The limitations or exceptions to the delegation.
(d) The effective date of the delegation.
(2) 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. The delegating physician shall note the review date on the written authorization.
(3) The delegating physician shall maintain keep
a written authorization at the delegating physician’s primary place of
practice.
(4) 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 ensure that an
amendment to the written authorization is in compliance with satisfies
subrules (1), (2), (3), and (4) of this rule.
(6) A delegating physician may authorize a nurse
practitioner, a nurse midwife, or a clinical nurse specialist to issue a
multiple prescriptions allowing the patient to receive a total of up to a
90-day supply of a schedule 2 controlled substance.
(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 338.2413 Training standards for identifying victims of human trafficking;
requirements.
Rule 113. (1) Under section 16148 of the code, MCL 333.16148, an individual seeking licensure or who is licensed shall complete training in identifying victims of human trafficking that satisfies the following standards:
(a) Training content must cover all of the
following:
(i) Understanding the types and venues of human trafficking in this state or 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) Resources Identifying 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 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 must include the individual’s name and either of the following:
(i) For training completed under subrule (1)(b)(i) to (iii) of this rule, the date, training provider name, and name of training.
(ii) For training completed 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) Under section 16148 of the code, MCL 333.16148, the requirements specified in subrule (1) of this rule apply for license renewals beginning with the 2017 renewal cycle and for initial licensure beginning December 6, 2021.
PART 2. LICENSES
R 338.2421 Accreditation standards for approval of medical schools and medical
residency programs.
Rule 121. (1) The board approves and adopts by
reference the standards for accrediting medical schools developed and
adopted by the Liaison Committee on Medical Education, 655 K Street, Street
NW, Suite 100, Washington, District of Columbia 20001-2399, set forth in
the publication entitled “Functions and Structures Structure of a
Medical School”, School,” March 2018 2021 edition,
which is are available at no cost on the committee’s website at:
www.lcme.org.
at https://lcme.org are approved and adopted by reference. The
board considers any A medical school accredited by the Liaison
Committee on Medical Education is approved. by the board.
(2) The board approves and adopts by reference the
standards for approval of a postgraduate training program developed and adopted
by the Accreditation Council for Graduate Medical Education, 401 N. Michigan
Avenue, Suite 2000, Chicago, Illinois 60611, set forth in the publication
entitled “ACGME Common Program Requirements,” effective July 1, 2016,
2021, and which are available at no cost on the council’s
website at: www.acgme.org. at https://www.acgme.org
are approved and adopted by reference. The board considers any A
medical postgraduate training program accredited by the Accreditation
Council for Graduate Medical Education is approved. by the
board.
(3) The board approves and adopts by reference the
standards for approval of a resident training program by the College of Family
Physicians of Canada, 2630 Skymark Avenue, Mississauga, Ontario, Canada L4W
5A4, set forth in the publication entitled “Specific Standards for Family
Medicine Training Programs Accredited by the College of Family Physicians of
Canada,” “Standards of Accreditation for Residency Programs in Family
Medicine,” 2016 edition July 2020 version, which are available
at no cost from on the college’s website at: http://www.cfpc.ca/Residency_Program_Accreditation.
at https://www.cfpc.ca/en/home are approved and adopted by reference.
The board considers any A residency program accredited by the
College of Family Physicians of Canada is approved. by the
board.
(4) The board approves and adopts by reference the
standards for approval of a resident training program by the Royal College of
Physicians and Surgeons of Canada, 774 Echo Drive, Ottawa, Ontario, Canada K1S
5N8, set forth in the publication entitled “General Standards of Accreditation,”
Accreditation for Residency Programs,” June 2013 July 2020 edition,
which are available at no cost from on the college’s website:
http://www.royalcollege.ca/portal/page/portal/rc/credentials.
website at https://www.royalcollege.ca/rcsite/home-e are approved and
adopted by reference. The board considers any A residency
program accredited by the Royal College of Physicians and Surgeons is approved.
by the board.
(5) The board approves and adopts by reference the
standards for approval of a resident training program by the Canadian Medical
Association’s Conjoint Accreditation Services, 1867 Alta Vista Drive, Ottawa,
Ontario, Canada K 1G 5W8, set forth in the publication entitled “Requirements
for Accreditation,” 2014 edition, available at no cost from the association’s
website at: http://www.cma.ca/learning/conjointaccreditation.
The board considers any residency program accredited by the Conjoint
Accreditation Service approved by the board.
(6) (5) Copies of the standards and
criteria adopted by reference in subrules (1), (2), (3), (4), and (5)
and (4) of this rule are available for inspection and distribution at a
cost of 10 cents per page from the Board of Medicine, Bureau of Professional
Licensing, Department of Licensing and Regulatory Affairs, 611 W. Ottawa, P.O.
Box 30670, Lansing, Michigan 48909.
R 338.2423 Medical doctor; Doctor of medicine; license
requirements; United States
and Canadian graduates.
Rule 123. An applicant for a doctor of medicine medical
license who graduated from a medical school located inside the United States,
its territories, States or the Dominion of Canada, Canada in
addition to satisfying shall satisfy the requirements of the code,
code and the administrative rules promulgated under the code, shall
satisfy as well as all of the following requirements:
(a) Submit Provide the required fee and a
completed application on a form provided by the department.
(b) Possess Provide proof verifying completion
of a degree from a medical school that satisfies the standards set forth
in under R 338.2421(1).
(c) Have passed Provide proof verifying passing
scores on all parts steps of the United States Medical
Licensing Examination (USMLE) USMLE adopted under R 338.2431.
and proof verifying satisfaction of all the requirements under R 338.2431.
(d) Have completed Provide proof verifying completion
of a minimum of 2 years 1 year of postgraduate clinical
training in a program that satisfies the requirements of under R
338.2421(2), (3), (4), or (5). or (4).
R 338.2425 Medical doctor; Doctor
of medicine; license requirements; foreign
graduates.
Rule 125. An applicant for a doctor of medicine medical
license who graduated from a medical school located outside the United States,
its territories, States or the Dominion of Canada, Canada in
addition to satisfying shall satisfy the requirements of the code,
code and the administrative rules promulgated under the code, shall
satisfy as well as all of the following requirements:
(a) Submit Provide the required fee and a
completed application on a form provided by the department.
(b) Provide proof verifying Have
certification provided directly to the department from the Educational Commission for Foreign Medical Graduates (ECFMG)
verifying ECFMG that the applicant has satisfied both of the
following requirements: graduated from a medical school listed in the
World Directory of Medical Schools.
(i) Graduated from a medical school listed in the
World Directory of Medical Schools.
(ii) Passed all parts of the USMLE adopted
under R 338.2431.
(c) Provide proof verifying passing scores on all steps of the USMLE adopted under R 338.2431 and proof verifying satisfaction of all the requirements under R 338.2431.
(c) (d) Provide proof verifying
completion of Completed a minimum of 2 years 1 year of
postgraduate clinical training in a program that satisfies the requirements of
under R 338.2421(2), (3), (4), or (5). or (4).
(d) (e) Submit Provide a
certificate of completion of the postgraduate training required under
subdivision (c) (d) of this rule to the department no more than
15 days prior to before the scheduled date of completion.
R 338.2427 Licensure by endorsement.
Rule 127. (1) An applicant for a Michigan doctor
of medicine medical license by endorsement shall submit the
required fee and a completed application on a form provided by the department.
satisfy the requirements of the code and the administrative rules
promulgated under the code, as well as all the following requirements:
(a) Provide the required fee and a completed application on a form provided by the department.
(b) Provide proof verifying a current and full doctor of medicine license in another state or in a province of Canada.
(c) If the applicant is licensed as a doctor of medicine in a province in Canada, provide proof verifying that the applicant completed the educational requirements in Canada or in the United States for licensure as a doctor of medicine in Canada or in the United States.
(d) Provide proof verifying passing scores on either of the following examinations for a doctor of medicine license in another state or in a province of Canada to obtain licensure as a doctor of medicine in another state or in a province of Canada:
(i) All steps of the USMLE adopted under R 338.2431 and provide proof verifying satisfaction of all the requirements under R 338.2431.
(ii) Part I of the Medical Council of Canada Qualifying Examination (MCCQE).
(2) An applicant shall satisfy 1 of the following
requirements: An applicant who provides proof verifying
a current and full license in good standing as a doctor of medicine in another
state or in a province of Canada for not less than 10 years before the date of
filing the application for a doctor of medicine license by endorsement is
presumed to satisfy the requirements of subrule (1)(c), (d), and (e) of this
rule.
(a) Has first been licensed in good standing in
another state and actively engaged in the practice of medicine for at least 10
years prior to the date of filing the application.
(b) Has first been licensed in good standing in
another state and actively engaged in the practice of medicine less than 10
years prior to the date of filing the application and satisfies both of the
following requirements:
(i) Passed all parts of the USMLE adopted under R
338.2431.
(ii) Completed a minimum of 2 years of
postgraduate clinical training in a program that satisfies the requirements of
R 338.2421(2), (3), (4), or (5).
(3) An applicant’s license shall 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 a medical doctor. 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. An applicant who is or has been licensed,
registered, or certified in a health profession or specialty by another state,
the United States military, the federal government, or another country shall
disclose that fact on the application form. The applicant shall satisfy the
requirements of section 16174(2) of the code, MCL 333.16174, including verification
from the issuing entity showing that disciplinary proceedings are not pending
against the applicant and, except as otherwise provided under section 17011(4)
of the code, MCL 333.17011, sanctions are not in force when the application is
submitted. If licensure is granted and it is determined that sanctions have
been imposed, the disciplinary subcommittee may impose appropriate sanctions
under section 16174(5) of the code, MCL 333.16174.
R 338.2429 Educational limited license.
Rule 129. (1) An individual not eligible for a Michigan
doctor of medicine medical license shall obtain an educational
limited license before engaging in postgraduate training.
(2) An applicant for an educational limited license who is
from a medical school located inside the United States, its
territories, States or the Dominion of Canada, Canada in
addition to satisfying shall satisfy the requirements of the code,
code and the administrative rules promulgated under the code, shall
satisfy as well as all of the following requirements:
(a) Submit Provide the required fee and a
completed application on a form provided by the department.
(b) Have documentation provided directly to the
department Provide proof verifying that the applicant has graduated or
is expected to graduate within 3 months of the date of the application from
a medical school that satisfies the requirements of under R
338.2421(1). verifying that the applicant has graduated or is
expected to graduate within 3 months of the date of the application.
(c) Have documentation provided directly to the
department verifying Provide proof verifying that the applicant has
been accepted into a postgraduate training program that satisfies the
requirements of under R 338.2421(2).
(3) An applicant for an educational limited license who is
from a medical school located outside the United States, its
territories, States or the Dominion of Canada, Canada in
addition to satisfying shall satisfy the requirements of the code,
code and the administrative rules promulgated under the code, shall
satisfy as well as all of the following requirements:
(a) Submit Provide the required fee and a
completed application on a form provided by the department.
(i) Graduated from a medical school listed in the World Directory of Medical Schools.
(ii) Passed parts Received passing scores on step
1 and step 2 CK of the USMLE adopted under R 338.2431.
(c) Have documentation provided directly to the
department Provide proof verifying that the applicant has been
accepted into a postgraduate training program that satisfies the requirements of
under R 338.2421(2).
(4) Under section 17012(2) of the code, MCL 333.17012, an
educational limited license may be renewed is not renewable
for more than 5 years.
R 338.2431 Examination; adoption; passing scores; limitation on attempts; time
limitations.
Rule 131. (1) The board adopts the United States
Medical Licensing Examination (USMLE) USMLE, developed and
administered by the Federation of State Medical Boards (FSMB), FSMB,
is approved and adopted, which consists of the following parts: steps:
(a) USMLE – part 1. USMLE Step 1.
(b) USMLE – part 2. USMLE Step 2 CK.
(c) USMLE – part 3. USMLE Step 3.
(2) The passing score for each part step of
the USMLE accepted for licensure is the passing score established by the FSMB.
(3) An applicant shall not make more than 3 4 attempts
to pass any part step of the USMLE.
(4) An applicant shall successfully pass all parts steps
of the USMLE within 7 years from after the date that he or
she the applicant first passed any part a step of the
USMLE. An applicant may request consideration of a variance of the 7-year
requirement by providing, at a minimum, proof of verifying both
of the following requirements to the board:
(a) That the applicant has already passed all parts
steps of the USMLE, but that the time taken to pass all parts steps
is more than 7 years.
(b) That the applicant has completed either of the following activities:
(i) Graduation from an accredited graduate degree program in addition to medical school.
(ii) Completion of a residency or fellowship program with demonstrated consistent participation in the program.
R 338.2435 Clinical academic limited license.
Rule 135. An applicant for a clinical academic limited
license shall submit the required fee and a completed application on a form
provided by the department. In addition to satisfying satisfy the
requirements of the code, code and the administrative rules
promulgated under the code, as well as all the applicant shall satisfy
both of the following requirements:
(a) Have documentation provided directly to the
department verifying that he or she has been appointed to a position in an
academic institution as defined in section 17001(1)(a) of the code, MCL
333.17001. Provide the required fee and a completed application on a
form provided by the department.
(b) Provide documentation from either of the following
entities: Provide proof verifying that the applicant has been appointed
to a position in an academic institution, as that term is defined in section
17001 of the code, MCL 333.17001.
(i) Verification provided directly to the
department from a medical school that satisfies the requirements of R
338.2421(1), indicating that the applicant has graduated or is expected to graduate
within 3 months of the date of the application.
(ii) Certification provided directly to the
department from the ECFMG indicating that the applicant has satisfied both of
the following requirements:
(A) Graduated from a medical school listed in
the World Directory of Medical Schools.
(B) Passed parts 1 and 2 of the USMLE adopted
under R 338.2431.
(c) Provide proof verifying 1 of the following:
(i) The applicant has graduated from a medical school that satisfies the requirements under R 338.2421(1).
(ii) Certification from the ECFMG that the applicant has satisfied both of the following requirements:
(A) Graduated from a medical school listed in the World Directory of Medical Schools.
(B) Received passing scores on step 1 and step 2 CK of the USMLE adopted under R 338.2431.
R 338.2437 Relicensure.
Rule 137. (1) An applicant whose Michigan doctor
of medicine medical license has lapsed for less than 3 years
preceding the date of application for relicensure may be relicensed under
section 16201(3) of the code, MCL 333.16201, if the applicant satisfies the
requirements of the code and the administrative rules promulgated under the
code, as well as all of the following requirements:
(a) Submits Provides the required fee and a
completed application on a form provided by the department.
(b) Submits Provides proof verifying the
to the department of completing completion of not less than
150 hours of continuing education that satisfies the requirements of R 338.2443
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 that term is defined and determined under
1974 PA 381, MCL 338.41 to 338.47.
(i) Disciplinary proceedings are not pending against the applicant.
(ii) If sanctions have been imposed against the applicant,
the sanctions are not in force when at the time of
application. application is submitted.
(iii) A previously held license was not surrendered or allowed to lapse to avoid discipline.
(2) An applicant whose Michigan doctor of
medicine medical license has been lapsed for 3 years but less than 5
years may be relicensed under section 16201(4) of the code, MCL 333.16201, if
the applicant submits provides fingerprints as set forth in
section 16174(3) of the code, MCL 333.16174, and satisfies the requirements of
subrule (1) of this rule and either of the following requirements:
(a) Presents Provides proof verifying to
the department that he or she the applicant is actively
currently licensed and in good standing as a doctor of medicine medical
doctor in another state. state or in a province of Canada.
(b) Provides proof verifying Completes completion
of 1 of the following during the 3 years immediately preceding the date of
the application for relicensure:
(i) Takes and Successfully passes passed
the Special Purpose Examination (SPEX) offered by the FSMB. The passing
score is the passing score established by the FSMB.
(ii) Successfully completes completed a
postgraduate training program that satisfies the requirements of under
R 338.2421(2), (3), (4), or (5). or (4).
(iii) Successfully completes completed a
physician re-entry program accredited by that is an organizational
member of the Coalition for Physician Enhancement (CPE).
(iv) Successfully completes completed a
physician re-entry program affiliated with a medical school that satisfies the
requirements of under R 338.2421(1).
(3) An applicant whose Michigan doctor of
medicine medical license has been lapsed for 5 years or more may be
relicensed under section 16201(4) of the code, MCL 333.16201, if the applicant submits
provides fingerprints as set forth in section 16174(3) of the code, MCL
333.16174, and satisfies the requirements of subrule (1) of this rule and
either of the following requirements:
(a) Presents Provides proof verifying to
the department that he or she the applicant is actively
currently licensed and in good standing as a doctor of medicine medical
doctor in another state. state or in a province of Canada.
(b) Provides proof verifying Completes completion
of both of the following during the 3 years immediately preceding the date
of the application for relicensure:
(i) Takes and Successfully passes passed
the SPEX offered by the FSMB. The passing score is the passing score
established by the FSMB.
(ii) Successfully completes completed 1
of the following training options:
(A) A postgraduate training program that satisfies
the requirements of under R 338.2421(2), (3), (4), or (5).
or (4).
(B) A physician re-entry program that is accredited
by an organizational member of the CPE.
(C) A physician re-entry program affiliated with a medical
school that satisfies the requirements of under R 338.2421(1).
(4) If required to complete the requirements of subrule (2)(b) or (3)(b) of this rule, the applicant may obtain an educational limited license for the sole purpose of completing that training.
(6) An applicant shall 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 as a medical doctor.
Verification 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. An applicant who is or has been licensed, registered, or
certified in a health profession or specialty by another state, the United
States military, the federal government, or another country shall disclose that
fact on the application form. The applicant shall satisfy the requirements of
section 16174(2) of the code, MCL 333.16174, which includes verification from
the issuing entity showing that disciplinary proceedings are not pending
against the applicant and sanctions are not in force when the application is
submitted. If licensure is granted and it is determined that sanctions have
been imposed, the disciplinary subcommittee may impose appropriate sanctions
under section 16174(5) of the code, MCL 333.16174.
PART 3. CONTINUING EDUCATION
R 338.2441 License renewals.
Rule 141. (1) This part applies to an application for
renewal of a medical license under section 17031 of the code, MCL 333.17031,
and a medical special volunteer license under section 16184 of the code, MCL
333.16184. An applicant for renewal shall satisfy the requirements of
the code and the administrative rules promulgated under the code.
(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 R 338.2443 during the 3 years immediately
preceding the application for renewal.
(3) Submission of an application for renewal constitutes
the applicant’s certification of compliance with the requirements of this
rule. The licensee shall retain keep documentation of satisfying
the requirements of this rule for 4 years from after the date of
applying for license renewal. Failure to satisfy this rule is a violation of
section 16221(h) of the code, MCL 333.16221.
(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 submit provide
documentation as specified in R 338.2443.
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 identical 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 the area of medical ethics.
(c) For license renewals filed on December 6,
2017, or later, a minimum of 3 hours of continuing education must be earned in the
area of pain and symptom management under section 17033(2) of the code, MCL
333.17033(2). 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.
(2) The board considers any of the following
activities as are acceptable category 1 continuing education:
|
|
Activity and Proof of Completion |
Number of Continuing Education Hours granted/permitted for the activity |
|
(a) |
Attendance at or participation in a continuing education program or activity related to the practice of medicine, which includes, but is not limited to, live, in-person programs, interactive or monitored teleconference, audio-conference, 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 - American Osteopathic Association - Michigan Osteopathic Association
If audited, the licensee must |
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 hours of continuing education may be earned for this activity during the renewal period. |
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(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. |
A specialty board certification or recertification
examination successfully passed during the renewal period is granted 50 hours
of continuing education. |
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(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 2(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 hour of continuing education is granted for every 60 minutes spent on the activity. A maximum of 30 hours may be earned for this activity in each renewal period. |
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(d) |
Participation in a clinical training program that
satisfies any of the requirements of R 338.2421(2), (3), or
If audited, the licensee shall |
Fifty hours of continuing education |
(3) The board considers any of the following
activities as are acceptable category 2 continuing education:
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Activity and Proof of Completion |
Number of Continuing Education Hours granted/permitted for the activity |
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(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),
To receive credit, the clinical instructorship must not be the licensee’s primary employment function.
If audited, the licensee shall |
Two hours of continuing education is granted for each 50 to 60 minutes of scheduled instruction. Additional credit for preparation of a lecture cannot be granted. A maximum of 48 hours of continuing education may be earned for this activity in each renewal period. |
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(b) |
Initial presentation of a scientific exhibit, poster, or paper to a professional medical organization.
If audited, the licensee shall |
Two hours of continuing education is granted for each presentation. No additional credit is granted for preparation of the presentation. A maximum of 24 hours of continuing education 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. |
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(c) |
Publication of a scientific article relating to the practice of medicine in a peer-reviewed journal or periodical.
If audited, the licensee shall |
Six hours of continuing education is granted for serving as the primary author. Three hours of continuing education is granted for serving as a secondary author. A maximum of 24 hours of continuing education 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. |
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(d) |
Initial publication of a chapter or a
- A professional health care textbook. - A peer-reviewed textbook.
If audited, the licensee shall |
Five hours of continuing education is granted for serving as the primary author. Two hours of continuing education is granted for serving as a secondary author. A maximum of 24 hours of continuing education 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. |
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(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 health care 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 |
Eighteen hours of continuing education is granted for |
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