DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

DIRECTOR’S OFFICE

PODIATRIC 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(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, 16178, 16182, 16186, 16204, 16205, 16287, 18031, and 18033 of the public health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.16174, 333.16178, 333.16182, 333.16186, 333.16204, 333.16205, 333.16287, 333.18031, and 333.18033, 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 338.8102, R 338.8103, R 338.8104, R 338.8107, R 338.8109, R 338.8110, R 338.8113, R 338.8126, and R 338.8127 of the Michigan Administrative Code are amended, as follows:

PART 2. LICENSURE

R 338.8102  Training standards for identifying victims of human trafficking;

  requirements.

  Rule 102. (1) Pursuant to sections 16148 and 17060 of the code, MCL 333.16148 and 333.17060, an individual seeking licensure or that is licensed shall complete have completed training in identifying victims of human trafficking that meets the following standards:

   (a) Training content that covers all of the following:

    (i) Understanding the types and venues of human trafficking in Michigan this state or the United States.

    (ii) Identifying victims of human trafficking in health care healthcare settings. 

    (iii) Identifying the warning signs of human trafficking in health care healthcare settings for adults and minors.

    (iv) 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 meets the requirements of subdivision (a) of this subrule and is published in a peer review peer-reviewed journal, health care healthcare 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 the individual.  The certification statement must include the individual’s name and either 1 of the following:

    (i) For training completed pursuant to subrule (1)(b)(i) to (iii) of this rule, the date, training provider name, and name of training.

    (ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of the article, author, publication name of the peer review peer-reviewed journal, health care healthcare journal, or professional or scientific journal, and the date, volume, and issue of publication, as applicable.

(3)  Pursuant to 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 January 6, 2022.

R 338.8103  Licensure by examination; requirements.

  Rule 103. An applicant for licensure by examination shall submit a completed application, on a form provided by the department, together with the requisite fee. In addition to meeting the requirements of the code and the administrative rules promulgated pursuant to under the code, an applicant shall satisfy all of the following requirements:

  (a) Have graduated from successfully completed the program of study offered by a school of podiatric medicine approved by the board in R 338.8113.

  (b) Have achieved a passing score on the required parts of the American Podiatric Medical Licensing Examination (APMLE) sponsored by the National Board of Podiatric Medical Examiners (NBPME) or its successor as required by R 338.8104(4).

  (c) Have achieved a converted score of not less than 75 on the podiatric jurisprudence examination administered by the department or an entity approved by the department. 

   (i) The jurisprudence examination shall that assess assesses an applicant’s knowledge of the laws and administrative rules governing the practice of podiatric medicine and surgery in this state.  (ii) An applicant who fails to achieve a passing score on the jurisprudence examination may repeat the examination without limitation.

  (d) Have satisfactorily completed not less than 3 a minimum of 2 years of a postgraduate residency training program approved by the board pursuant to under R 338.8113. Certification of the completion of the minimum of 2 years of postgraduate training must not be submitted to the department not more than 15 days before the scheduled completion of the training.

 R 338.8104 Examinations; Examination approval and adoption; required components;

  passing score.

  Rule 104. (1) The board approves and adopts the APMLE sponsored by the NBPME or its successor.

  (2) An applicant applying for licensure who graduated in 2014 or earlier, or who graduated in 2016, must shall have achieved a passing score on all of the following components parts of the APMLE:

   (a) Part I.

   (b) Part II, written portion only.

   (c) Part III.

  (3) An applicant applying for licensure who graduated in 2015 or later, excluding 2016, must have achieved a passing score on all of the following components of the APMLE:

    (a)  Part I.

    (b)  Part II.

    (c)  Part II Clinical Skills Patient Encounter (CSPE).

    (d)  Part III.

(4)(3) The accepted passing score for each component part of the APMLE for licensure is the passing score established by the NBPME or its successor.

R 338.8107  Licensure by endorsement; requirements.

  Rule 107. (1) An applicant for licensure by endorsement shall hold a current license in good standing from another state or province of Canada and meet the requirements of the code and the rules promulgated under the code.

  (2) An applicant shall submit a completed application, on a form provided by the department, together with the requisite fee.

  (3) An applicant for licensure by endorsement shall achieve a converted score of not less than 75 on the podiatric jurisprudence examination administered by the department or an entity approved by the department.

  (4) If an applicant was first licensed in another state and has been actively engaged in the practice of podiatric medicine for a minimum of 2 5 years before the date of filing an application for Michigan podiatric medical licensure in this state, it is presumed that the applicant meets the requirements of section 16186(1)(a) and (b) of the code, MCL 333.16186. 

  (5) If an applicant was first licensed in another state and has been actively engaged in the practice of podiatric medicine for less than 2 5 years before the date of filing an application for Michigan podiatric medical licensure in this state, the applicant shall satisfy all of the following requirements: 

   (a) Have graduated from a school of podiatric medicine approved by the board pursuant to under R 338.8113.

   (b) Have satisfactorily completed not less than 3 a minimum of 2 years of a postgraduate residency training program approved by the board pursuant to under R 338.8113.

   (c) Have achieved a passing score on each part the following parts of the APMLE as required by approved under R 338.8104.

(i) Part I.

    (ii) Part II, written portion only.

    (iii) Part III.

  (6) If an applicant is licensed in a province of Canada, the applicant shall satisfy both of the following:

   (a) Provide proof verifying that the applicant completed the educational requirements in Canada or in the United States for licensure as a doctor of podiatric medicine in Canada or in the United States.

   (b) Have achieved a passing score on the following part of the APMLE:

    (i) Part II, written portion only.

    (ii) Part III. 

(6)(7) An applicant for licensure by endorsement shall applicant’s license in good standing shall be verified by the licensing agency of any state of the United States in which the applicant holds or ever held a license as a podiatrist.  The verification must include the record of any disciplinary action taken or pending against the applicant. comply with both of the following:

(a) Disclose each license, registration, or certification in a health profession or specialty issued by another state, the United States military, the federal government, or another country on the application form.

   (b) 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 sanctions are not in force at the time of application.    

R 338.8109  Educational limited licenses; limited license renewal.

  Rule 109. (1) An educational limited license authorizes the holder of the license licensee to engage in the practice of podiatric medicine and surgery as part of a postgraduate education program.

  (2) An applicant for an educational limited license shall submit a completed application, on a form provided by the department, together with the requisite fee. In addition to meeting the requirements of the code and the administrative rules promulgated pursuant to under the code, an applicant shall satisfy all of the following requirements:

   (a) Have graduated from successfully completed a program of study offered by from a school of podiatric medicine approved by the board pursuant to under R 338.8113.

   (b) Have achieved a passing score  If the applicant graduated in 2014 or earlier, or graduated in 2016, have achieved a passing score on all of the following components parts of the APMLE approved by the board under R 338.8104:

    (i) Part I.

    (ii) Part II, written portion only.

  (c)  If the applicant graduated in 2015 or later, excluding 2016, have achieved a passing score on all of the following components of the APMLE:

      (i)  Part I.

      (ii)  Part II.

(d)(c) Have documentation provided directly to the department verifying that the applicant has been accepted into a postgraduate training program that satisfies R 338.8113(2).

  (3) A limited license is renewable for not more than 5 years pursuant to under section 333.18012(2) of the code, MCL 333.18012.

R 338.8110  Requirements for relicensure after lapse.

  Rule 110. (1) An applicant whose license has been lapsed may be relicensed under section 16201(3) or (4) of the code, as applicable, MCL 333.16201, as applicable, if the applicant meets the requirements of the code and rules promulgated under the code and satisfies the following requirements as indicated by a (√) below:

(1)(a) For a podiatrist who has let his or her Michigan license lapse and is not currently licensed or registered as a podiatrist in another state or province of Canada.:		Lapsed 3 years or less.	Lapsed more than 3 years.
(a) (i)	Application and fee: Submit a completed application on a form provided by the department, together with the required fee.	√	√
(b) (ii)	Good moral character: Establish that he or she is of good moral character as defined in, and determined under, 1974 PA 381, MCL 338.41 to 338.47.	√	√
(c) (iii)	Fingerprints: Submit fingerprints as required by section 16174(3) of the code, MCL 333.16174(3).		√
(d) (iv)	Continuing education: Complete 150 hours of continuing education pursuant to R 338.8127, including both of the following: (i)(A) Not less than 3 hours in pain and symptom  management pursuant to R 338.8127(1)(c).  Not less than 2 of the 3 hours must include controlled substances prescribing. (ii) (B) At least 1 hour in medical ethics pursuant to R 338.8127(1)(d). (iii) Not less than 2 hours related to controlled substances prescribing pursuant to R 338.8127(1)(e). The applicant shall submit proof of having completed the required continuing education within the 3-year period immediately preceding the date of the application for relicensure. If the continuing education hours submitted with the application are deficient, the applicant shall have has 2 years from after the date the department received the application to complete the deficient hours.	√	√
(e) (v)	Examination: Achieve a score 75 or more on the examination of Michigan this state’s laws and rules related to the practice of podiatric medicine that is developed and administered by the department, or an entity approved by the department.	√	√
(f) (vi)	Examination: Achieve a passing score on part III of the APMLE sponsored by the NBPME or its successor within 3 years of the application for relicensure.		√
(g) (vii)	Proof of license verification:  An applicant’s license in good standing shall be verified by the licensing agency of each jurisdiction in which the applicant has ever held a license as a podiatrist.  Verification must include the record of any disciplinary action taken or pending against the applicant.   An applicant who is or has ever 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 do both of the following:   (A)  Disclose each license, registration, or certification on the application form.   (B)  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 sanctions are not in force at the time of application.	√	√

(2)(b) For a podiatrist who has let his or her Michigan license lapse and is currently licensed or registered as a podiatrist in another state or province of Canada.:		Lapsed 3 years or less.	Lapsed more than 3 years.
(a) (i)	Application and fee: Submit a completed application on a form provided by the department, together with the required fee.	√	√
(b) (ii)	Good moral character: Establish that he or she is of good moral character as defined by in, and determined under, 1974 PA 381, MCL 338.41 to 338.47.	√	√
(c) (iii)	Fingerprints: Submit fingerprints as required by section 16174(3) of the code, MCL 333.16174(3).		√
(d) (iv)	Continuing education: Complete 150 hours of continuing education pursuant to R 338.8127 including both of the following: (i)(A) Not less than 3 hours in pain and symptom  management pursuant to R 338.8127(1)(c).  Not less than 2 of the 3 hours must include controlled substances prescribing. (ii)(B) At least 1 hour in medical ethics pursuant to R 338.8127(1)(d). (iii) Not less than 2 hours related to controlled substances prescribing pursuant to R 338.8127(1)(e). The applicant shall submit proof of having completed the required continuing education within the 3-year period immediately preceding the date of the application for relicensure. If the continuing education hours submitted with the application are deficient, the applicant shall have has 2 years from after the date the department received the application to complete the deficient hours.	√	√
(e) (v)	Examination: Achieve a score of 75 or more on the examination of Michigan this state’s laws and rules related to the practice of podiatric medicine that is developed and administered by the department, or an entity approved by the department.	√	√
(f) (vi)	Proof of license verification: An applicant’s license in good standing shall be verified by the licensing agency of each jurisdiction in which the applicant holds or has ever held a license as a podiatrist.  Verification must include the record of any disciplinary action taken or pending against the applicant.  An applicant who is or has ever 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 do both of the following:   (A)  Disclose each license, registration, or certification on the application form.   (B)  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 sanctions are not in force at the time of application.	√	√

 (2)  An applicant whose limited license has lapsed may be relicensed under section 16201(3) or (4) of the code, MCL 333.16201, as applicable, if the applicant meets the requirements of the code and rules promulgated under the code.  Relicensure of a limited license is counted the same as a license renewal for purposes of determining the number of permissible renewals allowed under section 18012(2) of the code, MCL 333.18012.

  (3)   If relicensure is granted and it is determined that a sanction has been imposed by another state, the United States military, the federal government, or another country, the disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of the code, MCL 333.16174.

PART 3. EDUCATIONAL AND RESIDENCY PROGRAMS

R 338.8113 Accreditation standards for approval of schools of podiatric medicine and

  residency programs; institutions of higher education; adoption of standards by reference.

  Rule 113. (1) The board approves and adopts by reference the standards for accrediting colleges of podiatric medicine developed and adopted by the Council on Podiatric Medical Education (CPME) of the American Podiatric Medical Association (APMA) and entitled “Standards and Requirements for Accrediting Colleges of Podiatric Medicine,” CPME 120, adopted October 2019 October 2021, implementation date July 1, 2020 October 15, 2021.  A copy of the standards and requirements is available at no cost from the council’s website at www.cpme.org.  A copy of the standards and requirements also is available for inspection and distribution at a cost of 10 cents per page from the Board of Podiatric Medicine and Surgery, Michigan Department of Licensing and Regulatory Affairs, 611 West Ottawa, Lansing, Michigan 48909. The board considers any school of podiatric medicine accredited by the CPME of the APMA as a school of podiatric medicine approved by the board.

  (2) The board approves and adopts by reference the standards for approval of residency programs developed and adopted by the CPME of the APMA entitled “Standards and Requirements for Approval of Podiatric Medicine and Surgery Residencies,” CPME 320, July 2015 2018.  A copy of the standards and requirements is available at no cost from the council’s website at www.cpme.org.  A copy of the standards and requirements also is available for inspection and distribution at a cost of 10 cents per page from the Board of Podiatric Medicine and Surgery, Michigan Department of Licensing and Regulatory Affairs, 611 West Ottawa, Lansing, Michigan 48909.  The board considers any residency program approved by the CPME of the APMA as a school of podiatric medicine approved by the board.

  (3) A higher education institution is considered approved by the board if it is accredited by the accrediting body of the region in which the institution is located and the accrediting body meets either the recognition standards and criteria of the Council for Higher Education Accreditation (CHEA) or the recognition procedures and criteria of the United States Department of Education.  The board adopts by reference the procedures and criteria for recognizing accrediting organizations of the CHEA, effective June 28, 2010 approved September 24, 2018, and the procedures and criteria for recognizing accrediting agencies of the United States Department of Education, effective July 1, 2010 revised July 1, 2020, as contained in 34 CFR Part 602. Copies of the standards and criteria of the CHEA and the United States Department of Education are available for inspection and distribution at a cost of 10 cents per page from the Board of Podiatric Medicine and Surgery, Bureau of Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan 48909.  The CHEA recognition standards also may be obtained at no cost from the council’s website at http://www.chea.org.  The federal recognition criteria also may be obtained at no cost from the department’s website at http://www.ed.gov/about/offices/list/OPE/index.html CFR-2020-title34-vol3.pdf (govinfo.gov).

PART 4. CONTINUING EDUCATION

R 338.8126  License renewal.

  Rule 126. (1) An applicant for license renewal shall satisfy the requirements of R 338.7001 to R 338.7005 and shall accumulate not less than 150 hours of continuing podiatric medical education in activities approved by the board in under R 338.8127 during the 3 years immediately preceding his or her application for renewal.

  (2) Submission of an application for renewal constitutes the applicant’s certification of compliance with the requirements of this rule. The board may require a licensee to submit evidence to demonstrate compliance with this rule. A licensee shall retain documentation of meeting the requirements of this rule for a period of 4 years from after the date of applying for license renewal. Failure to comply with this rule is a violation of section 16221(h) of the code, MCL 333.16221(h).

  (3) A request for a waiver under section 16205 of the code, MCL 333.16205, must be received by the department before the expiration date of the license.

  (4) The department may select and audit a sample of licensees who have renewed their licenses and request proof of compliance with subrule (2) of this rule.  If audited, the licensee shall submit documentation as specified in under R 338.8127.

R 338.8127  Acceptable continuing education; requirements; limitations.

  Rule 127. (1) The 150 hours of continuing education required pursuant to under R 338.8126(1) for the renewal of a license shall comply with the following, as applicable:

   (a) Not more than 12 credit hours must be earned during one 24-hour period.

   (b) A licensee may not earn credit for a continuing education program or activity that is identical or substantially identical to a program or activity the licensee has already earned credit for during that renewal period.

   (c) An applicant for license renewal shall have earned not less than 3 continuing podiatric medical education hours approved by the CPME or the American Medical Association (AMA) in pain and symptom management in each renewal period, pursuant to sections 16204(2) and 18033(2) of the code, MCL 333.16204 and 333.18033. Not less than 2 of the 3 hours must include controlled substances prescribing.  Courses in pain and symptom management may include, but are not limited to, any of the following as they relate to professional practice:

    (i) Courses in behavior management.

    (ii) Pharmacology.

    (iii) Behavior modification.

    (iv) Stress management.

    (v) Clinical applications.

    (vi) Drug interventions.

    (vii) Controlled substances prescribing.

   (d)  Beginning September 4, 2020, an An applicant for license renewal shall have earned at least 1 continuing podiatric medical education hour approved by the CPME or the AMA in medical ethics. 

    (e)  Beginning September 4, 2020, an applicant for license renewal shall have earned not less than 2 continuing podiatric medical education hours in controlled substances prescribing.  This is in addition to the continuing education required by subdivision (c) of this subrule.

  (2) The board shall consider considers the following as acceptable continuing education:

Activity Code	Acceptable Continuing Education Activities and Proof of Completion	Number of Continuing Education Hours Granted/Permitted Allowed for Each Activity
A (a)	Attendance at or participation in a continuing education program or activity related to the practice of podiatry, or any non-clinical subject relevant to  practice, education, administration, management, or science, including, but not limited to, live and in-person programs;, interactive or monitored teleconference or audio-conference programs;, online programs;, and, journal articles or other self-study programs offered by a sponsor accredited or approved by the CPME. If audited, a 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 on which the program was held or activity was completed.	The number of continuing education hours earned for a specific program or activity is the number of hours approved by the sponsor or the approving organization. A minimum of 75 hours must be earned in each renewal period, unless all 150 hours are earned in Category Activity Code N (n).
B (b)	Attendance at or participation in a continuing education program or activity related to the practice of podiatry, or any non-clinical subject relevant to practice, education, administration, management, or science, including, but not limited to, live and in-person programs;, interactive or monitored teleconference or audio-conference programs;, online programs;, and, journal articles or other self-study programs approved by either of the following: · The Michigan board of podiatric medicine and surgery, pursuant to R 338.8128. · Another state or provincial board of podiatric medicine and surgery. If audited, a 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 on which the program was held or activity was completed.	The number of continuing education hours earned for a specific program or activity is the number of hours approved by the sponsor or the approving organization. If the activity was not approved for a set number of hours, then 1 credit hour for each 50 to 60 minutes of participation may be earned.  A maximum of 75 hours may be earned for this category in each renewal period.
C (c)	Attendance at or participation in a continuing education program or activity related to the practice of podiatry, or any non-clinical subject relevant to practice, education, administration, management, or science, including, but not limited to, live and in-person programs;, interactive or monitored teleconference or audio-conference programs;, online programs;, and, journal articles or other self-study programs accredited, approved, or offered by any of the following: · The Accreditation Council for Continuing Medical Education. · The American Medical Association. The AMA. · The American Osteopathic Association. If audited, a 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 on which the program was held or activity was completed.	The number of continuing education hours earned for a specific program or activity is the number of hours approved by the sponsor or the approving organization. A maximum of 40 hours may be earned in this category in each renewal period.
D (d)	Obtaining specialty board certification from 1 of the following: · American Board of Podiatric Medicine (ABPM). · American Board of Foot and Ankle Surgery (ABFAS). · American Board of Multiple Specialties in Podiatry (ABMSP). · American Board of Lower Extremity Surgery (ABLES). · American Board of Wound Management (ABWM). If audited, a the licensee shall submit proof of certification.	Fifty hours of continuing education may be are earned in the year the applicant is advised of passing the certification examination.
E	Obtaining specialty board recertification from 1 of the following: · ABPM. · ABFAS. · ABMSP. · ABLES. · ABWM. If audited, a licensee shall submit proof of recertification.	Thirty hours of continuing education may be earned in the year the applicant is advised of passing the recertification examination.
(e)	Successfully completing an activity that is required for maintenance of a specialty certification recognized by 1 of the following and has not been used to satisfy the requirements of a certification obtained under activity code (d): · ABFAS. · ABPM, if the maintenance of the specialty certification included completion of the ABPM Competency Assessment. 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 earned for every 60 minutes spent on the activity.  A maximum of 30 hours may be earned for this activity in each renewal period.
F (f)	Serving as an instructor of podiatric medical students, house staff, other physicians, or allied health professionals in a hospital or institution that offers a postgraduate training program that is approved by the board pursuant to R 338.8113, if the hospital or institution has approved the instruction. If audited, a the licensee shall submit a letter from the program director verifying the licensee’s role.	Two hours of continuing education is granted are earned for each 50 to 60 minutes spent as an instructor. A maximum of 50 hours of continuing education may be earned in this category each renewal period.
G (g)	Serving as an instructor of podiatric students at an accredited podiatric medical institution under a rotating externship program recognized and approved by the medical institution in accordance with R 338.8113. If audited, a the licensee shall submit a letter from the sponsoring podiatric institution verifying the licensee’s role.	Two hours of continuing education is granted are earned for each 50 to 60 minutes spent as an instructor. A maximum of 50 hours may be earned in this category in each renewal period.
H (h)	Initial publication of an article related to the practice of podiatric medicine and surgery in a peer-reviewed journal. If audited, a the licensee shall submit a copy of the publication that identifies the licensee as the author or a publication acceptance letter.	Twenty-five hours of continuing education is granted are earned per publication. A maximum of 75 hours may be earned in this category in each renewal period.
I (i)	Initial publication of a chapter related to the practice of podiatric medicine and surgery in either of the following: · A professional or health care textbook. · A peer-reviewed textbook. If audited, a the licensee shall submit a copy of the publication that identifies the licensee as the author or a publication acceptance letter.	Fifty hours of continuing education is granted are earned per publication. A maximum of 50 hours may be earned in this category in each renewal period.
J (j)	Initial presentation of a scientific exhibit, a formal original scientific paper, or both, at a professional meeting. If audited, a the licensee shall submit a copy of the document presented with evidence of the presentation and a log indicating time spent in preparation or a letter from the program sponsor verifying the length and date of the presentation and a log indicating time spent in preparation.	Two hours of continuing education is granted are earned for each 50 to 60 minutes of presentation and preparation. A maximum of 30 hours may be earned in this category each renewal period.
K (k)	Independent study, which is the independent reading of peer-reviewed professional journals or medical textbooks.  If audited, a the licensee shall submit an affidavit attesting to the number of hours the licensee spent participating in these activities and a bibliography listing the journal, article, the author or authors, publication date, and date read.	One hour of continuing education is granted earned for each 50 to 60 minutes of participation. A maximum of 30 hours may be earned in this category in each renewal period.
L (l)	Completion of a multi-media program that requires a licensee to complete a self-assessment component, including, but not limited to, videotapes, internet web-based seminars, video conferences, on-line online continuing education programs, and journal articles.  This does not include multi-media programs that satisfy the requirements of activity codes A, B, (a), (b), or C(c). A self-assessment component includes, but is not limited to, a post-test or other evaluation instrument that assesses the knowledge an individual gained after completing an activity. If audited, a the licensee shall submit a certificate of self-assessment provided by the program sponsor.	One hour of continuing education is granted earned for each 50 to 60 minutes of participation. A maximum of 30 hours may be earned in this category each renewal period.
M (m)	Participation on a hospital staff committee dealing with quality patient care or utilization review, or both. If audited, a the licensee shall submit a letter from an organization official verifying the licensee’s participation and the number of hours the licensee spent participating on the committee.	One hour of continuing education is granted earned for each 50 to 60 minutes of participation. A maximum of 30 hours may be earned in this category each renewal period.
N (n)	Full-time enrollment in a postgraduate clinical training program related to the practice of podiatric medicine and surgery in a hospital or institution that is approved by the board pursuant to R 338.8113.  If audited, a the licensee shall submit a letter from the program director verifying the licensee participated in the program.	A minimum of 5 months participation per year is required. Fifty hours of continuing education is granted are earned for each year of full-time enrollment.  A maximum of 150 hours may be earned in this category each renewal period.