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Texas Medical Board – Physician CME Requirements

As a prerequisite for physician registration, practitioners are required to complete continuing medical education.

Physicians need to complete at least 48 credits of continuing medical education every 24 months (24 month timeline is in relation to the biennial registration period, not the calendar year). At least half of these hours must be in formal, category I or 1A courses. A physician must report during registration if she or he has completed the required CME.  However, newly licensed physicians are exempt from the CME requirement the first time they register.

Documentation of CME courses shall be made available to the Board upon request (See the Spring 97 Newsletter article "Board Initiates CME Audits" available in the TMB Bulletins), but should not be mailed with the registration payment. Random audits will be made to assure compliance.

Physician CME Requirements (per biennium)

24 Formal Category 1 or 1A hours:

  • courses designated for AMA/PRA Category 1 credit by a CME sponsor accredited by ACCME (Accreditation Council for CME) or state medical society recognized by ACCME;
  • approved for credit by American Academy of Family Physicians;
  • designated for AOA Category 1-A credit; or
  • approved by TMA based on standards established by AMA for its Physician's Recognition Award.

Note: At least 2 of the formal hours must involve the study of medical ethics and/or professional responsibility. Professional responsibility includes but is not limited to courses in: Risk management, Domestic Abuse; or Child Abuse.  In addition, formal courses must be approved for ethics or professional responsibility credit by the accrediting agency.

24 Informal Hours:

  • Composed of informal self study, attendance at hospital lectures
  • or grand rounds not approved for formal CME or case conferences and shall be recorded in a manner easily transmitted to the board.

There is a maximum of 48 total excess credit hours that may be carried forward and a limit of two years from the date of the registration following the period during which the hours were earned. Excess hours are applied/reported according to their Category.   See Board Rule 166.2 for additional information.

Complete information can be found at

American Osteopathic CME Requirements (2013-2015 Cycle)

All members of the American Osteopathic Association (AOA), other than those exempted, are required to participate in the Continuing Medical Education (CME) program and to meet specified CME credit hour requirements for the 2013-2015 CME cycle.

One hundred and twenty credits of CME are required for membership in the American Osteopathic Association within this three-year cycle.

Of this total, thirty CME credits must be obtained in Category 1-A and the remaining ninety credit hours of the CME requirement may be satisfied with either Category 1-A, 1-B, 2-A, or 2-B credits.

Physicians entering the program in mid cycle will have their credit requirements prorated. Your individual CME Activity Report outlines your total CME requirement and the amount of credits required in categories 1 and 2.

Members who obtain one hundred and fifty credits or more of AOA approved applicable CME credit in a three-year CME cycle will be given a certificate of excellence in CME. These hours must be earned by December 31ST, but reported no later than May 31st of the current CME cycle.

In recognition that members of the AOA who hold specialty or subspecialty certificates in those specialties with less than three hundred certificate holders, may have difficulty accruing the necessary AOA 1-A credits required for membership, such members may apply AMA or AAFP category 1 credits to their AOA 1-A credit requirement up to the maximum of 15 CME credits per cycle to meet the Category 1-A credit requirement for membership.

To qualify for AOA Category 1-A CME credit under this policy the following criteria must be met:

1. Osteopathic physicians must be a member of the AOA
2. Physicians’ must be AOA and/or ABMS certified
3. The specialty/subspecialty must be listed as a qualifying specialty

Lists of specialties and subspecialties with less than 300 certified members are available on the Website at This policy does not apply to Certificate of Added Qualification (CAQ’s) or ABMS subspecialty which is equivalent to the AOA CAQ.

For eligibility in this program, contact your certifying board.

Note this only applies to the AOA thirty Category 1-A membership requirement. For credits required for certification see section IX, CME requirement for certified physicians, or contact your specialty certifying board.

AOA CME Requirements for Certified Physicians

AOA Board Certified Physicians

1. Physicians who are board certified are required to earn a minimum of 50 CME credits within their specialty in each three-year CME cycle. These credits may be earned in Category 1 or Category 2. (Please see Specialty Board for clarification.)

2. Certifications of Added Qualification (CAQs). For osteopathic physicians holding certification(s) of added qualification (CAQs), a minimum of 25% of the credits (13 credits) must be earned at the level of the CAQ. At least 30% of the specialty CME credits (15 credits) must be earned in the primary certification.

3. CME sponsored by osteopathic specialty affiliates in the individual’s declared specialty, will be applied to this requirement on an unlimited hour-by-hour basis.

4. CME sponsored by AOA CME Sponsors other than the individual’s declared specialty affiliate may be awarded by the certifying board with jurisdiction up to a maximum of 25 credits per cycle.

A complete article can be found HERE.   

Texas Osteopathic Medical Association
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