DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR'S OFFICE  
OSTEOPATHIC MEDICINE AND SURGERY - GENERAL RULES  
(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. 1991-9, 1996-2, 2003-1, and 2011-4, MCL 338.3501,  
445.2001, 445.2011, and 445.2030)  
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 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.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.113 Rescinded.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
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:  
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(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.  
History: 2021 MR 8, Eff. Apr. 26, 2021.  
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 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: 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 Professional Licensing, Department of  
Licensing and Regulatory Affairs, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan  
48909.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.117 Prescribing of drugs by physician’s assistants; 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’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 333.7231, subject to both of the following requirements:  
(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) 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.  
(2) 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 both  
of 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.  
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History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.119 Delegation of prescribing controlled substances to an advanced  
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, 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 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 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.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.120 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 20. (1) 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 satisfies the following standards:  
(a) Training content 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:  
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(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 20, 2021.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
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, 142 E.  
Ontario St., Chicago, Illinois 60611-2864, as set forth in the publication entitled  
“Accreditation of Colleges of Osteopathic Medicine: COM Accreditation Standards and  
Procedures” effective August 29, 2016, which is available at no cost on the association’s  
website at: www.osteopathic.org. The board considers any osteopathic school of  
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medicine accredited by the 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, 142 E. Ontario St., Chicago,  
Illinois 60611-2864, as set forth in the publication entitled “The Basic Documents for  
Postdoctoral Training,” effective March 1, 2018, which is available at no cost on the  
association’s website at: www.osteopathic.org. The board considers any osteopathic  
postgraduate training program accredited by the American 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, 142  
E. Ontario St., Chicago, Illinois 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 considers any osteopathic  
institution accredited by the American 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, 401 N. Michigan Avenue, Suite 2000, Chicago, Illinois  
60611, effective July 1, 2016, and available at no cost on the council’s website at:  
www.acgme.org. The board considers any medical postgraduate training program  
accredited on or after July 1, 2015 by the Accreditation Council for Graduate Medical  
Education approved by the board.  
(5) Copies of the standards and criteria adopted by reference in 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 Professional Licensing, Licensing and  
Regulatory Affairs, 611 W. Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.123 Licensure by examination.  
Rule 23. An applicant for licensure by examination, in addition to satisfying the  
requirements of the code, shall satisfy all of the following requirements:  
(a) Submit the required fee and a completed application on a form provided by the  
department.  
(b) Possess a degree from a school of osteopathic medicine that satisfies the  
standards set forth in R 338.121(1).  
(c) Have passed all parts of the Comprehensive Osteopathic Medical Licensing  
Examination (COMLEX) adopted under R 338.129.  
(d) 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).  
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(e) Submit a certificate of completion of the postgraduate training required under  
subdivision (d) of this rule to the department no more than 15 days before the scheduled  
date of completion.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
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 and a completed application on a form  
provided by the department.  
(2) An applicant shall satisfy 1 of the following requirements:  
(a) Has first been licensed in good standing in another state and actively engaged  
in the practice of osteopathic medicine and surgery for at least 5 years before the date of  
filing the application.  
(b) Has first been licensed in good standing in another state and 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 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.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.127 Educational limited license.  
Rule 27. (1) An individual not eligible for a Michigan osteopathic medicine and  
surgery license shall obtain an educational limited license before engaging in  
postgraduate training.  
(2) An applicant for an educational limited license, in addition to satisfying the  
requirements of the code, shall satisfy all of the 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 satisfies the requirements of R 338.121(1) verifying that the applicant  
has graduated or is expected to graduate within 3 months of the date of the application.  
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(c) Have documentation provided directly to the department verifying that the  
applicant has been accepted into a postgraduate training program that satisfies the  
requirements of R 338.121(2) or (4).  
(3) Under section 17512(2) of the code, MCL 333.17512(2), an educational limited  
license may be renewed not more than 5 years.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.129 Examination; adoption; passing scores; limitation on attempts; time  
limitations.  
Rule 29. (1) The board adopts the Comprehensive Osteopathic Medical Licensing  
Examination (COMLEX) developed and administered by the National Board of  
Osteopathic Medical Examiners (NBOME).  
(2) The passing score for each part of the COMLEX accepted for licensure is the  
passing score established by the 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.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.131 Rescinded.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.133 Relicensure.  
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) of the code, MCL 333.16201, if the applicant  
satisfies all of the following requirements:  
(a) Submits the required fee and a completed application on a form provided by  
the department.  
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(b) Submits proof to the department of completing not less than 150 hours of  
continuing education that satisfies the requirements of 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 3 years but less than 5 years may be relicensed under section 16201(4) of  
the code, MCL 333.16201, if the applicant submits fingerprints as set forth in section  
16174(3) of the code, MCL 333.16174(3), and satisfies the requirements of subrule (1) of  
this rule and 1 of the following requirements:  
(a) Presents proof to the department that he or she is actively licensed and is in  
good standing as an osteopathic physician in another state.  
(b) 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).  
(3) An applicant whose Michigan osteopathic medicine and surgery 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 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 1  
of the following requirements:  
(a) Presents proof to the department that he or she is actively licensed and is in  
good standing as an osteopathic physician in another state.  
(b) Completes both of the following during the 3 years immediately preceding the  
date of the application for relicensure:  
(i) Takes and passes the COMVEX offered by the NBOME. The passing score is  
the passing score established by the NBOME.  
(ii) Successfully completes 1 of the following training options:  
(A) A 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 CPE.  
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(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) or (3)(b) of this rule,  
the applicant may obtain an educational limited license for the sole purpose of  
completing 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.  
(6) An applicant 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 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.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
PART 3. CONTINUING EDUCATION  
R 338.141 License renewals.  
Rule 41. (1) This part applies to an application for renewal of an osteopathic  
medicine and surgery license under section 17533 of the code, MCL 333.17533, 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 R 338.143 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 documentation  
of satisfying the requirements of this rule for 4 years from 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 must submit documentation as specified in R 338.143.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
R 338.143 Acceptable continuing education; requirements; limitations.  
Rule 43. (1) The 150 hours of continuing education required under R 338.141 must  
satisfy the 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 cannot be granted.  
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(b) A minimum of 1 hour of continuing education must be earned in the area of  
medical ethics.  
(c) 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 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 the  
activity  
(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  
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 must be  
earned in this activity. A maximum  
of 150 hours of continuing education  
online programs approved or offered by may be earned for this activity in each  
any of the following organizations:  
American Osteopathic Association.  
Michigan Osteopathic Association.  
renewal period.  
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  
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organization that approved the program  
or activity for continuing education  
credit, and the date or dates on which  
the program or activity was completed.  
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  
(b)  
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.  
conference; web-based programs; or  
online programs approved or offered by  
any of the following organizations:  
American Medical Association.  
Accreditation Council for Continuing  
Medical Education.  
Michigan State Medical Society.  
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.  
Taking and passing a specialty board  
certification or recertification  
(c)  
A specialty board certification or  
recertification examination  
examination for a specialty board  
recognized by the American  
successfully passed during the  
renewal period is granted 50 hours of  
Osteopathic Association, the American continuing education credit. A  
Board of Medical Specialties, or the  
American Board of Physician  
Specialties.  
maximum of 50 hours of continuing  
education credit may be earned for  
this activity in each renewal period.  
If audited, the licensee shall provide  
proof from the specialty board of the  
successful passing of the examination.  
Successfully completing an activity  
that is required for maintenance of a  
specialty certification for a specialty  
board recognized by the American  
(d)  
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  
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Osteopathic Association, the American renewal period.  
Board of Medical Specialties, or the  
American Board of Physician  
Specialties that does not satisfy the  
requirements of subdivision (a) or (c)  
of this subrule.  
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.  
(e)  
Serving as a teacher, lecturer,  
Two hours of continuing education  
preceptor, or moderator-participant in a are granted for each scheduled lecture  
medical education or training program  
that satisfies the standards adopted by  
the board in R 338.121.  
or clinical consultation. Additional  
credit for preparation of the lecture  
cannot be granted. A maximum of 90  
hours of continuing education may be  
earned for this activity in each  
renewal period.  
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.  
Conducting a formal inspection of an  
osteopathic medical education or  
training program that satisfies the  
standards adopted by the board in R  
338.121 or conducting clinical  
(f)  
Five hours of continuing education  
are granted per an inspection. A  
maximum of 90 hours of continuing  
education may be earned in this  
activity in each renewal period.  
examinations of osteopathic specialty  
boards recognized by the American  
Osteopathic Association.  
If audited, the licensee shall submit  
documentation from the accrediting  
organization verifying the licensee’s  
role and participation in the inspection.  
Participating in any of the following  
committees:  
A peer review committee dealing with  
quality patient care as it relates to the  
practice of osteopathic medicine and  
surgery.  
(g)  
Fifteen hours per each committee per  
year are granted. A maximum of 90  
hours of continuing education credit  
shall may be earned for this activity in  
each renewal period.  
A committee dealing with utilization  
review as it relates to the practice of  
osteopathic medicine.  
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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.  
Providing individual supervision for a  
disciplinary limited osteopathic  
physician.  
(h)  
One hour of continuing education is  
granted for each 60 minutes spent  
consulting or reviewing the  
disciplined licensee’s work. A  
maximum of 50 hours of continuing  
education may be earned for this  
If audited, the licensee shall submit an  
affidavit from the disciplinary limited  
osteopathic physician who received the activity per renewal period.  
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.  
(i)  
Participating in a postgraduate training Fifty continuing education credits per  
program that satisfies the requirements year are granted. A maximum of 150  
of R 338.121(2) or (4). To receive  
credit the licensee must be enrolled in  
the program a minimum of 5 months  
per year.  
credits per renewal period may be  
earned for this activity in each  
renewal period.  
If audited, the licensee shall submit a  
letter from the program director  
verifying the dates that the licensee was  
enrolled in the program.  
(j)  
Publication of a scientific article  
relating to the practice of osteopathic  
Ten hours of continuing education are  
granted for serving as the primary  
medicine in a peer-reviewed journal or author. Five hours of continuing  
periodical.  
education are granted for serving as a  
secondary author. Under subrule  
(1)(a) of this rule, credit for an article  
If audited, the licensee shall submit a  
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copy of the publication that identifies  
the licensee as the author or a  
publication acceptance letter and  
documentation  
Initial publication of a chapter or a  
portion of a chapter related to the  
practice of osteopathic medicine in  
either of the following textbooks:  
A professional health care textbook.  
A peer-reviewed text book.  
is granted only once per renewal  
period. A maximum of 90 hours of  
continuing education may be earned  
for this activity in a renewal period.  
Ten hours of continuing education are  
granted for serving as the primary  
author. Five hours of continuing  
education are granted for serving as a  
secondary author. A maximum of 90  
hours may be earned for this activity  
in each renewal period. Under  
subrule (1)(a) of this rule, credit for  
publication is granted once per  
renewal period.  
(k)  
If audited, the licensee shall submit a  
copy of the publication that identifies  
the licensee as the author or a  
publication acceptance letter.  
(l)  
Until December 20, 2019, attendance at The number of continuing education  
or participation in a continuing  
education activity that had been  
approved by the board before the  
effective date of this rule but does not  
hours for a specific program or  
activity is the number of hours  
previously approved by the board. A  
maximum of 90 hours of continuing  
satisfy the requirements of subdivision education may be earned for this  
(a) or (b) of this subrule.  
activity.  
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.  
(3) The board considers any of the following activities as acceptable category 2  
continuing education:  
Activity and Proof of Completion  
Number of continuing education hours  
granted/permitted for the activity  
(a) Independently reading a peer-reviewed  
journal that does not satisfy the  
Three hours of continuing education are  
granted for each journal article read. A  
requirement of subrule (2)(a) of this rule. maximum of 90 hours of continuing  
The reading must have been completed  
before the effective date of this rule.  
education credit may be earned for this  
activity in each renewal period. Under  
subrule (1)(a) of this rule, credit for the  
same article appearing in different  
journals is granted once per renewal  
period.  
If audited, the licensee shall submit a  
signed document, listing the journals  
read, including title, publisher, volume  
number, article read, and the authors.  
(b) Initial presentation of a scientific exhibit, Ten hours of continuing education are  
poster, or paper to a professional granted for each presentation. No  
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osteopathic medicine organization.  
additional credit is granted for  
preparation of the presentation. A  
maximum of 90 hours may be earned in  
this activity in each renewal period.  
If audited, the licensee shall submit a  
copy of the document presented with  
proof of the presentation or a letter from Under subrule (1)(a) of this rule, credit  
the program sponsor verifying the date of for a presentation is granted once per  
presentation.  
renewal period.  
(c) Completing a multimedia self-  
assessment that does not satisfy the  
The number of continuing education  
hours is the number of hours approved  
requirements of subrule (2)(a) of this rule by the self-assessment sponsor. A  
before December 20, 2016. The self-  
assessment must improve the licensee’s  
knowledge and understanding of the  
practice of osteopathic medicine.  
maximum of 90 hours of continuing  
education may be earned for this  
activity.  
If audited, the licensee shall submit a  
certificate of self-assessment provided by  
the program sponsor.  
History: 2016 AACS; 2021 MR 8, Eff. Apr. 26, 2021.  
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