(3) An applicant for license renewal shall accumulate not less than 2 hours of board
approved continuing education in pain and symptom management related to the practice
of optometry. A continuing education program that falls within COPE categories listed
in R 338.332(6)(n)(iv)(A) to (C) meets the requirements of this subrule. Continuing
education hours in pain and symptom management, as they relate to the practice of
optometry, may include, but are not limited to, the following:
(a) Ethics and health policy related to pain.
(b) Pain definitions.
(c) Basic sciences related to pain, including pharmacology, psychology, sociology, and
(d) Clinical sciences related to pain, including specific pain conditions and pain in
special contexts and settings.
(e) Clinician-patient communications related to pain.
(f) Management of pain, including evaluation and treatment and non-pharmacological
and pharmacological management.
(g) Ensuring quality pain care.
(h) Michigan programs and resources relevant to pain.
(4) A minimum of 20 of the required continuing education hours must be completed in a
live, synchronous learning format. The remaining hours may be completed in any other
(5) An applicant for license renewal may earn a maximum of 9 continuing education
hours per licensure cycle in practice management. A continuing education program that
falls within COPE categories listed in R 338.332(6)(n)(ii)(A) and (B) meets the
requirements of this subrule.
(6) Submission of an application for renewal constitutes the applicant's certificate of
compliance with the requirements of this rule.
(7) An optometrist shall retain documentation of meeting the requirements of this rule
for a period of 4 years after the date of applying for license renewal. The licensee’s
documentation must show the licensee’s name, number of credits earned per program or
activity, the sponsor’s name or the name of the organization that approved the program or
activity, and the date that the program was held or activity was completed. The board
may require an applicant or licensee to submit evidence to demonstrate compliance with
this rule. Failure to comply with this rule is a violation of section 16221(h) of the code,
(8) A request for a waiver under section 16205 of the code, MCL 333.16205, must be
received by the department at least 30 days before the last regularly scheduled board
meeting before the expiration date of the license.
History: 2023 MR 10, Eff. May 19, 2023.
R 338.332 Adoption of standards and criteria by reference; board approval of
continuing education programs.
Rule 32. (1) The board approves and adopts by reference the standards and criteria of
COPE for accreditation of an activity or qualification of a course that are set forth in the
publications entitled “Activity Accreditation Manual,” revised July 2022, and “Course
Qualification Manual,” revised July 2022. A copy of the publications may be obtained at