DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
PODIATRIC MEDICINE AND SURGERY GENERAL RULES  
(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)  
PART 1. GENERAL PROVISIONS  
R 338.8101 Definitions.  
Rule 101. (1) As used in these rules:  
(a) "Board" means the Michigan board of podiatric medicine and surgery.  
(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: 1990 AACS; 2014 AACS; 2019 AACS.  
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 licensed shall complete 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 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) 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 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.  
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(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 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 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) 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.  
History: 2017 AACS; 2019 AACS.  
R 338.8102a Minimum English language standard.  
Rule 102a. An applicant for initial licensure shall demonstrate a working knowledge of the English  
language if the applicant’s educational or training program was taught outside of the United States. To  
demonstrate a working knowledge of the English language, the applicant shall establish that he or she  
obtained a total score of not less than 80 on the Test of English as a Foreign Language Internet-Based Test  
administrated by the Educational Testing Service.  
History: 2019 AACS.  
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 the code, an applicant shall satisfy all of the  
following requirements:  
(a) Have graduated from 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) 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 assess 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 either of the following:  
(i) At least 2 years of a postgraduate residency program approved by the board pursuant to R 338.8113.  
Certification of completion of postgraduate training must be submitted to the department not more than 15  
days before completion of the training.  
(ii) Until January 31, 2020, at least 1 year of a preceptorship program approved by the board.  
Certification of completion of the preceptorship training must be submitted to the department not more than  
15 days before completion of the training.  
History: 1990 AACS; 2014 AACS; 2017 AACS; 2019 AACS.  
R 338.8104 Examinations; adoption; required components; passing score.  
Rule 104. (1) The board approves and adopts the APMLE sponsored by the NBPME.  
(2) An applicant applying for licensure who graduated in 2014 or earlier, or who graduated in 2016, must  
have achieved a passing score on all of the following components of the APMLE:  
(a) Part I.  
(b) Part II.  
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(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) The accepted passing score for each component of the APMLE for licensure is the passing score  
established by the NBPME.  
History: 1990 AACS; 2014 AACS; 2019 AACS.  
R 338.8107 Licensure by endorsement; requirements.  
Rule 107. (1) An applicant for licensure by endorsement shall submit a completed application, on a form  
provided by the department, together with the requisite fee.  
(2) 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.  
(3) If an applicant was first licensed in another state and has been actively engaged in the practice of  
podiatric medicine for a minimum of 10 years before the date of filing an application for Michigan  
podiatric medical licensure, it is presumed that the applicant meets the requirements of section 16186(1)(a)  
and (b) of the code, MCL 333.16186(1)(a) and (b).  
(4) If an applicant was first licensed in another state and has been actively engaged in the practice of  
podiatric medicine for less than 10 years before the date of filing an application for Michigan podiatric  
medical licensure, the applicant shall satisfy all of the following requirements:  
(a) Have graduated from a school of podiatric medicine approved by the board pursuant to R 338.8113.  
(b) Have satisfactorily completed a postgraduate residency approved by the board pursuant to R  
338.8113.  
(c) Have achieved a passing score on each part of the APMLE as required by R 338.8104.  
(5) 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 ever held a license as a podiatrist. The verification must  
include the record of any disciplinary action taken or pending against the applicant.  
History: 1990 AACS; 2014 AACS; 2019 AACS.  
R 338.8108 Rescinded.  
History: 1990 AACS; 2017 AACS.  
R 338.8109 Educational limited licenses; limited license renewal.  
Rule 109. (1) An educational limited license authorizes the holder of the license 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 the code, an applicant shall satisfy all of the  
following requirements:  
(a) Have graduated from a school of podiatric medicine approved by the board pursuant to R 338.8113.  
(b) If the applicant graduated in 2014 or earlier, or graduated in 2016, have achieved a passing score on  
all of the following components of the APMLE:  
(i) Part I.  
(ii) Part II.  
(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:  
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(i) Part I.  
(ii) Part II.  
(iii) Part II CSPE.  
(d) Either of the following:  
(i) 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).  
(ii) Until November 13, 2019, have been appointed to a 1-year preceptorship program that is approved  
by the board.  
(3) A limited license is renewable for not more than 5 years pursuant to section 333.18012(2) of the code,  
MCL 333.18012(2).  
History: 2014 AACS; 2017 AACS; 2019 AACS.  
R 338.8110 Requirements for relicensure after lapse.  
Rule 110. An applicant whose license has been lapsed may be relicensed under section 16201(3) or (4) of  
the code, as applicable, MCL 333.16201(3) or (4), if the applicant satisfies the following requirements as  
indicated by a () below:  
(1) For a podiatrist who has let his or her Michigan license lapse Lapsed 3 years Lapsed  
more  
and is not currently licensed in another state.  
or less.  
than 3 years.  
Application and fee: Submit a completed application on a  
(a)  
(b)  
form provided by the department, together with the required  
fee.  
Good moral character: Establish that he or she is of good  
moral character as defined in 1974 PA 381, MCL 338.41 to  
338.47.  
Fingerprints: Submit fingerprints as required by section  
16174(3) of the code, MCL 333.16174(3).  
(c)  
(d)  
Continuing education: Complete 150 hours of continuing  
education pursuant to R 338.8127 including the following:  
(i) At least 3 hours in pain and symptom  
management pursuant to R 338.8127(1)(c).  
(ii) At least 1 hour in medical ethics pursuant to R  
338.8127(1)(d).  
(iii) At least 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 2 years  
from the date the department received the application to  
complete the deficient hours.  
Examination: Achieve a score 75 or more on the  
(e) examination of Michigan 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.  
Examination: Achieve a passing score on part III of the  
(f)  
APMLE sponsored by the NBPME or its successor.  
Proof of license verification: An applicant’s license must be  
Page 4  
(g)  
verified by the licensing agency of each state of the United  
States 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.  
(2) For a podiatrist who has let his or her Michigan license lapse Lapsed 3 years Lapsed  
more  
and is currently licensed in another state.  
or less.  
than 3 years.  
Application and fee: Submit a completed application on a  
(a)  
(b)  
(c)  
(d)  
form provided by the department, together with the required  
fee.  
Good moral character: Establish that he or she is of good  
moral character as defined by 1974 PA 381, MCL 338.41 to  
338.47.  
Fingerprints: Submit fingerprints as required by section  
16174(3) of the code, MCL 333.16174(3).  
Continuing education: Complete 150 hours of continuing  
education pursuant to R 338.8127 including the following:  
(i) At least 3 hours in pain and symptom management  
pursuant to R 338.8127(1)(c).  
(ii) At least 1 hour in medical ethics pursuant to R  
338.8127(1)(d).  
(iii) At least 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 2 years  
from the date the department received the application to  
complete the deficient hours.  
Examination: Achieve a score of 75 or more on the  
examination of Michigan 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.  
Proof of license verification: An applicant’s license must be  
verified by the licensing agency of each state of the United  
States in which the applicant holds or has ever held a license  
as a podiatrist.  
(e)  
(f)  
Verification must include the record of any disciplinary  
action taken or pending against the applicant.  
History: 2014 AACS; 2017 AACS; 2019 AACS.  
R 338.8111 Rescinded.  
History: 2014 AACS; 2017 AACS; 2019 AACS.  
Page 5  
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, October 2014. 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 cost from the Board of Podiatric  
Medicine and Surgery, Michigan Department of Licensing and Regulatory Affairs, 611 West Ottawa,  
Lansing, MI 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. 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 cost from the Board of Podiatric  
Medicine and Surgery, Michigan Department of Licensing and Regulatory Affairs, 611 West Ottawa,  
Lansing, MI 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, and  
the procedures and criteria for recognizing accrediting agencies of the United States Department of  
Education, effective July 1, 2010, 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  
cost 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, MI 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  
History: 1990 AACS; 2014 AACS; 2017 AACS; 2019 AACS.  
R 338.8114 Rescinded.  
History: 2014 AACS; 2017 AACS.  
R 338.8115 Rescinded.  
History: 2014 AACS.  
R 338.8125 Rescinded.  
History: 1980 AACS; 1996 AACS.  
PART 4. CONTINUING EDUCATION  
Page 6  
R 338.8126 License renewal.  
Rule 126. (1) An applicant for license renewal shall accumulate not less than 150 hours of continuing  
podiatric medical education in activities approved by the board in 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 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 R 338.8127.  
History: 2014 AACS; 2017 AACS; 2019 AACS.  
R 338.8127 Acceptable continuing education; requirements; limitations.  
Rule 127. (1) The 150 hours of continuing education required pursuant to 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 at least 3 continuing podiatric medical education  
hours in pain and symptom management in each renewal period pursuant to section 16204(2) of the code,  
MCL 333.16204(2). 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.  
(d) Effective 1 year or more after the date this rule was amended, an applicant for license renewal shall  
have earned at least 1 continuing podiatric medical education hour in medical ethics.  
(e) Effective 1 year or more after the date this rule was amended, an applicant for license renewal shall  
have earned at least 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) One half of the 150 hours of continuing podiatric medical education credit in board-approved courses  
or programs that are required for the renewal of a license may be earned through online or electronic media,  
such as videotapes, internet web-based seminars, video conferences, online continuing education programs,  
and online journal articles.  
(3) The board shall consider the following as acceptable continuing education:  
Activity  
Code  
A
Acceptable  
Activities and Proof of Completion  
Attendance at or participation in  
Continuing  
Education Number of Continuing Education Hours  
Granted/Permitted for Each Activity  
a
The number of continuing education  
continuing education program or activity hours for a specific program or activity is  
related to the practice of podiatry, or any the number of hours approved by the  
non-clinical subject relevant to practice, sponsor or the approving organization.  
education, administration, management, or  
science, including, but not limited to, live A minimum of 75 hours must be earned  
and in-person programs; interactive or in each renewal period, unless all 150  
Page 7  
monitored teleconference or audio- hours are earned in Category N.  
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 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 completed.  
B
Attendance at or participation in  
a
The number of continuing education  
continuing education program or activity hours for a specific program or activity is  
related to the practice of podiatry, or any the number of hours approved by the  
non-clinical subject relevant to practice, sponsor or the approving organization.  
education, administration, management, or  
science, including, but not limited to, live If the activity was not approved for a set  
and in-person programs; interactive or number of hours, then 1 credit hour for  
monitored teleconference or audio- each 50 to 60 minutes of participation  
conference programs; online programs; may be earned.  
and, journal articles or other self-study  
programs approved by either of the A maximum of 75 hours may be earned  
following:  
for this category in each renewal period.  
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 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 completed.  
C
Attendance at or participation in  
a
The number of continuing education  
continuing education program or activity hours for a specific program or activity is  
related to the practice of podiatry, or any the number of hours approved by the  
non-clinical subject relevant to practice, sponsor or the approving organization.  
education, administration, management, or  
science, including, but not limited to, live A maximum of 40 hours may be earned  
and in-person programs; interactive or in this category in each renewal period.  
monitored teleconference or audio-  
conference programs; online programs;  
and, journal articles or other self-study  
programs accredited, approved, or offered  
by either of the following:  
The Accreditation Council for Continuing  
Medical Education.  
The American Medical Association.  
Page 8  
The American Osteopathic Association.  
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 organization that approved the  
program or activity for continuing  
education credit, and the date on which the  
program was held or activity completed.  
D
Obtaining specialty board certification Fifty hours of continuing education may  
from 1 of the following:  
be earned in the year the applicant is  
advised of passing the certification  
American Board of Podiatric Medicine examination.  
(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 licensee shall submit proof of  
certification.  
E
Obtaining specialty board recertification Thirty hours of continuing education may  
from 1 of the following:  
be earned in the year the applicant is  
advised of passing the recertification  
examination.  
ABPM.  
ABFAS.  
ABMSP.  
ABLES.  
ABWM.  
If audited, a licensee shall submit proof of  
recertification.  
F
Serving as an instructor of podiatric Two hours of continuing education is  
medical students, house staff, other granted for each 50 to 60 minutes spent  
physicians, or allied health professionals in as an instructor.  
a hospital or institution that offers a  
postgraduate training program that is A maximum of 50 hours of continuing  
approved by the board pursuant to R education may be earned in this category  
338.8113, if the hospital or institution has each renewal period.  
approved the instruction.  
If audited, a licensee shall submit a letter  
from the program director verifying the  
licensee’s role.  
G
Serving as an instructor of podiatric Two hours of continuing education is  
students at an accredited podiatric medical granted for each 50 to 60 minutes spent  
institution under a rotating externship as an instructor.  
program recognized and approved by the  
medical institution in accordance with R A maximum of 50 hours may be earned  
338.8113.  
in this category in each renewal period.  
Page 9  
If audited, a licensee shall submit a letter  
from the sponsoring podiatric institution  
verifying the licensee’s role.  
H
Initial publication of an article related to Twenty-five hours of continuing  
the practice of podiatric medicine and education is granted per publication.  
surgery in a peer-reviewed journal.  
A maximum of 75 hours may be earned  
If audited, a licensee shall submit a copy of in this category in each renewal period.  
the publication that identifies the licensee  
as the author or a publication acceptance  
letter.  
I
Initial publication of a chapter related to Fifty hours of continuing education is  
the practice of podiatric medicine and granted per publication.  
surgery in either of the following:  
A maximum of 50 hours may be earned  
A professional or health care textbook.  
A peer-reviewed textbook.  
in this category in each renewal period.  
If audited, a licensee shall submit a copy of  
the publication that identifies the licensee  
as the author or a publication acceptance  
letter.  
J
Initial presentation of a scientific exhibit, a Two hours of continuing education is  
formal original scientific paper, or both, at granted for each 50 to 60 minutes of  
a professional meeting.  
presentation and preparation.  
If audited, a licensee shall submit a copy of A maximum of 30 hours may be earned  
the document presented with evidence of in this category each renewal period.  
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  
indicating time spent in preparation.  
a log  
K
Independent study, which is the One hour of continuing education is  
independent reading of peer-reviewed granted for each 50 to 60 minutes of  
professional journals or medical textbooks. participation.  
If audited, a licensee shall submit an A maximum of 30 hours may be earned  
affidavit attesting to the number of hours in this category in each renewal period.  
the licensee spent participating in these  
activities and a bibliography listing the  
journal, article, author or authors,  
publication date, and date read.  
L
Completion of a multi-media program that One hour of continuing education is  
requires a licensee to complete a self- granted for each 50 to 60 minutes of  
assessment component, including, but not participation.  
limited to, videotapes, internet web-based  
seminars, video conferences, on-line A maximum of 30 hours may be earned  
continuing education programs, and in this category each renewal period.  
journal articles. This does not include  
multi-media programs that satisfy the  
requirements of activity codes A, B, or C.  
A self-assessment component includes, but  
is not limited to, a post-test or other  
evaluation instrument that assesses the  
Page 10  
knowledge an individual gained after  
completing an activity.  
If audited, a licensee shall submit a  
certificate of self-assessment provided by  
the program sponsor.  
M
Participation on a hospital staff committee One hour of continuing education is  
dealing with quality patient care or granted for each 50 to 60 minutes of  
utilization review, or both.  
participation.  
If audited, a licensee shall submit a letter A maximum of 30 hours may be earned  
from an organization official verifying the in this category each renewal period.  
licensee’s participation and the number of  
hours the licensee spent participating on  
the committee.  
N
Full-time enrollment in a postgraduate A minimum of 5 months participation per  
clinical training program related to the year is required.  
practice of podiatric medicine and surgery  
in a hospital or institution that is approved Fifty hours of continuing education is  
by the board pursuant to R 338.8113.  
granted for each year of full-time  
enrollment.  
If audited, a licensee shall submit a letter  
from the program director verifying the A maximum of 150 hours may be earned  
licensee participated in the program. in this category each renewal period.  
History: 2014 AACS; 2017 AACS; 2019 AACS.  
R 338.8128 Continuing education programs; adoption of standards by reference; board approval.  
Rule 128. (1) The board approves and adopts by reference the standards for approving sponsors of  
continuing education developed and adopted by the CPME of the APMA entitled, “Standards,  
Requirements, and Guidelines for Approval of Sponsors of Continuing Education in Podiatric Medicine,”  
CPME 720, January 2015. 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 is also available for  
inspection and distribution at cost from the Board of Podiatric Medicine and Surgery, Michigan  
Department of Licensing and Regulatory Affairs, 611 West Ottawa, Lansing, MI 48909.  
(2) A continuing education program approved by the CPME is considered approved by the board.  
(3) The board or authorized committee shall consider requests for approval of individual continuing  
education programs. A sponsor shall submit an application and information regarding the program or  
activity to the department at least 60 days before the program or activity is held. For purposes of this rule, 1  
credit of continuing education is defined as 50 to 60 minutes of program attendance or participation in an  
activity.  
(4) The board or authorized committee shall evaluate applications for approval based upon all of the  
following:  
(a) The content of a program or activity must enhance the skills, knowledge, and practice of podiatric  
medicine and surgery.  
(b) The sponsor shall provide an outline of the program or activity that includes a statement of  
educational goals or measurable behavioral objectives, or both.  
(c) The program or activity must be presented, if applicable, by instructors who are qualified and  
competent in the subject matter as demonstrated by their education, training, and experience.  
(d) Licensee attendance at the program or activity must be monitored by the sponsor, if applicable.  
(e) The sponsor shall maintain, for a period of 3 years from the date of each program, records of  
program attendance or completion of an activity that show all of the following, as applicable:  
(i) The date a program was held or an activity completed.  
(ii) The location of a program.  
(iii) The credentials of the individuals who presented a program.  
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(iv) Rosters of individuals who were in attendance at a program or completed an activity.  
(v) The continuing education credits awarded to each attendee or participant.  
(f) The sponsor shall award a certificate or written evidence of attendance at a program or completion of  
an activity that includes the following, as applicable:  
(i) The participant’s name.  
(ii) The date and location of the program.  
(iii) The sponsor or program approval number.  
(iv) The number of continuing education credits earned.  
(4) The board or authorized committee may deny approval of programs or activities offered by  
institutions and organizations if the board or authorized committee determines that the programs or  
activities offered by those institutions or organizations fail to demonstrate compliance with the legislative  
intent to further educate licensees on subjects related to the practice of podiatric medicine and surgery.  
History: 2014 AACS; 2017 AACS; 2019 AACS.  
R 338.8129 Rescinded.  
History: 2014 AACS; 2017 AACS.  
R 338. 8130 Rescinded.  
History: 2014 AACS; 2017 AACS.  
R 338.8131 Rescinded.  
History: 2014 AACS; 2017 AACS.  
R 338.8132 Rescinded.  
History: 2014 AACS; 2017 AACS.  
R 338.8133 Rescinded.  
History: 2014 AACS; 2017 AACS.  
R 338.8134 Rescinded.  
History: 2014 AACS; 2017 AACS.  
R 338.8135 Rescinded.  
History: 2014 AACS; 2017 AACS.  
R 338.8136 Rescinded.  
History: 2014 AACS; 2017 AACS.  
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PART 5. TELEHEALTH  
R 338.8145 Telehealth.  
Rule 145. (1) Consent for treatment must be obtained before providing a telehealth service pursuant to  
section 16284 of the code, MCL 333.16284.  
(2) Evidence 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 podiatrist providing a telehealth service may prescribe a drug if the podiatrist is a prescriber acting  
within the scope of his or her practice and in compliance with section 16285 of the code, MCL 333.16285,  
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 podiatrist providing any telehealth service must do both of the following:  
(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: 1980 AACS; 1990 AACS; 2019 AACS.  
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