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 that is licensed shall 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 this state or the

United States.

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

(iii) Identifying the warning signs of human trafficking in 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.

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(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-

reviewed journal, 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 the individual. The certification statement

must include the individual’s name and 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-reviewed journal, healthcare journal, or

professional or scientific journal, and the date, volume, and issue of publication, as

applicable.

History: 2017 AACS; 2019 AACS; 2023 MR 6, Eff. March 22, 2023.

R 338.8102a Rescinded.

History: 2019 AACS; 2021 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 under the code, an applicant shall satisfy all of the following requirements:

(a) Have 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

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that assesses an applicant’s knowledge of the laws and rules governing the practice of

podiatric medicine and surgery in this state. An applicant who fails to achieve a passing

score on the jurisprudence examination may repeat the examination without limitation.

(d) Have satisfactorily completed a minimum of 2 years of a postgraduate training

program approved by the board under R 338.8113. Certification of the completion of the

minimum of 2 years of postgraduate training must not be submitted to the department

more than 15 days before the scheduled completion of the training.

History: 1990 AACS; 2014 AACS; 2017 AACS; 2019 AACS; 2021 AACS; 2023 MR 6, Eff. March 22,

2023.

R 338.8104 Examination approval and adoption; 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 shall have achieved a passing score on all of

the following parts of the APMLE:

(a) Part I.

(b) Part II, written portion only.

(c) Part III.

(3) The accepted passing score for each part of the APMLE for licensure is the

passing score established by the NBPME or its successor.

History: 1990 AACS; 2014 AACS; 2019 AACS; 2023 MR 6, Eff. March 22, 2023.

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 5 years before the date of filing an

application for 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 5 years before the date of filing an

application for 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

under R 338.8113.

(b) Have satisfactorily completed a minimum of 2 years of a postgraduate training

program approved by the board under R 338.8113.

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(c) Have achieved a passing score on the following parts of the APMLE 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.

(7) An applicant for licensure by endorsement shall 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.

History: 1990 AACS; 2014 AACS; 2019 AACS; 2021 AACS; 2023 MR 6, Eff. March 22, 2023.

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 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 rules promulgated under the

code, an applicant shall satisfy all of the following requirements:

(a) Have successfully completed a program of study offered by a school of podiatric

medicine approved by the board under R 338.8113.

(b) Have achieved a passing score on the following parts of the APMLE approved

by the board under R 338.8104:

(i) Part I.

(ii) Part II, written portion only.

(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).

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(3) A limited license is renewable for not more than 5 years under section

333.18012(2) of the code, MCL 333.18012.

History: 2014 AACS; 2017 AACS; 2019 AACS; 2021 AACS; 2023 MR 6, Eff. March 22, 2023.

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, 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:

(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:

Submit a completed application on a form

Lapsed 3

years or less.

Lapsed

more than 3

years.

( provided by the department, together with the

√

i)

required fee.

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.

ii)

Submit fingerprints as required by section

( 16174(3) of the code, MCL 333.16174.

√

iii)

iv)

Complete 150 hours of continuing education

( pursuant to R 338.8127, including both of the

following:

√

(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.

(B) At least 1 hour in medical ethics pursuant

to R 338.8127(1)(d).

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 has 2 years

after the date the department received the

application to complete the deficient hours.

Achieve a score 75 or more on the

( examination of this state’s laws and rules related

to the practice of podiatric medicine that is

v)

√

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developed and administered by the department, or

an entity approved by the department.

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.

vi)

√

An applicant who is or has ever been licensed,

( registered, or certified in a health profession or

√

vii) 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.

(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:

Submit a completed application on a form

( provided by the department, together with the

Lapsed 3

years or less.

Lapsed

more than 3

years.

√

i)

required fee.

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.

Submit fingerprints as required by section

( 16174(3) of the code, MCL 333.16174.

ii)

iii)

Complete 150 hours of continuing education

( pursuant to R 338.8127 including both of the

iv) following:

(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.

(B) At least 1 hour in medical ethics pursuant

to R 338.8127(1)(d).

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

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application are deficient, the applicant has 2 years

after the date the department received the

application to complete the deficient hours.

Achieve a score of 75 or more on the

( examination of 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.

An applicant who is or has ever been licensed,

( registered, or certified in a health profession or

v)

√

vi) 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.

History: 2014 AACS; 2017 AACS; 2019 AACS; 2021 AACS; 2023 MR 6, Eff. March 22, 2023.

R 338.8111 Rescinded.

History: 2014 AACS; 2017 AACS; 2019 AACS.

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.

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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 2021, implementation date 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 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, approved September

24, 2018, and the procedures and criteria for recognizing accrediting agencies of the

United States Department of Education, 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

CFR-2020-title34-vol3.pdf (govinfo.gov).

History: 1990 AACS; 2014 AACS; 2017 AACS; 2019 AACS; 2021 AACS; 2023 MR 6, Eff. March 22,

2023.

R 338.8114 Rescinded.

History: 2014 AACS; 2017 AACS.

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R 338.8115 Rescinded.

History: 2014 AACS.

R 338.8125 Rescinded.

History: 1980 AACS; 1996 AACS.

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 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 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 under R 338.8127.

History: 2014 AACS; 2017 AACS; 2019 AACS; 2023 MR 6, Eff. March 22, 2023.

R 338.8127 Acceptable continuing education; requirements; limitations.

Rule 127. (1) The 150 hours of continuing education required 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

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

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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) An applicant for license renewal shall have earned at least 1 continuing

education hour approved by the CPME or the AMA in medical ethics.

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

Activity

Code

Acceptable Continuing

Education Activities and

Proof of Completion

Number of Continuing

Education Hours

Granted/Allowed for

Each Activity

Attendance at or

participation in a

continuing education

The number of

continuing education

hours earned for a

(a)

program or activity related specific program or

to the practice of podiatry, activity is the number of

or any non-clinical subject hours approved by the

relevant to practice,

sponsor or the approving

organization.

education, administration,

management, or science,

including, but not limited

to, live and in-person

programs, interactive or

monitored teleconference

or audio-conference

A minimum of 75

hours must be earned in

each renewal period,

unless all 150 hours are

earned in Activity Code

programs, online programs, (n).

and journal articles or other

self-study programs offered

by a sponsor accredited or

approved by the CPME.

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

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credit, and the date the

program was held or

activity was completed.

Attendance at or

participation in a

continuing education

The number of

continuing education

hours earned for a

(b)

program or activity related specific program or

to the practice of podiatry, activity is the number of

or any non-clinical subject hours approved by the

relevant to practice,

sponsor or the approving

organization.

education, administration,

management, or science,

including, but not limited

to, live and in-person

programs, interactive or

monitored teleconference

or audio-conference

If the activity was

not approved for a set

number of hours, then 1

credit hour for each 50 to

60 minutes of

programs, online programs, participation may be

and journal articles or other earned.

self-study programs

approved by either of the

following:

A maximum of 75

hours may be earned for

this category in each

The Michigan board of renewal period.

podiatric medicine and

surgery, pursuant to R

338.8128.

Another state or

provincial board of

podiatric medicine and

surgery.

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 the

program was held or

activity was completed.

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Attendance at or

participation in a

continuing education

The number of

continuing education

hours earned for a

(c)

program or activity related specific program or

to the practice of podiatry, activity is the number of

or any non-clinical subject hours approved by the

relevant to practice,

sponsor or the approving

organization.

education, administration,

management, or science,

including, but not limited

to, live and in-person

programs, interactive or

monitored teleconference

or audio-conference

A maximum of 40

hours may be earned in

this category in each

renewal period.

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 AMA.

The American

Osteopathic Association.

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 the

program was held or

activity was completed.

Obtaining specialty

Fifty hours of

(d)

board certification from 1

of the following:

continuing education are

earned in the year the

applicant is advised of

passing the certification

American Board of

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Podiatric Medicine

(ABPM).

examination.

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, the licensee

shall submit proof of

certification.

Successfully

One hour of

(e)

completing an activity that continuing education is

is required for maintenance earned for every 60

of a specialty certification

recognized by 1 of the

minutes spent on the

activity. A maximum of

following and has not been 30 hours may be earned

used to satisfy the

requirements of a

for this activity in each

renewal period.

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.

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Serving as an instructor

of podiatric medical

Two hours of

continuing education are

(f)

students, house staff, other earned for each 50 to 60

physicians, or allied health minutes spent as an

professionals in a hospital

or institution that offers a

postgraduate training

instructor.

A maximum of 50

hours of continuing

program that is approved

by the board pursuant to R education may be earned

338.8113, if the hospital or in this category each

institution has approved the renewal period.

instruction.

If audited, the licensee

shall submit a letter from

the program director

verifying the licensee’s

role.

Serving as an instructor

of podiatric students at an

accredited podiatric

Two hours of

continuing education are

earned for each 50 to 60

(g)

medical institution under a minutes spent as an

rotating externship

instructor.

program recognized and

approved by the medical

institution in accordance

with R 338.8113.

A maximum of 50

hours may be earned in

this category in each

renewal period.

If audited, the licensee

shall submit a letter from

the sponsoring podiatric

institution verifying the

licensee’s role.

Initial publication of an

article related to the

practice of podiatric

Twenty-five hours of

continuing education are

earned per publication.

(h)

medicine and surgery in a

peer-reviewed journal.

A maximum of 75

hours may be earned in

If audited, the licensee this category in each

shall submit a copy of the

publication that identifies

the licensee as the author

or a publication acceptance

letter.

renewal period.

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Initial publication of a

chapter related to the

practice of podiatric

Fifty hours of

continuing education are

earned per publication.

(i)

medicine and surgery in

either of the following:

A maximum of 50

hours may be earned in

this category in each

renewal period.

A professional or

health care textbook.

A peer-reviewed

textbook.

If audited, the licensee

shall submit a copy of the

publication that identifies

the licensee as the author

or a publication acceptance

letter.

Initial presentation of a

Two hours of

(j)

scientific exhibit, a formal continuing education are

original scientific paper, or earned for each 50 to 60

both, at a professional

meeting.

minutes of presentation

and preparation.

If audited, the licensee

shall submit a copy of the

document presented with

evidence of the

A maximum of 30

hours may be earned 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

a log indicating time spent

in preparation.

Independent study,

One hour of

(k)

which is the independent

reading of peer-reviewed

professional journals or

medical textbooks.

continuing education is

earned for each 50 to 60

minutes of participation.

A maximum of 30

If audited, the licensee hours may be earned in

shall submit an affidavit

attesting to the number of

hours the licensee spent

participating in these

this category in each

renewal period.

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activities and a

bibliography listing the

journal, article, the author

or authors, publication

date, and date read.

Completion of a multi-

media program that

requires a licensee to

One hour of

continuing education is

earned for each 50 to 60

(l)

complete a self-assessment minutes of participation.

component, including, but

not limited to, videotapes,

internet web-based

seminars, video

A maximum of 30

hours may be earned in

this category each

renewal period.

conferences, online

continuing education

programs, and 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 knowledge an

individual gained after

completing an activity.

If audited, the licensee

shall submit a certificate of

self-assessment provided

by the program sponsor.

Participation on a

One hour of

(m)

hospital staff committee

continuing education is

dealing with quality patient earned for each 50 to 60

care or utilization review,

or both.

minutes of participation.

A maximum of 30

If audited, the licensee hours may be earned in

shall submit a letter from

an organization official

verifying the licensee’s

participation and the

this category each

renewal period.

number of hours the

licensee spent participating

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on the committee.

Full-time enrollment in

a postgraduate clinical

A minimum of 5

months participation per

(n)

training program related to year is required.

the practice of podiatric

medicine and surgery in a

hospital or institution that

is approved by the board

pursuant to R 338.8113.

Fifty hours of

continuing education are

earned for each year of

full-time enrollment.

If audited, the licensee

shall submit a letter from

the program director

A maximum of 150

hours may be earned in

this category each

verifying the licensee

renewal period.

participated in the program.

History: 2014 AACS; 2017 AACS; 2019 AACS; 2021 AACS; 2023 MR 6, Eff. March 22, 2023.

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 and Requirements for Approval of Providers of Continuing

Education in Podiatric Medicine,” CPME 720, adopted October 2019, implementation

date: July 1, 2020. 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 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.

(2) A continuing education program approved by the CPME is considered approved

by the board.

(3) The board 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 not less than 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 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 shall be presented, if applicable, by instructors who are

qualified and competent in the subject matter as demonstrated by their education,

training, and experience.

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(d) Licensee attendance at the program or activity shall 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.

(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.

(5) The board 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; 2021 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.

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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.

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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