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

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(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.

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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

http://www.ed.gov/about/offices/list/OPE/index.html.

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

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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

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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.

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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.

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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

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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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