DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR'S OFFICE  
OSTEOPATHIC MEDICINE AND SURGERY - GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, 16174, 16201, 16204, 16215, 16287, 17531, 17533, and  
17548 of the public health code, 1978 PA 368, MCL 333.16145, 333.16148, 333.16174,  
333.16201, 333.16204, 333.16215, 333.16287, 333.17531, 333.17533, and 333.17548,  
and Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL  
338.3501, 445.2001, 445.2011, and 445.2030)  
PART 1. GENERAL PROVISIONS  
R 338.111 Definitions.  
Rule 11. (1) As used in these rules:  
(a) "Board" means the Michigan board of osteopathic medicine and surgery created  
under section 17521 of the code, MCL 333.17521.  
(b) "Code" means the public health code, 1978 PA 368, MCL 333.1101 to  
333.25211.  
(c) “COMLEX-USA” means the Comprehensive Osteopathic Medical Licensing  
Examination of the United States.  
(d) “Department” means the department of licensing and regulatory affairs.  
(e) “NBOME” means the National Board of Osteopathic Medical Examiners.  
(2) A term defined in the code has the same meaning when used in these rules.  
History: 2016 AACS; 2021 AACS; 2025 MR 11, Eff. May 8, 2025.  
R 338.113 Rescinded.  
History: 2016 AACS; 2021 AACS.  
R 338.114 Telehealth.  
Rule 14. (1) A licensee shall obtain consent for treatment before providing a  
telehealth service under section 16284 of the code, MCL 333.16284.  
(2) A licensee shall maintain proof of consent for telehealth treatment in the  
patient’s up-to-date medical record and satisfy section 16213 of the code, MCL  
333.16213.  
(3) A licensee providing a telehealth service may prescribe a drug if the licensee is a  
prescriber acting within the scope of the licensee’s practice and in compliance with  
section 16285 of the code, MCL 333.16285, and if the licensee does both of the  
following:  
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(a) Refers the patient to a provider who is geographically accessible to the patient, if  
medically necessary.  
(b) Makes the licensee available to provide follow-up care services to the patient, or  
to refer the patient to another provider, for follow-up care.  
(4) A licensee providing any telehealth service shall do both of the following:  
(a) Act within the scope of the licensee’s practice.  
(b) Exercise the same standard of care applicable to a traditional, in-person  
healthcare service.  
History: 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
R 338.115 Code of ethics.  
Rule 15. (1) The standards of the American Osteopathic Association, 142 E.  
Ontario Street, Chicago, IL 60611-2864 set forth in the “Code of Ethics,” dated July 24,  
2016, which are available at no cost on the association’s website at  
https://osteopathic.org, are approved and adopted by reference.  
(2) A licensee shall not violate the code of ethics.  
(3) Copies of the adopted standards referenced in subrule (1) of this rule are  
available for inspection and distribution at a cost of 10 cents per page from the Board of  
Osteopathic Medicine and Surgery, Bureau of Professional Licensing, Department of  
Licensing and Regulatory Affairs, 611 West Ottawa, P.O. Box 30670, Lansing, Michigan  
48909.  
History: 2016 AACS; 2021 AACS; 2023 AACS.  
R 338.117 Prescribing of drugs by physician’s assistants; procedures and  
protocols.  
Rule 17. (1) Under section 17548(3) and (4) of the code, MCL 333.17548, and  
under the terms of a practice agreement, a physician’s assistant may prescribe a drug,  
including a controlled substance that is included in schedules 2 to 5 of part 72 of the  
code, MCL 333.7201 to 333.7231, subject to both of the following requirements:  
(a) If a physician’s assistant prescribes a drug, the physician’s assistant’s name  
must be used, recorded, or otherwise indicated in connection with that prescription.  
(b) If a physician’s assistant prescribes a drug that is included in schedules 2 to 5,  
the physician’s assistant’s DEA registration number must be used, recorded, or otherwise  
indicated in connection with that prescription.  
(2) Under section 17548(3) and (5) of the code, MCL 333.17548, and under the  
terms of a practice agreement, a physician’s assistant may order, receive, and dispense  
complimentary starter dose drugs, including controlled substances that are included in  
schedules 2 to 5 of part 72 of the code, MCL 333.7201 to MCL 333.7231, subject to both  
of the following requirements:  
(a) If a physician’s assistant orders, receives, or dispenses a complimentary starter  
dose drug, the physician’s assistant’s name must be used, recorded, or otherwise  
indicated in connection with that order, receipt, or dispensing.  
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(b) If a physician’s assistant orders, receives, or dispenses a complimentary starter  
dose drug that is included in schedules 2 to 5, the physician’s assistant’s DEA registration  
number must be used, recorded, or otherwise indicated in connection with that order,  
receipt, or dispensing.  
History: 2016 AACS; 2021 AACS.  
R 338.119 Delegation of prescribing controlled substances to an advanced  
practice registered nurse; limitation.  
Rule 19. (1) A physician may delegate the prescription of controlled substances  
listed in schedules 2 to 5 of part 72 of the code, MCL 333.7201 to MCL 333.7231, to a  
registered nurse who holds specialty certification under section 17210 of the code, MCL  
333.17210, except for a nurse anesthetist, if the delegating physician establishes a written  
authorization that has all the following information:  
(a) The name, license number, and signature of the delegating physician.  
(b) The name, license number, and signature of the nurse practitioner, nurse  
midwife, or clinical nurse specialist.  
(c) The limitations or exceptions to the delegation.  
(d) The effective date of the delegation.  
(2) The delegating physician shall review and update a written authorization on an  
annual basis after the original date or the date of amendment, if amended. The delegating  
physician shall note the review date on the written authorization.  
(3) The delegating physician shall maintain a written authorization at the delegating  
physician’s primary place of practice.  
(4) The delegating physician shall provide a copy of the signed, written  
authorization to the nurse practitioner, nurse midwife, or clinical nurse specialist.  
(5) The delegating physician shall ensure that an amendment to the written  
authorization satisfies subrules (1) to (4) of this rule.  
(6) A delegating physician may authorize a nurse practitioner, a nurse midwife, or a  
clinical nurse specialist to issue multiple prescriptions allowing the patient to receive a  
total of up to a 90-day supply of a schedule 2 controlled substance.  
History: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
R 338.120 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 20. (1) Under section 16148 of the code, MCL 333.16148, an individual  
seeking licensure or who is licensed shall have completed training in identifying victims  
of human trafficking that satisfies the following standards:  
(a) Training content must cover all the following:  
(i) Understanding the types and venues of human trafficking in 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.  
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(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 under  
these rules for initial licensure, or by a college or university.  
(iv) Reading an article related to the identification of victims of human trafficking  
that satisfies the requirements of subdivision (a) of this subrule and is published in a peer-  
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 an individual and request documentation of  
proof of completion of training. If audited by the department, the 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 either of the following:  
(i) For training completed under subrule (1)(b)(i) to (iii) of this rule, the date,  
training provider name, and name of training.  
(ii) For training completed under subrule (1)(b)(iv) of this rule, the title of 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: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
PART 2. LICENSES  
R 338.121 Accreditation standards for approval of osteopathic medical schools,  
postgraduate training programs, and institutions; adoption by reference.  
Rule 21. (1) The standards for accrediting osteopathic medical schools developed  
and adopted by the American Osteopathic Association Commission on Osteopathic  
College Accreditation, 142 E. Ontario Street, Chicago, Illinois 60611-2864, set forth in  
the publication titled “Accreditation of Colleges of Osteopathic Medicine: COM  
Continuing Accreditation Standards,” effective August 1, 2023, which are available at no  
cost on the association’s website at https://osteopathic.org, are approved and adopted by  
reference. An osteopathic school of medicine accredited by the Commission on  
Osteopathic College Accreditation is approved.  
(2) The standards of the American Osteopathic Association Council on Postdoctoral  
Training, 142 E. Ontario Street, Chicago, Illinois 60611-2864, set forth in the publication  
titled “The Basic Documents for Postdoctoral Training,” effective July 1, 2020, which are  
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available at no cost on the association’s website at https://osteopathic.org, are approved  
and adopted by reference. An osteopathic postgraduate training program accredited by  
the American Osteopathic Association Council on Postdoctoral Training is approved.  
(3) The standards of the American Osteopathic Association Council on Osteopathic  
Postdoctoral Training Institutions, 142 E. Ontario Street, Chicago, Illinois 60611-2864,  
set forth in the publication titled “OPTI Accreditation Handbook,” effective March 2014,  
which are available at no cost on the association’s website at https://osteopathic.org, are  
approved and adopted by reference. An osteopathic institution accredited by the  
American Osteopathic Association Council on Osteopathic Postdoctoral Training  
Institutions is approved.  
(4) The standards for approval of a postgraduate training program developed and  
adopted by the Accreditation Council for Graduate Medical Education, 401 North  
Michigan Avenue, Suite 2000, Chicago, Illinois 60611, set forth in the publication titled  
“ACGME Common Program Requirements,” effective July 1, 2023, which are available  
at no cost on the council’s website at https://www.acgme.org, are approved and adopted  
by reference. A medical postgraduate training program accredited by the Accreditation  
Council for Graduate Medical Education is approved.  
(5) Copies of the standards adopted by reference in subrules (1) to (4) of this rule are  
available for inspection and distribution at a cost of 25 cents per page from the Board of  
Osteopathic Medicine and Surgery, Bureau of Professional Licensing, Licensing and  
Regulatory Affairs, 611 West Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.  
History: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
R 338.123 Licensure by examination.  
Rule 23. An applicant for a doctor of osteopathic medicine and surgery license shall  
satisfy the requirements of the code, the rules promulgated under the code, and all the  
following requirements:  
(a) Provide the required fee and a completed application on a form provided by the  
department.  
(b) Provide proof, as directed by the department, verifying completion of a degree  
from a school of osteopathic medicine that satisfies the standards under R 338.121(1).  
(c) Provide proof, as directed by the department, verifying passing scores on all  
levels of the COMLEX-USA adopted under R 338.129 and verifying satisfaction of all  
the requirements under R 338.129.  
(d) Provide proof, as directed by the department, verifying completion of a  
minimum of 1 year of postgraduate clinical training in a program that satisfies either of  
the following requirements:  
(i) A postgraduate training program that satisfies the requirements under R  
338.121(2) at a training institution that satisfies the requirements under R 338.121(3).  
(ii) A postgraduate training program approved under R 338.121(4).  
(e) Provide a certificate of completion of the postgraduate training required under  
subdivision (d) of this rule to the department not more than 15 days before the scheduled  
date of completion.  
History: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
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R 338.125 Licensure by endorsement.  
Rule 25. (1) An applicant for a doctor of osteopathic medicine and surgery license  
by endorsement shall satisfy the requirements of the code, the rules promulgated under  
the code, and all the following requirements:  
(a) Provide the required fee and a completed application on a form provided by the  
department.  
(b) Provide proof, as directed by the department, verifying a current and full doctor  
of osteopathic medicine and surgery license in another state or a province of Canada.  
(c) If the applicant is licensed as a doctor of osteopathic medicine and surgery in a  
province in Canada, provide proof, as directed by the department, verifying that the  
applicant completed the educational requirements in Canada or the United States at a  
school of osteopathic medicine that satisfies the standards under R 338.121(1) for  
licensure as a doctor of osteopathic medicine and surgery in Canada or the United States.  
(d) Provide proof, as directed by the department, verifying passing scores on all  
levels of the COMLEX-USA adopted under R 338.129 and provide proof verifying  
satisfaction of all the requirements under R 338.129 for a doctor of osteopathic medicine  
and surgery license in another state or a province of Canada to obtain licensure as a  
doctor of osteopathic medicine and surgery in another state or a province of Canada.  
(e) Provide proof, as directed by the department, verifying completion of a  
minimum of 1 year of postgraduate clinical training in a program that satisfies either of  
the following requirements:  
(i) A postgraduate training program that satisfies the requirements under R  
338.121(2) at a training institution that satisfies the requirements under R 338.121(3).  
(ii) A postgraduate training program approved under R 338.121(4).  
(2) An applicant who provides proof, as directed by the department, verifying a  
current and full license in good standing as a doctor of osteopathic medicine and surgery  
in another state or a province of Canada for not less than the last 5 years before the date  
of filing the application for a doctor of osteopathic medicine and surgery license by  
endorsement, and who provides proof, as directed by the department, verifying  
completion of the educational requirements in Canada or the United States at a school of  
osteopathic medicine that satisfies the standards under R 338.121(1), is presumed to  
satisfy the requirements of subrule (1)(d) and (e) of this rule.  
(3) An applicant who is or has been licensed, registered, or certified in a health  
profession or specialty by another state, the United States military, the federal  
government, or another country shall disclose that fact on the application form. The  
applicant shall 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, except as otherwise provided under section  
17511(2) of the code, MCL 333.17511, sanctions are not in force at the time of  
application. If licensure is granted and it is determined that sanctions have been imposed,  
the disciplinary subcommittee may impose appropriate sanctions under section 16174(5)  
of the code, MCL 333.16174.  
History: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
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R 338.127 Educational limited license.  
Rule 27. (1) An individual not eligible for a doctor of osteopathic medicine and  
surgery license shall obtain an educational limited license before engaging in  
postgraduate training.  
(2) An applicant for an educational limited license shall satisfy the requirements of  
the code, the rules promulgated under the code, and all the following requirements:  
(a) Provide the required fee and a completed application on a form provided by the  
department.  
(b) Provide proof, as directed by the department, verifying that the applicant has  
graduated or is expected to graduate within 3 months after the date of the application  
from an osteopathic medical school that satisfies the requirements under R 338.121(1).  
(c) Provide proof, as directed by the department, verifying that the applicant has  
been accepted into a postgraduate training program that satisfies the requirements under  
R 338.121(2) or (4).  
(3) Under section 17512(2) of the code, MCL 333.17512, an educational limited  
license is renewable for not more than 5 years.  
History: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
R 338.129 Examination; adoption; passing scores; limitation on attempts.  
Rule 29. (1) The COMLEX-USA, developed and administered by the NBOME,  
which is approved and adopted, consists of the following levels:  
(a) COMLEX-USA Level 1.  
(b) COMLEX-USA Level 2-Cognitive Evaluation (Level 2-CE).  
(c) COMLEX-USA Level 3.  
(2) The passing score for each level of the COMLEX-USA accepted for licensure is  
the passing score established by the NBOME.  
(3) An applicant shall not make more than 4 attempts to pass any level of the  
COMLEX-USA.  
History: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
R 338.131 Rescinded.  
History: 2016 AACS; 2021 AACS.  
R 338.133 Relicensure.  
Rule 33. (1) An applicant whose doctor of osteopathic medicine and surgery license  
has lapsed for less than 3 years preceding the date of application for relicensure may be  
relicensed under section 16201(3) of the code, MCL 333.16201, if the applicant satisfies  
the requirements of the code, the rules promulgated under the code, and all the following  
requirements:  
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(a) Provides the required fee and a completed application on a form provided by the  
department.  
(b) Provides proof, as directed by the department, verifying the completion of not  
less than 150 hours of continuing education that satisfies the requirements under R  
338.141 during the 3 years immediately preceding the date of the application for  
relicensure.  
(c) Establishes good moral character as that term is defined in, and determined  
under, 1974 PA 381, MCL 338.41 to 338.47.  
(d) An applicant who holds or has ever held a license to practice osteopathic  
medicine and surgery shall establish all the following requirements:  
(i) Disciplinary proceedings are not pending against the applicant.  
(ii) If sanctions have been imposed against the applicant, the sanctions are not in  
force when applying.  
(iii) A previously held license was not surrendered or allowed to lapse to avoid  
discipline.  
(2) An applicant whose doctor of osteopathic medicine and surgery license has been  
lapsed for 3 years but less than 5 years may be relicensed under section 16201(4) of the  
code, MCL 333.16201, if the applicant provides fingerprints as set forth in section  
16174(3) of the code, MCL 333.16174, and satisfies the requirements of subrule (1) of  
this rule and 1 of the following requirements:  
(a) Provides proof, as directed by the department, verifying that the applicant is  
currently licensed and in good standing as a doctor of osteopathic medicine and surgery  
in another state or a province of Canada.  
(b) Provides proof, as directed by the department, verifying completion of 1 of the  
following during the 3 years immediately preceding the date of the application for  
relicensure:  
(i) Successfully passed the Comprehensive Osteopathic Medical Variable-Purpose  
Examination (COMVEX) offered by the NBOME. The passing score is the passing score  
established by the NBOME.  
(ii) Successfully completed a postgraduate training program that satisfies the  
requirements under R 338.121(2) or (4).  
(iii) Successfully completed a physician re-entry program that is an organizational  
member of the Coalition for Physician Enhancement (CPE).  
(iv) Successfully completed a physician re-entry program affiliated with an  
osteopathic medical school that satisfies the requirements under R 338.121(1).  
(3) An applicant whose doctor of osteopathic medicine and surgery license has been  
lapsed for 5 years or more may be relicensed under section 16201(4) of the code, MCL  
333.16201, if the applicant provides fingerprints as set forth in section 16174(3) of the  
code, MCL 333.16174, and satisfies the requirements of subrule (1) of this rule and 1 of  
the following requirements:  
(a) Provides proof, as directed by the department, verifying that the applicant is  
currently licensed and in good standing as a doctor of osteopathic medicine and surgery  
in another state or a province of Canada.  
(b) Provides proof, as directed by the department, verifying completion of both of  
the following during the 3 years immediately preceding the date of the application for  
relicensure:  
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(i) Successfully passed the COMVEX offered by the NBOME. The passing score  
is the passing score established by the NBOME.  
(ii) Successfully completed 1 of the following training options:  
(A) A postgraduate training program that satisfies the requirements under R  
338.121(2) or (4).  
(B) A physician re-entry program that is an organizational member of the CPE.  
(C) A physician re-entry program affiliated with an osteopathic medical school  
that satisfies the requirements under R 338.121(1).  
(4) If required to complete the requirements of subrule (2)(b) or (3)(b) of this rule,  
the applicant may obtain an educational limited license for the sole purpose of  
completing that training.  
(5) An applicant with an educational limited license may be relicensed under section  
16201(3) or (4) of the code, MCL 333.16201, if the applicant satisfies subrule (1) of this  
rule and R 338.127.  
(6) An applicant who is or has been licensed, registered, or certified in a health  
profession or specialty by another state, the United States military, the federal  
government, or another country shall disclose that fact on the application form. The  
applicant shall 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.  
If licensure is granted and it is determined that sanctions have been imposed, the  
disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
History: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
PART 3. CONTINUING EDUCATION  
R 338.141 License renewals.  
Rule 41. (1) An applicant for renewal shall satisfy the requirements of the code and  
the rules promulgated under the code.  
(2) An applicant for license renewal who has been licensed in the 3-year period  
immediately preceding the application for renewal shall accumulate a minimum of 150  
hours of continuing education credit in activities approved under R 338.143 during the 3  
years immediately preceding the application for renewal.  
(3) Submission of an application for renewal constitutes the applicant’s certification  
of compliance with the requirements of this rule. The licensee shall maintain  
documentation of satisfying the requirements of this rule for 4 years after the date of  
applying for license renewal. Failure to satisfy this rule is a violation of section 16221(h)  
of the code, MCL 333.16221.  
(4) The department may select and audit a sample of licensees who have renewed  
their license and request proof of compliance with subrule (2) of this rule. If audited, a  
licensee shall provide documentation as specified in R 338.143.  
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(5) An applicant shall submit a request for a waiver of continuing education  
requirements to the department for the board’s consideration not less than 30 days before  
the last regularly scheduled board meeting before the expiration date of the license.  
History: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
R 338.143 Acceptable continuing education; requirements; limitations.  
Rule 43. (1) The 150 hours of continuing education credits required under R  
338.141 must satisfy the following requirements, as applicable:  
(a) Credit for a continuing education program or activity that is identical or  
substantially equivalent to a program or activity for which the licensee has already earned  
credit during the renewal period cannot be granted.  
(b) A minimum of 1 hour of continuing education credit must be earned in medical  
ethics.  
(c) A minimum of 3 hours of continuing education credit must be earned in pain  
and symptom management under section 17533(2) of the code, MCL 333.17533. At least  
1 of the 3 hours must include controlled substances prescribing. Continuing education  
hours in pain and symptom management may include, but are not limited to, any of the  
following areas:  
(i) Public health burden of pain.  
(ii) Ethics and health policy related to pain.  
(iii) Michigan pain and controlled substance laws.  
(iv) Pain definitions.  
(v) Basic sciences related to pain including pharmacology.  
(vi) Clinical sciences related to pain.  
(vii) Specific pain conditions.  
(viii) Clinical physician communication related to pain.  
(ix) Management of pain, including evaluation and treatment and non-  
pharmacological and pharmacological management.  
(x) Ensuring quality pain care and controlled substances prescribing.  
(xi) Michigan programs and resources relevant to pain.  
(d) A minimum of 60 continuing education credits must be obtained through  
category 1 programs listed in subrule (2) of this rule. A maximum of 90 continuing  
education credits may be obtained through category 2 programs listed in subrule (3) of  
this rule.  
(e) Completion of implicit bias training under R 338.7004 during the 3 years  
immediately preceding the application for renewal may be used toward satisfaction of the  
requirements of R 338.141(2) and subrule (1) of this rule.  
(2) The board considers any of the following activities as acceptable category 1  
continuing education:  
Activity and Proof of Completion  
Number of Continuing Education  
Hours Granted and Allowed for the  
Activity  
(a)  
Attending or participating in a  
continuing education program or  
activity related to the practice of  
The number of continuing education  
hours for a specific program or  
activity is the number of hours  
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osteopathic medicine, including, but  
assigned by the sponsoring  
not limited to, live, in-person programs, organization for the specific program  
journal articles with a self-study  
component, interactive or monitored  
teleconferences, audio conferences,  
web-based programs, or online  
programs approved or offered by any  
of the following organizations:  
or activity. A minimum of 40  
continuing education hours must be  
earned in this activity. A maximum  
of 150 continuing education hours  
may be earned for this activity in each  
renewal period.  
- American Osteopathic Association.  
- Michigan Osteopathic Association.  
If audited, a licensee shall provide a  
copy of a letter or certificate of  
completion showing the licensee’s  
name, number of continuing education  
hours earned, sponsor name or the  
name of the organization that approved  
the program or activity for continuing  
education credit, and the date or dates  
on which the program or activity was  
completed.  
(b)  
Attending or participating in a  
continuing education program or  
activity related to the practice of  
The number of continuing education  
hours for a specific program or  
activity is the number of hours  
osteopathic medicine including, but not assigned by the sponsoring  
limited to, live, in-person programs,  
journal articles with a self-study  
component, interactive or monitored  
teleconferences, audio conferences,  
web-based programs, or online  
organization for the specific program  
or activity. A maximum of 110  
continuing education hours may be  
earned for this activity in a renewal  
period.  
programs approved or offered by any  
of the following organizations:  
- American Medical Association.  
- Accreditation Council for Continuing  
Medical Education (ACCME)  
including non-ACCME accredited  
providers engaging in joint  
providership with ACCME accredited  
providers.  
- Michigan State Medical Society.  
If audited, the licensee shall provide a  
copy of a letter or certificate of  
completion showing the licensee’s  
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name, number of continuing education  
hours earned, sponsor name or the  
name of the organization that approved  
the program or activity for continuing  
education credit, and the date or dates  
on which the program or activity was  
completed.  
(c)  
Taking and passing a specialty board  
certification or recertification  
A specialty board certification or  
recertification examination  
examination for a specialty board  
recognized by the American  
successfully passed during the  
renewal period is granted 50  
Osteopathic Association, the American continuing education hours. A  
Board of Medical Specialties, or the  
American Board of Physician  
Specialties.  
maximum of 50 continuing education  
hours may be earned for this activity  
in each renewal period.  
If audited, the licensee shall provide  
proof from the specialty board of the  
successful passing of the examination.  
Successfully completing an activity  
that is required for maintenance of a  
specialty certification for a specialty  
board recognized by the American  
(d)  
One continuing education hour is  
granted for every 60 minutes spent on  
the activity. A maximum of 30  
continuing education hours may be  
Osteopathic Association, the American earned for this activity in each  
Board of Medical Specialties, or the  
American Board of Physician  
Specialties that does not satisfy the  
requirements of subdivision (a) or (b)  
of this subrule.  
renewal period.  
If audited, the licensee shall provide  
proof from the specialty board that the  
activity was required for maintenance  
of certification, that the activity was  
successfully completed, and the date of  
completion.  
(e)  
Serving as a teacher, lecturer,  
Two continuing education credit  
preceptor, or moderator-participant in a hours are granted for each scheduled  
medical education or training program  
that satisfies the standards adopted  
under R 338.121.  
lecture or clinical consultation.  
Additional credit for preparation of  
the lecture cannot be granted. A  
maximum of 90 continuing education  
hours may be earned for this activity  
in each renewal period.  
If audited, the licensee shall provide a  
letter from the program director  
verifying the licensee’s role, length of  
lecture or lectures, and the date on  
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which the lecture or lectures were held.  
Conducting a formal inspection of an  
osteopathic medical education or  
training program that satisfies the  
standards adopted under R 338.121 or  
conducting clinical examinations of  
osteopathic specialty boards recognized  
by the American Osteopathic  
(f)  
Five continuing education hours are  
granted per inspection. A maximum  
of 90 continuing education hours may  
be earned for this activity in each  
renewal period.  
Association.  
If audited, the licensee shall provide  
documentation from the accrediting  
organization verifying the licensee’s  
role and participation in the inspection.  
Participating in any of the following  
committees:  
(g)  
Fifteen continuing education hours for  
each committee per year are granted.  
A maximum of 90 continuing  
- A peer-review committee dealing  
education hours may be earned for  
with quality patient care as it relates to this activity in each renewal period.  
the practice of osteopathic medicine  
and surgery.  
- A committee dealing with utilization  
review as it relates to the practice of  
osteopathic medicine.  
- A healthcare organization committee  
with patient care issues related to the  
practice of osteopathic medicine.  
- A national or state committee, board,  
council, or association related to the  
practice of osteopathic medicine.  
A committee, board, council, or  
association is considered acceptable  
under these rules if it enhances the  
participant’s knowledge and  
understanding of the practice of  
osteopathic medicine. If audited, the  
licensee shall provide a letter from an  
organization official verifying the  
licensee’s participation in not less than  
50% of the regularly scheduled  
meetings.  
(h)  
Providing individual supervision for a  
disciplinary limited doctor of  
osteopathic medicine and surgery.  
One continuing education hour is  
granted for every 60 minutes spent  
consulting or reviewing the  
disciplined licensee’s work. A  
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If audited, the licensee shall provide an maximum of 50 continuing education  
affidavit from the disciplinary limited  
doctor of osteopathic medicine and  
surgery who received the supervision.  
The affidavit must attest to the  
licensee’s role as supervisor and the  
number of hours spent providing  
supervision to the disciplinary limited  
doctor of osteopathic medicine and  
surgery.  
hours may be earned for this activity  
per renewal period.  
(i)  
(j)  
(k)  
Participating in a postgraduate training Fifty continuing education hours are  
program that satisfies the requirements granted per year. A maximum of 150  
under R 338.121(2) or (4). To receive  
credit the licensee shall enroll in the  
program a minimum of 5 months per  
year.  
continuing education hours per  
renewal period may be earned for this  
activity in each renewal period.  
If audited, the licensee shall provide a  
letter from the program director  
verifying the dates that the licensee was  
enrolled in the program.  
Publication of a scientific article  
relating to the practice of osteopathic  
Ten continuing education hours are  
granted for serving as the primary  
medicine in a peer-reviewed journal or author. Five continuing education  
periodical.  
hours are granted for serving as a  
secondary author. Under subrule  
(1)(a) of this rule, continuing  
education hours for an article are  
granted only once per renewal period.  
A maximum of 90 continuing  
education hours may be earned for  
this activity in a renewal period.  
Ten continuing education hours are  
granted for serving as the primary  
author. Five continuing education  
hours are granted for serving as a  
secondary author. A maximum of 90  
continuing education hours may be  
earned for this activity in each  
renewal period. Under subrule (1)(a)  
of this rule, continuing education  
hours for publication are granted once  
per renewal period.  
If audited, the licensee shall provide a  
copy of the publication that identifies  
the licensee as the author or a  
publication acceptance letter and  
documentation.  
Initial publication of a chapter or a  
portion of a chapter related to the  
practice of osteopathic medicine in  
either of the following textbooks:  
- A professional healthcare textbook.  
- A peer-reviewed textbook.  
If audited, the licensee shall provide a  
copy of the publication that identifies  
the licensee as the author or a  
publication acceptance letter.  
(3) The board considers initial presentation of a scientific exhibit, poster, or paper to  
a professional osteopathic medicine organization as acceptable category 2 continuing  
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education. Ten continuing education hours are granted for each presentation. No  
additional credit is granted for preparation of the presentation. Under subrule (1)(a) of  
this rule, continuing education hours for a presentation are granted once per renewal  
period. If audited, the licensee shall provide a copy of the document presented with proof  
of the presentation or a letter from the program sponsor verifying the date of presentation.  
History: 2016 AACS; 2021 AACS; 2023 AACS; 2025 MR 11, Eff. May 8, 2025.  
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