DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

DIRECTOR'S OFFICE

OSTEOPATHIC MEDICINE AND SURGERY - GENERAL RULES

Filed with the secretary of state on March 22, 2023

These rules take effect immediately upon filing with the secretary of state unless adopted

under section 33, 44, or 45a(9) of the administrative procedures act of 1969, 1969 PA

306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections become

effective 7 days after filing with the secretary of state.

(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)

R 338.114, R 338.115, R 338.119, R 338.120, R 338.121, R 338.123, R 338.125, R

338.127, R 338.129, R 338.133, R 338.141, and R 338.143 of the Michigan

Administrative Code are amended, as follows:

PART 1. GENERAL PROVISIONS

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:

(a) Refers the patient to a provider that is geographically accessible to the patient, if

medically necessary.

(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 licensee providing any telehealth service shall 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.

May 11, 2022

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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.

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.

(7) A delegating physician shall not delegate the prescription of a drug or device

individually, in combination, or in succession, for a woman known to be pregnant with

the intention of causing either a miscarriage or fetal death.

R 338.120 Training standards for identifying victims of human trafficking; requirements.

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Rule 20. (1) Under section 16148 of the code, MCL 333.16148, an individual seeking

licensure or that is licensed shall complete 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 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 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, 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 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-review journal, health care journal, or professional

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

(3) Under 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 licenses beginning December 20, 2021.

PART 2. LICENSES

R 338.121 Accreditation standards for approval of osteopathic medical schools,

postgraduate training programs, and institutions; adoption by reference.

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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 entitled “Accreditation of Colleges of Osteopathic Medicine: COM

Accreditation Standards,” effective July 1, 2019, which are available at no cost on the

association’s website at https://osteopathic.org, are approved and adopted by reference.

Any 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

entitled “The Basic Documents for Postdoctoral Training,” effective July 1, 2020, which

are available at no cost on the association’s website at https://osteopathic.org, are

approved and adopted by reference. Any 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 entitled “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. Any 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

entitled “ACGME Common Program Requirements,” effective July 1, 2021, which are

available at no cost on the council’s website at https://www.acgme.org, are approved and

adopted by reference. Any medical postgraduate training program accredited by the

Accreditation Council for Graduate Medical Education is approved.

(5) Copies of the standards adopted by reference in 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, Licensing and Regulatory Affairs, 611

West Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.

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 and the rules promulgated under the code, as well as

all the following requirements:

(a) Provide the required fee and a completed application on a form provided by the

department.

(b) Provide proof verifying completion of a degree from a school of osteopathic

medicine that satisfies the standards under R 338.121(1).

(c) Provide proof verifying passing scores on all levels of the Comprehensive

Osteopathic Medical Licensing Examination of the United States (COMLEX-USA)

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adopted under R 338.129 and provide proof verifying satisfaction of all the requirements

under R 338.129.

(d) Provide proof 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 no more than 15 days before the scheduled

date of completion.

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 and the rules promulgated under

the code, as well as all the following requirements:

(a) Provide the required fee and a completed application on a form provided by the

department.

(b) Provide proof verifying the holding of a current and full doctor of osteopathic

medicine and surgery license in another state or in 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 verifying that the applicant completed the educational

requirements in Canada or in 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 in the United States.

(d) Provide proof 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 in a

province of Canada to obtain licensure as a doctor of osteopathic medicine and surgery in

another state or in a province of Canada.

(e) Provide proof 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 verifying a current and full license in good

standing as a doctor of osteopathic medicine and surgery in another state or in 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 verifying completion of the educational requirements in Canada or in 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 that 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,

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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.

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 and the rules promulgated under the code, as well as all the following requirements:

(a) Provide the required fee and a completed application on a form provided by the

department.

(b) Provide proof 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 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

may be renewed not more than 5 years.

R 338.129 Examination; adoption; passing scores; limitation on attempts; time

limitations.

Rule 29. (1) The COMLEX-USA, developed and administered by the National Board

of Osteopathic Medical Examiners (NBOME), is approved and adopted, and consists of

the following levels:

(a) COMLEX-USA Level 1.

(b) COMLEX-USA Level 2-Cognitive Evaluation (Level 2-CE).

(c) COMLEX-USA Level 2-Performance Evaluation (Level 2-PE) or a temporary

eligibility pathway approved by the NBOME.

(d) 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 cannot make more than 6 attempts to pass any level of the COMLEX-

USA.

(4) An applicant shall successfully pass all levels of the COMLEX-USA within 7 years

after the date that the applicant first passed any level of the COMLEX-USA. An

applicant may request consideration of a variance of the 7-year requirement by providing,

at a minimum, proof verifying both of the following requirements to the board:

(a) That the applicant passed all levels of the COMLEX-USA, but that the time taken to

pass all levels is more than 7 years.

(b) That the applicant has completed either of the following activities:

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(i) Graduation from an accredited graduate degree program in addition to osteopathic

medical school.

(ii) Completion of a residency or fellowship program with demonstrated consistent

participation in the program.

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 and the rules promulgated under the code, as well as all the

following requirements:

(a) Provides the required fee and a completed application on a form provided by the

department.

(b) Provides proof 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 verifying that the applicant is currently licensed and in good standing

as a doctor of osteopathic medicine and surgery in another state or in a province of

Canada.

(b) Provides proof 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).

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(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 verifying that the applicant is currently licensed and in good standing

as a doctor of osteopathic medicine and surgery in another state or in a province of

Canada.

(b) Provides proof verifying completion of both of the following during the 3 years

immediately preceding the date of the application for relicensure:

(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 that 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.

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.

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(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.

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) For license renewals filed December 20, 2017 or later, 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.

(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/Allowed for the

Activity

(a)

Attendance at 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 is assigned by the sponsoring

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not limited to, live, in-person

organization for the specific program

programs, journal articles with a self- or activity. A minimum of 40 hours

study component, interactive or

monitored teleconferences, audio

conferences, web-based programs, or

online programs approved or offered

of continuing education credit must

be earned in this activity. A

maximum of 150 hours of continuing

education credit may be earned for

by any of the following organizations: 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 credits 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)

Attendance at or participating in a

continuing education program or

activity related to the practice of

osteopathic medicine including, but

not limited to, live, in-person

The number of continuing education

hours for a specific program or

activity is the number of hours

assigned by the sponsoring

organization for the specific program

programs, journal articles with a self- or activity. A maximum of 110

study component, interactive or

hours of continuing education credit

may be earned for this activity in a

renewal period.

monitored teleconferences, audio

conferences, web-based programs, or

online programs approved or offered

by any of the following organizations:

- American Medical Association.

- Accreditation Council for

Continuing Medical Education.

- Michigan State Medical Society.

If audited, the licensee shall provide 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 or dates

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on which the program or activity was

completed.

(c)

Taking and passing a specialty board

certification or recertification

examination for a specialty board

recognized by the American

Osteopathic Association, the

American Board of Medical

A specialty board certification or

recertification examination

successfully passed during the

renewal period is granted 50 hours of

continuing education credit. A

maximum of 50 hours of continuing

Specialties, or the American Board of education credit may be earned for

Physician Specialties.

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

Osteopathic Association, the

(d)

One hour of continuing education

credit is granted for every 60 minutes

spent on the activity. A maximum of

30 hours of continuing education

credit may be earned for this activity

in each renewal period.

American 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.

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 hours of continuing education

preceptor, or moderator-participant in credit is granted for each scheduled

a 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 hours of continuing

If audited, the licensee shall provide a education credit may be earned for

letter from the program director

verifying the licensee’s role, length of

lecture or lectures, and the date on

which the lecture or lectures were

held.

this activity in each renewal period.

(f)

Conducting a formal inspection of an

osteopathic medical education or

training program that satisfies the

Five hours of continuing education

credit is granted per inspection. A

maximum of 90 hours of continuing

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standards adopted under R 338.121 or education credit may be earned for

conducting clinical examinations of

osteopathic specialty boards

recognized by the American

Osteopathic Association.

this activity in each renewal period.

If audited, the licensee shall provide

documentation from the accrediting

organization verifying the licensee’s

role and participation in the

inspection.

(g)

Participating in any of the following

committees:

Fifteen hours for each committee per

year is granted. A maximum of 90

hours of continuing education credit

may be earned for this activity in

- A peer-review committee dealing

with quality patient care as it relates to 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 health care 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 One hour of continuing education

disciplinary limited doctor of

osteopathic medicine and surgery.

credit is granted for each 60 minutes

spent consulting or reviewing the

disciplined licensee’s work. A

If audited, the licensee shall provide

an affidavit from the disciplinary

maximum of 50 hours of continuing

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limited doctor of osteopathic medicine education credit may be earned for

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.

this activity per renewal period.

(i)

(j)

(k)

Participating in a postgraduate training Fifty continuing education credits

program that satisfies the requirements per year are granted. A maximum of

under R 338.121(2) or (4). To receive 150 credits per renewal period may

credit the licensee shall enroll in the

program a minimum of 5 months per

year.

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 hours of continuing education

credit is granted for serving as the

medicine in a peer-reviewed journal or primary author. Five hours of

periodical.

continuing education credit is

granted for serving as a secondary

If audited, the licensee shall provide a author. Under subrule (1)(a) of this

copy of the publication that identifies rule, credit for an article is granted

the licensee as the author or a

publication acceptance letter and

documentation

only once per renewal period. A

maximum of 90 hours of continuing

education credit may be earned for

this activity in a renewal period.

Ten hours of continuing education

credit is granted for serving as the

primary author. Five hours of

Initial publication of a chapter or a

portion of a chapter related to the

practice of osteopathic medicine in

either of the following textbooks:

continuing education credit is

granted for serving as a secondary

- A professional health care textbook. author. A maximum of 90 hours of

- A peer-reviewed textbook.

continuing education credit may be

earned for this activity in each

If audited, the licensee shall provide a renewal period. Under subrule (1)(a)

copy of the publication that identifies of this rule, credit for publication is

the licensee as the author or a

publication acceptance letter.

granted once per renewal period.

(3) The board considers initial presentation of a scientific exhibit, poster, or paper to a

professional osteopathic medicine organization as acceptable category 2 continuing

education. Ten hours of continuing education credit is granted for each presentation. No

additional credit is granted for preparation of the presentation. A maximum of 90 hours

14

of continuing education credit may be earned for this activity in each renewal period.

Under subrule (1)(a) of this rule, credit for a presentation is 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.