DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
PODIATRIC MEDICINE AND SURGERY – GENERAL RULES  
Filed with the secretary of state on October 28, 2021  
These rules take effect immediately upon filing with the secretary of state unless adopted  
under section 33, 44, or 45a(6) 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, 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)  
R 338.8103, R 338.8107, R 338.8109, R 338.8110, R 338.8113, R 338.8127, and R  
338.8128 of the Michigan Administrative Code are amended and R 338.8102a is  
rescinded as follows:  
PART 2. LICENSURE  
R 338.8102a Rescinded.  
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.  
April 28, 2021  
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(d) Have satisfactorily completed not less than 3 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.  
R 338.8107 Licensure by endorsement; requirements.  
Rule 107. (1) An applicant for licensure by endorsement shall hold a current license in  
good standing from another state.  
(2) An applicant shall submit a completed application, on a form provided by the  
department, together with the requisite fee.  
(3) An applicant for licensure by endorsement shall achieve a converted score of not  
less than 75 on the podiatric jurisprudence examination administered by the department  
or an entity approved by the department.  
(4) If an applicant was first licensed in another state and has been actively engaged in  
the practice of podiatric medicine for a minimum of 2 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.  
(5) If an applicant was first licensed in another state and has been actively engaged in  
the practice of podiatric medicine for less than 2 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 not less than 3 years of 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.  
(6) An applicant’s license in good standing shall be verified by the licensing agency of  
any state of the United States in which the applicant holds or ever held a license as a  
podiatrist. The verification must include the record of any disciplinary action taken or  
pending against the applicant.  
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.  
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(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:  
(i) Part I.  
(ii) Part II.  
(d) 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).  
(3) A limited license is renewable for not more than 5 years pursuant to section  
333.18012(2) of the code, MCL 333.18012.  
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, 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 and is not currently licensed in another years or less.  
state or Canada.  
Lapsed 3  
Lapsed more  
than 3 years.  
Application and fee: Submit a completed  
(a) application on a form provided by the department,  
together with the required fee.  
Good moral character: Establish that he or she is  
(b) of good moral character as defined in 1974 PA  
381, MCL 338.41 to 338.47.  
√
√
√
√
Fingerprints: Submit fingerprints as required by  
(c) section 16174(3) of the code, MCL 333.16174(3).  
√
√
(d) Continuing education: Complete 150 hours of  
continuing education pursuant to R 338.8127  
including the following:  
√
(i) Not less than 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) Not less than 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.  
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Examination: Achieve a score 75 or more on the  
examination of Michigan laws and rules related to  
(e) 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  
(f) of the APMLE sponsored by the NBPME or its  
successor.  
Proof of license verification: An applicant’s  
(g) license in good standing shall be verified by the  
licensing agency of each jurisdiction 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 Lapsed  
license lapse and is currently licensed in another state or years or less.  
Canada.  
3 Lapsed more  
than 3 years.  
Application and fee: Submit a completed  
(a) application on a form provided by the department,  
together with the required fee.  
Good moral character: Establish that he or she is  
(b) of good moral character as defined by 1974 PA  
381, MCL 338.41 to 338.47.  
√
√
√
√
√
Fingerprints: Submit fingerprints as required by  
(c) section 16174(3) of the code, MCL 333.16174(3).  
Continuing education: Complete 150 hours of  
(d) continuing education pursuant to R 338.8127  
including the following:  
√
√
(i) Not less than 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) Not less than 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  
5
years from the date the department received the  
application to complete the deficient hours.  
Examination: Achieve a score of 75 or more on  
(e) 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  
(f) license in good standing shall be verified by the  
licensing agency of each jurisdiction in which the  
applicant holds or has ever held a license as a  
podiatrist.  
√
√
√
√
Verification must include the record of any  
disciplinary action taken or pending against the  
applicant.  
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, adopted October 2019, implementation date July 1, 2020. A copy of the  
standards and requirements is available at no cost from the council’s website at  
www.cpme.org. A copy of the standards and requirements also is available for inspection  
and distribution at a cost of 10 cents per page from the Board of Podiatric Medicine and  
Surgery, Michigan Department of Licensing and Regulatory Affairs, 611 West Ottawa,  
Lansing, Michigan 48909. The board considers any school of podiatric medicine  
accredited by the CPME of the APMA as a school of podiatric medicine approved by the  
board.  
(2) The board approves and adopts by reference the standards for approval of residency  
programs developed and adopted by the CPME of the APMA entitled “Standards and  
Requirements for Approval of Podiatric Medicine and Surgery Residencies,” CPME 320,  
July 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 a cost of 10 cents per page from the Board of  
Podiatric Medicine and Surgery, Michigan Department of Licensing and Regulatory  
Affairs, 611 West Ottawa, Lansing, Michigan 48909. The board considers any residency  
program approved by the CPME of the APMA as a school of podiatric medicine  
approved by the board.  
(3) A higher education institution is considered approved by the board if it is accredited  
by the accrediting body of the region in which the institution is located and the  
accrediting body meets either the recognition standards and criteria of the Council for  
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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 a cost of 10 cents per page from  
the Board of Podiatric Medicine and Surgery, Bureau of Professional Licensing,  
Department of Licensing and Regulatory Affairs, 611 West Ottawa, P.O. Box 30670,  
Lansing, Michigan 48909. The CHEA recognition standards also may be obtained at no  
cost from the council’s website at http://www.chea.org. The federal recognition criteria  
also may be obtained at no cost from the department’s website at  
http://www.ed.gov/about/offices/list/OPE/index.html.  
PART 4. CONTINUING EDUCATION  
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 not less than 3 continuing  
podiatric medical education hours in pain and symptom management in each renewal  
period pursuant to sections 16204(2) and 18033(2) of the code, MCL 333.16204 and  
333.18033. 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) Beginning September 4, 2020, an applicant for license renewal shall have earned at  
least 1 continuing podiatric medical education hour in medical ethics.  
(e) Beginning September 4, 2020, an applicant for license renewal shall have earned  
not less than 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) The board shall consider the following as acceptable continuing education:  
Activity Acceptable Continuing Education Number of Continuing Education  
Code  
Activities and Proof of Completion Hours Granted/Permitted for Each  
Activity  
A
Attendance at or participation in a The number of continuing  
continuing education program or education hours for a specific  
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activity related to the practice of program or activity is the number  
podiatry, or any non-clinical subject of hours approved by the sponsor  
relevant to  
practice, education, or the approving organization.  
administration, management, or  
science, including, but not limited A minimum of 75 hours must be  
to, live and in-person programs; earned in each renewal period,  
interactive  
or  
monitored unless all 150 hours are earned in  
teleconference or audio-conference Category N.  
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  
continuing education program or education hours for a specific  
activity related to the practice of program or activity is the number  
podiatry, or any non-clinical subject of hours approved by the sponsor  
relevant to  
practice, education, or the approving organization.  
administration, management, or  
science, including, but not limited If the activity was not approved  
to, live and in-person programs; for a set number of hours, then 1  
interactive  
or  
monitored credit hour for each 50 to 60  
teleconference or audio-conference minutes of participation may be  
programs; online programs; and, earned.  
journal articles or other self-study  
programs approved by either of the A maximum of 75 hours may be  
following:  
earned for this category in each  
renewal period.  
The Michigan board of  
podiatric medicine and  
surgery, pursuant to  
338.8128.  
R
Another state or provincial  
board of podiatric medicine  
and surgery.  
8
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  
continuing education program or education hours for a specific  
activity related to the practice of program or activity is the number  
podiatry, or any non-clinical subject of hours approved by the sponsor  
relevant to  
practice, education, or the approving organization.  
administration, management, or  
science, including, but not limited A maximum of 40 hours may be  
to, live and in-person programs; earned in this category in each  
interactive  
or  
monitored renewal period.  
teleconference or audio-conference  
programs; online programs; and,  
journal articles or other self-study  
programs accredited, approved, or  
offered by any of the following:  
The Accreditation Council  
for Continuing Medical  
Education.  
The American Medical  
Association.  
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.  
9
D
Obtaining  
specialty  
board Fifty  
hours  
of  
continuing  
certification from  
following:  
1
of the education may be earned in the  
year the applicant is advised of  
passing  
the  
certification  
examination.  
American Board of Podiatric  
Medicine (ABPM).  
American Board of Foot and  
Ankle Surgery (ABFAS).  
American Board of Multiple  
Specialties  
(ABMSP).  
in  
Podiatry  
American Board of Lower  
Extremity  
(ABLES).  
Surgery  
American Board of Wound  
Management (ABWM).  
If audited, a licensee shall submit  
proof of certification.  
E
Obtaining  
recertification from  
following:  
specialty  
board Thirty hours of continuing  
of the education may be earned in the  
year the applicant is advised of  
1
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  
medical students, house staff, other education is granted for each 50  
physicians, or allied health to 60 minutes spent as an  
hours  
of  
continuing  
professionals in a hospital or instructor.  
institution that offers a postgraduate  
training program that is approved A maximum of 50 hours of  
by the board pursuant to R continuing education may be  
338.8113, if the hospital or earned in this category each  
institution has approved the renewal period.  
instruction.  
If audited, a licensee shall submit a  
letter from the program director  
verifying the licensee’s role.  
10  
G
Serving as an instructor of podiatric Two  
hours  
of  
continuing  
students at an accredited podiatric education is granted for each 50  
medical institution under a rotating to 60 minutes spent as an  
externship program recognized and instructor.  
approved by the medical institution  
in accordance with R 338.8113.  
A maximum of 50 hours may be  
earned in this category in each  
If audited, a licensee shall submit a renewal period.  
letter from the sponsoring podiatric  
institution verifying the licensee’s  
role.  
H
Initial publication of an article Twenty-five hours of continuing  
related to the practice of podiatric education  
medicine and surgery in a peer- publication.  
reviewed journal.  
is  
granted  
per  
A maximum of 75 hours may be  
If audited, a licensee shall submit a earned in this category in each  
copy of the publication that renewal period.  
identifies the licensee as the author  
or a publication acceptance letter.  
I
Initial publication of a chapter Fifty  
hours  
is  
of  
granted  
continuing  
per  
related to the practice of podiatric education  
medicine and surgery in either of publication.  
the following:  
A maximum of 50 hours may be  
earned in this category in each  
renewal period.  
A professional or health care  
textbook.  
A peer-reviewed textbook.  
If audited, 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 Two  
hours  
of  
continuing  
exhibit, a formal original scientific education is granted for each 50  
paper, or both, at a professional to 60 minutes of presentation and  
meeting.  
preparation.  
If audited, a licensee shall submit a A maximum of 30 hours may be  
copy of the document presented earned in this category each  
with evidence of presentation and a renewal period.  
log indicating time spent in  
preparation or a letter from the  
program sponsor verifying the  
length and date of the presentation  
and a log indicating time spent in  
11  
preparation.  
K
Independent study, which is the One hour of continuing education  
independent reading of peer- is granted for each 50 to 60  
reviewed professional journals or minutes of participation.  
medical textbooks.  
A maximum of 30 hours may be  
If audited, a licensee shall submit an earned in this category in each  
affidavit attesting to the number of renewal period.  
hours  
the  
licensee  
spent  
participating in these activities and  
a bibliography listing the journal,  
article,  
publication date, and date read.  
Completion of multi-media One hour of continuing education  
program that requires a licensee to is granted for each 50 to 60  
complete self-assessment minutes of participation.  
author  
or  
authors,  
L
a
a
component, including, but not  
limited to, videotapes, internet web- A maximum of 30 hours may be  
based seminars, video conferences, earned in this category each  
on-line  
continuing  
education renewal period.  
programs, and journal articles. This  
does not include multi-media  
programs  
that  
satisfy  
the  
requirements of activity codes A, B,  
or C. A self-assessment component  
includes, but is not limited to, a  
post-test or other evaluation  
instrument that assesses the  
knowledge an individual gained  
after completing an activity.  
If audited, a licensee shall submit a  
certificate  
of  
self-assessment  
provided by the program sponsor.  
M
Participation on a hospital staff One hour of continuing education  
committee dealing with quality is granted for each 50 to 60  
patient care or utilization review, or minutes of participation.  
both.  
A maximum of 30 hours may be  
If audited, a licensee shall submit a earned in this category each  
letter from an organization official renewal period.  
verifying  
participation and the number of  
hours the licensee spent  
participating on the committee.  
the  
licensee’s  
12  
N
Full-time  
postgraduate  
enrollment  
clinical  
in  
a A minimum of  
5
months  
training participation per year is required.  
program related to the practice of  
podiatric medicine and surgery in a Fifty  
hours  
of  
continuing  
hospital or institution that is education is granted for each year  
approved by the board pursuant to R of full-time enrollment.  
338.8113.  
A maximum of 150 hours may be  
If audited, a licensee shall submit a earned in this category each  
letter from the program director renewal period.  
verifying the licensee participated in  
the program.  
R 338.8128 Continuing education programs; adoption of standards by reference; board  
approval.  
Rule 128. (1) The board approves and adopts by reference the standards for approving  
sponsors of continuing education developed and adopted by the CPME of the APMA  
entitled, “Standards and Requirements for Approval of Providers of Continuing  
Education in Podiatric Medicine,” CPME 720, adopted October 2019, implementation  
date: July 1, 2020. A copy of the standards and requirements is available at no cost from  
the council’s website at www.cpme.org. A copy of the standards and requirements is  
also available for inspection and distribution at a cost of 10 cents per page from the Board  
of Podiatric Medicine and Surgery, Michigan Department of Licensing and Regulatory  
Affairs, 611 West Ottawa, Lansing, Michigan 48909.  
(2) A continuing education program approved by the CPME is considered approved by  
the board.  
(3) The board shall consider requests for approval of individual continuing education  
programs. A sponsor shall submit an application and information regarding the program  
or activity to the department not less than 60 days before the program or activity is held.  
For purposes of this rule, 1 credit of continuing education is defined as 50 to 60 minutes  
of program attendance or participation in an activity.  
(4) The board shall evaluate applications for approval based upon all of the following:  
(a) The content of a program or activity must enhance the skills, knowledge, and  
practice of podiatric medicine and surgery.  
(b) The sponsor shall provide an outline of the program or activity that includes a  
statement of educational goals or measurable behavioral objectives, or both.  
(c) The program or activity shall be presented, if applicable, by instructors who are  
qualified and competent in the subject matter as demonstrated by their education,  
training, and experience.  
(d) Licensee attendance at the program or activity shall be monitored by the sponsor,  
if applicable.  
(e) The sponsor shall maintain, for a period of 3 years from the date of each program,  
records of program attendance or completion of an activity that show all of the following,  
as applicable:  
(i) The date a program was held or an activity completed.  
13  
(ii) The location of a program.  
(iii) The credentials of the individuals who presented a program.  
(iv) Rosters of individuals who were in attendance at a program or completed an  
activity.  
(v) The continuing education credits awarded to each attendee or participant.  
(f) The sponsor shall award a certificate or written evidence of attendance at a  
program or completion of an activity that includes the following, as applicable:  
(i) The participant’s name.  
(ii) The date and location of the program.  
(iii) The sponsor or program approval number.  
(iv) The number of continuing education credits earned.  
(5) The board may deny approval of programs or activities offered by institutions and  
organizations if the board or authorized committee determines that the programs or  
activities offered by those institutions or organizations fail to demonstrate compliance  
with the legislative intent to further educate licensees on subjects related to the practice of  
podiatric medicine and surgery.  
;