20 CSR 2150-2.125 - Continuing Medical Education
(1) Effective February 1, 2007, each licensee
shall complete and report at least fifty (50) hours of continuing medical
education every two (2) years. The board shall not issue a renewal of a
licensee's certificate of registration unless the licensee demonstrates
completion of fifty (50) hours of continuing medical education accredited by
the American Osteopathic Association (AOA) as Category 1-A or 2-A, by the
American Medical Association (AMA) as Category 1 or by the American Academy of
Family Practice Prescribed Credit, in the two (2) immediately preceding
reporting periods. A licensee is not required to complete any continuing
medical education hours in the renewal period in which the licensee is
initially licensed to practice the healing arts in Missouri if the licensee has
not previously held a permanent license to practice the healing arts in
Missouri or any other state in the United States of America. The period for
completion of the continuing medical education requirements shall be the
twenty-four (24)-month period beginning January 1 of each even-numbered year
and ending December 31 of each odd-numbered year. A licensee who has failed to
obtain and report, in a timely fashion, fifty (50) hours of continuing medical
education shall not engage in the practice of medicine unless an extension is
obtained pursuant to section (4) of this rule.
(A) A licensee shall be deemed to have
complied with section (1) of this rule if the licensee completes forty (40)
hours of continuing medical education and each course, seminar or activity
includes a post-test of the material covered in the forty (40) continuing
medical education hours. The forty (40) hours must all be accredited by the AOA
as Category 1-A or by the AMA as Category 1.
(2) Each licensee shall certify by
attestation, under penalty of perjury, that they have completed the required
hours of continuing medical education on the renewal form (see
20 CSR
2150-2.040).
(3) Each licensee shall retain records
documenting their attendance at and completion of the required hours of
continuing medical education for a minimum of three (3) years after the
reporting period in which the continuing medical education was completed. The
records shall document the titles of the courses taken, dates, locations,
course sponsors, category of hours earned and number of hours earned. The board
may conduct an audit of licensees to verify compliance with the continuing
medical education requirement. Licensees shall assist the board in its audit by
providing timely and complete responses to the board's inquiries.
(4) A licensee who cannot complete the
required hours of continuing medical education because of personal illness or
other circumstances beyond the licensee's control which the board deems to be
sufficient to impose an insurmountable hardship may apply for an extension of
time to complete the continuing medical education requirements. Any extension
of time to complete the continuing medical education requirements will be
granted solely in the discretion of the board. The licensee must make a written
application for extension of time prior to the December 31 deadline for
completion of the continuing medical education requirement. The application for
extension shall be accompanied by a processing fee of fifty dollars ($50),
together with the application for extension. The licensee shall provide full
and complete written documentation of the grounds supporting the reasons for
which an extension is sought. A licensee who requests an extension of time to
complete the required hours of continuing medical education shall not engage in
the active practice of the healing arts until the board grants the licensee's
request for extension and the licensee receives express written authorization
to do so.
(A) Illness extensions may be
granted only to a licensee who has suffered a personal illness or personal
disability of a nature as to prevent them from engaging in the active practice
of medicine for at least a majority of the reporting period. At a minimum, the
licensee shall provide the board with written documentation from the licensee's
treating physician stating the nature of the illness or disability, the period
of the illness or disability, any limitations on the licensee's activities
which resulted from the illness or disability, the number of hours earned in
the reporting period and a plan for completing the balance of the
requirement.
(B) The board, solely
in its discretion, may grant an extension based on unforeseeable circumstances
beyond the licensee's control which impose an insurmountable hardship
precluding the licensee from obtaining the required continuing medical
education. At a minimum, the licensee must provide written documentation
explaining specifically and in detail the nature of the circumstances, why the
circumstances were unforeseeable and beyond the licensee's control, the period
during which the circumstances were in existence, the number of continuing
medical education credits earned in the reporting period and the licensee's
plan for completing the balance of the requirements. The board, in its
discretion, shall determine if the situation described in the licensee's
application constitutes unforeseeable circumstances beyond the licensee's
control which impose an insurmountable hardship precluding the licensee from
obtaining the required continuing medical education.
(C) A licensee who is granted an extension of
time shall complete the balance of his/her continuing medical education
requirements no later than February 28 immediately following the end of the
reporting period for which an extension was sought and shall provide the board
with written documentation of their completion of the continuing medical
education requirements no later than March 10 immediately following the end of
the reporting period for which an extension was sought. Failure to complete the
continuing medical education requirements by February 28 or to file the
documentation with the board by March 10 shall constitute a violation of
section 334.075, RSMo and this
rule.
(D) An extension of time
shall not be granted to any licensee who obtained an extension in the
immediately preceding reporting period in which the licensee held an active
license, except in the case of a licensee who is unable to complete the
requirements due to military service commitment pursuant to a combat or
national emergency assignment.
(5) Licensees in the military will be granted
an extension of time to complete the continuing medical education requirements
if they are called to active duty under competent orders for any period of
thirty (30) days or more during the reporting period in accordance with section
41.950(10),
RSMo. If the licensee is called to active duty for a majority of the reporting
period, they will be exempt from obtaining continuing medical education. The
licensee must submit written documentation from the appropriate military
authorities verifying the licensee's military service commitment.
(6) A licensee who has obtained American
Specialty Board certification or recertification during the reporting period
shall be deemed to have obtained the required hours of continuing medical
education. The licensee shall provide the board with documentation evidencing
the certification or recertification upon request.
(7) A licensee who participated in an AMA or
AOA-approved internship or residency program during the reporting period shall
be deemed to have obtained the required hours of continuing medical education
if at least sixty (60) days of the reporting period were spent in the
internship or residency.
(8) A
licensee who participated in a fellowship program in an approved teaching
institution shall be deemed to have obtained the required hours of continuing
medical education if at least sixty (60) days of the reporting period were
spent in the fellowship and the fellowship is determined to be advanced
training. Upon request, the licensee shall provide documentation from the
fellowship program director verifying the number of days in the program and
that the program is advanced training.
(9) A licensee who holds a limited license to
practice medicine in the state of Missouri shall obtain and report to the board
ten (10) hours of AMA Category 1 or AOA Category 1-A or 2-A continuing medical
education each reporting period. The period for completion of the continuing
medical education requirements for a licensee who holds a limited license shall
be the twenty-four (24)-month period beginning January 1 of each even-numbered
year and ending December 31 of each odd-numbered year.
(10) For purposes of section
334.075, RSMo concerning waiver
of the continuing medical education requirements for retired physicians, a
retired physician is one who has neither engaged in the active practice of
medicine nor held themselves out as an active practicing physician and,
pursuant to section 334.110, RSMo, has executed and
filed with the board a retirement affidavit. A retired physician may keep their
wall-hanging certificate after execution of a retirement affidavit but shall
surrender, upon retirement, all other indicia of licensure.
(11) To reinstate the license of a physician
whose license has been in a noncurrent state for any reason, including
retirement, for a period of two (2) years or less, that physician shall obtain,
in addition to any other requirements of law, twenty-five (25) hours of
continuing medical education for each calendar year in which the license was in
a noncurrent state. To reinstate the license of any physician whose license has
been in a noncurrent state for any reason, including retirement, for more than
two (2) years, that physician shall comply with
20 CSR
2150-2.150 and any other requirements of law. No
license of a physician whose license has been noncurrent shall be reinstated
unless and until all required continuing medical education is obtained and
reported to the board and all other requirements of law have been
satisfied.
(12) Violation of any
provision of this rule shall be deemed by the board to constitute misconduct,
fraud, misrepresentation, dishonesty, unethical conduct or unprofessional
conduct in the performance of the functions or duties of a physician depending
on the licensee's conduct. In addition, a licensee who has failed to complete
and report in a timely fashion the required hours of continuing medical
education and engages in the active practice of the healing arts without the
express written authority of the board shall be deemed to have engaged in the
unauthorized practice of medicine.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.