20 CSR 2230-2.030 - Biennial License Renewal
(1) All Missouri podiatric physicians shall
notify the board office of all offices, shared or individual; or changes in
office addresses and designate at which address mail is to be
received.
(2) Each applicant for
license renewal shall certify to the board that s/he has attended twenty-four
(24) hours of board-approved continuing medical education (CME) for the
biennial renewal period immediately preceding the biennial license renewal
date. Applicants who qualify under section 330.010.2, RSMo to perform surgery
of the ankle must certify that s/he has attended an additional twenty-six (26)
hours of board-approved CME for the biennial renewal period immediately
preceding the biennial license renewal date. Prior to January 2005, a copy of
Foot & Ankle Board Certification or certificate of a twenty-four- (24-)
month postgraduate clinical residency program in podiatric surgery shall be on
file with the state board for acceptance of the additional CMEs, before the
endorsement of "Ankle Surgery Certified" will be added to their biennial
renewal license. After January 2005, a certificate of completion of a
twenty-four- (24-) month postgraduate clinical residency program in podiatric
surgery is required for acceptance of the additional CMEs and the "Ankle
Surgery Certified" endorsement.
(3)
The reporting period for satisfying the CME requirements shall be the
twenty-four- (24-) month period immediately preceding the biennial license
renewal date, which is February 28 of each even-numbered year. All CME hours,
excluding those hours pursuant to section
324.046, RSMo, shall be board
approved. CME hours earned after the biennial renewal date (February 28 of
even-numbered years) will apply to the next reporting cycle. A renewal license
will not be issued until all renewal requirements have been met.
(4) The licensee shall certify that s/he has
obtained at least twenty-four (24) or fifty (50) hours, whichever is relevant,
of continuing medical education during the two- (2-) year period preceding the
renewal on the renewal form provided by the board. Beginning March 1, 2020, all
applicants for license renewal shall have obtained at a minimum of two (2)
hours in infection control pursuant to
20 CSR
2230-2.023 Infection Control at least every other
renewal period. The renewal form shall be submitted directly to the board,
either by mail or online renewal, by February 28 of each even-numbered year.
The licensee shall not submit the record of CME attendance to the board except
in the case of a board audit.
(5)
The following guidelines govern the CME requirements needed to apply for
biennial licensure renewal.
(A) Educational
programs approved by the following are approved by the board:
1. Council of Podiatric Medical Education of
the American Podiatric Medical Association;
2. American Medical Association (AMA);
or
3. American Osteopathic
Association (AOA) or its equivalent.
(B) Licensees who attend the open session of
the Missouri State Board of Podiatric Medicine's board meetings will receive
one (1) hour of CME credit per meeting. To qualify, licensees must sign in at
the beginning of the open meeting and sign out at the end of the open
meeting.
(C) Licensees who are
required to obtain twenty-four (24) hours of CME credit in a two- (2-) year
reporting period may use up to six (6) hours of distance learning CME credit in
each reporting period, in accordance with this rule. Licensees who are required
to obtain fifty (50) hours of CME credit in a two- (2-) year reporting period
may use up to twelve (12) hours of distance learning CME credit in each
reporting period, in accordance with this rule. Distance learning methods may
include, but are not limited to, correspondence courses, online only courses,
magazine articles, or other methods where the licensee is not physically
present with the course speaker or presenter. Live interactive virtual
presentations shall not be considered distance learning courses and as such
shall not be restricted.
(6) The board will review for consideration
of CME credits, the following to meet the standards for biennial license
renewal. The licensee shall submit a copy of the program schedule, the outline,
and the appropriate Continuing Education Board Review Fee to the board office
not less than sixty (60) days prior to the date of the program. The outline
must indicate the program's subject matter, the number of hours required for
its presentation, and the identity and qualifications of the speakers and
instructors, if applicable. After review, the board may grant approval. If the
board approves, the credit will be accepted and the licensee may count the CME
hours toward the total number of required hours. If the request is submitted
after the sixty- (60-) day deadline, payment of the Continuing Medical
Education Reporting Period Late Fee will be required:
(A) Any courses not approved by the Council
of Podiatric Medical Education of the American Podiatric Medical
Association;
(B) Meetings.
Registered attendance at relevant podiatric medicine related professional
meetings (international, national, regional, state, or local). CME credits may
be granted for no more than four (4) hours per day for professional meeting
attendance;
(C) Presenting or
speaking at a formal professional meeting in the area of podiatric medicine or
a related field. CME credits may be granted at the rate of four (4) hours for
each presentation. No CME credit based on the same presentation will be allowed
for use in the subsequent two- (2-) year reporting period; and
(D) Writing a paper published in a
professional journal, writing an original chapter in a book or an edited book,
or for editing or writing a book, in the area of podiatric medicine or a
related field. Credits may be granted for the year of publication or
presentation. CME credits may be granted at the rate of four (4) hours for each
paper, eight (8) hours for each chapter in a book, ten (10) hours for editing a
book, and fifteen (15) hours for the publication of a book. No CME credit based
on the same materials will be allowed for use in the subsequent two- (2-) year
reporting period.
(7)
Licensees who are required to obtain twenty-four (24) hours of CME credit in a
two- (2-) year reporting period may carry over up to six (6) CME credit hours
earned in excess of the twenty-four (24) hours to the next two- (2-) year
reporting period. Licensees who are required to obtain fifty (50) hours of CME
credit in a two- (2-) year reporting period may carry over up to twelve (12)
CME credit hours earned in excess of the fifty (50) hours to the next two- (2-)
year reporting period.
(8) An
applicant who has not satisfied the CME requirements in accordance with this
rule shall meet the CME requirements retroactively as well as pay the
Continuing Medical Education Reporting Period Late Fee.
(9) Exceptions to the provisions of this rule
include the following:
(A) Licensees who were
in training at least a minimum of six (6) months during the CME reporting
period at a residency program approved by the Council of Podiatric Medical
Education of the American Podiatric Medical Association are exempt from
obtaining the required CME hours for the continuing medical education reporting
period while the licensee was in the residency program. The residency program
director must complete the form provided by the board, attesting that the
applicant has attended an approved postgraduate clinical residency program for
not less than six (6) months during the twenty-four- (24-) month continuing
medical education renewal reporting period. The certificate must indicate that
the applicant was in good standing and indicate the dates of attendance during
the postgraduate clinical residency program. The licensee shall maintain this
certificate in his/her records of CME attendance;
(B) For the first renewal of a podiatrist's
license, the board will consider the passing score of the national board (Part
III) exam as satisfying twelve (12) hours of the required hours of CME pursuant
to this rule if the national board (Part III) exam was taken within the CME
reporting period;
(C) A licensee who
has obtained American Podiatric Specialty Board certification or
recertification during the reporting period shall be deemed to have obtained
the required hours of CME. The licensee shall maintain documentation evidencing
the certification or recertification;
(D) A licensee who participated in a
fellowship program in an approved teaching institution shall be deemed to have
obtained the required hours of CME if at least sixty (60) days of the reporting
period were spent in the fellowship and the fellowship is determined to be
advanced training. The licensee shall maintain documentation from the
fellowship program director verifying the number of days in the program and
that the program is advanced training; and
(E) Pursuant to section
41.946, RSMo and notwithstanding
any other provision of law, any person licensed or certified to practice a
trade or profession by the state of Missouri or any branch or agency thereof
that requires an annual period of continuing education or training as a
condition of continued or renewed licensing or certification, and who is or
becomes a member of the National Guard or of any reserve component of the Armed
Forces of the United States who is called to full-time active duty in the
service of the United States under competent orders shall, during the period of
full-time active duty, be exempt from any such requirement for continuing
education or training without his/her status, license, certification, right to
practice his/her trade, or profession being affected and shall not be required,
upon returning from full-time active duty, to make up or retake any training or
education for which s/he was exempt under the provisions of this
section.
(10) A licensee
who cannot complete the required hours of CME 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 CME requirements. Any extension of time to complete the
CME requirements will be granted solely at the discretion of the board. The
licensee shall make a written application for extension of time prior to the
February 28 deadline for completion of the CME requirement and provide full and
complete written documentation of the grounds supporting the reasons for which
an extension is sought. The application for extension shall be accompanied by
the Continuing Medical Education Reporting Period Late Fee.
(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 him/her from engaging in the active practice of podiatry
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 that
resulted from the illness or disability, documentation of the number of CME
hours earned in the two- (2-) year reporting period, and a plan for completing
the balance of the CME requirement.
(B) The board, solely at its discretion, may
grant an extension based on unforeseeable circumstances beyond the licensee's
control that impose an insurmountable hardship precluding the licensee from
obtaining the required CME. At a minimum, the licensee shall 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, documentation of the number of CME credits earned in the two- (2-)
year reporting period, and the licensee's plan for completing the balance of
the CME requirement.
(C) An
extension of time shall not be granted to any licensee who obtained an
extension in the immediately preceding CME reporting period in which the
licensee held an active license.
(11) Every licensee shall maintain full and
complete records of all approved CME hours earned for the two (2) previous
reporting periods in addition to the current reporting period. The records
shall document the titles of the courses taken, dates, locations, course
sponsors, number of hours earned, and certificate of attendance or completion.
The board may conduct an audit of licensees to verify compliance with the
continuing education requirements. Licensees shall assist the board in its
audits by providing timely and complete responses to the board's
inquiries.
(12) A licensee whose
license has lapsed in Missouri for fewer than six (6) months may renew that
license by completing the appropriate forms and paying the applicable fees,
including a late fee that increases for each thirty (30) days past the license
expiration date.
(13) Any
application for biennial license renewal received by the board more than six
(6) months after the renewal date shall be void and the applicant will need to
make new application and pay the applicable fees in accordance with section
330.030, RSMo, which shall
include successful completion of the Missouri Law Examination administered by
the board.
(14) A Missouri licensed
podiatrist has the ongoing obligation to keep the board informed if the
licensee has been finally adjudicated or found guilty, or entered a plea of
guilty or nolo contendere, in a criminal prosecution under the
laws of any state or of the United States, for any offense reasonably related
to the qualifications, functions, or duties of any profession licensed or
regulated under Chapter 330, RSMo, for any offense an essential element of
which is fraud, dishonesty, or an act of violence, or for any offense involving
moral turpitude, whether or not sentence was imposed. The licensee shall
provide this information to the board within thirty (30) days of being finally
adjudicated or found guilty.
Notes
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