Current through Register Vol. 48, No. 38, September 20, 2024
TheDivision shall promulgate rules of continuing education
for persons licensed under the Act that require150hours of continuing
educationper license renewal cycle.This Part shall be consistent with
requirements of relevant professional associations, specialty societies, or
boards. This Part will also address variances for illness or hardship. In
establishing this Part, the Division shall consider educational requirements
for medical staffs, requirements for specialty society board certification or
for continuing education requirements as a condition of membership in societies
representing the 2 categories of licensee (physicians licensed to practice
medicine in all of its branches and chiropractic physicians) under the Act.
This Part shall assure, but not be limited to, that licensees are given the
opportunity to participate in those programs sponsored by or through their
professional associations or hospitals that are relevant to their practice.
Each licensee is responsible for maintaining records of completion of
continuing education and shall be prepared to produce the records when
requested by theDivision. (Section 20 of the Act)
a) Continuing Medical Education Hours
Requirements
1) For the July 31, 1999 renewal,
a licensee will be required to complete 50 hours of continuing medical
education (CME). The Division will accept CME taken on or after July 1, 1997.
Beginning with the July 31, 2002 renewal and every renewal thereafter, in order
to renew a license, a licensee shall be required to complete 150 hours of
continuing medical education per prerenewal period.
2) A prerenewal period is the 36 months
preceding July 31 in the year of the renewal.
3) One CME hour shall equal one clock hour.
After completion of the initial CME hour, credit may be given in one-half hour
increments.
4) A renewal applicant
shall not be required to comply with CME requirements for the first renewal of
an Illinois license.
5) Individuals
licensed in Illinois but residing and practicing in other states shall comply
with the CME requirements set forth in this Section.
6) Continuing medical education credit hours
used to satisfy the CME requirements of another jurisdiction may be applied to
fulfill the CME requirements of the State of Illinois if the CME required by
the other jurisdiction is consistent with the CME requirements set forth in
this Section.
7) The Division, upon
recommendation of the Medical Licensing Board, will accept the American Medical
Association Physician Recognition Award (AMA PRA) certificate awarded to
physicians licensed to practice medicine in all of its branches as
documentation of compliance with the 150 CME hours set forth in this Part. The
hours shall be earned consistently with the prerenewal period set forth in
subsection (a)(2).
8) CME used to
satisfy the requirements for renewal of a license may not be used to satisfy
the CME requirements for another renewal period.
9) The CME requirements set forth in this
Section apply to both physicians licensed to practice medicine in all of its
branches and chiropractic physicians licensed in Illinois.
b) Continuing Medical Education (CME) hours
for both physicians licensed to practice medicine in all of its branches and
chiropractic physicians licensed to treat human ailments without the use of
drugs and without operative surgery in Illinois shall be earned by, but not
limited to, verified attendance at (e.g., certificate of attendance or
certificate of completion) or participation in a program or course (program) as
follows:
1) CME hours shall be earned as
follows:
A) A minimum of 60 hours of required
CME shall be obtained in formal CME programs set forth in subsection
(b)(2);
B) A maximum of 90 hours of
the required CME shall be obtained in informal CME programs or activities as
set forth in subsection (b)(3).
2) Formal CME Programs:
A) Formal programs conducted or endorsed by
hospitals, specialty societies, facilities or other organizations approved to
offer CME credit as set forth in subsection (c).
B) Formal CME programs conducted by medical,
chiropractic or osteopathic colleges, schools or education programs, including
the Accreditation Council for Graduate Medical Education, the Council on
Continuing Medical Education of the American Osteopathic Association or the
Commission on Accreditation of the Council of Chiropractic Education schools,
either to prepare individuals for licensure pursuant to the provisions of the
Act or for post-graduate training.
C) CME programs required for certification or
recertification by specialty boards and professional associations.
D) Activities conducted by sponsors approved
in accordance with this Section:
i) CME
utilizing materials such as CD-ROMs, printed educational materials, audiotapes,
video cassettes, films, slides and computer assisted instruction that provide a
clear, concise statement of the educational objectives and indicate the
intended audience. These programs shall also have a method of verifying
physicians' participation;
ii)
Journal club activities;
iii)
Self-assessment activities;
iv)
Journal-based CME.
3) Informal CME programs or activities shall
consist of, but not be limited to, any of the following activities that the
licensee must document, including the dates and a brief description of the
activity:
A) Consultation with peers and
experts concerning patients;
B) Use
of electronic databases in patient care;
C) Small group discussions;
D) Teaching health professionals;
E) Medical writing;
F) Teleconferences;
G) Preceptorships;
H) Participating in formal peer review and
quality assurance activities;
I)
Preparation of educational exhibits;
J) Journal reading.
c) CME Sponsors and Formal
Programs
1) Sponsor, as used in this Section,
shall mean:
A) For physicians licensed to
practice medicine in all of its branches:
i)
Accreditation Council on Continuing Medical Education and organizations
accredited by ACCME as sponsors of CME;
ii) Illinois State Medical Society, or its
affiliates;
iii) Council on
Continuing Medical Education for the American Osteopathic Association and the
Illinois Osteopathic Medical Society or its affiliates;
iv) Any other accredited school, college or
university, State agency, or any other person, firm, or association that has
been approved and authorized by the Division pursuant to subsection (c)(2) to
coordinate and present continuing medical education courses and programs in
conjunction with this Section.
B) For chiropractic physicians:
i) Illinois Chiropractic Society, or its
affiliates;
ii) Illinois Prairie
State Chiropractic Association, or its affiliates;
iii) International Chiropractic Association,
or its affiliates;
iv) American
Chiropractic Association, or its affiliates; or
v) Any other accredited school, college or
university, State agency, or any other person, firm, or association that has
been approved and authorized by the Division pursuant to subsection (c)(2) to
coordinate and present continuing medical education courses and programs in
conjunction with this Section.
C) Physicians licensed to practice medicine
in all of its branches or chiropractic physicians may earn CME hours from the
sponsors set forth in subsections (c)(1)(A) and (B).
2) An entity, not listed in subsections
(c)(1)(A) and (B), seeking approval as a CME sponsor for formal programs shall
submit an application, on forms supplied by the Division, along with a $2000
nonrefundable application fee. (State agencies, State colleges and State
universities in Illinois shall be exempt from paying this fee.) The application
shall include:
A) Certification:
i) That all programs offered by the sponsor
for CME credit shall comply with the criteria in subsection (c)(3) and all
other criteria in this Section;
ii)
That the sponsor shall be responsible for verifying completion of each program
and provide a certificate of attendance as set forth in subsection
(c)(9);
iii) That, upon request by
the Division, the sponsor shall submit evidence (e.g., certificate of
attendance or course material) as is necessary to establish compliance with
this Section. Evidence shall be required when the Division has reason to
believe that there is not full compliance with the statute and this Part and
that this information is necessary to ensure compliance;
iv) That each sponsor shall submit to the
Division written notice of program offerings, including program offerings of
subcontractors, 30 days prior to course dates. Notice shall include the
description, location, date and time of the program to be offered.
B) A copy of a sample program
including course materials, syllabi and a list of faculty.
3) All formal programs shall:
A) Contribute to the advancement, extension
and enhancement of the professional skills and scientific knowledge of the
licensee;
B) Foster the enhancement
of general or specialized practice and values;
C) Be developed and presented by persons with
education and/or experience in the subject matter of the program;
D) Specify the course objectives, course
content and teaching methods to be used;
E) Specify the number of CME hours that may
be applied to fulfilling the Illinois CME requirements for license
renewal.
4) Each CME
formal program shall provide a mechanism for evaluation of the program and
instructor by the participants. The evaluation may be completed on-site
immediately following the program presentation or an evaluation questionnaire
may be distributed to participants to be completed and returned by mail. The
sponsor and the instructor, together, shall review the evaluation outcome and
revise subsequent programs accordingly.
5) An approved sponsor may subcontract with
individuals and organizations to provide approved programs. All advertising,
promotional materials, and certificates of attendance must identify the
licensed sponsor and the sponsor's license number. The presenter of the program
may also be identified, but should be identified as a presenter. When a
licensed sponsor subcontracts with a presenter, the licensed sponsor retains
all responsibility for attendance, providing certificates of attendance and
ensuring the program meets all of the criteria established by the Act and this
Part, including the maintenance of records.
6) To maintain approval as a sponsor, each
shall submit to the Division by July 31 in the year of renewal a renewal
application, a $2000 fee and a list of courses and programs offered within the
last 36 months. The list shall include a brief description, location, date and
time of each course given by the sponsor and by any subcontractor.
7) Certification of Attendance. It shall be
the responsibility of a sponsor to provide each participant in a program with a
certificate of attendance or participation. The sponsor's certificate of
attendance shall contain:
A) The name, address
and license number of the sponsor;
B) The name and address of the
participant;
C) A brief statement
of the subject matter;
D) The
number of hours attended in each program;
E) The date and place of the
program;
F) The signature of the
sponsor.
8) The sponsor
shall maintain attendance records for not less than 5 years.
9) The sponsor shall be responsible for
assuring that no renewal applicant shall receive CME credit for
nonparticipation in a program.
10)
Upon the failure of a sponsor to comply with any of the preceding requirements
of this Section, the Division, after notice to the sponsor and hearing before
and recommendation by the Board (see 68 Ill. Adm. Code 1110), shall thereafter
refuse to accept for CME credit attendance at or participation in any of that
sponsor's CME programs until such time as the Division receives assurances of
compliance with this Section.
11)
Notwithstanding any other provision of this Section, the Division or Board may
evaluate any sponsor of any approved CME program at any time to ensure
compliance with requirements of this Section.
d) Certification of Compliance with CME
Requirements
1) Each renewal applicant shall
certify, on the renewal application, full compliance with the CME requirements
set forth in subsections (a) and (b).
2) The Division may require additional
evidence demonstrating compliance with the CME requirements (e.g., certificate
of attendance). This additional evidence shall be required in the context of
the Division's random audit. It is the responsibility of each renewal applicant
to retain or otherwise produce evidence of compliance.
3) When there appears to be a lack of
compliance with CME requirements, an applicant shall be notified in writing and
may request an interview with the Licensing Board. At that time the Licensing
Board may recommend that steps be taken to begin formal disciplinary
proceedings as required by Section 10-65 of the Illinois Administrative
Procedure Act [5 ILCS 100/10-65
].
4) The Division shall conduct a
random audit to verify compliance with the CME requirements.
e) Continuing Medical Education
Earned in Other Jurisdictions
1) If a licensee
has earned or is seeking formal CME hours offered in another jurisdiction not
given by an approved sponsor for which the licensee will be claiming credit
toward full compliance in Illinois, the applicant shall submit an individual
program approval request form, along with a $25 processing fee, prior to
participation in the program or within 90 days prior to expiration of the
license. The Licensing Board shall review and recommend approval or disapproval
of the program using the criteria set forth in subsection (c)(3) of this
Section.
2) If a licensee fails to
submit an out of state CME approval form within the required time frame, late
approval may be obtained by submitting the approval request form with the $25
processing fee plus a $100 per hour of CME late fee not to exceed $500. The
Licensing Board shall review and recommend approval or disapproval of the
program using the criteria set forth in subsection (c)(3) of this
Section.
f) Restoration
of Nonrenewed License. Upon satisfactory evidence of compliance with CME
requirements, the Division shall restore the license upon payment of the
required fee as provided in Section 21(e)(5) of the Act.
g) Waiver of CME Requirements
1) Any renewal applicant seeking renewal of a
license without having fully complied with these CME requirements shall file
with the Division a renewal application along with the required fee set forth
in Section 21(e)(4) of the Act, a statement setting forth the facts concerning
non-compliance and a request for waiver of the CME requirements on the basis of
these facts. A request for waiver shall be made prior to the renewal date. If
the Division, upon the written recommendation of the Licensing Board, finds
from such affidavit or any other evidence submitted that extreme hardship has
been shown for granting a waiver, the Division shall waive enforcement of CME
requirements for the renewal period for which the applicant has
applied.
2) Hardship shall be
determined on an individual basis by the Board and be defined as an inability
to devote sufficient hours to fulfilling the CME requirements during the
applicable prerenewal period because of:
A)
Full-time service in the armed forces of the United States of America during a
substantial part of the prerenewal period;
B) A temporary incapacitating illness
documented by a statement from a currently licensed physician;
C) Undue hardship (prolonged hospitalization,
family illness); or
D) Any other
similar extenuating circumstances.
3) Any renewal applicant who, prior to the
expiration date of the license, submits a request for a waiver, in whole or in
part, pursuant to the provisions of this Section shall be deemed to be in good
standing until the final decision on the application is made by the
Division.