Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 4
Subtitle 32 - BOARD OF PHYSICIANS
Chapter 10.32.01 - General Licensure Regulations
Section 10.32.01.10 - Continuing Medical Education
Universal Citation: MD Code Reg 10.32.01.10
Current through Register Vol. 51, No. 19, September 20, 2024
A. Definitions.
(1) In this regulation, the
following terms have the meanings indicated.
(2) Terms Defined.
(a) "2-yearperiod" means:
(i) For license renewal, the 2 years
preceding the expiration of the physician license; or
(ii) For license reinstatement, the 2 years
preceding the date of the submission of the application for reinstatement of
the physician license.
(b) "Applicant" means:
(i) A licensed physician applying for renewal
of the physician license; or
(ii) A
physician applying for reinstatement of the physician license.
B. The Board recognizes and accepts CME activities which serve to maintain, develop, or increase knowledge, skills, and professional performance and relationships that a physician uses to provide services for patients, the public, or the profession, and are within the basic medical sciences, the disciplines of clinical medicine, and the provision of health care to the public.
C. Requirements.
(1) In accordance with the
requirements specified in §C(2) of this regulation, an applicant shall
earn at least 50 credit hours of Category I CME during a 2-year
period.
(2) The Board shall
recognize for Category I CME credit those activities which meet at least one of
the following additional requirements for the activity:
(a) Be accredited as Category I by the
ACCME;
(b) Be sponsored by an
international, national, or state medical society, and meet the standards
adopted by the ACCME;
(c) Be an
accredited training program and have been attended by the applicant within a
2-year period, on the basis of either of the following:
(i) 1 year of full-time service earns 50 CME
credit hours; and
(ii) Full-time
service for a portion of a year earns 1 credit hour per week;
(d) Is a program of
self-instruction to prepare for an approved specialty board certification or
recertification examination under the ABMS which occurs solely within a 2-year
period, on the basis of 5 hours of study equals 1 hour of CME Category I credit
up to a maximum of 10 credit hours;
(e) Is a service performed under the auspices
of a peer review, focused professional education, or physician rehabilitation
committee of the Faculty or a Faculty-approved committee of one of its
component societies or a specialty society and involves evaluation of medical
care or fitness to provide medical care, and the service is performed without
compensation and is credited up to a maximum of 10 credit hours for a 2-year
period as follows:
(i) 5 hours of service is
equal to 1 hour of CME Category I credit up to a maximum of 10 credit hours for
a 2-year period;
(ii) If the
service consists of reviewing medical records, the applicant shall be credited
with 1 hour per patient record reviewed;
(iii) If the service consists of service as
chair of a peer review, focused professional education, or physician
rehabilitation committee and the service lasted the entire length of a 2-year
period, the applicant shall be credited with 10 hours of CME Category I credit,
but if the service did not cover the entire length of a 2-year period, the
applicant shall be credited with CME Category I credit proportionately;
and
(iv) If the service consists of
service as an intervenor or assessor or as a monitor of ongoing treatment of a
physician participant under the auspices of a physician rehabilitation
committee, or as a preceptor under the auspices of a focused professional
education committee of the Faculty, and the service lasted the entire length of
a 2-year period, the applicant shall be credited with 10 hours of CME Category
I credit, but if the service did not cover the entire length of a 2-year
period, the applicant shall be credited with CME Category I credit
proportionately;
(f) Is
a service performed as a preceptor to medical students in LCME-accredited
medical schools and to postgraduate trainees in accredited training programs
and involves case presentations and regular and ongoing evaluations, and the
service is performed without compensation and is credited with CME Category I
credit for 5 preceptor hours, up to a maximum of 10 credit hours for a 2-year
period;
(g) Is a service performed
by a Board designee and involves medical record review for the Board and the
service is performed without compensation, and is credited up to a maximum of
10 credit hours for a 2-year period; or
(h) Is a service performed voluntarily and
without compensation and is credited up to a maximum of 5 CME credits in a
renewal period as follows:
(i) The applicant
shall provide the voluntary, uncompensated services in the practice of
medicine; and
(ii) The applicant
shall demonstrate, by submitting documentation consistent with §E of this
regulation, the total number of voluntary, uncompensated hours provided, and
the dates, times, and locations of the medical services provided.
(3) Nothing in
§C(2)(e) or (f) of this regulation shall limit or impair the ability of a
licensee to earn CME Category I credits for participation in any other approved
program.
(4) For the purposes of
§C(2)(g) and (h) of this regulation, 5 hours of voluntary, uncompensated
services are equal to 1 hour of CME Category 1 credit.
D. On the application form for renewal or reinstatement, the applicant shall attest to the fact that the applicant has completed the CME requirement.
E. Documentation of CME Credits.
(1) The applicant has the affirmative
obligation to obtain the requisite documentation of CME attendance and retain
this documentation for the succeeding 6 years for possible inspection by the
Board.
(2) The required
documentation of attendance at a CME program as described in §C(2)(a) and
(b) of this regulation shall be a certificate or other documentation of
attendance which shall:
(a) Contain at a
minimum the:
(i) Program title;
(ii) Sponsor's name;
(iii) Physician's name;
(iv) Inclusive date or dates and location of
the CME event;
(v) CME category
designation and the number of designated or prescribed CME credit hours;
and
(vi) Documented verification of
successful completion by stamp, signature, hospital printout, or other official
proof; and
(b)
Demonstrate that the CME activity fell within a 2-year period.
(3) The required documentation of
attendance at an accredited residency or fellowship as described in
§C(2)(c) of this regulation shall be a certificate or other form of
documentation which shall contain at the minimum the:
(a) Program title;
(b) ACGME accredited sponsor's name and
location;
(c) Physician's
name;
(d) Inclusive dates of the
residency or fellowship;
(e)
Specialty area of residency or fellowship; and
(f) Documented verification of completion by
the sponsor.
(4) The
required documentation for completion of a program of self-instruction as
described in §C(2)(d) of this regulation shall be a specialty certificate
issued by an ABMS-approved specialty board within a 2-year period.
(5) The required documentation for service as
a preceptor is one of the following:
(a)
Documentation from the respective course masters for medical students;
or
(b) Documentation from the
training director for postgraduate trainees.
(6) The required documentation of service as
described in §C(2)(g) of this regulation shall be a certificate or other
form of documentation acknowledging the applicant as a specialist reviewer on a
medical record review, and stating the number of hours the applicant expended
on the completion of the review.
E. [F.] The Board shall apply the CME requirement to all renewal and reinstatement applications after the first renewal, or, in the case of an applicant who has never renewed, after initial licensure.
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