| Alabama | 
                MD/DO | 
                25 | 
                1 | 
                25 | 
                 | 
              
                            
                | Alaska | 
                MD/DO | 
                50 | 
                2 | 
                50 | 
                 | 
              
                            
                | Arizona | 
                MD | 
                40 | 
                2 | 
                 | 
                 | 
              
                            
                | Arizona | 
                DO | 
                40 | 
                2 | 
                24(AOA 1-A) | 
                 | 
              
                            
                | Arkansas | 
                MD/DO | 
                20 | 
                1 | 
                Not specified | 
                 | 
              
                            
                | California | 
                MD | 
                100 | 
                4 | 
                100 | 
                1 time requirement of 12 hrs. pain mgmt. and end of life care; If >20% of patients are over 65, 20 hrs. in Geriatric medicine required. Curriculum to include cultural competency and linguistic competency. | 
              
                            
                | California | 
                DO | 
                150 | 
                3 | 
                60(AOA 1-A or B) | 
                1 time requirement of 12 hrs. pain mgmt. and end of life care; If >20% of patients are over 65, 20 hrs. in Geriatric medicine required. Curriculum to include cultural competency and linguistic competency. | 
              
                            
                | Colorado | 
                MD/DO | 
                none | 
                 | 
                 | 
                 | 
              
                            
                | Connecticut | 
                MD/DO | 
                50 | 
                2 | 
                 | 
                1 hr. infectious disease, risk mgmt., sexual assault, domestic violence | 
              
                            
                | Delaware | 
                MD/DO | 
                40 | 
                2 | 
                40 | 
                 | 
              
                            
                | D. of Columbia | 
                MD/DO | 
                50 | 
                2 | 
                50 | 
                 | 
              
                            
                | Florida | 
                MD | 
                40 | 
                2 | 
                40 | 
                1st time renewal: 1 hr. HIV/AIDS, 2 hrs. medical error prevention; Subsequent renewals: 2 hrs. medical errors prevention; Every 3rd renewal: 2 hrs. medical errors prevention, 2 hrs. domestic violence | 
              
                            
                | Florida | 
                DO | 
                40 | 
                2 | 
                20 (AOA 1-A) | 
                1st renewal: 1 hr. HIV/AIDS, risk mgmt., FL laws & rules, controlled substances; 2 hrs. domestic violence & medical errors prevention; Subsequent renewals: 1 hr. each risk mgmt., FL laws and controlled substances, 2 hrs. each domestic violence and medical error prevention; Every 3rd renewal: 2 hrs. domestic violence. All other hours can be either AOA 1A or AMA PRA Cat. 1. Risk Mgmt, FL laws, controlled substances and medical errors courses must be live, participatory attendance. | 
              
                            
                | Georgia | 
                MD/DO | 
                40 | 
                2 | 
                40 | 
                 | 
              
                            
                | Hawaii | 
                MD | 
                40 | 
                2 | 
                40 | 
                 | 
              
                            
                | Hawaii | 
                DO | 
                40 | 
                2 | 
                40 | 
                 | 
              
                            
                | Idaho | 
                MD/DO | 
                40 | 
                2 | 
                40 | 
                 | 
              
                            
                | Illinois | 
                MD/DO | 
                150 | 
                3 | 
                60 | 
                 | 
              
                            
                | Indiana | 
                MD/DO | 
                none | 
                 | 
                 | 
                 | 
              
                            
                | Iowa | 
                MD/DO | 
                40 | 
                2 | 
                40 | 
                Child/dependent adult abuse (identifying and reporting) required every 5 yrs. | 
              
                            
                | Kansas | 
                MD/DO | 
                50 | 
                1 | 
                20 | 
                 | 
              
                            
                | Kentucky | 
                MD/DO | 
                60 | 
                3 | 
                30 | 
                1 time Domestic Violence; 2 hrs. KY approved HIV/AIDS every 10 yrs. | 
              
                            
                | Louisiana | 
                MD/DO | 
                20 | 
                1 | 
                20 | 
                 | 
              
                            
                | Maine | 
                MD | 
                100 | 
                2 | 
                40 | 
                 | 
              
                            
                | Maine | 
                DO | 
                100 | 
                2 | 
                40 (AOA 1-A or B) | 
                 | 
              
                            
                | Maryland | 
                MD/DO | 
                50 | 
                2 | 
                50 | 
                Partial credit for ABMS | 
              
                            
                | Massachusetts | 
                MD/DO | 
                100 | 
                2 | 
                40 | 
                Study board reqs; risk mgmt; (40 AOA 1-A for DOs) | 
              
                            
                | Michigan | 
                MD | 
                150 | 
                3 | 
                75 | 
                 | 
              
                            
                | Michigan | 
                DO | 
                150 | 
                3 | 
                60 (AOA 1-A or B) | 
                 | 
              
                            
                | Minnesota | 
                MD/DO | 
                75 | 
                3 | 
                75 | 
                ABMS cert/recert accepted | 
              
                            
                | Mississippi | 
                MD/DO | 
                40 | 
                2 | 
                40 | 
                For initial certification only: DO credit must be AOA 1-A | 
              
                            
                | Missouri | 
                MD/DO | 
                50 | 
                2 | 
                50 | 
                50 hrs. AMA PRA Cat. 1, AOA 1-A or AAFP; or 40 hrs. of AMA PRA Cat. 1 or AOA 1-A if activity includes post-test; or specialty board certification; or ACGME or AOA approved internship / residency | 
              
                            
                | Montana | 
                MD/DO | 
                none | 
                 | 
                 | 
                 | 
              
                            
                | Nebraska | 
                MD/DO | 
                50 | 
                2 | 
                50 | 
                 | 
              
                            
                | Nevada | 
                MD | 
                40 | 
                2 | 
                40 | 
                2 hrs. ethics; 20 hrs. in specialty; 18 hrs. any AMA Cat. 1. New applicants: 4 credits WMD/bioterrorism | 
              
                            
                | Nevada | 
                DO | 
                35 | 
                1 | 
                10 (AOA 1-A) | 
                 | 
              
                            
                | New Hampshire | 
                MD/DO | 
                100 | 
                2 | 
                40 | 
                Credits reported to NH Med Soc. | 
              
                            
                | New Jersey | 
                MD/DO | 
                100 | 
                2 | 
                40 | 
                6 hrs. Cultural competence in addition to 100 for physicians licensed prior to 3/24/05. These credits may be included in 100 if licensed after 3/24/05 | 
              
                            
                | New Mexico | 
                MD/DO | 
                75 | 
                3 | 
                75 | 
                DO may substitute active membership in AOA | 
              
                            
                | New York | 
                MD/DO | 
                none | 
                 | 
                 | 
                 | 
              
                            
                | North Carolina | 
                MD/DO | 
                150 | 
                3 | 
                60 | 
                 | 
              
                            
                | North Dakota | 
                MD/DO | 
                60 | 
                3 | 
                60 | 
                 | 
              
                            
                | Ohio | 
                MD/DO | 
                100 | 
                2 | 
                40 | 
                For DO: AOA 1-A or B | 
              
                            
                | Oklahoma | 
                MD | 
                60 | 
                3 | 
                60 | 
                 | 
              
                            
                | Oklahoma | 
                DO | 
                16 | 
                1 | 
                16 (AOA 1-A or B) | 
                1 hr. prescribing controlled substances every 2 yrs. | 
              
                            
                | Oregon | 
                MD/DO | 
                30 | 
                1 | 
                30 (or specialty recertification) | 
                7 hours pain management must be completed within 12 months of initial license - 6 hrs. from CME provider, 1 hr. specific to Oregon provided by Pain Management Council. | 
              
                            
                | Pennsylvania | 
                MD/DO | 
                100 | 
                2 | 
                20 | 
                12 hrs. Patient safety or risk mgmt (For DO: AOA 1-A) | 
              
                            
                | Rhode Island | 
                MD/DO | 
                40 | 
                2 | 
                40 | 
                2 hrs. universal precautions, bioterrorism, end of life, OSHA, ethics or pain mgmt. | 
              
                            
                | South Carolina | 
                MD/DO | 
                40 | 
                2 | 
                40 | 
                75% specialty education (30 hrs. every 2 yrs.) | 
              
                            
                | South Dakota | 
                MD/DO | 
                none | 
                 | 
                 | 
                 | 
              
                            
                | Tennessee | 
                MD/DO | 
                40 | 
                2 | 
                40 | 
                1 hr. appropriate prescribing (For DO: AOA 1-A or 2-A) | 
              
                            
                | Texas | 
                MD/DO | 
                24 | 
                1 | 
                12 | 
                Min. 1 hr. ethics and/or professional responsibility; (For DO: 12 AOA 1-A) | 
              
                            
                | Utah | 
                MD/DO | 
                40 | 
                2 | 
                20 | 
                 | 
              
                            
                | Vermont | 
                MD | 
                none | 
                 | 
                 | 
                 | 
              
                            
                | Vermont | 
                DO | 
                30 | 
                2 | 
                 | 
                Min. 12 hrs. osteopathic medicine | 
              
                            
                | Virginia | 
                MD/DO | 
                60 | 
                2 | 
                30 | 
                 | 
              
                            
                | Washington | 
                MD | 
                200 | 
                4 | 
                 | 
                 | 
              
                            
                | Washington | 
                DO | 
                150 | 
                3 | 
                60 | 
                 | 
              
                            
                | West Virginia | 
                MD | 
                50 | 
                2 | 
                50 | 
                One time requirement: 2 hrs. end of life care including pain mgmt and 30 hrs. related to specialty | 
              
                            
                | West Virginia | 
                DO | 
                32 | 
                2 | 
                16 (AOA 1-A or B) | 
                One time requirement: 2 hrs. end of life care including pain mgmt and 30 hrs. related to specialty | 
              
                            
                | Wisconsin | 
                MD/DO | 
                30 | 
                2 | 
                30 | 
                 | 
              
                            
                | Wyoming | 
                MD/DO | 
                60 | 
                3 | 
                60 | 
                 |