Navigating Continuing Medical Education Requirements for Physicians: A State-by-State Guide

For licensed physicians in the United States, maintaining licensure isn’t just about passing exams and completing residency — it also requires staying current through Continuing Medical Education (CME). Whether you practice in one state or several, knowing how each state’s CME requirements work can save time, headache, and potential compliance issues.

Why CME Matters

Every state medical board sets CME requirements as part of physician licensure renewal. These requirements vary widely — from the number of credits needed to the topics that must be covered — and often overlap with national requirements, such as maintenance of certification (MOC) from specialty boards. Understanding these expectations helps you stay compliant, deliver better care, and avoid license issues.

CME Requirements Across the States

Each state sets its own CME credit requirements, renewal cycles, and content mandates. Here’s a snapshot of how those vary:

Alabama – 25/year

Alaska – 25/year

Arizona – 40/2 years

Arkansas – 20/year

California – 50/2 years

Colorado — has no CME requirements for physicians.

Connecticut — 50/2 years

Delaware – 40/2 years

District of Columbia — 50/2 years

Florida — 40/2 years

Georgia — 40/2 years

Hawaii — 40/2 years

Idaho — 40/2 years

Illinois — 150/3 years

Indiana —2/2 years

Iowa — 40/2 years

Kansas — 50/year

Kentucky — 60/3 years

Louisiana — 20/year

Maine — 100/2 years

Maryland — 50/2 years

Massachusetts — 50/2 years

Michigan — 150/3 years

Minnesota – —75/3 year

Mississippi — 40/2 years

Missouri – 50/2 years

Montana — no CME requirement

Nebraska — 50/2 years

Nevada — 40/2 years

New Hampshire — 100/2 years

New Jersey — 100/2 years

New Mexico — 75/3 years

New York — no CME requirement

North Carolina — 60/3 years

North Dakota — 60/3 years

Ohio — 100/2 years

Oklahoma — 60/3 years

Oregon — 60/2 years

Pennsylvania — 100/2 years

Rhode Island — 40/2 years

South Carolina — 40/2 years

South Dakota — no CME requirement

Tennessee — 40/2 years

Texas — 48/2 years

Utah — 40/2 years

Vermont — 30/2 years

Virginia — 60/2 years

Washington — 200/4 years

West Virginia — 50/2 years

Wisconsin — 30/2 years

Wyoming — 60/3 years

Quick Tip: Some states require specific topic content — such as pain management, controlled substance prescribing, patient safety, or ethics — in addition to general CME credits. These content mandates can vary by state and by licensure cycle.

How National and State Requirements Interact

Physicians often hold multiple licenses or are board-certified in a specialty. In these cases:

  • State CME requirements apply to each license you hold.

  • National standards (like MOC from boards such as ABMS) may have separate CME or professional development expectations.

  • Some platforms — like the AMA Ed Hub — can help track CME requirements for multiple states and specialties, making it easier to meet both state and national requirements in one place. AMA Ed Hub

Practical Tips to Stay Compliant

Here are some strategies to stay on top of CME requirements without stress:

📍 Track Requirements Early and Often
Don’t wait until renewal season. Keep a checklist of each state/license’s required hours and any specific content topics.

📍 Centralize Your CME Records
Maintain a digital folder of certificates and dates. Many licensing boards perform random audits — having easy access to your records will save time and anxiety.

📍 Align CME with Practice Needs
Whenever possible, choose CME activities that serve multiple purposes: state licensure, specialty certification/MOC, and your own clinical growth.

Final Thoughts

Physician CME requirements in the United States are state-specific and multifaceted. Some states have high credit demands, others require specific topics, and a few don’t require general CME at all. However, all physicians benefit from proactive tracking and strategic CME planning.

Staying compliant doesn’t have to be a chore — with the right tools and planning, you can meet both your state and national CME obligations efficiently, and continue delivering excellent patient care without last-minute scrambling.

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Exploring the Different Ways Physicians Can Earn CME