Continuing Medical Education
All ("Even" & "Odd" Year) CME Biennia
begin on November 1st and end 2-years later on
There appears to be confusion on the part of some licensees
regarding several important CME issues. The
information below is being provided for your benefit and
guidance. You may view the Board’s Chapter 378 Rules on "Continuing Medical Education" by
Effective March 4, 2008 (to be accrued on/after
11/01/2008 for "Even" year licensees and on/after 11/01/2009
for "Odd" year licensees), you must have obtained your
50 hours of C.M.E. each biennium in order to renew your license.
- If you were originally licensed in an "Even" year, your
C.M.E. biennium begins on November 1 and ends on October 31st
of the next "Even" year. For example, Jane Doe, D.P.M. was
originally licensed in 2006. Her "Even" year C.M.E. biennium
is "11/01/2006 - 10/31/2008" and follows thereafter.
- If you were originally licensed in an "Odd" year, your
C.M.E. biennium begins on November 1 and ends on October 31st
of the next "Odd" year. For example, John Doe, D.P.M.
was originally licensed in 2007. His "Odd" year C.M.E.
biennium is "11/01/2007 - 10/31/2009" and follows
- All licensees are subject to random C.M.E. audits in
accordance with the Board Rules. Failure to comply with C.M.E.
requirements will result in
"Disciplinary Action." All Board "Disciplinary Actions"
(which include C.M.E. violations) are
reported on the Board's website and also to the National
Practitioner Databank (NPDB) in accordance with state/federal law. Licensees
have a 2-year period in which to obtain their requisite C.M.E.!
- All "Even" year licensees audited after October 31, 2010
must be able to produce proof of 50 hours of C.M.E.
beginning with the "11/01/2008 - 10/31/2010" biennium
- All "Odd" year licensees audited after October 31, 2011
must be able to produce proof of 50 hours of C.M.E.
beginning with the "11/01/2009 - 10/31/2011" biennium
- In addition to the March 4, 2008 C.M.E. rule
changes also mandating a "Two (2)-Hour Ethics /
Rules-Regulations / Healthcare Fraud / Professional
Boundaries / Risk Management / Jurisprudence" requirement,
licensees are now afforded greater
community opportunities to obtain C.M.E. as set forth
Be engaged in your community!
§378.1 "Continuing Education
Requirement" provides, in part, that:
(a) Each person licensed to practice
podiatric medicine in the State of Texas is required to have
50 hours of continuing education every two years for the
renewal of the license to practice podiatric medicine. Two
hours of the required 50 hours of biennial continuing
education (CME) shall be a course, class, seminar, or
workshop in: Ethics in the Delivery of Health Care Services
and/or Rules and Regulations pertaining to Podiatric
Medicine in Texas. Topics on Healthcare Fraud, Professional
Boundaries, Practice Risk Management or Podiatric Medicine
related Ethics or Jurisprudence courses, including those
sponsored by an entity approved by CPME, APMA, APMA
affiliated organizations or governmental entities, are
acceptable towards fulfilling this 2 hour requirement.
(b) A licensee shall receive 100% credit for each hour
of training (one hour of training equals one hour of CME)
for podiatric medical meetings and training sponsored by
APMA, APMA affiliated organizations, TPMA, state, county or
regional podiatric medical association podiatric medical
meetings, university sponsored podiatric medical meetings,
hospital podiatric medical meetings or hospital podiatric
medical grand rounds, medical meetings sponsored by the Foot
& Ankle Society or the orthopedic community relating to foot
care, and others at the discretion of the Board. If a
podiatric physician gives a lecture, he/she can receive the
same CME credit that a podiatrist attending the lecture
(c) A licensee
shall receive 100% credit for each hour of training (one
hour of training equals one hour of CME) for non-podiatric
medical sponsored meetings that are relative to podiatric
medicine. The method used to determine whether the training
is "relative" to podiatric medicine is: "will the training
enhance the knowledge and abilities of the podiatric
physician in terms of improved quality and delivery of
patient care?" One hundred percent credit shall also be
assigned to hospital grand rounds, hospital CME programs,
corporate sponsored meetings, and meetings sponsored by the
American Medical Association, the orthopedic community, the
American Diabetes Association, the Nursing Association, the
Physical Therapy Association, and others at the discretion
of the Board.
QUESTIONS & ANSWERS:
Can I receive CME credit
for Home Study programs?
The answer to this question is "Yes." Board Rule
§378.1(d) provides that: "It
shall be the responsibility of the podiatric physician
to ensure that all CME hours being claimed to satisfy
the 50-hour biennial requirement meet the standards for
CME as set by the Board. One hour of CME is defined as a
typical fifty-minute classroom instructional session or
its equivalent. Practice management, home study and self
study programs will be accepted for CME credit hours
only if the
provider is approved by the Council for Podiatric
Medical Education. The licensee may obtain up to, but
not exceed 20 hours of the aforementioned hours per
biennium." (Note: The allowance limit prior to
March 4, 2008 was 10 hours and remains in effect
for CME audits subject to the biennia prior to
this rule change.)
Carrying forward CME Hours:
Some licensees are attempting to carry over and receive
credit for CME hours that were not obtained within the
licensee’s most recent CME period, or that are too old
to be carried forward from the proceeding CME period.
Board Rule §378.1(i) provides that: "These hours of
continuing education must be obtained in the 24-month
period immediately preceding the year for which the
license was issued. The two-year period will begin on
November 1 and end on October 31 two years later. The
year in which the 50-hour credit requirement must be
completed after the original license is issued is every
odd-numbered year if the original license was issued in
an odd-numbered year and is every even-numbered year if
the original license was issued in an even-numbered
year. A licensee who completes more than the required 50
hours during the preceding CME period may carry forward
a maximum of 10 hours for the next CME period."
As per the above rule, you may only carry over a maximum
of 10 CME hours from the prior 2-year CME period.
No older CME hours will be allowed for any reason.
Using the Board's old CME printout
as written proof of obtaining CME's:
Effective as of the 9/01/01-08/31/03 CME period, we will no
longer accept your sending us a copy of the Board’s “CME
Printout Sheet” as written documentation or proof that you
have completed the requisite 50 hours (previously 30 hours)
of CME, as we will no longer have on file the supporting
certificates verifying your attendance (you must now keep
these documents in your office.) If audited, you will
be required to send us a copy of the actual certificate of
attendance for the CME hours being claimed.
- Which "Two (2)-Hour
Ethics / Rules-Regulations / Healthcare Fraud / Professional
Boundaries / Risk Management / Jurisprudence" courses are
acceptable towards fulfilling the requirement and where can
Licensees may attend a variety
of courses to suffice this mandate to include specific topic
offerings provided by the
PICA. At the local level, hospitals, governmental
agencies and private entities offer related education opportunities for community
involvement. You may ALSO visit the following: 1)
Office of the Attorney General’s “Crime Victims Services;” and
Professional Boundaries Incorporated.
Can I take Hospital
CME courses and obtain credit?
Yes! Please note the following
element of the State of Texas' Statewide
Strategic Planning/Philosophy provides that:
"...Decisions affecting individual Texans, in
most instances, are best made by those
individuals, their families, and the local
government closest to their communities..."
To this end, the Board
encourages all licensees to: "Be engaged in your
community!" Hospital CME suffices this end.
Licensees may obtain Hospital
CME credits/courses and must produce proof of
issuance of Hospital CME certificates. As long
as the CME courses are "relative to podiatric
medicine," we will accept them and we also
American Medical Association (AMA) and
Association (TMA) accredited
programs/courses provided that the AMA/TMA allow
a Podiatric Physician to attend their
As an example, a Podiatric
Physician taking CME courses on brain surgery,
proctology, shoulders, etc. would NOT be
However, courses on the
foot/ankle, lower extremity, cardiovascular
system, nervous system, diabetes, renal
system, obesity, risk management, drug
prescriptions, pain management, bones, muscles,
nerves, wound care, nutrition,
electronic/medical records, etc., or the
like, would be acceptable for 100% credit. The
Board's goal is for Podiatric Physicians to not
be on an island but rather to be engaged in
their community and with their peers/colleagues
for the benefit of "...improved quality and
delivery of patient care." Courses also on
histories/physicals, CPR, ACLS, admissions,
discharge, oncology, systemic diseases (which
have an effect/manifestation of diseases of the
foot/lower extremity), dermatology and those
topics enumerated above under "(a)" above (red),
or the like, would all be acceptable. The guide
is the "relativity" to Podiatric Medicine and
the enhancement/knowledge of a DPM's
skills/abilities. No Podiatric Physician can be
Additionally, courses on
healthcare programs, CMS, and MAC/RAC,
integrity/anti-fraud measures, etc.), electronic medical records and tools to improve
care related to re-ordering, reconciling
medication orders and monitoring and reporting
quality data (in response to federal/national
initiatives related to improved patient care and
safety) would all be acceptable for 100% credit.
Do Your Part
to ensure the wellness of the nation's/state's
Podiatric Physicians, for
their own edification, can take any other course
they choose, but the Board will only give credit
for those courses "relative" to Podiatric
- Can I receive
CME credit for having completed a Specialty Board
Certification Examination, or Hyperbaric Oxygen
Training, or Post/Graduate Education?
to this question is "No." While it is understood
that preparing for and completing a specialty
board certification process is an exhaustive
effort and requires extreme commitment, the
Board CME Rules Chapter 378 do NOT provide for
credit hours for completion of any specialty
board certification process. Specialty board
certification processes are not CME events and
do not provide for CME objectives/goals. It is
rather an avenue that a licensee undertakes to
further their standing for
professional/credentialing purposes. As for
Hyperbaric Oxygen (HBO) training, that course
pursued in regards to Board Rule
§375.5 is for the purpose
of obtaining a HBO registration and is a
fundamental base course, not a CME event.
Licensees who have furthered their education via
post/graduate education (e.g. Pharmacy school,
Law school, Nursing school, PT/OT school, MBA,
PA school, Etc.)
may not receive CME for those fundamental
educational programs as they are not CME events.
Submission of such educational/college
transcripts to the Board in place of true CME
courses will be rejected.
- For how long do I need to maintain
my CME records/certificates?
- Pursuant to Board Rule §378.1(j) ...
"Each licensee shall maintain the licensee's CME records at the
licensee's practice location for
four (4) years, evidencing completion of the CME
programs completed by the licensee."