CME Requirements by State 2025
Alaska
50
Alabama
12
Minnesota
75
Illinois
60
Oregon
60
District of Columbia
50
Delaware
40
New Hampshire
60
North Carolina
60
North Dakota
60
Wyoming
60
Maryland
50
Missouri
50
Nebraska
50
Georgia
40
Hawaii
40
Idaho
40
Iowa
40
New Jersey
40
Kentucky
30
Kansas
20
Louisiana
20
Rhode Island
40
South Carolina
40
Tennessee
40
Utah
40
Virginia
30
Wisconsin
30
State | AMA/AOA/AAFP/ACOG Cat. 1Hours↓ | Avg. Hours Per Year | CME Per Year | |
|---|---|---|---|---|
 | Washington | Not specified (MD) | 60 (AOA 1-A or B) (DO) | 50 (MD) | 50 (DO) | 200 (MD) | 150 (DO) |
 | Arkansas | Not specified | 20 | 20 |
 | New Mexico | 75 (MD) | 75 (DO) | 25 (MD) | 25 (DO) | 75 (MD) | 75 (DO) |
 | Michigan | 75 (MD)| 60 (AOA 1-A or B) (DO) | 50 (MD)| 50 (DO) | 150 (MD) | 150 (DO) |
 | Minnesota | 75 | 25 | 75 |
 | Oklahoma | 60 (MD) | 16 (AOA 1-A or B) (DO) | 20 (MD) | 16 (DO) | 60 (MD) | 16 (DO) |
 | Illinois | 60 | 50 | 150 |
 | New Hampshire | 60 | 50 | 150 |
 | North Carolina | 60 | 50 | 150 |
 | North Dakota | 60 | 20 | 60 |
 | Oregon | 60 | 60 | |
 | Wyoming | 60 | 20 | 60 |
 | West Virginia | 50 (MD) | 16 (AOA 1-A or B) (DO) | 25 (MD) | 16 (DO) | 50 (MD) | 32 (DO) |
 | Alaska | 50 | 25 | 50 |
 | District of Columbia | 50 | 25 | 50 |
 | Maryland | 50 | 25 | 50 |
 | Missouri | 50 | 25 | 50 |
 | Nebraska | 50 | 25 | 50 |
 | Maine | 40 (MD) | 40 (AOA 1-A or B) (DO) | 50 (MD) | 50 (DO) | 100 (MD) | 100 (DO) |
 | Florida | 40 (MD) | 20 (AOA Category 1-A) (DO) | 20 (MD) | 20 (DO) | 40 (MD) | 40 (DO) |
 | Nevada | 40 (MD) | 10 (AOA 1-A) (DO) | 20 (MD) | 35 (DO) | 40 (MD) | 35 (DO) |
 | Mississippi | 40 (DOs: AOA 1-A) | 20 | 40 |
 | Ohio | 40 (DOs: AMA 1-A or B) | 50 | 100 |
 | Massachusetts | 40 (40 AOA 1-A for DOs) | 50 | 100 |
 | Delaware | 40 | 20 | 40 |
 | Georgia | 40 | 20 | 40 |
 | Hawaii | 40 | 20 | 40 |
 | Idaho | 40 | 20 | 40 |
 | Iowa | 40 | 20 | 40 |
 | New Jersey | 40 | 50 | 100 |
 | Rhode Island | 40 | 20 | 40 |
 | South Carolina | 40 | 20 | 40 |
 | Tennessee | 40 | 20 (MD) | 20 (DO) | 40 (MD) | 40 (DO) |
 | Utah | 40 | 20 | 40 |
 | Kentucky | 30 | 20 | 60 |
 | Virginia | 30 | 30 | 60 |
 | Wisconsin | 30 | 15 | 30 |
 | Pennsylvania | 20 (MD) | 20 (AOA 1-A) | 50 (MD) | 50 (DO) | 100 (MD) | 100 (DO) |
 | Kansas | 20 | 50 | 50 |
 | Louisiana | 20 | 20 | 20 |
 | Texas | 12 (12 AOA 1-A for DOs) | 24 | 24 |
 | Alabama | 12 | 12 | 12 |
 | California | 100 (MD) | 60 (AOA 1-A or B) (DO) | 25 (MD) | 50 (DO) | 100 (MD) | 150 (DO) |
 | Arizona | 20 (MD) | 20 (DO) | 40 (MD) | 20 (DO) | |
 | Connecticut | 25 | 50 | |
 | Vermont | 15 (DO) | 30 (DO) |
- CME state requirements change frequently, especially in the wake of COVID-19. Interested parties are advised to confirm requirements with the their state board of medical licensure.
- State with no CME requirements have been left blank.
The following abbreviations are used in the tables below:
- CME - Continuing Medical Education - CMEs are educational activities physicians complete to maintain, develop, or increase their knowledge, skills, and performance.
- DO Doctor of Osteopathic Medicine
- AAFP American Academy of Family Practice
- ABMS American Board of Medical Specialties certification or recertification
- ACOG American College of Obstetricians and Gynecologists
- AMA PRA American Medical Association Physician’s Recognition Award
- AOA American Osteopathic Association
- APA American Pediatric Association
- CAFP California Academy of Family Physicians
- CMA California Medical Association
- CME Continuing Medical Education
- FLEX Federation Licensing Examination
- GME Graduate Medical Education
- MOCOMP Royal College of Physicians and Surgeons of Canada
- OSMA Ohio State Medical Association
- USMLE United States Medical Licensing Association
Continuing Medical Education (CME) requirements vary significantly across states in the United States and are subject to frequent updates, especially in light of the COVID-19 pandemic. These requirements, mandated by state medical boards, ensure that physicians maintain, develop, or enhance their knowledge, skills, and performance in the field of medicine.
States like Washington and Illinois have robust CME requirements, with Washington mandating 200 hours over a four-year period and Illinois requiring 150 hours every three years. On the other hand, states like Alaska and Connecticut have relatively lower requirements, with Alaska mandating 50 hours over a two-year period and Connecticut requiring 50 hours every two years.
Interestingly, certain states like California and Maine have additional requirements for specific areas of medical practice, such as pain management and cultural competence. This underscores the importance of staying updated on state-specific regulations to ensure compliance and the delivery of high-quality medical care.
