<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.32.01.10" title_num="10" subtitle_num="32" chapter_num="01" heading="Continuing Medical Education.">
  <paragraph num="A.">
    <text>Definitions.</text>
    <paragraph num="(1)">
      <text>In this regulation, the following terms have the meanings indicated.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Terms Defined.</text>
      <paragraph num="(a)">
        <text>“2-year period” means:</text>
        <paragraph num="(i)">
          <text>For license renewal, the 2 years preceding the expiration of the physician license; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>For license reinstatement, the 2 years preceding the date of the submission of the application for reinstatement of the physician license.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>“Applicant” means:</text>
        <paragraph num="(i)">
          <text>A licensed physician applying for renewal of the physician license; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A physician applying for reinstatement of the physician license.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>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.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Requirements.</text>
    <paragraph num="(1)">
      <text>In accordance with the requirements specified in §C(2) of this regulation, in a 2-year period, an applicant shall earn at least 50 credit hours of Category I or II CME, with at least 25 of those CME credit hours being Category 1.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Board shall recognize for Category I or II CME credit those activities which meet at least one of the following additional requirements for the activity:</text>
      <paragraph num="(a)">
        <text>Be accredited as Category I or II by the ACCME;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Be sponsored by an international, national, or state medical society, and meet the standards adopted by the ACCME;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>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:</text>
        <paragraph num="(i)">
          <text>1 year of full-time service earns 50 CME credit hours; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Full-time service for a portion of a year earns 1 credit hour per week; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>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.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>On the application form for renewal or reinstatement, the applicant shall attest to the fact that the applicant has completed the CME requirement.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Documentation of CME Credits.</text>
    <paragraph num="(1)">
      <text>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.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The applicant shall be considered to have met the requirements of §C(1) of this regulation if the applicant:</text>
      <paragraph num="(a)">
        <text>Currently holds an active time-limited certification issued by:</text>
        <paragraph num="(i)">
          <text>A member of the American Board of Medical Specialties;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>An American Osteopathic Association Certifying Board;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>The Royal College of Physicians and Surgeons of Canada; or</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>The College of Family Physicians of Canada; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Provides proof of maintenance of a time-limited Board certification that is dated no longer than 5 years prior to the renewal date.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>Contain at a minimum the:</text>
        <paragraph num="(i)">
          <text>Program title;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Sponsor's name;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Physician's name;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Inclusive date or dates and location of the CME event;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>CME category designation and the number of designated or prescribed CME credit hours; and</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Documented verification of successful completion by stamp, signature, hospital printout, or other official proof; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Demonstrate that the CME activity fell within a 2-year period.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>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:</text>
      <paragraph num="(a)">
        <text>Program title;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>ACGME accredited sponsor's name and location;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Physician's name;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Inclusive dates of the residency or fellowship;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Specialty area of residency or fellowship; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Documented verification of completion by the sponsor.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>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.</text>
  </paragraph>
</regulation>