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U.S. Continuing Education Requirements
Excerpted from the Federation of Chiropractic
Licensing Boards’ current Official
Directory (8/28/00)
This information was compiled from the
current FCLB Official Directory
and based on information about CE requirements as provided to the FCLB by each
individual state’s licensing board. Contact the state
licensing boards for details. The Federation of Chiropractic Licensing
Boards does not interpret state law, nor is it responsible for errors or
omissions in information provided by the member boards.
The FCLB has not taken an official position on whether CE should be
required nor the minimum number of recommended hours.
In a recent survey, FCLB found doctors of chiropractic are required to have a
certain number of hours of continuing education in order to qualify for licensure renewal in most US jurisdictions.
Currently, New Jersey does not have continuing education requirements and New York requires only a
one-time two hour course in reporting child abuse. All 49 other US jurisdictions
require CE (including District of Columbia).
The average number of hours across the reporting jurisdictions
which require CE is 17.5 hours per year, with a low of 10 hours and high of 50
hours per year (the two states which require 50 hours are Kansas and Illinois, where the boards
regulate both DC's and MD's). By far the most common CE requirement is 12 hours per year, with 23
chiropractic boards requiring this number.
In general, CE hours must benefit the patient and exclude practice
building programs. Instructors and programs are usually approved by the regulatory board.
The Federation of Chiropractic Licensing Boards is in the process of
designing a system for centralized CE categorization and approval, with the second phase planned to credential CE instructors. We hope this will ease
the administrative burden on our member regulatory boards, although the boards would retain the option of approving programs on an individual basis
as well.
U.S.
CONTINUING EDUCATION REQUIREMENTS
Excerpted from the Federation of
Chiropractic Licensing Boards’ current Official Directory
7/30/2003
|
STATE |
CONTINUING EDUCATION
REQUIREMENTS |
|
Alabama |
18 hours per fiscal year
(10/1 - 9/30), approved by board / on-line or distance based education
must be IDECC certified and approved by the board and is limited to 6
hours per renewal period. |
|
Alaska |
24 hours per biennial
renewal. One-third must be diagnostic imaging/X-ray. Board approves
either sponsor or program - content must be directly related to principles
of chiropractic care. |
|
Arizona |
12 hours required per year;
subject matter defined in statute (13 items). Contact board for details. |
|
Arkansas |
In-State: 24 hours per year; Out-of-State: Whatever that state requires,
minimum 12 hours
Approved by board - courses by colleges
holding status with CCE. Others conducted by an Association approved by
the board for teaching of scientific courses. Course work must be at
physician level. Lecturers must be recognized as having expertise in the
field of study. |
|
California |
12 hours per year with 4
hours adjustive technique. Board approves both sponsor and program. Refer
to CA law for details at www.chiro.ca.gov |
|
Colorado |
15 hours per year. Course
content limited to scientific matter basic to the field of the healing
arts. Instructors must be qualified to teach the course outlined. For more
information, contact the CO board. |
|
Connecticut |
48 hours per two year
renewal cycle. Contact Board Office (860-509-7561) for details. |
|
District of Columbia |
24 hours during two
year period of active license. Courses provided or sponsored by CCE or
SCASA accredited schools, ACA, ICA,
or FSCO, or the DC Board of Chiropractic. |
|
Delaware |
24 hours per two years.
Board approves program - practice management, risk management, insurance
reporting and philosophy not accepted. |
|
Florida |
40 hours every two years
with one of those hours in risk management, 2 hours in prevention of
medical errors, 2 hours to include Florida laws and rules and 3 hours
every two years in AIDS. Florida Laws & Rules included in risk management.
Criteria per FL law. |
|
Georgia |
20 hours per year, approved
by the Board. CCE school or state association programs approved. 15 hours
in clinical sciences. If practicing in GA, 4 hours risk management and/or
ethics plus 1 hour GA Laws and Rules. If not practicing in GA, 5 hours
risk management and/or ethics. |
|
Hawaii |
20 hours per biennium, due
each odd-numbered year at time of renewal, attach attendance records.
Board approves programs - subject matter must be directly related to the
concepts of chiropractic principles and practice, including diagnostic
procedures, patient care, patient management. Practice building seminars
are not approved. |
|
Idaho |
12 hours per year,
sponsored by a CCE approved school of chiropractic. Apply three months
prior to secure board approval. |
|
Illinois |
150 hours every three
years. |
|
Indiana |
12 hours per year,
including 4 hours of public health and/or risk management. Board approves
programs, sponsored by chiropractic college or established chiropractic
organization. Program must relate to profession practice of chiropractic,
qualified instructors, substantial content. No practice management
courses. See state law for specific regulations and procedures to request
approval. |
|
Iowa |
60 hours biennially (CE in
Iowa contains very specific requirements – see FCLB Official Directory or
contact Board at 515-281-4287) Board approves sponsor. Programs must
contribute to professional competency of licensee, pertain to national and
international standards of practice, conducted by qualified individuals.
|
|
Kansas |
50 continuing medical
education credits every year. |
|
Kentucky |
12 hours per year and/or
including 2 hours HIV/AIDS and then 2 hours every ten years for
relicensure, approved by Kentucky Cabinet for Health Services. Sponsored
or co-sponsored by any CCE chiropractic college or any state or national
chartered organization of chiropractors. Program must be of subject matter
beneficial to Kentucky chiropractors. Peer review registration has
additional requirements. |
|
Louisiana |
12 hours per year by CCE
school/speaker, on area within Louisiana scope of practice, even number
years require additional 6 hours risk management. College and program must
be approved by board. |
|
Maine |
36 hours per two year
period (48 hours effective 1/1/04), conducted under postgraduate or
similar division of chiropractic college w/ accreditation status by agency
recognized by USDE, beneficial to chiropractic practice. See board rules
for details. Chiropractic acupuncture certification requires 12 hours per
two year period. |
|
Maryland |
48 hours per two years,
board approved courses. Risk management required for relicensure, plus 5
hours AIDS awareness and 3 hours risk prevention every two years. CPR
certification annually, 1 hour of jurisprudence is required and up to 12
hours of CEU may be credited for professional teaching instruction in
chiropractic or healthcare-related courses or procedures. |
|
Massachusetts |
12 hours per annual
renewal. Sponsoring party of each CE course or program must apply to the
Board for approval. Approval criteria are included in the Board
regulations and are available on their website at
www.state.ma.us/reg/boards/ch
Courses devoted to administrative or economic aspects of practice are not
accepted for CE credit. |
|
Michigan |
Not less than 24 hours of
board-approved programs in the previous two years, must relate to the
general subject area of the practice of chiropractic. See board rules for
additional details. |
|
Minnesota |
20 hours every year, of
which 3 hours must be in x-ray and 1 hours must be devoted to professional
boundaries in the clinical setting. Board approves sponsor, must benefit
patient and not be administrative/practice building. 6 hours per year may
be in formats other than traditional classroom settings |
|
Mississippi |
12 hours every year, to
include 3 hours of risk management, sponsored by CCE approved college. |
|
Missouri |
24 hours per year,
physician level instruction, approved by Board. 4 hours in boundary
training or emergency procedures, HIV or infectious disease, 4 hours
x-ray, 4 hours differential or physical diagnosis, or both, and 12 hours
general continuing education. Certification available for Meridian
Therapy / Accupressure / Acupuncture (MTAA) and/or Insurance Consulting.
Each certification requires 12 hours annually each to maintain
certification and those hours are considered in compliance with the
general continuing education requirement. |
|
Montana |
12 hours per year, approved
by board. Optional Impairment Evaluator Certification requires 4 hours CE
every four years, in addition to 12 hours CE. |
|
Nebraska |
30 hours in two year period
prior to renewal date. 8 hours mandated–2 hours every two years and 2
hours per two year renewal in HIV/AIDS, infectious disease and related
conditions and/or CE related to fraud prevention, system set-up, coding,
quality control and standards of practice relating to advertising and
solicitation; 4 hours every two years for renewal in x-ray physics,
quality control, x-ray production and interpretation of diagnostic
imagine; and/or chiropractic adjustive techniques. Under review for
mandated hours content. Board approves programs. Must be scientific,
related to the practice of chiropractic. No practice promotion or
home-study courses are approved. |
|
Nevada |
12 hours annually
(non-practice-building, board approved 30 days in advance). Sponsor must
be state level association or higher, CCE accredited or status holding
chiropractic college or state board. |
|
New Hampshire |
20 hours per biennium,
courses approved by board, includes those approved by ICA, ACA or any
accredited chiropractic college or institution. Business courses are
specifically excluded. |
|
New Jersey |
Not Required |
|
New Mexico |
16 hours per year, contact
board for approval criteria. |
|
New York |
One time only 2-hour course
in child abuse identification and reporting, approved by NY State
Education Dept |
|
No. Carolina |
24 hours per year, board
approves both program and sponsor. Contact board for more information. |
|
No. Dakota |
20 hours per year, CCE
college sponsored or co-sponsored. Sexual boundaries training - 4 hours
per three years. |
|
Ohio |
24 hours per year, board
approved (apply 90 days prior). Contact board for approval criteria. |
|
Oklahoma |
16 hours of Educational
Seminar approved by board, sponsored by Oklahoma Chiropractic
Associations. 3 hours per year allowed for attendance of National
Association meeting. Must be of a chiropractic nature, among other
relevant factors. Specific program criteria considered by the board
annually. |
|
Oregon |
20 hours per year; all
first time licensees and those changing status from inactive to active
must complete 4 hours in over-the-counter non-prescriptive substances and
any specific courses required by the Board, prior to July 31. |
|
Pennsylvania |
24 hours every two years,
board approves both program and sponsor. Course instructors shall be
faculty members of an approved chiropractic college or certified by an
approved chiropractic college as qualified to teach the course. Conducted
by an approved college or by individual or chiropractic association or
organization. Specific list of acceptable areas available from the board
office. |
|
Rhode Island |
60 hours in three year
(triennial) registration period, approved by CCE accredited college or
conducted by Chiropractic Society of Rhode Island and approved by the
Division of Professional Regulation. For details, contact board. |
|
So. Carolina |
24 hours every two years.
Programs must be pre-approved by South Carolina board. Attendance
certificates required. |
|
So. Dakota |
40 hours in a two year
period. Renewal on or before the 31st of December of each year.
Board reviews and approves programs based on sponsorship, qualifications
and experience of instructor, applicability of the subject matter to the
practice of chiropractic as a healing art. The SDBCE may mandate
specific hours of education if they feel there is a need for such. |
|
Tennessee |
12 hours per year, contact
board for details. 3 hours sexual boundaries and AIDS awareness/risk
prevention training required. |
|
Texas |
16 hours per year, course
or seminar sponsored by a state or national association or a CCE accredited
chiropractic college, and approved by the board, with two of those hours to
be given by the Board on rules and statutes. For specific requirements,
contact the Texas Board. |
|
Utah |
40 hours per two year
license cycle, refer to Division of Professional Regulation Laws and Rules
for details. |
|
Vermont |
24 hours every two years
for courses conducted at any CCE accredited school. Philosophy, practice
management and financial management not accepted. Contact board for approval
criteria. |
|
Virginia |
60 CE hours biennially,
contact board for program approval criteria. |
|
Washington |
25 hours per year, from
renewal to renewal. Initial licensure requires 4 hours AIDS awareness/risk
prevention. Other specific content areas under review. Prior board approval
of programs not required, but licensee must attend programs which comply
with Washington law. |
|
West Virginia |
18 hours per year, Board
approves either sponsor or program. Reputable sponsors, instructors from
approved chiropractic colleges. |
|
Wisconsin |
40 hours each biennial
renewal period (January 1st of odd-numbered years). Board
approves both programs and sponsors, programs relate to general subject
areas of the practice of chiropractic. Contact board for details. Maintain
current CPR certification during 2003-2004 registration period and must take
4 hours in radiology and at least 2 hours in boundary issues. |
|
Wyoming |
12 hours per year, from CCE
accredited school or state board certified. Board usually certifies programs
offered through state association. |
This information was compiled from the current FCLB
Official Directory and based on information about CE requirements as
provided to the FCLB by each individual state’s licensing board. Contact the
state licensing boards for details. The Federation of Chiropractic Licensing
Boards does not interpret state law, nor is it responsible for errors or
omissions in information provided by the member boards.
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