Federation of Chiropractic Licensing Boards
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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.  

 

For Questions Contact: info@fclb.org