The licensing of physicians is one of the key aspects of the nation's state medical boards in the U.S. State medical boards use licensing to ensure that all practicing physicians have received appropriate education and training and that they adhere to recognized standards of professional conduct while supporting their patients.
Obtaining a license to practice medicine in the United States is a difficult process. Those seeking to enter the profession must meet predetermined qualifications such as medical school graduation, postgraduate training, and passing a comprehensive national medical licensing examination that tests their expertise in health and disease management, as well as effective patient care. Applicants must provide proof of their education and training, as well as information about their work history. They must also disclose information that could jeopardize their ability to practice, such as their health status, malpractice judgments/settlements, and criminal convictions. Only those who meet a state's requirements are permitted to practice medicine in that state.
The state medical and osteopathic board regulations on continuing medical education (CME) for licensure registration are listed below. States with no information have no regulations governing CME.
| States | CME/Year | Hours/Year | Duration (Years) | AMA/ACOG/AAFP/AOA | Equivalent Certificates | State-mandated CME |
| Alabama | 12 | 12 | 1 | 12 | ABMS | |
| Alaska | 50 | 25 | 2 | 50 | AMA PRA, ABMS, GME | |
| Arizona | 40 | 20 | 2 | AMA PRA, AMA PRA app, ABMS, GME | ||
| Arizona DO | 20 | 20 | 1 | 12/yr (AOA 1-A) | AOA, ABMS, GME | 12 AOA 1-A credits/year |
| Arkansas | 20 | 20 | 1 | Not specified | AMA PRA, AOA, GME | |
| California* | 100 | 25 | 4 | 100 | AMA PRA app, ABMS, SMS, | Pain management, Elderly care, end-of-life care |
| California DO* | 150 | 50 | 3 | 60 (AOA 1-A or B) | AOA, AAFP, CMA, CAFP | Pain management, geriatric medicine, end-of-life care; AOA cert. accepted if accompanied by AOA registration |
| Colorado | 2 | 2 | 1 | Opioidprescribing, recognition of substance use disorders, referral of patients with substanceuse disorders for treatment, and use of the Electronic Prescription Drug Monitoring Program. | ||
| Connecticut | 50 | 25 | 2 | Infectious disease, sexual assault, risk management, domestic violence | ||
| Delaware | 40 | 20 | 2 | 40 | AMA PRA app | |
| D.C. | 50 | 25 | 2 | 50 | AMA PRA app, AOA, GME | |
| Florida* | 40 | 20 | 2 | 40 | AMA PRA, GME | HIV/AIDS, TB, end-of-life palliative care, domestic violence, med error |
| Florida DO | 40 | 20 | 2 | 20 (AOA Category 1-A) | AMA PRA app, GME | HIV/AIDS, risk management, domestic violence, FL rules/laws, use of controlled substances, 2 hrs prevention of med errors |
| Georgia | 40 | 20 | 2 | 40 | AMA PRA app, GME | |
| Guam | 100 | 50 | 2 | 25 | AMA PRA app, AOA, NSS, ACEP | Ethics (2 credits every 2 years) |
| Hawaii | 40 | 20 | 2 | 40 | AMA PRA, SMS, NSS, GME | |
| Hawaii DO | AMA PRA, SMS, NSS, GME | |||||
| Idaho | 40 | 20 | 2 | 40 | AMA PRA, AMA PRA app, AOA, ABMS, GME | |
| Illinois | 150 | 50 | 3 | 60 | AMA PRA, SMS, NSS, GME | SMS, NSS if ACCME-accredited |
| Indiana | ||||||
| Iowa | 40 | 20 | 2 | 40 | AMA PRA, ABMS (cert andrecert), GME | Training for identifying and reporting abuse is required every 5 years for EM, FM, FP, IM, OB/GYN, Psych, & primary care service |
| Kansas | 50 | 50 | 1 | 20 | AMA PRA, AMA PRA app, ABMS, SMS, GME | |
| Kentucky | 60 | 20 | 3 | 30 | AMA PRA, AOA, NSS, GME | HB 1 requires a minimum of 4.5 hours every licensing cycle for physicians who are authorized to prescribe or dispense controlled substances. Primary care physicians should complete a 3-hour domestic violence training course within 3 years of the date of initial licensure |
| Louisiana | 20 | 20 | 1 | 20 | AMA PRA | One-time board orientation course |
| Maine | 100 | 50 | 2 | 40 | AMA PRA, AMA PRA app, ABMS, SMS, GME | |
| Maine DO | 100 | 50 | 2 | 40 (AOA 1-A or B) | ||
| Maryland | 50 | 25 | 2 | 50 | AMA PRA app, ABMS+ | Partial credit for ABMS. |
| Massachusetts | 100 | 50 | 2 | 40 (40 AOA 1-A for DOs) | AMA PRA, AMA PRA app, ABMS, SMS | Risk management |
| Michigan | 150 | 50 | 3 | 75 | AMA PRA app | 75 Category 1 AMA PRA |
| Michigan DO | 150 | 50 | 3 | 60 (AOA 1-A or B) | ABMS, GME | 60 hours Category 1-A or 1-B |
| Minnesota | 75 | 25 | 3 | 75 | AMA PRA, ABMS, MOCOMP | ABMS cert/recertification accepted |
| Mississippi | 40 | 20 | 2 | 40 (DOs: AOA 1-A) | AMA PRA app, ABMS*, GME | Initial certification only (not renewal); for DOs, all credit must be AOA 1-A. |
| Missouri | 50 | 25 | 2 | 50 | ABMS, GME | Complete50 hoursofAMA PRA Category 1 Credits™, AOA Category 1-A or 2-A credits, or AAFP |
| Montana | No CME required | |||||
| Nebraska | 50 | 25 | 2 | 50 | AMA PRA, AOA | |
| Nevada | 40 | 20 | 2 | 40 | AMA PRA app, GME | Ethics (2 credits), 20 credits in the specialty; other 18 hrs can be any in Category 1; 4 credits in WMD/bioterrorism (new applicants only) |
| Nevada DO | 35 | 35 | 1 | 10 (AOA 1-A) | AMA PRA app, AOA, ABMS | |
| New Hampshire | 150 | 50 | 3 | 60 | AMA PRA, ABMS, GME | Credits reported to NH Med Society; CME reporting cycle to 2 years |
| New Jersey | 100 | 50 | 2 | 40 | GME | Cultural Competence;The 6 credits for cultural competence are in addition to the 100-hour requirement for physicians. For newly licensed physicians, the Board requires attendance at an orientation program; no CME is provided for this. |
| New Mexico | 75 | 25 | 3 | 75 | AMA PRA, ABMS, GME | |
| New Mexico DO | 75 | 25 | 3 | 75 | AMA PRA, ABMS, USMLE | Active membership in AOA may replace 75 hours of CME |
| New York | ||||||
| North Carolina | 150 | 50 | 3 | 60 | ||
| North Dakota | 60 | 20 | 3 | 60 | AMA PRA, AMA PRA app, ABMS, MOCOMP | |
| North Mariana Islands | 25 | 25 | 1 | |||
| Ohio | 100 | 50 | 2 | 40 (DOs: AMA 1-A or B) | AMA PRA app, AOA | All CME must be OSMA or OOA certified |
| Oklahoma | 60 | 20 | 3 | 60 | AMA PRA, ABMS, GME+ | +50 hours for each year of GME |
| Oklahoma DO | 16 | 16 | 1 | 16 (AOA 1-A or B) | 1 credit on prescribing controlled substances (every 2 yrs) | |
| Oregon | 120 | 60 | 2 | 1-hour pain management & end-of-life care; Minimum 6 CME credit hours. Alzheimer's education, cultural competency, & suicide risk assessment | ||
| Pennsylvania | 100 | 50 | 2 | 20 | SMS, GME | 12 hrs patient safety or risk management |
| Pennsylvania DO | 100 | 50 | 2 | 20 (AOA 1-A) | 12 hrs patient safety or risk management | |
| Puerto Rico | 60 | 20 | 3 | 40 | AMA PRA | |
| Rhode Island | 40 | 20 | 2 | 40 | AMA PRA, AMA PRA app, AOA, ABMS, SMS, NSS, GME | 2 credits: pain management, end of life, universal precautions, bioterrorism, OHSA, or ethics |
| South Carolina | 40 | 20 | 2 | 40 | ABMS, GME | 75% specialty education (30 credits every 2 years) |
| South Dakota | No CME required | |||||
| Tennessee | 40 | 20 | 2 | 40 | AMA PRA | Appropriate prescribing (1 credit every 2 years) |
| Tennessee DO | 40 | 20 | 2 | 40 (AOA 1-A or 2-A) | Appropriate prescribing (1 credit every 2 years) | |
| Texas | 24 | 24 | 1 | 12 (12 AOA 1-A for DOs) | AMA PRA, ABMS, GME | Of 12 Category 1 credits, at least 1 in ethics and/or professional responsibility |
| Utah MDs and DOs | 40 | 20 | 2 | 40 | GME | |
| Vermont | ||||||
| Vermont DO | 30 | 15 | 2 | AMA PRA | At least 12 of 30 hours in osteopathic medical education | |
| Virgin Islands | 25 | 25 | 1 | 25 | ||
| Virginia | 60 | 30 | 2 | 30 | AMA PRA app, GME | |
| Washington | 200 | 50 | 4 | Not specified | AMA PRA, ABMS, SMS, NSS | |
| Washington DO | 150 | 50 | 3 | 60 (AOA 1-A or B) | AMA PRA, AMA PRA app, ABMS, SMS, GME | CME certification from medical practice academies and original certification or recertification within 6 years by the specialty board |
| West Virginia | 50 | 25 | 2 | 50 | AMA PRA | One-time requirement for two credits in end-of-life care, and pain management, and 30 credits forthephysician's designated specialty |
| West Virginia DO | 32 | 16 | 2 | 16 (AOA 1-A or B) | One-time requirement for two credits in end-of-life care, and pain management, and 30 credits forthephysician's designatedspecialty | |
| Wisconsin | 30 | 15 | 2 | 30 | AMA PRA | |
| Wyoming | 60 hrs | 20 | 3 | 60 | AMA PRA, ABMS |
Reference:
Federation of State Medical Boards
If you have spent any time around healthcare, you’ve heard people talk about “accreditation” and “licensure.” Folks often use those words like they mean the same thing, but they really don’t. Sure, both matter for keeping things safe and up to standard, but they work differently.
Licensure is basically your legal permission slip. Whether you’re a doctor or running a clinic, you need it. No shortcuts. It’s not optional—it’s the law.
If you want to work as a doctor, nurse, pharmacist, or any other healthcare professional, you need a license. Same goes for facilities. No license, no legal practice. It’s that simple. The whole point is to make sure only people with the right education, training, and skills are taking care of patients.
Licensure is about individuals and facilities. Doctors, nurses, pharmacists—all of them need a license. Hospitals and clinics do too. This isn’t optional. Here’s what you need to do to get licensed:
Usually, it’s the state or sometimes the federal government. In the U.S., it’s state medical boards.
Now, accreditation is a whole different aspect. It’s not about individuals—it’s about organizations. An independent group (not the government) comes in, looks at how a hospital or clinic runs, and checks if they hit certain quality standards. They’re looking at things like:
The Joint Commission (TJC) does the accreditation in the U.S.
At the end of the day, both systems work together to keep patients safe. Licensing makes sure only qualified people are treating you. CME certification service ensures your doctors are staying up to date with new medical advancement to improve patient care.
Accreditation means the place you’re getting treated is serious about quality and always getting better. Accredited hospitals have lower death rates, fewer mistakes, fewer infections, happier patients, and tighter safety routines.
When a hospital or clinic has both a license and accreditation, people just trust them more. Patients, families, insurance companies—they all feel better knowing the place isn’t just following the rules, but actually aiming for quality.
Insurance companies, government programs, and regulatory agencies expect healthcare providers to have both a license and accreditation. Without them, you’re not getting paid or allowed to participate. So, there’s real money on the line when it comes to these credentials and CME for physicians.
A license proves you’ve met the basic requirements, but accreditation pushes you to do better constantly. CME certification service helps doctors to enhance skills for professional development. Getting accredited means you have to:
This isn’t just paperwork. It builds a culture where everyone’s focused on getting better, which is good news for patients and providers alike.
Licensure and accreditation both count in healthcare, but they’re not the same. A license means providers can legally do their job. Accreditation means they’re going above the basics, making sure the care you get is actually good. If you’re a patient, these aren’t just fancy words. Knowing what they mean actually helps you relax.
Whether you’re seeing a licensed doctor or checking into an accredited hospital, these protections are working for you. Bottom line: Always check for both. It’s the easiest way to know your care is safe and top-notch.
Pursuing a career in medicine requires more than just years of education, residency, and training; it requires licensing as well. A medical license is your legal permission to legally practice medicine in a geographical area or country. Without a medical license, no matter how well trained you are, you can't legally treat a patient. Licensing is a basic component of physician credentialing service since it acts as evidence of a care provider’s legal authorization to practice medicine.
During credentialing, the medical license of physicians is verified to ensure they can deliver safe and effective care. If you're a student, resident, or practicing physician seeking career opportunities, this guide will explain all you need to know about medical licensing: what it is, why it matters, and the different types of medical licensing.
Medical licensing is not just a formality; it plays a critical role in healthcare systems worldwide.
Simply put, medical licensing protects patients and upholds the integrity of the healthcare profession while undergoing physician credentialing services.
Types of Medical Licenses
The type of medical license you need depends on the career path you plan to pursue. Here’s a brief overview of the most common types of medical licenses:
For individuals wishing to become medical doctors (MD) or doctors of osteopathic medicine (DO), obtaining a physician’s license is mandatory. The process involves completing medical school, passing board exams, and fulfilling residency requirements.
Nurse practitioners (NPs) require licensure to practice medicine and prescribe medications. This license allows NPs to diagnose, treat, and manage patients independently or under a physician’s supervision, depending on the state regulations.
Physician assistants (PAs) assist physicians in diagnosing and treating patients. To practice, PAs must obtain a license from the state medical board, which typically requires completion of a PA program, national certification, and passing an exam.
Other healthcare professionals, such as pharmacists, physical therapists, and dentists, also require state-specific licenses to practice in their fields. Each has unique requirements based on the scope of practice and state regulations.
The exact process varies depending on the country, but the pathway generally follows these stages:
Graduating from a recognized medical school is the first requirement. Accreditation matters - only degrees from approved institutions are considered valid by medical boards.
Many regions require physicians to clear standardized exams that assess knowledge and clinical skills.
Practical, hands-on training under supervision is mandatory. This experience ensures new doctors can apply their theoretical knowledge to real-world patient care.
Once education and training are complete, candidates apply to the relevant medical board or council. Applications usually involve:
Many licensing authorities require ongoing education to maintain a CME for physicians. Doctors must periodically update their skills to stay in line with the latest medical advancements.
The road to obtaining a medical license is rigorous but essential for anyone wishing to pursue a career in healthcare. Preparing for exams and meeting state-specific requirements can help ensure that your journey is successful while undergoing physician credentialing services.
Remember, the details may vary by state and profession, so always check with your specific state medical board for the latest requirements. By following the proper steps, you will be able to secure your license and make a positive impact in the healthcare industry.
Summary: Dreaming of practicing medicine in California? Our detailed guide explains how to apply for a California medical license, understand CME licensure requirements in California, and stay compliant with renewal demands. Start your journey with confidence today.
If you intend to practice medicine in California, you will first need to complete the process of getting your California doctor license. Many of us know that it can often seem like a daunting expense of paperwork, categories, deadlines, and continuing education. We will try to simplify the complex requirements into manageable language and share what every new and established physician must know before they can apply for a California medical license.
California has one of the largest and most diverse patients' populations in the United States. California offers its practitioners world-class hospitals, research institutions, and readiness for expanding healthcare needs. Practicing in California opens the door to countless opportunities. However, getting licensed in California isn't just about doing paperwork, but showing competency, accountability, and a commitment to lifelong learning.
Before you apply for a California medical license, you need to make sure you meet the basic requirements. These typically include:
For international medical graduates, the process usually requires additional verifications and can take longer. So planning ahead is key.
One of the core elements of maintaining an active medical license is completing continuing medical education (CME). The cme licensure requirements in California are clear but strict:
Failing to meet California CME requirements can lead to delays in renewal or even suspension of practice rights.
A medical license in California is generally valid for two years. Renewal requires:
What’s important to note here is that California’s Medical Board takes non-disclosure very seriously.
When you decide to apply for a California medical license, it is not something you can wrap up in a week. Here’s a realistic timeline:
On average, this process takes about 3 to 6 months, though it may be longer for international graduates.
One of the challenges doctors often face is balancing a busy practice with continuing education. Tools like online CME courses, hospital-sponsored workshops, and national conferences can help fulfill California CME requirements without disrupting your work schedule.
Physicians often run into repeat issues when handling their medical license:
Keeping a personal checklist and updating documents as you go along removes a lot of these roadblocks.
Beyond just checking boxes for the cme licensure requirements in California, compliance shows a physician’s dedication to patient safety and professional development. California has some of the strictest standards nationally; it aligns with the state’s long-standing emphasis on patient rights and quality of care. A lapse in compliance does not only mean fines or suspensions, but also risks to your professional reputation.
Securing your California doctor license and understanding the CME requirements are crucial for maintaining a successful career in the state. Stay proactive, document each step, and set reminders for renewals. Prepare everything in advance, from exam transcripts to CME logs, as California values competency. Being licensed here means joining one of the largest and most dynamic medical ecosystems in the country.
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