For osteopathic physicians, 40 hours is the total CME requirement. Delaware also requires a set of one-time topics that count toward the 40-hour total.
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“(3) For professionals renewing their license after 2027, the Board must require that the professional have completed at least 2 hours of the total required during that reporting period of continuing education dedicated to the diagnosis, treatment, or care of patients with Alzheimer's disease or other dementias.”
These rules apply only when the trigger described under each card is met (for example, holding a state-issued controlled substance registration or treating a specific patient population). Each cites the underlying statute or rule directly.
DOs holding a Delaware Controlled Substance Registration under Title 16 Ch. 47
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“3.1.3 All practitioners must attest to completion of two hours of continuing education biennially in the areas of controlled substance prescribing practices, treatment of chronic pain, or other topics related to the prescribing of controlled substances.”
Credit must come from an organization accredited by the ACCME, AMA, Delaware Medical Association, or AAFP. ACGME residency or fellowship time accrues toward the requirement. Teaching or presenting accredited CME can satisfy a portion of required hours.
| Credit system | Notes |
|---|---|
AMA PRA Category 1 | Delaware does not require a minimum split between AMA PRA Category 1 and AOA credit — any combination satisfies the 40-hour total.Source§ 1700-12.1[4] |
AOA Category 1-A DOs only | AOA-approved equivalent courses are accepted. Delaware uses a single unified Board of Medical Licensure and Discipline for both MDs and DOs, and the Board's administrative rule (§ 1700-12.0) treats AMA Category I and AOA Category 1 as equivalents rather than imposing a minimum ratio.Source§ 1700-12.1[4] |
Board-approved credit | Medical Society of Delaware-certified programs accepted per the Board's mandatory training framework.Source§ 1700-12.1[4] |
The Board conducts random audits.[4] Documentation must show name, course title, provider, dates, and hours attended. Upload certificates only when selected for audit. Documentation should be retained for the full two-year period.
First-renewal reduced requirement: a physician who is renewing for the first time and has been licensed to practice medicine in Delaware for more than 1 year must complete 20 hours of continuing medical education in Category I courses approved by the AMA or equivalent AOA courses.[5] This is half the normal 40-hour total, not a full exemption.
First-renewal zero-hours exemption: a physician who is renewing for the first time and has been licensed to practice medicine in Delaware for less than 1 year is not required to meet any continuing medical education requirements until the time of the next subsequent renewal of his or her registration.[5]
Residency and fellowship training: individuals enrolled in approved medical or osteopathic resident or fellowship training programs may be requested to submit proof of satisfactory participation in lieu of approved continuing medical education credits.[5]
Good-cause waiver: the Board may, upon application from the physician, waive the CME requirements for good cause shown — lack of compliance due to causes beyond the physician's control.[5]
DOs who do not provide health care services to or have direct patient interactions with adults age 26 or older are exempt from the Alzheimer's/dementia CE requirement.[2] Requires sworn attestation on a DPR-approved form.
DOs who do not provide health care services to anyone within the State of Delaware are exempt from the Alzheimer's/dementia CE requirement.[2] Requires sworn attestation on a DPR-approved form.