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“Ten credits studying risk management, as defined in 243 CMR 2.01(3), at least four of which shall be in Category 1.”
A source-verified guide to Massachusetts's CME requirements for physicians — hours, mandatory topics, audit rules, and exemptions.
Reviewed by Doug Doehrman, MD · Last reviewed April 17, 2026
For physicians, 50 hours is the total CME requirement. Massachusetts also requires a set of one-time topics that count toward the 50-hour total.
“Ten credits studying risk management, as defined in 243 CMR 2.01(3), at least four of which shall be in Category 1.”
“Two credits in either Category 1 or 2 studying 243 CMR 1.00 through 3.00.”
“applicants for initial and renewal licensure must complete '2.00 credits on the topic of implicit bias in healthcare.'”
“the Board shall require that a licensee participate once in at least two credits of either Category 1 or 2 continuing medical education studying end-of-life care issues...”
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.
Physicians who prescribe controlled substances
“Three credits of opioid education and pain management training shall be required of licensees when they biennially renew their licenses.”
Physicians whose practice includes adult patients
“Physicians serving adult populations must complete 'a course of training and education on the diagnosis, treatment and care of patients with cognitive impairments, including, but not limited to, Alzheimer's disease and dementia.' Minimum requirement: 1.00 CME credit.”
Credit must come from an organization accredited by the ACCME, AMA, Massachusetts 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 | ACCME-accredited providers. Under the 2018 Pilot Program, all 50 credits may be Category 1 or 2 with no category-split tracking required.Source243 CMR 2.06(6)(a)1[1] |
AOA Category 1-A | AOA Category 1-A accepted. Massachusetts licenses MDs and DOs jointly under BORIM, so both credit systems apply.Source243 CMR 2.06(6)(a)1[1] |
AAFP Prescribed | AAFP Prescribed credit accepted as equivalent to ACCME Category 1.Source243 CMR 2.06(6)(a)1[1] |
Category 2 self-directed activities | Up to 60 Category 2 credits permitted per cycle. Point-of-care learning (journal reading, clinical reference use during patient care) may be claimed at 1 credit per hour as Category 1 or 2 under the 2018 Pilot Program.Source243 CMR 2.06(6)(a)2[1] |
Board-approved credit | State medical society CME recognized by ACCME is accepted. Board may also certify any activity for Category 1 or 2 credit by majority vote.Source243 CMR 2.06(6)(h)3[1] |
Physicians are responsible for retaining CME documentation and producing it on request. Requirements include course title, dates, hours, sponsoring organization, and accrediting body.
No formal waivers or exemptions are published for Massachusetts.
Atlas CME tracks your hours, maps them to your state requirements, and reminds you before your your license anniversary renewal.
Every mandatory topic and conditional requirement above cites the underlying statute or rule. Numbered references below correspond to the bracketed citations next to each requirement.
“each licensee shall obtain no fewer than 100 continuing medical education (CME) credits during each two year period … 1. Category 1. Not less than 40 CME credits … 3. Risk Management Continuing Medical Education Courses. Ten credits studying risk management, as defined in 243 CMR 2.01(3), at least four of which shall be in Category 1. 4. Review of Board Regulations. Two credits in either Category 1 or 2 studying 243 CMR 1.00 through 3.00. … the Board shall require that a licensee participate once in at least two credits of either Category 1 or 2 continuing medical education studying end-of-life care issues as a condition for renewal, revival or reinstatement of licensure. … Renewing licensees who prescribe controlled substances … shall, as a prerequisite to renewing a medical license, complete three credits in pain management training … Three credits of opioid education and pain management training shall be required of licensees when they biennially renew their licenses.”243 CMR 2.06
“Ten credits studying risk management, as defined in 243 CMR 2.01(3), at least four of which shall be in Category 1.”243 CMR 2.06(6)(a)3
“Two credits in either Category 1 or 2 studying 243 CMR 1.00 through 3.00.”243 CMR 2.06(6)(a)4
“the Board shall require that a licensee participate once in at least two credits of either Category 1 or 2 continuing medical education studying end-of-life care issues...”243 CMR 2.06(6)(b)
“Three credits of opioid education and pain management training shall be required of licensees when they biennially renew their licenses.”243 CMR 2.06(6)(d)
“applicants for initial and renewal licensure must complete '2.00 credits on the topic of implicit bias in healthcare.'”BORIM CME Requirements (effective June 1, 2022) · Effective 2022-06-01
“Physicians serving adult populations must complete 'a course of training and education on the diagnosis, treatment and care of patients with cognitive impairments, including, but not limited to, Alzheimer's disease and dementia.' Minimum requirement: 1.00 CME credit.”BORIM CME Requirements (secondary source: Mass General Brigham CPD)
“Total Credits: 100 CME Credits, 40% in Category 1 | Jan. 1, 2018 Requirement: 50 CME Credits, either Category 1 or 2. … Physicians may claim 1 credit for each hour of reading a journal or a point of care resource accessed in the process of delivering patient care or updating clinical knowledge. These POC learning credits may be either Category 1 or 2 credits.”BORIM CME Pilot Program · Effective 2018-01-01