Michigan Board of Osteopathic Medicine & Surgery · OSTEOPATHIC

150 hours triennially. 60-hour Category 1 floor. 3-hour implicit bias training each cycle.

A source-verified guide to Michigan's CME requirements for osteopathic physicians — hours, mandatory topics, audit rules, and exemptions.

Updated April 2026Sourced from MBOM&S~1 min read
Licensed as an MD instead? Michigan regulates MDs through a separate board. See Michigan MD CME requirements →

Reviewed by Doug Doehrman, MD · Last reviewed April 21, 2026

Mandatory topics

For osteopathic physicians, 150 hours is the total CME requirement. Michigan also requires a set of one-time topics that count toward the 150-hour total.

Pain management & end-of-life care[1]
3 hrs
Triennial
Minimum of 3 hours of CE in pain and symptom management per renewal cycle, with at least 1 of the 3 hours including controlled substances prescribing. Authority: MCL 333.17533(2) (requiring BOMS rulemaking for pain/symptom management) and MCL 333.16204 (interdisciplinary advisory committee). Implemented via LARA DO Licensing Guide. Counts toward the 150-hour total.
View sourceVerbatim from source
“As required under section 16204, the board shall promulgate rules requiring each applicant for license renewal to complete as part of the continuing education requirement of subsection (1) an appropriate number of hours or courses in pain and symptom management.”
MCL 333.17533(2)See source [1] in Primary Sources
Legal / risk[2]
1 hr
Triennial
Minimum of 1 hour of CE in medical ethics required for all renewal cycles that began on or after 04/26/2021 (LARA DO Licensing Guide). Counts toward the 150-hour total.
View detailsEditorial summary
LARA DO Licensing GuideSee source [2] in Primary Sources
Cultural competency[3]
3 hrs
Triennial
Implicit bias training — Mich. Admin. Code R 338.7004(2) requires 1 hour of implicit bias training for each year of the license cycle. For DOs on a 3-year cycle, this is 3 hours per renewal. R 338.7004(3): no carry-forward between cycles.
View sourceVerbatim from source
“An individual applying for licensure or registration renewal, reregistration, or relicensure under article 15 of the code, MCL 333.16101 to 333.18838, except those licensed under part 188 of the code, MCL 333.18801 to 333.18838, shall have completed a minimum of 1 hour of implicit bias training for each year of the applicant's license or registration cycle. Unless prohibited by the code or rules, this training may be used to satisfy other training or continuing education requirements for license renewal.”
R 338.7004(2)See source [3] in Primary Sources
Cultural competency[3]
2 hrs
One-time
Initial licensure requirement — Mich. Admin. Code R 338.7004(1) requires 2 hours of implicit bias training within the 5 years immediately preceding issuance of the license. Applies to DOs applying for initial Michigan licensure.
View sourceVerbatim from source
“An individual applying for licensure or registration under article 15 of the code, MCL 333.16101 to 333.18838, except those seeking to be licensed under part 188 of the code, MCL 333.18801 to 333.18838, shall have completed a minimum of 2 hours of implicit bias training within the 5 years immediately preceding issuance of the license or registration.”
R 338.7004(1)See source [3] in Primary Sources
Human trafficking[2]
Hrs vary
One-time
One-time training in identifying victims of human trafficking required per Mich. Admin. Code R 338.120 and the LARA DO Licensing Guide. DOs must certify completion on renewal application prior to renewing. Per LARA's Human Trafficking Requirements matrix, this applies to 'Osteopathic Medicine & Surgery — 3-year cycle' licensees. Layer 1 does not specify a fixed hour count.
View detailsEditorial summary
LARA DO Licensing Guide / R 338.120See source [2] in Primary Sources
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Conditional requirements

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.

ConditionalOpioid / controlled substances[4]
Hrs vary
Triennial

Controlled substance licensees or DOs licensed to prescribe or dispense controlled substances in Michigan

View sourceVerbatim from source
“Applicants for or those renewing controlled substance licenses must complete opioids and controlled substances awareness training meeting these standards: (a) Training content must cover: (i) Utilizing the MAPS. (ii) State and federal laws regarding prescribing and dispensing controlled substances.”
R 338.3135(1)See source [4] in Primary Sources
Accepted credit

Credit must come from an organization accredited by the ACCME, AMA, Michigan 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 systemNotes
Board-approved credit
DOs onlymin 60 hrs
DOs must earn at least 60 of the 150 triennial hours in Category 1 or Category 3 programs. This is notably lower than the 75-hour Category 1 floor that applies to MDs under the separate Board of Medicine rules.SourceR 338.97(1)[2]
AOA Category 1-A
DOs only
Michigan BOMS adopts AOA CME standards by reference, so AOA-approved programs count as board Category 1 or 2 credit. There is no separately codified numeric minimum for AOA Category 1-A specifically — the 60-hour floor applies to board Category 1 broadly, regardless of whether the credit is AOA or AMA.SourceR 338.98[2]
AMA PRA Category 1
DOs only
AMA PRA Category 1 Credit from ACCME-accredited providers counts as board Category 1 credit per R 338.94 and LARA DO Licensing Guide. DOs are not restricted to osteopathic-only credit.SourceR 338.94[2]
Documentation & audit

Record retention: DOs must maintain CE documentation for 4 years after applying for license renewal.[2] LARA may audit and request proof of compliance. Implicit bias training records must be retained for 6 years.[3]

Waivers & exemptions

BOMS may waive CE requirements if the licensee's failure to attend was due to disability, military service, absence from the continental United States, or other circumstance beyond the licensee's control.[6]

Newly licensed DOs may have a partial requirement during the first renewal cycle if licensed mid-cycle. Hours required are pro-rated.

FAQ
How many CME hours do Michigan DOs need?
Michigan DOs must complete 150 hours of CME per three-year license cycle.[1][2] At least 60 of those hours must be earned in Category 1 or Category 3 programs.[2] Mich. Admin. Code R 338.98 adopts AOA CME standards by reference, so AOA-approved programs count as Category 1 or 2; AMA PRA Category 1 credit from ACCME-accredited providers qualifies on equal footing.[2] CME records must be retained for 4 years after applying for license renewal;[2] implicit bias training records must be retained for 6 years.[3]
How is the Michigan DO rule different from the MD rule?
The only codified numeric difference between the Michigan Board of Osteopathic Medicine & Surgery and the Michigan Board of Medicine is the Category 1 floor: 60 hours for DOs[2] versus 75 hours for MDs.[5] Every other Michigan mandate — 3 hours of pain and symptom management including 1 hour of controlled-substance prescribing,[1] 1 hour of medical ethics,[2] implicit bias,[3] one-time human trafficking training, and controlled-substance awareness training[4] for CS licensees — applies substantively identically on both sides. The two boards remain separate agencies within LARA.
What does Michigan's implicit-bias rule require of DOs?
Michigan rule requires 1 hour of implicit bias training for each year of the license cycle.[3] Michigan DOs on a 3-year cycle must therefore complete 3 hours per renewal. An additional 2 hours of implicit bias training is required within the 5 years preceding initial licensure.[3] Implicit bias training hours do not carry forward between cycles,[3] and records must be retained for 6 years.[3]

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Sources & Citations

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.

  1. MCL 333.17533 — Osteopathic Physician Continuing Education
    Primary sourceAccessed 2026-04-21
    Show verbatim text
    “Notwithstanding the requirements of part 161, the board may require a licensee seeking renewal of a license to furnish the board with satisfactory evidence that during the 3 years immediately preceding an application for renewal the licensee has attended continuing education courses or programs approved by the board and totaling not less than 150 hours in subjects related to the practice of osteopathic medicine and surgery and designed to further educate licensees.”MCL 333.17533(1)
    “As required under section 16204, the board shall promulgate rules requiring each applicant for license renewal to complete as part of the continuing education requirement of subsection (1) an appropriate number of hours or courses in pain and symptom management.”MCL 333.17533(2)
  2. Mich. Admin. Code R 338.141 — Osteopathic License Renewals; Continuing Education
    Primary sourceAccessed 2026-04-18
    Show verbatim text
    “Submission of an application for renewal constitutes the applicant's certification of compliance with the requirements of this rule. The licensee shall maintain documentation of satisfying the requirements of this rule for 4 years after the date of applying for license renewal. Failure to satisfy this rule is a violation of section 16221(h) of the code, MCL 333.16221.”R 338.141(3)
  3. Mich. Admin. Code R 338.7004 — Implicit Bias Training Standards
    Primary sourceAccessed 2026-04-21
    Show verbatim text
    “The licensee or registrant shall retain documentation of meeting the requirements of this rule for a period of 6 years after the date of applying for licensure, registration, or renewal.”R 338.7004(6)
    “An individual applying for licensure or registration renewal, reregistration, or relicensure under article 15 of the code, MCL 333.16101 to 333.18838, except those licensed under part 188 of the code, MCL 333.18801 to 333.18838, shall have completed a minimum of 1 hour of implicit bias training for each year of the applicant's license or registration cycle. Unless prohibited by the code or rules, this training may be used to satisfy other training or continuing education requirements for license renewal.”R 338.7004(2)
    “An individual applying for licensure or registration under article 15 of the code, MCL 333.16101 to 333.18838, except those seeking to be licensed under part 188 of the code, MCL 333.18801 to 333.18838, shall have completed a minimum of 2 hours of implicit bias training within the 5 years immediately preceding issuance of the license or registration.”R 338.7004(1)
  4. Mich. Admin. Code R 338.3135 — Opioids and Controlled Substances Awareness Training
    Primary sourceAccessed 2026-04-21
    Show verbatim text
    “Applicants for or those renewing controlled substance licenses must complete opioids and controlled substances awareness training meeting these standards: (a) Training content must cover: (i) Utilizing the MAPS. (ii) State and federal laws regarding prescribing and dispensing controlled substances.”R 338.3135(1)
  5. Mich. Admin. Code R 338.2443 — MD Acceptable Continuing Education
    Primary sourceAccessed 2026-04-17
    Show verbatim text
    “A minimum of 75 continuing education credits must be obtained through category 1 programs listed in subrule (2) of this rule.”R 338.2443(1)(d)
  6. MCL 333.16205 — Waiver of Continuing Education
    Primary sourceAccessed 2026-04-18
    Show verbatim text
    “A board which requires evidence of attendance at educational programs as a condition to license renewal may waive those requirements if, upon written application, the board finds the failure of the licensee to attend was due to the licensee's disability, military service, absence from the continental United States, or a circumstance beyond the control of the licensee which the board considers good and sufficient.”MCL 333.16205(1)

This page is provided for general educational purposes and reflects the best available information as of the last reviewed date above. CME requirements change. Atlas CME is not affiliated with the Michigan Board of Osteopathic Medicine & Surgery, or any other state medical board, licensing authority, or professional organization. Physicians are solely responsible for verifying their own current CME requirements directly with their state's medical board before relying on any information presented here.

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