Your best resource for earning MOC points and CME credits
Medicine is continually evolving, and it’s essential for physicians to have the right tools to reinforce core medical knowledge while earning CME and MOC points. The NEJM Knowledge+ adaptive learning program can be an efficient, effective part of your lifelong learning strategy.
NEJM Knowledge+ offers gold-standard content in a learning platform that provides an authentic adaptive learning experience. Your accumulated CME credits are continuously tracked and displayed so that you can follow your progress and achieve your learning goals.
With a host of mobile-friendly, interactive tools — question banks, reflection, practice exams and more — NEJM Knowledge+ is the MOC and CME solution that lets you “earn while you learn.”
Learn more about the solution that meets your needs:
- NEJM Knowledge+ Internal Medicine Board Review
- NEJM Knowledge+ Pediatrics Board Review
- NEJM Knowledge+ Family Medicine Board Review
- Pain Management and Opioids
State-to-state CME requirements
CME requirements vary by state, so it’s important to check with your state licensing board to ensure that you are meeting the standards. Look up your state below for information on your local CME credit requirements.
Always check with your state medical board for the latest CME requirements.
| Alabama | 25 hours every year All Alabama Controlled Substance Certificate (ACSC) holders must complete 2 AMA Category 1 CME hours every 2 years in the area of controlled substance prescribing practices, recognizing signs of abuse or misuse of controlled substances, or controlled substance prescribing for chronic pain. |
| Alaska | 50 hours every 2 years All health professionals holding a valid DEA number must complete at least 2 CME hours in the areas of pain management and opioid use and addiction. |
| Arizona (MD/DO) | 40 hours every 2 years All health professionals holding a valid DEA number must complete a minimum of 3 opioid-related, substance use disorder-related or addiction-related CME hours upon each renewal cycle. |
| Arkansas | 20 hours every year 50% of Category 1 CME hours must be in subjects pertaining to the physician’s primary area of current practice. |
| California (MD) | 50 hours every 2 years All physicians (except pathologists and radiologists) must complete 12 CME hours on pain-management and the appropriate care and treatment of the terminally ill. Alternatively, physicians or surgeons may complete a one-time continuing education course of 12 credit hours in the subjects of treatment and management of opiate-dependent patients, including 8 hours of training in buprenorphine or similar treatment for opioid use disorders. For general internists and family physicians with 25% of their patient population age 65 or older, at least 20% of the mandatory CME must be completed in the field of geriatric medicine. |
| California (DO) | 100 hours every 2 years All physicians (except pathologists and radiologists) must complete 12 CME hours on pain-management and the appropriate care and treatment of the terminally ill. Alternatively, physicians or surgeons may complete a one-time continuing education course of 12 credit hours in the subjects of treatment and management of opiate-dependent patients, including 8 hours of training in buprenorphine or similar treatment for opioid use disorders. For general internists and family physicians with 25% of their patient population age 65 or older, at least 20% of the mandatory CME must be completed in the field of geriatric medicine. |
| Connecticut | 50 hours within the preceding 24-month period All physicians must complete at least 1 CME hour of training in each of the following: infectious diseases, cultural competency and risk management, including, but not limited to, prescribing controlled substances and pain management, sexual assault, domestic violence and behavior health. |
| Delaware | 40 hours, every 2 years All physicians must complete at least 2 CME hours every 2 years in the areas of controlled substance prescribing practices, treatment of chronic pain, or other topics related to prescribing controlled substances. |
| Washington, DC | 50 hours every 2 years All physicians, PAs, and nurses must complete 3 CME hours in the subject of AIDS/HIV, 2 CME hours in LGBTQ cultural competency and 1 course in pharmacology; 10% of the total must be completed in topics identified by the Director of the Department of Public Health as public health priorities. |
| Florida (MD) | 40 hours, every 2 years All physicians must complete 2 CME hours in Category 1 or 2 on prevention of medical errors. First time license renewal requires 1 CME hour in Category 1 on HIV/AIDS. Every third renewal requires 2 CME hours in Category 1 or 2 on domestic violence. All health professionals holding a valid DEA number must complete 2 CME hours of AMA Category 1 or AOA Category 1-A on prescribing controlled substances. |
| Florida (DO) | 40 hours, every 2 years 20 hours must be completed in AOA Category 1-A in the practice of osteopathic medicine or under osteopathic auspices. Each first time license renewal requires 1 CME hour in each of the following: risk management, Florida laws and rules, laws regarding use and abuse of controlled substances, professional and medical ethics, federal and state laws on prescribing controlled substances, and HIV/AIDS; 2 CME hours must be completed in prevention of medical errors. Every third renewal requires completion of 2 hours of domestic violence court. All health professionals holding a valid DEA number must complete 2 CME hours of AMA Category 1 or AOA Category 1-A on prescribing controlled substances. |
| Georgia | 40 hours every 2 years All health professionals holding a valid DEA number must complete a minimum of 3 CME hours on responsible opioid prescribing practices. Additionally, all health professionals must complete a one-time, two-hour sexual misconduct and professional boundaries course. |
| Guam | 100 hours every 2 years 25% of CME hours must be in Category 1. |
| Hawaii | 40 hours every 2 years Beginning in 2020, all CME hours must be Category 1 or 1A. |
| Idaho | 40 hours every 2 years All CME hours must be Category 1. |
| Illinois | 150 hours every 3 years Beginning in 2020, all physicians must complete a minimum of 3 CME hours on safe opioid prescribing practices. Additionally, 1 CME hour must be in the area of sexual harassment prevention. |
| Indiana | 2 hours All physicians must complete 2 CME hours on the topic of opioid prescribing and opioid abuse. |
| Iowa | 40 hours every 2 years All primary care physicians must complete 2 CME hours of training in chronic pain management and 2 CME hours of training in end-of-life care. Additionally, all PCPs must complete 2 CME hours in child abuse identification and 2 CME hours of training in dependent adult abuse identification and reporting. |
| Kansas | 50 hours every 18-month period All physicians must complete at least 20 Category 1 CME hours. The remainder can be Category 2. |
| Kentucky | 60 hours every 3 years All physicians must complete at least 30 Category 1 CME hours. At least 4.5 CME hours must be in KASPER, pain management and addiction disorders. In addition, PCPs must complete one course in domestic violence. All health care professionals must complete 2 CME hours every 10 years in AIDS/HIV education. |
| Louisiana | 20 hours every year All CME hours must be Category 1. All health care professionals must complete 3 CME hours on drug diversion training, best prescribing practices and appropriate addiction treatment. Additionally, licensees are required to complete a one-time board orientation course to acquaint new licensees with the Louisiana Medical Practice Act, the function of the Board and its rules, opportunities available in rural and professional health shortage areas, etc. |
| Maine (MD/DO) | 100 hours every 2 years 40 CME hours must be Category 1 (or osteopathic medical education). All physicians must complete 3 CME hours on safe opioid prescribing practices. |
| Maryland | 50 hours every 2 years All CME hours must be Category 1. All physicians must complete 1 CME hour on safe opioid prescribing practices as well as attest to completion of an approved implicit bias training program the first time they renew a license or certificate after April 1, 2022. |
| Massachusetts | 50 hours each cycle All health care professionals must complete 2 CME hours in end-of-life issues, 3 CME hours in opioid education and pain management (if the physician prescribes controlled substances), 10 CME hours in risk management, and 3 CME hours in electronic health records. Additional CME hours must be completed in child abuse and neglect training, domestic violence and sexual violence training as required under state law. Licensees may also claim 2 credits for studying each chapter of the Board’s regulations (which can be applied to the risk management requirement) and 1 credit for every hour of reading a journal or point of care resource. Additionally, applicants for initial physician licensure and licensees renewing physician licensure complete a continuing medical education requirement of 2.00 credits on the topic of implicit bias in healthcare. |
| Michigan (MD) | 150 hours every 3 years 75 CME hours must be Category 1 and 1 hour must be earned in the area of medical ethics. All health care professionals must complete 3 CME hours in the area of pain and symptom management. New applicants for licensure will need to complete a minimum of 2 hours of training on implicit bias, and applicants for renewal will need to complete a minimum of 1 hour of implicit bias training annually. |
| Michigan (DO) | 150 hours every 3 years 60 Category 1 CME hours. Must complete 3 CME hours in the area of pain and symptom management. New applicants for licensure will need to complete a minimum of 2 hours of training on implicit bias, and applicants for renewal will need to complete a minimum of 1 hour of implicit bias training annually. |
| Minnesota (MD/DO) | 75 hours every 3 years All CME hours must be Category 1. |
| Mississippi | 40 hours every 2 years All CME hours must be Category 1. All health care professionals must complete 5 CME hours in the area of prescribing medications with an emphasis on controlled substances. |
| Missouri | 50 hours every 2 years All CME hours must be AMA Category 1 or AOA Category 1A or 2A. Physicians may complete 40 CME hours (AMA Category 1 or AOA Category 1A) with proof of post-testing. |
| Montana | None |
| Nebraska | 50 hours every 2 years All CME hours must be Category 1. All physicians must complete 3 CME hours on safe opioid prescribing practices, of which .5 CME hour must cover the state prescription drug monitoring program. |
| Nevada (MD) | 40 hours every 2 years All CME hours must be Category 1. All health care professionals must complete 20 CME hours in their area of specialty. In addition, 2 CME hours must be in medical ethics, pain management or addiction care, 2 CME hours must be in misuse and abuse of controlled substances, prescribing of opioids, or addiction. New licensees must complete 4 hours in WMD/bioterrorism within the first 2 years of licensure. Additionally, applicants for issuance or renewal of a license must attest to knowledge of and compliance with the guidelines of the Centers for Disease Control and Prevention concerning the prevention of transmission of infectious agents through safe and appropriate injection practices. |
| Nevada (DO) | 35 hours every year 10 CME hours must be Category 1A. Every 4 years, all physicians must complete 2 CME hours on suicide detection, intervention and prevention. Every 2 years, all physicians must complete 2 CME hours in medical ethics, pain management, or addiction care. |
| New Hampshire | 100 hours every 2 years 40 CME hours must be Category 1. All physicians must complete 3 CME hours on pain management. |
| New Jersey | 100 hours every 2 years 40 CME hours must be Category 1. All physicians must complete 6 CME hours in cultural competence. In addition, 2 CME hours must be in end-of-life care, and 1 CME hour must be in responsible prescription of controlled substances, alternatives to opioids for pain management, and the risks and signs of opioid abuse, addiction and diversion. |
| New Mexico (MD/DO) | 75 hours every 3 years All CME hours must be Category 1. All physicians who possess a federal drug enforcement registration and license must complete 5 CME hours in the area of pain management. |
| New York | All physicians must complete 2 CME hours in identifying and reporting child abuse. Every 4 years, coursework in infection control and barrier precautions must also be completed. All physicians who possess a federal drug enforcement registration and license must complete 3 CME hours in the area of pain management, palliative care and addiction. |
| North Carolina | 60 hours every 3 years All CME hours must be Category 1 relative to the physician’s area of practice. All physicians who prescribe controlled substances must complete 3 CME hours in the area of controlled substance prescribing practices, including recognition of signs of abuse or misuse, and the use of controlled substances for chronic pain management. |
| North Dakota | 60 hours every 3 years All CME hours must be Category 1. |
| Northern Mariana Islands | 25 hours every year All CME hours must be Category 1. |
| Ohio | 100 hours every 2 years 40 CME hours must be Category 1. All physician owner/operators of pain management clinics must complete 20 Category 1 CME hours in pain medicine every 2 years, including one or more addressing the potential for addiction. All physicians are required to complete 1 hour of CME prior to renewal on the topic of a licensee’s duty to report misconduct. |
| Oklahoma (MD) | 60 hours every 3 years All CME hours must be Category 1. All physicians must complete at least 1 CME hour on pain management or 1 CME hour on opioid use and addiction each year. |
| Oklahoma (DO) | 16 hours every year All CME hours must be AOA Category 1A or 1B. All physicians must complete at least 1 CME hour on prescribing, administering and dispensing controlled substances every year. |
| Oregon | 60 hours every 2 years All CME hours must be AMA Category 1 or AOA Category 1A or 2A. All physicians must complete a 1-hour pain management course and complete at least 6 CME hours on pain management and/or end-of-life care. Additionally, coursework on cultural competence, suicide risk assessment and Alzheimer’s may count toward mandatory CMEs. |
| Pennsylvania (MD/DO) | 100 hours every 2 years 20 CME hours must be AMA Category 1. All physicians must complete at least 12 CME hours on patient safety or risk management and 2 CME hours in identifying and reporting child abuse. In addition, 2 CME hours must be in pain management or identification of addiction, as well as 2 hours on prescribing and dispensing opioids. |
| Puerto Rico (MD/DO) | 60 hours every 3 years 40 CME hours must be Category 1. |
| Rhode Island | 40 hours every 2 years All CME hours must be AMA Category 1 or AOA Category 1A. All physicians must complete at least 2 CME hours on universal precautions, infection control, modes of transmission, bioterrorism, end-of-life education, palliative care, OHSA, ethics, or pain management. |
| South Carolina | 40 hours every 2 years All CME hours must be AMA Category 1 or AOA Category 1A. All physicians must complete at least 30 CME hours directly related to their area of specialty and 2 CME hours in approved procedures for prescribing and monitoring schedules II-IV controlled substances. |
| South Dakota | None |
| Tennessee (MD/DO) | 40 hours every 2 years All CME hours must be AMA Category 1 or AOA Category 1A or 2A. All physicians must complete at least 2 CME hours in approved procedures for prescribing and monitoring controlled substances. |
| Texas | 48 hours every 2 years 24 CME hours must be AMA Category 1 or AOA Category 1A. All physicians must complete at least 2 of the 24 CME hours in ethics and/or professional responsibility, including risk management, domestic abuse, or child abuse. A human trafficking prevention course must be completed as part of the medical ethics and/or professional responsibility requirement. All physicians who practice in pain management clinics must complete 10 CME hours annually in pain management. For licensees with direct patient care practice, no less than 2 hours of CME regarding safe and effective pain management related to the prescription of opioids and other controlled substances must be completed. |
| Utah (MD/DO) | 40 hours every 2 years 34 CME hours must be Category 1. All controlled substance prescribers must complete at least 3.5 CME hours in one or more controlled substance prescribing classes. Physicians must also complete at least 1 online suicide prevention training course from a list provided by the Utah Department of Commerce Division of Occupational and Professional Licensing. |
| Vermont (MD) | 30 hours every 2 years Must include at least 1 CME hour in hospice, palliative care or pain management. Physicians with a DEA number must complete at least 2 CME hours in safe and effective prescribing of controlled substances and pain management. |
| Vermont (DO) | 30 hours every 2 years At least 40% of CME hours must be in osteopathic medicine. |
| Virgin Islands | 25 hours every year All CME hours must be Category 1. |
| Virginia | 60 hours every 2 years 30 CME hours must be Category 1. Physicians must complete at least 2 CME hours in pain management, proper prescribing of controlled substances, and diagnosis and management of addiction. |
| Washington (MD) | 200 hours every 4 years Physicians must complete a one-time, 6 CME hour course in suicide assessment, treatment and management. In addition, physicians licensed to prescribe opioids shall complete a one-time CME course at least one hour in length in best practices for prescribing opioids or current opioid prescribing rules. |
| Washington (DO) | 150 hours every 3 years 60 CME hours must be Category 1. Physicians must complete a one-time 6 CME hour course in suicide assessment, treatment and prevention. In addition, physicians licensed to prescribe opioids shall complete a one-time CME course at least one hour in length in best practices for prescribing opioids or current opioid prescribing rules. |
| West Virginia (MD) | 50 hours every 2 years All CME hours must be Category 1. 30 CME hours must be directly related to the physician’s area of specialty. In addition, physicians must complete at least 3 CME hours in drug diversion training and best practices for prescribing controlled substances. |
| West Virginia (DO) | 32 hours every 2 years 50% must be Category 1A or 1B. Physicians must complete at least 3 CME hours in drug diversion training and best practices for prescribing controlled substances. |
| Wisconsin | 30 hours every 2 years All CME hours must be Category 1. All physicians must complete at least 2 CME hours on Board-issued guidelines for prescribing opioids. |
| Wyoming | 60 hours every 3 years All CME hours must be Category 1 or 2. |
Source of state requirements: Federation of State Medical Boards (FSMB)
Please note that this information is updated annually and is intended for informational purposes only.
Accreditation Statement
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Medical Association has an agreement of mutual recognition of Continuing Medical Education (CME) credits with the European Union of Medical Specialists (UEMS), the accreditation body for European countries. Physicians interested in converting AMA PRA Category 1 Credit™ to UEMS-European Accreditation Council for Continuing Medical Education CME credits (ECMECs) should contact the UEMS at mutualrecognition@uems.eu.
AMA Credit Designation Statement
The Massachusetts Medical Society designates each enduring material for the number of AMA PRA Category 1 Credits™ listed below. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
NEJM Knowledge Internal Medicine Board Review: 357 AMA PRA Category 1 Credits™
NEJM Knowledge+ Family Medicine Board Review: 349 AMA PRA Category 1 Credits™
NEJM Knowledge+ Pediatrics Board Review: 153 AMA PRA Category 1 Credits™
ABIM MOC Points
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 357 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
ABP MOC Statement
Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 153 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
AAFP Prescribed Credit
The AAFP has reviewed NEJM Knowledge+ Family Medicine Board Review and deemed it acceptable for up to 348.00 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 02/01/2023 to 12/31/2023. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Royal College of Physicians and Surgeons of Canada
Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.
AAPA CME Credit (NEJM Knowledge+ Family Medicine Board Review)
This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 20 AAPA Category 1 Self-Assessment CME credits. PAs should only claim credit commensurate with the extent of their participation. Approval is valid from 5/1/2023 to 4/30/2024. AAPA reference number: CME-209251.
For NCCPA certification maintenance ONLY: NCCPA will now apply an additional 50 percent weighting when these self-assessment credits are logged for NCCPA certification maintenance purposes. PAs should log up to a maximum of 20 AAPA Category 1 Self-Assessment CME credits, as the additional weighting will be automatically applied by NCCPA.
ACPE Credits
The University of Rhode Island College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This is an application-based educational activity. Pharmacists will receive 8.0 contact hours (0.8 CEUS) for the educational activity. No partial credit is available. UNIVERSAL ACTIVITY NUMBERS (UAN) 0060-9999-22-055-H08-P