Continuing Medical Education: CME Requirements by State

Medality

Mar 21, 2025 •  min read

Radiology is a constantly evolving medical field. Technological advancements and new techniques continuously shape the way diagnostic imaging is performed and interpreted to improve patient outcomes.

Continuing medical education (CME) plays a pivotal role in helping radiologists stay informed of the latest developments, refine their skills, and provide the highest level of care to their patients.

However, each state implements its own set of rules and regulations. Medical professionals can find themselves grappling with varying credit hour requirements, specific topic mandates, and diverse renewal cycles. Add separate conditions for maintaining certification for radiology specialties into the mix, and it can become daunting to keep track of it all.

This comprehensive guide helps demystify the process a bit by serving as a valuable resource for professionals seeking to maintain their licenses to remain compliant with their state’s respective licensing boards.

What is CME and why is it important?

CME refers to the ongoing educational activities that medical professionals must complete to maintain and enhance their knowledge, skills, and competence throughout their careers. CME helps radiologists keep pace with the rapid advancements in medical imaging technology, diagnostic techniques, and patient safety protocols.

Physicians must complete a specific number of credits each cycle to maintain their licensure and any certifications they hold. Staying up to date on advancements in radiology isn’t the only reason to engage in continuing education.

CME requirements by state are critical for several reasons, including:

  • Maintaining clinical competence. Medical knowledge and best practices for radiology are constantly evolving. CME reinforces a radiologist’s existing knowledge while teaching them about new developments in their field.
  • Improving patient safety and risk management. Patient safety, radiation safety, and risk management are a focus of radiology CME. Participating in continuing education activities helps radiologists identify potential risks, implement appropriate safety measures, and minimize the chances of adverse events or medical errors.
  • Advancing your radiology career. Some radiologists use CME to develop new skills, explore specialized areas, and enhance their professional credentials. Taking this approach opens the door to opportunities for career advancement, research, or leadership roles in the field.

What are the typical radiology CME state requirements?

Radiology CME requirements can vary significantly depending on your state of licensure and any specialized certifications.  However, some general patterns and mandates exist for all radiologists regardless of where they practice.

Total Credit Hours

Most states require radiologists to complete between 25 and 50 credit hours of CME during each renewal period, which typically lasts two years. Some states may mandate as few as 20 credit hours while others insist on 75-plus credit hours.

Consult with your state licensing board and any certifying bodies to verify educational activities and hours for meeting CME. You can also check out our state-by-state requirements chart below.

Category-Specific Requirements

Many states mandate that a certain number of radiology CME credits must be earned in specific categories or topics.

Common category requirements include:

  • Patient safety or risk management (3-5 credits)
  • Medical ethics or professional responsibility (2-4 credits)
  • Radiation safety or radiation protection (2-4 credits)

Accepted CME Activities

States generally recognize a variety of radiology CME activities as eligible for credit. One of the most popular ways to meet mandates is by attending live conferences, seminars, and workshops either in-person or online.

Other CME learning opportunities include:

  • Participating in self-study programs or online courses.
  • Publishing peer-reviewed articles or research papers.
  • Presenting lectures or educational materials.
  • Serving as a preceptor or clinical instructor.

Reporting and Documentation

Physicians are typically expected to maintain records of their CME activities, including certificates of attendance or completion for the recommended period. These records may need to be submitted during the license renewal process or to support your claims of CME completion during an audit.

Exemptions and Alternatives

Some state medical licensing boards offer exemptions or alternative pathways for meeting CME requirements under certain circumstances, such as:

  • First-year exemptions for newly licensed physicians/radiologists.
  • Reduced requirements for retired or inactive physicians/radiologists.
  • Credits earned through teaching, precepting, or serving on professional committees.

How do CME requirements differ across states?

The chart below was designed to help physicians stay compliant and plan their continuing education activities. It provides a comprehensive breakdown of the latest radiology CME state requirements for each U.S. state and territory.

Use the chart to discover the total credit hours required, renewal cycle duration, specific topic area mandates, and accepted CME activities.

STATE

TOTAL CREDIT HOURS REQUIRED 

RENEWAL CYCLE DURATION

SPECIFIC TOPIC MANDATES

ACCEPTED CME ACTIVITIES

Alabama

25 hours

Annually

Pain management, end-of-life care

Live activities, enduring materials, journal-based CME

Alaska

50 hours

Biennially

Pain management, opioid use

Live activities, online courses, workshops

Arizona

40 hours

Biennially

Store Domestic Violence, child abuse

Conferences, online modules, live webinars

Arkansas

20 hours

Annually

Prescribing education, pain management

Live activities, enduring materials, workshops

California

50 hours

Biennially

Pain management, geriatric care

Live courses, online CME, self-assessment modules

Colorado

25 hours

Annually

N/A

Conferences, online courses, journal-based CME

Connecticut

50 hours

Biennially

Risk management, behavioral health

Live activities, enduring materials, workshops

Delaware

40 hours

Biennially

Opioid prescribing, sexual harassment

Live activities, online courses, conferences

Florida

40 hours

Biennially

Medical errors, domestic violence

Live activities, enduring materials, webinars

Georgia

40 hours

Biennially

N/A

Live courses, online CME, self-study

Hawaii

20 hours

Biennially

N/A

Live activities, enduring materials, workshops

Idaho

40 hours

Biennially

Opioid prescribing, sexual harassment

Live activities, online courses, workshops

Illinois

150 hours

Triennially

Sexual harassment prevention, opioid prescribing

Live activities, enduring materials, webinars

Indiana

40 hours

Biennially

Opioid prescribing, abuse

Conferences, online modules, live webinars

Iowa

40 hours

Biennially

Child abuse, dependent adult abuse

Live activities, enduring materials, journal-based CME

Kansas

50 hours

Biennially

Pain management, palliative care

Live courses, online CME, self-study

Kentucky

60 hours

Biennially

Domestic violence, pediatric abusive head trauma

Live activities, enduring materials, workshops

Louisiana

30 hours

Annually

Pain management, substance abuse

Live activities, online courses, conferences

Maine

100 hours

Biennially

Opioid prescribing, palliative care

Live activities, enduring materials, webinars

Maryland

50 hours

Biennially

Cultural competence, opioid prescribing

Live activities, online courses, journal-based CME

Massachusetts

50 hours

Biennially

Pain management, end-of-life care

Live courses, online CME, self-study

Michigan

150 hours

Triennially 

Pain management, human trafficking

Live activities, enduring materials, workshops

Minnesota

75 hours

Triennially 

Pain management

Live activities, online courses, conferences

Mississippi

40 hours

Biennially

Pain management, opioid prescribing

Live activities, enduring materials, journal-based CME

Missouri

50 hours

Biennially

N/A

Live courses, online CME, self-study

Montana

50 hours

Biennially

N/A

Live activities, online courses, workshops

Nebraska

50 hours

Biennially

Opioid prescribing

Live activities, enduring materials, webinars

Nevada

40 hours

Biennially

Pain management, bioterrorism

Live activities, online courses, conferences

New Hampshire

100 hours

Biennially

Pain management, substance abuse

Live courses, online CME, self-study

New Jersey

100 hours

Biennially

Opioid prescribing, cultural competence

Live activities, enduring materials, workshops

New Mexico

75 hours

Triennially

Pain management, Palliative care

Live activities, online courses, journal-based CME

New York

50 hours

Biennially

Child abuse, Infection control

Live activities, online courses, conferences

North Carolina

60 hours

Biennially

Pain management

Live activities, enduring materials, webinars

North Dakota

60 hours

Triennially 

Pain management

Live courses, online CME, self-study

Ohio

50 hours

Biennially

Pain management, ethics

Live activities, online courses, journal-based CME

Oklahoma

60 hours

Biennially

Pain management, ethics

Live activities, enduring materials, workshops

Oregon

60 hours

Biennially

Pain management, palliative care

Live courses, online CME, self-study

Pennsylvania

100 hours

Biennially

Pain management, child abuse

Live activities, online courses, conferences

Rhode Island

40 hours

Biennially

Pain management, substance abuse

Live activities, enduring materials, journal-based CME

South Carolina

40 hours

Biennially

Pain management, opioid prescribing

Live courses, online CME, self-study

South Dakota

50 hours

Biennially

Pain management, palliative care

Live activities, online courses, workshops

Tennessee

40 hours

Biennially

Pain management, prescribing education

Live activities, enduring materials, webinars

Texas

48 hours

Biennially

Medical ethics, pain management

Live courses, online CME, self-study

Utah

40 hours

Biennially

Pain management, opioid prescribing

Live activities, online courses, conferences

Vermont

50 hours

Biennially

Pain management, palliative care

Live activities, enduring materials, workshops

Virginia

60 hours

Biennially

Biennially

Live activities, online courses, journal-based CME

Washington

200 hours

Biennially

Pain management, suicide prevention

Live activities, online courses, conferences

West Virginia

50 hours

Biennially

Pain management, end-of-life care

Live courses, online CME, self-study

Wisconsin

30 hours

Biennially

Pain management, palliative care

Live activities, enduring materials, workshops

Wyoming

40 hours

Biennially

Pain management

Live activities, online courses, journal-based CME

*Each professional is accountable for understanding his or her accrediting/licensing body’s standards and requirements. While we do our best to keep this page up-to-date, it’s important to double-check with your accrediting or licensing body for the most current requirements as information is subject to change without notice.

How do radiologists fulfill CME requirements efficiently?

Fulfilling CME requirements is time-consuming and poses challenges for busy physicians with demanding clinical schedules. Proper planning and a strategic approach can help radiologists meet CME obligations efficiently while minimizing disruptions to patient care.

Some tips and practical strategies include:

  • Use online resources. Many state licensing boards permit online radiology CMEs such as those offered by Medality. These resources are flexible and compliant, allowing you to learn at your own pace and convenience without the burden of travel or extended time away from work.
  • Prioritize accredited activities. Focus on CME activities accredited by recognized organizations such as the American College of RadiologyRadiological Society of North America, and state medical societies. Accredited activities include relevant and up-to-date content that meets the specific requirements of your state or certifying body.
  • Attend specialized radiology conferences. Radiology-specific conferences and workshops offer a concentrated opportunity to earn multiple CME credits in a short period. Look for events that cover a range of topics relevant to your practice that also meet any specific requirements for the CME cycle by the state licensing board.
  • Seek enduring materials. Many organizations offer enduring materials such as recorded lectures, podcasts, and self-assessment modules you can access anytime. These materials are a convenient way to earn credits during downtime or while commuting.
  • Explore alternative pathways. Some states may grant radiology CME credits for activities such as publishing original research, serving as a preceptor or clinical instructor, or participating in professional committees or task forces. 

Consequences of non-compliance

Failing to comply with CME requirements for your state has serious consequences. The worst-case scenario is you lose your ability to practice and professional standing in the medical community.

Some of the other consequences of non-compliance include:

  • Fines and penalties. Besides losing your license to practice or having it suspended, some states impose fines and other penalties on physicians who fail to meet CME requirements. These fines can range from a few hundred dollars to several thousand dollars depending on the extent of your non-compliance.
  • Disciplinary actions. Regulatory bodies and medical boards can issue formal reprimands, probationary periods, and other sanctions on radiologists who fail to meet CME. These disciplinary actions appear on your professional record.
  • Loss of hospital privileges. Hospitals and healthcare facilities require radiologists to maintain active and compliant licensure and certification as a condition of granting privileges. Non-compliance can limit your ability to practice at certain facilities or within specific healthcare providers.
  • Increased liability risks. Failure to comply with CME requirements can be seen as professional incompetence, which can increase liability risks in the event of malpractice claims or other legal disputes. 

Stay up to date with CME requirements

Embracing a proactive approach to CME safeguards your ability to practice and reflects a deep commitment to providing the highest quality of care to patients. Expanding their knowledge and refining their skills allows radiologists to stay at the forefront of their profession, contributing to improved diagnostic accuracy, patient safety, and overall healthcare outcomes.

Let Medality help you complete your required CMEs without adding more stress to your routine. Visit our microlearning course library to complete courses that meet CME requirements for your state.

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Medality
Medality is the leading clinical training platform for radiologists, helping tens of thousands of radiologists from over 100 countries upskill in advanced imaging areas. Its case-based, microlearning video courses are taught by expert faculty and feature integrated cases designed to simulate clinical practice from anywhere, anytime. Medality partners with 140+ academic institutions and radiology practices through training, professional development, and compliance solutions to help tackle the global workforce shortage.

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