Last verified against the sources below. Requirements change — confirm with your Board before you rely on this page. This is general information, not legal advice.

At a glance: DO (osteopathic physician)

Hours
50 hours every 2 years
Renewal cycle
Every 2 years
Deadline
11:59 p.m. Eastern Time on September 30 of your renewal year (no grace period)
Required topics
2
Hours carry over
No
First renewal
COMAR 10.32.01.10F and the Board's FAQ: you are exempt from CME at the first renewal after initial licensure (or reinstatement). Newly licensed physicians must complete the Board's New Physician Orientation before the first renewal (COMAR 10.32.01.08M).
Credit minimum
Confirm with your Board COMAR 10.32.01.10C(1): at least 25 of the 50 credits must be Category I. The rule is written around ACCME accreditation, so whether AOA Category 1-A counts as 'Category I' is not stated; confirm with the Board.
Reporting
You attest on the online renewal application that you completed the CME (COMAR 10.32.01.10D). Send documents only if selected for audit; the Board can also verify credits reported to the ACCME's PARS system. Keep certificates for 6 years (COMAR 10.32.01.10E). Holding an active time-limited board certification (ABMS member board, an AOA certifying board, the Royal College of Physicians and Surgeons of Canada or the College of Family Physicians of Canada) with proof of maintenance dated within 5 years of renewal counts as meeting the 50 credits (COMAR 10.32.01.10E(2)). The Board may impose a penalty of $100 per missing credit (Health Occupations 14-316(d)(6)).
Board
Maryland Board of Physicians

COMAR 10.32.01.08B: licenses renew every two years. The Board's 2026 renewal notices say licenses of physicians whose last names begin A-L expired September 30, 2026 (renewal ran July 15 to September 30), and its print-license links show M-Z licenses renewed in 2025, so M-Z next expire September 30, 2027. There is no late renewal: an unrenewed license expires and must be reinstated. COMAR 10.32.01.10A: CME counts over the 2 years before the license expires.

Deadline

  • Last names beginning M-Z (odd-numbered years)

  • Last names beginning A-L (even-numbered years)

Find your Maryland DO deadline and add it to your calendar

Required topics

Credit that counts

  • AMA PRA Category 1 Credit™COMAR 10.32.01.10C(1)-(2): at least 25 of the 50 credits must be Category I; activities must be accredited by the ACCME, sponsored by a medical society meeting ACCME standards, or an accredited training program. The same rule applies to MDs and DOs.
  • AMA PRA Category 2COMAR 10.32.01.10C: Category I or II credit accredited by the ACCME (or sponsored by a medical society meeting ACCME standards) counts toward the 50; at least 25 must be Category I.
  • AOA Category 1-A Confirm with your BoardCOMAR 10.32.01.10 does not name AOA credit; it defines qualifying CME by ACCME accreditation. Many AOA Category 1-A activities are jointly accredited, but confirm with the Board before counting AOA-only credit toward the 25 Category I credits. An active time-limited certification from an AOA certifying board satisfies the requirement on its own (COMAR 10.32.01.10E(2)).
  • AOA Category 1-B Confirm with your BoardNot named in the rule. Confirm with the Board before counting AOA Category 1-B credit.
  • AAFP Prescribed credit Confirm with your BoardNot named. The AAFP is ACCME-accredited and the AMA accepts AAFP Prescribed credit as equivalent to AMA PRA Category 1, but the Board has not said so in writing.

Facts marked “Confirm with your Board” are unsettled in the sources; the note says what to check.

What to do next

Sources

  1. COMAR 10.32.01.10 — Continuing Medical Education (Maryland Board of Physicians)
  2. COMAR 10.32.01.08 — Renewals
  3. Maryland Board of Physicians — Physician license renewals (overview, CME and FAQs)
  4. Maryland Board of Physicians — 2026 Physician License Renewal Information
  5. Maryland Board of Physicians — Implicit Bias and Structural Racism Training Requirements for License Renewal in 2026
  6. Maryland Code, Health Occupations § 1-225 — Implicit bias and structural racism training
  7. Maryland Code, Health Occupations § 14-316 — License renewal; continuing education
  8. COMAR 10.19.03.04 — Controlled dangerous substance registration: requirements (2 hours of CE)
  9. Md. Code, Health-General § 20-1306 — Cultural and Linguistic Health Care Professional Competency Program

Last verified October 8, 2026. Confirm with your Board: requirements change, and the Board's rules decide.