North Carolina Medical Board
North Carolina DO CME requirements
60 hours every 3 years. Renews every 3 years; licenses expire on your birthday every year (annual registration is due no later than 30 days after your birthday).
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
- 60 hours every 3 years
- Renewal cycle
- Every 3 years
- Deadline
- Your birthday every year (annual registration is due no later than 30 days after your birthday)
- Required topics
- 1
- Hours carry over
- No
- First renewal
- There is no first-renewal waiver, but your first three-year CME cycle only starts on the first birthday after your license is issued, so the 60 hours are due by the end of that cycle. Residents holding a residency training license are exempt until the first birthday after they finish training.
- Reporting
- At each annual renewal you report, in whole hours, your CME compliance or exemption on the Board's renewal form (21 NCAC 32R .0104). Do not send certificates unless asked; keep records for six years for a possible Board audit. Physicians in ABMS, AOA or RCPSC maintenance of certification, or who earn initial board certification during the cycle, are deemed to meet the 60 hours but still owe the 3 controlled substance hours if they prescribe (21 NCAC 32R .0103).
- Board
- North Carolina Medical Board
The license is registered every year by your birthday (G.S. 90-13.2), but CME is counted over a three-year cycle that begins on the first birthday after your license was issued (21 NCAC 32R .0101(c)). You report your hours at each annual renewal; there is no yearly minimum. Hours do not carry over to the next cycle.
Deadline
In North Carolina, the date depends on your license: your birthday every year (annual registration is due no later than 30 days after your birthday).
Find your North Carolina DO deadline and add it to your calendar
Required topics
Credit that counts
- AOA Category 1-AThe AOA is a Category 1 provider under 21 NCAC 32R .0102(a)(2).
- AOA Category 1-B Confirm with your BoardThe rule accepts Category 1 CME presented, offered or accredited by the AOA, but does not separate AOA 1-A from 1-B. Confirm before counting 1-B hours.
- AMA PRA Category 1 Credit™21 NCAC 32R .0101(b) and .0102: all 60 hours must be Category 1, relevant to your current or intended specialty or area of practice, from a Category 1 provider (ACCME-accredited and reciprocating organizations, AOA, AMA, a state medical society, ABMS/AOA/RCPSC specialty boards, or Joint Accreditation).
- AAFP Prescribed creditThe Board's CME FAQ: 'Yes, the AAFP Prescribed credit is equivalent to AMA Physician's Recognition Award (PRA) Category 1 credit, which is acceptable category 1 for the NC Medical Board.'
Facts marked “Confirm with your Board” are unsettled in the sources; the note says what to check.
What to do next
- Plan my North Carolina DO renewalSee the hours and required topics you still need.
- North Carolina DO renewal deadlineYour date, with a calendar file and reminders.
- Read the North Carolina guideEvery requirement explained, with the Board's sources.
- North Carolina MD CME requirements60 hours every 3 years
Sources
- 21 NCAC 32R .0101 — CME required (amended effective 7/1/2024; via Cornell LII)
- 21 NCAC 32R .0102 — Approved categories of CME (via Cornell LII)
- 21 NCAC 32R .0103 — Exceptions (via Cornell LII)
- 21 NCAC 32R .0104 — Reporting (via Cornell LII)
- NC Medical Board — Professional FAQs: CME
- NC Medical Board — Professional FAQs: Renewals
- NC Medical Board — Controlled substances CME requirement
- N.C. Gen. Stat. 90-13.2 — Registration every year with Board
- N.C. Gen. Stat. 90-14 — Disciplinary authority (CME, subdivision (a)(15))
Last verified October 6, 2026. Confirm with your Board: requirements change, and the Board's rules decide.