Washington Medical Doctor and Physician Assistant CME Package: 60 AMA PRA Category 1 Credits

• Washington Medical Doctor Standard Renewal Requirements: Medical Doctors in Washington must renew their license every two years on their birth date, completing 200 hours of continuing medical education every 4 years, with at least 120 hours in AMA PRA Category 1™ credits. Mandatory CME includes a one-time 6-hour course on suicide assessment and management and a one-time 1-hour opioid prescribing course . Physicians may fulfill CME requirements wholly or partially through specialty board certifications such as the AMA Physician Recognition Award or ABMS member board certification, providing flexibility in meeting licensure renewal standards. These requirements are administered by the Washington Medical Commission and the Department of Health Washington Medical Commission Renewal

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• First-time renewal: Complete the one-time 6-hour suicide prevention training by the end of your first full CE reporting period after initial licensure (counts toward CE). Washington State Legislature

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• Certification alternative (ABMS/AOA or NCCPA): MDs may fulfill maintenance of licensure by holding an AMA PRA (in 2 of the prior 4 years), obtaining ABMS board certification within the past 4 years, or actively participating in ABMS MOC at renewal, in lieu of documenting 200 hours. Washington State Legislature

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• Controlled substance / Opioid prescribing: Any physician who prescribes opioids must complete a one-time 1-hour CE on opioid-prescribing best practices by the end of the first full CE period after 1/1/2019 or after initial licensure; these hours count toward CE. Washington State Legislature

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• DEA or PMP enrollment: Physicians who prescribe Schedule II–V medications must register for WA’s Prescription Monitoring Program (PMP) and perform PMP queries at specified care transitions and risk-based intervals; documentation is required in the record. Washington State Legislature