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Continuing Medical Education for PAs

As a prerequisite for annual physician assistant registration, practitioners are required to complete continuing medical education.


Physician assistants need to complete at least 40 credits of continuing medical education every 12 months (12 month timeline is in relation to the annual registration period, not the calendar year).  At least half of these credits must be formal Category I credit provided by a CME sponsor that has been approved by the American Academy of Physician Assistants. The remaining hours may be from Category II, composed of informal self-study, attendance at hospital lectures, grand rounds, or case conferences and shall be recorded in a manner that can be easily transmitted to the board upon request. Completion of required CME is reported during annual registration. If an excess of the 40 hours are completed prior to annual registration, the excess hours may be applied to the following years' requirements.


There is a maximum of 80 total excess credit hours that may be carried forward and a limit of two years from the date of the annual registration following the period during which the hours were earned. Excess hours are applied/reported according to their Category.  See Board Rule 185.6 for additional information.


Documentation of CE courses shall be made available to the Board upon request, but should not be submitted with the registration. Random audits will be made to assure compliance.


If you have any questions regarding continuing education requirements, please email us at .



For PA CME course listings contact:

Texas Academy of Physician Assistants: (512) 370-1537




A licensee may request in writing an exemption* for the following reasons:

  • the licensee's catastrophic illness;
  • the licensee's military service of longer than one year's duration outside the United States;
  • the licensee's residence of longer than one year's duration outside the United States; or
  • good cause shown submitted in writing by the licensee that gives satisfactory evidence to the board that the licensee is unable to comply with the requirement for continuing education.

*Exemptions are reviewed on a case by case basis and must be requested in writing at least 30 days prior to the expiration date of the license.  An exemption may not exceed one registration period, but may be renewed, subject to approval.


PA Continuing Education Exemption Request Form