| Alabama - 18 hours per 1 year renewal cycle (October 1 - September 30) (Accepts PACE Pre-Check) |
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Distance Allowed: No more than 6 hours per renewal cycle |
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2 hrs per year in Alabama Law and Board Rules and Regs |
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| Alaska - 32 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: No more than 16 hours per renewal cycle |
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8 hours in diagnostic imaging/X-ray; 2 hours coding and documentation; 2 hours in ethics and boundaries; 2 hours in CPR |
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| Arizona - 12 hours per 1 year renewal cycle (January 1 - December 31) (Accepts PACE Pre-Check) |
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Distance Allowed: 12 hours of post-graduate mediated instruction through an accredited college or university |
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Approved subjects: Adjusting techniques; spinal analysis; physical medicine modalities and therapeutic procedures; record keeping and documentation; ethics; CPR; public health; communicable diseases; sexual boundaries; emergency procedures; acupuncture; nutrition; examination, assessment and diagnostic procedures to include physical, orthopedic, neurological procedures; radiographic technique; diagnostic imaging and interpretation; laser as permitted by law; clinical laboratory procedures limited to urine collection, fingerpricks and venipuncture; anatomy; physiology' bacteriology; chiropractic orthopedics and neurology; chemistry; pathology; patient management; evidence-based clinical intervention models; symptomatology; Arizona jurisprudence; participation in the NBCE exam development or administration |
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| Arkansas - 24 hours per 1 year renewal cycle |
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Distance Allowed: 12 hours per renewal cycle |
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subject matter defined in statute; requires courses on subject examined for licensure and specialties |
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| California - 24 hours per 1 year renewal |
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Distance Allowed: 12 |
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2 hours in ethics and law; 4 hours in history taking and physical exam procedures, chiropractic adjustive technique, chiropractic manipulation techniques, or proper ethical billing and coding; maximum 12 hours per day; financial management, practice building, and motivation not approved for CE. |
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| Colorado - 15 hours per year (30 per 2 year renewal cycle) |
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Distance Allowed: 10 hours every 2 years; must include a proficiency test |
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4 hours every two years in record keeping and documentation; required to maintain Health Provider level CPR (does not pre-approve) |
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| Connecticut - 48 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 48 hours per renewal cycle - must include a self-assessment |
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Must include 1 hr ethics; 1 hr informed consent; 1 hr risk management, laws & rules, including informed consent; 2 hrs every 6 years in mental health conditions common to veterans and their families (does not pre-approve) |
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| Delaware - 24 hours per 2 year renewal cycle |
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Distance Allowed: 24 hours per renewal cycle in distance learning that includes live interaction with an instructor; 6 in asynchonous education |
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Must include 3 hours in ethics, record keeping, or risk management; no practice management |
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| District of Columbia - 24 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 24 hours per renewal cycle |
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| Florida - 40 hours per 2 year renewal cycle |
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Distance Allowed: 10 hours per renewal cycle |
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o Three (3) hours of risk management of which two (2) hours must be Florida laws and rules
o Six (6) hours of record keeping/documentation and coding
o Two (2) hours in the area of ethics and boundaries
o For Chiropractic Physicians with Acupuncture Certification – 2 hours in acupuncture safety and risk management and 2 hours in acupuncture technique |
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| Georgia - 20 hours per 1 year (2 year renewal cycle) (Accepts PACE Precheck) |
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Distance Allowed: 10 hours every year - must be test and time monitored to ensure active participation |
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15 Chiropractic Clinical Science; 4 ethics or risk management; 1 GA Jurisprudence |
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| Hawaii - 20 hours per 2 year renewal cycle |
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Distance Allowed: 20 hours |
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Must be a formal program of learning which will contributed directly to the professional competence of a licensee in public practice (Practice-building NOT approved) |
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| Idaho - 18 hours per 1 year renewal cycle (Accepts PACE) |
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Distance Allowed: 6 hours per renewal cycle |
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Subjects: anatomy and histology; clinical blood chemistry and hematology; pathology; bacteriology; clinical nutrition; hygiene and sanitation; physiology; symptomatology; urinalysis; chiropractic jurisprudence; chiropractic orthopedics; physiotherapy; chiropractic principles, clinical and physical diagnosis; chiropractic adjustment; neurology, and palpation |
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| Illinois - 150 hours per 3 year renewal cycle |
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Distance Allowed: 150 hours per renewal cycle |
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60 hours in "formal," 90 hours in "informal" |
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| Indiana - 24 hours per 2 year renewal cycle / maximum 12 hours per year (Accepts PACE) |
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Distance Allowed: 0 |
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4 hours of approved courses in public health and/or risk management per year; practice management prohibited |
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| Iowa - 60 hours per 2 year renewal cycle (July 1 to June 30) (Accepts PACE) |
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Distance Allowed: Up to 16 hours in clinical case management per renewal cycle or 36 hours in clinical case management from CCE accredited college, Iowa Chiropractic Society, American Chiropractic Association, International Chiropractors Association, or PACE |
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36 hours in clinical practice (see above for distance limitations); 2 in professional boundaries; 1 hr in Iowa administrative code; 12 in acupuncture if certified |
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| Kansas - 1 year update: 50 hours (minimum 20 hours in Cat I); 2 year update: 100 hours (minimum 40 hours in Cat I); 3 year update: 150 hours (minimum 60 hours in Cat I) (Accepts PACE) |
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Distance Allowed: No limit |
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Category I: Structured, interactive, formal learning; Category II: Indirectly related to healing arts skills and knowledge (see KS website for more information) |
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| Kentucky - 12 hours per 1 year renewal cycle |
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Distance Allowed: 0 |
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Courses must be taken over at least two days; 6 hours must be taken within the state of Kentucky; 2 hours of HIV/AIDs required every 10 years |
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| Louisiana - 15 hours per 1 year renewal cycle |
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Distance Allowed: 0 |
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Must build upon the basic courses required for chiropractic practice; Three (3) hours of risk management, one (1) of which includes ethics. |
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| Maine - 48 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 12 hours per renewal cycle |
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Category 1 - includes documented physical attendance, subject material related to the concepts of chiropractic principles and practice including, but not limited to, diagnostic procedures, patient care and management; Category 2 - includes instruction, writing on health subjects for publication, participation in accreditation and exam programs, self-instruction, peer review, professional self-assessment programs, CPR certification, wellness programs, others as approved by the board |
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| Maryland - 48 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 48 hours per renewal cycle |
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3 hours in approved communicable-disease and sanitary procedures; 1 hour in diversity education; 3 hours in risk management; and 1 hour in jurisprudence. |
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| Massachusetts - 12 hours per 1 year renewal cycle (April 1 - May 31) (Accepts PACE) |
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Distance Allowed: 12 hours per renewal cycle |
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Allowable subject matter includes clinical proficiency, philosophy and ethics, jurisprudence, or the human and biological sciences; Courses devoted to administrative or economic aspects of practice shall not be approved for continuing education credit. |
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| Michigan - 30 hours per 2 year renewal cycle |
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Distance Allowed: 15 hours per renewal cycle |
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1 hour in sexual boundaries, 1 hour in ethics, and 1 hour in pain and symptom management; 2 live, in-person hours in physical measures and 2 live, in-person hours in performance and ordering of tests |
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| Minnesota - 20 hours per 1 year renewal cycle (Accepts PACE) |
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Distance Allowed: 20 hours per renewal cycle |
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20-hour requirement must include 3 hours in radiology/advanced imaging, 1 hour in professional boundaries, 2 hours in acupuncture (if registered), 6 hours in addition to the 20 hours in animal chiropractic (if registered). Note professional boundaries refers to preserving the Doctor/Patient relationship. |
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| Mississippi - 12 hours per 1 year renewal cycle (July 1 - June 30) |
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Distance Allowed: 0 |
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3 hours in risk management |
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| Missouri - 48 hours per 2 year renewal cycle |
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Distance Allowed: 48 hours per renewal cycle - must be board approved |
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24 hours of formal, board-approved CE in at least 3 of the 16 recognized categories (see MO website); self-study, meetings, publishing, presentations, etc. allowed for up to 24 hours of credit |
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| Montana - 13 hours per 1 year renewal cycle (Accepts PACE) |
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Distance Allowed: 13 hours per renewal cycle |
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No more than 2 hours of philosophy or practice management; 1 hour of professional ethics and boundaries required |
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| Nebraska - 36 hours per 2 year renewal cycle (August 1 - July 31) (Accepts PACE) |
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Distance Allowed: 6 hours per renewal cycle |
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Must complete 4 hours of technical skills in x-ray or adjustive techniques; and 4 hours in HIV/Aids, infectious diseases; boundary training; Nebraska scope; lab testing and interpretation; physical, neurological and orthopedic exam; fraud prevention; rehab; ethics; or use of unlicensed personnel. Maximum 8 hours CE per day. Does not pre-approve; acceptable programs/activities available on NE website (page 17). |
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| Nevada - 36 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 36 hours per renewal cycle |
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No practice-building or insurance-billing |
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| New Hampshire - 20 hours per 2 year renewal cycle |
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Distance Allowed: No more than 25% of the total hours (currently 5 hours per renewal cycle) |
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Business courses specifically excluded; maximum 10 hours credit per day. |
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| New Jersey - 30 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 12 in asynchronous distance learning; or 30 in synchronous distance learning |
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2 hours in state laws regarding ethics or record keeping; 2 hours in nutrition education; maximum 10 hours of CE per day |
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| New Mexico - 16 hours per 1 year renewal cycle (July 1 - June 30) (accepts PACE Precheck) |
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Distance Allowed: 8 hours per renewal cycle unless specific approval is obtained |
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Additional hours may be required by the board |
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| New York - 36 hours per 3 year renewal cycle |
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Distance Allowed: 12 hours per renewal cycle |
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one time 2-hour course in child abuse reporting required; at least 12 hours in patient communications, record keeping, and matters of law and/or ethics |
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| North Carolina - 18 hours per 1 year renewal cycle (Accepts PACE) |
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Distance Allowed: 8 hours per renewal cycle |
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2 hours in coding; 2 hour in compliance; 2 hours in documentation; 2 hours in ethics; 2 hours in sexual boundaries; 2 hours in NC jurisprudence every 5 years |
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| North Dakota - 20 hours per 1 year renewal cycle (Accepts PACE) |
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Distance Allowed: 20 hours per renewal cycle |
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4 hours of professional boundaries every 3 years; for licensees authorized to practice acupuncture, 2 hours of acupuncture CE required |
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| Ohio - 36 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 36 hours |
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2 hours on ethics or professionalism, human trafficking awareness, laws and rules of the board
Topics related to billing and coding, risk management, malpractice defense, legal courses, and practice building are not eligible for CE. |
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| Oklahoma - 16 hours per 1 year renewal cycle (Accepts PACE Precheck) |
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Distance Allowed: 8 |
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12 hours must be clinical in nature; 8 hours must be earned in-state through an Oklahoma state association |
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| Oregon - 20 hours per 1 year renewal cycle (Accepts PACE) |
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Distance Allowed: 20 hours per renewal cycle |
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All first time licensees and those changing status from inactive to active must complete 4 hours in over-the-counter non-prescriptive substances |
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| Pennsylvania - 24 hours per 2 year renewal cycle (September 1 - August 31) |
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Distance Allowed: 24 hours per renewal cycle |
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| Rhode Island - 60 hours per 3 year registration cycle (Accepts PACE) |
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Distance Allowed: 30 hours per registration cycle |
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50 hours in clinically-related courses |
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| South Carolina - 36 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 18 hours per renewal cycle |
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2 hours SC rules and regs; 2 hrs risk management |
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| South Dakota - 40 hours per 2 years (January 1 to December 31) (Accepts PACE) |
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Distance Allowed: 40 hours per 2 years; online courses MUST include an end of seminar quiz with at least a 70% passing score required. |
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DCs must maintain current CPR certification; 8 hours acupuncture required if certified. |
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| Tennessee - 24 hours per 1 year (Accepts PACE) |
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Distance Allowed: 6 hours per 1 year |
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3 hours sexual boundaries training; 3 hours AIDS awareness/risk prevention (first year); For licensees with acupuncture certification, 6 hours of acupuncture are required. Philosophy is not allowed for CE. |
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| Texas - 16 hours per 1 year renewal cycle (Accepts PACE Pre-Check for chiropractic colleges) |
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Distance Allowed: 10 hours per renewal cycle |
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The board will designate a minimum of four hours as "TBCE Required Courses" which must be taken live: three hours in board rules including, ethics, recordkeeping, documentation, and coding; a minimum of one hour in risk management in chiropractic practice. |
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| Utah - 40 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 10 hours per renewal cycle |
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No more than 4 hours of marketing or practice building; licensees who practice acupuncture must complete 10 hours of acupuncture |
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| Vermont - 24 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: 24 per renewal cycle |
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Practice management, finance, and philosophy prohibited |
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| Virginia - 60 hours per 2 year renewal cycle (Accepts PACE) |
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Distance Allowed: Not specified |
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Minimum 30 hours in Type 1 (approved by board); maximum 30 hours Type 2 (not approved by board) |
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| Washington - 25 hours per 1 year renewal cycle (Accepts PACE) |
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Distance Allowed: 12 hours per renewal cycle |
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Diagnosis and treatment of the spine or immediate articulations within the scope of practice; X-ray/diagnostic imaging; Adjustive technique; Detection of a subluxation; Physical examination; Hygiene; Symptomatology; Neurology; Pathology; Orthopedics; Patient/case management; Impairment within the scope of practice; CPR; Dietary and nutrition advice; and Chiropractic philosophy and business management (not to exceed a total of 8 hours)
1-time requirement: 3 hrs suicide prevention screening |
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| West Virginia - 18 hours per 1 year renewal cycle |
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Distance Allowed: 6 hours per renewal cycle |
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| Wisconsin - 40 hours per 2 year renewal cycle |
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Distance Allowed: 0 |
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Must maintain current CPR certification; Chiropractors with nutritional counseling certificates must complete at least 4 hours of nutrition CE; 1 hour of coursework to become proficient in the use of an automated external defibrillator required. |
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| Wyoming - 12 hours per 1 year renewal cycle (Accepts PACE) |
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Distance Allowed: 4 |
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| Puerto Rico - 45 hours per 3 years (Accepts PACE) |
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Distance Allowed: 15 |
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| U.S. Virgin Islands - 24 hours per 2 years - recommended |
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Board is currently working on rules and regs. |
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| Australia - 25 hours per 1 year |
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Distance Allowed: 12.5 hours per 1 year |
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| New Zealand - 50 hours per 2 year renewal cycle |
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Distance Allowed: not specified |
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At least 15 hours in "group A" formal learning activities. View information. |
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| Alberta - 24 hours per 1 year renewal cycle |
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Distance Allowed: 24 per renewal cycle |
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| British Columbia - 24 hours per 2 years |
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Distance Allowed: at the discretion of the board |
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Minimum 6 hours in x-ray; maximum 6 hours in philosophy |
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| Manitoba - recommended, not mandatory |
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| New Brunswick - 24 hours per 2 years |
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Distance Allowed: with prior approval |
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| Newfoundland/Labrador - 12 hours every 2 years |
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Distance Allowed: 12 hours every 2 years |
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6 hours in radiology required |
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| Nova Scotia - 24 hours every 2 years (Accepts PACE) |
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Distance Allowed: 6 hours every 2 years |
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| Ontario - Self-directed |
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| Prince Edward Island - 15 hours |
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Practice management prohibited |
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| Quebec - 12 hours of radiology annually |
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| Saskatchewan - 30 hours every 2 years |
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Distance Allowed: 10 hours per 2 years |
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15 hours must be obtained from CAS-provided seminars |
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