Overview
The Arkansas State Medical Board requires physicians and PAs to complete 20 hours of CME annually. Arkansas uses a birth month cycle rather than a calendar year, and conducts monthly random audits. Notably, PAs have more flexibility — no Category 1 requirement and no mandatory topics.
Physician (MD/DO) Requirements
Arkansas physicians must complete 20 CME hours per annual renewal cycle.
CME Breakdown
| Requirement | Details |
|---|---|
| Total CME | 20 hours per year |
| Category 1 | 50% (10 hours) must be Category 1 in primary practice area |
| Renewal cycle | Annual (birth month to birth month) |
| Rollover | No — hours must be completed within cycle |
| Audit | Monthly random audits |
Renewal Cycle Explained
Arkansas uses a birth month cycle:
- Cycle runs from your birth month of the previous year through your birth month of the current year
- Example: If born in June, cycle runs June 2025 → June 2026
Mandatory Training
| Requirement | Details |
|---|---|
| Opioid/Benzodiazepine | 1 hour annually in prescribing opioids and/or benzodiazepines |
This requirement is specified in Regulation 17 of the Arkansas Medical Practices Acts & Regulations.
Documentation
- Certificates of CME completion required if audited
- Keep records accessible for potential monthly audits
Physician Assistant Requirements
Arkansas PAs are regulated by the same board as physicians but have more flexible CME requirements.
CME Breakdown
| Requirement | Details |
|---|---|
| Total CME | 20 hours per year |
| Category 1 | Not required — any category accepted |
| Mandatory topics | None (unlike physicians) |
| Renewal cycle | Annual (birth month to birth month) |
| Board | Arkansas State Medical Board |
Key Differences from Physicians
| Requirement | Physicians | PAs |
|---|---|---|
| Category 1 | 50% required | Not required |
| Opioid/benzo training | 1 hour mandatory | Not mandatory |
| Total hours | 20/year | 20/year |
Supervision Requirements
Arkansas PAs work as dependent medical practitioners:
| Requirement | Details |
|---|---|
| Supervision | Must work under Arkansas-licensed physician |
| Protocol | Board-approved delegation agreement required |
| Ratio | One physician may supervise up to 3 PAs at one time |
VA System Exemption
PAs working in the VA system are exempt from state licensure requirements unless working outside the VA system.
Governing Authority
- Rule 24 — Arkansas Medical Practices Acts & Regulations
DO (Osteopathic) Physicians
Arkansas requirements for DO physicians are identical to MD requirements. Both must complete 20 hours annually with the same Category 1 and opioid training requirements.
Tips for Arkansas Licensees
- Annual cycle — Arkansas is one of few states with yearly (not biennial) requirements
- Birth month deadline — Track your personal renewal date carefully
- Monthly audits — Keep certificates readily accessible; audits happen frequently
- MDs: Don't skip opioid training — 1 hour required every year
- PAs have flexibility — No Category 1 or topic requirements
- Category 1 must match specialty — Physicians' Category 1 hours must be in primary practice area
Contact Information
Arkansas State Medical Board
- Phone: (501) 296-1802
- Support: (501) 603-3559
- Email: [email protected]
- Website: armedicalboard.org
MDCME