Annual Renewal CE Requirements

All Texas licensees holding an active license to practice in Texas must annually collect a minimum of twelve hours of appropriate continuing education, as required by the Occupations Code at Section 257.005, and the TSBDE Rules and Regulations at Chapter 104 after your first annual renewal and before each subsequent renewal.  You are not required to collect continuing education hours before your first annual renewal.  

 Click here for the list of approved continuing education course providers.

The following conditions and restrictions shall apply (As per TSBDE Rule 104.1):

  • At least 8 hours of coursework must be either technical or scientific as related to clinical care. The terms "technical" and "scientific" as applied to continuing education shall mean that courses have significant intellectual or practical content and are designed to directly enhance the practitioner's knowledge and skill in providing clinical care to the individual patient.
  • Up to 4 hours of coursework may be in risk-management courses. Acceptable "risk management" courses include courses in risk management, record-keeping, and ethics.
  • Up to 6 hours of coursework may be self-study. These self-study hours must be provided by those entities cited in TSBDE Rule 104.2 of this title (relating to Providers). Examples of self-study courses include interactive courses, correspondence courses, video courses, audio courses, and reading courses.
  • Hours of coursework in the standards of the Occupational Safety and Health Administration (OSHA) or in cardiopulmonary resuscitation (CPR) may not be considered in the 12-hour requirement.
  • Pediatric Advanced Life Support (PALS) and Advanced Cardiac Life Support (ACLS) training may be used towards continuing education hours.
  • Hours of coursework in practice finance may not be considered in the 12-hour requirement.
  • Completion of the TSBDE Jurisprudence Assessment may not be considered in the 12-hour requirement.

CE Carried Forward or Banked CE

Extra hours, not to exceed 24 hours, earned in a classroom or lecture format may be carried forward, or banked, for use in subsequent years.

Attesting to Completing CE and Sending Proof of Completion of CE

All licensees are asked to sign an attestation at the time of license renewal that indicates the minimum continuing education hours have been obtained. Licensees should not send proof of continuing education hours unless specifically asked to do so. Approximately 5% of license renewals each month are selected for random audit.

Licensees not complying with CE requirements will not be eligible for license renewal until appropriate hours are obtained.