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California CME requirements for internists
California sets one CME total for physicians in every specialty: 50 hours every 2 years, with 4 mandated topics. As an internist you also keep up ABIM Maintenance of Certification (MOC). Below: both, and where one certificate counts for each.
California: the state rule
Checked against the Medical Board of California's rules on October 13, 2026. Citation: Cal. Bus. & Prof. Code ยงยง2190.5, 2190.6.
General CME: 50 hours AMA PRA Category 1 every 2 years.
Opioid / controlled substance
12 hours one-time (by 2nd renewal / within 4 years): pain management and care of the terminally ill, including Schedule II addiction risk. Trigger: all except pathologists & radiologists.
No board pre-approval needed, but the course must reach 12 hours and cover pain + end-of-life; the 8-hour core needs a CA addendum. Content gap, not an approval gap.
Mandated topics, and whether each reaches internists
| Topic | Hours | Timing | Who it applies to | For internists |
|---|---|---|---|---|
| Pain management and care of the terminally ill (including Schedule II addiction risk for post-2019 licensees) | 12 | one-time (by 2nd renewal / within 4 years) | all except pathology/radiology | Applies to internists: the page exempts only pathologists and radiologists. |
| Geriatric medicine / dementia | At least 20% of hours (about 10) | per cycle while condition applies | IM/FM with >25% pts 65+ | Likely applies if more than 25% of your patients are 65 or older: the page names internal medicine and family medicine. |
| Cultural & linguistic competency | embedded course content (no add-on hours) | ongoing (since 7/1/2006) | all courses | Applies to all physicians. |
| Implicit bias | embedded course content (not standalone) | ongoing (since 1/1/2022) | all courses | Applies to all physicians. |
Notes from the California page
- Total is 50 hours (some summaries say 100). Implicit bias and cultural competency are course-content mandates, not extra hours. No standalone recurring opioid CME.
- DOs: the figures above are the Medical Board of California's. Osteopathic requirements now diverge. The OMBC conformed to statute effective October 1, 2025: 50 hours per 2-year cycle with at least 20 AOA Category 1-A, plus new mandated topics. Verify with the Osteopathic Medical Board of California.
Full detail, including the rules for NPs, PAs, CRNAs and CAAs: California CME requirements.
Your board: ABIM Maintenance of Certification (MOC)
Board figures as tracked in the Ledger, last checked August 1, 2026. Confirm in your board portal.
The American Board of Internal Medicine (ABIM) runs MOC on a 5-year cycle: 100 MOC points in any mix of CME, self-assessment or quality improvement, plus the Longitudinal Knowledge Assessment (or the traditional 10-year exam).
Most accredited CME converts to MOC points 1:1. The old 2-year point rule was eliminated in December 2024.
DOs certified by the AOBIM follow the AOA's Osteopathic Continuous Certification instead, with different credit rules.
What usually overlaps
- Opioid course. An accredited opioid course that covers California's required content can count toward the opioid requirement and toward the general 50-hour total at the same time, when the activity awards the credit California accepts.
- Board CME. Most accredited CME converts 1:1 to ABIM MOC points, so a Category 1 activity that also awards MOC points can count toward your 100 points and toward California's hours at the same time. Check what credit each certificate awards.
- Federal MATE Act. If you hold a DEA registration, the one-time 8-hour training is federal and does not replace California's own rules. A MATE-qualifying accredited course will usually still count toward California's general total.
For internists in California
- Pain management and care of the terminally ill (including Schedule II addiction risk for post-2019 licensees): 12 hours, one-time (by 2nd renewal / within 4 years). Applies to internists: the page exempts only pathologists and radiologists.
- Geriatric medicine / dementia: At least 20% of hours (about 10), per cycle while condition applies. Likely applies if more than 25% of your patients are 65 or older: the page names internal medicine and family medicine.
- Pace: California asks for 50 hours every 2 years, about 25 a year. ABIM asks for 100 MOC points over 5 years, about 20 a year. Certificates that carry credit both accept count toward each, so plan to the larger of the two.
One record for your licenses and your board
The Ledger counts one certificate toward every state and board requirement it satisfies, at full hours each, and reminds you before anything is due. 30 days free with a card on file.
Common questions
How many CME hours does California require for internists?
California's total is the same for physicians in every specialty: 50 hours every 2 years, plus 4 mandated topics, some limited to certain practices. Checked against the Medical Board of California's rules on October 13, 2026.
Does ABIM MOC count toward California's CME hours?
Most accredited CME converts 1:1 to ABIM MOC points, so a Category 1 activity that also awards MOC points can count toward your 100 points and toward California's hours at the same time. Check what credit each certificate awards.
Related
- California CME requirements, all professions
- CME requirements for all 51 jurisdictions
- CME by state and specialty
- Opioid and controlled-substance CME by state
A summary of the California physician rules as checked on October 13, 2026 and of ABIM rules as last checked August 1, 2026. Informational, not legal advice. Rules change mid-cycle: verify with the Medical Board of California and your board before relying on any entry.