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Oregon CME requirements 2026 rules for physicians, NPs, PAs, CRNAs and CAAs
Oregon regulates four clinician professions through different boards, each with its own continuing-education rules: physicians (MD/DO), nurse practitioners (APRN/NP), physician assistants (PA) and nurse anesthetists (CRNA). Anesthesiologist assistants (CAA) cannot practice in Oregon. Below, each profession's total hours, mandated topics, opioid/controlled-substance rule, and tracking, plus the one federal rule they share. Physician rules reviewed October 13, 2026.
Physicians (MD / DO)
Set by the Oregon Medical Board. Verified October 13, 2026.
General CME: 30 hours per year + 1 hour per year cultural competency.
Opioid / controlled substance
1 hour / 2 years: the Oregon Pain Management Commission (OPMC) pain-management module (specific mandated course). Trigger: all actively licensed MD/DO.
⚠ Oregon gates its opioid/controlled-substance CME: a generic national course may not satisfy it. Specific mandated course: the pain hour must be the OPMC module; a generic Category 1 pain course does not satisfy it. Generic Category 1 is fine for the rest of the general pool.
All mandated CME topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Pain management: Oregon Pain Management Commission (OPMC) online module | 1 | at initial licensure, then every 2 years | all actively licensed MD/DO |
| Cultural competency | 1/year (about 2 per cycle) | recurring | all practicing licensees |
Citation: OAR 847-008-0070, 847-008-0075, 847-008-0077; OMB continuing-education page
Nurse Practitioners (APRN / NP)
Set by the Oregon State Board of Nursing (OSBN), separate from the physician rules above, with its own hours and topics. Verified July 20, 2026.
General CE: 45 structured contact hours per 2-year renewal cycle. Alternative pathway: maintaining active, unencumbered national certification for the NP specialty role satisfies the CE requirement in lieu of the 45 hours (OAR 851-050-0142). HB 3044 (effective January 1, 2026): practice/work hours no longer demonstrate competency, CE replaces them. Retained: 1 hour pain management per 36 months; 2 hours cultural competency per 48 months. Licenses issued after January 1, 2026 expire two years from issue rather than on birthdate. From January 1, 2028 renewal requires current national certification or 75 hours role-related CE (CNS: 75 within 5 years; CRNA/NP: national certification satisfies it).
Opioid / controlled substance
1 hour, every 3 years, for holders of controlled-substance prescriptive authority. Timing is built into the free multi-state planner.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Pharmacology / pharmacotherapeutics (prescriptive authority) | 45 contact hours | per cycle | prescribers |
| Opioid / controlled-substance prescribing | 1 | Upon initial Oregon licensure and every 36 months thereafter (recurring) | Applies to all nurses including advanced practice/nurse practitioners. The one hour must be the Oregon Pain Management Commission (OPMC) pain management module. This is a pain-management/opioid-prescribing module, not a general opioid-hours mandate. |
| Cultural competency | 2 | every other renewal (about 48 months); 2 hours within prior 2 renewal periods | All Oregon nurses including advanced practice nurses / nurse practitioners |
Tracking: Self-documented/attested on the OSBN renewal form; subject to OSBN audit. Proof not submitted at renewal but must be produced if audited.
Physician Assistants (PA)
Set by the Oregon Medical Board (OMB), separate from the physician rules above, with its own hours and topics. Verified July 20, 2026.
General CE: 60 hours AAPA Category 1 (pre-approved) CME per 2-year registration period (30 hours/year); reduced to 30 hours if licensed during the second year of the cycle. Ongoing specialty board recertification / Maintenance of Certification may satisfy the requirement (OAR 847-008-0070).
Opioid / controlled substance
1 hour, one time, for holders of controlled-substance prescriptive authority. Timing is built into the free multi-state planner.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Opioid / controlled-substance prescribing | 1 | One-time; for new licensees within 12 months after licensure (or within 12 months after reactivation). Historical existing-licensee window was Jan 1 2000 – Jan 2 2009. | All OMB licensees (including PAs) except lapsed, limited, telemedicine, teleradiology, and telemonitoring licenses. Must be the Oregon Pain Management Commission (OPMC) 1-hour Oregon-specific pain management course. Pain-management/opioid-prescribing gate module, not a general opioid-hours mandate. |
| Pain management and/or treatment of terminally ill and dying patients (general CME, part of mandatory pain management education) | 6 | One-time, together with the OPMC module, within 12 months after licensure/reactivation (total mandatory pain education = 7 hours: 1-hour OPMC module + 6 hours CME) | All OMB licensees including PAs, except exempt license types (lapsed/limited/telemedicine/teleradiology/telemonitoring) |
| Cultural competency | 1 | Recurring; at least 1 hour of cultural competency CME per year, averaged over the audit period (audit period typically 4 years / two renewal cycles) | All OMB licensees including PAs |
Tracking: Attestation on OMB renewal; subject to OMB audit. Licensees must be prepared to provide documentation of CME/pain education if requested.
Nurse Anesthetists (CRNA)
Set by the Oregon State Board of Nursing (OSBN), separate from the physician rules above, with its own hours and topics. Verified August 24, 2026.
General CE: OAR 851-052-0030 (renewal/reactivation): submit fees and completed application, 'provide primary source verification of CRNA certification or recertification from an approved certifying body', and hold an active Oregon RN license. OSBN 'retains the authority to conduct a random audit of a CRNA applicant or CRNA licensee to verify current certification, education or continuing education' (OAR 851-052-0020). Unlike NPs (OAR 851-050-0142, 45 hours or certification), division 52 contains no structured-hour requirement; NBCRNA recertification is the competency mechanism.
NBCRNA recertification is accepted in place of state CE. NBCRNA certification/recertification is the renewal requirement for the CRNA license (OAR 851-052-0030). For prescriptive-authority renewal, 'evidence of current specialty certification with completed CE for maintenance' is one of the two accepted CE options, the other being 45 structured contact hours with at least 15 pharmacotherapeutic hours (OAR 851-056-0014). National layer: NBCRNA continued certification (4-year cycle: 60 Class A + 40 Class B credits, MAC Check).
Opioid / controlled substance
1 hour, every 3 years, for every CRNA in the state. Timing is built into the free multi-state planner.
All mandated CE topics
| Topic | Hours | Timing | Applies to |
|---|---|---|---|
| Oregon Pain Management Commission module | 1 | on initial licensure and every 3 years | All 'advanced practice nurses' (OSBN pain-management page) - reaches every CRNA regardless of prescriptive authority or DEA status; must be the Oregon Pain Management Commission (OPMC) module |
| Cultural competency education | 2 | every 48 months (not required for initial licensure) | All APRNs incl. CRNAs (OSBN page lists 'advanced practice nurses'); attested by checkbox on renewal |
Tracking: Self-attestation on OSBN renewal; primary-source NBCRNA verification at CRNA renewal; random OSBN audit (OAR 851-052-0020). Not CE Broker.
Anesthesiologist Assistants (CAA)
Not authorized to practice in Oregon. Verified August 24, 2026.
Certified anesthesiologist assistants cannot practice in Oregon: there is no CAA license, certification or physician-delegation pathway, so there are no state CE requirements to track here. No pending licensure bill was found as of August 2026. NCCAA certification requirements (50 CME hours every 2 years + the CDQ exam) still apply nationally.
Federal: DEA MATE Act (all professions)
One rule is the same for every profession on this page. Every DEA-registered prescriber (physicians, nurse practitioners, physician assistants, and any CRNA or CAA who holds a DEA registration) must complete a one-time 8-hour training on treating patients with opioid or other substance use disorders, as a condition of DEA registration/renewal (since June 27, 2023). It is federal and applies in every state, and it does not replace Oregon's recurring opioid/controlled-substance CME. A MATE-qualifying accredited course will usually still count toward your state general CME/CE total. How the MATE Act differs from state rules
Authority: MATE Act §1263, Consolidated Appropriations Act 2023 (21 U.S.C. §823).
Notes (physician data)
- Suicide & Alzheimer's CME not mandated (only 'may count'). No standalone opioid CME (subsumed in pain management). MOC can substitute for hours.
Pick your profession and all your states in the free planner and get one 5-year schedule that batches your opioid/controlled-substance CME so a single course covers as many licenses as possible.
This page summarizes Oregon board rules and statutes as of October 13, 2026 for five separately-regulated professions: physicians (MD/DO), nurse practitioners (APRNs), physician assistants (PAs), nurse anesthetists (CRNAs), and anesthesiologist assistants (CAAs). Each is governed by its own board and its hour totals and mandated topics differ. Never assume one profession's figures apply to another. Physician data is compiled from FSMB and state medical-board sources; APRN/PA data was validated against nursing- and PA/medical-board rules on July 20, 2026, with the opioid/controlled-substance timing structured on July 23, 2026; CRNA and CAA data was researched against nursing-board, medical-board and practice-act primary sources on August 24, 2026 (items the research could not pin to a primary source are marked “Confirm with the board”). This is educational information, not legal advice. Always verify current requirements with your own board before relying on them.