MD/DO · Requirements & free courses
Puerto Rico requires 60 hours every 3 years for MD/DO renewal, including 6 topic-specific mandates. Every one of them has a free option below unless we say otherwise.
Each requirement below is paired with activities we opened and verified ourselves.
3 hours.
Any accredited activity in this subject counts. Browse our verified free list or check your specialty society.
3 hours.
Pri-Med Institute
AMA Journal of Ethics (AMA Ed Hub)
Roughly 400–500 activities, 0.5–1.0 credit each, fully open access in perpetuity. The best free ethics library anywhere — effectively unlimited ethics credit for Texas, Michigan, Nevada and New Jersey.
Heads up: AMA's separate curated 'ethics CME track' and its completion certificate ARE member-only, and JAMA Network journal CME is paywalled at ~$45/article. The Journal of Ethics activities themselves are free to everyone.
Federation of State Medical Boards
From the FSMB itself. Only 0.5 credit, so combine it.
More options on the ethics & boundaries page.
1 hour.
Any accredited activity in this subject counts. Browse our verified free list or check your specialty society.
1 hour.
Any accredited activity in this subject counts. Browse our verified free list or check your specialty society.
15 hours for autism specialists; 6 hours for pediatricians.
Any accredited activity in this subject counts. Browse our verified free list or check your specialty society.
20 hours for emergency room providers.
Any accredited activity in this subject counts. Browse our verified free list or check your specialty society.
A one-time 8 hours on substance use disorders, required of every DEA-registered practitioner regardless of state, due at your next registration or renewal. The attestation does not recur — you will not be asked again at future DEA renewals.
PCSS / American Academy of Addiction Psychiatry
Bundle worth up to 15 credits; 8 are needed for the DEA attestation.
PCSS / Opioid Response Network
14 stand-alone modules, roughly 0.75–1.25 credits each. Take only what you need.
You may already be covered. The requirement is satisfied without new coursework if you are board certified in addiction medicine or addiction psychiatry, graduated within the past five years from a qualifying program whose curriculum included the required content, or previously completed DATA-2000 waiver training.
More at MATE Act options.
Boards revise requirements mid-cycle and interpret them differently. Confirm against your own board’s current rules — find yours here — before counting an activity toward renewal.