North Dakota Code § 43-17-27.1

Physician continuing education requirements
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1. The board shall promote a high degree of competence in the practice of medicine by 
establishing rules requiring every physician licensed in the state to fulfill continuing 
education requirements. Compliance with these rules must be documented at such 
times and in such manner as is required by the board. Physicians failing to comply 
with continuing education requirements in the time and manner specified by rule of the 
board will be assessed a fee up to three times the licensure fee, in addition to such 
other penalties as are authorized by law.
2. The board shall require physicians to complete a minimum of one hour of continuing 
education on nutrition and metabolic health each renewal cycle.
3. Before a license may be renewed, the physician shall submit evidence to the board 
establishing that all continuing education requirements prescribed by the rules adopted 
by the board have been met.
4. The board may accept current certification, maintenance of certification, or 
recertification by a member of the American board of medical specialties, the American 
osteopathic association, or the royal college of physician and surgeons of Canada in 
lieu of compliance with continuing education requirements.
5. The board may exempt a physician from the requirements of this section in 
accordance with rules adopted by the board.

6. Notwithstanding subsection 1, if an individual fails to file a timely response, the board 
may determine whether the individual's failure to file a timely response to an audit 
constitutes an admission of noncompliance with this section and whether the 
individual's license should be subject to action by the board. If the board determines 
that the individual's failure to file a timely response is an admission of noncompliance 
and that the individual's license should be subject to action by the board, the board 
shall hold a hearing in accordance with chapter 28-32 to take any appropriate action.
7. The board shall provide access on the board's website to an instructional course on 
chapters 12.1 -19.1, 14 -02.1, and 14 -02.6 as the chapters relate to the practice of 
medicine. The instructional course must be developed by contract through the office of 
management and budget, in consultation with and with final approval from the attorney 
general. This section does not create a right of action against the board by a physician 
acting upon reliance of the instructional course. The instructional course must be 
updated periodically to accurately reflect state law.

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