Pennsylvania · Physician Assistant

    Pennsylvania Physician Assistant CE Audit Guide

    Receiving a notice for a continuing education audit can feel stressful, but it doesn't have to be. These reviews are a standard part of professional licensure, designed to ensure PAs maintain high standards of practice. This guide provides a straightforward overview of the process to help you feel prepared and confident.

    The Pennsylvania State Board of Medicine and State Board of Osteopathic Medicine require physician assistants to complete 100 hours of continuing medical education each biennium. This ensures PAs maintain current medical knowledge and are competent to practice. This guide outlines the specific requirements to help you successfully navigate a continuing education audit.

    This information is intended as a helpful guide and not as legal advice. The official rules governing continuing education for physician assistants in Pennsylvania are found at 49 Pa. Code § 18.15(a)(1)-(4). Always refer to the official regulations and the Pennsylvania State Board of Medicine for the most current and complete requirements.

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    Quick facts

    Board Name
    Pennsylvania State Board of Medicine
    Renewal Cycle
    Biennial
    CE Period
    Licenses expire on December 31 of every even-numbered year. The renewal period is a 24-month period immediately preceding the biennial renewal.
    Rule Citation
    49 Pa. Code § 18.145 (Biennial Registration; PA License Renewal)
    Hour Requirement
    100 total hours, including 50 Category 1 hours.
    State-Mandated Topics
    2 hours of Board-approved education in child abuse recognition and reporting; 2 hours of education in pain management, the identification of addiction, or the practices of prescribing or dispensing of opioids.
    Records Retention
    4 years

    Governing authority and what the rule requires

    The State Board of Medicine regulates physician assistants under the authority of the Medical Practice Act of 1985. The specific continuing education requirements for physician assistants are detailed in the Pennsylvania Code, Title 49, Chapter 18 for medical doctors and their supervised PAs, and Chapter 25 for osteopathic doctors and their PAs.

    How Pennsylvania PA CE audits typically work

    After a renewal cycle the board reviews a sample of attestations. If selected, you will receive a notice through the email or address on file with a defined response window. Most audits close quietly when records match what was attested. The continuing education requirement is based on 49 Pa. Code § 18.15(a)(1)-(4) and 49 Pa. Code § 25.282.

    • The Pennsylvania State Board of Medicine randomly selects a percentage of licensees for a CE audit each cycle.
    • If selected, you will receive a notification letter from the board, typically by mail or secure email.
    • The notice will specify the compliance period being audited.
    • You are generally given 30 days from the date of the notice to submit copies of your CE documentation.
    • Board staff reviews your submitted certificates to ensure they match the hour requirement and include all mandated topics.
    • You will receive a final letter from the board indicating whether you successfully met the audit requirements or if further action is needed.

    Documentation commonly requested

    Audit notices are usually specific about what they want. Read the notice slowly and make a checklist directly from it. The most common items requested for PAs include:

    • Copies of certificates of completion for each CME course taken.
    • NCCPA certification maintenance transcript or CME log when applicable.
    • Each certificate should clearly show the course provider, title, date(s) of attendance, number of credit hours awarded, AAFP/AMA PRA Category, and your name.
    • Proof of completion for any state-mandated topics (opioid prescribing, suicide prevention, implicit bias, etc.) as required by Pennsylvania.
    • A personal CME log or spreadsheet tracking course dates, titles, providers, hours, and category designations.

    Pennsylvania-specific mandated topics

    Beyond a total hour count, Pennsylvania requires specific subject-matter CE within the cycle. Make sure each mandated topic is covered by a certificate that names the topic explicitly.

    • A total of 100 continuing medical education (CME) hours are required every two years.
    • At least 50 of the 100 hours must be Category 1 credits approved by the American Academy of Physician Assistants (AAPA), American Medical Association (AMA), or the American Osteopathic Association (AOA).
    • A minimum of 2 hours must be obtained from a Board-approved course on the topic of child abuse recognition and reporting.
    • A minimum of 2 hours of continuing education is required in pain management, the identification of addiction, or the practices of prescribing or dispensing of opioids.

    Common pitfalls PAs run into

    • Failing to complete the required 2 hours of child abuse recognition and reporting from a provider specifically approved by the Pennsylvania Department of Human Services.
    • Not completing the 2-hour opioid/pain management requirement from a board-approved provider.
    • Assuming that maintaining National Commission on Certification of Physician Assistants (NCCPA) certification automatically fulfills all state-specific mandated topics.
    • Failing to retain CME certificates for at least four years, making it difficult to produce records if audited.

    How to assemble a clean response

    Gather your records in one place. A folder on your desktop, a printed binder, or a shared drive all work. You don't need a complicated system. You just need to be able to find things.

    Name each PDF clearly with the date, course title, hours, and Category 1 or 2 designation. Group certificates by category that maps to the board's request: mandated topics, Category 1 CME, Category 2 CME. Add a one-page cover sheet that summarizes total hours and points the reviewer to the matching documents.

    If your hours fall short

    First-time shortfalls are usually handled administratively. Boards generally allow a defined window to complete makeup hours and submit updated documentation. Honest, prompt communication is far better than silence.

    If the shortfall is significant or repeated, the board may move toward formal action. At that point, calm documentation of how you are coming into compliance, plus a written plan to prevent recurrence, makes a meaningful difference.

    Possible outcomes

    • Failure to meet CE requirements can lead to disciplinary action by the Board, as authorized under the Medical Practice Act.
    • Potential outcomes include the imposition of a civil penalty, a formal reprimand, or the suspension or revocation of your license to practice.
    • The Board may require you to complete the missing credits and may impose additional penalty hours.
    • Your license will not be renewed until all requirements are met.

    A simple audit-response checklist

    1. 1Read the audit notice slowly. Note the deadline and exact list of documents requested.
    2. 2Make a simple folder labeled with the cycle dates being audited.
    3. 3Pull certificates of completion for every CE activity in that cycle.
    4. 4Match each certificate to the topic area or category your board requires.
    5. 5Save proof of license renewal and any required attestations.
    6. 6If a certificate is missing, contact the provider for a duplicate before the deadline.
    7. 7Scan everything as clean PDFs, named with date and course title.
    8. 8Submit through the channel the board requests. Keep a copy and a confirmation.
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    Frequently asked questions

    Real Outcomes Reported by BoardWise Users

    BoardWise users have reported outcomes including:

    • Complaint dismissals
    • Successful responses to board inquiries
    • Passing continuing education audits
    • Early probation termination
    • Improved understanding of licensing board procedures

    Individual outcomes vary and depend on the facts of each case.

    Optional Attorney Document Review

    Before you send anything to the board, BoardWise can match physician assistant in Pennsylvania with an independent, state-licensed attorney for an optional limited-scope review of the document you prepared:

    • We match you with an independent attorney licensed in your state
    • They review and suggest revisions to your document before you submit it to the board
    • Focused, limited-scope review at a fixed fee rather than a full retainer
    • A second set of eyes on wording, tone, and anything that may need a closer look

    What does the attorney review cost? Pricing depends on the complexity of your matter and the scope of review, but most BoardWise lawyer reviews are approximately $250–$500. You’ll see the specific fee before deciding whether to proceed.

    Optional limited-scope attorney review may be available for an additional fixed fee. Attorney availability, conflicts review, eligibility requirements, and additional terms apply. If an attorney accepts the matter, the client will contract with and pay the independent attorney directly.

    Print & FedEx Overnight Delivery

    Finishing the document is only part of the job. BoardWise Document Delivery lets physician assistant in Pennsylvania send the finished packet straight to the board without a trip to the post office:

    • FedEx Overnight delivery for street addresses when your deadline is close
    • USPS Priority Express and USPS Certified Mail for P.O. Box board addresses
    • Printing, packaging, and postage handled for you, with tracking on every order
    • Confirmation and tracking details emailed to you as your package moves

    What does it cost? $150 for FedEx Overnight and $99 for USPS Priority Express or Certified Mail. You see the exact price and the full address details before you authorize the order.

    Printing and mailing are fulfilled by Mailform. You are responsible for meeting your own deadline, so keep an electronic copy and watch the tracking information.

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    BoardWise is not a law firm and does not provide legal advice or representation. This guide is educational only and reflects general practice in the United States. Your state licensing board is the official source for current requirements. If your situation involves formal discipline or a hearing, consider consulting a licensed attorney in your state.

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