Per Board Rule 172.3, the medical director of a pain management clinic must, on an biennial basis, ensure that all personnel (including the medical director) are properly licensed, and if applicable, trained to include 10 hours of continuing medical education (CME) related to pain management.  This CME requirement applies to all personnel providing medical services to the patients (including, but not limited to: PAs, x-ray techs, phlebotomists, RNs, MAs, etc.).  Office staff, such as managers, janitors, etc. who do not provide medical services, would not be required to meet the CME requirement, but would need to be listed in response to a pain clinic audit which requires listing all clinic personnel for that clinic. 

Documentation of the completed CME course shall be required to be made available upon request by Board Staff, including, but not limited to, during an audit of the clinic, or during the certificate renewal process.  The Board does have the authority to conduct audits and inspections at clinics to ensure compliance with all requirements and regulations pertaining to registered pain clinics, including audits of CME training as required.

Please contact the Registration Department at Registrations@tmb.state.tx.us if you have any additional questions.