Renewal of Practising License Guidelines

These Guidelines may be revised periodically by the Councils.

1.    Renewal Periods 

       Pursuant to the Health Practice Act (2021 Revision) ["The Act"]:

Principal List 

  • The registration certificate for practitioners registered on the Principal list will not expire unless the holder ceases to maintain the practising license for a period not less than 5 consecutive years or the holder ceases to maintain the requirements for registration. 
  • Renewal of a practising license certificate for practitioners registered on the Principal list will be granted for a period of two years, and expires on the anniversary of the licensee date of birth. 

Institutional List 

  • The registration certificate for practitioners registered on the Institutional list will expire every two years and practitioners wishing to renew his/her registration must apply at least 60 days prior to the expiration of the registration certificate. 
  • Renewal of a practising license certificate for practitioners registered on the Institutional list will be granted for a period of two years and may be renewed for consecutive periods not exceeding two years in any period.

Provisional List 

  • The registration certificate for practitioners registered on the Provisional list will expire every two years and practitioners wishing to renew his/her registration must apply at least 60 days prior to the expiration of the registration certificate. 
  • Renewal of a practising license certificate for practitioners registered on the Provisional list will be granted for a period not exceeding two years and may be renewed every two-years while the practitioner is working towards a relevant qualification recognized by the Council.
Renewals applications must be submitted at least 28 days (Principal List) or 60 days (Institutional List and Provisional List) before the expiration. Applications submitted outside of these time periods will attract a late fee of CI$100.00.
Note: Pursuant to section 2A (2B) of the Act  
Where an application for the renewal of a practising licence is made before the expiry of the practising licence but has not been dealt with by the relevant Council at the time the practising licence is due to expire, the practising licence continues in force until the application for renewal is dealt with; and any renewal in such a case shall be taken to have commenced from the day on which the practising licence would have expired but for the renewal.
Note: “In accordance with section 27A (1) the Act, 

A registered practitioner shall only practice as a practitioner while in possession of a valid practicing license…
Additionally, pursuant to section 27A (7), 
A person who:

  1. Practices in contravention of subsection (1); or
  2. being a registered practitioner, practices without having adequate malpractice insurance, liability insurance, other relevant insurance or indemnity cover approved by the Commission, commits an offence and is liable on summary conviction to a fine of twenty-five thousand dollars
If your practice license has expired over five (5) years or more, you may be required to submit a new application. 
In accordance with section 27A (6) of the Act,
If, for a period of not less than five consecutive years, a registered practitioner ceases to be in possession of a practising licence, the name of the registered practitioner shall be removed from the register, unless that person applies to the relevant Council to be retained on the register and pays the prescribed fee.
Please contact the registrar for further information/instructions at hpbusers@gov.ky.
2.    Required Documents 
  • Supporting documents for any changes to affiliate/employer which includes a new letter of affiliation; proof of name changes such as marriage certificate, divorce decree, etc. 
  • Continued Medical Education Certificates (CME) or Continued Education certificates (CE).
  • Copy of current Malpractice Insurance covering practice in the Cayman Islands.
  • Written evidence of the matter of any convictions, disciplinary actions, investigations or proceedings which are pending or completed.
  • Prescribed fees shall be submitted online. If otherwise, instructions will be provided during the online application process depending on the fee type you select.
3.    Completion of the Health Practitioners Renewal of Practice License Application
You will be required to complete the following information on your application form:
  • Practitioners detail
  • Registry Update
  • Upload supporting document
  • Accept Declaration
4.    Continuing Medical Education/Continuing Education
  • Provide proof of CME/CE hours completed – upload CME/CE certificates as a pdf document with the online application.  
  • CME/CE certificates that are uploaded must show the practitioner’s name, topic or title of certificate, the number of hours obtained, date of completion and the name of the provider. 
  • When submitting any certificate from a conference or when claiming more than 10 hours on a certificate, a transcript or breakdown of the modules/topics must be provided along with the certificate.
  • CMEs/CEs are to be completed within the two-year practising license period. Each Council recommends that practitioners complete CMEs/CEs during the course of the two-year practising license period and not weeks or days immediately preceding the renewal deadline as practitioners are expected to demonstrate to the Council that the practitioner is keeping abreast and up to date in their area of practice during the course of the two-year practising license period. CMEs/CEs accompanying a renewal application where more than 60% of continuing education hours submitted are completed within 30 days immediately preceding the submission of the application will be accepted solely at the discretion of the Council.
  • CMEs/CEs completed within any given day should not exceed 8 hours.
  • CEs obtained above the minimum hours required for registration cannot be carried over for use in the following renewal period. 
  • Training in Advanced Cardiac Life Support (ACLS), Basic Life Support (BLS), Cardiopulmonary Resuscitation (CPR), Paediatric Advanced Life Support (PALS), Neonatal Resuscitation Program (NRP), Fire Safety, Office Ergonomics, or other agency specific educational training WILL NOT be accepted as continuing education hours.
  • CME/CE hours are subject to audit by the relevant Council
5.    Payment of Fees

  • Prescribed fees shall be submitted as per payment method indicated:

  • Online via debit/credit card

  • Cash/Cheque Payment - To make a payment via cheque or cash, please visit the Government office at 133 Elgin Avenue Grand Cayman KY1 9000. The DHRS counter   is open from Monday to Friday, 10:00 AM to 2:00 PM. Please bring a valid government issued identification and the application reference number to complete the payment.

  • Bank Payment - To pay via bank transfer, please use the banking details provided below. Include the application reference number, practitioner’s name, and Council as the payment reference to ensure the payment is correctly matched to the application. Payments may take 2-3 business days to process. Once the payment is confirmed, the DHRS will proceed with processing the application.

  • Paid by Facility - If the renewal fee has been prepaid or covered by the health care facility, please provide proof of payment or an authorization letter from the sponsoring entity. This documentation should include the payment details, covered amount, and the application reference number.

6.    Renewal of Licensure Fees Medical Doctor in all areas

  • Principal list 

  • CI$1600.00 – Medical Doctor, Dentist, Chiropodist, Chiropractor, Optometrist, Osteopath, and Podiatrist.

  • CI$1,000.00 – All other professions 

  • Institutional List 

  • CI$2000.00 – Medical Doctor, Dentist, Chiropodist, Chiropractor, Optometrist, Osteopath, Podiatrist

  • CI$1,200.00 – All other professions.

  • Provisional List  

  • No fee – Caymanians, permanent residents and their spouses 

  • CI$1,600.00 – Medical doctor, Dentist, Chiropodist, Chiropractor, Optometrist, Osteopath or Podiatrist 

  • CI$1,000.00 – All other professions 

Continuing Education Format

Accepted Types of Continuing Education
Live Presentations, seminars, webinars, conference/workshops attended.
Work Enhancing professional knowledge through work related activities (must have letter signed by supervisor as proof)
Internet Online Continuing Education Programs
Formal Education Formal courses offered by a recognised University or College towards a degree or certification program

1.    Continuing Education Requirements for The Council for Professions Allied with Medicine (CPAM) 

Profession

Minimum Continuing Education Hours every two years
Counselors and Psychologists 30 including 2 mandatory hours on Ethics and 2 mandatory hours on diversity
All other professions 20 including 2 mandatory hours on Ethics and 2 mandatory hours on diversity
Sixty percent of CEs must be specific to the practitioner’s discipline and must be provided from an accredited institution representing that discipline. Medscape cannot be used for 60% or more of the total CE hours.
The remaining 40% can be in an area of general medicine related topics (of which 20% only can come from Medscape). The approval of the suitability of training as CE hours is subject to the Council’s discretion.

2.    Continuing Medical Education Requirements for the Medical and Dental Council (MDC)

Profession

Minimum CE Hours
Doctors, Dentists and Osteopaths 40 with 20 hours in your field of speciality is registered on the Specialist list
Dental Hygienists and Therapists 30 dental-related hours
Dental Assistant and Dental Technicians 20 dental-related hours

3.    Continuing Education requirements for the Nursing and Midwifery Council (NMC). 

Profession

Minimum CE Hours
Advanced Practice Nurse
Clinical Nurse Specialist
Registered Midwife
Nurse Anaesthetist
Nurse Practitioner
Public Health Nurse
 40 hours including mandatory, general and at least 28 related to your advanced practice area
Post-basic Qualification
Mental Health Nurse
OR nurse
 35 hours including mandatory, general and at least 25 related to your post-basic qualification area.
Registered Nurse
Registered General Nurse
Registered Nursing Assistants
 25 hours includes mandatory, general and at least 20 related to your practice area.


Mandatory requirement based on Scope of Practice (Practical component must be live):

  • Advanced Cardiac Life Support 
  • Basic Life Support
  • Cardiopulmonary Resuscitation
  • Paediatric Advanced Life Support
  • Neonatal Resuscitation Program 

Mandatory Continuing Education

  • Disaster Preparedness (1 hour)
  • Prevention of Blood and Body Fluid Exposure (1 hour)
  • Prevention of Medication Errors (1 hour)

4.    CE requirements for the Pharmacy Council (PC)

Profession

Minimum CE Hours
Pharmacist 40
Pharmacy Technician 20
Mandatory requirement (Practical component must be live)
CPR 
The below list outlines the category of CEs and the minimum/maximum requirement that may be used for any of the categories.

Types of Continuing Education

Profession
Pharmacist Pharmacy Technician
Live (Workshops, lectures, seminars, webinars etc.) Minimum 10 CEs Maximum 5 CEs
Formal Education (Formal courses towards a degree or certification program) Maximum 10 CEs Maximum 5 CEs
Internet Maximum 20 CEs Maximum 10 CEs
Work-related (must have letter from supervisor as proof) Maximum 10 CEs Maximum 5 CEs