CTH® Renewal

CTH® Renewal Requirements Beginning in 2026


The CTH® renewal process is moving to a five-year cycle beginning with renewals submitted in 2026. CTH® holders will complete 100 renewal points during each five-year cycle using one of two pathways.

Why the Renewal Process Is Changing

The Continuing Professional Development Committee reviewed feedback from CTH® renewal candidates and revised the process to make the requirements clearer and easier to complete. Because the renewal cycle is changing from 10 years to 5 years, the total requirement is changing proportionally from 200 points to 100 points. The revised process also uses self-reporting at the time of application, with supporting documentation required only when an application is selected for audit.

Current CTH® holders will retain their existing certificate expiration date and renew when their current 10-year cycle ends. After that renewal, they will transition to the new five-year renewal cycle.

Before beginning the renewal application, read the CTH® Renewal Qualification and Audit Guide for complete information about eligible activities, point values, limits and documentation required if audited.

Renewal Requirements at a Glance

Every applicant must:

  • Hold an active license as a health professional.
  • Earn at least 50 continuing education points related to travel medicine and the ISTM Body of Knowledge during the current five-year renewal cycle.
  • Complete either Pathway A or Pathway B for the remaining 50 points.
  • Submit the renewal application and required fee by the published deadline.

Pathway A and Pathway B cannot be combined. All qualifying education, practice, and professional activities must occur within the current five-year renewal cycle.

Choose One Renewal Pathway

Requirement

Pathway A: Clinical Practice

Pathway B: Professional Activities

Continuing education

50 CE points

50 CE points

Additional requirement

At least 1,500 eligible professional practice hours

50 points from any combination of four professional activity categories

Total

100 renewal points

100 renewal points

Upcoming CTH® Examinations

  • 2-6 November 2026
  • 2 May 2027 (in-person at CISTM20)