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MOC Ped Part 2 Lifelong Learning

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Part 2: Lifelong Learning and Self-Assessment

CME and Self-Assessment CME (SA-CME)Credits

Beginning January 1, 2013, meeting requirements for Part II of MOC became more seamless for ABR diplomates. Separate requirements for CME credits and self-assessment modules (SAMs) were merged into a single requirement: 75 CME every three years, at least 25 of which must be self-assessment activities.

At the same time, the definition of self-assessment activities was expanded to include more than just SAMs (i.e., Self-Assessment Modules, created by societies and other organizations and pre-qualified by the ABR). It is now easier for AMA Category 1 CME offerings, especially materials online and in written form with embedded questions, to be counted toward satisfying the ABR MOC self-assessment requirement without prior ABR qualification.

Self-assessment and lifelong learning are intended to enhance a physician’s knowledge and skills and provide continuous opportunity for improvement of the quality of care the physician delivers to the American public. The ABR defines “self-assessment CME” as interactive learning opportunities that use self-assessment tools to help learners reflect on their practice and identify their individual needs. Self-assessment CME credits selected and earned by diplomates to meet MOC requirements should:

  • be relevant to an individual’s scope of practice;
  • address self- or externally-identified practice gaps;
  • identify learning needs, especially through use of clinical practice data;
  • include concepts of quality improvement and patient safety;
  • emphasize systems-based and practice-based learning;
  • employ multiple methods of learning and provide adequate time to digest and incorporate knowledge;
  • include performance improvement activities to facilitate change in practice and address systems issues that might otherwise inhibit implementation; and
  • address relevant and practical topics in the context of a physician’s clinical practice and the system in which the physician works.

Other than ABR prequalified SAMs, the ABR will count all AMA Category 1 CME activities in “enduring materials” (including web-based and print) and “journal-based CME” formats toward the MOC self-assessment requirement. According to recently adopted AMA policy for CME, these activities include the following features that suit them for use as self-assessment tools:

  • They provide an assessment of the learner that measures achievement of the educational purpose and/or objective(s) of the activity with an established minimum performance level; examples include, but are not limited to, patient-management case studies, a post-test, and/or the application of new concepts in response to simulated problems.
  • They communicate to the participants the minimum perfor­mance level that must be demonstrated in the assessment in order to successfully complete the activity for AMA PRA Category 1 Credit™.
  • They provide a reference to appropriate bibliographic sources to allow for further study.

As in the case of teleconferences, webinars or other “live” activities, AMA Category 1 CME activities that are performed in person or remotely do NOT automatically count as self-assessment CME because they may not be required to incorporate all of the above features. However, if the activities do include the criteria above, the ABR will consider them self-assessment CME.

Organizations that would like to have their “live” CME activities approved as SAMs must submit them for review through the longstanding ABR qualification process. The ABR will conduct an evaluation to determine if they may be qualified as SAMs. All previously approved SAMs, as well as those approved in the future, will continue to count as self-assessment CME.

See the list of available SAMS.

CME Credits for Certification Available through AMA

In March 2012 the AMA Council on Medical Education approved the issuance of certificates of participation to doctorate-level professionals completing either the ABR initial board certification process or Maintenance of Certification (MOC) criteria. The certificate is available for board certification awarded on or after April 1, 2012. For MOC, the certificate is available for every 10 years of participation.

The AMA assigns 60 AMA PRA Category 1 CreditsTM for completing board certification or Maintenance of Certification criteria.

Those who wish to receive an AMA certificate of participation should complete the application form; attach proof of board completion; and submit electronically with a $75.00 payment. Please allow three weeks for processing; certificates are sent by the AMA via email, as a PDF printable document.

Further information, including the application form, may be found on the AMA’s website at http://www.ama-assn.org/ama/pub/education-careers/continuing-medical-education/physicians-recognition-award-credit-system/certificate-of-participation.page.

Questions?

Any questions regarding CME or self-assessment CME requirements may be directed to the MOC Services Division at abrmocp@theabr.org or (520) 519-2152.