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AMA PRA Credit System frequently asked questions Return to Table of ContentsAMA PRA Credit SystemFrequently asked questionsGeneral questions1. When did the changes to the AMA PRA credit system resulting from the AMA/ACCME simplificationand alignment go into effect?.12. Why do physicians need continuing medical education credit?.13. What does AMA PRA Category 1 Credit represent?.14. For what purposes is AMA PRA Category 1 Credit used?.15. What must an organization do in order to certify and award AMA PRA Category 1 Credit for educational activities?.16. We are accredited by the ACCME and will be inviting European physicians to an upcoming conference. How can we let theEuropean physicians know about the AMA agreement with the European Union of Medical Specialists?.17. What is certified CME?.28. How does a physician earn AMA PRA Category 1 Credit ?.29. How does the AMA monitor compliance with the AMA PRA Credit System requirements?.210. What types of CME activities may be certified for AMA PRA Category 1 Credit through an accredited CME provider?.211. How can a physician ensure that an activity is certified for AMA PRA Category 1 Credit by an accredited CME provider?.312. How Is AMA PRA Category 1 Credit calculated for each activity format?.413. What is the distinction between AMA PRA Category 1 Credit and AMA PRA Category 2 Credit , and how might this beimpacted with the new “Other” format?.414. What are the CME requirements for medical licensing?.515. What if my licensing board places a limit on the number of credits that can be used from specific types of activities?.516. Is there a central database of CME activities that are being offered by accredited CME providers?.517. How do physicians identify legitimate AMA PRA Category 1 Credit activities?.518-293011:PDF:12/18:ST

AMA PRA Credit System frequently asked questions Return to Table of ContentsEligibility for credit18. What content may be certified for AMA PRA Category 1 Credit ?.619. Who can be awarded AMA PRA Category 1 Credit ?.620. May a physician that is not licensed in the U.S. be awarded AMA PRA Category 1 Credit ?.621. May non-physicians be awarded AMA PRA Category 1 Credit ?.622. May physicians claim AMA PRA Category 1 Credit more than once for the same activity?.723. May non-physicians receive documentation that states the amount of time they participated in a live activity?.724. What types of activities may not be claimed for AMA PRA credit?.7Core requirements25. What are the AMA core requirements to certify any activity for AMA PRA Category 1 Credit ?.726. Can an activity be certified for AMA PRA Category 1 Credit if it isn’t developed as one of the AMA approved learning formats?.727. Core requirement No. 4: Does removing “in advance of participation in the activity” from the requirement mean theobjectives do not have to be communicated in advance, or is that assumed?.828. Core requirement No. 4: Is the modification to “provide clear instructions on how to successfully complete the activity”meant to apply to all activities?.829. What is meant by an assessment of the learner that measures achievement of the educational purpose and/or objective ofthe activity? Does it mean that there must be something along the lines of a post-test type of assessment?.830. Does the revision to the assessment core requirement indicate that CME providers now have greater flexibility in designingtheir evaluation strategy?.831. Three AMA Council on Ethical and Judicial Affairs opinions were previously referenced in the “core requirements” — are theseopinions equivalent to the AMA Code of Medical Ethics?. 832. Core requirement No. 8: “Document credits claimed by physicians for a minimum of six years,” was not included in the surveyabout the simplification and alignment. Does that mean it has been deleted?.833. What do accredited providers need to do to demonstrate compliance with the AMA’s core requirements forAMA PRA Category 1 Credit ?.8Learning formats: General34. Can an activity be certified for AMA PRA Category 1 Credit if it isn’t developed as one of the AMA approved learning formats?.835. For which activity types are there AMA format-specific requirements?.836. We want to address an identified practice gap using multiple educational formats. How do we determine the AMA PRACategory 1 Credit for it and how do we inform the prospective audience?.937. Can I develop CME activities that do not fit into the AMA’s established format categories?.9

AMA PRA Credit System frequently asked questions Return to Table of ContentsLearning formats: Live activity38. How do you determine the amount of credit for certified live activities that are not in one hour increments?.939. What if there are segments within an otherwise certified live activity that aren’t planned in accordance with therequirements to be certified for AMA PRA Category 1 Credit ?.940. May committee work be certified for AMA PRA Category 1 Credit ?.1041. Can an accredited CME provider certify a prepared course (i.e., ACLS, PALS, etc.) for AMA PRA Category 1 Credit ? .10Learning formats: Live activity, faculty credit42. Can a physician earn AMA PRA Category 1 Credit for teaching at a certified CME activity? If so, how muchcredit is earned for these activities?.1043. Can a physician earn AMA PRA Category 1 Credit for other types of teaching?.1044. May an accredited CME provider award a faculty member AMA PRA Category 1 Credit for preparing andpresenting an original presentation at a live activity that it certifies for credit?.1145. Is there another mechanism for a physician who serves as faculty to receive credit if a CME provider doesnot award credit for serving as faculty at their live AMA PRA Category 1 Credit activities?.1146. May a physician faculty member be awarded AMA PRA Category 1 Credit for a live presentation outside theU.S. during a certified CME activity sponsored by an accredited CME provider?.1147. May physicians be awarded credit if they prepare a presentation but do not actually do the presenting? If they present,but did not prepare the materials?.1148. If a physician gives a one hour lecture more than once, how many credits may be claimed?.1149. Can a physician earn CME credit for teaching at an activity that has not been certified for AMA PRA Category 1 Credit ?.1150. Are physicians able to earn AMA PRA Category 1 Credit for learning associated with teaching medicalstudents and residents?.1151. What are the AMA eligibility and credit requirements for certifying a live activity for the learning associatedwith teaching medical students and residents?.1252. What does the AMA mean when it states that the teaching must be verified by the UME and/or GME office?.1253. Are there examples of forms or other documentation to help with certifying this as an AMA PRA Category 1 Credit activity?.1254. What should my activity file look like? Can you provide any guidance on meeting accreditation requirements?.1355. What documentation is required from physicians?.1356. Is there a maximum number of credits that can be awarded to a physician in a year with this type of activity?.1357. What if my state licensing board places a limit on the number of credits for teaching medical students orresidents that can be used for license renewal?.1358. During the pilot for learning associated with teaching medical students and residents, the emphasis was on preparingfor teaching by literature searching, cases, etc., but the AMA website references other types of teaching. Is all time spentteaching included? Does it include the time a student is with the preceptor in the office seeing patients?.14

AMA PRA Credit System frequently asked questions Return to Table of Contents59. A medical school utilizes a local community hospital as a teaching site for students. Both the medical school and thecommunity hospital are accredited by either the ACCME or an ACCME-recognized state medical society. If a faculty memberwants to utilize the new Learning from Teaching to earn AMA PRA Category 1 Credit , should the paperwork be submittedthrough the school of medicine CME office, or from the CME office within the community hospital?.1460. Can you provide examples of how to calculate credit for the learning associated with teaching medicalstudents and residents?.1461. May physicians claim AMA PRA Category 1 Credit for teaching medical students and residents directly from the AMA?.15Learning formats: Enduring materials62. Are faculty eligible for AMA PRA Category 1 Credit for enduring materials?.1563. How is credit determined for an enduring material?.1564. How is credit claimed for an enduring material?.1565. Please define the intent for CME providers to “provide access” to bibliographic resources for enduring materials.For example, would providing a reference list/bibliography to learners be sufficient, or would direct access to thosereference materials/bibliographic sources need to occur?.1566. Do we understand correctly that enduring materials must now have both a pre-test and post-test with ananalysis of the change?.1567. Now that a graded post-activity assessment is no longer required for enduring materials, does this do awaywith the requirement for a minimum performance level?.1668. If the post-activity assessment for enduring materials is deleted, how do we know if learners really participated?.16Learning formats: Journal-based CME69. Can a physician obtain AMA PRA Category 1 Credit for reading articles published in a professional journal?.1670. Can a physician obtain credit for reading articles that have not been certified for AMA PRA Category 1 Credit inadvance of publication?.1671. What is meant by “peer-reviewed articles” for journal-based CME?.1672. What about textbook-based or other non-journal materials?.1673. Do these changes mean that CME providers no longer have to develop post-activity assessments for journal-based CME,which would also do away with the need for a minimum performance level?.1674. Can a CME provider certify multiple peer-reviewed articles in a single issue of a journal?.1675. With these changes, is credit for journal-based CME activities still one credit per article?.1676. What is the difference between Journal-based CME and journal clubs?.1777. How is credit determined for journal-based CME?.1778. The simplified requirements state “include one or more peer-reviewed articles”; however, ACCME guidelines are that “eacharticle is counted as one activity.” Can multiple peer-reviewed articles be considered one activity?.17

AMA PRA Credit System frequently asked questions Return to Table of ContentsLearning formats: Test-item writing79. Are there any format-specific requirements regarding test-item writing?.1780. What is required for an accredited CME provider to certify a test-item writing activity?.1781. Does this mean that writing questions for any type of quizzes/exams qualify under the “test-item writing” format?.1782. This change will allow a broad set of accrediting bodies and CME providers to offer tangible incentives to faculty fordeveloping well-crafted assessment questions. Ideally, test-item writing activities will be supported by training in bestpractices and involve a review process and, if warranted, an expectation that revisions will be reasonably made in responseto feedback. Are there no requirements in this area?.1783. If there are no longer any format-specific requirements, is the format title still used or is it considered “Other”?.18Learning formats: Manuscript review84. By removing all of the format-specific criteria for manuscript review, does this mean this is not a learning activity?.1885. Does this mean the CME provider no longer needs to account for any of these things (learning format-specific requirements)in relation to manuscript review activities?.1886. What if we, as a CME provider, think an oversight mechanism to evaluate the quality of the reviews shouldremain in place to award credit?.18Learning formats: PI CME87. What is considered to be an appropriate performance measure for a performance improvement (PI) CME activity?.1888. What is a clinical performance measure?.1889. What are “evidence-based” performance measures?.1990. Where can developed performance measures be found that might be used in a PI CME activity?.91. If performance measures do not currently exist for the clinical condition or patient care area that needs improvement,can an accredited CME provider develop performance measures to be used in a PI CME activity?.1992. How many performance measures must be used in a PI CME activity?.1993. What type of background information is required to enable physicians to identify the performance measures for aPI CME activity?.1994. How many charts/patients/episodes of care have to be assessed during Stage A?.1995. If our system captures the data that is to be used for Stage A, how would we involve physicians in Stage A?.1996. Can a physician start a PI CME activity during Stage B or Stage C?.1997. Could interventions used in Stage B of a PI CME activity include systems improvements such as record-keepingin the office or a tickler system for tracking patients needing the flu vaccine?.2098. Does Stage C of PI CME imply a pre-/post-test analysis?.20

AMA PRA Credit System frequently asked questions Return to Table of Contents99. What is the typical length of each stage of the activity?.20100. What is meant by “validate the depth of physician participation” in a PI CME activity?.20101. If a physician completes a PI CME activity but determines that there is still room for improvement based on the datagathered in Stage C, can they extend the PI CME activity and earn additional credit?.20102. Can just one physician participate in an activity, or does it have to be done in groups?.20103 How does a physician get credit for working on a performance improvement initiative?.20104. With respect to the prohibition against “retroactive approval,” how far along can a potential PI CME activity progress beforea decision is needed on whether it should be certified for AMA PRA Category 1 Credit ?.20105. Are PI CME activities meeting the format specific requirements listed in the AMA PRA booklet still certified for 20 credits forcompletion of all three stages?.21106. We understand that the PI CME format remains, but we assume that other performance/quality improvement activities arenow permissible under this new flexible system. Is that correct?.21Learning formats: Internet point-of-care107. What’s the difference between “Internet point-of-care (PoC)” and unstructured online searching and learning?.21108. What is the AMA’s expectation of accredited CME providers regarding the vetting of databases for use in “internet PoC”?.21109. What will replace the “Internet PoC” format specific requirements to ensure active participation by the physician?.21Learning formats: Other activity110. How do I designate AMA PRA Category 1 Credit for an activity that is designated as “Other”?.21111. If formats will continue to be specified in the AMA Credit Designation Statement, how would an “Other” activity be listed?.21Designating and awarding credit112. Does an activity have to be certified for AMA PRA Category 1 Credit prior to the activity?.22113. Did the simplification and alignment alter credit designation for existing formats?.22114. Does the AMA place a limit on the amount of time physicians have to claim AMA PRA Category 1 Credit after participation in an educational activity?.22115. May providers award additional credit for time spent completing surveys/evaluations/ commitments to change, etc.,that are not integrated with a certified CME activity, e.g., at three or six months?.22116. Are there limits to the amount of AMA PRA Category 1 Credit that physicians can earn during a year for specificlearning formats, such as “Journal-based CME” or “Manuscript review”?.22

AMA PRA Credit System frequently asked questions Return to Table of ContentsCredit designation statement117. It seems that some of the format labels are being kept and others completely eliminated. How will this impactthe credit designation statement provided to learners?.22118. Do we still need to communicate to attendees about AMA PRA Category 1 Credit ?.22119. What is the correct AMA Credit Designation Statement?.22120. What does the AMA mean when it says the credit designation statement should be listed separately fromaccreditation and other statements?.23121. May accredited CME providers modify the required AMA Credit Designation Statement?.23122. When must the AMA Credit Designation Statement be used?.23123. What are the learning formats that must be included in the AMA Credit Designation Statement?.23124. Why must we include the learning format in the AMA Credit Designation Statement?.24125. We have a web page that lists several different CME activities. Is there a way to combine things into onecredit designation statement?.24Credit phrase126. Must the credit phrase "AMA PRA Category 1 Credit " always be italicized and include the trademark symbol?.24Documentation requirements127. How are

3. What does AMA PRA Category 1 Credit . Can an accredited CME provider certify a prepared course (i.e., ACLS, PALS, etc.) for AMA PRA Category 1 Credit . Please define the intent for CME providers to “provide access” to bibliog