CME, OCC, ABCDEFG: The alphabets of maintaining your
license and board certifications
Eileen Conaway, DOAAO Convocation 2020
Goals & Objectives
Keep your license & Board certification once you’ve earned
them!
Explain CME & Other requirements for
AOA Board Certifications
State Licensure
*** Disclaimer, as up to date as possible as of January 2020.
The AOA and specialty Boards are discussing changes to CME
and OCC requirements***
AOA CME Requirements3 year cycle 2019-2021
*** proposed change under review
Residents have no AOA CME requirements unless they are Board certified
You are all “time-limited diplomats” meaning your board certification has an expiration date
https://osteopathic.org/cme/cme-guide/
Board Total CME
credits
Cat 1-A requirements Cat 2A/2B
requirements
AOBNMM 60 30
AOBFP (family med) 150 → 120*** 25 1-A (75 1A/B)→
30 1-A + 30 1A/1B***
Max 75 2A/B
AOBIM (IM) 60 No specific requirement No specific requirement
AOBP (peds) 60 15 No specific requirement
AOBOG (OB/GYN) 60 No specific requirement No specific requirement
AOBPMR (PM&R) 60 No specific requirement No specific requirement
CME requirements are prorated based on your graduation date
https://osteopathic.org/cme/cme-guide/cme-proration/
INITIAL CERTIFICATION PRORATION
Entry date Prorated requirement
Jan. 1, 2019 to June 30, 2019 83%
July 1, 2019 to Dec. 31, 2019 67%
Jan. 1, 2020 to June 30, 2020 50%
July 1, 2020 to Dec. 31, 2020 33%
Jan. 1, 2021 to June 30, 2021 17%
July 1, 2021 to Dec. 31, 2021 No requirement until the 2022-2024 CME cycle
AOA Category 1-A In general live programs or interactive online
AOA approved conference
Formal lecturing at an Osteopathic Medical School,
residency
Interactive CME online that’s AOA approved
BLS, ACLS, PALS, etc
Active duty or military employee
Grand Rounds from a Cat 1-A sponsor
Judging osteopathic case presentations & research posters
Clinical case presentation or research poster
Standardized federal aviation courses
Primary author of a case or research poster implemented by
an AOA-accredited sponsor
Cat 1-A
https://osteopathic.org/cme/cme-guide/types-of-credit/
AOA Category 1-B Publication (10)
Osteopathic preceptoring (max 20% per cycle)
Passing Board recertification exam (15)
Non-osteopathic hospital activities: MedStaff meeting, etc
Non-osteopathic specialty reciprocity: AMA, AAFP, etc
JAOA Journal quizzes (do quiz online or they charge you)
Test construction, question writing, administering exams
Resident or fellow in an AOA or ACGME program – (20/yr)
Hospital committee work
Completing advanced degree MPH/MBA/PhD/etc (25)
Non-interactive online
JAOA peer reviewer (3/article, max 20%)
Cat 1-B
https://osteopathic.org/cme/cme-guide/types-of-credit/
AOA Category 2-A and 2-B2-A Live AMA, AAFP CME
Interactive AMA online CME
Judging non-osteopathic case/poster presentations
Primary author of a case or research poster implemented by
an non-AOA-accredited sponsor
2-B
Non-interactive CME (max 25% per cycle): Reading journals,
home study, internet – submit home study form
Reading medical text books (max 5) – submit home study
form
ABMS maintenance of certification or CAQ exam (15)
preparation and presentation of scientific exhibits at a
county, regional, state, or national professional meeting (10)
Cat 2-A&B
https://osteopathic.org/cme/cme-guide/types-of-credit/
CME progress osteopathic.org "My Profile –CME"
AOA CME transcript
Osteopathic Continuous Certification
Component 1 – unrestricted state license
Component 2 – CME
Component 3 – Cognitive assessment (exam)***
Component 4 – Practice performance
assessment
Component 5 – Continuous Membership
AOA
Specialty College (ACOFP & NMM)
Component 3: Cognitive Assessment
Some Boards are replacing exams at the end
of certification with a more frequent question
set that can be done at home online
Participating Boards (as of Jan 31, 2020)
Board Test Details Offered Cost
AOBA – Anesthesiology Q3yrs: online assessment 1mo 3 times/yr ??
AOBR – Radiology Q3yrs:15 self-assessment modules continuous $300/yr
AOBOG – OB/GYN Quarterly: 8 questions quarterly $300/yr
AOBEM – Emergency Med Annual: 40-60 questions continuous $210/yr
https://certification.osteopathic.org/specialties-and-subspecialties/
Component 4: variation across Boards
Board Component 4 Requirements
AOBNMM 1 every 3 years
AOBFP (family med) 2 every 3 years
AOBIM (IM) * not currently required, will be required 2019
expirations & beyond *
AOBP (peds) 2 every 9 years
AOBOG (OB/GYN) 2 every 6 years
AOBPMR (PM&R) 1 every 3 years
https://certification.osteopathic.org/specialties-and-subspecialties/
Component 4 options
Quality Improvement Project – submit attestation
Practice Performance Assessment (PPA) module
Complete a verifiable quality-driven or clinically-focused encounter that assesses your clinical acumen (?)
https://certification.osteopathic.org/wp-content/uploads/2017/05/bos-handbook.pdf
@imgur
QI for component 4
The Boards are permitted to accept a quality improvement project in place of Component 4 requirement(s)
AOBNMM
All QI attestations are accepted and subject to audit at the end of the CME cycle
- Catelyn Schwartz, Asst. Director, AOBNMM
AOBFP
Will only accept 1 QI attestation per 8 yrs, must complete a professionalism module as the other component 4 for that 3yr for that cycle
- Karissa Delgado, Certification Specialist, AOBFP
Will need to complete
https://physicianportal.osteopathic.org/FiveComponents
My
certification
2014
OCC set 1
2015-2017
OCC set 2
2018-2020
OCC set 3
2021-2023
AOBFP OPTIONS
Osteopathic Family Medicine – written exam only
Osteopathic Family Medicine + OMT – written exam & practical
Early Entry Certification
Eligible if you’ve taken two ACOFP Inservice exams
You can register yourself, even if your program doesn't use this exam
Shortened AOBFP initial certification exam
Reduces your Osteopathic Continuous Certification (OCC) requirements
in your first certification cycle
https://certification.osteopathic.org/family-physicians/certification-process/early-entry-certification-program/early-entry-certification-exam/
Any AOA
questions?
CME License Requirements are State Specific
States with separate Boards of
Osteopathic Medicine
Arizona
California
Florida ***
Maine
Michigan
Nevada
New Mexico
Oklahoma
Pennsylvania ***
Tennessee
Utah
Vermont
Washington (state)
West Virginia
https://www.fsmb.org/contact-a-state-medical-board
Florida and Pennsylvania
Require all DOs to have completed an AOA approved internship to be licensed in the State – legislation underway to change . . .
Process for AOA approval of your ACGME internship
1. Submit application for training recognition online to AOA
2. Residency must submit training verification letter to AOA
3. Complete an osteopathic educational activity: CME, osteopathic clinical presentation, research paper
If you are in an ACGME spot with Osteopathic Recognition, that will count for this measure
https://osteopathic.org/residents/recognition-of-training/aoa-recognition-of-acgme-pgy1-year/
@WNEP.com
iStock.com
State CME RequirementsSTATE CME Specific Requirements
Alabama 25/yr n/a
Alaska 50/2yrs 2hrs: pain management, opiate abuse, addiction
Arizona 40/2yrs 12 Cat 1-A
Arkansas 20/yr 50% Cat 1 in primary area of practice
California 100/2yrs 1 time 12 hrs pain management & end-of-life care
If >25% pts are over 65, 20% must be geri topics
Colorado n/a n/a
Connecticut 50/2yrs Q6:6 mandatory topics
Delaware 40/2yrs n/a
District of Colombia 50/2yrs 3 HIV, 2 LGBTQ, 1 pharm
Florida 40/2yrs Q2-6: 5-7 mandatory topics depending on renewal
https://www.medscape.org/public/staterequirements
State CME Requirements
https://www.medscape.org/public/staterequirements
STATE CME Specific Requirements
Georgia 40/2yrs n/a
Hawaii 40/2yrs n/a
Idaho 40/2yrs n/a
Illinois 150/3yrs 60 Cat 1
Indiana n/a n/a
Iowa 40/2yrs Q5:Abuse, chronic pain management, end-of-life care
Kansas 50/yr 20 Cat 1
Kentucky 60/3yrs 30 Cat 1, 1 time domestic violence for PCPs
Louisiana 20/yr 1 time orientation course
Maine 100/2yrs 40 Cat 1-A, 3hrs opiates
State CME Requirements
https://www.medscape.org/public/staterequirements
STATE CME Specific Requirements
Maryland 50/2yrs all Cat 1
Massachusetts 100/2yrs 40 Cat 1-A: 10 risk, 3 opiates, 2 end-of-life, 3 HER
Michigan 150/3yrs 60 Cat 1-A, 3 pain
Minnesota 75/3yrs all Cat 1
Mississippi 40/2yrs 1st time must Cat 1-A
Missouri 50/2yrs Cat 1-A or 2-A
Montana n/a n/a
Nebraska 50/2yrs n/a
Nevada 35/yr 10 Cat 1-A; Q2:ethics, pain/addiction, Q4: 2 suicide
New Hampshire 100/2yrs 40 Cat 1; 3 opiates if DEA
State CME Requirements
https://www.medscape.org/public/staterequirements
STATE CME Specific Requirements
New Jersey 100/2yrs 40 Cat 1, 6 cultural, 2 end-of-life, 1 opiates
New Mexico 75/3yrs Cat 1
New York n/a Q4: infection control
North Carolina 60/3yrs all Cat 1, 3 opiates
North Dakota 60/3yrs all Cat 1
Ohio 100/2yrs 40 Cat 1; + specifics for pain management physicians
Oklahoma 16/yr all Cat 1-A/B
Oregon 60/2yrs all Cat 1-A or 2-A; 6 pain/end-of-life care
Pennsylvania 100/2yrs 20 Cat 1; 12 safety/risk, 2 child abuse, 2 pain/addiction, 2
opiates
Rhode Island 40/2yrs All Cat 1; 4 of ethics, risk, pain, palliative, antimicrobials
State CME Requirements
https://www.medscape.org/public/staterequirements
STATE CME Specific Requirements
South Carolina 40/2yrs All Cat 1, 75% specialty, 2 controlled substances
South Dakota n/a n/a
Tennessee 40/2yrs 2 controlled subs; + specialty for pain management
Texas 48/Q2 24 Cat 1-A; 2 ethics/professional, 10 pain if pain clinic,
Initial jurisprudence test
Utah 40/Q2 34 Cat 1, 3.5 controlled substances
Vermont 30/2yrs 12 osteopathic, 2 controlled substances
Virginia 60/2yrs 30 Cat 1; 2 controlled substances
Washington 150/3yrs 60 Cat 1
West Virginia 32/2yrs 16 Cat 1-A/B; 3 drug diversion & controlled substances
Wisconsin 30/2yrs all Cat 1, 2 opiates
Wyoming 60/3yrs All Cat 1
Approximate Annual Cost . . .
ITEM COST
CME registration + travel $2500
NMM OCC Module ($200/3) $0-67
State License (FL $429/2) $215
DEA License ($551/3) $184
subtotal $2966
Optional Memberships
AOA membership $593
AAO membership $288
Osteopathic Cranial Academy $235
NMM Family MedITEM COST
CME registration + travel $2500
FM OCC Module $525
State License (FL $429/2) $215
DEA License ($551/3) $184
subtotal $3424
Optional Memberships
AOA membership $593
ACOFP membership $375
References & AcknowledgementsAll references are inline on individual slides to help you better locate the resource
AdventHealth East OrlandoFamily Medicine Residency with Osteopathic RecognitionOsteopathic Neuromusculoskeletal Medicine 3 (NMM+1)