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)