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10CME Requirements by Specialty Certifying Boardper 3-Year AOA Cycle (cont’d)Conjoint Certifications Addiction Medicine Allergy & Immunology Correctional Medicine Dermatopathology Hospice & Palliative Medicine Pain Medicine Sleep Medicine Sports Medicine Undersea & Hyperbaric MedicineConjoint certifications are subspecialtycertifications. As such all conjointcertificate holders must abide by therequirement of their primary certificationboard. There is no additional CMErequired to maintain a conjoint certification.CME Guide for Osteopathic Physicians – 2019-2021

11Types of CME CreditThe AOA assigns CME credit to four categories: 1-A, 1-B, 2-A, and 2-B. In very general terms, Category 1 istypically osteopathic CME; and Category 2 denotes allopathic CME. Category A is usually live activities, andCategory B is not (with a few exceptions).AOA Category 1-A CreditActivity TypeDescriptionRules, Caps, etc.Formal OsteopathicCME Formal face-to-face programs or interactive onlineprograms sponsored by AOA-accredited Category 1CME sponsors Granted on an hour-for-hour basis Specialty Specific Certifying Boards have thediscretion to determine when in-person CME isimportant (e.g., clinical procedural content) and limitthe amount of online CME earned during a 3-yearCME cycle accordingly.Medical TeachingFormal delivery of medical educationlectures in the following settings: in osteopathic and allopathic medical colleges at specialty or divisional society conferences to students, interns, residents, fellows, and staff Granted on an hour-for-hour basis Must be verified by the CME Department of themedical college, sponsoring hospital, or sponsor.To report CME earned by medical teaching, pleasesubmit a letter from the institution stating thenumber of hours and date(s) to receive credit. CME credits will not be awarded for preparation oflectures.Interactive CME on theInternet Synchronous or asynchronous delivery of interactiveinternet CME provided by an AOA-accreditedCategory 1 CME sponsor If delivery of content is asynchronous, to qualifyfor Category 1-A credit, instructor responses toparticipant questions must be received within 48hours. Synchronous or asynchronous, interactive internetCME from AMA PRA Category 1 or AAFPaccredited sponsors will count as Category 2-A. Specific Specialty Certifying Boards have thediscretion to determine when in-person CME isimportant (e.g., clinical procedural content) and limitthe amount of online CME earned during a 3-yearCME cycle accordingly.Standardized LifeSupport CoursesStandardized life support courses including provider,refresher, and instructor levels. Includes the followingtypes of courses: Advanced Trauma Life Support Advanced Cardiac Life Support Basic Life Support Pediatric Advanced Life Support (AHA) or AdvancedPediatric Life Support (AAP) Neonatal Advanced Life Support Advanced Life Support in Obstetrics Adult Fundamentals of Critical Care Support Pediatric Fundamentals of Critical Care Life Support Advanced HAZMAT Life Support Advanced Burn Life Support Basic Disaster Life Support Advanced Disaster Life Support Online standardized courses will be awarded CMEcredit for the practical part only. Specific Specialty Certifying Boards have thediscretion to determine when in-person CME isimportant (e.g., clinical procedural content) and limitthe amount of online CME earned during a 3-yearCME cycle accordingly. If a physician submits a certificate of completion thatcontains a specific number of credits awarded fromthe course, that amount will be recognized by theAOA. In cases where the certificate of completiondoes not contain a specific number of credits, CMEwill be awarded per the chart listed in Appendix E.CME Guide for Osteopathic Physicians – 2019-2021

12Types of CME CreditAOA Category 1-A Credit (cont’d)Activity TypeGrand RoundsDescriptionRules, Caps, etc. Must be conducted by an AOA-accreditedCategory 1 CME sponsor to receiveCategory 1-A CME credit Granted on an hour-for-hour basisExam Construction – Item Writing Writing examination items of which six (6)items are accepted by an AOA specialtycertifying board or conjoint committee,an AOA-accredited Category 1 provider,and/or the National Board of OsteopathicMedical Examiners One (1) Category 1-A CME credit will beawarded per six (6) accepted items witha maximum of 20% of the required CMEcredits.Oral/Practical Examinations forAOA Certifying Boards Administration of an oral and/or practicalexamination for an AOA specialty certifyingboard Granted on an hour-for-hour basisStandardized Federal Aviation CoursesThe following courses can count for credit: Granted on an hour-for-hour basis Aviation Medicine Must be sponsored by the Federal AviationAdministration, the United States ArmedServices, or the Civil Aeronautic Institute Flight Surgeon Primary Course Cardiology-themed Seminars All non-osteopathic grand rounds willreceive Category 1-B CME credit. Neurological-themed Seminars Basic Standardized Seminars All federally-mandated medical courses All standardized CME courses offered forthe purpose of maintaining an aeromedicalexaminer designationFederal Activities (Active Duty/Uniformed Service) Formal CME programs to participantswho are on active duty or employed by auniformed service Granted on an hour-for-hour basisJudging Osteopathic Clinical CasePresentations and Research PosterPresentations Serving as a formal judge for osteopathicclinical case presentations and researchposter presentations at a formal CMEfunction implemented by an AOAaccredited sponsor Granted on an hour-for-hour basisClinical Case Presentations andResearch Poster Presentations Primary author in preparing andpresenting a clinical case or researchposter presentation implemented by anAOA-accredited sponsor Must be primary authorCME Guide for Osteopathic Physicians – 2019-2021 All other federal CME activities will receiveCategory 1-B CME credit. Maximum of ten (10) CME credits per3-year AOA CME cycle Will receive 5 CME credits perpresentation

13Types of CME CreditAOA Category 1-B CreditActivity TypeGME Faculty/PreceptorsDescription Serving as GME faculty, GME core faculty,or preceptors in any AOA-approvedosteopathic or ACGME-accreditedgraduate medical educationRules, Caps, etc. Granted on an hour-for-hour basis A maximum of 20% of the required CMEcredits per 3-year AOA CME cycle may beearned for precepting medical students,residents, and/or fellows. No credit is available for preceptingphysician assistants or nurse practitioners. If CME for GME Faculty/Precepting is notreported directly by the sponsor, pleasesubmit a letter from the institution statingthe number of hours and date(s) toreceive credit.UGME PreceptorsNon-Interactive CME on the Internet Serving as preceptors for any COCAaccredited college of osteopathic medicine Granted on an hour-for-hour basis Includes audio and video programs onthe Internet sponsored by AOA-accreditedCategory 1 CME sponsors Category 2-B credit will also be awardedto journal-type CME on the Internet that isproduced by an AOA-accredited sponsor,ACCME accredited provider for AMA PRACategory 1 , or approved by the AAFP.These courses are essentially static,textbook type programs. They may havehypertext jumps to help the reader pursuespecific information. These courses are typically programs thatare available on an on demand scheduleand are not a real-time, interactivesimultaneous conference. A maximum of 20% of the required CMEcredits per 3-year AOA CME cycle may beearned for precepting medical students,residents, and/or fellows. Reading of journals indexed in PubMed,other types of home study, and noninteractive CME on the internet havea combined maximum of 25% of therequired CME credits per 3-year AOACME cycle.Grand Rounds (Non-osteopathic) Grand rounds that occur at anorganization that is not an AOA Category 1CME sponsor Granted on an hour-for-hour basisResidency/Fellowship Training Formal training as a resident or fellow inan AOA-approved or ACGME-accreditedtraining program Twenty (20) credits of Category 1-B CMEmay be awarded per yearCME Guide for Osteopathic Physicians – 2019-2021

14Types of CME CreditAOA Category 1-B Credit (cont’d)Activity TypeJournal Reading (JOM and otherosteopathic journals)Description Reading an issue of the Journal ofOsteopathic Medicine (JOM)and passing the respective CME quizwith a minimum grade of 70%Rules, Caps, etc. Two (2) CME credits will be awardedfor each issue of the JOM Non-members who submit hard copiesof completed quizzes will be chargeda fee per JOM quiz for staff time tograde, record, and provide a letter asdocumentation of applicable CME. Inaddition, non-members have the capabilityof completing the quizzes online ataoaonlinelearning.osteopathic.org. Reading of all other osteopathic medicaljournals indexed in PubMed qualifies forAOA Category 1-B credit, and reading ofall other medical journals qualifies for AOACategory 2-B credit and is awarded onehalf (0.5) CME credit for each journal readand reported on the form. Reading of journals indexed in PubMed,other types of home study, andnoninteractive CME on the internet havea combined maximum of 25% of therequired CME credits per 3-year AOACME cycle.AOA Primary Certification Examination Passing any AOA specialty certifyingboard primary certification examination 15 Category 1-B CME credits for eachexam passedAOA Subspecialty/ CAQ CertificationExamination Passing any AOA specialty certifyingboard certification examination in anysubspecialty or certificate of addedqualifications 15 Category 1-B CME credits for eachexam passedAOA OCC Component 3 Examination/Process Passing any AOA specialty certifyingboard OCC examination or completingthe OCC Component 3 process in anyspecialty, subspecialty, or certificate ofadded qualifications 15 Category 1-B CME credits forcompleting Component 3 per 3-year AOACME cyclePostgraduate Studies Obtaining an advanced degree, suchas masters in public health, businessadministration or doctorate studies ofany kind Twenty-five (25) credits of Category 1-BCME may be awarded.CME Guide for Osteopathic Physicians – 2019-2021 Credits are awarded upon completion ofthe degree.

15Types of CME CreditAOA Category 1-B Credit (cont’d)Activity TypeDescriptionRules, Caps, etc.Exam Construction – Committee Work Meetings or seminars of an AOA specialtycertifying board or conjoint committee,an AOA practice affiliate’s postgraduatein-service examination committee, orat a meeting of the National Board ofOsteopathic Medical Examiners Participation in exam development/construction and job task analyses canearn a maximum combined 50% of therequired CME per 3-year AOA CME cycle.Exam Construction – Clinical CaseDevelopment Writing clinical cases accepted by anAOA specialty certifying board or conjointcommittee, or the National Board ofOsteopathic Medical Examiners Participation in exam development/construction and job task analyses canearn a maximum combined 50% of therequired CME per 3-year AOA CME cycle.Job Task Analyses (JTAs) Participation in the development of aJob Task Analysis for an AOA specialtycertifying board or conjoint committeeor response to the survey given as partof the JTA process. JTAs are essentialself-assessment examinations conductedevery 5-7 years as the basis for all boardcertification examinations. Participation in exam development/construction and job task analyses canearn a maximum combined 50% of therequired CME per 3-year AOA CME cycle.Publications Development and publication of scientificpapers and online osteopathic educationalprograms 10 CME credits per article publishedPeer Review Participation as a physician peer reviewerfor the JOM and/or other AOA Category 1CME Sponsor requesting CME credit. 3 Category 1-B CME will be awarded percompleted peer review for the JOM and/or other AOA Category 1 CME Sponsorwith a maximum of 20% of the requiredCME credits.Federal Programs (not Active Duty /Uniformed Service) Any formal CME programs to participantswho are not on active duty or employed bya uniformed service Active duty or uniformed serviceemployment constitutes Category 1-ACME Guide for Osteopathic Physicians – 2019-2021

16Types of CME CreditAOA Category 1-B Credit (cont’d)Activity TypeCommittee and Hospital Staff WorkDescriptionParticipating in patient care in nonadministrative hospital department staffactivities, including care-based committees,such as: Critical care committeeRules, Caps, etc. To obtain credit, physicians must submitthe appropriate form. Maximum of five (5) CME credits can beearned per 3-year AOA CME cycle Utilization review Pharmacy and therapeutics Patient safety Tumor board Morbidity and mortality Any other patient-care oriented committeedesigned to improve patient careNon-osteopathic CME Programs(conversion from Category 2-A toCategory 1-B) Non-osteopathic CME programs canautomatically count as Category 2-A or2-B credit. The BOS may recognize non-osteopathicspecialty or subspecialty programs thatwould otherwise qualify as Category2-A credit for Category 1-B credit, whenthere is essentially no equivalent coursecontent available within the osteopathicprofession. Credit for such programswill be applied to all physicians in thatspecialty or subspecialty who participate inthe course. The course must consist of at least three(3) credit hours and be provided by aprovider accredited by the ACCME forAMA PRA Category 1 CreditTM or theAAFP, or an internationally known sponsoracceptable to the BOS.To request consideration for Category1-B credit, the physician must write to theBOS at AOA Headquarters in Chicago andprovide the following:1. A completed Non-osteopathicProgram’s Requests for Category1-B Credit form2. A copy of the printed program (orsyllabus) outlining the lectures beingpresented, length of the lectureand the faculty presenting at theconference3. An official document verifying thephysician’s attendance The applicant should be aware that thisrequest will be forwarded to the specialtyaffiliate to verify that similar programs and/or lectures have not been or are not beingoffered by an AOA-accredited CME provider. The AOA performs reviews of nonosteopathic courses as a member service.Non-members may request AOA Category1-B credit for non-osteopathic sponsoredCME programs by following the sameprocedure outline, along with payment of afee for each program submitted for review.CME Guide for Osteopathic Physicians – 2019-2021

17Types of CME CreditAOA Category 2-A CreditActivity TypeDescriptionRules, Caps, etc.Formal Educational Programs(Non-osteopathic) Formal face-to-face educational programsthat are sponsored by an ACCMEaccredited provider for AMA PRACategory 1 Credit ; approved by theAmerican Academy of Family Physicians(AAFP); approved by an internationallyknown sponsor acceptable to the BOS,or an AOA-accredited Category 1 CMESponsor that does not meet the faculty/hours requirement for Category 1-A credit Granted on an hour-for-hour basisInteractive CME on the Internet Real time, interactive internet CME (liveonline programs) provided by an AMA PRACategory 1 or AAFP-accredited sponsor Real time, interactive internet CMEprovided by AOA Category 1-A accreditedsponsors will count as Category 1-A. Specialty Specific Certifying Boards havethe discretion to determine when in-personCME is important (e.g., clinical proceduralcontent) and limit the amount of onlineCME earned during a 3-year CME cycleaccordingly.Judging Clinical Case Presentationsand Research Poster Presentations(Non-osteopathic) Serving as a formal judge for clinicalcase presentations and research posterpresentations at a formal CME function Granted on an hour-for-hour basisClinical Case Presentations andResearch Poster Presentations(Non-osteopathic) Primary author in preparing andpresenting a clinical case or researchposter presentation Must be primary authorCME Guide for Osteopathic Physicians – 2019-2021 Maximum of ten (10) CME credits per3-year AOA CME cycle Will receive 5 CME credits perpresentation

18Types of CME CreditAOA Category 2-B CreditActivity TypeDescriptionRules, Caps, etc.Home Study Viewing non-osteopathic medical video,audio, or online CME courses Reading of journals indexed in PubMed,other types of home study, andnoninteractive CME on the internet havea combined maximum of 25% of therequired CME credits per 3-year AOACME cycle.Journal Reading (other than the JOM andother osteopathic journals) Reading of all medical journals (other thanthe JOM and osteopathic journals indexedin PubMed) is awarded one-half (0.5)CME credit for each journal read. Reading of journals indexed in PubMed,other types of home study, and noninteractive CME on the internet havea combined maximum of 25% of therequired CME credits per 3-year AOACME cycle. Includes journal-type CME on the internet To receive credit, please submit theappropriate form.Textbook Reading Reading medical textbooks Five (5) CME credits may be granted foreach medical textbook read. To obtain CME credit, please submit theappropriate form documenting the name ofthe medical textbook(s) read.Non-Interactive CME on the Internet Journal-type CME on the Internet that isproduced by an AOA-accredited sponsor,ACCME accredited provider for AMA PRACategory 1 , or approved by the AAFP.These courses are essentially static,textbook type programs. They may havehypertext jumps to help the reader pursuespecific information. Audio and video programs on the internetthat are sponsored by AOA-accreditedCategory 1 CME sponsors will receiveCategory 1-B credit.American Board of Medical Specialties(ABMS) Maintenance of Certification andSubspecialty/CAQ Examinations Participation in Maintenance ofCertification or examinations forcertificate(s) of added qualificationsponsored by the American Board ofMedical Specialties (ABMS) Maximum of fifteen (15) CME credits per3-year AOA CME cycleScientific Exhibits The preparation and presentation ofscientific exhibits at a county, regional,state, or national professional meeting Ten (10) credits per scientific exhibitCME Guide for Osteopathic Physicians – 2019-2021 Reading of journals indexed in PubMed,other types of home study, and noninte

All time-limited diplomates certified by the American Osteopathic Association (AOA) are required to meet . (150 for Emergency Medicine, Family Practice, and Neuromusculoskeletal Medicine) for non-time-limited physicians. . All faculty of Category 1-A and Category 2-A CME must be board certified by an AOA or American Board of Medical .