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About Annals of Internal Medicine CME and MOC


About Annals CME and MOC

The Annals of Internal Medicine CME site provides a convenient way to fulfill your CME requirements. Articles are designated for credit and companion CME quizzes are provided online. Participants may earn credits by reading the relevant article and successfully completing the quiz. You may access CME quizzes by subject or by date via the Annals CME page. Links are also provided on the Annals journal home page, tables of contents, and on the CME-designated articles themselves.

Physicians enrolled in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program can earn medical knowledge self-assessment points for successfully completing quiz modules based on some Annals content. Visit www.acponline.org/education_recertification/recertification/earn_moc_points/ for activities from Annals and ACP that are currently available.

CME and MOC activities are available free to ACP members and purchased subscriptions. Others who are interested in completing this MOC activity can learn more about ACP membership and individual subscriptions to Annals of Internal Medicine

Program Objectives

These activities have been developed for internists to facilitate the highest quality professional work in clinical applications, teaching, consultation, or research. Upon completion of a CME activity, participants should be able to demonstrate an increase in the skills and knowledge required to maintain competence, strengthen their habits of critical inquiry and balanced judgment, and contribute to better patient care.

Intended Audience

The intended audience consists of internal medicine physicians.

Accreditation Statement

The American College of Physicians is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for physicians.

The American College of Physicians designates each journal article educational activity for a maximum of one AMA PRA Category 1 Credit™ and each In the Clinic educational activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Editors' Disclosures

Editors' Disclosures can be found ahead of each CME activity.

What is Continuing Medical Education (CME)?

The Accreditation Council for Continuing Medical Education (ACCME) www.accme.org has published the following:

Definition of CME

1982-B-03 The Definition of Continuing Medical Education

Continuing Medical Education (CME) consists of educational activities which serve to maintain, develop, or increase the knowledge, skills, and professional performance and relationships that a physician uses to provide services for patients, the public, or the profession. The content of CME is that body of knowledge and skills generally recognized and accepted by the profession as within the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public.

The broad definition of CME, such as the one found above, recognizes that all continuing educational activities, which assist physicians in carrying out their professional responsibilities more effectively and efficiently, are CME. A course in management would be appropriate CME for physicians responsible for managing a health care facility; a course in educational methodology would be appropriate CME for physicians teaching in a medical school; a course in practice management would be appropriate for practitioners interested in providing better service to patients.

Not all continuing educational activities in which physicians may engage, however, are CME. Physicians may participate in worthwhile continuing educational activities, which are not related directly to their professional work, but these activities are not CME. Continuing educational activities, which respond to a physician's non-professional need or interest, such as personal financial planning, and appreciation of literature or music, are not CME. (amended 11/99)

How are CME hours calculated?

CME is designated on an hour-for-hour basis, i.e., for every hour you spend in a CME activity, you receive one (1) hour of CME credit.

Since people complete self-study activities (e.g., journal-based CME, self-tests, computer-based activities, video or audio tapes, etc.) at their own pace, calculating CME hours can create a dilemma for the activity's sponsor. The sponsor of an enduring material usually estimates the time the average physician would take to complete the activity. This estimate becomes the designated maximum amount of CME credit for the activity. The individual physician is required to keep track of the time spent on the activity, and claim only the number of hours he or she actually spent on the activity.

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