Continuing Medical Education (CME)

CME mission

The mission of the Main Line Health System Continuing Medical Education program is to provide lifelong learning experiences for physicians, and the inter-professional healthcare team, that support their intentional efforts to enhance competence in patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice.

We hope that this website will give you better insight into Main Line Health's CME program, accreditation requirements set forth by the Accreditation Council for Continuing Medical Education (ACCME) and the Pennsylvania Medical Society, and the policies and procedures of the Office of CME regarding the planning and implementation of CME activities.

Resources

MediaSite access instructions

MediaSite is the technology we use to record, broadcast and archive meetings in our auditoriums at the hospitals. Physicians can claim AMA Category 2 credit for the time spent viewing activities on MediaSite. Category 2 credit is self-reported.

Med-IQ risk management education

Med-IQ offers computer-based training focused on risk management to physicians and advanced practice providers who are employed by Main Line HealthCare or Main Line Emergency Medicine Associates. The topics satisfy the Pennsylvania CME requirements for patient safety/risk management and pain management/identification of addiction/opioid prescribing. Physicians, nurse practitioners and physician assistants with access to Med-IQ can login using the following link: http://mainlinehealth.med-iq.net. MLHC and MLEMA providers may contact [email protected] with questions about using the service.

New in CME: Requirements regarding opioid CME

Pennsylvania requires opioid continuing medical education for new licensees and for those wishing to renew their license. There are currently two programs offered by the Pennsylvania Medical Society that will meet these requirements. One of the programs is only open to Pennsylvania Medical Society members, the other is open to everyone. The links to the online courses are listed below.

This activity is open to all:
Addressing PA's opioid crisis: What the health care team needs to know – Includes sessions on opioid prescribing guidelines for non-cancer pain, naloxone, referral to addiction treatment, the Pennsylvania Prescription Drug Monitoring Program (PDMP), and alternatives to opioid therapy.

Contact us

Please contact the CME Office with any questions or suggestions as to how we can better meet your needs For more information about conferences and programs, please contact Trish Levy or one of the CME Coordinators listed below: 

Karen G. Kollias
Bryn Mawr Hospital
484.337.3050 | [email protected]

Colleen Stanton
Paoli Hospital
484.565.8968 | [email protected]

Annette Langston
Riddle Hospital
484.227.6433 | [email protected]

MAIN LINE HEALTH NURSES: For CME program information, please go to the Main Line Health nursing department intranet website and search using keyword "CEUs".

CME toolkits

The Office of Continuing Medical Education (OCME) has developed a set of planning tools as a vehicle to assure that the planning and administration of CME activities sponsored by the Main Line Health system are completed in accordance with high-quality adult education principles. In accordance with ACCME Essential areas and guidelines, AMA guidelines and OCME policies and procedures.

The toolkit is designed to provide the information, forms, and tools needed by our CME activity directors and coordinators to accomplish this task. The tools are also available via hard copy upon request to the CME department.

Available tools:

Frequently asked questions

Are there additional resources for patient safety and risk management credits?

There are resources to help physicians obtain the required credits in patient safety and risk management.

Main Line Health-approved category 1 CME activities:

  • The program director of CME approved grand rounds and other regularly scheduled conferences can identify specific sessions that fall within the topics identified by the State Board of Medicine. Attendance at these sessions is reported to the Office of CME and uploaded to our CME tracking system. Sessions during other Main Line Health-approved conferences are identified and documented for patient safety or risk management credits, and documented as they occur. These credits are posted to our CME tracking system. You can also obtain credits through self-declared attendance at qualified meetings.
  • Morbidity and mortality (M&M) conferences – ALL M&M conferences are considered patient safety credit for Pennsylvania licensing purposes. While not all of these are currently certified for category 1 credit, your documented attendance at an M&M conference that is not category 1 certified can be counted towards your required patient safety/risk management credits as a category 2 activity.
  • Other Main Line Health non-CME approved conferences that address topics as indicated by the State Board of Medicine that can be documented if audited can be counted toward these credits as well.

Do required Healthstream courses count toward licensing requirements?

Some of the Main Line Health required HealthStream courses can be counted as category 2 credit, and can be used to satisfy the patient safety/risk management requirements. HealthStream courses required annually can count for each year that they were completed. These courses include:

  • Culture of safety training course
  • Red Rules
  • Universal protocol/surgical safety check list
  • Conscious sedation
  • Emergency preparedness
  • Information security awareness training
  • Shaping a reliable culture of safety and Error Prevention Toolkit review

Other Healthstream courses specific to your department that are related to the topics listed above in the What counts for patient safety/risk management requirement section.

How can I access MediaSite to watch a previously recorded event?

Main Line Health is pleased to offer our medical staff a way to stay connected. MediaSite is a secure web portal that allows you to access recordings of Grand Rounds and other important educational meetings from any computer or mobile device. You can even claim AMA PRA category 2 credits™ for the time spent viewing activities on MediaSite.

Access MediaSite

  • Look at the upper right corner for Welcome Guest
  • Click the down arrow right next to Welcome Guest and click Login
  • Use your Main Line Health login information
  • When you are logged in; click CME in the left column
  • You will find folders by campus and by meeting type (e.g., Grand Rounds in Medicine, Nuts & Bolts, Symposia)

How can I document and track my CME credits?

Your AMA category 1 and patient safety credits received at Main Line Health-certified activities will be tracked in our CME Tracking system. You can print your transcript from our online data base or call one of the CME Coordinators for your transcript.

CME Transcripts: Go to mainlinehealth.org/cme/transcripts and sign in. If you don't know your password, click on "forgot password" and it will be emailed to you—don't create a new account. If you can't access your transcript via this method, call one of the Main Line Health campus CME offices:

How can I get category 1 credit directly from the AMA for teaching, publishing and other educational activities?

Physicians may also earn category 1 credit for activities that are not designated as such by providers. To receive credit for these activities, you must submit a request directly to AMA. A description of these activities and how to earn credits for them are outlined in the attached chart. They include:

  • Presenting at a category 1 conference, seminar or symposium
  • Publishing articles
  • Poster presentations
  • Obtaining a medically related advanced degree
  • American Board of Medical Specialties (ABMS) member board certification and recertification
  • ACGME accredited education
  • International conference recognition

To obtain an application for AMA directly credited category 1 activities, go to edhub.ama-assn.org/pages/applications or call the AMA at 312.464.5296.

How can I get CME credit?

In general, you can receive credit for the items listed below. Details pertaining to AMA credit for each activity below are provided. Note that the AMA will provide 25 category 1 credits for your board recertification process.

Activity Type of credit Amount of credit Who give the credit
Attend a live activity that has been designated for credit AMA category 1 Number of credits pre-designated Accredited provider
Publish an article as first or second lead author in journals indexed by the Index Medicus AMA category 1 10 credits per article AMA
Teach at a live activity approved for AMA PRA category 1 credit AMA category 1 2 credits per lecture hour for FIRST time lecture is delivered up to a maximum of 10 credits AMA
Prepare a poster presentation, which is also included in the published abstracts, for a live activity approved for AMA PRA category 1 credit AMA category 1 5 credits per poster AMA
Complete American Board of Medical Specialties (ABMS) member board certification and recertification AMA category 1 25 credits AMA
Complete medically related advanced degrees, such as a masters in public health AMA category 1 25 credits AMA
Teach residents, medical students or other health professionals AMA category 2 Actual time Self-designated
Utilize online study resources AMA category 2 Actual time Self-designated
Read authoritative medical literature AMA category 2 Actual time Self-designated
Complete approved enduring materials AMA category 1 Number of credits pre-designated Accredited provider
Complete non-designated enduring materials (i.e., not designated by a provider for category 1) AMA category 2 Actual time Self-designated
Conduct medical research AMA category 2 Actual time
Consult with peers AMA category 2 Actual time

How do I prove category 2 credits if I am audited?

The regulations state that category 2 credit hours must be documented in the form of a physician log or diary.

Documentation should include:

  • The date the activity was completed
  • A description of the activity (e.g., article title, resident teaching, consultation with peers)
  • Location (e.g., name of journal, hospital, home study, website)
  • The number of credits claimed (i.e., actual time spent in the activity)

View the Pennsylvania state form for category 2 reporting .

If I have 12 category 1 credit hours in patient safety or risk management topics, may I count these for both the category 1 requirement and the patient safety/risk management requirement?

Yes. If any of the patient-safety credit hours that a physician has earned are category 1 credit hours, they can be counted toward both the category 1 requirement and the patient safety/risk management requirement.

What are the requirements for child abuse education?

ACT 31 OF 2014 Child abuse recognition and reporting continuing education providers

All health-related licensees/certificate holders and funeral directors are considered "mandatory reporters" under section 6311 of the Child Protective Services Law (23 P.S. § 6311). Therefore, all persons applying for issuance of an initial license or certificate from any of the health-related boards (except the State Board of Veterinary Medicine) or from the State Board of Funeral Directors are required to complete, as a condition of licensure, three hours of training approved by the Department of Human Services (DHS) on the topic of child abuse recognition and reporting.

As a condition of biennial renewal, you are required to complete two hours of approved training on the topic of child abuse recognition and reporting from an approved provider. If your license is close to expiration, we recommend that you check with the approved provider of your course to confirm the time-frame in which they plan to submit the results.

Read more frequently asked questions and the websites where you can obtain online approved training at dos.pa.gov.

What are the requirements regarding opioid CME?

The Pennsylvania Medical Society has new requirements for opioid continuing medical education for new licensees and for those wishing to renew their license beginning in the 2017–18 licensure period. There are currently two programs offered by the Pennsylvania Medical Society that will meet these requirements. One of the programs is only open to Pennsylvania Medical Society members, the other is open to everyone. The links to the online courses are listed below.

This activity is open to all:
Addressing PA's opioid crisis: What the health care team needs to know – Includes sessions on opioid prescribing guidelines for non-cancer pain, naloxone, referral to addiction treatment, the Pennsylvania Prescription Drug Monitoring Program (PDMP), and alternatives to opioid therapy.

This activity is for Pennsylvania Medical Society members only:
The use of opioids to treat chronic pain – Includes sessions on interdisciplinary pain, opioid therapy, patient monitoring during care, treatment failure, and managing pain in high risk patients.

What are the state license requirements for MDs and DOs?

Pennsylvania osteopathic licenses are due for renewal in even numbered years on Oct 31st and allopathic licenses are due by Dec 31st. There are several CME requirements that must be met:

  1. One hundred (100) CME credit hours must be completed over the 24-month licensing period
  2. At least 20 of those hours must be AMA PRA Category 1 or AOA Category 1-A for allopaths and osteopaths, respectively
  3. Twelve (12) of those 100 hours must involve patient safety and risk. The determination of which activities meet this criterion is self-determined by the physician. Our M&M session meet this criterion as do many other activities you already participate in. These can be Category 1 or Category 2 – the latter are self-designated
  4. Two (2) of the 100 hours must be in a state-approved child abuse recognition program. Here are some approved programs:
  5. 2 of the 100 hours must be in activities related to pain management, identification of addiction or the practices of dispensing and prescribing opioids. This can be addressed through Category 1 or 2 CME activities.

    The PA Medical Society states: "Q: Does the opioids continuing education need to be Category 1 or Category 2? A: PAMED has received confirmation from the Pennsylvania Department of State that both the State Board of Medicine and the State Board of Osteopathic Medicine will accept continuing education courses in either Category 1 or Category 2 for the purpose of compliance with the requirements of Act 124 as long as the content meets the Board-required subject matter noted above."
  6. Use the PA Category 2 Recording Form to document your participation in category 2 activities.

  7. The remaining credit hours shall be completed in AOA Category 1-A, 1-B, or Category 2, or AMA Category 1 or 2.

Finally, below are links to the PA State Board of Medicine and the State Board of Osteopathic Medicine regarding these requirements:

Do the patient safety or risk management credit hours need to be in category 1 or category 2?

According to the regulations, the patient safety or risk management credit hours can be in either category 1 or category 2.

What counts for patient safety/risk management requirement?

The Pennsylvania State Board of Medicine has approved the following list of topics that will satisfy the patient safety/risk management requirement:

  • Improving medical records and record keeping
  • Reducing medical errors
  • Professional conduct and ethics
  • Improving communication among physicians and with other health care personnel
  • Communication between physicians and patients
  • Preventive medicine education
  • Health care quality improvement

As long as the CME activity falls within these topics, you can count it toward the patient safety/risk management requirement. The course does not have to state, and very likely may not, that it is a patient safety or risk management course.

Examples of activities that you can use for patient safety/risk management credits include attendance at morbidity and mortality conferences, courses attended that include topics related to those listed above (count only those session that are related), completing online and print-based activities in the areas listed above, or those specifically targeting patient safety or risk management as the topic.

Do the patient safety or risk management credit hours need to be in category 1 or category 2?

According to the regulations, the patient safety or risk management credit hours can be in either category 1 or category 2.

What if I don't know my license renewal registration code?

Here are the directions to receive the registration code for medical license renewal online. Each physician is notified originally via mail of the registration code.

If a practitioner has no record of his registration code to renew his/her license online, the Pennsylvania State Board of Medicine will forward the number via email.

Email your request to the Pennsylvania State Board of Medicine at [email protected].State in the email:

  • Your request for the registration code
  • Provide the last digits of physicians' social security number
  • Physician's date of birth
  • Physicians' full name

What is an AMA PRA category 1 credit™ CME credit?

The American Medical Association (AMA) defines a national standard of continuing medical education (CME): "...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. CME represents 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" (ama-assn.org).

Not all continuing educational activities that physicians may engage in, however, are CME. Physicians may participate in worthwhile continuing educational activities that are not related directly to their professional work and these activities are not CME. Typically service on committees or direct patient care activities are not considered CME. Continuing educational activities that respond to a physician's non-professional educational need or interest, such as personal financial planning, and appreciation of literature or music, are not CME (accme.org).

What types of activities qualify for AMA PRA category 1 credit

AMA PRA category 1 credit™ is the most widely recognized term for physician CME. Category 1 activities have been formally planned and designated for credit toward the AMA Physicians Recognition Award (PRA) by an ACCME accredited provider. The following activities can be designated by an ACCME-approved provider for category 1 credit:

  • Live activities
  • Enduring materials (e.g., CD-Rom, videotape)
  • Journal-based CME
  • Web-based activities
  • New procedures and skills courses that train and certify physicians to conduct new medical procedures

Ways that you can earn category 1 credits through an accredited provider*

  • Test item writing
  • Performance improvement CME
  • Point of care CME
  • Manuscript reviews

*these require specific designation for credit by a provider, and should not be claimed on your own

The ACCME approved provider distributes certificates to the participants, and is required to maintain records of participation for six years.

What types of activities qualify for category 2 credit?

Category 2 credit is the term used by AMA for activities physicians undertake on their own that should be beneficial to their practice. These activities are not formally planned and designated for category 1 credit by accredited providers. The AMA does not permit us to give you a certificate for a category 2 activity. See below for the Pennsylvania category 2 recording form. Examples include:

  • Consultations with peers and experts
  • Medical research and study online
  • Using non-designated enduring materials
  • Teaching residents, medical students or other health professionals
  • Reading authoritative medical literature
  • Self-assessment activities
  • Medical writing
  • Preceptorships

It is the physician's responsibility to identify and document category 2 activities. However, these activities must meet the AMA definition of CME (see above), and comply with the AMA ethical opinions on gifts to physicians and ethical issues in CME, and be a "worthwhile learning experience related to his/her practice."

View the AMA information about category 1 and category 2 credits.

What will I need to report to in order to renew my license

The Pennsylvania State Board of Medicine is not requiring a report of CME at the time of license renewal. The license renewal form will contain an area for physicians to attest that they have completed the required hours. By attesting that the requirement is completed, a physician may be subject to a random audit by the Board of Medicine. If audited, a physician will need to show evidence of the completion of the required credit hours. Failure to produce the requested evidence will result in a fine and possible suspension of license.

Who regulates CME?

Two organizations share the responsibility nationally for CME accreditation.

The Accreditation Council for Continuing Medical Education (ACCME), through the Pennsylvania Medical Society, accredits organizations like Main Line Health to provide AMA category 1 credit.
The American Medical Association (AMA) identifies the types of activities that can receive credit, and sets the rules for which whether an activity can be designated as category 1 or claimed as category 2. In addition, the AMA directly gives credit for some specific category 1 activities that not designated by an ACCME accredited provider (e.g., publishing an article).

Joint providership frequently asked questions

What is a joint providership?

The ACCME defines joint providership as the providership of a CME activity by one or more accredited and one or more nonaccredited organizations. Therefore, ACCME accredited providers that plan and present one or more activities with non-ACCME accredited providers are engaging in “joint providership.” Please note: the ACCME does not intend to imply that a joint providership relationship is an actual legal partnership. Therefore, the ACCME does not include the words partnership or partners in its definition of joint providership or description of joint providership requirements.

The accredited provider must take responsibility for a CME activity when it is presented in cooperation with a nonaccredited organization and must use the appropriate accreditation statement.

If our organization decides to pursue joint providership for our activity, what will it cost to complete the application process for a live activity?

The fees associated with joint providership of a live activity are $2,500 for the administrative cost plus $50 per credit. A credit is equal to one hour of CME. For example, if your activity is an all-day session (eight hours of education) then the administrative cost would be: $2500 + $50.00 x 8.0 hours ($400) for a total cost of $2900.

Note: If your organization intends to apply for educational grants from commercial interests, please contact [email protected] as additional fees may apply.

What are the next steps for my organization to apply for a joint providership

  • Complete a letter of intent via e-mail and include the following information: the organization’s name, name of event, date of event, and how the event will be funded (e.g., organizational support, advertising and exhibits, etc.) and your contact information.
  • Complete the CME Activity Accreditation Questionnaire (PDF).
  • Obtain a copy of your organization’s mission statement.

What resources will we need to complete the application process?

  • Clinical knowledge to identify physician practice gaps, educational need (knowledge, competence, or performance), provide references in the form of links to websites or publication information, identify outcomes, do content reviews, or monitor session to resolve conflicts of interest. This can be one individual or a planning committee. This role is critical especially at the beginning to complete the application, but also throughout the process for conflict resolution. It is important that this resource be able to respond to emails or phone calls during the process.
  • Administrative support is needed throughout the process. This resource is the main contact person for Main Line Health and serves as the “go-to” person throughout the process. Tasks include:
    • Communicating with planners and speakers to request disclosure forms and resolve conflicts
    • Submitting application and agenda to Main Line Health for consideration
    • Receiving and paying the invoice
    • Communicating with speakers to collect disclosures and speaker agreements and send to Main Line Health by due date
    • Sending marketing materials to Main Line Health for approval and making revisions
    • Sending exhibit forms/letters to Main Line Health for approval
    • Creating and sending all onsite information (e.g., evaluation form, CME disclosure information, program booklet) for approval
    • Capturing registration prior to and at the event and reporting it to Main Line Health within two weeks of the activity in the Excel template that will be provided
    • Submitting an evaluation summary and financial report (templates provided) within 30 days of the activity

What is Main Line Health responsible for during the process?

  • Responding promptly (usually within one week of your request submission) to let you know if we can consider joint sponsoring your event
  • Working with you throughout the process to communicate requirements, provide training and resources, provide examples/templates when possible, answer questions, etc.
  • Providing necessary oversight throughout the process to ensure that the CME activity meets AMA expectations and the ACCME provider requirements, including compliance with the ACCME Standards for Commercial Support of CME
  • Providing CME transcripts to physician attendees after receiving the attendance list in the required Excel format
  • Retaining activity information for required six years and providing duplicate transcripts when requested

Learning from teaching

To be eligible for AMA PRA Category 1 credits, the teacher applying for CME credit must do the following:

  1. Provide certification from either the Undergraduate Medical Education Office or Graduate Medical Education Office at Main Line Health System that verifies that you are an approved faculty member(see signature block at the end of this form for that purpose).
  2. For GME teaching, ensure that the GME Office also verifies at the end of this form that the residency/fellowship program in which the proposed course is being taught is ACGME-accredited.
  3. Types of teaching activities that are approved for credit include: formal presentations to medical students and residents; development of cases and clinical problems; supervising clinical or simulated activities; instruction on clinical or other skills; assessing learner performance in clinical or simulation settings; mentoring QI or PI projects; and, mentoring of scholarly activities.
  4. Teaching faculty may receive two AMA PRA Category 1 credits for every one hour of activities undertaken representing learning associated with preparation of teaching medical students or residents as described above (rounded up or down to the nearest 1/4 hour).

Forms