Online CME: Pulmonary/Critical Care
Last Updated June 14, 2009.

Special Notice!! Looking for reviewers to help keep the List up-to-date.

The sites described on this page are primarily concerned with chest medicine and critical care. You will find additional online CME sites and courses partially concerning chest medicine and critical care at the main online CME site.

American Academy of Allergy, Asthma and Immunology (AAAAI) Online CME

Navigation at the American Academy of Allergy, Asthma and Immunology Online CME site is challenging. Some areas are restricted to members of the AAAAI. Here are the portions I was able to view:

  • Journal of Allergy and Clinical Immunology (JACI) Online CME Program (American Academy of Allergy, Asthma and Immunology)
    Last visited...4/2009.
    Reviewed by...Bernard Sklar, MD.
    Credit hours....About 56 articles and quizzes each offering 1.0 credit.
    Awarded by....AAAAI.
    Cost for Credit....Free.
    Instruction Type...Text-and-Graphics.
    Target Audiences...ALLG, PULM.
    Educational material last updated....2009.
    Financial Support...None Stated.

Some recent articles and quizzes include: Therapeutic approaches to allergy and autoimmunity based on FoxP3+ regulatory T-cell activation and expansion; Mechanisms and treatment of allergic disease in the big picture of regulatory T cells; Occupational asthma: Current concepts in pathogenesis, diagnosis, and management; Mechanisms of occupational asthma; and Efficacy and mechanisms of action of traditional Chinese medicines for treating asthma and allergy.

  • 2008 Mini-Primer on Allergic and Immunologic Diseases  
    Last visited...4/2009.
    Reviewed by...Bernard Sklar, MD.
    Credit hours....10 articles  and quizzes each offering 1.0 credit.
    Awarded by....AAAAI.
    Cost for Credit....Free.
    Instruction Type...Text-and-Graphics.
    Target Audiences...ALLG, PULM.
    Educational material last updated....2008.
    Financial Support...None Stated.

The 2008 Mini-Primer on Allergic and Immunologic Diseases appears to be a subset of 10 of the articles from the February 2008 Supplement of the Journal of Allergy and Clinical Immunology (JACI) Online CME Program. Some representative titles are: Lymphocytes; Dendritic cells as regulators of immunity and tolerance; Adhesion molecules and receptors; Gastrointestinal mucosal immunity; Genetics of allergic disease; and Secondary immunodeficiencies, including HIV infection

  • 2008-2009 Online AAAAI/ACAAI Certification/Maintenance of Certification
    Board Review Course
    (American Academy of Allergy, Asthma and Immunology and (American College of Allergy, Asthma and Immunology)
    Last visited...4/2009.
    Reviewed by...Bernard Sklar, MD.
    Credit hours....29.25.
    Awarded by....AAAAI.
    Cost for Credit....Member: $275; Non-Member: $375; Fellow-in-Training: $75.
    Instruction Type...Slide-Audio Lectures; Board Review.
    Target Audiences...ALLG, PULM.
    Educational material last updated....2008.
    Financial Support...Teva Pharmaceuticals.

You will hear summaries and review questions on subjects of interest to allergists and immunologists. At the conclusion of this course, you should be able to identify, evaluate and manage the current problems and issues in allergy/immunology in preparation for the ABAI examination.

  • Asthma IQ (American Academy of Allergy, Asthma and Immunology)
    Last visited....4/2009.
    Reviewed by...Bernard Sklar, MD.
    Credit hours...20. 
    Awarded by....American Academy of Allergy, Asthma & Immunology (AAAAI).
    Cost for Credit.....Free.
    Instruction Type....Case-Based Interactive.
    Target Audiences....ALLG, PULM.
    Educational material last updated...2008.
    Financial Support...None Stated.

The “Asthma Specialist Tool to Help Manage Asthma and Improve Quality” (ASTHMA IQ) will help clinicians to: use evidence-based medicine to make treatment decisions; graph and report patients’ asthma status over time; analyze statistics for the asthma patients in their practice; report quality improvement measures for Maintenance of Certification or Pay for Performance. This course is available only to AAAAI members or upon invitation.

American College of Chest Physicians (ACCP)

  • Pulmonary and Critical Care Update (PCCU)
    Last visited...12/2008.
    Credit hours...1.0 per lesson (24 hours per year; possible maximum of 72 hours)
    Awarded by....American College of Chest Physicians.
    Cost for Credit....Free for members of the ACCP; $192 for 24 hours for non-members (payable in advance).
    Instruction Type....Text-Only.
    Target Audiences...PULM, CRIT CARE.
    Educational material last updated.....Monthly.
    CME Credit Expires...3 years after posting.
    Financial Support...None Stated.

Pulmonary and Critical Care Update (PCCU) is the major offering from the ACCP. Each month, this online journal provides two lessons on pulmonary and critical care topics. Some recent topics are: Weaning From Mechanical Ventilation; Drug-Induced Acute Kidney Injury in the ICU; Emergence of Methicillin-Resistant Staphylococcus aureus; Medications: Therapeutic and Adverse Effects on Sleep; The Treatment of Sarcoidosis; and Oral Devices for the Treatment of Obstructive Sleep Apnea.

  • Other offerings from the ACCP
    Last visited...12/2008.
    Credit hours...4 activities offering a total of 6 hours.
    Awarded by....American College of Chest Physicians.
    Cost for Credit....Free.
    Instruction Type....Slide-Audio, Slide-Video, Text-Only.
    Target Audiences...PULM, CRIT CARE.
    Educational material last updated.....2008.
    Financial Support...Various pharmaceutical companies.

In addition to Pulmonary and Critical Care Update (PCCU) (see above), the American College of Chest Physicians (ACCP) offers these activities: Clinical Update on Non Small Cell Lung Cancer (webcast, probably one hour); 
Update on Seasonal and Pandemic Influenza Readiness and Treatment (slide-audio lectures, 2 hours); COPD: Emerging Trends in Treatment Options (video podcast, 2 hours); and Prevention and Treatment of Pulmonary Embolism (monograph, one hour, expiration date not stated).

Cerebrio
Last visited...2/2009.
Credit hours...3.5.
Awarded by...University of Michigan, University of Rochester.
Cost for Credit...Free.
Instruction Type....Text-Only.
Target Audiences....CRIT CARE, ID.
Educational material last updated...2008.
Financial Support...Pharmaceutical companies.

Two activities: Comprehensive Management of Patients With Complicated Intra-Abdominal Infections (1.5 hours); and Current Challenges in the Treatment of Patients Hospitalized for Community-Acquired Infections (2.0 hours).

Cleveland Clinic: Findings from the Department of Outcomes Research and Outcomes Research Consortium (Perioperative Hypothermia)
Last visited...3/2009.
Reviewed by...Bernard Sklar, MD
Credit hours....4 activities, offering 0.5 or 2.0 hours (total of 5.0 hours)
Awarded by....Cleveland Clinic.
Cost..........Free.
Instruct. Type...Slide-Video lectures.
Target Audiences...SURG, ANES, CRIT CARE.
Educ. material last updated....2008.
Financial Support...Cleveland Clinic Foundation
CME Credit Expires...4/09.

After completing this series, you should be able to: review the effects of regional and general anesthesia on thermoregulatory control; discuss heat balance and how surgical patients become hypothermic; review the consequences of hypothermia and how to maintain normothermia; and identify methods of reducing the risk of surgical infection. Lectures are titled: Non-Pharmacologic Prevention of Surgical Wound Infection; Perioperative Shivering: Physiology and Pharmacology; Prevention and Treatment of Perioperative Hypothermia; and Temperature Monitoring and Perioperative Thermoregulation.

CMELogix (National Jewish Medical and Research Center)
Last visited...2/2009. 
Reviewed by...Bernard Sklar, MD.
Credit hours...8 courses offering 0.75 to 5.0 hours (total of 12.5 hours).
Awarded by....National Jewish Medical and Research Center.
Cost...........Most are Free, except ==>
Instruction Type...Text-and-Graphics (pdf).
Target Audiences....PED, PULM, ALLG.
Educational material last updated....2008.
Financial Support...Multiple pharmaceutical companies.

You will find these activities: An Evaluation of Dyspnea; Atopic Dermatitis - The Itch That Rashes: Soak and Seal Skin Care; Insomnia: Recognition and Interventions; MedSci Update - Food Allergy: Principles and Practice; and five courses on asthma. All activities are free except Atopic Dermatitis - The Itch That Rashes (0.75 hour, $40) and The National Asthma Educator Certification Review Course (5 hours, $200).

DVT/PE Open (Deep Vein Thrombosis Pulmonary Embolus Cyberounds)
Last visited...2/2009
Reviewed by Bernard Sklar, MD.
Credit hours...9.0.
Awarded by....Albert Einstein College of Medicine.
Cost for Credit....Free.
Instruction Type...Interactive Game.
Target Audiences...Not Stated, probably best suited to ER, CRITICAL CARE and PULM.
Educational material last updated....2007
Financial Support...Sanofi Aventis.
CME Credit Expires...Sept 29, 2009.

The Cyberounds® DVT/PE Open is an interactive CME golf program on the treatment and management of deep vein thrombosis and pulmonary embolism.

Integrity Continuing Education
Last visited...8/2008.
Credit hours...3 activities offering a total of 5.0 hours.
Awarded by......Postgraduate Institute for Medicine.
Cost............Free.
Instruction Type...Slide-Video Lectures.
Target Audience...ALLG, PULM, FP, IM, PED.
Educational material last updated....2008.
Financial Support...Multiple Pharmaceutical Companies.

Three lectures in the areas of allergy and asthma: Allergic Rhinitis with Nonnasal Symptoms: Intranasal Steroids Revisited; A Personalized Approach to Asthma Management:
The New Asthma Treatment Guidelines;
and Advances in the Management of Allergic Rhinitis and Chronic Idiopathic Urticaria.

Johns Hopkins Consultative Medicine Essentials for Hospitalists
Last visited...6/2009.
Reviewed by Bernard Sklar, MD.
Credit hours...11 modules, each offering 1.0 or 2 hours (total of 18 hours).
Awarded by... Johns Hopkins.
Cost... Free.
Instruction Type...Case-Based Interactive.
Target Audiences... CRIT CARE.
Education material last updated...2009.
Financial Support...Merck.

11 modules: Perioperative Cardiac Risk Management; Perioperative Cardiac Risk Assessment; Diagnosis and Management of Acute Mental Status Changes: Delirium; Perioperative Acute Renal Failure Diagnosis and Management; Pulmonary Risk Management in the Perioperative Setting; Management of Hip Fractures; Prevention and Treatment of Surgical Site Infections; Perioperative Infections and Fever; Venous Thromboembolism Prophylaxis; The Role of the Medical Consultant; and Management of Uncontrolled Pain.

Medscape Critical Care
Last visited...11/2006.
Credit hours...Varies from time to time.
Awarded by....Medscape and many other sponsoring organizations.
Cost...........Free.
Instruction Type...Text-and-Graphics, Text-Only, Slide-Audio Lecture, Slide-Video Lecture and Case-Based-Interactive.
Target Audiences....CRIT CARE.
Educational material last updated...New activities posted frequently.
Financial Support...Many academic, specialty, and commercial sources as well as WebMD.
Expiration of CME Credit...Credit for most activities expires one year after posting.

CME activities of special interest to critical care specialists. Medscape contains a variety of educational formats:
CONFERENCE COVERAGE - Reports of  advances presented at major medical conferences; typically includes several tracks with news stories, expert interviews, and in-depth topic overviews.
CLINICAL UPDATE - Comprehensive original review article on scientific advances in a clinical topic.
FAST TRACK CLINICAL UPDATE – Narrowly focused original review article on scientific advances in a clinical topic.
CME-LIVE - Real-time online events with streaming video, synchronized visuals, and interactive questions and answers; archived for 1 year.
NEWS-CME - Daily reports of major current medical research articles; 0.25 credits each
JOURNAL CME - Articles selected from a wide selection of conference reports and peer-reviewed journals, including MedscapeGeneralMedicine (MedGenMed).
SPECIAL REPORT CME – Topic-based monthly email newsletter distributed to Medscape’s professional member database by specialty.
INTERACTIVE PATIENT CASES – Original CME activity presented to the physician in an interactive, clinical case-based format. 
CME CIRCLE – Multimedia content certified by other accredited professional education providers, typically from live symposia or monographs, and then posted on Medscape and archived for one year.

Medscape Pulmonary Medicine
Last visited...11/2006.
Credit hours...Varies from time to time.
Awarded by....Medscape and many other sponsoring organizations.
Cost...........Free.
Instruction Type...Text-and-Graphics, Text-Only, Slide-Audio Lecture, Slide-Video Lecture and Case-Based-Interactive.
Target Audiences....PULMO.
Educational material last updated...New activities posted frequently.
Financial Support...Many academic, specialty, and commercial sources as well as WebMD.
Expiration of CME Credit...Credit for most activities expires one year after posting.

CME activities of special interest to pulmonary medicine specialists. Medscape contains a variety of educational formats:
CONFERENCE COVERAGE - Reports of  advances presented at major medical conferences; typically includes several tracks with news stories, expert interviews, and in-depth topic overviews.
CLINICAL UPDATE - Comprehensive original review article on scientific advances in a clinical topic.
FAST TRACK CLINICAL UPDATE – Narrowly focused original review article on scientific advances in a clinical topic.
CME-LIVE - Real-time online events with streaming video, synchronized visuals, and interactive questions and answers; archived for 1 year.
NEWS-CME - Daily reports of major current medical research articles; 0.25 credits each
JOURNAL CME - Articles selected from a wide selection of conference reports and peer-reviewed journals, including MedscapeGeneralMedicine (MedGenMed).
SPECIAL REPORT CME – Topic-based monthly email newsletter distributed to Medscape’s professional member database by specialty.
INTERACTIVE PATIENT CASES – Original CME activity presented to the physician in an interactive, clinical case-based format. 
CME CIRCLE – Multimedia content certified by other accredited professional education providers, typically from live symposia or monographs, and then posted on Medscape and archived for one year.

PILOT (Pulmonary fibrosis Identification: Lessons for Optimizing Treatment)
Last Visited...5/2009.
Reviewed by...Bernard Sklar, MD.
Credit Hours: 3 activities offering a total of 9.5 hours.
Awarded by...The France Foundation.
Cost….Free.
Instruction Type…Text-Only, Slide-Only, Podcast.
Target Audiences…PULM, RAD, PATH.
Educational material last updated….2008.
Financial Support…InterMune.

PILOT focuses on the early diagnosis of idiopathic pulmonary fibrosis (IPF) and disease intervention and management. Current offerings include:
The 2008 PILOT IPF Expert Roundtable Summary ( an expert roundtable discussion - 1.0 credit). 
The 2008 PILOT CME Peer-to-Peer Dialogues: Listen to the latest PILOT™ Peer-to-Peer Dialogue and earn up to 4.5 CME Credits. (.5 credits each)
The 2007 PILOT Compendium: The latest practical online IPF educational resource. (4 credits).

Society of Hospital Medicine
Reviewed by Bernard Sklar, MD..
Last visited...6/2009.
Credit hours...3.
Awarded by.....University of Kentucky.
Cost ................Free.
Instruction Type....Case-Based Interactive.
Target Audience....CRIT CARE.
Educational material last updated....2008.
Financial Support...Scios.

3 activities, each offering 1 hour of credit: 
Team Communications for the Management of the Hospitalized Patient with Heart Failure; Optimizing the Heart Failure Discharge Transition; and Stroke and TIA: Truths, Half-Truths, and Outright Lies.
Johns Hopkins Consultative Medicine Essentials for Hospitalists is described elsewhere on this page.

TheAnswerPage
Last visited...6/2009.
Reviewed by...Bernard Sklar, MD.
Credit hours...Up to 60 hours per year (240 questions) in each specialty; about 300 hours available.
Awarded by...TheAnswerPage.com and Thomas Beam, Jr. Memorial Institute for Continuing Medical Education.
Cost....$150 per year for unlimited credit.
Instruction Type...Question-and-Answer.
Target Audience...ANES, PAIN MGMT, OB-GYN, NEONATAL, CRIT CARE.
Educational material last updated...Daily Updates.
Financial Support...Various pharmaceutical companies.

TheAnswerPage.com offers 0.25 hours of CME credit for study of the Question of the Day. You may study that question "today," or view an archive of questions. There are no quizzes; credit is applied to your account automatically as you go through the questions and answers, which are authored by faculty from Harvard and other medical schools. There are separate sections for Anesthesiology, Pain Management, Hospital & Critical Care, Obstetrics & Gynecology And Newborn Medicine. TheAnswerPage also has a handheld-based CME program, included in the same annual fee, which allows you to receive CME credit for study directly on handheld computers.

Return to the Annotated List of Online CME (All Specialties)

This list was compiled by Bernard M. Sklar, MD, MS