Online CME: Quality, Management, Ethics and Licensure Requirements
Last Updated March 6, 2010.

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

The sites described on this page are primarily concerned with medical quality, management, legal, ethical and business issues. Some of these sites contain courses required for licensure in various states. You may find additional online CME sites and courses concerned with medical quality, management and ethics at the main online CME site.

AMDA cmedirect
Last visited...3/2006.
Credit hours....1.0 or 1.5 (12 courses offering 21.5 hours of credit).
Awarded by....American Medical Directors Association.
Cost for Credit....$20 for AMDA members; $40 for nonmembers.
Instruction Type...Slide-Video Lecture.
Target Audiences...FP, IM, GER.
Educational material last updated....2005.
Financial Support...Multiple Pharmaceutical Companies.

This site is aimed at physicians who are medical directors in long-term care facilities. Four webcast programs are: Immunization in Long Term Care; Pain Management; Practical Guidelines for Handling VRE and MRSA in Long Term Care; and Urinary Incontinence in Long Term Care. 
You will also find eight self-study programs, each offering two hours of credit: Acute Change of Condition, Common Infections in the Long Term Care Setting, COPD Management in Long Term Care, Depression in Long Term Care, Falls and Fall Risk in Long Term Care, Osteoporosis in Long Term Care, Pain Management in the Long Term Care Setting and Pressure Ulcers and Pressure Ulcer Therapy.

AAFP Family Practice Management Quiz
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...2.5 to 4.0 per issue (17.25 hours in 6 issues now available).
Awarded by...AAFP.
Cost.........Free.
Instruct. Type...Text-And-Graphics.
Target Audience....FP.
Educational material last updated....6 issues per year.
CME Credit Expires...1 year after publication.
Financial support...None Stated.

Each bi-monthly issue of this online journal contains a series of articles concerning management issues in primary care and questions relating to those articles. Members of the AAFP may submit the answers to quizzes online, while nonmembers must complete and mail in the tear-out card found in the paper version of the journal.

American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)
Last visited...4/2009.
Credit hours...7 courses offering about 50 hours of credit.
Awarded by....ABQAURP.
Cost for Credit....About $35 per hour (members pay less).
Instruction Type....Text-and-Graphics and one slide-video lecture course.
Target Audience...General Interest.
Educational material last updated....Not stated; probably after 2006.
Financial support...None Stated.

Some large comprehensive courses (3 to 13 credit hours) are: Medical Error Prevention and Patient  Safety, Parts 1 and 2; A Review of the Core Body of Knowledge; Patient Safety Certificate Course; and Health Care Quality and Patient Safety

(AskAFIP) Armed Forces Institute of Pathology Legal Medicine
Last visited....10/2009.
Reviewed by...Bernard Sklar, MD
Credit hours....5.0 each (Total of 55 hours).
Awarded by....AFIP.
Cost...........$50 for each course.
Instruction Type....Text-and-Graphics.
Target Audiences....General Interest.
Educational material last updated....2009.
Financial Support...None Stated.

Register or log in at the AskAFIP Home Page. Then choose "Education," then "Course Catalog" to scroll your way down to Legal Medicine 2009.This site contains articles concerning legal aspects of medical practice with special emphasis on the concerns of  military and federal health care providers. Current titles are: Legal Aspects Of Minimally Invasive Surgery; Forensic Applications Of DNA Analysis; The National Practitioner Data Bank-Selected Data Elements From the Public Use File For Calendar Year 2007; Trends In Telehealth: Taming the Wild West; Healthcare Errors: Disclosure and Apology; and Leading Court Decisions. You can also earn credit by studying issues as far back as 1999. 

Baylor Medical Ethics 
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...2 courses offering 1.75 total hours.
Awarded by....Baylor.
Cost for Credit....Free.
Instruction Type....Slide-Video Lecture.
Target Audiences.....General Interest.
Educational material last updated....2009.

Two presentations, illustrating several aspects of medical ethics, drawn from the pediatrics section of the Baylor site: A Challenge for the Pediatrician: The Adolescent Interview; and Pediatric Assent and Confidentiality in Clinical Practice.

Command Spanish Online: Spanish for Physicians
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...25.0.
Awarded by....Creative Educational Concepts, Inc
Cost...........$99.
Instruction Type...Not Stated.
Target Audiences....General Interest.
Educational material last updated....Not Stated.
Financial Support...None Stated.

Upon completion of this course, you will be able to utilize Spanish in order to do the following: Greet patients; Employ basic social and courtesy phrases; Use communication strategies to negotiate a mutual level of understanding; Express and recognize numbers 0-999; Conduct a complete physical exam; Explain diagnosis and treatment; Explain discharge instructions.
You will also gain a basic understanding of various differences between U.S. and Latino cultures that are important to know in order to avoid possible misunderstandings.

Cultural Competence Online for Medical Practice (CCOMP) - A Clinician's Guide to Reduce Cardiovascular Disparities
Last visited....7/2008.
Credit hours...2.0.
Awarded by....University of Alabama at Birmingham.
Cost for Credit....Free.
Instruction Type....Case-Based Interactive.
Target Audience....FP, IM.
Educational material last updated....2008.
Financial Support...Multiple non-profits and foundations.

This website offers cultural competence training with the main purpose to reduce cardiovascular disparities. Studying the cases will assist you in improving knowledge, awareness and skills, and in learning effective cross-cultural approaches to care for African-American patients with cardiovascular disease, especially hypertension.

DIA Learning
Last visited...2/2010.
Credit hours...Up to 14.4 hours per course (5 courses offering a total of 72 hours).
Awarded by....St. Louis University Center for Health Care Ethics.
Cost for Credit....Cost is reduced for each additional hour of credit; you pay $231 if you purchase all 12 credits per course.
Instruction Type...Slide-Video Lecture, Text-and-Graphics, Interactive testing.
Target Audiences.....General Interest (Ethics).
Educ. material last updated...2005.
Financial support...None Stated.

Five courses: Persistent Vegetative State “To Live…or Let Die,” featuring the Terri Schiavo story;  A National Emergency “Patient Safety;” Assisted Suicide and End of Life Care: “Dying Well; "Stem Cell Research: “Frontier of Hope and Concern;” and Born Too Soon: “Life and Death in the NICU.”

Florida Medical Association Online CME
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 to 3.0 each; total of 8 hours.
Awarded by...Florida Medical Association.
Cost.........$50 per hour (Free for members of Florida Medical Association).
Instruction Type....Slide-Audio-Lecture.
Target Audience....General Interest.
Educational material last updated.....2008.
Financial Support...None Stated.

These four courses are part of the licensure requirements for Florida physicians. They may also be taken for credit by non-Florida physicians. Those courses are: Domestic Violence (2 hours); End-of-Life Care (3 hours);  Prevention of Medical Errors (2 hours) and HIV/AIDS (1 hour).

Healthcare Improvement Skills Center (HISC) 
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...6 modules each offering 1.0 hour of credit.
Awarded by....School of Medicine, University of Missouri-Columbia.
Cost for Credit......$10 per module. 
Instruction Type...Case-Based Interactive.
Target Audiences...General Interest.
Educational material last updated...12/07.
Financial Support...Center for the Health Professions, University of California, San Francisco.

This set of 6 modules examines the gap between evidence-based best practice and what clinicians are able to achieve on a daily basis for patients. After completing this course, you will be better able to analyze current care, generate hypotheses about the link between action and results, develop ideas about how to improve, design a test of a change in practice, and plan to disseminate and sustain successful results.

Improving the Health of Vulnerable Populations
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.5.
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Slide-Video Lectures.
Target Audiences....FP, IM, General Interest.
Educational material last updated....2008.
CME Credit Expires...December 15, 2010.
Financial support...None Stated.

This program provides physicians with specific public health and preventative medicine strategies to apply in medical practice in order to improve the health of vulnerable populations, including: HIV screening, chronic care management, complementary or alternative treatment use, family violence exposure, unhealthy lifestyles, and sexual health.

InforMed
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...4 courses; 6 hours.
Awarded by....InforMed.
Cost...........About $20.
Instruct. Type...Text-and-Graphics.
Target Audiences...General Interest.
Educational material last updated....2009.
Financial Support...None Stated.

INFORMED specializes in providing CME that meets the requirements  for physicians  seeking initial licensure or wishing to renew their licenses in Florida. Courses include Self-Directed Learning, The Internet and CME; Medical Errors; HIV/AIDS; and Domestic Violence. All content is included in a downloadable 66 page pdf file.

Massachusetts Medical Society Online CME
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 to 3.0 each. About 43 courses offering a total of about 46 hours.
Awarded by....Massachusetts Medical Society.
Cost for Credit....$10 for MMS members; $20 for non-members.
Instruction Type..."Case Study, Podcast, Slides, Slide-Audio Lecture, Text & Graphics."
Target Audiences...General Interest.
Educational material last updated....2009.
Financial Support...None Stated.

Courses are organized into these groups: Communication; Health and Wellness; Legal Risk Management; Medical Ethics; Patient Safety; Practice Improvement; and Public Health. Two Featured Courses are: Legal Advisor: Advance Directives; and Health Care Providers Brace for Medicare Audits (RAC).

Medication safety: The Physician's Role in Medication Reconciliation
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0.
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Text-Only (Monograph)
Target Audiences....General Interest.
Educ. material last updated....2008
CME Credit Expires...November 2010.
Financial support...None Stated.

This monograph provides information for physicians to heighten awareness of the role of medication reconciliation in the safe use of medications. The monograph provides a framework for physicians to understand their roles and responsibilities in this process. The monograph offers general concepts and strategies, implementation steps, and case-based learning. The program includes a guide to completing an AMA My Medications© patient medication card.

MedRisk Online
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD. 
Credit hours...1.0 to 10.0 per program (about 42 courses offering a total of about 214 hours).
Awarded by....Medical Risk Management, Inc.
Cost for Credit....About $20 per credit.
Instruct. Type....Text-Only.
Target Audience...General Interest.
Educational material last updated...2009.
Financial Support...None Stated.

Programs on reducing malpractice risk in various practice settings. Some representative titles are: Focus on Patient Privacy - The HIPAA Privacy Rule; Risk Management Consult: Achieving Cultural Competence; Risk Management Essentials for Physicians with HIPAA and Federal Compliance; and Risk Management Focus: Documentation.

National Center for Complementary and Alternative Medicine Online Continuing Education Series
Last visited...2/2009. 
Reviewed by…Clara Auty, MD
Credit hours...1.0 each (total of 10).
Awarded by....Cine-Med, NCCAM.
Cost for Credit....Free.
Instruction Type....Video lectures (slides and transcripts also available).
Target Audiences....Multiple specialties.
Educational material last updated....2009.
Financial Support...NCCAM (NIH).

10 lectures on complementary and alternative medicine including Overview of CAM, Herbs/Dietary supplements, Acupuncture, Mind/Body Medicine, Chiropracty/Spinal Manipulation, Integrative Medicine, Health and Spirituality, Evaluating Natural Products. View lecture, read Q and A PDF, and answer multiple choice questions for credit.

NEOUCOM (Northeastern Ohio Universities Colleges of Medicine and Pharmacy)
Last visited...2/2010.
Reviewed By...Bernard Sklar, MD.
Credit hours...10 courses each offering 0.75 or 1.0 (total of 9 hours).
Awarded by....NEOUCOM.
Cost..........Free.
Instruction  Type....Slide-Video Lecture
Target Audiences....General Interest, DERM.
Educational material last updated....2009.
Financial Support...None Stated.

Four courses on using medical informatics tool and understanding the literature: Online Point-of-Care Learning; Writing Educational Objectives for Authentic Curricular Alignment; Information Mastery Practicum: How to Select and Use the Best Hunting and Foraging Tools; and What's Hype? What's Right? Assessing New Information from Pharm Reps to the Latest Journals. Seven courses in dermatology: Difficult Aspects of Actinic Keratosis Treatment; Office-based Therapies for Warts; Mastering the Treatment of Eczema and Contact Dermatitis; Diagnostic Dilemmas; Dermatologic Therapy: How to Add to Your Treatment Palette; Infectious Disease and Skin: Clinical Pathologic Correlation; and Eyes and Skin Disease.

NetCE Continuing Education on the Internet
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.0 to 15.0 hours (71 courses totaling about 500 hours).
Awarded by....CME Resource.
Cost..........Most about $5 per hour; some free.
Instruction  Type....Text-Only.
Target Audiences....General Interest.
Educational material last updated....2010.
Financial Support...None Stated.

Many courses at this site are offered to meet state licensure requirements. You can search according to your state's requirements.  Some courses are: HIV/AIDS: The Florida Requirement for Physicians; HIV/AIDS: Epidemic Update for Kentucky; Florida Domestic Violence Requirement; and Domestic Violence: The Kentucky Requirements. Some other courses are: Medical Error Prevention; Coronary Artery Disease; Permanent Pacemakers; Interventional Radiology; and The Pediatric Trauma Patient.

Organized Medical Staff Section Educational Program Webcasts from 2008 Annual Meeting  
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...3 activities for a total of 4.5 hours.
Awarded by....AMA.
Cost...........$50 each for members; $100 each for nonmembers.
Instruct. Type....Webcast.
Target Audiences....General Interest.
Educational material last updated....2008
CME Credit Expires...Not Stated.
Financial support...None Stated.

This section has three 90-minute webcasts. Topics include: Transitioning to an Improved Hospital Discharge; Keys to the Successful Implementation of the revised Joint Commission Medical Staff Bylaws Standard MS.1.20; and Creating a New Future for a New Day with a Revamped Organized Medical Staff Structure.

Pennsylvania Medical Society Continuing Medical Education
Last Visited...6/2009.
Credit Hours: 1.0 or 2.0 per activity.
Awarded by... Pennsylvania Medical Society.  
Cost….Mostly free. “Studies in Patient Safety” (total of 7 hours) costs $25 per credit for non-members of the Pennsylvania Medical Society. Some activities restricted to members of the Pennsylvania Medical Society.
Instruction Type…Mostly text.
Target Audiences…Pennsylvania Medical Society members and all physicians. Pennsylvania physicians can use credits to meet state requirements for patient safety and risk management.
Educational material last updated….2009.
Financial Support…None stated.
CME Credit Expires...Three years after posting.

The Pennsylvania Medical Society focuses on patient safety and risk management CME to help physicians meet state requirements in these areas. Studies in Patient Safety is based on real patient safety incidents reported to the Pennsylvania Patient Safety Authority. Consult focuses on risk management and intouch helps improve communications with patients. Domestic Violence: Screen to End Abuse helps physicians create an atmosphere of trust so patients will confide in them about abuse relationships. Counter Details offers clinical CME usually produced in associating with the health care agencies of the Commonwealth of Pennsylvania. Converge is based on a fictitious group practice: Riverside Gastroenterology. Each episode of Converge focuses on an incident at Riverside, showing how conflicts, intergenerational differences, financial concerns, and interpersonal concerns can impact the medical team and patient care. Consult , intouch and Converge are restricted to members only, while all other activities are also available to non-members.

Radiology InfoNet
Reviewed by Janice Flahiff, Medical Librarian.
Last visited...6/2008.
Credit hours...Nine courses (Number of credits not stated; probably 9).
Awarded by....International Center for Postgraduate Medical Education.
Cost...........Unable to find, but it is not free.
Instruction Type....Text-and-Graphics.
Target Audiences...RAD, Management.
Educational material last updated....Not Stated.
Financial Support...None Stated.
CME Credit Expires...Not Stated.

The focus of this site has changed from clinical radiology to radiology business and management. There are nine CME offerings: Performance Evaluation and Incentive Compensation; Positioning the Radiology Service System; The Language of Senior Management ; Marketing Strategy for Success in Diagnostic Imaging; Effective Marketing of Your Radiology Practice; Presenting and Launching the Business Plan; The Radiology Business Planning Process: Theory & Application; Attracting and Retaining, Qualified Employees; and Human Behavior and Effective Organizational Architectures. Post-test answers may be submitted online, but your check for credit must be sent by mail.

Sound Prescribing
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...1.5.
Awarded by....AMA.
Cost...........Free.
Instruct. Type....Slide-Only.
Target Audiences....General Interest.
Educational material last updated....2009
CME Credit Expires...June, 2011.
Financial support...None Stated.

As a result of participating in these modules, you should be able to: assess your relationship with the pharmaceutical industry and identify sources of bias that may inhibit proper patient care; acquire enhanced communication skills for dealing with patients' requests for direct-to-consumer advertised prescription medicine.

Sullivan Group
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...Most courses offer two hours of credit (except EMTALA which has a few larger sections). 70 courses offering a total of 160 hours).
Awarded by.....The Sullivan Group
Cost ................$25 per credit hour.
Instruction Type...Not Stated (Probably text-only).
Target Audience...ER, FP, IM.
Educational material last updated...2009.
Financial Support...None Stated.

The Sullivan Group is dedicated to improving patient safety and risk management. 
Present online courses are: Medical Error & Risk Reduction Series: Emergency Medicine (47 Courses - 96 hours); Medical Malpractice Case Review Series: Emergency Medicine (17 Courses - 34 hours); Medical Legal: EMTALA Education (4 Courses - 26 hours); and Emergency Medicine (2 Courses - 4 hours).

Texas Medical Association Ethics CME
Last visited...3/2010
Reviewed by...Bernard Sklar, MD.
Credit hours...16 courses offering a total of 21 hours. 
Awarded by....Texas Medical Association.
Cost for Credit....Probably $10 per credit.
Instruction Type...Text-Only.
Target Audience ...General Interest.
Educational material last updated.... 2009.
Financial Support...None Stated.

16 courses on physicians' health and well being. Topics include: Chemical Dependence in Physicians: Identification and Intervention; Communication Skills: Why Bother?; Coping With Stress in the Practice of Medicine; Depression and Suicide in Physicians; Ethical and Regulatory Aspects of Managing Patients with Pain; Ethical Considerations in Physician Aging and Retirement; Effective Strategies for Smoking Cessation; How to Create Balance in Your Life; How to Establish a Peer Assistance Committee; Joint Commission Standard Regarding Licensed Independent Practitioner Health; Maintenance of Professional Boundaries and Effective Management of Challenging Patient Encounters; Monitoring Physicians in Recovery; Psychiatric Illness and Disruptive Behavior in Physicians; Spirituality in Medicine; The Art and Science of Happiness; and The Family In Addiction and Recovery. To apply for CME credit, print, complete, and mail a 10-item questionnaire along with payment.

Tufts Health Care Institute
Last visited...2/2010.
Credit hours...1.0 per module (total of 10 hours).
Awarded by....Thomas R. Beam Institute and Tufts University School of Medicine.
Cost...........Free.
Instruct ion Type...Text-and-Graphics.
Target Audience ...General Interest.
Educational material last updated....Probably 2004.
Financial Support...Probably Merck; Sanofi-Synthelabo.

A set of ten online courses in the area of Quality Care, Cost-Effectiveness and Care Management. Follow the "Online Learning Campus" link. These modules explore the roles of clinicians as managers of care and stewards of resources, and present strategies, tools and processes that providers can draw upon. The content relates to ACGME/ABMS competencies in Systems-Based Practice and Practice-Based Learning and Improvement.

University of Oklahoma College of Medicine
Last visited...2/2009.
Credit hours...A single course:  Medical Ethics
  (2 credits).
Awarded by....University of Oklahoma College of Medicine.
Cost...........$99.
Instruction Type....Text-Only.
Target Audiences....General Interest.
Educational material last updated...2007.
Financial Support...None Stated.

A single course:  Medical Ethics (2 credits). You must print and mail in the answer sheet along with your check in order to receive CME credit (or submit online).

Virtual Lecture Hall
Last visited...2/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...16 programs offering a total of 67 credits
Awarded by....Various medical schools and professional societies.
Cost for Credit.....$25 to access the site (includes 1 CME credit); additional credits for $25 per hour. 
Instruct. Type....Case-Based-Interactive.
Target Audiences....General Interest.
Educational material last updated...Ongoing.
Financial Support...Some programs developed with NIH grant support.

The Virtual Lecture Hall emphasizes CME programs dealing with key ACGME competencies: communication, professionalism, and systems-based care. The site’s programs are designed to meet specific state CME mandates that apply to all licensed physicians, such as medical errors/patient safety (Florida and Pennsylvania); infection control (New York and Rhode Island); and pain management (California, Oregon, Rhode Island, and West Virginia). Current titles include: A Guide to the Secrets of Never-Sued Physicians; An Introduction to the Practice of Palliative Medicine; Communicating Through Health Care Interpreters; Current Management of Acne; Current Management of Acute HIV Infection; Current Management of Domestic Violence - Responding to IPV; Delivering Culturally Competent Care; EMTALA: An E.R. Law That Affects All Physicians; Evolving Issues in HIV Disease; Infection Control for Physicians; Improving Outcomes in Chronic Pain; Preventing and Responding to Medical Errors; Recognizing and Managing Opioid Misuse; Risk Management and the Art of Medicine; and Skin Cancer Education for Primary Care.

Webility
Last visited...2/2010.
Reviewed by Bernard Sklar, MD.
Credit hours...3.5.
Awarded by....American College of Occupational and Environmental Medicine (ACOEM).
Cost for Credit.....$75 (some insurance companies may pay for the course).
Instruction Type....Text-and-Audio.
Target Audiences....General Interest
Educational material last updated...Unclear.
Financial Support...None Stated.

A single course: Disability Prevention for Treating Clinicians: Talking About Ability to Work. After completing this course, you will know the questions that employers and insurers need treating physicians to answer in disability cases; understand the role of the physician in preventing the development of iatrogenic disability; see the connection between giving timely and adequate return-to-work advice, better patient outcomes, and improved customer satisfaction; and see how you can assist employers in reducing medically unnecessary time off work. 

WebM&M (Morbidity and Mortality Rounds on the Web
Last visited...3/2010.
Reviewed by...Bernard Sklar, MD.
Credit hours...14.
Awarded by....AHRQ (Agency for Healthcare Quality and Research)
Cost for Credit.....Free.
Instruction Type....Text-Only
Target Audiences....General Interest.
Educational material last updated...2010.
Financial Support...US Government.

Most presentations illustrate physician, nursing or pharmacist errors and focus on the prevention of such errors. Some recent cases include: Adolescent Diabetes: A Routine Visit?; Standard Deviations; Delirium or Dementia?; and Breakage of a PICC Line.

Return to Annotated List of Online CME

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