Lifelong Learning and Self-Assessment

Lifelong Learning and Self-Assessment

Part II of your ABEM MOC requirements is Lifelong Learning and Self-Assessment, or LLSA. 

To complete it, you must: 

  • Pass four LLSA tests in years 1 through 5 of your certification and four LLSA tests in years 6 through 10 of your certification, and 
  • Report 25 AMA PRA Category 1 Credits™ per year, eight of which must be "self assessment", averaged over each 5-year period.
  • The Patient Safety LLSA is required for all diplomates whose certificates expire in 2017 and will replace one of the eight self assessment requirements.

All CME must be related to your practice. Types of CME that are considered to be equivalent to AMA PRA Category 1 CreditsTM include AAFP Prescribed Credit, ACOG Cognates, and AOA Category 1-A Credits. Examples of self-assessment activities are:

  • Activities that have a testing component, particularly a post-test
  • Activities that are simulation-based, during which feedback is provided
  • The ABEM LLSA CME activities
  • Activities that use external assessment methods and standards
  • CME activities involving patient and peer review
  • Practice Improvement Modules (PIMs), Self-Assessment Modules (SAMs), and similarly designed CME activities that are offered by other medical specialty boards

Your deadlines for completing these requirements depend on your certification expiration date. 

To check your own personal certification status and requirements, go to the ABEM website and log on to ABEM MOC Online.  

For more information, go to the ABEM MOC Lifelong Learning and Self-Assessment resources on the ABEM website, or call ABEM, 517-332-4800, or e-mail

Watch this Video to Learn More
About the New Patient Safety Module 


Hippo's Emergency Medicine LLSA Prep

ACEP and Hippo Education are proud to bring you the best way to complete your LLSA requirements every year!

ABEM's LLSA articles are packed with information and pearls - but for a busy Emergency Physician, prepping for the LLSA test can feel like a hurdle and a chore.

Let us do the heavy lifting. Join us for excellent education and great entertainment as we review each paper and walk through a sample exam that will make passing the LLSA test a breeze.

Review the quick and easy summaries or dig in depth to each article with us ... either way, you'll never see LLSA the same again.

LLSA Resource Center 

The ACEP LLSA Resource Center is your gateway to resources that will help you pass your LLSA tests and fulfill your CME requirements. 

Some of these resources are available to all ABEM diplomates, and some are available only to ACEP members. So if you’re not an ACEP member, find out how to become one today


ABEM LLSA reading lists 
Here are the current reading lists (2012, 2013, 2014, 2015), all in one document.

circle_arrow LLSA articles (ACEP members only. Log in required.)

ACEP has negotiated with the copyright owners of the LLSA articles on the 2012 through 2015 reading lists and can now make all of them available to ACEP members. This is an exclusive ACEP member benefit. There is no additional charge for access to the articles. 
circle_arrow LLSA article summaries (ACEP members only. Log in required.)
Originally published in Critical Decisions in Emergency Medicine, formerly available only to paid subscribers, now available to you as an exclusive ACEP member benefit.
circle_arrow LLSA lectures
ACEP13 Scientific Assembly in Seattle featured several lectures on the LLSA articles. Watch for more lectures to be offered at ACEP14 Scientific Assembly in Chicago, October 27-30, 2014.
circle_arrow LLSA course syllabi (ACEP members only. Log in required.)
Get the handouts from these LLSA lectures presented at ACEP's Scientific Assembly.

ACEP chapter resources
These ACEP chapters have resources to help you complete Part II. 


CME activities approved for AMA PRA Category 1 Credits 

ACEP has hundreds of hours’ worth of educational activities you can use to fulfill the new CME requirement. Here are just a few: 


AMA PRA Category 1 Credits for maintaining your ABEM certification
ACEP, ABEM, and the American Academy of Emergency Medicine have worked together to make AMA PRA Category 1 Credits™ available to ABEM diplomates who are preparing to take the LLSA test. To learn more about this new opportunity, go to the ABEM website. You’ll need to choose your CME credit provider (ACEP or AAEM) and then register for and complete the CME activity before you take the LLSA test. If you have questions about getting your certificate, call ABEM, 517-332-4800, ext. 383. Activities currently available include:

  • 2011 ABEM LLSA CME Activity
  • 2012 ABEM LLSA CME Activity
  • 2013 ABEM LLSA CME Activity
  • ABEM 2013 Medical Toxicology LLSA CME Activity
  • ABEM 2014 EMS LLSA CME Activity
  • 2014 ABEM LLSA CME Activity

The American Medical Association provides up to 60 AMA PRA Category 1 Credits™ direct credit for diplomates who attain (by passing the oral exam) or renew (by passing the ConCert exam) their ABEM certification. To learn more about AMA Direct Credit, go to the AMA website.  

Related Links

Click here to
send us feedback