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IIABEM MOC Part II - Lifelong Learning and Self-Assessment

Meeting the LLSA Requirements

Part II of your ABEM MOC requirements is Lifelong Learning and Self-Assessment (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 five-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 Credits™ 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 certification status and requirements, visit the ABEM website and log on to ABEM MOC Online. For more information, visit the ABEM MOC Lifelong Learning and Self-Assessment resources on the ABEM website.


The ACEP LLSA Reading Room 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.

ABEM LLSA Reading Lists

ACEP has negotiated with the copyright owners of the LLSA articles on these lists to make them available to our members. This is an ACEP member benefit. There is no additional charge for access to the articles.

LLSA Article Summaries
Originally published in Critical Decisions in Emergency Medicine, these summaries are now available to you as an exclusive ACEP member benefit.

Suggest an Article for the EM 2020 LLSA Reading List

ACEP submits articles for consideration by ABEM for future LLSA reading lists. If you want to suggest an article, complete and submit this form.

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Explore Hippo's LLSA Tools

ACEP and Hippo Education are proud to bring you the best way to meet 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 chore. Let us do the heavy lifting. Join HippoEM 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 quick and easy summaries, or dig in to each article in depth … either way, you'll never see LLSA the same way again. www.hippoem.com/llsa

Use ACEP’s Chapter Resources

These ACEP chapters provide indispensable resources to help you complete Part II.

Discover Other CME Activities

CME activities approved for AMA PRA Category 1 Credits™

ACEP provides hundreds of hours’ worth of educational activities that can be used 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 are working together to make AMA PRA Category 1 Credits™ available to ABEM diplomates preparing to take the LLSA test. To learn more about this opportunity, visit 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.

The American Medical Association provides up to 60 AMA PRA Category 1 Direct Credits 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, visit the ABEM website.

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