CME Credit Information

As part of your PEER subscription, you'll be able to create practice tests using content from PEER IX (released October 2016 and continually updated) and remaining content from PEER VIII (released October 2011 and updated through February 2016). The number of PEER IX questions will increase, and the number of PEER VIII questions will decrease over time as content is removed for updating. Tests created for practice and study sessions using PEER IX content are eligible for CME credit; tests created using PEER VIII content are not. Thus, the explanation of the CME information to follow applies only to content designated as PEER IX.

PEER has “claim-as-you-go” CME credit. Every time you create a practice test, you’ll decide whether you want to answer questions with the explanations on or off. If you want to make your practice test a study session and earn CME credit, pick “Leave the answers on....” As you answer questions on that test, study the explanations and all the extra resources. At the end of the test, if you score 75% or higher, you can submit your result for CME credit. You can claim credits in quarter-hour increments, all the way up to 150 during your 1-year subscription.

You may also earn CME credit for studying the explanations and resources associated with the PEER SIM Exam. Read “Method of Participation” below to learn more.

Do you need CME in a specific topic?

On the “Create a Practice Test” menu, you can create tests that are specific to EM Model categories, acuity frames, age modifiers, and physician tasks. You can even create tests based on a specific topic like stroke or pulmonary embolism. When you see “What do you want to name this test,” just be sure to put in a test name that makes it clear what the content is — like “Trauma Study Session 1” or “Peds Study Session 3” — because that test name will appear on your CME certificate. Select “Leave the answers on…,” and you’ll be all set to earn and claim CME credits toward those requirements.

Be sure to read “Method of Participation” below to learn about all the requirements for earning and claiming CME credit.

Here’s More Information About the CME Credit

  • Date of Review by CME Provider, October 14, 2019
  • Release Date, October 15, 2019
  • Expiration Date, October 14, 2021

Learner Objective

On completion of PEER, you should be able to demonstrate cognitive expertise on topics from “The Model of the Clinical Practice of Emergency Medicine” and preparation sufficient to pass an emergency medicine written certification examination.

Accreditation Statement

The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement

The American College of Emergency Physicians designates this enduring material for a maximum of 150 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approval Statements

Approved by the American College of Emergency Physicians for 150 hours of ACEP Category I credit.

Approved by the American Osteopathic Association for 150 hours of AOA Category 2-B credit (requires passing grade of 70% or better).

Target Audience

PEER is designed for emergency physicians.

Provider Contact Information

American College of Emergency Physicians
PO Box 619911
Dallas, Texas 75261-9911
Contact Us
Member Care: 844-381-0911
Operating Hours: Monday through Friday, 8 am to 5 pm Central

Method of Participation

Follow these steps to earn and claim AMA PRA Category 1 credit™:

  1. Complete the 40-question Pretest and review your results, noting areas of weakness for additional study.
  2. Develop a schedule to study and practice the PEER content regularly over the course of your PEER subscription. You may develop your own schedule for self-directed study or use the PEER Path schedule the program can create for you.
  3. Following your schedule, create practice tests, selecting the option to leave the answers on to earn CME credit. (You may select the option to review the questions you missed at the end of the test, but this option is not currently approved for CME credit.)
  4. Complete at least one test from each EM Model category comprising all questions in the category. The recommended approach is to complete one or two category tests each month. 
  5. Complete additional tests from all categories or combinations of categories. The recommended approach is to complete at least one of these “random” tests per week, varying the number of questions. 
  6. At the end of each practice test for which you select the option to leave the answers on for studying and CME credit, and for which you achieve a passing score of at least 75%, you will be given the opportunity to claim CME credit in quarter-hour increments. Each test has a maximum number of CME credits allowable based on the number of questions. Click the box to attest that you completed the activity as described here; then slide the blue dot to the right to indicate the amount of credit you want to claim. You should claim credit commensurate with the amount of time spent studying the answer explanations and other resources. Credit cannot be awarded for simply taking a test. The ACEP CME Tracker will keep track of your credits claimed, and you will be allowed to claim up to 150 AMA PRA Category 1 Credits™ per 1-year PEER membership.
  7. At any time during your PEER subscription, you may take the PEER SIM Exam, a 205-item test designed to simulate the board exam experience. If you achieve a passing score of at least 75%, you will be given the opportunity to claim up to 4 AMA PRA Category 1 credits™ for studying the answer explanations and other resources associated with that particular test. These credits count toward your maximum of 150 AMA PRA Category 1 credits™ per 1-year subscription. Completion of this activity in its entirety will take approximately 150 hours.
  8. As a bonus feature, PEER includes an option called “Daily Pulse,” which sends you one PEER question every day for extra practice and study. Although use of this feature is not approved for CME credit, it is recommended as part of your annual study schedule; the benefits of “spaced” or “pulsed” learning are clearly documented in the education literature.

Hardware and Software Requirements

Browser: latest versions of Firefox, Opera, Internet Explorer, Microsoft Edge, Safari, or Google Chrome

Operating System: Windows 7, 8, 10 or macOS X 10.9+; macOS X prior to 10.9 with Firefox 27+; Microsoft Vista with Firefox 27+ or Chrome 22+; Apple iPad/iPhone iOS 8 or higher; Android 4.4 or higher

Internet Connection: high-speed broadband connection


In accordance with the Accreditation Council on Continuing Medical Education (ACCME) Standards for Commercial Support and ACEP policy, all persons who were in a position to control the content of this enduring material must disclose to participants the existence of significant financial interests in or relationships with manufacturers of commercial products that might have a direct interest in the subject matter. These individuals have indicated that they have a relationship which, in the context of their involvement in PEER, could be perceived by some as a real or apparent conflict of interest (eg, ownership of stock, grants, honoraria, or consulting fees), but these individuals do not consider that it will influence the CME activity. William J. Brady, MD, FACEP: AstraZeneca — fees for non-CME services (eg, speakers’ bureaus). Michael J. Heard, MD: AbbVie Pharmaceuticals, Duchesnay, TherapeuticsMD — fees received for non-CME services (eg, speakers’ bureaus); and ownership of the Heard Institute. Rachel Liu, MD, FACEP: Philips Healthcare — consulting fees. Gabriel Wardi, MD: Thermo Fisher — fees for non-CME services (eg, speakers’ bureaus). All remaining individuals with control over CME content have no significant financial interests or relationships to disclose.

ACEP expects all individuals in control of content to present information in an objective, unbiased manner without endorsement or criticism of specific products or services. ACEP also expects that the relationships they disclose will not influence their contributions.

In PEER, in most cases, drugs and devices are referred to by their generic names. In a few cases, however, brand names do appear for the sole purpose of clarification or easier recognition. Brand names were obtained from a variety of sources, including the National Center for Biotechnology Information of the U.S. National Library of Medicine ( If more than one brand name was found, they were listed, up to three. In no instance is a drug or device listed by a brand name for a commercial purpose. No person who was in a position to control the content of PEER disclosed a relationship with a manufacturer of any drug or device referred to by its brand name.

PEER educational content includes links to other educational resources hosted on websites not owned, operated, or controlled in any way by ACEP. Some of these resources are videos that might be preceded by advertisements. ACEP has no control over the decision of a third-party website owner to include advertising and in no way endorses any product or service that appears on a third-party website. ACEP received no consideration for linking to any of these websites. ACEP assumes no responsibility for content on third-party websites.

PEER received no commercial support.

Not affiliated with the American Board of Emergency Medicine.

Publisher’s Notice

The American College of Emergency Physicians (ACEP) makes every effort to ensure that contributors and editors of its publication are knowledgeable subject matter experts and that they used their best efforts to ensure accuracy of the content. However, it is the responsibility of each reader to personally evaluate the content and judge its suitability for use in his or her medical practice in the care of a particular patient. Readers are advised that the statements and opinions expressed in this publication are provided as recommendations of the contributors and editors at the time of publication and should not be construed as official College policy. ACEP acknowledges that, as new medical knowledge emerges, best practice recommendations can change faster than published content can be updated. ACEP recognizes the complexity of emergency medicine and makes no representation that this publication serves as an authoritative resource for the prevention, diagnosis, treatment, or intervention for any medical condition, nor should it be used as the basis for the definition of or the standard of care that should be practiced by all health care providers at any particular time or place. To the fullest extent permitted by law, and without limitation, ACEP expressly disclaims all liability for errors or omissions contained within this publication, and for damages of any kind or nature, arising out of use, reference to, reliance on, or performance of such information.

Copyright 2019, American College of Emergency Physicians, Dallas, Texas. All rights reserved. Printed in the United States of America. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means or stored in a database or retrieval system without prior written permission of the publisher. Email us to request permission to reproduce these materials.