Lifelong Learning and Self-Assessment (LLSA) Overview

The Lifelong Learning and Self-Assessment (LLSA) component is designed to promote continuous learning. There are two aspects to ABEM MOC LLSA:

  • ABEM LLSA activity requirements, including the Patient Safety LLSA
  • CME requirements

ABEM LLSA activities typically start with an annual set of readings to guide participants in self-study of recent Emergency Medicine literature. An open-book, unproctored test based on the readings is offered to help physicians reinforce what they learn from the readings.

ABEM diplomates are required to complete four ABEM LLSA tests in each five-year period of their ten-year certification.

The Patient Safety LLSA is an ABEM LLSA activity developed by the American College of Emergency Physicians (ACEP) to focus on patient safety issues encountered by the emergency physician. The Patient Safety LLSA is required once during a diplomate’s ten-year certification, usually in the first five years, and also counts as one of the four LLSA tests the physician is required to take in the same five-year period..

Optional CME activities are available with each ABEM LLSA test published in and after 2011, including the Patient Safety LLSA, and Medical Toxicology and EMS LLSAs.

ABEM diplomates are required to report an average of 25 AMA PRA Category 1 Credits per year; and an average of eight of the credits each year must be self-assessment. Diplomates will be able to attest to completion of the required CME in the year in which their requirement is due.

All LLSA activities and CME reporting, including registration, requirements, status of requirements, and the activities themselves, are available to diplomates and most former diplomates by signing into their ABEM MOC Personal Page.

Sample Examination Questions
LLSA Test Requirements
Patient Safety LLSA Test Requirement
CME Requirement

LLSA Quick Facts
  • 98% of LLSA survey respondents found the readings strongly to somewhat relevant to the overall clinical practice of Emergency Medicine

  • Last increase in LLSA fee: 2011

  • Physicians participating in LLSA CME Activity: 60%