SMA Online CME Courses make it easy to obtain AMA PRA Category 1 Credits™.

Courses are available to anyone and are free to SMA Members. Prices vary based on number of credit hours. Get started now! Become a member of SMA and get free CME today!

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Online CME Courses

Hypertension: Still a Significant Health Concern

This is a free course. Credits: .50

This activity will address why hypertension is an important clinical condition, what causes hypertension, and current innovative measures and/or programs to detect and manage hypertension for the individual as well as at a population level.

Ethical Issues in Public Health and Physician Responsibilities in Disease Outbreaks, Epidemics, and Pandemics

This is a free course. Credits: .50

This course examines both the public health and ethical issues associated with the current novel coronavirus infections and explains the differences in disease outbreak, epidemic, and pandemic in the context of this current health crisis.

Assessment of the Need for Immediate Trauma Team Presence for Infants Presenting in Cardiac Arrest

Price: $10 | Credits: 1

This case series will profile the etiology of infants presenting in cardiac arrest and to assess the value of including trauma team members as part of the initial resuscitation team treating this population.

Epidemiology, Clinical Presentation, and Seasonal Variation in the Diagnosis of Children with Eosinophilic Esophagitis in Oklahoma

Price: $10 | Credits: 1

The aim of this retrospective study was to determine epidemiology, clinical presentation, and seasonal variation of EoE in children seen from 2008 to 2015 at The Children’s Hospital at Oklahoma University Medical Center (OUMC).

A Hospitalist-Led Team to Manage Patient Boarding in the Emergency Department: Impact on Hospital Length of Stay and Cost

Price: $10 | Credits: 1

Hospitalist-led management of admitted patients boarding in the ED has been identified as a potential solution to improve patient flow. The authors sought to examine the impact on patient flow and potential for cost savings by an active management of boarded ED medical admissions by a hospitalist-led team, which included a hospitalist, an advanced practitioner, and a case manager.

Impact of β-Lactam Allergies on Antimicrobial Selection in an Outpatient Setting

Price: $10 | Credits: 1

The primary objective of this study was to determine whether patients prescribed nonpreferred antibiotics received appropriate alternative antibiotics.

Health Information Technology (HIT): “Bridging the Gap”

Price: $10 | Credits: 1

A bird’s eye view into informatics, including the different variations of informatics and how it impacts healthcare today, and the future of technology in healthcare, where it’s heading and what we can expect down the road is presented.

State of Rural Health in the South

Price: $10 | Credits: 1

This activity will introduce concepts necessary to assist clinicians in becoming proactive in improving rural health and identify ways to implement new partnerships.

MedMal 101: Contracts, Claims, and Risk Management

Price: $10 | Credits: .75

This activity will examine the basics of medical malpractice insurance terms, and the various contracts available to the independent physician, and provide tips on risk management strategies to mitigate risk to malpractice claims.

Ethics and Motivating Change in a Millennial Workforce

Price: $10 | Credits: 1

During this activity, five key concerns that underlie individuals’ decisions to resist, comply with, or support changes will be explored, as well as six leadership behaviors that can shape these concerns to build change support and enthusiasm.

Publishing a Manuscript

Price: $10 | Credits: .50

Properly preparing a manuscript for submission to a medical journal is both an art and a science, and many manuscripts fail to meet the standards set forward by a specific journal. This activity will enhance knowledge about manuscript preparation, and will provide resources for that goal.

Marketing and Promoting Your Medical Practice

Price: $10 | Credits: .75

This activity provides information about improving communication skills, developing relationships, and how to better engage patients through the use of tools and techniques available via internet marketing.

Career Development: Lifelong Learning – Don’t Stop at MD, Think Like an Entrepreneur

Price: $10 | Credits: .50

This activity will reinforce the need for physicians to embrace entrepreneurship, and provide strategies for the implementation of business skills required to build a thriving practice.

Opportunities in Value Based Reimbursement

Price: $10 | Credits: 1

The goal of this activity is to present information on new types of reimbursement models, the infrastructure needed to make them successful and how they may impact current revenue and patient care.

A More Directive Living Will for Older Adult Patients with End-Stage Medical Conditions?

Price: $10 | Credits: 1

The authors developed what they believe is a more informational and directive living will for older adult patients who want to be treated aggressively for reversible conditions, even when their current quality of life is limited, and sought to determine whether acute care providers would find this pilot living will more helpful when caring for their older adult patients.

Benefits of Using The Pause after Death in Emergency Departments: A Delphi Study

Price: $10 | Credits: 1

The Pause is a tool that provides self-care for individuals and teams. Described as a feasible, short-term, microbreak intervention that may reduce caregiver stress, The Pause can be adapted so that it meets the cultural needs of a health system or an emergency department.

Endocrine Causes of Menstrual Dysfunction: More Common Than You Think

Price: $10 | Credits: .50

This case-based discussion will provide information to assist the learner in identifying endocrine problems earlier when management is easier and more effective.

Substance Use Disorders in Women

Price: $10 | Credits: .75

During this session, an overview of common substance use disorders in women will be discussed, as well as current trends in emerging substances of abuse.

Moral Controversy and Working with Colleagues with a Shared Ethical/Moral Outlook: A National Survey of US Primary Care Physicians

Price: $10 | Credits: 1

In this national study of PCPs, physicians who identified as religious, spiritual, or having a high sense of calling were found to place a stronger emphasis on the importance of shared ethical/moral outlook with work colleagues regarding morally controversial healthcare practices.

Clinical Dilemmas: Vulvovaginitis and Vulvodynia

Price: $10 | Credits: 1.25

This activity will review the most common etiologies of vulvovaginitis, focusing on proper evaluation and therapeutic strategies for chronic and recurrent disease. Additionally, the new definition of vulvodynia and a clear diagnostic approach and treatment plan for this chronic pain disorder will be reviewed.

Competing Hypertension Guidelines: Where Are We Now?

Price: $10 | Credits: 1

This activity will review recent guidelines changes and the evidence-based medicines that lead to the recommendations of each, and will also review the clinical applicability of the guidelines.

Challenging Case Presentations in Women’s Health

Price: $10 | Credits: .50

The goal of this session is to review new interventions, explore the ethics of medicine, and discuss the interaction of technology and hands-on medical practice.

Healthy Living: What’s New? Guiding Your Patients in 2019

Price: $10 | Credits: .75

This activity will provide information about strategies to improve the food plans used by patients and provide guidance about exercise programs for your patients.

Newer Orthopedic Modalities & Therapies 2019

Price: $10 | Credits: .50

New and intriguing developments that are in trials will potentially improve, in the future, the ability to appropriately use biologics (stem cells) and other treatments. Examples will be given of several studies that are ongoing to scientifically delineate the safety and effectiveness (or not) of these biologics, and techniques.

Concussions and Gender Variations

Price: $10 | Credits: .75

Many changes in the Concussion “present view” are occurring, including definitions, treatment basics, recovery expectations, long-term issues, and increased awareness. Research on gender differences is sparse, but does exist. Understanding present general state and gender differences, with future research, hopefully will improve outcomes and prevention in all at risk populations.

Sexually Transmitted Infections: I’ve Got an APP, What Else Do I Need?

Price: $10 | Credits: .50

The goal of this activity is to fill the gaps between clinical practice and an app. This will include recognition of STI’s and STI imposters, introduction to an alternative diagnostic algorithm of syphilis, reconsideration of the presenting demographics of STI’s, an update of HPV vaccination and a look at some common vaginal infections in the context of sexual transmission.

Preconception Care – The Gateway to a Healthy Pregnancy

Price: $10 | Credits: .50

This activity will present a historic view of preconception counseling, review the current recommendations and focus on the main co-morbidities that can be optimized to make a significant impact on improving outcomes. The increasing complex world of carrier screening will also be briefly reviewed.

Osteoporosis: What is Happening?

Price: $10 | Credits: 1

This activity will present case-based examples of different approaches to osteoporosis diagnosis and therapy.

Contraception Controversies Panel Discussion

Price: $10 | Credits: .50

This activity, through a series of case presentations, will explore contraceptive choices in women with various medical conditions and situations, focusing on the risk/benefit balance.

Clinician Burnout

Price: $10 | Credits: 1

This activity will review the epidemiology of clinician burnout and suicide as well as risk factors. It will also address the relationship between mood disorders and stress in life and finally, look at tools to lower stress and create life balance.

Cases in Diabetes & Thyroid Disease (New Thoughts)

Price: $10 | Credits: .50

This cased-based activity will discuss optimal options for different complications and diabetes management in the elderly patient, and the new guidelines for treating thyroid disease in pregnancy, including the new results about the effects of biotin on thyroid hormone assays.

Management of Gestational Diabetes, Type 1 Diabetes, and Type 2 Diabetes in Pregnancy

Price: $10 | Credits: .50

Patients with Type 1 and Type 2 diabetes can now have successful pregnancies if they are properly treated. The types of insulin and the delivery devices have changed and will be discussed. Strategies for adjusting insulin and oral agents will be illustrated with cases.

Oncofertility: Fertility Preservation and Gynecologic Considerations in Oncology Patients

Price: $10 | Credits: .75

This activity will review current literature on clinical oncofertility options as well as gynecology issues and care post-treatment.

Modalities to Achieve Hypertension Control in Clinical Practice: A Call to Action

Price: $10 | Credits: 1

Despite safe and effective treatment for hypertension, the awareness, treatment, and control rates for hypertension are disappointing, including in the United States (hypertension control rates of approximately 50-60 percent). Given these rather dismal control rates it is clear that different approaches to the detection, management, and treatment of hypertension is sorely needed. Newer modalities to approach the hypertensive patient could include the use of smaller pharmacologic formularies and fixed-dose combination anti-hypertensive agents, including in the initial treatment of the hypertension.

Workplace Violence: Experiences of Internal Medicine Trainees at an Academic Medical Center

Price: $10 | Credits: 1

In this article, the authors sought to examine the incidence of workplace violence affecting Internal Medicine trainees to understand the types of violence encountered, reporting rates, and the factors that influence reporting.

Core Competencies of and Career Opportunities for Future Healthcare Executives

Price: $10 | Credits: 1

This activity will provide a possible road map for leaving clinical practice to transfer to a full-time administrative medicine role, reveal some of the pitfalls encountered along the way, and illustrate the necessary skills, according to the speaker, which are necessary for a successful transition.

Patients on Involuntary Hold Status in the Emergency Department

Price: $10 | Credits: 1

Patients requiring involuntary holds are frequently seen in the emergency department. Much of what is known comes from studies of patients at urban academic centers. Identification of social stressors, psychiatric disorders, substance misuse, and active medical conditions in these patients may help target interventions to improve care in the acute care hospital emergency department.

Retrospective Analysis of the Effect of Postdischarge Telephone Calls by Hospitalists on Improvement of Patient Satisfaction and Readmission Rates

Price: $10 | Credits: 1

In this article, the authors sought to assess the impact of postdischarge telephone calls from discharging hospitalists on readmissions and patients’ ratings of hospital care and hospitalist communication.

Behavioral Change for the Office-Based Clinician

Price: $10 | Credits: .75

This activity will provide an overview of strategies for behavior change, their effectiveness and tips for use by the outpatient clinician.

Diabetes in Pregnancy – Screening and Maternal-Fetal Implications

Price: $10 | Credits: .25

The goal of this activity is to review the various options of Diabetes screening in pregnancy and discuss the risks of this increasingly prevalent disease.

Medical Tort Reform: Past, Present, Future

Price: $10 | Credits: .75

This session will provide a review of the tort crisis and describe proven legislative and court reforms that have improved access to care.

Telemedicine and Care Delivery Innovations

Price: $10 | Credits: .50

This activity will highlight the use of telehealth/telemedicine as well as emerging care delivery models to address gaps in access to care.

The Future is Now: Innovative Physician Organization Models

Price: $10 | Credits: 1

Healthcare providers are developing new organization models. Some of these models are physician only models and some models are physician and facility models. Each model offers advantages and disadvantages to the physicians. This activity will outline the differences in these models so that a determination of which model works best based upon specialty, community, and potential partners.

Health Insurance Exchanges

Price: $10 | Credits: 1

This activity will discuss the evolution of the health insurance exchanges, recent policy developments that affect the non-group insurance market, and the outlook for future policy changes that could affect the way care is financed.

Confronting Gaps in Health Care Performance: Opportunities to Take Action

Price: $10 | Credits: 1

The overall focus of this activity will be on the potential to achieve better population health at more affordable costs, while providing better, safer care that is responsive to patients, families and communities.

Microhospitals and Free-Standing ERs

Price: $10 | Credits: 1

This activity will focus on different delivery models and how they are impacting current health systems and new markets. Also, these different delivery models will touch upon some of the regulatory challenges, barriers of entry and reimbursement challenges.

2019 MIPS Requirements: MIPS Participation Overview, MIPS Eligibility, and Quality Requirements

This is a free course. Credits: 1

This CMS presentation will include a high-level overview of the Quality Payment Program and Merit-based Incentive Payment System (MIPS) in Year 3 (2019) and will include MIPS participation, eligibility, and quality requirements.

The Washington Landscape

Price: $10 | Credits: .75

This session will address health care policy making in both the Legislative and Executive Branches of the Federal Government. The presentation also will discuss "Medicare-for-All" proposals.

CIN Value-Based Contracting Strategies

Price: $10 | Credits: .75

This activity will provide an overview of the different value-based contracting strategies that CINs are implementing to align incentives and become rewarded for demonstrated value.

Clinically Integrated Networks

Price: $10 | Credits: .50

This activity will provide a basic level definition of Clinical Integration, while providing tactics and case studies to enhance performance and the ultimate value of the CIN.

New Payment Models

Price: $10 | Credits: 1

New compensation models for physicians, including how to negotiate the best compensation, and what changes to make in practices to maximize compensation will be addressed.

Quality and Patient Safety/High Reliability Organizations

Price: $10 | Credits: 1

The goal of this activity is to provide knowledge in the leadership and management aspects of healthcare so that physicians can acquire the skills necessary for effective leadership in the complex environment of the healthcare industry.

Comparison of Factors Identified by Patients and Physicians Associated with Hospital Readmission (COMPARE2)

Price: $10 | Credits: 1

This activity is intended to determine the frequency, timing, and types of imaging obtained in patients with a discharge diagnosis of acute pyelonephritis, and how often imaging findings affect therapy. Factors contributing to hospital readmission have rarely been sought from the patient perspective. Furthermore, it is unclear how patients and physicians compare in identifying factors contributing to readmission. The authors sought to to identify and compare factors contributing to hospital readmission identified by patients and physicians by surveying participants upon hospital readmission to a teaching medicine service.

Characteristics of Syncope Admissions Among Hospitals of Varying Teaching Intensity

Price: $10 | Credits: 1

Previous work suggests that hospitals’ teaching status is correlated with readmission rates, cost of care, and mortality. The degree to which teaching status is associated with the management of syncope has not been studied extensively. The authors sought to characterize the relation between teaching status and inpatient syncope management.

Driving and Patients with Dementia

Price: $5 | Credits: 1

Driving is often a sensitive issue that may pose significant risks to the patient and community. Agnosia, apraxia, and easy distractibility make it unsafe for the patient with Alzheimer’s disease to drive.

Agnosia Interferes with Daily Hygiene in Patients with Dementia

Price: $5 | Credits: 1

Caregivers of patients with dementia often state that they do not know when a catastrophic reaction will unexpectedly erupt. They find themselves sucked in, unable to change course and unable to avoid or change the catastrophic outcome.

Fronto-Temporal Dementia, Diabetes Mellitus & Excessive Eating

Price: $5 | Credits: 1

Diabetes mellitus is common among older people. Hypoglycemia is a sign of poorly controlled diabetes mellitus and may lead to irritability, agitation, anxiety, hunger and an excessive food intake, which in turn may make the control of diabetes more difficult.

Insomnia and Mild Cognitive Impairment

Price: $5 | Credits: 1

Insomnia is a common problem in older people, especially in patients with dementia whose circadian rhythm is often impaired. Insomnia exerts such a toll on caregivers that it is often the main reason for seeking to institutionalize their loved ones with dementia.

Visual Hallucinations and Paranoid Delusions

Price: $5 | Credits: 1

Visual well-formed hallucinations, fluctuations in the level of cognition and alertness and extrapyramidal signs are core features of dementia with Lewy bodies. Some patients realize that what they are seeing or hearing are just hallucinations and learn to accept them.

Impulsive, Disinhibited Behavior—Dining in a Restaurant

Price: $5 | Credits: 1

Dining in a restaurant with a loved one who has dementia can be an ordeal, especially if the expectations of the caregiver do not match those of the patient and the restaurant environment is not suitable for patients with dementia.

Repetitive Questioning II

Price: $5 | Credits: 1

Repetitive questioning is a major problem for caregivers, particularly taxing if they are unable to recognize and understand the reasons why their loved one keeps asking the same question over and over again.

Repetitive Questioning Exasperates Caregivers

Price: $5 | Credits: 1

Repetitive questioning is a frequent problem in patients with Alzheimer’s disease resulting from their poor attention span and impaired short-term memory. A number of factors may trigger and maintain repetitive questioning. Caregivers should try identifying and addressing the underlying reason(s) for repetitive questioning.

Patients with Dementia Are Easily Distracted

Price: $5 | Credits: 1

Mild Cognitive Impairment (MCI) is the middle ground between normal, age-appropriate memory impairment and dementia. Whereas patients with MCI are able to cope with the memory deficit those with dementia are not: their memory impairment and other cognitive deficits are of sufficient magnitude to interfere with the patients’ ability to cope independently with daily activities.

Hallucinations Are Real to Patients with Dementia

Price: $5 | Credits: 1

In this case study, we present a patient with preexistent posttraumatic stress disorder and psychosis who has been recently diagnosed with Dementia with Lewy Bodies. He is experiencing vivid hallucinations. What went wrong between him and his wife as a result of these hallucinations is presented. Alternative actions that could have been used are suggested.

Patients with Dementia are Easy Victims to Predators

Price: $5 | Credits: 1

Patients with dementia, especially Alzheimer’s disease and particularly those in early stages, are susceptible to become victims of predators: Their agnosia prevents them from detecting and accurately interpreting subtle signals that otherwise would have alerted them that they are about to fall for a scam. Furthermore, their judgment is impaired very early in the disease process, often before other symptoms manifest themselves and usually before a diagnosis is made.

Too Many Choices Confuse Patients with Dementia

Price: $5 | Credits: 1

In this case study, we describe how an essentially simple benign task (choosing a dress to wear) can rapidly escalate and result in a catastrophic outcome. We examine what went wrong in the patient/caregiver interaction and how that potentially catastrophic situation could have been avoided or defused