The Lifelong Learning and Self-Assessment (LLSA) is part of the Emergency Medicine Maintenance of Certification (MOC) program from the American Board of Emergency Medicine (ABEM). In a nutshell, every year ABEM posts an online exam covering a section of The Model of the Clinical Practice of Emergency Medicine. The exam is based upon a reading list of 10-20 articles, policy papers or book chapters. Each exam must be taken within 3 years of posting, and collaboration for article review and examination is encouraged. More information can be found on the ABEM website.
To maintain eligibility for re-certification every 5 years, older board-certified EM physicians are required to pass 4 of the available LLSA online exams . Please note that LLSA is part of the legacy pathway for MOC, MyEMCert has replaced the LLSA articles and the recertification exam (we will discuss this during the MOC Review portion of the conference). If you are uncertain if you need to take the LLSA exam, simply log into the ABEM Portal to see your individual requirements, or you can see the requirements based upon the year your certification ends.
The ABEM website has posted the reading lists for the current LLSA exams. The Patient Safety LLSA module is longer offered. The 2021-2025 exams are available to take (exams are retired five years after they are posted). Where available, ABEM has provided direct links to the articles from the publisher's websites. If you are an ACEP member, they also provide direct links to ALL the articles from their LLSA Resource Center. Keep in mind that you may have access to articles through your respective university affiliations if you access the publisher's website from a work computer. If you are having trouble finding a particular article, please contact us.
You should already have an ABEM account after registering for the Written and Oral Board Exams. Here are the quick instructions:
Log in to your Personal Page from the ABEM Portal
Select LLSA Tests
Select Register or Take a Test
Please register & pay for the LLSA exams in advance of the conference. We are running the conference on a tight schedule and it will waste time on the conference day to be dealing with challenges registering/paying. If you want to familiarize yourself with the exam interface, there is a 15-minute tutorial that you can take after you have registered. If you plan on doing the exam tutorial, please do so in advance of the conference.
We do not offer CME for the review conference. However, ABEM itself offers 10-15 CME credits for activities related to taking the LLSA exam starting with the 2011 exam, but you have to register for the CME (and pay $30 more) prior to taking the LLSA exam. Please note that ABEM no longer requires reporting an average of 25 CME credits annually, but that the Medical Board of California requires completing 50 hours of CME during each biennial renewal cycle. More details will be provided during the MOC Review portion of the conference.