Initial Applicants will demonstrate to the ACCME that their CME activities are in compliance with the ACCME’s Accreditation Criteria and Policies through the performance-in-practice review process.

Actions Required for this Process

  1. Select at least two CME activities, completed within the last 24 months, for performance-in-practice review
  2. Enter data into the ACCME’s Program and Activity Reporting System (PARS) ( for the activities it selects for performance-in-practice review
  3. Submit evidence of performance-in-practice for each of the selected activities using the ACCME’s Performance-in-Practice Structured Abstract.

The activities selected for performance-in-practice review may be conducted in joint providership with an accredited ACCME provider, or they may be offered by initial applicants without CME credit. In all cases, the evidence of performance-in-practice presented from these activities will be an important data source upon which the initial accreditation findings and decision will be based.

Following the structured abstract, initial applicants will provide the information requested with narrative explanations and statements, in tables, and include documents and evidence to verify that the activity meets the ACCME’s requirements. Initial applicants are expected to provide performance-in-practice evidence that demonstrates compliance with Criteria 2, 3, 7, 8, and 11, and all applicable ACCME accreditation policies. Initial applicants may also choose to submit evidence for Criteria 5, 6, and 13, but this evidence will not affect the organization’s accreditation status.