What Is ACCME?
The Accreditation Council for Continuing Medical Education (ACCME) is the primary accrediting body overseeing Continuing Medical Education (CME) in the United States.
Its mission is to ensure that CME activities advance physician competence, performance, and patient outcomes. ACCME serves physicians, CME providers, hospitals, specialty societies, and academic medical centers by setting rigorous standards for educational quality and independence from commercial influence.
Compliance focuses on evidence-based content, disclosure of financial relationships, and alignment with professional practice gaps.
ACCME offers provisional, full, and reaccreditation pathways, giving providers the framework to deliver trusted, high-quality CME that meets national healthcare and licensure requirements.
What Is AMA?
The American Medical Association (AMA) plays a pivotal role in CME by defining and awarding the AMA PRA Category 1 Credit™, the gold standard for physician education.
While the AMA itself does not accredit CME providers, because that responsibility falls to the ACCME, and it collaborates closely with the ACCME to ensure providers deliver activities that meet AMA’s credit standards.
Physicians benefit by earning credits recognized for licensure, board certification, and hospital credentialing. A common misconception is that the AMA accredits providers; in reality, it authorizes the credit system. Compliance with AMA standards ensures educational integrity, consistency, and value across all CME activities.
What Is ANCC?
The American Nurses Credentialing Center (ANCC) is the primary accrediting body for Nursing Continuing Professional Development (NCPD).
Through its accreditation program, ANCC ensures nursing CE providers meet rigorous standards for educational quality and relevance. Providers can earn Accreditation or Accreditation with Distinction, the latter signaling exemplary compliance and innovation.
ANCC-approved CE directly supports nurses’ license renewal and career advancement, strengthening professional credibility. While sometimes confused with AMA or ACCME, ANCC specifically focuses on nursing education.
Accreditation requires adherence to strict compliance criteria, including content validity, independence, and learner engagement, making ANCC recognition a trusted mark of excellence in nursing education.
Key Differences Between ACCME, AMA, and ANCC
Understanding the key differences between ACCME, AMA, and ANCC is essential for organizations planning to deliver continuing education.
Each body serves a distinct role in accreditation or credit designation, impacting compliance, recognition, and professional advancement for physicians, nurses, and healthcare providers.
Feature / Consideration |
ACCME |
AMA |
ANCC |
Target Audience |
Physicians and healthcare professionals |
Physicians |
Registered nurses and advanced practice nurses |
Primary Focus |
Accreditation for CME providers |
Credit designation for CME activities (PRA Category 1 Credits™) |
Nursing CE provider accreditation |
Accreditation Role |
Accredits CME providers |
Issues credit standards (not provider accreditation) |
Accredits organizations to provide nursing CE |
Application Type |
Provider-based accreditation |
Activity certification/credit designation |
Organizational provider accreditation |
Standards for Integrity & Independence |
Strict rules on commercial support & bias |
Requires compliance with AMA Credit Designation Statement |
Requires adherence to ANCC Content Integrity Standards |
Educational Outcomes |
Must demonstrate learner competence, performance, or patient outcomes |
Must align with physician professional development |
Must improve nursing practice and patient outcomes |
Content Requirements |
Evidence-based, unbiased, addresses practice gaps |
Meets AMA PRA Category 1 Credit™ criteria |
Aligns with Nursing Professional Development (NPD) model |
Needs Assessment |
Mandatory gap analysis & needs assessment |
Required for CME activity design |
Required to document practice gaps and needs |
Activity Types Allowed |
Live courses, enduring materials, RSS, internet CME, etc. |
Live, enduring, journal-based CME |
Live, enduring, skills-based, blended learning |
Credit Designation |
AMA PRA Category 1 Credit™ through ACCME-accredited providers |
Sets PRA credit structure (Category 1 & 2) |
Contact hours (ANCC-approved CE credits) |
Accreditation Levels |
Provisional, Full, or with Commendation |
N/A (credit system only) |
Accredited Approver or Accredited Provider |
Application Fees |
Annual fees + application costs |
Fees per activity credit designation |
Application & annual accreditation fees |
Compliance Review |
Self-study, performance-in-practice files, site visits |
Review of activity credit applications |
Self-study + activity files + periodic review |
Commercial Support Rules |
Must follow Standards for Integrity & Independence |
Must follow AMA guidelines on industry support |
Must avoid bias, disclose conflicts of interest |
Disclosure Requirements |
Faculty/planner COI disclosures |
Faculty/planner disclosures required |
Conflict of interest disclosure required |
Duration of Accreditation |
4–6 years depending on performance |
N/A |
4 years standard cycle |
Reaccreditation Process |
Reapplication with outcomes reporting |
N/A (renew credit designation each activity) |
Reapplication with quality improvement data |
Learner Assessment |
Outcomes assessment is mandatory (Moore’s Outcomes Framework) |
Evaluation of learner participation & outcomes |
Learner evaluation of activity effectiveness |
Documentation & Recordkeeping |
Provider must maintain activity records for 6 years |
Required for AMA credit validation |
Required for at least 6 years |
Recognition Value |
Widely recognized globally for CME |
AMA PRA Category 1 Credit™ is the gold standard for physicians |
ANCC CE credits recognized across U.S. Boards of Nursing |
Choosing the Right Accreditation Path
Selecting the right accreditation path depends on your audience, goals, and compliance needs.
Whether you’re educating physicians or nurses, understanding when to pursue ACCME, leverage AMA credits, or apply for ANCC ensures your programs meet professional standards and provide meaningful value to healthcare learners.
Consideration |
ACCME |
AMA |
ANCC |
When to Pursue |
Organizations offering CME for physicians and other clinicians |
Physicians or CME providers issuing AMA PRA Category 1 Credits™ |
Providers delivering Nursing Continuing Professional Development (NCPD) |
Primary Use |
Accredits providers to offer CME |
Issues CME credit designation (AMA PRA credits) |
Accredits organizations to deliver nursing CE; also grants Accreditation with Distinction |
Recognition Type |
Accreditation |
Credit designation system (not provider accreditation) |
Accreditation and Accreditation with Distinction |
Impact on Licensure |
CME credits often required for physician license renewal |
AMA credits widely accepted for physician re-licensure & board certification |
Nursing CE credits recognized for license renewal and career advancement |
Professional Advancement |
Enhances credibility with medical staff & regulators |
Recognized as the gold standard of physician CME credit |
Strengthens nursing education quality and professional recognition |
Common Misconceptions |
Confusion with AMA credit system—ACCME accredits, AMA defines credits |
Misunderstood as an accreditor; AMA does not accredit providers |
Misconception that ANCC is only for hospitals; open to varied providers |
Standards & Compliance |
Must meet ACCME Standards for Integrity and Independence |
Providers must align activities to AMA’s credit designation requirements |
Must meet ANCC NCPD Accreditation Criteria (structural, educational, outcome standards) |
Types of Accreditation Offered |
Provider Accreditation, Joint Accreditation for interprofessional CE |
AMA PRA Category 1 and Category 2 Credits™ |
Accreditation, Accreditation with Distinction, Joint Accreditation (for multi-professional CE) |
Conclusion
ACCME, AMA, and ANCC each serve distinct purposes in the world of continuing education, from accrediting providers to defining credit systems and advancing nursing professional development.
Understanding these differences ensures your programs align with the correct standards and audience requirements.
Choosing the right accreditation path isn’t just about compliance—it’s about delivering trusted, high-quality education that supports licensure, certification, and professional growth.
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