Component 2: Lifelong Learning/CME (COLA Modules)


Component 2 of the Osteopathic Continuous Certification process requires recertifying physicians to pursue lifelong learning through continuing medical education.

Emergency Medicine

To complete component 2 requirements in the primary specialty of Emergency Medicine, a physician must earn 150 CME credits per AOA CME cycle, of which at least 50 credits must be in emergency medicine CME.

COLA Modules

Physicians must also complete at least 8 COLA modules per 10-year OCC cycle by reading assigned articles from emergency medicine literature and completing an online exam about them. COLA modules cover key content areas from the Emergency Medicine OCC Cognitive Exam, as well as physician communication and interpersonal skills, cultural competency, and system-based-practice.

  • If your certification expires in 2019 or earlier, you must take 8 COLA modules and pass at least 6.
  • If your certification expires in 2020 or after, you must take and pass 8 COLA modules.

COLA modules cost $105 when they’re first posted, with one new module posted every year. Once a COLA module has been posted for three years, the price doubles to $210. This is to encourage diplomates to take COLA modules frequently and complete them promptly.

If you are unsuccessful in passing a COLA module after 3 attempts, you may pay the module fee again to receive another 3 opportunities to pass the module.

Physicians receive 8 AOA 1-B CME credits for each COLA module they complete successfully. For each module you complete, the AOA will submit documentation on your behalf and note the CME credits you’ve earned.

Preparing to Take COLA Modules
Before taking your selected COLA modules, you can get familiar with the material by reading an outline of the topics covered in each module. You can also view the journal articles and other references used to develop each COLA module below:

COLA modules 2009 and older will count towards your requirement, but the content is no longer available.

Once you’re ready to get started, complete the COLA Exam Application below. On the next business day, you’ll receive an email with the login credentials you’ll use to access the COLA modules.

COLA Module Results
You can view your status for all OCC components, including Component 2, by logging into the AOA Physician Portal.

Subspecialty OCC

In addition to the requirements above, subspecialty diplomates must:

  • Earn at least 25% of their required CME credits in their subspecialty area, either Emergency Medical Services or Medical Toxicology. For the 2016-2018 AOA CME cycle, this means subspecialty diplomates must earn at least 13 credits in their subspecialty area. Please note, subspecialty credit will also count toward the overall specialty requirement.