CME Bulletin

Barriers to Adult Immunizations

For AAFP members only

CME Bulletin icon

Immunizations are considered one of the greatest public health achievements of the last century, yet vaccination rates for adults are not as high as they should be. Learn the latest evidence-based recommendations and guidelines to help improve them.

Read this free CME bulletin, and then take the self-assessment quiz to claim 2.00 AAFP Prescribed credits. This activity is free for AAFP members.

This CME Bulletin was written by Barry D. Weiss, MD, FAAFP.

Activity Details

Learning Objectives

After reading this CME Bulletin, you should be able to:

  • Identify barriers to immunizations among adults.
  • Use evidence-based recommendations and guidelines to establish standardized vaccine administration procedures, including standardized protocols to screen for immunization status during patient encounters.
  • Construct an effective approach for increasing adult immunization rates in practice through the use of reminder and recall systems.


This CME activity is funded by an educational grant to the AAFP from Merck.

CME Credit

This Enduring Material activity, AAFP CME Bulletin: Adult Immunizations, has been reviewed and is acceptable for up to 2.00 Prescribed credits by the American Academy of Family Physicians. AAFP certification begins 10/29/2015. Term of approval is for two years from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Academy of Family Physicians designates this Enduring Material activity for a maximum of 2.00 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CME activities approved for AAFP credit are recognized by the AOA as equivalent to AOA Category 2 credit. View more credit agreements »

Access the Quiz

After completing this activity, take the self-assessment quiz to receive CME credit.

Take the quiz now »


About the Author

Barry D. Weiss, MD, FAAFP, has worked as an editor for much of his career. He was editor of Family Medicine for 18 years. He has been on the editorial staff of FP Essentials since 2000, serving as medical editor since 2007, and is an associate editor of American Family Physician. He is author of nearly 150 journal articles and several medical textbooks. He enjoys working with both experienced and novice authors.

About the Medical Editor

David Weismiller, MD, ScM, FAAFP, is a professor in the Department of Family Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina.


The material presented here is being made available by the American Academy of Family Physicians for educational purposes only. Please note that medical information is constantly changing; the information contained in this activity was accurate at the time of publication. This material is not intended to represent the only, nor necessarily best, methods or procedures appropriate for the medical situations discussed. Rather, it is intended to present an approach, view, statement, or opinion of the faculty, which may be helpful to others who face similar situations.

The AAFP disclaims any and all liability for injury or other damages resulting to any individual using this material and for all claims that might arise out of the use of the techniques demonstrated therein by such individuals, whether these claims shall be asserted by a physician or any other person. Physicians may care to check specific details such as drug doses and contraindications, etc., in standard sources prior to clinical application. This material might contain recommendations/guidelines developed by other organizations. Please note that although these guidelines might be included, this does not necessarily imply the endorsement by the AAFP.

Drugs and Off-Label Uses

The faculty for this activity have made all reasonable efforts to ensure the information contained herein is accurate in accordance with the latest available scientific knowledge at the time of accreditation. Information regarding drugs (eg, administration, dosages, contraindications, adverse reactions, interactions, special warnings, and precautions) and delivery systems is subject to change. 

The reader is advised to check the manufacturer’s insert and medical references for information concerning recommended dosage and potential problems or cautions prior to dispensing or administering any drug.


Elaine Kierl Gangel
Managing Editor, Manager
CME Subscriptions Department
Continuing Medical Education

Jennifer Tubbesing
Program Manager
Continuing Medical Education

Bryan Colley
Graphic Associate
Journal Media

Access the Quiz

After completing this activity, take the self-assessment quiz to receive CME credit.

Take the quiz now »