AAFP CME Credit System

Activity Audits

The AAFP reserves the right to perform a post-activity audit and/or have a live monitor present at any AAFP certified CME activity. A description of each audit type, a checklist to aid audit compliance, and a description of audit results are provided for your reference.

Types of Audits

AAFP's CME Credit System and Compliance Department conducts three types of audits:

Random Audits

The purpose of random audits is to ensure compliance with AAFP CME Credit System rules, including the ACCME Standards for Commercial Support(www.accme.org).

Submit Your Application

Applications for CME activities to be held in 2014 and beyond are now being accepted.


Contact AAFP CME Credit System and Compliance

(800) 274-2237


Random Audit Process

  • CME activities to be audited are identified by an electronic report that randomly selects CME activities certified by the AAFP.
  • CME providers must supply all CME activity documentation outlined in the AAFP audit checklist
  • CME providers must respond within 30 working days of receiving an audit notice

Complaint Audits

Complaint audits are conducted when the AAFP is made aware of concerns about any CME activity awarded credit by the AAFP.

Complaint Audit Process

  • The CME provider notification and documentation process is the same as that of a random audit.
  • The AAFP communicates audit findings to the provider within 60 days of receipt of the audit materials.
  • The AAFP will communicate recommendations and/or required actions.
  • The provider must attest to resolve any areas of non-compliance.

Live Audits

Live (on-site) audits may be random or prompted by the following circumstances:

1. Suspicion of industry influence
2. Pattern of issues with CME provider credit applications, and/or
3. Learner/faculty complaint

The AAFP may perform a live audit on any activity that has been awarded AAFP CME Prescribed and/or Elective credit.

Live Audit Process

  • CME providers will be notified in advance if an AAFP CME auditor will be present at their activity.
    • Auditors are exempted from registration fees.
    • Auditors are exempted from claiming CME credit for courses they attend in their role as an auditor.
  • Results of live audits will be shared with the provider upon completion


AAFP Audit Checklist

The following documentation must be submitted to fully comply with the AAFP audit request.

  1. Final CME activity documentation (brochure,syllabus, handouts, power point presentations)
  2. A copy of the AAFP credit statement, as printed in the activity materials or published on the internet.
  3. A copy of the policy requiring disclosure of all relevant financial relationships with any commercial interest that the faculty, CME planners and provider have pertaining to topic(s) of the CME activity. (Standards 2, 2.1, 2.2, 2.3)
    • Copies of all forms that identified Conflict of Interest (CoI) and evidence of your resolutions of the CoI.
  4. All documentation that faculty and CME provider disclosed to learners prior to the educational activity relevant financial relationships/no relationships with any commercial interest in on-site materials or slides (Standards 6, 6.1, 6.2, 6.5)
  5. A copy of the CME activity evaluation form.

If the CME activity secured commercial support, the CME provider must also include:

  1. All documentation that commercial support was disclosed to learners with no reference to specific products. (Standards 6.3 and 6.4)
  2. A copy of letter(s) of agreement with all commercial supporter(s) of this CME activity outlining the terms, conditions, and purposes of support signed by both provider and supporter agreeing to comply with the terms of the agreement. (Standards 3.4, 3.5, 3.6)
  3. If a social event was held in conjunction with this CME activity, provide a copy of the description/invitation or other method used to notify participants of the event. This is to document that commercially supported social events did not compete with, nor take precedence over the educational event. (Standard 3.11)

The AAFP reserves the right to perform a post-activity audit and/or have a live monitor present at any AAFP certified CME activity.


Audit Results

The AAFP communicates the result to the CME provider, using the following compliance criteria:

Compliance CriteriaDescription
Compliance Criteria: Total ComplianceDescription: Provided all required documents and procedures meet AAFP criteria and/or ACCME Standards.
Compliance Criteria: Substantial ComplianceDescription: Provided all required documents. Minor modifications would bring procedures in total compliance with AAFP criteria and/or ACCME Standards.
Compliance Criteria: Non-ComplianceDescription: Documentation indicates several areas where improvement is needed or one or more major areas of non-compliance.