Step by Step






Credit Hours: CME 0.75

Target Audience:

This activity is directed to physicians who take care of hospitalized children, medical students, nurse practitioners, and physician assistants working in the emergency room, intensive care unit, or hospital wards.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Review how medical education training became time constant.
  • Review and learn the concept of competency-based time variable training.
  • Discuss potential pitfalls and concerns with transitioning US residency or fellowships to competency-based time variable training.

There is no educational content to this course. This course is designed to only administer the post-test and collect CME evaluations for the podcast associated with this training.

Suggested Additional Reading & Joint Accreditation Statement: Note: This Accreditation Statement Supersedes All Other Statements:

  1. Benjamin Kinnear, MD, MEd, Nivedita Srinivas, MD, Jerardi K, Striking While the Iron Is Hot: Using the Updated PHM Competencies in Time-Variable Training. J. Hosp. Med 2021;4;251-253. Published Online First March 17, 2021. doi:10.12788/jhm.3611
  2. Holly A. Caretta-Weyer, Teresa Chan, Blair L. Bigham, Benjamin Kinnear, Sören Huwendiek, Daniel J. Schumacher & On behalf of the ICBME Collaborators (2021): If we could turn back time: Imagining time-variable, competency-based medical education in the context of COVID-19, Medical Teacher, DOI: 10.1080/0142159X.2021.1925641
  3. Daniel J. Schumacher, Holly Caretta-Weyer, Jamiu Busari, Carol Carraccio, Arvin Damodaran, Larry D. Gruppen, Andrew K. Hall, Benjamin Kinnear, Eric Warm, Olle Ten Cate & On behalf of the ICBME Collaborators (2021): Competency-based time-variable training internationally: Ensuring practical next steps in the wake of the COVID-19 pandemic, Medical Teacher, DOI: 10.1080/0142159X.2021.1925098
  5. Jonker G, Ochtman A, Marty AP, Kalkman CJ, Ten Cate O, Hoff RG. Would you trust your loved ones to this trainee? Certification decisions in postgraduate anaesthesia training. Br J Anaesth. 2020 Nov;125(5):e408-e410. doi: 10.1016/j.bja.2020.07.009. Epub 2020 Aug 5. PMID: 32768180.

Joint Accreditation Statement: This statement supersedes all other accreditation statements on this page.
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 0.75 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Benjamin R. Kinnear, MD, MEd — Associate Professor, Department of Pediatrics and Internal Medicine at the University of Cincinnati College of Medicine
Dr. Kinnear receives grant/research support from the Josiah Macy Jr. Foundation through Macy Faculty Scholars program.
Tony R. Tarchichi MD — Assistant Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC.) Paul C. Gaffney Diagnostic Referral Group
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

This activity is approved for AMA PRA Category 1 Creditâ„¢

The University of Pittsburgh is an affirmative action, equal opportunity institution.