The National Commission on Certification of Physician Assistants (NCCPA) is now requiring PAs in the 10-year renewal cycle to complete PI-CME in order to maintain certification.

The NCCPA defines PI-CME as active learning and the application of learning to improve your practice. This can be done in partnership with your supervising physician and others in your practice; everyone can work on and get credit for PI-CME together. PI-CME involves a three-step process:

  • Compare some aspect of practice to national benchmarks, performance guidelines or other established evidence-based metric or standard.
  • Based on the comparison, develop and implement a plan for improvement in that area.
  • Evaluate the impact of the improvement effort by comparing the results of the original comparison with the new results or outcomes.


Only programs approved for PI-CME credit by AAPA qualify. TAPA is working to develop PI-CME projects that will allow PAs to easily complete PI-CME requirements. TAPA is pleased to offer the following AAPA-approved project:

  • Vaccines: The Vaccines PI-CME project allows PAs to compare the vaccination/immunization rates of their patients against national and state benchmarks. Best practices are suggested so that PAs can improve their practice's vaccination rates. Participants can chose pediatric, adolescent or adult populations. PAs can order information packets that will walk them through the steps of this project. The cost for this project is complimentary for TAPA members and $69 for non-members. Click here to access online ordering.


Other PI-CME projects are under development. If you have a suggestion for a PI-CME topic that would be applicable to your practice, please contact TAPA at info@tnpa.com.