Other MKSAP Products

The ability to claim CME and MOC for most MKSAP 18 activities will expire on December 31, 2021. We are aware that some users continue to encounter errors while submitting for MOC. We have alerted the ACCME to the ongoing problem and have been reassured that they are continuing to work towards a solution. As the issue seems to be intermittent, please retry your submission at a later date or time. Any CME submitted by the deadline will be accepted and reflected with the appropriate date. Note that ACP will be closed December 23 through January 2nd. If you encounter any issues during our holiday closure, we can assist you when we reopen on January 3rd.

How to Submit for CME

To earn CME credits and MOC points for the print version of MKSAP 18, complete the online answer sheet by answering every question for each section, score a minimum score of 50% correct, and then click on the Submit for CME credits button and Submit for MOC points button that appears after you have scored your test. You will receive an email confirming "same-day" CME credits. A record of your CME credits, including the ability to download and print PDF certificates, will be available to you via the Online Answer Sheets menu.

$20 Mail-in Option

Please note:

ACP staff is working remotely in response to the COVID-19 pandemic. Unfortunately, we are not able to process incoming mail or fax messages due to Payment Card Industry (PCI) standards and requirements. If you need to send documents or orders to ACP, please:

  1. Complete the documents without any credit card information. Scan and email these documents to
  2. Call ACP to provide your credit card information at 800-227-1915.

Please be prepared to provide the order details such as number of orders or memberships and the total dollar amount you are approving for charging to the credit card. We are doing our best to continue to provide you with the services you need during this challenging time.

CME and MOC Restrictions

CME credit and MOC points will be provided to you only if you have purchased MKSAP 18 from ACP or from an authorized distributor. Your subscription is not transferrable to other users. Sharing the username and password associated with your subscription will compromise the security of your confidential CME credits and MOC points history, undermine your account billing, and disrupt tracking of your CME credits and MOC points. The ACP disclaims all responsibility and liability for any improper or unauthorized use of an individual's username and password.

If you are an ACP member, a transcript of your participation in MKSAP 18 and all other ACP-sponsored CME activities is available online as a benefit of your ACP membership. The online listing at compiles all CME credits that you have earned during the past 6 years.

CME Availability

Part A: July 31, 2018 to December 31, 2021

Part B: December 31, 2018 to December 31, 2021

July 31, 2019 Extension Questions: July 31, 2019 to July 31, 2022

January 15, 2020 Extension Questions: January 15, 2020 to January 15, 2023

July 31, 2020 Extension Questions: July 31, 2020 to July 31, 2023

January 15, 2021 Extension Questions: January 15, 2021 to January 15, 2024

Technical Requirements

To earn CME credits, you will need a computer with Internet access to


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

The American College of Physicians designates this enduring material, MKSAP 18, for a maximum of 275 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


MKSAP 18 is specifically intended for physicians who provide personal, nonsurgical care to adults. Included are: general internists and primary care physicians; subspecialists who need to remain up-to-date in internal medicine; residents preparing for the Certification Exam in internal medicine; physicians preparing for the Maintenance of Certification Exam in internal medicine.

Learning Objectives

  • Close gaps between actual care in your practice and preferred standards of care, based on best evidence
  • Diagnose disease states that are less common and sometimes overlooked and confusing
  • Improve management of comorbid conditions that can complicate patient care
  • Determine when to refer patients for surgery or care by subspecialists
  • Pass the ABIM Certification Examination and the ABIM Maintenance of Certification Examination.