AMA PRA Category 1 Credits™

CME Credit Details

Locums Nocturnist Pro delivers AMA PRA Category 1 Credit through immersive, narrative-driven medical education.

Per Episode

~1.75

credits

Full Season

~12.25

credits

Accreditation

ACCME

accredited

Credit Calculation

Credit is calculated based on estimated time-on-task per episode, following ACCME guidelines for enduring materials. Each episode encompasses seven in-game nights:

Core narrative gameplay (clinical scenarios, decision-making)45-75 min
Clinical decision points with embedded assessment15-25 min
Post-episode clinical debrief and knowledge check10-15 min
Evidence-based reference review (linked guidelines)10-15 min
Total Estimated Time per Episode80-130 min

Credit designated in 0.25-credit (15-minute) increments, rounded to nearest quarter hour.

Clinical Education Content (Season 1)

The following clinical domains are integrated into the seven-episode narrative arc, co-developed with clinical faculty consultation:

  • Acute coronary syndromes: troponin interpretation, risk stratification, escalation criteria
  • Volume overload and heart failure with reduced ejection fraction: diuretic management, hemodynamic monitoring
  • Gastrointestinal hemorrhage: upper vs. lower GI bleed workup, transfusion triggers, GI consultation criteria
  • Decompensated cirrhosis: SBP evaluation, hepatorenal physiology, lactulose titration
  • ICU escalation decision-making: recognizing hypotension requiring vasopressors, hypercarbia and hypoxia thresholds
  • Cross-cover and triage prioritization: managing simultaneous competing clinical demands during overnight call
  • Systems-based practice and ethical reasoning: resource allocation in small hospital settings

Sample Learning Objectives (Episode 1)

Upon completion of Episode 1 ("Cradle"), the learner should be able to:

  • Identify the initial evaluation steps for a patient presenting with acute chest pain during an overnight shift
  • Apply evidence-based triage principles to prioritize simultaneous clinical demands
  • Recognize the clinical and psychosocial challenges unique to locum tenens practice
  • Describe the appropriate escalation pathway for a hemodynamically unstable patient in a resource-limited setting

Pro vs. Standard Edition

FeatureStandardPro
Clinical decision treesSimplified (2-3 choices)Full complexity (4-6 choices)
Medical terminologyLay-accessible with tooltipsProfessional-level
AssessmentNarrative consequences onlyStructured knowledge check
Evidence citationsNoneEmbedded guideline references
Time trackingNoneActive engagement timer
CertificateNoneCME certificate included

Accreditation Notice

Credit designations are prototype estimates. Final credit values will be determined during the formal accreditation review process. No CME credit may be claimed until formal accreditation is obtained. AMA PRA Category 1 Credit™ requires sponsorship by an ACCME-accredited organization.

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