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You have free access to all the didactic content, paying only $22/CME credit when you are ready to take the graded exam. On-line registration is handled by MSU over a secure Web site. If you have problems paying or registering for a module, or if you have problems accessing a module for which you have paid or problems accessing your certificate of completion once you have passed the exam, you should contact Dr. Hallgren by email.

Examination questions are randomly selected from a large pool of questions and then randomly ordered on an examination "sheet", ensuring that each user gets a unique set of questions. The examination sheet can be saved and recalled any number of times.

Once you are satisfied with your answers, you submit the examination sheet for grading. The examination sheet is electronically graded and you will receive immediate feedback related to your performance. You will need to score at least 70% on the exam to unlock your certificate of completion. If you fail to pass the exam, you will have to repay to repeat the course.

Michigan State University is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians and will award AOA approved, Category 1-B CME credits with a passing grade of 70%.


No commercial support was received for the development of this content. The developers and presenters have no conflicts to disclose. This product is intended for instructional use only. It is not designed for clinical or diagnostic purposes. The authors, producers, and publishers of these materials shall not be held liable for any loss and/or injury arising from the use of information and procedures contained in these programs.