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Longitudinal Assessment for Spinal Cord Injury Medicine

LA-SCIM Available in 2025

Following the success of Longitudinal Assessment for Continuing Certification in PM&R, and the Longitudinal Assessment for Brain Injury Medicine (LA-BIM) , the ABPMR will now offer the Longitudinal Assessment for Spinal Cord Injury Medicine (LA-SCIM) for Continuing Certification in SCIM beginning in 2025. Like LA-PM&R, LA-SCIM is a learning platform designed to assist diplomates in keeping up to date in their SCIM knowledge with relevant resources, provide immediate feedback, and identify gaps for learning and improvement over time.

Previously, SCIM diplomates have recertified through the SCIM Examination offered every 10 years; after passing the examination, diplomates received a 10-year certificate. LA-SCIM offers quarterly questions that diplomates can complete on their own schedule, with a summative assessment over a five-year cycle.

LA-SCIM Basics

Platform and Program Design

LA-SCIM is designed to help you continue your certification and improve your skills by answering quarterly questions on spinal cord injury medicine, which can be done conveniently using your own computer or tablet.

  • Quarterly Questions

    LA-SCIM will be structured similarly to LA-PM&R:

    • Quarters 1-3: Traditional multiple-choice items; reattempt questions for missed questions in subsequent quarter
    • Quarter 4: Reattempts from missed Q3 questions + article-based questions with immediate reattempts if you answer an article-based question incorrectly
  • New Website Tools

    Along with enhancements to your Certification Dashboard, the LA dashboard will be available for you to keep up with your quarterly progress and requirements, and review items/sources from past quarters.

  • Customization

    At launch in 2025, there will be no customization for topic areas or article-based questions. Customization options are under consideration for future years.

  • Cost

    Annual participation in LA-SCIM will be $210 in addition to your CC Program fee ($360).

Implementation of LA-SCIM

If you have recently recertified in SCIM:

If you have a 2024 cycle end date and passed the SCIM Examination to recertify, you will close out your 10-year certificate and roll into a five-year Continuing Certification cycle in 2025.

Diplomates with cycle end dates of 2025 and beyond can complete LA-SCIM to fulfill the assessment requirement of Continuing Certification. The final administration of the SCIM Examination for Continuing Certification will only be offered for diplomates with cycle end dates of 2025.

All SCIM diplomates are expected to participate in LA-SCIM to continue their certification, regardless of certification end dates or when they last took the SCIM Examination. Diplomates who do not meet the LA-SCIM performance standard must take the SCIM Re-Entry Examination to avoid a lapse in certification.

  • Cycle ends in 2025

    You can take the SCIM Examination or fully participate in LA-SCIM in 2025 to close out your 10-year certificate and recertify to begin your five-year cycle.

  • Cycle ends in 2026

    Performance tracked starting in 2025 and ending in 2026 (eight quarters). Percent correct will be provided at the end of current certification cycle and must meet the performance standard.

  • Cycle ends in 2027

    Performance tracked starting in 2025 and ending in 2027 (twelve quarters). Percent correct will be provided at the end of current certification cycle and must meet the performance standard.

  • Cycle end date of 2028 and beyond

    Performance tracked over four years. Summative assessment will take place in year five of the five-year cycle.

Frequently Asked Questions

Do I need to participate in LA-SCIM?

By 2025, all ABPMR diplomates certified in Spinal Cord Injury Medicine will be expected to participate in LA-SCIM on an ongoing basis.

How am I assessed on my LA-SCIM performance?

Cycle end date of 2025: Performance tracked over four quarters in 2025. Percent correct will be provided at the end of one year and must meet the performance standard.

Cycle end date of 2026: Performance tracked starting in 2025 and ending in 2026 (8 quarters). Percent correct will be provided at the end of current certification cycle and must meet the performance standard.

Cycle end date of 2027: Performance tracked starting in 2025 and ending in 2027 (12 quarters). Percent correct will be provided at the end of current certification cycle and must meet the performance standard.

Cycle end date of 2028 and beyond: Performance tracked over four years. Summative assessment will take place in year five of the five-year cycle.

What are reattempt questions and how do they impact my performance?

The LA-SCIM program encourages learning, so diplomates earn full credit for correctly answering reattempt questions. For example, if you answer a question wrong in Quarter one, you will see the same question again in Quarter two. If you answer the reattempt correctly, the correct response will replace the initial incorrect response. We recommend that you review the rationale and references between attempts so that you learn from the incorrect response and answer it correctly in the next quarter.

For article-based questions, you will see a reattempt in the same quarter. The same logic applies: if you answer a reattempt question correctly, the correct answer will replace the incorrect initial response.

How will I know if I meet the LA-SCIM performance standard?

Your performance will be displayed on your LA-SCIM dashboard and updated in real time – if you are wondering how you are doing, just sign into your dashboard! If you meet the LA-SCIM performance standard set by the ABPMR, your knowledge assessment requirement for Continuing Certification (CC) will be fulfilled and you will advance and begin a new five-year certification cycle.

Will you keep issuing 10-year certificates for Spinal Cord Injury Medicine?

Beginning in 2025, the ABPMR will no longer issue 10-year certificates for SCIM certification. The ABPMR will be transitioning to a five-year certification cycle.

What if I do not meet the LA-SCIM performance standard?

Throughout your participation in LA-SCIM, you will receive immediate feedback regarding correct and incorrect answers as well as brief rationales. We expect you will learn and improve over time, and there will be plenty of advance notice if you are not on track to meet the standard.

If you do not meet the standard at the end of your certification cycle, your certificate will expire. You may then regain your certification by either meeting the performance standard in LA-SCIM for another five-year cycle, or by taking the next administration of the SCIM Re-Entry Examination.

How do I study for LA-SCIM?

Longitudinal assessment is different from an examination. Instead of implying “study-then-test” thinking, try to think of the platform as the study tool, because participation in LA-SCIM is designed to help you learn and improve over time. As you answer questions, the platform will show you the areas in which you have knowledge gaps, and it will provide resources for improvement and further learning – and the spaced repetition feature will keep bringing back topics with opportunity for improvement.

Can I access questions I have answered in previous quarters?

You will not be able to see the text of the question, but feedback about each question is provided in the question history in your LA-SCIM dashboard. You may review all key points for questions, correct/incorrect answers, rationales, and references.

What if I do not complete all the questions during a quarter?

At the end of the quarter, all unanswered questions will be marked as incorrect. Unanswered questions do not carry over to the next quarter. You will also not receive reattempts for unanswered questions.

Why do I have to pay each year for LA-SCIM?

Previously, diplomates paid a one-time fee at the end of a 10-year certificate applied towards the SCIM Continuing Certification Examination and the overall maintenance of the certification. This fee closed out that certification cycle; it was not applied towards the future cycle.

For 2025 and beyond, the prior one-time fee is being divided into yearly program fees. The fees apply towards the services required to maintain your certification as well as access to LA-SCIM.

Will my 10-year certificate still be honored?

All certificates issued prior to the launch of Longitudinal Assessment are being honored; however, LA is intended to fulfill the Assessment requirement of your Continuing Certification requirements in lieu of the one-day high-stakes examination, and you must meet the performance standard by the end of your current certification cycle. All SCIM diplomates are encouraged to participate in LA to continue their certification, regardless of certification end dates or when they last took the SCIM examination.

Do I get any CME or self-assessment credit by participation in LA-SCIM?

Yes, CME credit will be available for answering quarterly questions. Credits will be automatically added to your account by the ABPMR.