Certified Anesthesiologist Assistants: Navigating CAA Category I vs. II CME Guidelines
AuthorPatrick Flaherty CAA
Practicing CAA for 19 years
Reviewed
Published · Updated
Quick Facts
- At least 40 of 50 hours must be CAA Category I CME focused on anesthesia or a listed anesthesia subspecialty.
- Up to 10 hours may be optional CAA Category II CME in general medicine or professional development.
- ACCME and AAPA are the CME accreditors identified in the current NCCAA handbook.

Understand the key differences between CAA Category I and II CME, including how to allocate your hours and choose activities that count.
As a Certified Anesthesiologist Assistant (CAA), meeting the National Commission for Certification of Anesthesiologist Assistants (NCCAA) Continuing Medical Education (CME) requirements is essential to maintaining your certification. Understanding the distinctions between CAA Category I and CAA Category II CME can help you plan the 50-hour requirement and select eligible educational activities.
What Is CAA Category I CME?
CAA Category I CME includes activities directly related to anesthesia or an American Board of Anesthesiology subspecialty. At least 40 of the required 50 biennial CME hours must be Category I, although all 50 hours may be Category I.
Eligible Anesthesia Focus
In addition to anesthesia CME, the current NCCAA handbook identifies these subspecialties:
- Critical Care Medicine.
- Neurocritical Care.
- Pain Medicine.
- Pediatric Anesthesia.
Topic Examples
Category I topics can include:
- Advanced airway management.
- Neurocritical care.
- Pediatric anesthesia techniques.
- Pain management strategies.
- Pharmacology updates.
- Critical care advancements.
- Regional anesthesia techniques.
- Management of anesthesia-related complications.
Activity Examples
Possible Category I formats include:
- Online anesthesia courses.
- Anesthesia conference lectures.
- Advanced airway management workshops.
- Pain management seminars.
Accreditation and Flexibility
The current NCCAA handbook identifies ACCME and AAPA as recognized CME accreditors. A qualifying Category I activity must also be anesthesia CME or one of the listed subspecialties.
Because Category I may replace any or all Category II hours, a CAA may complete the full 50-hour requirement with Category I CME.
What Is CAA Category II CME?
CAA Category II CME covers general medicine or professional development. It is optional and may account for up to 10 of the required 50 hours when the minimum 40 Category I hours are complete.
Examples of Category II Activities
Activities that may qualify include:
- CME courses in medical specialties outside the Category I anesthesia scope.
- Presentations at educational meetings, excluding faculty teaching at an educational institution.
- Clinical preceptorship.
- Publication.
- Academic credit from an institution of higher learning.
- Quality Improvement initiatives or projects.
- Mission activity.
- Original research.
- Non-faculty program instruction, such as serving as a guest lecturer.
- Clinical administrative involvement, such as committee work.
Accreditation and Flexibility
The current NCCAA handbook states that all CME, including Category II professional development activities, must be accredited by an NCCAA-recognized accreditor and registered with the appropriate documentation. The handbook currently identifies ACCME and AAPA.
Category II CME may supplement the requirement after 40 Category I hours are complete, but it cannot replace the required Category I hours.
Key Differences Between Category I and Category II CME
| Aspect | CAA Category I CME | CAA Category II CME |
|---|---|---|
| Focus | Anesthesia or listed anesthesia subspecialties | General medicine or professional development |
| Recognized accreditors | ACCME or AAPA | ACCME or AAPA |
| Requirement flexibility | At least 40 hours; may account for all 50 | Up to 10 hours; optional |
| Examples | Online anesthesia course or airway workshop | Committee work, publication, or quality improvement |
FAQs About CAA Category I and II CME
Can CAA Category I hours substitute for CAA Category II?
Yes. Category I CME may replace any or all Category II hours, so all 50 hours may be Category I.
Can CAA Category II hours substitute for CAA Category I?
No. At least 40 hours must be Category I anesthesia CME. Category II may only supplement the remaining 10 hours.
How do I determine which category my activity falls under?
Review both the activity’s focus and its accrediting organization. Category I must be anesthesia CME or one of the listed anesthesia subspecialties and must use an NCCAA-recognized accreditor. When an activity’s category is unclear, confirm it directly with the NCCAA before relying on the credit.
Why Focus on CAA Category I CME with CMEforCAAs.com?
CMEforCAAs.com offers CAA Category I course options designed for Certified Anesthesiologist Assistants. The catalogue can help you:
- Work toward the Category I portion of your certification requirement.
- Focus on anesthesia-specific education.
- Use flexible, self-paced learning options.
Review the current NCCAA handbook and your account requirements before selecting or registering an activity, because accreditation and eligibility rules can change.
