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Continuing medical education

Accreditable by design

Every hour on doc.social already produces the two things a credit hour is made of: a record that a clinician engaged with the material, and evidence that they learned something from it. Neither was built for CME. Both are most of the way there.

doc.social is not an accredited provider and offers no credit today. This page sets out what the platform already does that accreditation requires, what it does not, and the two routes from here.

The argument

A credit hour is a record and an assessment. We were already building both, for other reasons.

doc.social publishes lectures, courses, a podcast archive and — since August — events. Every one of those goes through the same pipeline: the recording is transcribed, summarised, tagged against a clinical taxonomy, and given a five-question assessment written from what the speaker actually said. That last step exists because a lecture you cannot check yourself against is a lecture you half-watched. It happens to be the same artefact a CME activity is required to have.

The result is that the expensive part of accredited education — producing valid content from a named expert, and producing a defensible assessment of whether anyone learned it — is already running, at zero marginal cost per activity.

72
published lectures
15
courses, 82 lessons
52
named clinicians
79
assessments written
395
assessment items
2,157
hours transcribed

Catalog figures as built 27 August 2026. Assessments cover 65 of 72 lectures and 14 of 15 courses. The podcast archive adds 32 shows and 5,666 episodes, 4,070 of them transcribed.

The ledger

What a credit hour actually requires, against what is running today

Accreditation is a checklist before it is anything else. Here is the checklist, honestly marked.

RequirementWhat doc.social does about itStatus
Content from a qualified sourceACCME Standard 1 — ensure content is validEvery lecture and course is attributed to a named clinician with credentials and affiliations on a public faculty page. Nothing publishes until that clinician approves it — eight lectures are sitting in exactly that state right now.Running
An assessment of learningpost-test, Moore level 3Five items per activity, written from the transcript, each with a correct answer, an explanation, and a verbatim quote from the talk as its evidence. Generating one for a new activity costs nothing and happens automatically.Running
Content validity you can auditdefensible item provenanceEach item stores the hash of the transcript it was written from. If the content changes, every score set against the old version is marked stale rather than silently carried forward. Most platforms cannot say which cut of a video a learner was tested on.Running
Record of participationwho took part, and for how longSign-in exists and the join endpoint for an event is authenticated — so the platform knows who asked to get in and currently throws it away. Writing it down is one database row; measuring engaged time is real work that has not started.Designed, not built
A durable, auditable resultAMA PRA — retain 6 yearsResults are stored per person per activity, but a retake overwrites the previous one and only an attempt counter survives. That is correct for a self-check and wrong for a credit record. It is a schema change, not a rebuild.Needs a change
Disclosure and mitigationACCME Standard 3 — relevant financial relationshipsFaculty records carry affiliations but collect no financial-relationship disclosure, and there is no mitigation workflow or learner-facing disclosure before the activity.Not started
Education separated from promotionACCME Standards 2, 4 & 5Sponsorship is a distinct field on an event, credited on the page rather than woven into it — which is the right starting shape. The firewall an accredited activity needs is stricter than “credited separately”, and the sponsorship programme is still a proposal.Right shape, unproven
Certificates and credit reportinglearner certificate; PARS; ABMS MOC Part IINothing. No certificate is issued, no activity is registered, nothing is reported. This is the part an accredited partner would own on day one.Not started
Accreditation itselfACCME, or a state medical societydoc.social is not an accredited provider. Everything above is infrastructure that makes a partnership cheap and a future application credible — it is not a substitute for either.Not started

The asset

The assessments are the thing worth showing a partner

An accredited provider’s costliest recurring task is producing defensible post-tests. Ours are written from the transcript, so every item is answerable from the talk and nothing tests material the faculty never covered. Each correct answer carries the line that justifies it — which means an item can be reviewed against the source in seconds rather than by re-watching an hour of video.

A real item, from a lecture on platelet-rich plasma:

Several of the studies he reviews report a concentration multiple, such as “1.6×”, but no platelet count. Why does he say that leaves the dose unknown?

  1. The multiple describes leukocytes rather than platelets
  2. Dose depends on the injection schedule, which those studies did not report
  3. Dose is the injected volume multiplied by the platelet concentration, so a multiple without a count gives neither
  4. Concentration multiples are measured after injection rather than before
Evidence carried with the answer“We cannot draw global PRP conclusions from a very specific type of PRP”

One honest caveat about reusing these for credit. They are written to be self-checks — the explanation appears the moment you answer. A graded post-test that gates a certificate cannot work that way, and items that have been public for months have no security. Repurposing them means a content expert reviews the bank, a pass threshold gets set, and the graded path hides its answers. That is a day of design, not a new system — but it is a different product from what is live now.

Three formats, two credit types

Events, courses and lectures are not one product wearing three hats

They divide cleanly along the line accreditation already draws: a live activity earns credit for time in attendance, an enduring material earns it against a validated estimate of time to complete. doc.social’s advantage is that the first turns into the second automatically — an event is recorded, transcribed, assessed and published as a lecture with no one shepherding it there.

Live activity

Events

Three or four clinicians on a date, an audience, a chat and a moderated question queue. Scheduling and faculty chasing are worked by an agent rather than a coordinator. The session is recorded as it runs.

Credit basis
time in attendance
Needs
dwell instrumentation
Status
live since Aug 2026

Enduring material

Lectures

A single talk with a transcript, captions, summary, clinical topic tags and a five-item assessment. Either recorded here, or collected from where the clinician already gave it and sent to them to approve.

Credit basis
validated time
Assessment
65 of 72 have one
Status
live

Enduring material

Courses

Multi-lesson sequences that take a technique from introduction to detail, taught by one named clinician. The natural home for a credit series, because the sequence already implies a curriculum.

Credit basis
validated time
Assessment
14 of 15 have one
Status
live

The compounding bit. An event that runs live for 90 minutes and is then published as an enduring material is one production cost against two credit-bearing activities with different audiences — the clinicians who came, and the far larger number who find it afterwards. That is the whole business case for putting events on this platform rather than on a webinar tool.

Outcomes

How far up the outcomes framework the instrumentation actually reaches

Accredited providers report outcomes against Moore’s expanded framework, and most online CME stops at level 3. Marked below is where doc.social’s data lands today, and where the two changes named in the ledger would take it.

  1. 1

    Participation

    Who took part. One row at the door — the join endpoint already knows.

    One row away
  2. 2

    Satisfaction

    What they thought of it. The poll and reaction machinery already exists.

    One form away
  3. 3

    Learning — declarative and procedural

    What they know, and what they say they would do. This is what the 395 assessment items measure, and they are already written.

    Reached
  4. 4

    Competence

    Whether they can apply it. Case-based items rather than recall — the same generator, a different prompt.

    In range
  5. 5

    Performance

    What they do in practice. Needs follow-up at 30 or 90 days, which is an email and a second form.

    Not started
  6. 6

    Patient health

    Outcomes in their patients. Requires data doc.social will never hold.

    Out of scope
  7. 7

    Community health

    Population-level effect. Same answer.

    Out of scope

Levels 1 through 4 are the range a platform can honestly instrument. Getting there is a database row, a feedback form, and a prompt change — not a new product.

What is missing

The gaps, stated plainly enough to be quoted back at us

A pitch that only lists strengths is not useful to anyone deciding whether to partner. These are the five things standing between the platform and a credit-bearing activity.

  • Nobody is accredited

    Blocking

    doc.social cannot designate credit. Only an accredited provider can, which makes the first route below a partnership rather than a product decision.

  • Engaged time is not measured

    Designed

    Live credit is claimed against time in attendance, and enduring credit against a validated estimate of time to complete. Today the platform records neither. Attendance at the door is specified and costs one write; dwell time inside a session is genuine work.

  • Quiz results overwrite themselves

    Schema change

    One row per person per activity, replaced on every retake, with only a counter surviving. A credit record needs the passing attempt, its date, and six years of retention.

  • No disclosure workflow

    Not started

    Relevant financial relationships have to be collected from faculty, mitigated, and disclosed to learners before they engage. None of that exists, and it cannot be automated away — it is a process with a human in it.

  • The assessments are self-checks

    Needs review

    Auto-generated, answers revealed immediately, public for months. Before any of them gate a certificate a content expert has to sign off on the bank and a graded path has to hide its answers.

Two routes

Partner first. Apply later, if the volume justifies it.

Route one · available now

Joint providership

An accredited provider — a society, a hospital CME office, a medical education company — designates the credit and owns the compliance obligations. doc.social supplies the faculty, the production, the assessments and the records.

  • No accreditation application, no waiting period
  • The partner owns disclosure, certificates and reporting
  • Tests the demand before anyone spends on becoming a provider
  • Needs the attendance row and the durable result — weeks, not quarters

Route two · not yet

Becoming the provider

Direct accreditation — through ACCME, or a state medical society for an intrastate provider — puts the credit and the margin in-house. It is an application, a self-study and a track record, and it is judged on a body of activity that has to exist first.

  • Wants a run of activities delivered under route one as evidence
  • Brings real ongoing compliance overhead, permanently
  • Changes what the platform is worth, which is why it is worth planning toward
  • Decide it on volume, not on ambition

One thing to settle before either. Sponsorship and accredited education have to be genuinely separated — that is the substance of three of the five ACCME Standards, and it constrains a revenue model that is otherwise the obvious way to fund the programme. Better to design the firewall while sponsorship is still a proposal than to retrofit it around signed agreements.

Where this goes next

If you run education, this is a short conversation

We are looking for one accredited partner and one real activity to put through end to end. The faculty, the recording pipeline and the assessments are standing. What we need is the credit and someone who has done this before.

AMA PRA Category 1 Credit™ is a trademark of the American Medical Association. ACCME and the Standards for Integrity and Independence in Accredited Continuing Education are the property of the Accreditation Council for Continuing Medical Education. Neither organisation is affiliated with doc.social, and nothing here has been reviewed by either.

This page describes platform capability, not a credit offering, and is not regulatory or legal advice. Every requirement summarised above should be confirmed against current ACCME and AMA PRA guidance with an accredited partner before anything is designated.

Catalog figures from the doc.social build of 27 August 2026. Part of why we are doing this again.