UCSF Fresno has partnered with ELM Exchange, Inc., the leading provider of online healthcare risk management and patient safety education programs and resources, to offer access to the highest quality risk management continuing education courses. This convenient online program is proven to help create a culture of enhanced patient safety and increases quality of care. These courses feature:


  • Information to minimize your liability exposure and gain confidence understanding the intersection between medicine and the law
  • Access to courses via the web 24/7 from any computer (or mobile device) with internet access using a self-selected username and password
  • A user-friendly system that allows you to stop and start at your convenience and print certificates right from your account
  • Case study based education that is engaging and represents actual medical malpractice claims


All Residents and Fellows are required to successfully complete several online courses, which include the Informed Consent IV (Pediatric residents complete Minor Consent), the Supervision of Residents and Assistants I course, the Scope of Practice course, the Transitions of Care I course and the Physician Impairment course.  In addition, your program may have courses that they require you to complete.

Each takes less than an hour, includes a pre-test, goals & objectives, an overview of principles, several case studies and a post-test. Courses can be stopped and restarted as needed.




1) Go to


2) If you are a New User, select your Facility or Group from the drop down list and fill out the short form.
     (If you have already registered, enter your Username and Password under the title Returning Users to sign in.)


3) Once login has been completed, you will be greeted by a Welcome page and guided to your courses


Courses that need to be completed:


  • Informed Consent IV (Pediatric residents complete Minor Consent)
  • Supervision of Residents & Assistants I
  • Scope of Practice
  • Transitions of Care I
  • Physician Impairment


4) After you’ve finished your test and before logging off, you must take the brief post-course survey. Once it’s completed you will be returned to the original Course Units page showing your score(s).  (Faculty: If you want a CME certificate, click the adjacent link and print it out.)

If you have technical issues with the ELM courses, please contact :


ELM at (888) 315-4ELM (4356) or (303) 223-2622


OR contact


Priscilla Gallegos ( in the UCSF Fresno GME office (559-499-6532).