The ongoing certification process administered by the NCCAA involves:

1) Initial certification after successful completion of the Certifying Examination (CERT) for Anesthesiologist Assistants;

2) Registration of credit for continuing medical education (CME) and successful completion of any applicable CME audits;

3) Successful completion of Examination for Continued Demonstration of Qualifications (CDQ).

The certification process operates on a continuous ten-year cycle following the 4-year check-in CDQ:

YEAR	CERTIFICATION REQUIREMENT
0	Successful Passing of the Certification Exam
1	No required submissions or examination
2	Successful CME Registration and Compliance with audit as applicable
3	No required submissions or examination
4	Successful Passing of the Continued Demonstration of Qualifications (CDQ) Exam, Successful CME Registration, and compliance with audit, as applicable
5	No required submissions or Examination
6	Successful CME Registration and Compliance with audit, as applicable
7	No required submissions or Examination
8	Successful CME Registration and Compliance with audit, as applicable
9	No required submissions or Examination
10	Successful CME Registration and Compliance with audit, as applicable
11	No required submissions or Examination
12	Successful CME Registration and Compliance with audit, as applicable
13	No required submissions or Examination
14	Successful Passing of the Continued Demonstration of Qualifications (CDQ) Exam, Successful CME Registration, and compliance with audit, as applicable
15, 17, 19, 21, 23	No required submissions or Examination
16, 18, 20, 22	Successful CME Registration and Compliance with audit, as applicable
24	Successful Passing of the Continued Demonstration of Qualifications (CDQ) Exam, Successful CME Registration, and compliance with audit, as applicable