Participating certifying boards and ACCME share the expectation that accredited providers evaluate the impact of their activities on learners’ knowledge, strategies/skills, performance, and/or patient outcomes (Analyzes Change). The ACCME has a list of example evaluation methods available that would meet MOC requirements for the boards. This list is not a complete list, but intended to show examples of evaluations a provider could choose to implement. The provider must include an evaluation component that measures learners’ change. Evaluation refers to a question or series of questions or a reflective task that is designed to assess the activity’s goals and purpose. The evaluation should sufficiently address the goals so that a reasonable determination can be made about the learners understanding of the material and the effectiveness of the educational activity. The accredited provider may choose to evaluate the impact of the activity at the session level or at the activity level. As well, the provider does not need to be limited to a single method of evaluation per activity. Combinations of approaches to evaluation may produce rich information about learner change.  The accredited provider must be able to demonstrate that the learner has participated in/completed the evaluation for the educational activity in order to submit the learner’s participation completion information for the activity. Anonymous learner collection methods, such as an audience response system that is not tied to an individual would not be acceptable as there is no way to demonstrate individual learner completion.