Emergencies in Clinical Obstetrics (ECO)

Version 3.0

Frequently Asked Questions

How do I register?

For Version 3, an administrator, trainer, or other leader at your institution needs to reserve a subscription for your team by purchasing a number of seats (see the V3 tab above). The system prompts the purchaser to enter the number seats to purchase and trainer information.

All trainers must be identified by first name, last name, and title in the portal. Trainers must also submit disclosure forms regardless of ACOG membership status. Participants do not need to submit disclosures, but their names and titles must also be reported under your institution’s name in the portal.

How do I become an ECO Trainer?
First, complete the online session. Next, if your institution has certified trainers, they can offer the course as a train-the-trainer (instructor course) and certify others to train. This is explained by your trainers in the simulated session. If your institution has no trainers, you can attend.

Must participants be ACOG members before taking the course?
No. But you must return the sign-in sheets to after the training session/s is/are completed.

Can nurses, midwives, and other health professionals participate in the course and receive CME credit?
Yes. All nurses and other health care professionals can take the certificate of completion to their accrediting institution, where up to 6 CME credits can be translated.

Is there a required trainer to participant ratio?
Yes. The ratio is 1 trainer: 15 participants for the didactic session, and 1 trainer: 5 participants for the simulation session.

I’m not a certified trainer. How can I train this course at my institution?
Please contact ACOG staff at to schedule a phone call. Please include number, time zone, and several available times/dates.

How do I register?
Click the tab above for the currently available version.

Who should attend?
This course is available for purchase by course trainers only. For individual registration, please register for the ACOG Annual Clinical & Scientific Meeting or browse the Education Catalog for courses that may be taking place in your area.

Can my certificate be extended if I train a course as a Trainer?
Yes, your certificate will be extended for 24 months after you train a course.

During COVID-19, are certificate expiration dates be extended?
No, your certificate is good for up to 24 months and will not be extended due to COVID-19.

Completion Requirements

In order to receive continuing medical education (CME)* and maintenance of certification (MOC) credit for the course, the following must take place:

The Trainer must:

  • Complete the online registration, including listing dates and disclosures
  • Complete and submit the participant attendance and sign-in sheets
  • Sign, date, and distribute course certificates

 A Trainer who trains the course receives:

  • A total of 6 AMA PRA Category 1 Credits™
  • ABOG MOC Part IV credit

A Participant must:

  • Complete the didactic /online session
  • Complete the simulated session by successfully completing the simulation exercises demonstrating correct performance for each emergency
  • Successfully complete the ECO Posttest with a score of 80% or better