I've been ACLS/PALS certified for nearly twenty years and obviously, long before the internet, had to sit all weekend to renew every to two years. What a pain. A few years ago I decided to take an online course. I had my nurse manager look it over first. The course was pretty thorough but I was stuck on the stupid computer for hours trying to complete it. The entire thing had to be done sitting there. Not much better than going to class (other than not having to shower and dress ) This year I tried a different site, www.cprtrainingfast.com and it was much better. I printed the prep materials, printed the test and worked on it between patients. The ONLY thing i had to do on the computer was punch in my answers which only took me a couple minutes. I got my card that same day, too. The card looks like any other ACLS card and doesn't say anything about being "onliine." Was a little worried my manager wouldnt accept the card but to my surprise, she had taken her renewal course with the same company!