The Basics

ABIM's MOC program currently consists of:

  1. Holding a valid and unrestricted license
  2. Self-Evaluation of Medical Knowledge
  3. Passing a certification exam

The MOC program still applies to all ABIM board certified physicians, including those originally certified prior to 1990 (grandparents). While ABIM's MOC program is not mandatory it could impact the status of your certification.

Requirements

MOC remains a continuous process with specific requirements at the two, five, and 10 year milestones:

  • Every Two Years: Participation in at least one MOC activity
  • Every Five Years: 100 points must be earned, including a minimum of 20 Self-Evaluation of Medical Knowledge Points (Part II).
  • Every 10 Years: Pass a secure MOC exam*

* The American Board of Internal Medicine (ABIM) has announced plans to offer a new Maintenance of Certification (MOC) assessment option beginning in January 2018. Under the new option, physicians who “engage in and perform well” on shorter assessments would have the option to test out of the current 10-year exam. The 10-year exam, however, will also remain available as a second option. According to ABIM, this new option will be available for physicians maintaining certification in internal medicine, and, possibly, one or two subspecialties starting in January 2018. Based on feedback from these early adopters, ABIM expects to make this option available to additional subspecialties as quickly as possible over subsequent program cycles. The ABIM expects to provide more specific details about the alternative assessment option no later than Dec. 31, 2016. In the meantime, physicians with certifications that expire before the new assessment option is offered in their specialty will still need to take and pass the 10-year exam in order to maintain their certification. For information about your personal MOC status please visit ABIM’s website.

The MOC Part IV Practice Assessment, Patient Safety and Patient Voice requirements will continue to be delayed until at least Dec. 31, 2018. Even though the Practice Assessment (Part IV) requirement has been suspended, the MOC points you earn will still count toward your MOC points requirements. Practice Assessment (Part IV) activities from the ACC will still be available to you and you can still use them to earn MOC points. The ACC is approved as a Portfolio Program Sponsor through the ABMS Multi-Specialty Portfolio Approval Program™ and can now award Part IV credit for the ABMS MOC – creating a more streamlined and efficient credit-earning process for clinicians choosing to participate.

Diplomates who are currently not certified but who have satisfied all requirements for MOC except for the Practice Assessment (Part IV) requirement will be issued a new certificate this year.

ABIM has also committed to keeping MOC enrollment fees at or below the 2014 levels through at least 2017.

Updates on the MOC Program from ABIM

ABIM has issued a series of changes and updates to the MOC program since it re-launched in 2014 which include:

  • Reversal of the Double Jeopardy Provision: ABIM announced it is eliminating the requirement to maintain underlying certification in a foundational discipline in order to remain certified in a subspecialty. For cardiology, this means that those specializing in interventional, electrophysiology, adult congenital and advanced heart failure will no longer need to pass both the general cardiology and sub-specialty boards. The change was fully effective as of Jan. 1, 2016. The change does not affect the requirement for initial certification. Read the new release from ABIM here.
  • Decoupling of the initial board exam from MOC participation: physicians who are meeting all other programmatic requirements will not lose certification simply for failure to enroll in MOC. This decoupling of certification and initial enrollment in MOC is a direct result of ACC’s efforts seeking an expedited resolution of this issue by ABIM. Get more details on the reversal and what this means for physicians.
  • Streamlining the ability for practitioners to get both CME credits and MOC Part II points: ABIM plans to allow new and more flexible ways to earn MOC Part II Points for activities with a self-assessment component that have traditionally been designated for CME credits only. ABIM has announced an official collaboration with ACCME that will enable CME providers, like the ACC, to offer more lifelong learning CME-MOC options. The ACC, along with other stakeholders, has been diligent over the last two years in our efforts to encourage ABIM to expand MOC Part II options available to physicians and reduce redundancy with CME, as well as allow societies to more easily offer lifelong learning activities for MOC. This move is a direct result of these efforts and is a big step forward in our ongoing work to represent the needs of our members and to collaborate with ABIM. This year at ACC.16, we were able to offer attendees the opportunity to attend select sessions that offered dual CME/MOC credit. As of Sept. 2016, JACC Journals will also offer the opportunity to earn dual CME/MOC credit for online activities. Learn more about the ABIM and ACCME collaboration.
  • Delaying MOC Part IV, Patient Safety and Patient Voice Requirements: Internist will NOT have his or her certification status changed for not having completed activities in these areas for at least the next two years. Diplomates who are currently not certified but who have satisfied all requirements for MOC except for the Practice Assessment requirement will be issued a new certificate this year. Read more about the suspension of MOC Part IV.
  • Coming Soon! ABIM has announced plans to offer a new Maintenance of Certification (MOC) assessment option beginning in January 2018. Under the new option, physicians who “engage in and perform well” on shorter assessments would have the option to test out of the current 10-year exam. ABIM expects to provide more specific details about the alternative assessment option no later than Dec. 31, 2016.

For more information on these changes, visit the ABIM's FAQ page.

For information about your personal MOC status please visit ABIM’s website.

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