The American Board of Internal Medicine (ABIM) has made significant modifications or changes to the MOC process over the last several years based on feedback and negotiations with the ACC and other internal medicine and cardiovascular societies, including the Society for Cardiovascular Angiography and Intervention (SCAI), the Heart Rhythm Society (HRS), and the Heart Failure Society of America (HFSA).

Among these changes:

• The requirement for patient voice and patient safety MOC activities has been suspended  
• The "double jeopardy" requirement for cardiovascular subspecialists has been reversed
• The relationship between initial certification and MOC participation has been decoupled
• The process of granting MOC points for most CME activities has been streamlined, and Practice Assessment (formerly Part IV) MOC activities have become sufficient, but not necessary, to maintain certification

Read the ACC's comments and recommendations to the Vision for the Future Commission regarding continuing board certification that were sent on Jan. 15, 2019.