Starting in Fall 2019, ACCSAP will offer a new feature called a Performance Assessment.

CMP Performance Assessments are shorter in length, consisting of approximately 60 questions that are focused on one or two specific topic areas in cardiology such as arrhythmias. A new Performance Assessment will be available each year, covering approximately 20% of the field of cardiovascular disease, so that in a span of 5 years the breadth of general cardiology will be covered.

If you successfully engage in ACCSAP educational materials and pass the Performance Assessment that is offered each year, you will be considered by the ABIM to be satisfying the assessment requirement towards maintaining your certification. You will not need to take the ABIM 10-year MOC exam or the ABIM Knowledge Check-in (every 2 years).

• Interventional Cardiology will offer a CMP through CathSAP, developed in collaboration with the Society for Cardiovascular Angiography & Interventions (SCAI).
• Clinical Cardiac Electrophysiology will offer a CMP through EP SAP, developed in collaboration with Heart Rhythm Society (HRS).
• Advanced Heart Failure and Transplant Cardiology will offer a CMP through Heart Failure SAP, developed in collaboration with the Heart Failure Society of America (HFSA).

We hope to add a CMP option for ACHD in the future.

To participate in the CMP, you must:

1. Be currently certified by the ABIM and not in an MOC exam grace period.
   (You can check your certification status by signing in to your ABIM Physician Portal at www.abim.org.)
2. Purchase ACCSAP. Your purchase provides you with 5 years of access.
3. Spend 7 or more hours "engaging" in the topic covered by the 2019 CMP Performance Assessment, which is Arrhythmias. This means you need to spend at least 7 hours:
• Reading the text and/or watching/listening to presentations in the Arrhythmias chapter
• Completing all 94 Arrhythmias practice questions and answering at least 70% of them correctly (you may answer as many times as necessary to achieve that score).
• The 7 hours must be accrued in the same calendar year as the Performance Assessment for that topic.
4. Take a Performance Assessment in the fall of 2019*. You will have two opportunities to do so. It is anticipated that you will receive your results immediately, plus a study guide that you can use to close any knowledge gaps identified by the assessment.
   
   2019 is a "no consequences" year, which means you will be considered as maintaining your certification as long as you participate in both the engagement and performance components of the pathway. In 2020 and beyond, you must pass the Performance Assessment to be considered as meeting your ABIM assessment requirement and will have two chances each year to do so. Your performance will be sent to ABIM annually so that they can accurately report whether or not you continue to meet your ABIM assessment requirement.
5. Repeat steps 3 and 4 for the next 4 years.
6. Purchase ACCSAP again in year 6 to continue with the CMP for another five years.

*Exact dates for the CMP Performance Assessment are TBD.

• The Cardiovascular Disease CMP will be offered through ACCSAP in 2019.
• The Interventional Cardiology CMP is anticipated to be offered through CathSAP in 2020. CathSAP is developed in collaboration with SCAI.
• The Clinical Cardiac Electrophysiology CMP is anticipated to be offered through EP SAP in 2020. EP SAP is developed in collaboration with HRS.
• The Advanced Heart Failure and Transplant Cardiology CMP is anticipated to be offered through Heart Failure SAP in 2020. Heart Failure SAP will be developed in collaboration with HFSA.
• We hope to add a CMP option for ACHD in the future.

Each year's CMP Performance Assessment will cover approximately 20% of the field. The table below outlines the topics to be tested over the next five years within ACCSAP. Each topic's corresponding text and practice questions will be thoroughly updated in the year of its Performance Assessment. However, you will always have access to all learning materials and practice questions in the entire SAP product so you can use the SAP as a reference tool. Only the Performance Assessment will be available in increments by topic or topic grouping.

• 2019 is a "no consequences" year, which means you will be considered as maintaining your certification as long as you participate in both the engagement and performance components of the pathway. If you are successful on the ACCSAP CMP Performance Assessment in 2019, it will count as a pass. If you are not successful and your exam was due in 2019, there will be no change to your certification status and you can continue to participate in the CMP. In 2020 and beyond, you must pass either the first or second offering of the Performance Assessment to be considered as maintaining your certification.
• A 'no consequences" year doesn't mean you can skip the assessment. If you skip it, and your certification expires in 2019, your status will change to Not Certified.
• In addition to meeting other certification requirements, physicians with certifications expiring in 2019 will need to take one of the three available MOC Assessment Options or they will no longer be certified. Available options include the ABIM 10-Year Traditional Exam, the ABIM 2-Year Knowledge Check In, and ACCSAP's CMP Performance Assessment.

If you are currently certified by ABIM, and you are not in an MOC exam grace period, ACC invites you to try the CMP! Three reasons to try it include:

• If your certification expires in 2019, you can participate in the ACCSAP CMP at no risk because 2019 is a "no consequences" year (see question above). Plus, you can earn all the CME and MOC medical knowledge points you need!
• If your certification expires in 2020 or beyond, you can participate in the ACCSAP CMP at no risk and gain experience with the new process. Plus, you can earn all the CME and MOC medical knowledge points you need!
• Similar to the KCI and the traditional MOC exam, ACCSAP's CMP will offer you two chances to pass each administration year!

If you pass ACCSAP's CMP Performance Assessment each year after 2019 (because 2019 is a no consequences year), you won't need to take the traditional MOC exam to maintain your certification.

You can take ACCSAP's CMP Performance Assessment on a laptop or desktop. Although the learning material and practice questions are available via tablet or mobile phone, you may not use a tablet or mobile phone to take the CMP Performance Assessment. ACCSAP is optimized for use with Chrome, Firefox, Edge, and Safari; ACC recommends that you avoid using Internet Explorer to view this product. If you are able to answer the practice questions within ACCSAP on your laptop/desktop, then you will be able to answer the questions within the CMP Performance Assessment.

Checklist to Prepare for Taking ACCSAP's CMP Performance Assessment:

•        Do you have Chrome, Firefox, Edge or Safari on your laptop/desktop? (ACC recommends that you avoid using Internet Explorer)
•        Did you spend at least 7 hours engaging with the material related to this year's ACCSAP CMP Performance Assessment? (reading the text, watching the presentations and answering all practice questions with a minimum score of 70% correct)
•        Do you have a private space that is free from disruptions for the 2 hours allotted for the assessment?
•        Do you have reliable internet access?

The first Performance Assessment is anticipated to become available within ACCSAP in Fall 2019, and the second will become available later in the Fall 2019. There will be a one-week window in which you may take each online assessment at your convenience any time of day or night. You do not need to schedule a specific time because there is no proctor.

Please note that if you want two chances to pass, you must participate in the first Performance Assessment; if you miss it or skip it, then you will only have one attempt to pass with the second Performance Assessment.

Yes, but keep in mind that you only have 2 hours to complete the assessment, which consists of 60 questions.

ACCSAP's CMP Performance Assessment is delivered online so it is anticipated that you will receive your results immediately, along with a study guide designed to help you close any knowledge gaps identified by the Assessment.

If you don't pass in 2019, you will still be counted as maintaining your certification because 2019 is a "no consequences" year. After 2019, you must pass the CMP Performance Assessment every year to be considered as maintaining your certification. But remember, you have two chances to pass each year – the first Performance Assessment anticipated in early fall and the second Performance Assessment in later fall.

After 2019, if you do not pass a CMP Performance Assessment you have the option to maintain your board certification by passing ABIM's two-year Knowledge Check-in (KCI) or the 10-year exam. After passing one of ABIMs alternatives, you can then return to ACC's CMP.

Your purchase of ACCSAP includes five years of access, so you only need to buy it once every five years. Plus, the yearly price of ACCSAP has decreased from $400 per year to $300 a year – a 25% savings!

Participation in the CMP involves two separate costs:

• ABIM annual cost to participate in MOC*
• $128 per year if you pay BEFORE the year due
• $160 per year if you pay IN the year due
• $180 if you pay AFTER the year due

*Paid directly to ABIM regardless of the MOC option you choose

• ACCSAP purchase, which gives you 5 years of access to all learning and assessment materials**
• $1,500 for an ACC Member
• $1,900 for a Nonmember
• $900 for Fellows in Training or Emeritus Members

**Paid directly to ACC for access to all CME learning content plus the option to use ACCSAP as your MOC assessment option through the CMP

Your institution's subscription to CardioSource Plus includes the traditional elements of ACCSAP (text, presentations, and practice questions). It does not include the new CMP element – the Performance Assessment. If you want to participate in the CMP, you will need to purchase your own personal version of ACCSAP.

• You are not required to do anything before the year your assessment is due. As long as you take the Performance Assessment and pass it in the year your current certificate expires, you will be counted as meeting your assessment requirement.
• You can gain experience taking Performance Assessments without the stress of achieving a passing score by purchasing ACCSAP early and taking the Performance Assessment. You are not required to pass a Performance Assessment until the year your assessment is due.
• In addition to helping you become familiar with the Performance Assessment, ACCSAP will also provide you with all of the CME and MOC Medical Knowledge (Part II) points that you need each year.
• If you decide that you would prefer to take a different assessment option (such as ABIM's traditional 10-year exam or Knowledge Check-In), you may use ACCSAP as a study tool or you may simply use it to keep yourself current in cardiovascular knowledge.

If you want to try the CMP, you should start "engaging" in the topic covered by the 2019 CMP Performance Assessment, which is Arrhythmias. This means you need to spend at least 7 hours:

• Reading the text online and/or watching/listening to presentations in the Arrhythmias chapter
• Completing all 94 Arrhythmias practice questions and answering at least 70% of them correctly (you may answer as many times as necessary to achieve that score).
• The 7 hours must be accrued in the same calendar year as the Performance Assessment for that topic.
• ACCSAP will automatically track your online engagement hours so you do not need to keep track of them. Please note that you must be online in order for your engagement hours to count. If you download audio files and listen to them offline, that time will not be counted.

Later this fall, the Performance Assessment will become available and anyone who is currently certified by the ABIM, not in an MOC exam grace period, and has completed the steps above may participate in the Performance Assessment.

Yes, you will have to redo the 7 hours for the topic(s) featured in each year's performance assessment, but ACC will be updating that topic. For example, the 2020 Performance Assessment will focus on CAD. The current CAD "learning material" (text, presentations, and practice questions) will disappear and be replaced by an updated version in early 2020, so even though you have to spend another 7 hours engaging with it, it will be different material than what you saw this year.

No, currently the only "re-entry" pathways for a lapsed certificate are (1) to take and pass the traditional 10-year MOC Exam or (2) to take and pass two consecutive Knowledge Check-Ins within two years. Diplomates in this category should check with ABIM for specific actions and to note the dates when exams are offered.

No, if your subspecialty certification will lapse in 2019, your only option to avoid a lapse in your certification is to take ABIM's traditional 10-year MOC Exam in 2019. The KCI and CMP options for cardiovascular subspecialties will not be available until 2020.

No, you will have two chances annually to take and pass your Performance Assessment and you may take it once during each administration window. To ensure that you have two chances to pass, you must participate in the first Performance Assessment administration window. If you miss it or skip it, then you will have only one attempt to pass with the second Performance Assessment.

The CMP is available through ACCSAP, ACC's flagship self-assessment program covering the entire field of cardiovascular disease. Chances are, you're already familiar with ACCSAP and know that it is a great resource for refreshing your knowledge, testing yourself, and earning all the CME and MOC medical knowledge points that you need to stay licensed and certified. Now you will also be able to use it to meet your MOC assessment requirement.

ACCSAP's CMP Performance Assessment covers approximately 20% of the field each year, letting you refresh your knowledge of the whole discipline over a 5-year period rather than all at once. The table below shows the specific topics that will be tested each year.

Just take the 60-question Performance Assessment within ACCSAP every year. (Your purchase of ACCSAP provides you with 5 years of access.)

You may attempt the CMP assessment one time during each of the two testing windows offered each year (exact dates TBD). The Performance Assessment is completed entirely online so you can take it from any location with a desktop or laptop and internet access (the CMP will not work on mobile devices or tablets).

You can participate in the ACCSAP CMP at no risk for the first year because 2019 is a "no consequences" year (this means that you will continue to be counted as maintaining your ABIM certification simply by completing the CMP requirements). Plus, you can earn all the CME and MOC medical knowledge points you need!