ACC President C. Michael Valentine, MD, FACC; SCAI President David A. Cox, MD, MSCAI, FACC; HRS President Thomas F. Deering, MD, FHRS, FACC; and HFSA President Randall C. Starling, MD, FACC, offer guidance to cardiovascular professionals seeking to navigate Maintenance of Certification (MOC) in 2019 and beyond as part of a joint Leadership Page published in the Journal of the American College of Cardiology. They provide an overview of the American Board of Internal Medicine's "Knowledge Check-In" option as an alternative to the traditional 10-year exam and outlines a third option known as the Collaborative Maintenance Pathway that ABIM and the ACC (with the strong collaboration of SCAI, HRS, and HFSA) have initiated with the purpose of marrying the concept of lifelong learning to the assessment requirement of MOC. Read more.