What This Means to You

Do you hold multiple ABIM certifications or one? Are you new to MOC, or have you participated in the program before? As every diplomate is different, your MOC Status Report at ABIM.org now outlines requirements specific to you.

What do the changes to the MOC program mean for me?

If I have time remaining on my certificate...

  • You will continue to be certified for the length of your current certification(s), assuming you hold a current and valid license. If you hold certification(s) that are valid indefinitely, you will not lose those certifications.
  • ABIM will report you as certified until that certification expires. For all ABIM Board Certified physicians, ABIM has begun reporting whether or not you are "Meeting MOC Requirements" (i.e., continuously engaging in MOC activities).

To be "Meeting MOC Requirements":

  • "Meeting MOC Requirements" means that a physician is engaged in ABIM-approved self-assessment activities on an ongoing basis. Specifically, the MOC program requirements now include two-and five-year milestones as well as passing an MOC exam every 10 years. To continue to be "Meeting MOC Requirements," all ABIM Board Certified physicians will need to meet the following requirements:
    • By December 31, 2015 and every two years thereafter, complete at least one ABIM-approved MOC activity to earn points.
    • By December 31, 2018 and every five years thereafter, earn 100 points with at least 20 points in medical knowledge and 20 points in practice assessment. In addition, you will need to fulfill a patient safety and a patient survey requirement.
      • The points earned every two years will count toward your five-year requirement, and also count toward the milestones for the certifications you are maintaining.
    • Pass an MOC exam every 10 years.
  • If you are currently enrolled in the MOC program and your certification is still valid, when you log in to ABIM.org and indicate which certification(s) you are choosing to maintain, you will be "Meeting MOC Requirements." You will have a fee credit and will not owe any additional fees until your current MOC program enrollment expires. This fee credit will cover all MOC components (unless you previously used your exam credit). However, if you take an additional exam, you may incur additional fees. By December 31, 2015, you will need to complete an MOC activity to earn MOC points to continue to be "Meeting MOC Requirements."
  • If you are not currently enrolled in the MOC program and your certificate is valid, you'll be meeting requirements when the MOC changes take effect in early 2014. To continue to be reported as "Meeting MOC Requirements," log in to ABIM.org and enroll by indicating which certification(s) you choose to maintain. If you do not log in and activate your program by April 30, 2014, you will be reported as "Certified, Not Meeting MOC Requirements." After April 30, 2014, you can change your reported status to "Meeting MOC Requirements" by simply logging in and enrolling in the program. By December 31, 2015, you will need to complete an MOC activity to earn MOC points to continue to be "Meeting MOC Requirements."
  • ABIM will honor the previous exam program rules for certificates that expire between now and December 31, 2023. Future exams for certificates that are contingent upon "Meeting MOC Requirements" will be due 10 years from when they were last passed.
  • Only MOC activities completed in 2014 and after will count toward the new "Meeting MOC Requirements" reporting.
  • Points earned for MOC activities completed before 2014 can be applied to the certifications you are maintaining that expire in 2014, 2015, 2016 or 2017. You will still need to earn points from January 2014 to December 31, 2015 to be "Meeting MOC Requirements" and 100 points with at least 20 points in medical knowledge and 20 points in practice assessment by the end of 2018 to continue to be "Meeting MOC Requirements."
  • Those with certifications expiring in 2018 and beyond will need to earn 100 points with at least 20 points in medical knowledge and 20 points in practice assessment by December 31, 2018 to continue to be "Meeting MOC Requirements."
  • The points earned every two years will count toward your five-year requirement, and also count toward the milestones for the certifications you are maintaining.
    • You can earn MOC points by completing ABIM's own MOC products, and for most other products, at no additional cost, you may be eligible for CME credit. In addition, there are many other activities developed by other organizations that ABIM has approved for MOC credit.
    • Starting in 2014, you will earn 20 MOC points for your first exam attempt in each certification area, and these points count toward the 100-point requirement.
    • If you are maintaining certification in Interventional Cardiology or Focused Practice in Hospital Medicine, you will need to attest to meeting additional program-specific requirements every five years.
    • Log in to ABIM.org and visit your MOC Status Report to review your specific MOC program requirements.

What is "the correct distribution?" What does "distributed across key areas" mean?

  • The correct distribution means earning a total of 100 points by December 31, 2018 and every five years thereafter with at least 20 points in medical knowledge and at least 20 points in practice assessment. In addition, you will need to fulfill a patient safety and a patient survey requirement. The points earned every two years count toward the five-year total.
    • Points can be earned from any of the products ABIM accepts for MOC credit, as well as for your first exam attempt in each certification area being maintained.
    • Points earned after the changes to the program take effect in early 2014 will apply to the two and five-year milestones for the certificates you chose to maintain and to "Meeting MOC Requirements."
  • Earn 20 MOC points for each first exam attempt in each certification area (whether you pass or fail). You must pass an exam in each certification area you want to maintain every 10 years.

If I hold more than one ABIM Certification...

  • Log in to ABIM.org and review your MOC Status Report to learn your specific MOC program requirements.
  • Follow the steps described above to be "Meeting MOC Requirements."
  • The points you earn will count toward the milestones for all certifications you are choosing to maintain.
  • Only MOC activities completed in 2014 and after will count toward the new "Meeting MOC Requirements" reporting.
  • Points earned for MOC activities completed before 2014 can be applied to the certifications you are maintaining that expire in 2014, 2015, 2016 or 2017. You will still need to earn points from January 2014 to December 31, 2015 to be "Meeting MOC Requirements" and 100 points with at least 20 points in medical knowledge and 20 points in practice assessment by the end of 2018 to continue to be "Meeting MOC Requirements."
  • ABIM will honor the previous exam program rules for certificates that expire between now and December 31, 2023. Future exams for certificates that are contingent upon "Meeting MOC Requirements" will be due 10 years from when they were last passed.
  • Those with certifications expiring in 2018 and beyond will need to earn 100 points with at least 20 points in medical knowledge and 20 points in practice assessment by December 31, 2018 to continue to be "Meeting MOC Requirements."
    • If you are maintaining certification in Interventional Cardiology or Focused Practice in Hospital Medicine, you will need to continue to attest to meeting additional program-specific requirements.
    • You will receive MOC points for each first exam attempt per certification area being maintained.

If my certification expired in 2013...

  • If you completed your existing program requirements by December 31, 2013, you will receive a new 10-year certificate.
  • If you did not complete your existing requirements by December 31, 2013, your certification has lapsed. You can complete your requirements in 2014 or thereafter and you will receive a new certificate, the ongoing validity of which is contingent upon "Meeting MOC Requirements."
  • If you are enrolled in MOC, you have a fee credit and will not owe any additional fees until your current MOC program enrollment expires. This fee credit will cover all MOC components (unless you previously used your exam credit). However, if you take an additional exam, you may incur additional fees. Follow the steps described above to be "Meeting MOC Requirements" in 2014 and after.
  • If you are currently not enrolled in the MOC program, you will need to enroll in MOC by logging in to ABIM.org and indicating which certification areas you are choosing to maintain. You must meet your existing program requirements to reinstate your lapsed certification(s) before you can be "Meeting MOC Requirements." If all your program requirements are met, you will receive a new certificate, the ongoing validity of which is contingent upon "Meeting MOC Requirements." Follow the steps described above to be "Meeting MOC Requirements" in 2014 and after.
  • If you are maintaining certification in Interventional Cardiology or Focused Practice in Hospital Medicine, you will need to continue to attest to meeting additional program-specific requirements.

If my certification expires in 2014...

  • Log in to ABIM.org and visit your MOC Status Report in early 2014 to learn your specific MOC program requirements.
    • You will continue to be certified for the length of your current certification(s), assuming you hold a current and valid license.
    • Meet your existing program requirements by December 31, 2014. Note that any points earned prior to 2014 will only count toward the 100 points you need to maintain your certification(s) and will not count toward the new "Meeting MOC Requirements" reporting.
    • Any MOC activity you complete in 2014 and after will count toward your certification(s) expiring in 2014 AND to be "Meeting MOC Requirements."
    • If you were enrolled in MOC before the MOC changes took effect in 2014, you will have a fee credit for the balance of the enrollment fee that you paid. This fee credit will cover all MOC components (unless you previously used your exam credit). You will not owe any additional fees until your current MOC program enrollment expires and you will be "Meeting MOC Requirements" in 2014. However, if you take an additional exam, you may incur additional fees.
    • If you are not enrolled in MOC, in early 2014, to be reported as "Meeting MOC Requirements," log in to ABIM.org and enroll by indicating which certification(s) you choose to maintain. If you do not log in and activate your program by April 30, 2014, you will be reported as "Certified, Not Meeting MOC Requirements." After April 30, 2014, you can change your reported status to "Meeting MOC Requirements" by simply logging in and enrolling in the program.
    • If you are maintaining certification in Interventional Cardiology or Focused Practice in Hospital Medicine, you will need to continue to attest to meeting additional program-specific requirements.
    • ABIM will honor the previous exam program rules for certificates that expire between now and December 31, 2023. Future exams for certificates that are contingent upon "Meeting MOC Requirements" will be due 10 years from when they were last passed.
    • If all your program requirements are met, upon expiration of each time-limited certification you are maintaining you will receive a new certificate, the ongoing validity of which is contingent upon "Meeting MOC Requirements."
    • You will need to pass your next exam 10 years from when you last passed.

If my certification expires in 2015...

  • Log in to ABIM.org and visit your MOC Status Report in early 2014 to learn your specific MOC program requirements.
    • You will continue to be certified for the length of your current certification(s), assuming you hold a current and valid license.
    • Meet your existing program requirements by December 31, 2015. Note that any points earned prior to 2014 will only count toward the 100 points you need to maintain your certification(s) and will not count toward the new "Meeting MOC Requirements" reporting.
    • Any MOC activity you complete in 2014 and after will count toward your certification(s) expiring in 2015 AND to be "Meeting MOC Requirements."
    • If you were enrolled in MOC before the MOC changes took effect in 2014, you will have a fee credit for the balance of the enrollment fee that you paid. This fee credit will cover all MOC components (unless you previously used your exam credit). You will not owe any additional fees until your current MOC program enrollment expires and you will be "Meeting MOC Requirements" in early 2014. However, if you take an additional exam, you may incur additional fees.
    • If you are not enrolled in MOC, in early 2014, to be reported as "Meeting MOC Requirements," log in to ABIM.org and enroll by indicating which certification(s) you choose to maintain. If you do not log in and activate your program by April 30, 2014, you will be reported as "Certified, Not Meeting MOC Requirements." After April 30, 2014, you can change your reported status to "Meeting MOC Requirements" by simply logging in and enrolling in the program.
    • If you are maintaining certification in Interventional Cardiology or Focused Practice in Hospital Medicine, you will need to continue to attest to meeting additional program-specific requirements.
    • ABIM will honor the previous exam program rules for certificates that expire between now and December 31, 2023. Future exams for certificates that are contingent upon "Meeting MOC Requirements" will be due 10 years from when they were last passed.
    • If all your program requirements are met, upon expiration of each time-limited certification you are maintaining you will receive a new certificate, the ongoing validity of which is contingent upon "Meeting MOC Requirements."
    • You will need to pass your next exam 10 years from when you last passed.

If my certification expires in 2016...

  • Log in to ABIM.org and visit your MOC Status Report in early 2014 to learn your specific MOC program requirements.
    • You will continue to be certified for the length of your current certification(s), assuming you hold a current and valid license.
    • Meet your existing program requirements by December 31, 2016. Note that any points earned prior to 2014 will only count toward the 100 points you need to maintain your certification(s) and will not count toward the new "Meeting MOC Requirements" reporting.
    • Any MOC activity you complete in 2014 and after will count toward your certification(s) expiring in 2016 AND to be "Meeting MOC Requirements."
    • If you were enrolled in MOC before the MOC changes took effect in 2014, you will have a fee credit for the balance of the enrollment fee that you paid. This fee credit will cover all MOC components (unless you previously used your exam credit). You will not owe any additional fees until your current MOC program enrollment expires and you will be "Meeting MOC Requirements" in 2014. However, if you take an additional exam, you may incur additional fees.
    • If you are not enrolled in MOC, in early 2014, to be reported as "Meeting MOC Requirements," log in to ABIM.org and enroll by indicating which certification(s) you choose to maintain. If you do not log in and activate your program by April 30, 2014, you will be reported as "Certified, Not Meeting MOC Requirements." After April 30, 2014, you can change your reported status to "Meeting MOC Requirements" by simply logging in and enrolling in the program.
    • If you are maintaining certification in Interventional Cardiology or Focused Practice in Hospital Medicine, you will need to continue to attest to meeting additional program-specific requirements.
    • ABIM will honor the previous exam program rules for certificates that expire between now and December 31, 2023. Future exams for certificates that are contingent upon "Meeting MOC Requirements" will be due 10 years from when they were last passed.
    • If all your program requirements are met, upon expiration of each time-limited certification you are maintaining you will receive a new certificate, the ongoing validity of which is contingent upon "Meeting MOC Requirements."
    • You will need to pass your next exam 10 years from when you last passed.

If my certification expires in 2017...

  • Log in to ABIM.org and visit your MOC Status Report in early 2014 to learn your specific MOC program requirements.
    • You will continue to be certified for the length of your current certification(s), assuming you hold a current and valid license.
    • Meet your existing program requirements by December 31, 2017. Note that any points earned prior to 2014 will only count toward the 100 points you need to maintain your certification(s) and will not count toward the new "Meeting MOC Requirements" reporting.
    • Any MOC activity you complete in 2014 and after will count toward toward your certification(s) expiring in 2017 you are maintaining AND to be "Meeting MOC Requirements."
    • If you were enrolled in MOC before the MOC changes took effect in 2014, you have receive a fee credit for the balance of the enrollment fee that you paid. This fee credit will cover all MOC components (unless you previously used your exam credit). You will not owe any additional fees until your current MOC program enrollment expires and you will be "Meeting MOC Requirements" in 2014. However, if you take an additional exam, you may incur additional fees.
    • If you are not enrolled in MOC, in early 2014, to be reported as "Meeting MOC Requirements," log in to ABIM.org and enroll by indicating which certification(s) you choose to maintain. If you do not log in and activate your program by April 30, 2014, you will be reported as "Certified, Not Meeting MOC Requirements." After April 30, 2014, you can change your reported status to "Meeting MOC Requirements" by simply logging in and enrolling in the program.
    • If you are maintaining certification in Interventional Cardiology or Focused Practice in Hospital Medicine, you will need to continue to attest to meeting additional program-specific requirements.
    • ABIM will honor the previous exam program rules for certificates that expire between now and December 31, 2023. Future exams for certificates that are contingent upon "Meeting MOC Requirements" will be due 10 years from when they were last passed.
    • If all your program requirements are met, upon expiration of each time-limited certification you are maintaining you will receive a new certificate, the ongoing validity of which is contingent upon "Meeting MOC Requirements."
    • You will need to pass your next exam 10 years from when you last passed.

If my certification expires 2018 or beyond...

  • Log in to ABIM.org and visit your MOC Status Report in early 2014 to learn your specific MOC program requirements.
    • You will continue to be certified for the length of your current certification(s), assuming you hold a current and valid license.
    • Follow the steps described above to be "Meeting MOC Requirements" in 2014 and after.
      • Unfortunately, any points you earned prior to 2014 will not count toward maintaining certifications expiring 2018 or beyond. To maintain certifications expiring 2018 and beyond and to be "Meeting MOC Requirements" you will need to earn points during the two- and five-year milestone cycles, beginning in 2014. Every 10 years, you’ll also need to pass a secure exam.
  • The points earned every two years will count toward your five-year requirement, and also count toward the milestones for the certifications you are maintaining.
    • If you do not meet the 100-point requirement by December 31, 2018, but still have time left on your certificate, you will be reported as "Certified, Not Meeting MOC Requirements."
    • If you were enrolled in MOC before the MOC changes took effect in 2014, you will have a fee credit for the balance of the enrollment fee that you paid. This fee credit will cover all MOC components (unless you previously used your exam credit). You will not owe any additional fees until your current MOC program enrollment expires and you will be "Meeting MOC Requirements" in 2014. However, if you take an additional exam, you may incur additional fees.
    • If you are not enrolled in MOC, in early 2014, to be reported as "Meeting MOC Requirements," log in to ABIM.org and enroll by indicating which certification(s) you choose to maintain. If you do not log in and activate your program by April 30, 2014, you will be reported as "Certified, Not Meeting MOC Requirements." After April 30, 2014, you can change your reported status to "Meeting MOC Requirements" by simply logging in and enrolling in the program.
    • ABIM will honor the previous exam program rules for certificates that expire between now and December 31, 2023. Future exams for certificates that are contingent upon "Meeting MOC Requirements" will be due 10 years from when they were last passed.
    • If you are maintaining certification in Interventional Cardiology or Focused Practice in Hospital Medicine, you will need to continue to attest to meeting additional program-specific requirements.
    • If all your program requirements are met, upon expiration of each time-limited certification you are maintaining you will receive a new certificate, the ongoing validity of which is contingent upon "Meeting MOC Requirements."

If I become newly certified in 2013 or complete MOC requirements after 2013...

  • When all your program requirements are met, a new certificate [including those for initial certification (2013 and after) and MOC (2014 and after)] will be issued, the ongoing validity of which is contingent upon "Meeting MOC Requirements."
    • To remain valid, certification requires ongoing demonstration of competence through the ABIM MOC program.
    • You will need to pass your next exam 10 years from when you last passed.
    • Anyone newly certified in Internal Medicine will receive a waiver of their annual MOC fee for the year after they pass the Internal Medicine Certification Exam. This includes physicians who passed the Internal Medicine Certification Exam in 2013, who will receive a waiver of their annual MOC fee for 2014.
    • Anyone newly certified in a subspecialty will need to participate in MOC to maintain their subspecialty certification. This includes physicians who passed the Fall Subspecialty Certification exams in 2013. Beginning in January 2014, log in to ABIM.org, enroll and indicate which certifications you will maintain. At that time, you will have the option to enroll annually or pre-pay for 10 years.
      • If you are currently enrolled, you will have a fee credit. You will need to activate your enrollment by indicating which certifications you choose to maintain by April 30, 2014 to remain certified in your subspecialty and to be reported as “Certified, Meeting MOC Requirements.” If you do not, you will be reported as “Certified, Not Meeting Requirements” in that subspecialty.
      • If you are not enrolled in MOC, you will need to enroll by April 30, 2014 to remain certified in your subspecialty and to be reported as “Certified, Meeting MOC Requirements.” If you do not enroll, you will not be certified in that subspecialty after April 30. You can enroll at any time after April 30 to reinstate your subspecialty certification.
    • If you are maintaining certification in Interventional Cardiology or Focused Practice in Hospital Medicine, you will need to continue to attest to meeting additional program-specific requirements.

If I hold certification that is valid indefinitely...

  • Log in to ABIM.org and visit your MOC Status Report in early 2014 to learn your specific MOC program requirements.
    • ABIM will honor all certifications already issued, and diplomates who received certifications that are valid indefinitely will remain certified (assuming you hold a current and valid license).
    • However, for all ABIM Board Certified physicians, regardless of when they were initially certified, ABIM will begin reporting whether or not they are "Meeting MOC Requirements."
    • In order to be reported as "Meeting MOC Requirements," diplomates with a certification that is valid indefinitely will need to pass the MOC exam in their certification area by December 31, 2023. This is in addition to continuing to meet the point requirements of the MOC program (including the two- and five-year milestones). Diplomates with a certification that is valid indefinitely will not have to pass an exam to remain certified.
    • Diplomates with a certification that is valid indefinitely who miss any of the MOC program requirements will be reported as "Certified, Not Meeting MOC Requirements." They will NOT be reported as "Not Certified" for failing to meet MOC requirements.
  • If you are not enrolled in MOC, in early 2014, to be reported as "Meeting MOC Requirements," log in to ABIM.org and enroll by indicating which certification(s) you choose to maintain. If you do not log in and activate your program by April 30, 2014, you will be reported as "Certified, Not Meeting MOC Requirements." After April 30, 2014, you can change your reported status to "Meeting MOC Requirements" by simply logging in and enrolling in the program.
  • If you were enrolled in MOC before the MOC changes take effect in 2014, you will have a fee credit for the balance of the enrollment fee that you paid. This fee credit will cover all MOC components (unless you previously used your exam credit). You will not owe any additional fees until your current MOC program enrollment expires and you will be "Meeting MOC Requirements" in 2014. However, if you take an additional exam, you may incur additional fees.

If I'm not currently working in a clinical setting...

  • If you currently do not provide patient care, have no direct or indirect supervisory responsibilities for patient care, and have no administrative responsibility for patient care (e.g., serving as a department chair), you may be able to complete an alternative activity to meet your MOC requirements. Examples include physicians whose work is purely research-based or who work for a company that produces health care goods or services (e.g., pharmaceutical, medical device, health information technology or health insurance companies).
  • To find out what options are available for your unique situation, e-mail request@abim.org or call 1-800-441-ABIM (2246).

If I'm in a fellowship program...

  • If you are in a fellowship program in the 2014 calendar year and after, you may have to pay the MOC fee (annual or 10-year prepayment) in 2014 unless you were previously enrolled in MOC or you initially certified in Internal Medicine in 2013 (in which case, you will receive a fee waiver for being newly certified). Fellowship years completed before 2014 are not eligible.
  • Upon completion of each eligible fellowship year and ABIM's receipt of your evaluation from your program director, you will receive 20 MOC points and a one-year fee credit, available through your log in to ABIM.org. For fellowships completed in 2014, the fee credit and points won’t be applied until the 2015 calendar year at the earliest because the credit application is contingent upon ABIM’s receipt of your evaluation from your program director. These evaluations come to ABIM via our FasTrack system. No action on your part is required.
  • These 20 points will be credited to: 10 points in medical knowledge and 10 points in practice assessment.
  • Log in to ABIM.org and visit your MOC Status Report to learn your specific MOC program requirements.

If my certification is lapsed...

  • If your certification has already expired, you will need to complete your existing program requirements to receive a new certificate, the ongoing validity of which is contingent upon "Meeting MOC Requirements."
  • Log in to ABIM.org and review your MOC Status Report to see what you need to do to reinstate your lapsed certification(s). Once you have reinstated your certification(s), your MOC Status Report will tell you what you need to do to maintain your certification(s) and to be "Meeting MOC Requirements."
  • If you are currently enrolled in MOC, when you log in to ABIM.org and indicate which certifications you are choosing to maintain, you will have a fee credit and will not owe any additional fees until your current MOC program enrollment expires. This fee credit will cover all MOC components (unless you previously used your exam credit). However, if you take an additional exam, you may incur additional fees.
  • If you are not enrolled in MOC, you will need to log in to ABIM.org and enroll by indicating which certification(s) you are choosing to maintain.

What is the Patient Safety Requirement?

  • Beginning in 2014, you will need to complete a patient safety activity by December 31, 2018 and every five years thereafter.
  • These Self-Evaluation of Medical Knowledge products can be used to meet the patient safety requirement:
    • The ABP-led Joint Primary Care Board Patient Safety module
    • ACP Annals of Internal Medicine: Patient Safety (approved through 3/5/2016)
    • SHM: Hospital QI & Patient Safety Module 2 (approved through 12/22/2014)
  • These Self-Evaluation of Practice Assessment products can be used for credit for the patient safety requirement:
    • Care Coordination – Specialist PIM
    • Care Coordination – Referring Physician PIM
    • Communication with Referring Physicians PIM
  • We will add many more patient safety options well before the requirement needs to be met.
  • ABIM is also currently developing alternative methods to get patient safety credit for activities you are doing related to:
    • Medication safety
    • Prevention of health care acquired infections
    • Falls prevention
    • Teamwork and care coordination

What is the Patient Survey Requirement?

  • Beginning in 2014, you will need to complete a patient survey by December 31, 2018 and every five years thereafter. ABIM PIMs Practice Improvement Modules® that include a patient survey will count toward this requirement.
  • We will add product options to do a survey without doing a full PIM, well before the requirement needs to be met.
  • We are also working on a process to review and approve patient surveys that you might already use in your practice. We expect to have that program in place at least two years before any diplomate will be required to complete a patient survey.