Understanding the New ABIM Requirements
For all ABIM Board Certified physicians (even those “grandfathered”), ABIM has begun reporting whether you are “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.
Board certified before 1990 (grandparent)
Your initial certification is valid indefinitely; however, you do still need to enroll in ABIM’s MOC program by April 30, 2014 to be reported as “Meeting MOC Requirements”. If you choose not to enroll or miss any of the MOC requirements, you will be reported as “Certified, Not Meeting MOC Requirements.”
Board certified after 1990 (before 2014)
You will continue to be certified until your current certification expires. To be reported as “Certified, Meeting MOC Requirements,” you will need to enroll in ABIM’s MOC program by April 30, 2014 and complete at least one ABIM-approved activity to earn points by December 31, 2015. Once your current certification expires, you will only be eligible to renew your certification if you are enrolled in MOC and “Meeting MOC Requirements”.
Newly certified (2014 and after)
Your certification is contingent upon whether you are meeting MOC requirements at the two, five and 10 year milestones. You must participate in continuous MOC activity to remain certified.
“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 April 30, 2014, log on to the ABIM Physician Portal and enroll in the MOC program. If you do not log on by this date, you will be reported as “Not Meeting MOC Requirements” until you do so.
- 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.
- The Institute of Medicine (IOM) has argued that in a profession with a “continually expanding knowledge base,” a mechanism is needed to ensure that practitioners remain up-to-date with current best practices. The growing knowledge base requires that training and ongoing licensure and certification reflect the need for lifelong learning and evaluation of competencies.
- Research has shown that the public expects that physicians undergo a rigorous, periodic examination of knowledge and that assessing knowledge and performance every 10 years is not sufficient. ABIM has collected some of this research.
- Board certification is a tangible part of earning the privilege enjoyed by the medical profession to self-regulate. Retaining this privilege and maintaining the trust of patients and the public requires demonstrating that a board certified internist has the requisite knowledge, and knows how to use it.
- These changes to MOC will also increase the relevancy of the credential by aligning with other physician reporting requirements.