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Maintenance of Certification (MOC)

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10YR-MOC, C-MOC
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2014 MOC: PQRS and the MOC Matters Website
Visit the MOC Matters Website to fulfill and document your 2014 MOC and PQRS requirements. It consists of the MOC: PQRS Attestation Module, the PQRS Registry Module and the Patient Experience of Care Survey Module. As an added feature, the freestanding Patient Survey Module is available to diplomates of all Member Boards, whether or not the diplomates are participating in MOC:PQRS. The Website also includes an updated MOC:PQRS Facts & FAQs.
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Candidates in Psychiatry: Part II Video Vignette
Candidates†are those in the field of Psychiatry, who are seeking ABPN Board Certification. All candidates will need to complete and submit an application in order to qualify for an examination. Each application will be reviewed by the credentials department. Candidates become diplomates after passing their examination. Diplomates will then begin the process of†maintenance of certification.

Subspecialties in psychiatry include; addiction psychiatry, child and adolescent psychiatry, clinical neurphysiology, forensic psychiatry, geriatric psychiatry, hospice and palliative medicine, pain medicine, psychosomatic medicine, and sleep medicine.

Apply for an examination | ABPN Physician Folios site | Visit the Pearson VUE Website


Candidates in Psychiatry: Part II Video Vignette

Psychiatry Part II examination changes became effective with the May 2006 examination. A vignette section replaced the former audiovisual hour.

An 18-year-old unmarried woman comes to a local community mental health center with her three-week-old daughter. She reports experiencing depressed mood, low energy, anorexia, and frequent crying spells for the past two weeks. She states she’s not a good mother and wonders if her daughter would be better off without her. Further inquiry reveals the woman is suspicious of and cannot trust others. She hears a voice inside her head saying, “Do it,” related to hurting herself and/or her daughter.

She says she lives alone and isn’t certain who the baby’s father is. Because the woman had been in foster care as a child, she is very concerned about her baby being taken away from her by the authorities if she’s admitted to the hospital. She says that, if necessary, she is willing to take medication as an outpatient. She reports that neither she nor her infant have had any medical care since they left the hospital 24 hours following delivery.

Previous clinic records document that the young woman was seen for three evaluative sessions at age 16, after which she was prescribed medication. At that time, she was agitated, had pressured speech, and revealed a history of substance use and sexual promiscuity. She did not return for follow-up and was reported to be truant from a second foster home placement. There was no further contact in the past two years.

Written Vignette Sample Questions with Diagnostic Focus
  1. Discuss a key aspect of the phenomenological presentation of the patient.
  2. List and prioritize the most likely Axis I diagnoses for this patient.
  3. Discuss the predisposing, precipitating, perpetuating, and protective factors in this case.
  4. Discuss the additional studies (e.g., diagnostic laboratory tests, neuroradiologic results, psychological testing) that should be obtained and the rationale for each one. Candidates could also be asked to address a comorbid illness.

Written Vignette Sample Questions with Treatment Focus

  1. Discuss pharmacologic or somatic treatment.
  2. Discuss psychotherapy or other environmental intervention.
  3. Discuss aspects of the clinical management of the patient, e.g., risk-management issues, long-term management, management of comorbid conditions.
  4. Discuss aspects of the context of clinical practice, e.g., optimal setting of care, legal/ethical issues, quality-of-life issues.

Video Clip Vignette Sample - Click Play to Start
Please note that you need to have a recent version of the Flash player installed on your comuputer. If you are having difficulties with viewing or hearing the video clip, please click on the link below to download a free Flash player: http://www.macromedia.com/shockwave/download/download.cgi?P1_Prod_Version=ShockwaveFlash


This 23-year-old woman came to the ER because she felt like killing herself.

Video Clip Vignette Sample Items for Axis I Diagnosis
  1. Observations of patient: Describe the patientís appearance, dress, grooming, ethnicity; estimated intellectual level; ability to tell his/her story; evidence of physical disability; and behavior in interaction with the examiner.
  2. Present the mental status examination, focusing on one or more of the following: appearance, psychomotor level, affect, mood, thought content/process/perception, cognition, insight, and judgment.
  3. Present the differential diagnosis for this patient on Axis I.
  4. Describe the patientís level of impairment due to his/her symptoms and his/her subjective level of distress. Estimate the patientís global assessment of functioning and substantiate the rating. Describe the patientís strengths and weaknesses in his/her coping strategies.
Video Clip Vignette Sample Items for Axis II Diagnosis
  1. Observations of patient: Describe the patientís interaction with the interviewer and/or the pattern of relationships described in the video clip. Identify pertinent nonverbal communication and behavior demonstrated by the patient and the interviewer.
  2. Present the differential of Axis II personality traits or disorders, including examples.
  3. Treatment issues: Discuss treatment challenges and pitfalls related to one or more of the following issues:
  • Professionalism/confidentiality/ethics/informed consent
  • Responsibility/treatment contract/referral for second opinion/termination
  • Transference and counter-transference
  • Treatment compliance, resistance
  • Legal issues