All subspecialty certificates, except child and adolescent psychiatry, and all other certificates issued after 1994 were issued with a ten year expiration. In order to renew those certificates, the diplomate is required to take a recertification, or MOC examination before the expiration date. Beginning in 2010, a requirement was added that MOC activities had to be completed as a prerequisite to sit for the MOC exam. The number and types of MOC activities are being phased in until the requirements are fully implemented in 2017. The final MOC activity requirements will be:
- 300 category-1 CME credits
- 80 of the CME credits must involve self-assessment
- 3 Performance in Practice modules
This is the 10-YR MOC program.
Maintenance of Certification is intended as a way to document your life long learning activities. Through feedback and experience it was decided that the best way to help diplomates continuously participate in life long learning would be to spread the MOC activity requirements out over the ten year life of the certificate. For logistical reasons the decision was made to group the MOC activity requirements in three-year blocks. Because of this, the MOC activities would no longer be a prerequisite to sit for an exam but, instead, would be an independent requirement to maintain certification. The diplomate is still required to also take an MOC exam every ten years. This is the continuous life long learning program (C-MOC).
In order to transition everyone over to C-MOC, anyone who passed an exam (certification or maintenance of certification) in 2012, or later, is automatically enrolled in the C-MOC program. The first three-year block begins the year after the exam. So, for example, if you passed your certification exam in 2012, your first three-year block of required MOC activities would begin in 2013.
For diplomates with subspecialty, or multiple, certifications this can become somewhat confusing. Once you are enrolled in the C-MOC program, the C-MOC rules apply to ALL of your certificates, even those that were issued prior to 2012. Any MOC activities that you do will apply toward all of your certifications.
If you are not sure which program you are currently in, the simplest way to determine it is to log into the ABPN Physician Folios system. On the main page there is a line titled Maintenance of Certification. After the title, if the first menu choice is MOC Main Menu, then you are still in the 10-YR MOC. If you are in the C-MOC, your only menu choice will be Continuous Maintenance of Certification.