|Maintenance of Certification (10YR-MOC)|
|The ABPN MOC Program reflects the Board’s commitment to lifelong learning throughout one’s profession. The mission of the ABPN's Maintenance of Certification (MOC) Program is to advance the clinical practice of psychiatry and neurology by promoting the highest evidence-based guidelines and standards to ensure excellence in all areas of care and practice improvement.
Maintenance of Certification applications are availabe for; Neurology/Child Neurology, Psychiatry, and for Subspecialties; Addiction Psychiatry, Child and Adolescent Psychiatry, Clinical Neurophysiology, Forensic Psychiatry, Geriatric Psychiatry, Neurodevelopmental Disabilities, and Pain Medicine.
For a list of ABPN approved products, click here.
For more about why certification and maintenance of certification matters, click here.
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Ten Year Maintenance of Certification Program (10YR-MOC)
For Time-Limited Diplomates Certified or Recertified in 2011 or Earlier
As mandated by the American Board of Medical Specialties, the Board has developed a Maintenance of Certification (MOC) program that includes four components:
1. Professional Standing;
2. Self-Assessment and CME;
3. Cognitive Expertise;
4. Performance in Practice.
As of October 1, 1994, all individuals achieving Board certification by the ABPN are issued 10-year, time-limited certificates. Certificates issued in the subspecialties of addiction psychiatry, clinical neurophysiology, epilepsy, forensic psychiatry, geriatric psychiatry, hospice and palliative medicine, neurodevelopmental disabilities, neuromuscular medicine, pain medicine, psychosomatic medicine, sleep medicine, and vascular neurology, including those issued prior to October 1, 1994, are 10-year, time-limited certificates. Time-limited certificates for child and adolescent psychiatry began in 1995.
Diplomates who are not recertified before their certificates expire are no longer Board certified in that area of certification. Once a former diplomate completes all MOC requirements and passes the MOC examination, however, he or she will regain certification status.
Record Keeping, Attestation, Multiple Certificates, and Auditing-- Return to top
|Diplomates of the ABPN are required to maintain records of their self-assessment (SA) activities, Continuing Medical Education (CME) credits, and Performance in Practice (PIP) Units. Diplomates must provide their signature attesting to completion of these activities (as determined by the phase-in schedule) on their applications for the MOC examinations. When the MOC Program is fully operational, attestation to all components will be required on applications for the MOC examinations.
Diplomates are responsible for choosing their self-assessment activities, CME activities, and performance in practice components. Completed activities can be applied to multiple certifications thus fulfilling MOC criteria for one or more specialty or subspecialty areas.
The ABPN will audit approximately five percent of the applications submitted for the cognitive examination. Candidates whose applications are audited will receive a letter detailing the documentation required as evidence of completion of stipulated components (professional standing, self-assessment program, CME activities, and Performance in Practice Units) as determined by the phase-in schedule. Failure to return this documentation may result in the denial of the application for the MOC cognitive examination.
Phase-in Schedule for ABPN Program Component Requirements -- Return to top
1. Professional Standing (continously effective) -- Return to top
|To show evidence of professional standing, the ABPN requires that diplomates must hold an active and unrestricted license to practice medicine in at least one state, commonwealth, territory, or possession of the United States or province of Canada. Such license must be maintained even if the physician is out of the country for extended periods of time. All medical licenses must be unrestricted.|
2. Self Assessment and CME -- Return to top
|A. Self-Assessment Program
Diplomates of the ABPN are required to participate in at least two major broad-based self-assessment activities during the 10-year MOC cycle. The self-assessment activities can come from multiple self-assessment programs. Each self-assessment activity must cover new knowledge and/or current best practices in one or more of the competency areas, and provide feedback to the diplomate that can be used as the basis for focused CME, lifelong learning, and/or career development. That feedback must include the correct answer and recommended literature resources for each question, and (by 2014) comparative performance to peers. This requirement began in 2010 for those applying for 2011 MOC examinations. Beginning in 2014, diplomates are required to use only ABPN-approved products for self-assessment activities.
When this component is fully implemented in 2014:
B. CME Activities -- Return to top
3. Cognitive Expertise (effective 1994)-- Return to top
|Diplomates of the ABPN fulfill the cognitive expertise component by passing a cognitive examination prior to the expiration date on their certificates. To sit for a cognitive examination, all current MOC requirements must be satisfied at the time the MOC application is submitted. A passing score on the cognitive examination automatically enrolls the diplomate into the Continuous Pathway to Lifelong Learning Program. Practice-relevant, clinically oriented, multiple-choice, computer-administered examinations are delivered in over 200 Pearson VUE testing centers throughout the country. To prepare for the MOC cognitive examinations, a diplomate should keep current with research and developments in the respective field, read specialty-specific journals and practice guidelines, and attend relevant CME programs.
MOC Program participation includes meeting all MOC requirements, not just passing the MOC cognitive examination.
4. Performance in Practice (PIP) -- Return to top
|The Performance-in-Practice (PIP) component is a two-part quality improvement program designed for "clinically-active" physicians (see definitions below) to participate in practice improvement activities over the 10-year MOC cycle by both chart review and second-party external review. Diplomates will be required to complete three (3) PIP Units, each consisting of both a Clinical Module (chart review) and a Feedback Module (Patient/Peer* second-party external review).
If a diplomate participates in an institutional quality improvement program that involves collection of chart data and comparison, and establishment of a plan to improve clinical activity for the individual physician, that institutional participation may also fulfill the Clinical module. If a diplomate participates in peer review in his/her clinical setting, that institutional activity may also fulfill the PIP Feedback Module criteria.This requirement is currently slated to begin in 2013 for those applying for 2014 MOC examinations. Beginning in 2014, diplomates are required to use only ABPN-approved products for Performance in Practice Activities.
When this component is fully implemented in 2017:
A. Clinical Modules (Chart Review) -- Return to top
B. Feedback Modules (Patient** and Peer* Second Party External Reviews) -- Return to top
The ABPN recommends that diplomates allow ample time for completion of PIP Units. It may take diplomates 24 months from the date that the original data is collected from patients and peers to complete one PIP Unit.
The Board may approve additional programs over time. The ABPN reserves the right to approve or reject any course or guideline submitted for approval.
Phase in Schedule for ABPN Program Component Requirements
For Time-Limited Diplomates Certified or Recertified in 2011 or Earlier
What You Need to do and When -- Return to top
|Diplomates of the ABPN fulfill the cognitive expertise component by passing a cognitive examination prior to the expiration date on their certificates. To sit for a cognitive examination, all current MOC requirements must be satisfied at the time the MOC application is submitted. A passing score on the cognitive examination automatically enrolls the diplomate into the Continuous Pathway to Lifelong Learning program. Practice-relevant, clinically oriented, multiple-choice, computer-administered examinations are delivered in over 200 Pearson VUE testing centers throughout the country. To prepare for the MOC cognitive examinations, a diplomate should keep current with research and developments in the respective field, read specialty-specific journals and practice guidelines, and attend relevant CME programs.|
* self-assessment CME credit may be averaged over 2 to 5 years.
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