Maintenance of Certification (MOC) Update

HRS and its leadership are committed to finding viable solutions that work for our member community. HRS wants its members to get back to taking care of their patients rather than trying to navigate the complexities of the MOC process or spending countless hours away from their practices.


May 6, 2016: Past-President John D. Day, MD, FHRS addressed ABIM’s recertification option via video

May 5, 2016: ABIM announced plans to offer physicians MOC assessment options in January 2018. Physicians will be able to choose MOC assessment formats that meet their needs.

The new option will:

  • Take the form of shorter assessments that doctors can choose to take on their personal or office computer—with appropriate identity verification and security—more frequently than every 10 years but no more than annually;
  • Provide feedback on important knowledge gap areas so physicians can better plan their learning to stay current in knowledge and practice;
  • and Allow physicians who engage in and perform well on these shorter assessments to test out of the current assessment taken every 10 years.

Those who meet a performance standard on shorter assessments will not need to take the 10-year exam again to remain certified.

April 22, 2016: HRS hosts a webinar “Navigating Maintenance of Certification: ABIM MOC for Physicians in the Clinical Cardiac Electrophysiology (CCEP) Subspecialty”. It assisted new and seasoned Electrophysiologists with navigating the American Board of Internal Medicine’s Maintenance of Certification guidelines published October 2015.

December 16, 2015: ABIM announced that their Board of Directors voted to keep the Practice Assessment, Patient Voice, and Patient Safety in its Maintenance of Certification (MOC) program on hold through December 31, 2018. Past-President, John Day, MD, FHRS and HRS CEO, James H. Youngblood attended the Internal Medicine Summit to discuss and share the findings of the HRS Board-appointed task force. 

September 16, 2015: ABIM released a full report from their Assessment 2020 Task Force. Key recommendations from the report include: Exploring alternatives to the current every-10-year MOC assessment. Focusing assessments on cognitive and technical skills. Recognizing specialization. HRS was asked to submit a formal response to this report by October 30, 2015. Past-President, John Day, MD, FHRS and HRS CEO, James H. Youngblood were invited to participate in a discussion at the Internal Medicine Summit, November 2, 2015 in Philadelphia.

August 4, 2015: ABIM announced that it is breaking the link between certification status and enrollment in MOC. It reversed its policy so that physicians who meet all other ABIM program requirements will not lose their certification status simply due to failure in MOC enrollment.

July 28, 2015: Research published in Annals of Internal Medicine quantifies the testing and time costs associated with ABIM MOC program. The authors outline how the MOC program will generate considerable costs, primarily due to demands on physician time.

July 1, 2015: ABIM announced that effective January 1, 2016, it will discontinue the requirement for maintaining underlying board certification in Cardiovascular Disease for subspecialists. Maintaining the Cardiovascular Disease Certification will not be required to maintain certification in Clinical Cardiac Electrophysiology or other subspecialties. This change does not affect the requirements for initial certification. 

June 17, 2015: HRS formed a task force to explore viable alternatives to ABIM for EP certification. HRS leadership attempted to work with ABIM to reform the MOC program by pressing for changes such as EP-specific CME being accepted within the MOC process to reduce the excessive financial burden placed on our members; and the elimination of mandatory general cardiology recertification and the Practice Improvement Module (PIM), and the mandatory 10-year EP board recertification examination.

May 13, 2015: HRS leadership hosted a special town hall during Scientific Sessions to discuss MOC where attendees had an opportunity to ask questions and voice their concerns. 

February 12, 2015: Past-President Rich Fogel, MD, FHRS met with Richard Baron, MD, President and CEO of ABIM, to address the concerns our members have expressed about the current MOC process. During this meeting, Dr. Fogel shared feedback in the following areas of concern noted by HRS members:

  • Multiple certification requirements/stakeholders
  • Dual certifications
  • Practice involvement module process.
  • For multiple certification requirements/stakeholders, Dr. Fogel recommended that EP specific accredited CME should count for MOC credit. For dual certifications, he suggested that ABIM explore not requiring general cardiology for EP MOC. Concerning the Practice Improvement Module (PIM) process, it was conveyed that HRS’s opinion is that PIM should not be included in the scope of ABIM and MOC.

February 5, 2015: HRS requests feedback from its members to share thoughts about the recent changes to MOC, recommendations for further improvements to the overall certification process, and any other ideas that they may have.

February 3, 2015: ABIM announced changes to its Maintenance of Certification (MOC) program. ABIM suspended the Practice Assessment, Patient Voice, and Patient Safety requirements for at least two years. This means that no internist will have his or her certification status changed for not having completed activities in these areas for at least the next two years.