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Rebecca L. Johnson, MD Chair, Pathology & Clinical Labs Berkshire Health Systems President, American Board of Pathology. MOC. MAINTENANCE OF CERTIFICATION - WHY SHOULD I CARE?. History of Board Certification. 1908 Derrick Vail, MD - PowerPoint PPT Presentation
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Rebecca L. Johnson, MDRebecca L. Johnson, MDChair, Pathology &Chair, Pathology &
Clinical LabsClinical Labs
Berkshire Health SystemsBerkshire Health Systems
President, American Board President, American Board of Pathologyof Pathology
MOCMOCMAINTENANCE OF MAINTENANCE OF CERTIFICATION - CERTIFICATION -
WHY SHOULD I CARE?WHY SHOULD I CARE?
History of Board CertificationHistory of Board Certification
1908 Derrick Vail, MD1908 Derrick Vail, MD
Presidential address to the American Presidential address to the American Academy of Ophthalmology & Academy of Ophthalmology & OtolaryngologyOtolaryngology
““I hope to see the time….let him I hope to see the time….let him then be permitted and licensed to then be permitted and licensed to practice ophthalmology.”practice ophthalmology.”
American Board Of American Board Of OphthalmologyOphthalmology
Am. Ophthalmologic Society, AMA, Am. Ophthalmologic Society, AMA, Academy of OphthalmologyAcademy of Ophthalmology
1915—Defined requirements1915—Defined requirements 1917—ABO established1917—ABO established
Early BoardsEarly Boards
1924—Am Board of Otolaryngology1924—Am Board of Otolaryngology 1930—Am Board of Obstetrics & 1930—Am Board of Obstetrics &
GynecologyGynecology 1932—Am Board of Derm & Syphilology1932—Am Board of Derm & Syphilology 1933—Am Board of Pediatrics1933—Am Board of Pediatrics 1934—Psychiatry & Neurology, Radiology, 1934—Psychiatry & Neurology, Radiology,
Orthopedic SurgeryOrthopedic Surgery 1935—Colon & Rectal Surgery, Urology1935—Colon & Rectal Surgery, Urology 1936—Internal Medicine, 1936—Internal Medicine, PATHOLOGY PATHOLOGY
Advisory Board Advisory Board For Medical SpecialtiesFor Medical Specialties
Est. 1933Est. 1933 Uniformity in MD certificationUniformity in MD certification Increase public awarenessIncrease public awareness Education, training, and certificationEducation, training, and certification
Advisory Board Advisory Board For Medical SpecialtiesFor Medical Specialties
Four first specialty boardsFour first specialty boards AHA, AAMC, FSMB, AMA AHA, AAMC, FSMB, AMA
Council on Med Ed & Council on Med Ed & Hospitals, NBMEHospitals, NBME
1970 - American Board of 1970 - American Board of Medical Specialties (ABMS)Medical Specialties (ABMS)
ABMS PurposeABMS Purpose
Discuss common issuesDiscuss common issues Advise BoardsAdvise Boards Coordinate workCoordinate work Jurisdiction over policies as Jurisdiction over policies as
delegateddelegated Autonomy of any BoardAutonomy of any Board Stimulate improvements in med edStimulate improvements in med ed
ABMSABMS
24 Boards24 Boards 37 Primary specialties37 Primary specialties 94 Subspecialties94 Subspecialties
2005 ~89% licensed US MDs2005 ~89% licensed US MDs Evanston, ILEvanston, IL Kevin Weiss, MD, EVPKevin Weiss, MD, EVP www.abms.orgwww.abms.org
ABMS MISSIONABMS MISSION
Improve quality of medical careImprove quality of medical care Professional and educational standards Professional and educational standards
for certificationfor certification
Assurance to the publicAssurance to the public Certification has meaning and required Certification has meaning and required
componentscomponents
ABMS & Member BoardsABMS & Member Boards
AssessAssess Education, Training, Licensure, Ethical Education, Training, Licensure, Ethical
and professional requirementsand professional requirements Initial examinationInitial examination
Construction-fair, objectiveConstruction-fair, objective Psychometrically reliable and validPsychometrically reliable and valid Assess knowledge & clinical skillsAssess knowledge & clinical skills
Limits of Board CertificationLimits of Board Certification
Assesses only medical knowledgeAssesses only medical knowledge SnapshotSnapshot
SOLUTION?SOLUTION? RecertificationRecertification Time limited certificationTime limited certification Maintenance of Certification (MOC)Maintenance of Certification (MOC)
Evolution from Certification to Evolution from Certification to MOCMOC
1936 2016
Re-Certification
Time-Limited
MOC
1969
Unlimited Certification
2006
ABMSABMS
1993 Member Boards 1993 Member Boards agree to Recertificationagree to Recertification
1997/98 ABPath 1997/98 ABPath Voluntary RecertificationVoluntary Recertification
1998 ABMS 1998 ABMS Task Force on CompetencyTask Force on Competency
Mission statement—Diplomates are Mission statement—Diplomates are competentcompetent
Define competenceDefine competence Research and assessment, validationResearch and assessment, validation Template to assess competenceTemplate to assess competence Peer review of certificationPeer review of certification Collaborative methods of assessmentCollaborative methods of assessment
MOC Relevant•Accountability for competence•Accountability for practice quality •Reshape Continuing Medical Education
MOC is Essential; Tied to:•Hospital Credentialing•Maintenance of Licensure•Pay for Performance
GOALSGOALS
Three Trends Make MOC Three Trends Make MOC RelevantRelevant
Public wants accountability for Public wants accountability for performanceperformance Purchaser decision about qualityPurchaser decision about quality
Quality can be measuredQuality can be measured
Patient’s perceptions and health status Patient’s perceptions and health status
Guideline adherence and achieving outcomesGuideline adherence and achieving outcomes
Quality can be improvedQuality can be improved Health care results from systemHealth care results from system
Change system processes improves careChange system processes improves care
Relevance of MOC For A Relevance of MOC For A Composite Measure of Composite Measure of
Physician QualityPhysician Quality Customers Customers
Healthcare purchasers & patientsHealthcare purchasers & patients Health plans, medical staffs, group practicesHealth plans, medical staffs, group practices
CompetitorsCompetitors National Committee for Quality AssessmentNational Committee for Quality Assessment Center for Medicare and Medicaid ServicesCenter for Medicare and Medicaid Services Doctor Quality web sitesDoctor Quality web sites
CollaboratorsCollaborators JCAHOJCAHO State Medical Boards/FSMBState Medical Boards/FSMB
Changing View of Changing View of ProfessionalismProfessionalism
AutonomyAutonomy CollaboratioCollaborationn
AuthorityAuthority EvidenceEvidence
AssertionAssertion MeasurementMeasurement
ControlControl TransparencyTransparency
AccountabilityAccountability
Develop evidence of Develop evidence of achieving best results for achieving best results for patient carepatient care
Communicate results Communicate results regularly and widely to regularly and widely to those to whom those to whom accountability is owedaccountability is owedProfession Public
ABMS & ACGMEABMS & ACGMELifetime CompetenciesLifetime Competencies
MEDICAL KNOWLEDGEMEDICAL KNOWLEDGE PATIENT CAREPATIENT CARE INTERPERSONAL & INTERPERSONAL &
COMMUNICATION SKILLSCOMMUNICATION SKILLS PROFESSIONALISMPROFESSIONALISM PRACTICE BASED LEARNING & PRACTICE BASED LEARNING &
IMPROVEMENTIMPROVEMENT SYSTEMS BASED PRACTICESYSTEMS BASED PRACTICE
SafeSafe
TimelyTimely
EfficientEfficient
EffectiveEffective
Equitable Equitable
Patient CenteredPatient Centered
MOC – A Composite Measure of Competence
and Quality
Competencies IOM Quality Aims
Evolution of MOCEvolution of MOC
1936--Certification
Training
Competence/Practice
Examination
1998 Voluntary Recertification
CME
License & privileges
Examination (optional)
2006 - Maintenance of Certification
Certification after training
Milestone evidence of competence
I. Professional standing
II. Lifelong learning & self-assessment
III. Cognitive expertise
IV. Practice performance & improvement
Can apply to all certificates
Single credential
o Board Certification
o Maintenance of License
o Hospital Privileges
o Public accountability
American Board of PathologyAmerican Board of Pathology
1936 Michigan1936 Michigan Primary CertificationPrimary Certification
AP/CP, AP, CPAP/CP, AP, CP Subspecialty certificationSubspecialty certification
1010 ACGME approved fellowshipACGME approved fellowship
Change in training requirementsChange in training requirements
AMERICAN BOARD OF AMERICAN BOARD OF PATHOLOGYPATHOLOGY
PRIMARY CERTIFICATIONPRIMARY CERTIFICATION ANATOMIC & CLINICAL PATHOLOGYANATOMIC & CLINICAL PATHOLOGY ANATOMIC PATHOLOGYANATOMIC PATHOLOGY CLINICAL PATHOLOGYCLINICAL PATHOLOGY
AMERICAN BOARD OF AMERICAN BOARD OF PATHOLOGY- PATHOLOGY-
SUBSPECIALTYSUBSPECIALTY Blood Banking/Transfusion MedicineBlood Banking/Transfusion Medicine Chemical PathologyChemical Pathology CytopathologyCytopathology Dermatopathology*Dermatopathology* Forensic PathologyForensic Pathology HematologyHematology Medical MicrobiologyMedical Microbiology Molecular Genetic Pathology*Molecular Genetic Pathology* NeuropathologyNeuropathology Pediatric PathologyPediatric Pathology
ABP Cooperating SocietiesABP Cooperating Societies
ACLPSACLPS ADASPADASP AMA Pathology Section CouncilAMA Pathology Section Council APCAPC ASCPASCP ASIPASIP CAPCAP USCAPUSCAP
Maintenance of CertificationMaintenance of Certification
ABMS initiativeABMS initiative
AllAll 24 specialty boards 24 specialty boards
2006 -Time-limited (10 year) primary 2006 -Time-limited (10 year) primary and subspecialty certificatesand subspecialty certificates
Participation in MOC process Participation in MOC process requiredrequired
Completed within 8-10 yearsCompleted within 8-10 years
ABMS BoardsABMS BoardsRecertificationRecertification
19701970 Family MedicineFamily Medicine 77
19761976 SurgerySurgery 1010
Thoracic SurgeryThoracic Surgery 1010
19801980 Emergency MedicineEmergency Medicine 1010
1985 1985 UrologyUrology 1010
19861986 OB/GYNOB/GYN 66
Orthopedic SurgeryOrthopedic Surgery 1010
20062006 PATHOLOGYPATHOLOGY 1010
MOC ComponentsMOC Components
I.I. Professional StandingProfessional Standing
II.II. Lifelong Learning & Self-Lifelong Learning & Self-AssessmentAssessment
III.III. Cognitive Expertise (the Cognitive Expertise (the EXAM!)EXAM!)
IV.IV. Evaluation of Performance Evaluation of Performance in Practicein Practice
Part IPart IProfessional StandingProfessional Standing
Maintenance of a full and unrestricted license Maintenance of a full and unrestricted license in at least one U.S. jurisdiction, territory, or in at least one U.S. jurisdiction, territory, or CanadaCanada
Documentation of medical staff membership Documentation of medical staff membership and privileges or, if not applicable, scope of and privileges or, if not applicable, scope of practicepractice
Documentation of licensure and medical staff Documentation of licensure and medical staff privileges at 4privileges at 4thth and 8 and 8thth year year
Part IIPart IILife Long Learning- Self-Life Long Learning- Self-
AssessmentAssessment 70 Category 1 CME credits / 2 year cycle 70 Category 1 CME credits / 2 year cycle 20 CME credits / 2 yr cycle must be SAMs20 CME credits / 2 yr cycle must be SAMs 80% CME related to individual’s practice80% CME related to individual’s practice Updated electronic record of activities Updated electronic record of activities
every 2 yearsevery 2 years A fellowship fulfills Part II requirements A fellowship fulfills Part II requirements
for 2 year period for 2 year period Incomplete fellowships proratedIncomplete fellowships prorated
Part IIPart IILife Long Learning and Self-Life Long Learning and Self-
AssessmentAssessment Content specificationsContent specifications
Important advancements, key Important advancements, key conceptsconcepts
Basis for CME and self-assessmentBasis for CME and self-assessment Prep for MOC exam.Prep for MOC exam. Direct MOC test question Direct MOC test question
developmentdevelopment Practical “need to know” Practical “need to know”
information, used in daily practice, information, used in daily practice, required for competencerequired for competence
Cover all disciplines of pathology Cover all disciplines of pathology
Part IIPart IILife Long Learning-Self-Life Long Learning-Self-
AssessmentAssessment
AP and CP Content Committees’ AP and CP Content Committees’ “Content Outlines” on line, “Content Outlines” on line, updated annuallyupdated annually
Fundamental information for daily Fundamental information for daily practice; important, validated new practice; important, validated new knowledgeknowledge
Outlines are not templates for Outlines are not templates for exam or endorsements of authorsexam or endorsements of authors
Self-Assessment Modules Self-Assessment Modules (SAMs)(SAMs)
Elements of SAMsElements of SAMs Educational productEducational product Self-administered examSelf-administered exam Minimum performance levelMinimum performance level FeedbackFeedback
SAM requirement for 2006-09 period SAM requirement for 2006-09 period waived because of insufficient offeringswaived because of insufficient offerings
Certificates issued by societies should Certificates issued by societies should reflect regular CME versus CME / reflect regular CME versus CME / SAMSAM
Part III--Cognitive ExpertisePart III--Cognitive Expertise
Examination is mandatory Examination is mandatory ““Secure” and closed book Secure” and closed book At least once per yearAt least once per year Taken 8-10 years after initial Taken 8-10 years after initial
certificationcertification Potential 3 year period of Potential 3 year period of
qualificationqualification
Part III - Cognitive ExpertisePart III - Cognitive Expertise
Modular exams related to practiceModular exams related to practice Exams will include:Exams will include:
Fundamental knowledgeFundamental knowledge Current practice-related knowledgeCurrent practice-related knowledge Emphasis on information new to field Emphasis on information new to field Practice environment knowledgePractice environment knowledge
Part IIIPart IIICognitive ExpertiseCognitive Expertise
AP/CP certified individuals may AP/CP certified individuals may chose to maintain their chose to maintain their certification in AP/CP, AP only or certification in AP/CP, AP only or CP onlyCP only
Individuals with subspecialty Individuals with subspecialty certification may choose to certification may choose to maintain only their subspecialty maintain only their subspecialty certificationcertification
Part IIIPart IIICognitive ExpertiseCognitive Expertise
MOC exam:MOC exam: ““tailor” exam to practice by selecting tailor” exam to practice by selecting
modules. modules.
Menu of multiple modules Menu of multiple modules
At least one general module of AP or At least one general module of AP or CP must be selected by AP/CP CP must be selected by AP/CP examineesexaminees
Part III - Cognitive ExpertisePart III - Cognitive ExpertiseMOC EXAMMOC EXAM
6 modules of 25 questions (150 total 6 modules of 25 questions (150 total questions)questions)
80% practical (virtual microscopy, 80% practical (virtual microscopy, case-based questions etc); 20% case-based questions etc); 20% written written
Modules graded as one examModules graded as one exam
AP/CP MOC Exam
General module
Specialty module
+
+
+
+ 4 add. = 6 total
+ 3 add. = 6 total
+ 3 add. = 6 total
AP
CP
Option 1
Option 2
Option 3
AP only MOC Exam CP only MOC Exam
General module
Specialty module
AP
CP
6 total 6 total
or or
or
or
or
or
or
or
or
or
3 max
+
+
ModulesModulesClinical PathologyClinical Pathology
General CP I, II, III, IV
Hematology I, II
Blood Bank I, II Immunopathology
Blood Bank-Coagulation
Microbiology I, II
Coagulation Chemistry I, II
ModulesModulesAnatomic PathologyAnatomic Pathology
Gen AP I,II Breast
Gen Surg Path I,II Cardiovascular
General Cytology I, II Dermatology I, II
Cytology, Gyn Endocrine
Cytology, Non Gyn GI-Liver-Biliary
Bone-Soft Tissue Autopsy
Revised 11/08
ModulesModulesAnatomic Pathology cont’dAnatomic Pathology cont’d
Genitourinary Pediatric Pathology
Gynecologic Pulmonary/Mediastinal
Head-Neck Transplant pathology
Medical Renal Forensic Pathology
Neuropathology
Revised 11/08
Common Modules*Common Modules*Anatomic and Clinical PathologyAnatomic and Clinical Pathology
* May be used to fulfill AP or CP specialty modules
General Hemepath I (Lymph node-Spleen)
Flow Cytometry
General Hemepath II (Bone Marrow)
Molecular Pathology
Molecular-Cytogenetics
Lab Man / Informatics
Revised 11/08
Part III—Exam & MOC MythsPart III—Exam & MOC Myths
High stakes—Low failure rateHigh stakes—Low failure rate Irrelevant—ModularIrrelevant—Modular Not useful—Improves MK, Pt. CareNot useful—Improves MK, Pt. Care Time consuming—Payoff- meet pt Time consuming—Payoff- meet pt
and regulatory expectations for and regulatory expectations for quality, accountability, self-quality, accountability, self-regulationregulation
Part IV. Evaluation of Part IV. Evaluation of Performance in PracticePerformance in Practice
Demo to pts, public, professionDemo to pts, public, profession Safe, effective, pt centered, timely, Safe, effective, pt centered, timely,
efficient, equitable health careefficient, equitable health care Improve quality of PCImprove quality of PC CI of practice performanceCI of practice performance EvaluateEvaluate
Individual physician performanceIndividual physician performance
Part IV. Evaluation of Part IV. Evaluation of Performance in Practice - ABMS Performance in Practice - ABMS
PrinciplesPrinciples Phase-in; evaluate effectiveness; Phase-in; evaluate effectiveness;
improveimprove Reflect activities of diplomateReflect activities of diplomate Assessment based onAssessment based on
EBM/guidelinesEBM/guidelines Expert consensusExpert consensus Normative peer comparisonsNormative peer comparisons
Part IV. Evaluation of Part IV. Evaluation of Performance in Practice- ABMS Performance in Practice- ABMS
PrinciplesPrinciples Compare diplomate to standardsCompare diplomate to standards
• Baseline, plan to improve, measureBaseline, plan to improve, measure
Assess all 6 competencies during Assess all 6 competencies during cyclecycle
Key disease or clinical processesKey disease or clinical processes Collaborative/shared databasesCollaborative/shared databases Proven educational & assessment Proven educational & assessment
methodsmethods MOC for inactive and no PC MDsMOC for inactive and no PC MDs
Part IV. Evaluation of Part IV. Evaluation of Performance in Practice - ABMS Performance in Practice - ABMS
PrinciplesPrinciples
Provide feedback to improve PC, Provide feedback to improve PC, workflow, efficiencyworkflow, efficiency
Not be duplicative-P4PNot be duplicative-P4P Collaborate with specialty societiesCollaborate with specialty societies Begin assessment during residencyBegin assessment during residency
Part IVPart IVPerformance in PracticePerformance in Practice
Four personal attestations Four personal attestations (4(4thth and and 88thth year) year)
Lab accreditation Lab accreditation (4(4thth and 8 and 8thth year) year) except forensic labsexcept forensic labs
Laboratory participation in inter-Laboratory participation in inter-laboratory PI programs laboratory PI programs (2 yrs)(2 yrs)
Individual participation at least 1 Individual participation at least 1 laboratory PI-QA program/yr. laboratory PI-QA program/yr. (2 (2 yrs)yrs)
Part IVPart IVPerformance in PracticePerformance in Practice
Society-sponsored programs or Society-sponsored programs or created by created by departments/institutionsdepartments/institutions
On-line application for Part IV On-line application for Part IV programs programs
Programs must be ABP-approvedPrograms must be ABP-approved
Part IV. Evaluation of Performance Part IV. Evaluation of Performance in Practicein Practice
Attestations as to:Attestations as to: Interpersonal and Interpersonal and
communication skillscommunication skills ProfessionalismProfessionalism EthicsEthics Effectiveness in systems-based Effectiveness in systems-based
practicepractice
Part IV. Evaluation of Performance in Part IV. Evaluation of Performance in Practice –Interpersonal & Practice –Interpersonal &
Communication SkillsCommunication Skills
44thth year after certification and at application for exam year after certification and at application for exam
Attestations from:Attestations from: ABP-certified pathologistABP-certified pathologist Credentials Com or equivalent (e.g. CMO) Credentials Com or equivalent (e.g. CMO) Board-certified physician in another Board-certified physician in another
specialtyspecialty Technologist or physician’s assistant (360)Technologist or physician’s assistant (360)
Part IV. Evaluation of Performance Part IV. Evaluation of Performance
in Practice in Practice Laboratory Laboratory AccreditationAccreditation
Timeline: 8Timeline: 8thth-10-10thth year with exam year with exam applicationapplication
Document accreditation status of Document accreditation status of laboratory laboratory
Part IV. Evaluation of Performance in Part IV. Evaluation of Performance in
Practice Practice Laboratory Laboratory ImprovementImprovement
Every 2 years after certificationEvery 2 years after certification
Documentation to ABP of successful Documentation to ABP of successful participation in inter-laboratory participation in inter-laboratory improvement and quality assurance improvement and quality assurance programs relevant to the practiceprograms relevant to the practice
Part IV. Evaluation of Performance in Part IV. Evaluation of Performance in PracticePractice
Individual Improvement & QA Individual Improvement & QA ActivityActivity
Every 2 years after certificationEvery 2 years after certification Documents individual participation in Documents individual participation in
at least one QA program/year relevant at least one QA program/year relevant to professional activities, to professional activities, oror
Document use of appropriate Document use of appropriate protocols, outcome measures, & protocols, outcome measures, & practice guidelines to improve practice guidelines to improve practicepractice
Quality Improvement Quality Improvement SystemSystem
Collect Performance
Measures
Collect Performance
Measures
Analyze & Compare
Performance
Analyze & Compare
Performance
Change a Practice Process
Change a Practice Process
Report to Board,
Payer, or Patients
Report to Board,
Payer, or Patients
Time
Qu
alit
y M
easu
re
GoalGoal
Six Core Competencies In Medical Six Core Competencies In Medical PracticePractice
Medical knowledgeMedical knowledge Patient carePatient care Interpersonal and communication Interpersonal and communication
skillsskills ProfessionalismProfessionalism Practice-based learning and Practice-based learning and
improvementimprovement Systems-based practiceSystems-based practice
Involvement of Specialty Involvement of Specialty Societies in MOCSocieties in MOC
ABP --standard setting organizationABP --standard setting organization Cooperating Societies:Cooperating Societies:
CME CME Self-assessment toolsSelf-assessment tools Programs for evaluation of practice Programs for evaluation of practice
performanceperformance Verification of satisfactory performanceVerification of satisfactory performance Remedial education programsRemedial education programs ContentContent
MOC Cost to DiplomatesMOC Cost to Diplomates
Fee for electronic databaseFee for electronic database $50/year$50/year
CMECME Self-assessment modulesSelf-assessment modules Cognitive examCognitive exam
Currently $2200Currently $2200
Requirements For MOC Parts I-Requirements For MOC Parts I-IVIV
Part I: Professional StandingPart I: Professional Standing
Part II: Life-Long Learning and Self-Part II: Life-Long Learning and Self-AssessmentAssessment
Part III: Part III: Cognitive ExpertiseCognitive Expertise
Part IV: Part IV: Evaluation of Performance in Evaluation of Performance in PracticePractice
Failure to meet MOC Failure to meet MOC RequirementsRequirements
Must participate and demonstrate Must participate and demonstrate satisfactory performance in all 4 parts satisfactory performance in all 4 parts of MOCof MOC
Performance below expectations Performance below expectations requires an implementation plan to requires an implementation plan to improve performanceimprove performance
Failure to satisfy performance criteria Failure to satisfy performance criteria results in loss of certification December results in loss of certification December 31st of 10 year anniversary of initial 31st of 10 year anniversary of initial certificationcertification
Transition to MOCTransition to MOC
Holders of life-time certificates:Holders of life-time certificates: Voluntary recertificationVoluntary recertification Participate in MOCParticipate in MOC Original certificate NOT jeopardizedOriginal certificate NOT jeopardized
Holders of time-limited certificates:Holders of time-limited certificates: Must participate in MOCMust participate in MOC
Candidates for initial certification:Candidates for initial certification: Must participate in MOC after Must participate in MOC after
certificationcertification
Voluntary Voluntary Recertification Recertification
and MOCand MOC
Voluntary RecertificationVoluntary Recertification
1998 ABMS initiative1998 ABMS initiative Assessment of individual credentialsAssessment of individual credentials Measure quality of professional Measure quality of professional
practicepractice Evaluate basic parameters of Evaluate basic parameters of
practicepractice
Voluntary RecertificationVoluntary Recertification
Diplomates of ABP with non-time-Diplomates of ABP with non-time-limited certificatelimited certificate
Recertification certificate dated Recertification certificate dated January 1 of the year following January 1 of the year following completion of processcompletion of process
Valid for 10 yearsValid for 10 years Expiration--no effect on original Expiration--no effect on original
certificatecertificate
Voluntary Recertification Voluntary Recertification RequirementsRequirements
Possess lifetime primary certificatePossess lifetime primary certificate Current valid, full, and unrestricted Current valid, full, and unrestricted
license to practice medicine or osteopathy license to practice medicine or osteopathy in US, its territories, or Canadain US, its territories, or Canada
Provide a written statement attesting Provide a written statement attesting physically and mentally ability to practice physically and mentally ability to practice pathologypathology
Voluntary Recertification Voluntary Recertification RequirementsRequirements
150 CME credits during the 3 years 150 CME credits during the 3 years prior to application prior to application 100/150 hours must be Category 1100/150 hours must be Category 1 80/100 Category 1 hours must be directly 80/100 Category 1 hours must be directly
related to practicerelated to practice
Verify that primary laboratory or work Verify that primary laboratory or work environment is accredited environment is accredited
Voluntary Recertification Voluntary Recertification RequirementsRequirements
Written statement documenting medical Written statement documenting medical staff standing staff standing
References from the head of the References from the head of the department or section chief and from department or section chief and from chief of the medical staff chief of the medical staff
Demonstrate membership in Demonstrate membership in appropriate professional organizationsappropriate professional organizations
Recertification ExaminationRecertification Examination
Optional secure examinationOptional secure examination
Computer based, ABP test centerComputer based, ABP test center
May be mandatory if candidate does May be mandatory if candidate does not fully meet the other not fully meet the other requirementsrequirements
Voluntary Recertification vs MOCVoluntary Recertification vs MOC
Requirements differ in degreeRequirements differ in degree CMECME
VR – 150 hours in 3 years prior to VR – 150 hours in 3 years prior to application; application;
100 Category 1 100 Category 1 MOC - 25 hours/yr, all Category 1 AND 1 MOC - 25 hours/yr, all Category 1 AND 1
SAM /yr for SAM /yr for 10 years 10 years 80% of CME related to practice80% of CME related to practice
Voluntary Recertification vs MOCVoluntary Recertification vs MOC
Practice evaluationPractice evaluation VR – licensure, references, laboratory VR – licensure, references, laboratory
accreditation, medical staff standing, accreditation, medical staff standing, quality of practice assessed by quality of practice assessed by referencesreferences
MOC – licensure, references, laboratory MOC – licensure, references, laboratory accreditation, inter-laboratory accreditation, inter-laboratory improvement and QA programs, improvement and QA programs, individual improvement and QA individual improvement and QA programsprograms
Voluntary Recertification vs MOCVoluntary Recertification vs MOC
ExaminationExamination VR – voluntary, (now) secure, combined VR – voluntary, (now) secure, combined
AP and CP questionsAP and CP questions MOC – mandatory, secure, closed-book MOC – mandatory, secure, closed-book
exam, modularexam, modular
Voluntary Recertification vs MOCVoluntary Recertification vs MOC
ConsequencesConsequences VR – failure to meet requirements or VR – failure to meet requirements or
decision not to recertify subsequently decision not to recertify subsequently has no effect on original certification has no effect on original certification statusstatus
MOC – failure to meet requirements MOC – failure to meet requirements results in loss of certificationresults in loss of certification
MOC-Special Circumstance MOC-Special Circumstance PhysiciansPhysicians
Not in active practiceNot in active practice Must complete MOC Parts I, Must complete MOC Parts I,
II, IIIII, III Will not need to complete Will not need to complete
Part IVPart IV
MOC MOC Unanswered QuestionsUnanswered Questions
MOLMOLHospital CredentiallingHospital CredentiallingHealth Plan CredentiallingHealth Plan Credentialling
AMERICAN BOARD OF AMERICAN BOARD OF PATHOLOGY PATHOLOGY
<www.abpath.org><www.abpath.org>
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