ABMS MOC process is based on the Six Core Competencies for Quality Patient Care that are foundational requirements for graduate medical education and similarly approved by the Accreditation Council for Graduate Medical
Education (ACGME): medical knowledge,
patient care and procedural skills, interpersonal and communication skills,
professionalism, practice-based learning and improvement, and systems-based
According to ABMS, the
24 specialty boards commonly adopted four MOC components to serve as a framework for physicians
to demonstrate their ongoing professional development and compliance with these
six competencies. The four component parts are:
Part I - Licensure and professional
standing. Must hold a valid,
unrestricted medical license in at least one state or
jurisdiction in the United
States, its territories, or Canada.
Part II - Lifelong learning and
self-assessment. Participate in
educational and self-assessment programs that meet
standards that are set by their member boards.
Part III - Cognitive expertise.
Demonstrate practice-related and
environment–related knowledge to provide quality care
Part IV - Assessment of practice
performance. Demonstrate use of best
practices compared to peers and national benchmarks.
Specific requirements of individual specialty boards vary.
Within this four-part framework each specialty board has developed its own
specific requirements, options for meeting them, and timeframes in which they
must be met. For general information about the MOC requirements of each
specialty board, see ABMS Specialty
Boards. The CUSOM MOC Program focuses on helping physicians meet requirements for MOC Part IV credit.
a growing need to promote continuous professional development, the American
Board of Medical Specialties (ABMS) and its 24 member specialty boards implemented the
Maintenance of Certification program. The
MOC program was initiated in 2000, but the pace of recertification has
accelerated since 2009 after a set of more detailed standards were approved by
certain medical specialty boards previously issued lifetime certification to their
diplomates, all 24 specialty boards now seek to have their issuance of re-certification demonstrate
ongoing compliance with their standards, and reflect greater accountability to
the public. As such, these boards now issue time-limited certificates lasting
6-10 years to diplomates who complete the four part process.
MOC Portfolio Approval Program
With all 24
specialty boards involved in the ABMS MOC process, a need grew for a single
process for healthcare organizations to support physician involvement in
quality improvement efforts. The national Multi-Specialty MOC Portfolio Approval Program offers a streamlined approach for organizations such as CUSOM to
sponsor and support multiple well-designed quality improvement efforts
involving physicians across multiple disciplines to work with ABMS specialty boards to grant MOC Part IV credit to physicians who are involved in those
According to the national Multi-Specialty MOC Portfolio Approval
Program, in 2009 the Mayo Clinic was the first organization to become a
“Portfolio Sponsor”. Since then this
pilot program has led the way for the now dozens Portfolio Sponsors, including