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Maintenance of Certification


 Frequently Asked Questions (FAQ's)


 Why should I use the CUSOM MOC Program for my MOC Part IV credit requirements?

The CUSOM MOC Program was created to give physicians an institutional resource for MOC requirements, thereby alleviating the administrative burden of working directly with his/her specialty board.  In cases with large groups involving multiple specialty boards, working with each board directly could be quite burdensome.  We also provide resources for questions about MOC, guidance on selecting, developing, and implementing QI efforts, feedback on QI efforts in progress, and we do all this at no charge to you.

 Is QI project pre-approval required prior to applying for CUSOM MOC Part IV credit?

No, project pre-approval is voluntary.  However, because the process for obtaining MOC Part IV credit can seem complex, it is strongly recommended that projects apply for pre-approval with the CUSOM MOC Program.  This is to ensure the QI effort is carried out with appropriate methodologies that will meet criteria for MOC Part IV credit approval. 2

 Is there a fee for using the CUSOM MOC Program to apply for MOC Part IV credit?

​No.  However individual specialty boards do charge fees to physicians for re-certification.  Some specialty boards charge for re-certification with each of the four components of MOC, some charge yearly for membership, while others may charge a general fee for all four components at the end of each certification cycle.  Our review in March 2013 found that fees vary greatly among specialty boards.  Please see the ABMS Specialty Boards page for a link to each of the specialty boards’ sites for current fees.3

 My QI project is already completed, can I apply for MOC Part IV credit through the CUSOM MOC Program?

​If there was QI project activity in 2012, the year the CUSOM MOC Program was approved as a Sponsor Site by the national Multi-Specialty MOC Program, or later then it may quality for MOC Part IV credit if all other requirements are met.  Please contact the CUSOM MOC Program manager for questions regarding project eligibility.4

 What are the additional requirements of a project lead?

​The project lead is responsible for registering the QI project with the CUSOM MOC Program (if desired), providing periodic updates on the progress of the QI effort to CUSOM MOC Program personnel, monitoring and verifying physician participation for each member of the project team, and submission of the CUSOM MOC Part IV Credit Application for project review.5

 My specialty board is not a participant in the national Multi-Specialty MOC Program; will the CUSOM MOC Program still review my QI project?

At this point we are not able to provide reviews of projects for specialty boards not currently participating in the national Multi-Specialty Portfolio Approval Program.  However, new specialties are being added regularly to the national Multi-Specialty Portfolio Approval Program.  If a specialty board is not currently a participant, physicians should check back periodically for updates and follow the guidance from their specialty board in the interim.6

 Why is my specialty board not participating in the national Multi-Specialty MOC Program?

Many of the non-participating specialty boards are already in the process of becoming participants in the national Multi-Specialty MOC Program. We will periodically update this website, but recommend you check with your ABMS specialty board website for the current status.

 Do I need to register my QI project with the UCH Clinical Effectiveness and Patient Safety (CEPS) Department or the CHCO Quality and Patient Safety (QPS) Department?

No.  ​The CUSOM MOC Program is partnered with both departments, but will review and reward MOC Part IV credit independently of the CEPS and/or QPS departments.  Depending on the nature of the QI project and what patient data are needed, the project leader may need to collaborate with these hospital departments.  Please refer to the UCH and CHCO department links:

 Should I seek COMIRB or ORRQIRP approval for my project?

​If a physician seeks to publish the results of a QI project in a professional journal, then Colorado Institutional Review Board (COMIRB) approval may be a requirement of the specific journals.  At Children's Colorado, the Organizational Research Risk and Quality Improvement Review Panel (ORRQIRP) is available to review and approve projects that do not meet the definition of human subjects research. 

To determine if a project meets the definition of COMIRB Exempt Non-Human Subject research, view this decision tree: 


 Will the CUSOM MOC Program assist me in obtaining my re-certification for MOC Part II or III?

​The CUSOM MOC Program focuses on MOC Part IV re-certification.   While we can provide resources regarding MOC Part II and Part III requirements, physicians must work with their individual boards regarding credit for these MOC components.10

 Will fulfilling my MOC Part IV requirements for re-certification fulfill my MOC Part II requirements?

Please refer to your specialty board to determine if MOC Part IV credit can count towards fulfilling the requirements of MOC Part II credit.11

 Will fulfilling my MOC Part IV requirements for re-certification fulfill my Maintenance of Licensure (MOL) requirements?

​Fulfilling the requirements of MOC may be considered a part of fulfilling the requirements of MOL. According to the FSMB, MOL and MOC both value the concept of lifelong learning and continued professional development.  MOL is not the same as Maintenance of Certification, which is produced by the American Board of Medical Specialties (ABMS). State medical boards do not require specialty certification or recertification (i.e., MOC) for licensure or licensure renewal, and that is not expected to change.  Though MOC is not required by state medical boards for licensure, the FSMB’s proposed MOL system recommends that state medical boards recognize physicians actively engaged in MOC in their area of practice as being in substantial compliance with MOL.

As of March 2013, CME credits are not required for medical licensure in Colorado.  Within the next few years, these requirements may change.  We will update this website periodically, but recommend that for your own MOL requirements you check with the Colorado Board of Medical Examiners.   


 What if the CUSOM Quality Projects Review Board does not award MOC Part IV credit to me for failing to meet the criteria for Project Approval or Meaningful Participation?

​If a question regarding physician participation and/or MOC Part IV credit arises, then the first level of adjudication of such disputes will be by the two MOC Portfolio Program Lead Physicians, who will investigate the circumstances of the dispute and provide a decision. In the event that a physician wishes to appeal this decision, then there will be a second level of adjudication by the physicians of the MOC Portfolio Oversight Committee.  Please refer to the Forms/Links page for a listing of our requirements.13