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In Reply We appreciate the efforts of certification boards to continually improve the maintenance of certification (MOC) process. While the substantial changes implemented in MOC since our study’s data collection1 ended in 2012 have been well-intended, the time, effort, and emotional investments expected of physicians continue to be critical and contentious. The American Board of Internal Medicine’s decision to review and revise its MOC program2 aligns with our key message—that “physicians view MOC as an unnecessarily complex process that is misaligned with its purposes,” and that physicians, patients, and MOC programs will all benefit as these misalignments are corrected.1 We emphasize in particular our suggestions that MOC create tangible value for physicians, integrate tightly with physicians’ daily work, and build in support for tasks that do not require physicians' expertise and have low learning and/or experiential benefit.
Holmboe ES, Cook DA. American Board of Internal Medicine and Maintenance of Certification Standards—Reply. JAMA Intern Med. 2015;175(8):1425-1426. doi:10.1001/jamainternmed.2015.1115