In 2000, the American Board of Medical Specialties (ABMS) adopted Maintenance of Certification (MOC) to ensure that diplomates maintained professional standards throughout their practice careers. MOC included standards for learning, assessment, professionalism, and practice improvement. Diplomates began to raise concerns about MOC that focused on value and relevance to their practices, burden associated with test preparation and redundant practice improvement requirements, time away from practice and family, examination costs, and failure to account for increasing subspecialization.1-5 Additional questions were raised about the failure to integrate advances in learning science and alternative assessment strategies.6 In addition, some diplomates expressed dissatisfaction about the lack of responsiveness and financial transparency of the ABMS.7
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Colenda CC, Scanlon WJ, Hawkins RE. Vision for the Future of Continuing Board Certification. JAMA. Published online May 17, 2019321(23):2279–2280. doi:10.1001/jama.2019.4815
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