For more than 80 years, board certification has signified that physicians have met standards set by their peers. Although certification originated as a “lifetime” credential, the American Board of Internal Medicine (ABIM) and other specialty boards transitioned to time-limited certification in the late 1980s in recognition that medical knowledge changes over time.1 ABIM diplomates with time-limited certifications had to recertify every 10 years through Maintenance of Certification (MOC), which consisted of participating in self-evaluation of medical knowledge and practice assessment, holding an unrestricted license to practice medicine, and passing a comprehensive examination. In January 2014, ABIM added patient safety and patient voice requirements to the program and implemented policies requiring more continuous MOC participation.
Berkowitz LR. The American Board of Internal Medicine Maintenance of Certification Program: Cocreating the Future. JAMA Surg. 2015;150(8):699–700. doi:10.1001/jamasurg.2015.0888
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