The American Board of Medical Specialties (ABMS) approved a Maintenance of Certification (MOC) program to promote continuous learning and periodic assessment throughout the length of diplomates’ certification. The guiding principles behind MOC include ensuring that the highest standards of patient care are established and maintained, and assuring patients, physicians, and other stakeholders that certified physicians are being assessed by reliable and valid measures to continually improve patient care. Each of the 24 ABMS Member Boards has implemented an MOC program.

ABEM MOC Requirements
To renew certification and to be considered as meeting the ABEM MOC requirements, clinically active physicians must meet all ABEM MOC requirements. Physicians who are clinically inactive must meet all ABEM MOC requirements except IMP.

LLSA Tests

Physicians must pass four Lifelong Learning and Self-Assessment (LLSA) tests in years 1-5 of their certification and four LLSA tests in years 6-10 of their certification. For more information about LLSA tests, click here

Physicians whose certificates expire in 2017 and after must complete the Patient Safety LLSA (PS-LLSA). The PS-LLSA counts toward one of the four LLSAs required to be completed during each five-year certification period. To find out when you must complete the PS-LLSA, click here.
CME Credit Physicians must complete an average of 25 AMA PRA Category 1 CreditsTM per year or acceptable equivalent. For more information about the CME credit requirement, click here.
PI  Physicians must complete one Practice Improvement (PI) activity in years 1-5 of their certification and one PI activity in years 6-10 of their certification. For more information about PI activities, click here.
C/P  On June 21, 2016, ABEM implemented a pilot that will no longer require diplomates to attest to completion of a C/P activity. During the pilot, diplomates will see the status "You do not have a requirement," or in some cases, "Future requirement on hold" on their ABEM MOC Personal Page. The pilot extends through December 31, 2018. For more information about C/P activities, click here.
Physicians must pass the ConCert™ Examination during years 6-10 of their certification. The ConCert™ Examination is a comprehensive, secure, proctored examination that covers the breadth of Emergency Medicine. For more information about the ConCert™ Examination, click here.
 Medical Licensure Physicians must continuously maintain medical licensure in compliance with the ABEM Policy on Medical Licensure.

For more information about MOC Professionalism and Professional Standing requirements, click here.

Individual diplomates’ requirements may vary. For more information about a physician’s specific requirements based on the year that his/her certification expires, click here.

Every diplomate is considered to be meeting ABEM MOC requirements until they reach their five-year requirement deadline and it is determined that they have failed to meet one or more ABEM MOC requirements.

Diplomates who are designated as not meeting MOC requirements can make up the missed requirements and regain status as meeting MOC requirements before the end of their ten-year certification.

Diplomates who do not meet all their MOC requirements by the time their certificate expires have an opportunity to regain certification. The Policy on Regaining Certification describes these opportunities in detail.


MOC Components Recently Renamed
In conjunction with the implementation of the ABMS 2015 Standards, ABEM, along with the other 23 ABMS Member Boards, agreed to adopt common terminology for the components of the MOC Program. 
Previous Name  New Name
Lifelong Learning and Self Assessment (LLSA) Lifelong Learning and Self-Assessment (LLS)
Assessment of Practice Performance (APP)  Improvement in Medical Practice (IMP)
Assessment of Cognitive Expertise Assessment of Knowledge, Judgment, an Skills (KJS) 
Professional Standing Professionalism and Professional Standing (PPS)