ABEM MOC consists of activities grouped into four components. To be considered to be “meeting MOC requirements,” ABEM-certified emergency physicians (diplomates) must participate in a variety of activities within specific time periods. These activities can be grouped into four general categories:
Lifelong Learning and Self Assessment (LLSA) - LLSA Tests
The primary goal of LLSA activities is to promote continuous professional development. ABEM facilitates this learning by identifying an annual set of LLSA readings to guide diplomates in self-study of recent Emergency Medicine literature. Physicians then take an open-book, multiple choice test based on the readings. Diplomates are required to complete four LLSA tests during each of their five-year certification periods. Diplomates can opt for the continuing medical education (CME) activity associated with each LLSA test.
Beginning with diplomates whose certifications expire in 2017, one of the four required LLSAs in the first five years of certification is the Patient Safety LLSA. During the phase-in, some diplomates will have the requirement in their second five years of certification. Diplomates can opt for a CME activity that will award 20 AMA PRA Category 1™ credits for successful completion. For more information about the Patient Safety LLSA, click here.
Lifelong Learning and Self Assessment (LLSA) - Continuing Medical Education (CME)
Physicians also must earn continuing medical education (CME) credits. They must accumulate an annual average of 25 credits per year, eight of which must be self-assessment credits. ABEM accepts AMA PRA Category I™ credits as well as specific other types that are considered equivalent.
Assessment of Practice Performance (APP)
Clinically active diplomates must assess the quality of care they provide compared to peers and then apply the best evidence or consensus recommendations to maintain or improve that care. Clinically active diplomates must also participate in communication/professionalism activities, specifically, patient experience of care surveys.
Continuous Certification (ConCert™) Examination
The ConCert™examination is a comprehensive, secure, proctored examination that covers the breadth of Emergency Medicine. It assesses the emergency physician’s medical knowledge.
Maintaining Professional Standing
ABEM MOC requires that all diplomates hold at least one medical license in the US, its territories, or Canada, that is current, active, valid, full, unrestricted, and unqualified throughout the time that they are certified or while they are regaining certification. A physician may hold more than one license, but each must be valid, unrestricted, and unqualified.
ABEM general MOC requirements within each of these categories are listed below. 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.
| ABEM General MOC Requirements |
|Lifelong Learning |
|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.
|Physicians whose certificates expire in 2014 and after are required to earn continuing medical education (CME) credit. Physicians must complete an average of 25 AMA PRA Category 1 CreditsTM per year or acceptable equivalent; eight of the credits each year must be self-assessment credits. |
|APP Activities |
|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. |
|CP ||*Physicians must complete one Communication / Professionalism (CP) activity in years 1-5 of their certification and one CP activity in years 6-10 of their certification. For more information about CP activities, click here. |
| ||Physicians must pass the ConCert™ examination during the last five years of 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. |
| || |
Physicians must continuously maintain medical licensure in compliance with the ABEM Policy on Medical Licensure.
ABEM MOC requires that all diplomates hold at least one medical license in the U.S., its territories, or Canada that is current, active, valid, full, unrestricted, and unqualified throughout the time that they are certified or while they are regaining certification. Physicians may hold additional licenses, each of which must be valid, unrestricted, and unqualified. For more information about MOC professional standing requirements, click here.
|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 APP. |
* This requirement is being phased in. During the phase-in, individual requirements may vary. Please check your Requirements and Status page in MOC Online or go to the MOC Requirements page to view your specific requirements.
ABEM tracks the status of each diplomate in meeting its Maintenance of Certification (MOC) requirements, defined as:
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.
In August 2012, ABEM began reporting each diplomate’s MOC status to the ABMS, which will list each diplomate as “meeting MOC requirements” - “yes” or “no,” on their Certification MattersTM website.