The American Board of Internal Medicine (ABIM) changed its Maintenance of Certification (MOC) requirements in January 2014 and again in February 2015. With these changes, MOC demonstrates internists’ and subspecialists’ ongoing engagement in lifelong learning and continuous quality improvement.

Although maintaining certification is not mandatory, ABIM encourages physicians to participate to demonstrate to colleagues and the public their commitment to lifelong learning. ABIM is changing the language from “Meeting MOC Requirements” to “participating in MOC” when publicly reporting MOC status at www.abim.org. The American Board of Medical Specialties also makes this information available to the public at www.certificationmatters.org.

How the Requirements Have Changed (Again)

Here’s a quick review of which requirements have changed, effective January 2014 and February 2015. The bottom line: The number of requirements and the frequency with which you must earn points are both on the rise.

Previous RequirementsNew Requirements in 2014New Requirements in 2015
Pass secure exam every 10 years. No MOC points earned for taking exam.Pass secure exam every 10 years.* Earn 20 points for first exam attempt.Pass secure exam every 10 years.* Earn 20 points for first exam attempt.
Earn 100 MOC points every 10 years, including:

  • At least 20 points in medical knowledge (Part 2)
  • At least 20 points in practice assessment (Part 4)
Complete an ABIM-approved MOC activity every 2 years.** Earn 100 MOC points every 5 years, including:

  • At least 20 points in medical knowledge
  • At least 20 points in practice assessment
  • Completion of Patient Safety and Patient Survey requirements
Complete an ABIM-approved MOC activity every 2 years.** Earn 100 MOC points every 5 years, including at least 20 points in medical knowledge.
Cannot earn MOC points in fellowship.Can earn MOC points for fellowship training.Can earn MOC points for fellowship training.

What You Need to Do to Maintain Your Certificate

  • Enroll in MOC at www.abim.org and pay your annual or 10-year MOC fee
  • Maintain your state license to practice medicine
  • Every 10 years: Pass the secure exam in each area in which you’re maintaining your certification*
  • Every 2 years: Complete an MOC activity**
  • Every 5 years: Complete 100 MOC points comprised of at least:
    • 20 points in medical knowledge
    • 20 points in practice assessment
    • A patient safety requirement
    • A patient survey requirement

How to Be Reported as “Participating in MOC” “Meeting MOC Requirements”

In order to be publicly reported as “participating in MOC,” “Meeting MOC requirements,” be sure to take one of the following steps:

  • If you’re already enrolled in the MOC program: Log in to www.abim.org and identify which certifications you wish to maintain.
  • If you’re not already enrolled in the MOC program: Log in to www.abim.org and enroll by identifying which certifications you wish to maintain.

Changes for “Grandfathered” Individuals

Diplomates with a certification that is valid indefinitely who miss any of the MOC program requirements will be reported as “Certified, Not Meeting MOC Requirements.” They will not be reported as “Not Certified” for failing to meet MOC requirements. Requirements and associated deadlines include:

  • Completing an MOC activity every 2 years**
  • Earning 100 MOC points with a minimum of 20 points in both medical knowledge and practice assessment, while also completing the patient survey and patient safety requirements every five years
  • Passing the MOC exam by December 31, 2023

Registration Deadlines & Exam Dates

To view the complete set of certification and recertification exam dates for all ABIM MOC exams, click here.
To view the complete set of certification and recertification exam dates for ABIM initial certification exams, click here.

For more information about about the new ABIM MOC requirements, visit the ABIM website.


* Physicians holding 10-year internal medicine and subspecialty certifications will have until the final year of their certification to pass their exam. Exams for certificates that are contingent upon “Meeting MOC Requirements” will be due 10 years from when they were last passed.

** The points earned every 2 years count toward your 5-year 100-point total.

*** In order to take the MOC exam, you must enroll in the ABIM MOC program by this date.