The American Board of Family Medicine (ABFM) Continuous Certification Requirements consist of ongoing activities covering four key components:

  • Professionalism
  • Self-Assessment and Lifelong Learning
  • Cognitive Expertise
  • Performance Improvement (PI)

ABFM Maintenance of Certification

The American Board of Family Medicine no longer refers to its continuing certification program as Maintenance of Certification (MOC). Instead, ongoing certification is now called Family Medicine Continuous Certification.

Family Medicine Continuous Certification Process

The Family Medicine Continuous Certification process is divided into three-year “stages” occurring over ten years. To participate, all board-certified physicians must also comply with the ABFM Guidelines for Professionalism, Licensure, and Personal Conduct, which include holding a current, valid, and unrestricted license to practice medicine in the United States or Canada.

Meeting Your ABFM Continuous Certification Requirements

To remain certified in family medicine, physicians must meet the following requirements within each 3-year stage:

  • Earn 150 Continuing Medical Education (CME) Credits
    Physicians must participate in CME activities to earn a minimum of 150 CME credits every three years. At least half of the earned credits need to be Division I credits, also known as AMA PRA Category 1 Credits.

NEJM Knowledge+ Family Medicine Board Review allows you to earn up to 349 AMA PRA Category 1 Credits and 349 AAFP Prescribed Credits*. Click here to learn more.

  • Earn 50 Family Medicine Certification Points
    Points are acquired by completing Self-Assessment and PI Activities as follows:

    • Knowledge Self-Assessment (KSA) — Earn 10 points through KSA activities. Physicians have three options for meeting this requirement:
      1. Complete 1 KSA
        Complete at least one of these ABFM activities that target a single topic such as diabetes, heart disease, pediatric care, or an area of mental health.
      2. Participate in 4 Continuous Knowledge Self-Assessments (CKSA)
        Participate in four CKSA quarters that involve answering 25 computer-based questions covering various family medicine topics.
      3. Read/Answer Questions for 10 ABFM National Journal Club (NJC) Articles
        Read at least ten NJC peer-reviewed research articles and correctly answer the four corresponding assessment questions. (Diplomates have unlimited opportunities to redo the questions.)
    • Complete a Performance Improvement (PI) Activity — Earn 20 points every three years by completing a PI project developed by ABFM or an approved provider. These activities help physicians identify opportunities to improve their practice and delivery of patient care, create improvement plans, and then use data to measure the efficacy of their efforts.
    • Perform additional KSA and PI Activities — Earn 20 additional points through the physician’s choice of KSA, PI, or other ABFM-approved activities.
  • Remain Current on ABFM Fees
    Diplomates need to be up to date with their yearly fee of $200.
  • Demonstrate Cognitive Expertise in Family Medicine
    In conjunction with the above Self-Assessment and Lifelong Learning and Performance Improvement requirements, diplomates must also demonstrate Cognitive Expertise by passing the ABFM Recertification exam every ten years or by participating in and passing the Family Medicine Certification Longitudinal Assessment (FMCLA).

ABFM Recertification Exam

The traditional in-person ABFM Recertification exam is offered twice a year, in April and November. The test consists of 300 multiple-choice, single-best-answer questions broken into four 95-minute sections with 100 minutes of optional break time to be used at the examinee’s discretion. The exam is offered at and proctored by Prometric testing locations.

The exam covers topics in community medicine, adult medicine, maternity care, gynecology, and care of neonates. View the full breakdown of content covered in the ABFM Blueprint.

Family Medicine Certification Longitudinal Assessment (FMCLA)

The ABFM FMCLA is an alternative to taking the in-person exam. Participants have four years to complete 300 questions, with 25 questions offered each quarter. Test-takers can work on the assessment online from anywhere on any device.

Questions are multiple choice with a single best answer. Physicians are given five minutes to answer each question and can tackle one question at a time, all the questions at once, or anything in between. Almost any point-of-care resource can be used when answering questions, but examinees are not permitted to consult with other individuals.

Note: Physicians who do not meet the ABFM Continuous Certification requirements will be listed on the ABFM website as “not certified.”

Prepare for the ABFM Recertification Exam or FMCLA with NEJM Knowledge+ Family Medicine Board Review

Many family medicine physicians will prefer the one-and-done aspect of the traditional ABFM Recertification exam, so they need not worry about the assessment portion of Family Medicine Continuous Certification for ten years. With authentic adaptive learning, a comprehensive question bank, and practice tests proven to maximize test scores, NEJM Knowledge+ Family Medicine Board Review will help you get ready for and pass your ABFM Recertification Exam.

For physicians who choose the ongoing commitment to learning offered by the FMCLA, NEJM Knowledge+ is the perfect companion to help you prepare. As with the FMCLA, NEJM Knowledge+ questions provide detailed feedback to facilitate learning and improve your family medicine practice. And if you use a timer such as the one on your phone, you can practice answering questions within the time limit you will have for FMCLA questions.

Whichever assessment option you choose, NEJM Knowledge+ Family Medicine Board Review is the perfect resource to help you accelerate your learning and pass. Plus, it allows you to earn up to 348 AMA PRA Category 1 Credits™ and 348 AAFP Prescribed Credits.*

NEJM Knowledge+ Family Medicine Board Review: Your Indispensable Resource for Family Medicine Continuous Certification and Lifelong Learning

The American Board of Medical Specialties (ABMS) released a report from their Vision Initiative in 2019. It includes research demonstrating that physicians often have challenges with self-assessing or identifying their knowledge gaps. NEJM Knowledge+ Family Medicine Board Review can help you overcome this challenge in two ways:

First, it is adaptive, which means questions are delivered based on your performance. In other words, the algorithm adapts the content you see based on what you know and don’t know, automatically targeting your knowledge gaps and saving you valuable time.

Second, NEJM Knowledge+ asks you about your confidence level as you answer questions and then generates Confidence vs. Performance reports that allow you to compare your actual performance with how you anticipated you would perform. This metacognition analysis not only helps you prepare for your assessment efficiently and effectively, but it also helps you develop self-awareness about your medical knowledge that improves your efficiency and efficacy in diagnosing and treating patients.

Learn more about how NEJM Knowledge+ Family Medicine Board Review helps you pass your ABFM Recertification exam or FMCLA, earn up to 349 AMA PRA Category 1 Credits™ and 349 AAFP Prescribed Credits, and improve your practice to optimize patient care.

Accreditation Statement

The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Medical Association has an agreement of mutual recognition of Continuing Medical Education (CME) credits with the European Union of Medical Specialists (UEMS), the accreditation body for European countries. Physicians interested in converting AMA PRA Category 1 Credit™ to UEMS-European Accreditation Council for Continuing Medical Education CME credits (ECMECs) should contact the UEMS at

AMA Credit Designation Statement

The Massachusetts Medical Society designates each enduring material for the number of AMA PRA Category 1 Credits™ listed below. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NEJM Knowledge+ Family Medicine Board Review: 348 AMA PRA Category 1 Credits™

AAFP Prescribed Credit

The AAFP has reviewed NEJM Knowledge+ Family Medicine Board Review and deemed it acceptable for up to 348.00 Enduring Materials, Self-Study AAFP Prescribed credits. Term of Approval is from 02/01/2022 to 01/31/2023. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAPA Category 1 Self-Assessment CMEAAPA CME Credit (NEJM Knowledge+ Family Medicine Board Review)

This activity has been reviewed by the AAPA Review Panel and is compliant with AAPA CME Criteria. This activity is designated for 20 AAPA Category 1 Self-Assessment CME credits. PAs should only claim credit commensurate with the extent of their participation. Approval is valid from 5/1/2022 to 4/30/2023. AAPA reference number: CME-206084.

For NCCPA certification maintenance ONLY: NCCPA will now apply an additional 50 percent weighting when these self-assessment credits are logged for NCCPA certification maintenance purposes. PAs should log up to a maximum of 20 AAPA Category 1 Self-Assessment CME credits, as the additional weighting will be automatically applied by NCCPA.