Originally established by the American Board of Medical Specialties (ABMS), the Maintenance of Certification (MOC) process is intended to create a framework for physicians to follow, establish standards, and maintain accountability in the field of medicine. The process encompasses initial as well as recertification under the American Board of Internal Medicine (ABIM).
Continuing your education is vital to building your knowledge, maintaining your professional standing, and providing the best possible care for your patients.
Internal Medicine Board Certification: Initial Certification
Upon completing your post-doctoral studies, you must meet training requirements, licensure requirements, and procedural requirements. You will then be considered “board eligible,” for a 7-year period and can take the ABIM initial certification examination. Upon passing the ABIM certification exam, you will be considered “board certified.” If you do not become board certified during the 7-year period of board eligibility, you will no longer be considered board eligible and will need to undergo retraining to take the exam.
Internal Medicine Board Certification: Maintenance
ABIM certification outlines and defines the standard for physicians in the field of internal medicine. Incorporating the 6 general competencies established by the Accreditation Council for Graduate Medical Education (ACGME), ABIM certification maintenance is a vehicle for physicians to cultivate the habit of lifelong learning through continuous skill building and self-assessment.
In order to maintain your certification:
- You must have a current, valid, and unrestricted license to practice medicine
- You must enroll in Maintenance of Certification (MOC)
- You must earn MOC points, which include:
- MOC activity every 2 years (earning points that also count toward your 5-year requirement and MOC milestones).
- 100 points every 5 years (including a minimum 20 in medical knowledge).
- 20 MOC points for each eligible year of fellowship training (10 in medical knowledge and 10 in practice assessment); if you happen to be in a fellowship.
ACGME Core Competencies: The Foundation of Maintenance of Certification
The ACGME Core Competencies are the foundation of ABIM board certification and MOC. They are recognized as the standard by which all physicians must practice, and have been widely accepted and implemented across all medical education training programs. The ACGME Core Competencies are defined as:
- Practice-Based Learning and Improvement
- Patient Care and Procedural Skills
- Systems-Based Practice
- Medical Knowledge
- Interpersonal and Communication Skills
Obtaining and Maintaining Your Internal Medicine Board Certification
Developed by the publishers of the New England Journal of Medicine, NEJM Knowledge+ Internal Medicine Board Review’s comprehensive learning program is geared to you: it adapts to your strengths and weaknesses, is relevant to your practice of medicine, and fits seamlessly into your schedule. Our blueprint-driven program helps you prepare for the Internal Medicine Board Certification exam, but that’s just the beginning. You can also earn your required ABIM MOC points and CME credits with our adaptive learning platform, making lifelong learning into a truly efficient, effective use of your time.
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 firstname.lastname@example.org.
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 Internal Medicine Board Review: 358 AMA PRA Category 1 Credits™
ABIM MOC Points
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 358 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Royal College of Physicians and Surgeons of Canada
Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.
AAPA Credit Designation Statement
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credits™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 358 hours of Category I credit for completing this program.