ABFM MOC requirements — now known as the Family Medicine Certification process — involves ongoing activities covering 4 key components: Professionalism; Self-Assessment and Lifelong Learning; Cognitive Expertise; and Performance in Practice. The ABFM MOC program is divided into 3-year “stages” occurring over a 10-year period, and all board-certified physicians must comply with ABFM “Guidelines for Professionalism, Licensure, and Personal Conduct.”

Along with continuously maintaining a currently valid, full, unrestricted license to practice medicine in the United States or Canada, physicians must meet the following ABFM MOC requirements within each 3-year stage in order to maintain certification:

  • A minimum of 1 Knowledge Self-Assessment (KSA) Activity*
  • A minimum of 1 Performance Improvement (PI) Activity (PPM or approved alternative)
  • At least 50 Family Medicine Certification Points (acquired by completion of Self-Assessment and/or PI Activities) per 3-year stage
  • A specific number of CME credits completed, depending on most recent year certified (see table)

If these requirements are not met, you will be listed on the ABFM website as “not certified.”

Use the table below to determine your specific requirements for ABFM MOC/Continuing Certification:

Certified 2003-2010 (10-year cycle)Certified 2011-Present (7-year cycle)Certified 2011-Present
If you were certified between 2003 and 2010**, you are automatically enrolled in the Family Medicine Certification process. You must complete the following requirements for the 10-year certificate per 3-year stage:If you were certified between 2003 and 2010 and have not yet extended the original 7-year certificate to 10 years, you may do so by completing requirements by specific deadlines:If you were certified after 2011, you must complete the following requirements per 3-year stage:
At least 50 Family Medicine Certification Points (acquired by completion of Self-Assessment and/or PI Activities)At least 110 Family Medicine Certification Points (acquired by completion of Self-Assessment and/or PI Activities)At least 50 Certification Points (acquired by completion of Self-Assessment and/or PI Activities)
A minimum of 1 KSAA minimum of 3 KSAaA minimum of 1 KSA
A minimum of 1 PI Activity  (PPM or approved alternative)A minimum of 1 PI Activity  (PPM or approved alternative)A minimum of 1 PI Activity  (PPM or approved alternative)
300 CME credits in the 6 years leading up to the exam300 CME credits in the 6 years leading up to the exam150 CME credits in each 3-year stage

* In July 2016, the ABFM separated the two key components of Self-Assessment Modules (SAMs) into two activities: a 60-question Knowledge Self-Assessment (KSA) and Clinical Self-Assessment (CSA). KSA is now the minimum required Self-Assessment activity, while CSA is optional.

** Physicians who certified or recertified between 2003 and 2010 have the option of extending the original 7-year certificate to 10 years by completing certification requirements by specific deadlines. If these requirements are met, you may take the exam in year 7 of your certification period, and from there on in, you will be on the track for the 10-year certification program. If a diplomate on the 10-year cycle is not completing the stage requirement on time, then they will revert to the 7-year certificate.

These requirements must be fulfilled in conjunction with the successful completion of the ABFM certification exam every 10 years, for a physician to retain ABFM certification.

Certified before 2003 or Lapsed 3+ Years

If you were last certified prior to 2003, or your certification has lapsed for more than 3 years and you need to recertify, you must complete the following requirements as part of the Certification Re-Entry Process, which includes the following requirements:

  • At least 50 Certification Points (acquired by completion of Self-Assessment and/or PI Activities)
  • A minimum of 1 KSA
  • A minimum of 1 PI Activity (PPM or approved alternative)
  • 150 CME credits (minimum 50% Division I, acquired in last 3 years)

Additional requirements for the Certification Re-Entry Process can be found on the ABFM website.