New ABIM Maintenance of Certification Regulations Take Effect in 2014

Starting in 2014, physicians will have to meet new maintenance of certification (MOC) requirements designed to continually assess their knowledge base and performance. The American Board of Internal Medicine (ABIM) has expanded the conditions for MOC to include ongoing medical education activities and a patient safety requirement, and will report whether board-certified physicians are meeting MOC requirements.

“The American Board of Medical Specialties and ABIM have concluded that completion of MOC activities every 10 years is not adequate,” said Gerald Hladik, MD, FASN, of the University of North Carolina at Chapel Hill Kidney Center. ABIM will now require diplomates to earn 100 MOC Points—as well as complete a patient survey and patient safety requirement—every 5 years.

What steps should physicians take to maintain their board certification? “In order for diplomates to keep their MOC current in 2014, they must first log in to starting in January 2014 to enroll in MOC by March 31, 2014, to be reported as ‘Meeting MOC Requirements’,” said Hladik. “An MOC activity, either offered by ABIM, ASN, or another organization, must be completed by December 31, 2015.”

The number of points now required to meet MOC requirements has essentially doubled, and now includes new patient safety and patient survey requirements, added Hladik. MOC points must be earned every 2 years, and a total of 100 MOC points with a mix of Self-Evaluation of Medical Knowledge and Self-Evaluation of Practice Assessment modules must be earned by December 31, 2018.

Because physicians will still need continuing medical education (CME) credits in addition to MOC Points, many educational providers, including ASN, are offering the chance to earn both for educational activities. Each ASN NephSAP exam offers up to 10 MOC Points and 8 CME credits, and the ASN Dialysis Practice Improvement Module offers up to 20 MOC Points and 20 CME credits.

ASN plans to develop additional products, including a patient survey tool in the upcoming Transplantation Nephrology Practice Improvement Module (PIM) jointly sponsored with the American Society of Transplantation. “PIMs with a patient survey will count toward patient survey requirement,” Hladik said. The ABIM is currently in the process of developing patient safety modules. Diplomates must still take a secure examination every 10 years.”

Diplomates can visit to review the changes that took effect in January. The ABIM website ( will indicate the requirements necessary for individual diplomates to maintain certification. Hladik added that “when these requirements are met, ABIM will report whether or not physicians are ‘Meeting MOC Requirements’ on the ABIM website.”

One concern raised about these changes, and other potential MOC revisions in 2015, is that they are written with the clinician in mind and may not reflect the various settings in which nephrologists and other physicians practice, including research, education, and administration. ABIM has recognized this issue, and is working toward developing modified MOC activities for physicians with limited clinical activity.

To learn more about the ABIM MOC changes and ASN’s educational offerings, visit

January 2014 (Vol. 6, Number 1)