Maintenance of Certification
Maintenance of Certification (MOC) is the process of keeping physician certification up-to-date through one of the 24 approved medical specialty boards of the American Board of Medical Specialties (ABMS). The ABMS, a non-profit organization, is one entity overseeing physician certification in the United States.
The Maintenance of Certification program provides an ongoing process that was designed to help physicians keep abreast of advances in their fields, develop better practice systems, and demonstrate a commitment to lifelong learning. Physicians need to have - and maintain - the clinical judgment and skills upon which high quality care depends.
Maintenance of Certification and the Medical Community
Many major medical organizations have expressed support for the Maintenance of Certification program as a valuable means of facilitating physicians' continuous professional development and measuring physicians' continued competency, including the following:
- The American Board of Medical Specialties (ABMS)
- The American Medical Association
- The American Hospital Association (AHA)
- The National Board of Medical Examiners (NBME)
- The Federation of State Medical Boards (FSMB)
- The Council of Medical Specialty Societies (CMSS)
- The Accreditation Council for Graduate Medical Education (ACGME)
- The Association of American Medical Colleges (AAMC)
- The Educational Commission for Foreign Medical Graduates (ECFMG)
Maintenance of Certification Competencies
- patient care
- medical knowledge
- practice-based learning and improvement
- interpersonal and communications skills
- systems-based practice
Maintenance of Certification Components
Maintenance of Certification incorporates the ACGME competencies through four program elements:
- Professional Standing: Physicians must have a valid, unrestricted license to practice medicine and confirmation of good standing in their local practice community.
- Lifelong Learning and Self-Assessment: Through open-book examinations developed by ABMS member Boards, medical societies, and others, physicians assess their clinical and practical knowledge. This component stimulates learning, requires that physicians document their learning, and ensures that physicians keep up with the rapidly evolving medical knowledge essential to quality patient care.
- Cognitive Expertise: Physicians are required to pass a closed-book, proctored examination in their specialty area that assesses critical aspects of clinical knowledge and judgment in scenarios like those encountered in physician practice. This examination evaluates not only what physicians know, but how they use what they know to promote health, diagnose and treat illness effectively and efficiently.
- Practice Performance Assessment: Physicians use tools to self-assess their performance in medical practice, with an emphasis on patient care quality, measurement, and documented quality improvement. These assessment tools include various Practice Improvement Modules (PIMs) that evaluate physicians' performance in a clinical area relevant to their practice, compare their performance to clinical guidelines, help them to develop a plan to improve important aspects of their practice, and assess the impact of that improvement plan.
Maintenance of Certification and Other Stakeholders
Many health plans are implementing programs that recognize and reward physicians who are actively participating in Maintenance of Certification activities. ABMS member boards are actively working with other health care organizations to advance quality initiatives and reduce measurement redundancy through recognition of physicians' Maintenance of Certification program participation. Hospitals and health systems are beginning to use Maintenance of Certification components to engage physicians in quality improvement.
Studies suggest that board-certified physicians provide improved quality of patient care and better clinical outcomes than those physicians without board certification, including a 15% reduction in mortality rate among heart attack patients treated by board-certified physicians. Considering a recent meta-analysis that shows a decline in physician performance associated with the time elapsed since the physician's initial training, it is essential for physicians to participate in programs such as Maintenance of Certification in order to keep current with medicine's expanding knowledge base and technical advances, and to apply this knowledge to quality improvement in their medical practice. Maintenance of Certification helps physicians and other health care stakeholders address the critical need to enhance patient safety and patient care quality.
Ironically, many of the certifying boards, such as the American Board of Internal Medicine and the American Board of Pediatrics, have "grandfathered" physicians certified prior to circa 1990, and there is no requirement for such physicians to re-certify. These are physicians who have had substantial time elapse since their initial training. Many of the current members of both boards have chosen not to re-certify themselves although this is recommended by the boards of which they are diplomates.
- American Board of Medical Specialties (ABMS)
- American Board of Family Medicine (ABFM)
- American Board of Internal Medicine (ABIM)
- ^ Four National Health Care Organizations to Use American Board of Internal Medicine (ABIM) Board Certification Tools in Their Physician Recognition Programs. American Board of Internal Medicine press release, August 7, 2007.
- ^ Physician Board Certification and the Care and Outcomes of Elderly Patients with Acute Myocardial Infarction. Journal of General Internal Medicine. 2006 March; 21(3): 238–244.
- ^ The Certification Status of Generalist Physicians and the Mortality of Their Patients After Acute Myocardial Infarction. Academic Medicine: Journal of the Association of American Medical Colleges. 2001 October; 76(10) Supplement: S21-S23.
- ^ Systematic Review: The Relationship between Clinical Experience and Quality of Health Care. Annals of Internal Medicine. 2005 February; 142 (4): 260-273.
- ^ The Role of Physician Specialty Board Certification Status in the Quality Movement. Journal of the American Medical Association (JAMA). 2004 September; 292(9): 1038-1043.
Wikimedia Foundation. 2010.
Look at other dictionaries:
Maintenance of Certification (MOC) — is the process of keeping physician certification up to date through one of the 24 approved medical specialty boards of the American Board of Medical Specialties (ABMS). The ABMS, a non profit organization, is one entity overseeing physician… … Wikipedia
Maintenance of Certification for Surgery — Maintenance of Certification is a program of continuous professional development created by the ABS with the other member boards of the American Board of Medical Specialties (ABMS). MOC goes beyond traditional recertification at 10 year intervals … Wikipedia
Certification — third party attestation related to products, processes, systems or persons (p. 5.5 ISO/IEC 17000:2004). Источник … Словарь-справочник терминов нормативно-технической документации
Certification system — set of procedures and resources for carrying out the certification process as per certification scheme leading to the issue of a certificate of competence including maintenance (p. 3.5 ISO/IEC 17024:2003). Источник … Словарь-справочник терминов нормативно-технической документации
Certification mark — Canadian certification label on a bag of rockwool. A certification mark on a commercial product indicates five things: The existence of a legal follow up or product certification agreement between the manufacturer of a product and an organization … Wikipedia
Certification CC — Critères communs Common Criteria (CC) est un standard international (ISO/CEI 15408) pour la sécurité des systèmes d information. Le nom complet du standard est Common Criteria for Information Technology Security Evaluation. En français, on… … Wikipédia en Français
Aircraft Maintenance Technician — Aircraft Maintenance Technician, as used in the United States, refers to an individual who holds a Mechanic certificate issued by the Federal Aviation Administration; the rules for certification, and for certificate holders, are detailed in… … Wikipedia
Professional certification — Professional certification, trade certification, or professional designation, often called simply certification or qualification, is a designation earned by a person to assure qualification to perform a job or task. Many certifications are used… … Wikipedia
Organic certification — Mixed organic bean sprouts Organic certification is a certification process for producers of organic food and other organic agricultural products. In general, any business directly involved in food production can be certified, including seed… … Wikipedia
American Council for Accredited Certification — The Certification Council, Inc (CCI), the American Council for Accredited Certification (ACAC) and the The American Indoor Air Quality Council (AIAQC) are predominantly a Charlie Wiles family owned, environmental credentialing organisation that… … Wikipedia