Certification: The Position of AAPM&R

Your Academy (AAPM&R) has been advocating for necessary changes in Maintenance of Certification® (MOC®) with both the American Board of Medical Specialties (ABMS) and the American Board of Physical Medicine and Rehabilitation (ABPMR).

The Academy has called for substantive changes to the current MOC requirements and process. Beyond the immediate need to address the current MOC program, the Academy has framed and advanced critical questions that need to be addressed regarding the future needs of certification in a dramatically changing healthcare environment—the future meaning and value of certification, the changing stakeholders and customers, and how to work together to assure physicians remain leaders in tomorrow's health care environment.

The Academy is focused both on an immediate resolve to the current situation as well as a long-term dialogue regarding future needs, and believes the MOC debate must be resolved internally within medicine and without government interference.

Click here to read the recently updated AAPM&R Position Statement regarding MOC.

AAPM&R supports the intent of certification, as it is rooted in our commitment to medical professionalism and self-regulation. The Academy believes that:

  • Board certification should not be a criterion for medical licensing and should not be utilized as a sole criterion for credentialing and/or privileging. There are other critical factors that should be considered in the credentialing and privileging process.
  • Some components of the current MOC process, while well-intentioned, place significant burdens on physicians without having been shown to achieve the desired objectives.

Calendar IconIn 2015, AAPM&R called upon ABPMR to make immediate changes to MOC Parts III and IV. Additionally, the Academy released its position statement on MOC.

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Since the original position statement was released, AAPM&R has been advocating publicly and directly with ABMS and ABPMR leadership to address physiatry’s concerns regarding MOC.

Calendar Icon In 2018, the Academy testified at the ABMS-convened Vision for the Future Commission. AAPM&R advocated that true changes in certification and continuing certification must be forward thinking and based on an understanding of the future customers and stakeholders' needs.

Calendar IconIn 2018, AAPM&R has held numerous meetings and phone calls with ABPMR leadership, voicing our concerns and our members’ frustrations.
 


Immediately, AAPM&R has called on ABPMR to take immediate action to change the current structure of MOC:

  • We urge ABPMR to immediately discontinue the high stakes and expensive Part III exam.
  • We urge ABPMR to immediately suspend Part IV/PIP.
  • We support the rapid implementation of a longitudinal formative assessment in lieu of Parts II, III, IV. 
  • Implementation of the revised structure must: 
    • be meaningful and demonstrate value for physiatrists. 
    • reduce the financial burden on all physiatrists.
    • provide a path for those who are currently MOC Part III eligible to transition so they are not penalized. 

AAPM&R acknowledges and appreciates the commitment of ABPMR's leadership to evolve MOC III, exemplified through the recent pilot launch of CertLink. Your Academy continues to express urgency of a full transition beyond the current pilot efforts in order to provide immediate relief for physiatrists.

Click here to read the full statement.


ABMS

The federation of specialty certifying boards that developed MOC, its framework and requirements.

Click here to learn about the American Board of Medical Specialties Vision Initiative to address MOC.

ABPMR

Sets MOC requirements for the specialty of PM&R and ensures compliance.

Click here to learn about the American Academy of Physical Medicine and Rehabilitation's CertLink pilot to address PM&R-specific input. 

AAPM&R

An independent organization from ABMS and ABPMR. Advocates on behalf of its members and offers resources to satisfy MOC requirements as efficiently as possible.

Click here to learn more.

Join AAPM&R in Advocating for Change

We urge you to join your Academy (AAPM&R) in advocating for changes to the current structure of MOC by submitting a customizable letter to the ABPMR Board of Directors.

Click here to take action.

 

The Academy is advocating for critical and necessary change 
and
helping our members with the existing requirements at the same time.

 

For Our Members:

While we continue to advocate on behalf our members for changes to MOC, we acknowledge that members must still meet the current ABPMR requirements or risk losing their hard-earned certificate. As such, AAPM&R actively creates new education and resources that automatically include MOC credit in the education activity. The goals are to streamline requirements, reduce burnout, all while advancing clinical expertise.


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In support of the position statement released in 2015, that same year the Academy changed our membership criteria to acknowledge continuing certification is an Academy membership option; obtaining primary certification, not maintaining it, is the requirement for Fellow Member status in the Academy.

Calendar IconTo ease the financial burden of MOC, in 2016 we updated our member benefits to include complimentary MOC resources to meet current Part II and Part IV requirements—a free SAE-P and access to all PIPs. Since 2016, members can meet all their annual MOC requirements with free Academy resources as part of membership. 


Current Membership Resources:

MOC_2 CME and Self-Assessment Credits

MOC_4 Practice Improvement Credit

If you have questions about MOC and what’s being done to address physiatry’s concerns, please contact the American Board of PM&R at office@abpmr.org or by calling (507) 282-1776.