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Volume 25 (3)

Volume 25, Issue 3, Summer 2005line
J Contin Educ Health Prof 2005; 25(3):151-156
INNOVATIONS

American board of medical specialties and repositioning for excellence in lifelong learning: Maintenance of certification
Stephen H. Miller, MD, MPH, FACS

A b s t r a c t

The board certification movement was founded out of a concern for the quality of care, and today, more than 85% of all physicians licensed to practice medicine in the United States have been certified by an American Board of Medical Specialties (ABMS) member board. There is increasing evidence of a need for continuous monitoring and promotion of quality as well as for assessment and documentation that certified medical specialists are keeping up-to-date so that their continuing competence can be documented. To help, the ABMS established a program called Maintenance of Certification, a system that includes periodic examination of knowledge and the comprehensive evaluation of practice. Maintenance of Certification includes 4 major components: professional standing, including an unrestricted license to practice medicine; lifelong learning and self-assessment; demonstrated cognitive expertise; and practice performance assessment. The efforts of the Conjoint Committee on Continuing Medical Education press continuing medical education providers to facilitate self-directed learning and directed self-learning while driving lifelong learning and assessment into the clinical practices of all physicians who seek to continuously upgrade their knowledge, skills, and behaviors to provide quality medical care.

Lessons for Practice
  • Medicine is privileged by society to control who enters the profession and to maintain standards of competent service.
  • The Maintenance of Certification (MOC) program of the ABMS challenges physicians to base their lifelong learning on self-assessment and practice-based performance.
  • MOC challenges educators and policymakers to provide and recognize learning opportunities that occur in real time and are measured by improved patient outcomes.
Key Words: Lifelong learning; Maintenance of Certification; reform; self-assessment; medical education; continuing; quality care
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