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Understanding MOC

Maintenance of Certification (MOC) requirements were developed by the American Board of Medical Specialties (ABMS) and implemented by all ABMS member boards, including the American Board of Internal Medicine (ABIM). The ABIM Maintenance of Certification program promotes continuous learning and the enhancement of the clinical judgment and skills essential for high quality patient care.

AASLD is committed to helping hepatologists through the controversial recertification process while at the same time advocating for reform.

AASLD's new MOC Committee is spearheading AASLD's efforts in 3 target areas.

  • Providing MOC products
  • Advocating for MOC reform
  • Keeping AASLD members up to date

Call AASLD with questions at 703-740-9766 or email

To contact ABIM directly, call 800-441-2246 or email

What's New in MOC

March 29, 2017

ABIM released new information about its alternative assessment pathway, which provides a shorter assessment every two years instead of the current 10-year secure exam. For full details including a video explanation, visit Transforming ABIM Blog - Spring 2017 Update.

Here are a few important points.

  • The new two-year assessment pathway will initially be available only to certified internists and nephrologists in 2018 — with tentative plans to offer this pathway to GI in 2019 and hepatology in 2020.
  • The knowledge check-in will be open book with access to an external resource.
  • Security will be assured through recording and spot-checking (as opposed to live proctoring).
  • The new assessment will be offered four-to-six times during the year, and about three hours will be allotted with an optional break.

AASLD’s MOC Advocacy Efforts

AASLD’s Principles for MOC Reform

It is these five MOC Principles, developed in collaboration with our sister societies – ACG, AGA, ASGE, ANMS and NASPGHAN in 2015 – that continue to drive and focus our MOC reform efforts.

  • MOC needs to be simpler, less intrusive and less expensive.
  • We support ending the high-stakes, every 10-year exam.
  • We do not support closed-book assessments as they do not represent the current realities of medicine in the digital age.
  • We support the principles of lifelong learning as evidenced by ongoing CME activities, rather than lifelong testing.
  • We support the concept that, for the many diplomates who specialize in certain areas of gastroenterology and hepatology, MOC should not need to include high-stakes assessments of areas where the diplomate may not practice.

The AASLD continues to work with ABIM and other internal medicine specialty societies to reform the MOC process. Here is a summary of our recent efforts.

Current MOC Requirements

ABIM MOC Requirements

Part I Licensure and Professional Standing: Possess a valid, unrestricted license

Part II Lifelong Learning and Self Assessment

  • Every 2 years: Complete at least one MOC activity (any number of points)
  • Every 5 years: Earn 100 points, 20 of which must be Medical Knowledge
  • Points earned every 2 years count toward the 5-year requirement
  • Points can include Practice Assessment, Patient Voice or Patient Survey activities, but these are not required

Part III Cognitive Expertise: Pass a certification exam every 10 years in each specialty certification you wish to maintain

  • You are not required to maintain Internal Medicine certification to remain certified in Gastroenterology or Transplant Hepatology, or to maintain Gastroenterology certification to remain certified in Transplant Hepatology
  • On December 14, 2016, ABIM announced an alternative assessment pathway that will allow physicians to choose to take assessments every two years instead of every 10 years, beginning in 2018. This pathway will not initially be available to the internal medicine subspecialties such as transplant hepatology or GI. For more information about this announcement, visit

Part IV Practice Performance Improvement: This requirement (including Patient Voice and Patient Safety requirements) is currently suspended through at least 12/31/2018 and not likely to be reinstated

  • While not required, you can still earn MOC points through these activities

The ABIM changed its requirements for Maintenance of Certification in January 2014, and announced further changes in February 2015. For more information on these changes, visit the ABIM's FAQ page.

To enroll in MOC or for information about your personal MOC status, sign in to your ABIM Physician Login. This will tell you your certification status and exactly what you need to do and when for each of your certifications.

MOC Activities and Resources

Earn ABIM Medical Knowledge MOC Points Through AASLD

The AASLD’s activities were designed by hepatologists for hepatologists with the goal of providing educational opportunities to earn MOC points while reflecting a hepatologist’s scope of work. We have made a commitment to provide hepatologists with resources and tools needed to navigate the process and earn MOC points.

MOC opportunities available through AASLD’s online eLearning portal LiverLearning®.

  • Fundamentals of Liver Disease: Abnormal Liver Tests – Up to 4.00 MOC points
  • Fundamentals of Liver Disease: Cirrhosis – Up to 9.00 MOC points
  • Fundamentals of Liver Disease: Hepatitis C – Up to 8.00 MOC points
  • Fundamentals of Liver Disease: Hepatitis B – Up to 7.00 MOC points
  • 2016 Midyear Course: Clinical Hepatology – Up to 12.00 MOC points
  • 2016 Transplant Hepatology Review Course – Up to 9.00 MOC points
  • 2015 Postgraduate Course – Up to 8.00 MOC points
  • The Liver Meeting – Up to 12.25 MOC points
  • 2016 Postgraduate Course – Up to 6.25 MOC points

* Login required to access content (some content available only to members or LiverLearning® subscribers)

MOC opportunities through AASLD’s Live Meetings

Earn Medical Knowledge MOC Points Through ABIM

Visit for a list of available MOC activities that are included in your annual MOC fee. For example, ABIM offers an annual Update in Transplant Hepatology or Update in Gastroenterology for 10 points each (30 multiple-choice, open-book questions). MOC activities can be in any specialty, not necessarily the certification you wish to maintain.

Credit for taking a certification exam

Earn 20 MOC points per specialty for first attempt, regardless of whether you pass.

Credit for being in fellowship

Fellows in accredited programs earn 20 MOC points and a 1-year fee waiver upon completion of each eligible fellowship year.

If you have multiple certifications

MOC points earned count toward all your certifications.


Do I need to maintain certification in GI to remain certified in Transplant Hepatology?

No, you are not required to maintain Internal Medicine certification to remain certified in Gastroenterology or Transplant Hepatology, or to maintain Gastroenterology certification to remain certified in Transplant Hepatology.

I’m enrolled in MOC and “Participating in MOC.” What next?

  • Login to and choose the Maintaining Certification (MOC) tab to enroll in MOC
  • Once enrolled, view your MOC status report: This will tell you your certification status and exactly what you need to do and when for each of your certifications.
    • Earn MOC points by completing MOC activities every two years.
    • Earn 100 points every five years with at least 20 points in medical knowledge.
    • Points earned every two years will count toward your five-year requirement and toward your milestones for all certifications you choose to maintain.
    • MOC points earned are credited toward all certifications maintained.
    • Taking your MOC exam in your specialty every 10 years earns 20 MOC points (even if you don’t pass the first time).

How much does MOC cost?

  • Fees can be paid annually or for 10-year period
  • Internal Medicine: $194 annually | $1940 for 10 years
  • Any specialty: $256 annually | $2560 for 10 years
  • 2 specialties (e.g., GI plus Transplant Hepatology): $384 annually | $3840 for 10 years
  • Internal Medicine + any specialty: Cost of IM + cost of the specialty/specialties
  • Fee waived for first year of IM certification
  • Credit given to those enrolled in a fellowship: 20 MOC points and 1-year fee waiver, applied to the calendar year subsequent to your training
  • Visit ABIM to view more about MOC enrollment costs and how to enroll

What MOC products are available from AASLD?

See Earn Medical Knowledge MOC Points Through AASLD in the "MOC Activities and Resources" section.

What products are available from ABIM?

See Earn Medical Knowledge MOC Points Through ABIM in the "MOC Activities and Resources" section.

I’m a fellow – do I need to enroll in MOC?

Yes, fellows must enroll in MOC to be certified. You can earn MOC credit for being enrolled in fellowship and earn fee waivers.

Where can I find more information?

For additional information, refer to ABIM’s MOC FAQ page.