Maintenance of Certification: An Update

MOC applies to all diplomates certified in 2002 and thereafter, including subspecialty certificate holders. In addition, the directors of the American Board of Otolaryngology have voluntarily agreed to participate in MOC. The state licensing boards are in the process of developing a Maintenance of Licensure (MOL) program that parallels MOC. It is felt that the states will require participation in their MOL program to maintain a state license. However, the state licensing boards have indicated that participation in the ABMS MOC program will fulfill their MOL requirements.

When we were in medical school and residency, our performance was reviewed regularly in the form of tests, rotation evaluations, and other mechanisms. Ultimately, we passed the ABOto examination and became certified but without any subsequent formal evaluation that we were staying current on the latest medical knowledge. The vast majority of certified otolaryngologists provide excellent care. However, the national movement to improve the quality of health care mandates a program to ensure that we remain up-to-date, which is the reason for MOC. The thrust of the MOC program is continuous quality improvement. It is intended not to be punitive, but as a stimulus for all of us to stay current in our practices. Our patients deserve no less.

©2007 The Triological Society