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Requirements & How to Earn Points

The American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program requires continuous engagement in MOC activities Certificates are contingent upon meeting the requirements of MOC.

ABIM routinely reports to the public and ABMS your certification status. Additionally, for all ABIM Board Certified physicians, ABIM reports whether physicians are “Meeting MOC Requirements.”


  • Possess a valid and unrestricted license to practice medicine
  • Enroll in Maintenance of Certification (MOC)
  • Earn MOC points
  • Some MOC activity every two years
  • 100 points every five years (at least 20 in practice assessment, at least 20 in medical knowledge)
  • Points earned every two years will also count toward your five-year requirement, and also count toward the milestones for the certifications you are maintaining. Points earned count toward all certifications being maintained.
  • If you are in fellowship, you can earn 20 MOC points for each eligible year of fellowship training (10 in medical knowledge and 10 in practice assessment)
  • If you are dual-boarded by one or more of the other American Board of Medical Specialties (ABMS) member Boards, your self-evaluation, patient safety and patient voice requirements will be waived. Learn more...
  • Complete a patient safety and patient voice module every five years (may also earn you MOC points)
  • Pass the MOC exam in your specialty(ies) every 10 years (first exam attempt in each certification area you maintain earns 20 MOC points).
  • Internal Medicine
  • Adolescent Medicine
  • Adult Congenital Heart Disease (first administration Fall 2022)
  • Advanced Heart Failure and Transplant Cardiology (first administration Fall 2017)
  • Cardiovascular Disease
  • Clinical Cardiac Electrophysiology
  • Critical Care Medicine
  • Endocrinology, Diabetes, & Metabolism
  • Gastroenterology
  • Geriatric Medicine
  • Hematology
  • Hospice & Palliative Medicine (first administration Fall 2016)
  • Hospital Medicine, Focused Practice
  • Infectious Disease
  • Interventional Cardiology
  • Medical Oncology
  • Nephrology
  • Pulmonary Disease
  • Rheumatology
  • Sleep Medicine (first administration Fall 2015)
  • Sports Medicine
  • Transplant Hepatology
  • Attestations are required for two specialties:
  • For Focused Practice in Hospital Medicine only: Complete patient encounter attestations. See more.
  • For Interventional Cardiology only: Submit a Form Attesting Interventional Cardiology Practice every five years, verifying your performance as primary operator, co-operator or supervisor of 150 percutaneous coronary interventional (PCI) cases in the prior two years. If the volume requirement of 150 PCI cases within the designated two-year documentation period cannot be fulfilled, you must provide a procedural log of 25 consecutive cases in which you have served as primary operator during the same two-year period.
  • Some subspecialties require you to maintain another certification:
To maintain certification in: You must hold current, valid certification in:
  • Adult Congenital Heart Disease

ABIM Cardiovascular Disease
ABP Pediatric Cardiology

  • Advanced Heart Failure & Transplant Cardiology
  • Clinical Cardiac Electrophysiology
  • Interventional Cardiology
Cardiovascular Disease
  • Adolescent Medicine
  • Hospice and Palliative Medicine
  • Sleep Medicine
  • Sports Medicine
Internal Medicine or a subspecialty
  • Transplant Hepatology