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Technical Support for those taking the Knowledge Check-In at home/in office Expand/Collapse the ABIM alert.

Technical assistance on the day of your Knowledge Check-In assessment is available by chatting with a Pearson VUE agent. We are here to help! You may also call 800-606-0259 to reach an ABIM Customer Relationship Advocate, in the event you are unable to connect to a Pearson VUE agent.

ABIM Scheduled Maintenance… Expand/Collapse the ABIM alert.

ABIM.org will be going through scheduled maintenance from 6 p.m. ET, Sat., 4/24/21 to 6 a.m. ET, Sun., 4/25/21. During this time, the ABIM Physician Portal will be unavailable. We apologize for any inconvenience this may cause. Thank you for your patience.

Coronavirus Updates Expand/Collapse the ABIM alert.

At ABIM we are actively monitoring the ongoing spread of coronavirus (COVID-19) and will post regular updates about any changes to scheduled assessments.
Scheduled for an assessment this year? ABIM is working with Pearson VUE to ensure your safety throughout your exam day. Learn more about what to expect at test centers.
Please follow the United States Centers for Disease Control and Prevention (CDC) for the most up-to-date information on the virus.

Breadcrumb trail:

Longitudinal Knowledge Assessment

TAKE THE WHEEL WITH THE NEW LKA

The new Longitudinal Knowledge Assessment (LKA), launching in 2022, puts you in control by offering greater flexibility and faster feedback. Learn more below. Still have questions? Check out our new LKA microsite for more answers.

ABIM’s Longitudinal Knowledge Assessment (LKA™) for Maintenance of Certification (MOC), slated to launch in many specialties in 2022, was designed with physicians’ personal and professional needs in mind: greater flexibility, more convenience, increased relevancy and faster feedback. We are continuing to utilize feedback from the community to develop this new option and encourage you to share your thoughts.

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How Does the LKA Work?

The LKA is a 5-year cycle in which physicians answer questions on an ongoing basis and receive feedback on how they’re performing along the way.

Features of the LKA

Use the LKA to meet your MOC assessment requirement and earn MOC points.

Four minutes per questions, answer any place or time with a pool of extra minutes if you need more time
Access any resources used in practice (except another person)
Provides immediate feedback, rationales, references
Can be used for earning MOC points
Participation Requirement: 120 questions offered per year can skip 100 questions over 5 years
Performance Standard: Feedback relative to standard will be provided, and a final score calculated at conclusion of 5 year cycle
Physicians can start engaging at any time, up until and including assessment due year
Provide a re-entry pathway for Physicians with lapsed certifications

* Participation requirement includes built-in flexibility to allow for life’s circumstances, such as short-term medical issues, vacations, weddings, funerals, or other personal events.

ABIM Assessment Options

ABIM offers multiple ways to maintain your certification. Use the interactive tool below to select your specialty from the dropdown, then find your due year to learn more about your assessment options. Once you select a specialty, a second tool will display, making it easy to compare two or more specialties at a time if you maintain multiple certificates.

To find your specific due dates, please sign into your personalized Physician Portal.

 
 
Active Year

LKA Participation Requirement

ABIM understands that “life happens,” sometimes unexpectedly. That’s why the LKA participation requirement includes built-in flexibility to allow for life’s circumstances, such as short-term medical issues, vacations, weddings, funerals, or other personal events.

Over the course of 5 years, you will be offered 600 questions (120 per year, delivered quarterly) and can skip up to 100 while still meeting the participation requirement.

You’ll get notifications about how many skips you’ve used and how many remain. If you use the maximum number of skips it is not possible to take extra questions, so make sure to keep an eye on how many you have remaining in your 5-year cycle. If you don’t meet the participation requirement ABIM will let you know, and you’ll be able to choose from other assessment options to stay certified.

If you choose to skip a question, you must decide before you open it, so the question won’t count against you in scoring. Any questions not attempted will count as skipped.

Time Per Question

You’ll have four minutes to answer a question and, each year, have access to a 30-minute time bank you can draw from if you need extra time on a particular question. This time allotment per question was derived by analyzing data from previous ABIM exams that allowed physicians to access an external resource. It also aligns with the construct of a longitudinal assessment in that it measures what physicians should know to provide high-quality patient care and emulates the finite time they have to look up information in practice.

LKA Performance Standard

The LKA performance standard indicates whether you met the passing score at the end of the 5-year cycle. While you’ll receive feedback on how you’re doing along the way, including how you are performing relative to the passing score, a determination is made at the end of the 5th year if you’ve met the performance standard.

Successfully meeting the performance standard means you can continue with the LKA. Failure to meet it does not result in loss of certification, however, you must pass the traditional, 10-year MOC exam the following year to remain certified.

LKA Rollout Schedule

2022 Longitudinal Rollout
2023 Longitudinal Rollout

Four specialties—Critical Care Medicine, Infectious Disease, Focused Practice in Hospital Medicine and Pulmonary Disease—will launch in 2023. Recruitment for volunteers to help write ABIM test questions typically starts in the spring, which would have occurred during the early phases of the COVID-19 pandemic. ABIM leadership consulted with physicians currently serving on its Exam Committees and Item Writing Task Forces in these disciplines, and recognizing the increased clinical obligations they were facing, decided that it was not the right time to pull them away from patient care to help with question development. Any currently certified physician in these four specialties who had an assessment due in 2020, 2021 or 2022 can wait and enroll in the longitudinal assessment when it becomes available to them in 2023.

The LKA requires substantially more items compared to the traditional, 10-year MOC exam and won’t be available in certain specialties (Adult Congenital Heart Disease, Advanced Heart Failure and Transplant Cardiology and Transplant Hepatology) because there are fewer physicians maintaining certification in these highly specialized areas. Clinical Cardiac Electrophysiology will not be available at launch but will be revaluated for 2024.

In Cardiovascular Disease, Advanced Heart Failure and Transplant Cardiology, Clinical Cardiac Electrophysiology and Interventional Cardiology, the ACC Collaborative Maintenance Pathway will be available.

All diplomates will continue to have the traditional, 10-year MOC exam available.

Eligibility

Once the LKA launches in your specialty, you will be able to start engaging.

  • All board certified physicians except those in a grace year, can start participating in the LKA in their assessment due year. Physicians will continue to be reported as “Certified” as long as they are meeting the participation requirement, and a decision on their performance is made in the 5th year. You won’t be able to start LKA before your assessment due year.
  • Physicians who earned their certificate prior to 1990 can use the LKA to help them meet their MOC participation requirement. No physician with a lifetime certification will ever lose certification due to not meeting an assessment requirement.
  • The LKA can be used to regain certification; however, please note that because a decision on performance is not made until the end of the 5th year of participation, a physician will be reported as “Not Certified” until that time. A physician whose certification has lapsed may use the traditional, 10-year MOC exam to restore certification more quickly.
  • Any physician in their grace year is ineligible for the LKA and must pass the traditional, 10-year MOC exam by the end of their grace year to continue to be reported as “Certified.”

Getting Ready for 2022

  • If you had an MOC requirement due in 2020 or 2021—including points, assessments or attestations—you have until 12/31/22 to complete these requirements in light of COVID-19. This means you can choose not to take an assessment in 2021 and participate in the LKA beginning in 2022 pending availability.
  • If you are currently certified in Critical Care Medicine, Focused Practice in Hospital Medicine, Infectious Disease or Pulmonary Disease and you are due for an assessment in 2020, 2021 or 2022, you can wait and participate in the LKA when it launches in your specialty in 2023 if you’d like. You can also choose the traditional, 10-year MOC exam at that time.
  • We realize every physician’s situation is different, so we will continue to offer all ABIM exams as scheduled in 2021 if you would like to take one.
  • The Knowledge Check-In will no longer be offered after 2021, and the new LKA will take its place as an alternative to the traditional, 10-year MOC exam, which will continue to be an assessment option.

If Your Assessment Was Due in 2020

Due to the unprecedented demands of COVID-19, ABIM announced that physicians with an assessment, attestation or points due in 2020 or 2021 will have until 12/31/22 to complete them. Please note the availability of the Knowledge Check-In varies by specialty.

Take a Knowledge Check-In (if available)...

  • If you passed in 2020, your next assessment is due in 2024, at which point you can start participating in the LKA (pending availability in your specialty).
OR... Take the traditional, 10-year MOC exam

  • If you passed in 2020, your next assessment is due in 10 years, at which point you can choose between the LKA (if it’s available in your specialty) or continue to take the traditional, 10-year MOC exam.

Sign in to your personalized Physician Portal to view upcoming requirements and due dates.

If You're Due for an Assessment in 2021

Due to the unprecedented demands of COVID-19, ABIM announced that physicians with an assessment, attestation or points due in 2020 or 2021 will have until 12/31/22 to complete them. Please note the availability of the Knowledge Check-In varies by specialty.

You can still take a Knowledge Check-In in 2021 if you’d like and if available...

  • If you pass, your next assessment is due in 2025, at which point you can start participating in the LKA (pending availability in your specialty).
OR... Take the traditional, 10-year MOC exam
  • If you pass, your next assessment is due in 10 years, at which point you can choose between the LKA (if it’s available in your specialty) or continue to take the traditional, 10-year MOC exam.

For Cardiologists in the ABIM/ACC Collaborative Maintenance Pathway

ACC Collaborative Maintenance Pathway will remain an option for those currently board certified in cardiovascular disease or a cardiology subspecialty to meet their assessment requirement.

In addition to the Collaborative Maintenance Pathway, general cardiologists and cardiology subspecialists will have two other assessment options to choose from:

  1. The traditional, 10-year MOC exam in Cardiovascular Disease, Clinical Cardiac Electrophysiology, Interventional Cardiology and Advanced Heart Failure and Transplant Cardiology.
  2. The Knowledge Check-In, available in 2021 in several cardiology subspecialties: Advanced Heart Failure & Transplant CardiologyClinical Cardiac Electrophysiology and Interventional Cardiology. Physicians are encouraged to sign in to their Physician Portal to confirm individual requirements and due dates.

While you are welcome to continue participating in the Collaborative Maintenance Pathway in 2021, please know you are not required to do so. Please see an important update about MOC requirement deadline extensions in light of the COVID-19 pandemic.

Sign in to your personalized Physician Portal to view requirements, due dates and assessment options. Please note that ABIM is in the process of updating due dates in your portal to reflect the extension.