It’s meant to make life easier for physicians but is still very complicated. The American Board of Internal Medicine (ABIM) is offering a two-year assessment option called the Knowledge Check-In, designed to offer physicians more choice and relevant materials in meeting the Maintenance of Certification (MOC) requirement. However, the new process is highly detailed and you will have to remain up-to-date and compliant in order to reap the benefits. Here are the most important details you need to know about the simplification of MOC through the ABIM.
Knowledge Check-In Bottom Line
1: Physicians can now take a two-year assessment from home or the office to avoid the proctored MOC exam that is now required every 10 years. You can take it if:
- It is offered in your specialty- currently Internal Medicine and Nephrology (others will be added in 2019 and 2020)
- You are currently certified by the ABIM
- You are not in an MOC exam grace period
2: 2018 is a “no consequences” year. If you take the Knowledge Check-In and fail, it will not change your certification status. You can take it again in 2020.
3: However, if your MOC is due in 2018 and you don’t take the Knowledge Check-In or pass the traditional MOC exam, your certification will expire.
4: You must take the traditional MOC exam if the Knowledge Check-In is not offered in your specialty before your certification is due to expire
Those are the most important things you need to know about the new changes. Now here are the details you need to know in order to comply.
It Pays to Try the Knowledge Check-In
This is the complicated part. Basically, if you take the Knowledge Check-In every two years and pass, you do not have to take the traditional MOC exam at a proctored test center. If you take the Knowledge Check-In and fail, you have another chance to take it and pass.
There are many different scenarios depending upon when your certification is due. The ABIM has posted charts that extrapolate pass/fail examples to 2024 and beyond. For the short term, here is what you need to know:
If your certification is due in 2018:
- If you take the Knowledge Check-In and pass, you are all set until 2020.
- If you fail you can retake it in 2020 and your certification is safe because 2018 is a “no consequences” year.
- If you take the Knowledge Check-In in 2018 and 2020 and pass you do not have to take the traditional MOC exam as long as you continue to pass every two years.
- If you fail in 2020 you can retake it in 2022.
If your certification is due in 2019:
- You can take the Knowledge Check-In in 2018. If you pass, you take it again in 2020.
- If you fail, you maintain your certification since 2018 is a “no consequences” year and take it again in 2020.
- If you fail in 2020 you will have to take the traditional MOC in 2021.
You can see how this becomes very complicated very quickly. To remain compliant and maintain your certification, it is best to review the scenarios based on the year your certification is due.
Knowledge Check-In Exam Details
The Knowledge Check-In has 20 medical knowledge points for every assessment. For those taking the check-in in the fall of 2018, the exam will be entirely open-book. What exactly does open-book mean? It means that you will have to use the ABIM UpToDate® “online, evidence-based clinical decision support resource”. You will have access to it during the Knowledge Check-In and MOC exams (except for accessing external websites like Society Guidelines). ABIM recommends visiting the UpToDate User Academy for ABIM to learn more about how to find clinical answers in UpToDate.
Three hours are allotted for each assessment and scheduling is available four to six times a year. For internal medicine the remaining 2018 dates are as follows:
- September 12
- September 15
- November 20
- December 1
For nephrology, the remaining 2018 dates are as follows:
- November 1
- November 6
Although the Knowledge Check-In’s are open-book, it is a timed assessment, so it still pays to prepare by reviewing practice questions to help you recall knowledge quicker. The Knowledge Check-In’s are based on the same exam blueprint as the traditional MOC exam. BoardVitals provides practice questions for both Internal Medicine and Nephrology with the ability to practice in timed mode to help simulate actual exam conditions.
You can even take the Knowledge Check-In from your home or work computer. But beware, it is very important that you make sure, in advance, that the computer is compatible with the testing system. There is ample guidance for this on the ABIM site, just make sure you address this well before sitting down to take the exam.
Those are the most important details regarding the changes to ABIM MOC options. As long as you know all the details, abide by the testing dates and comply with the computer and open book technologies, maintaining your certification should be easier, as designed by the ABIM.