ABR Update: Evolving MOC


Milton J. Guiberteau, MD, FACR, president of the American Board of Radiology (ABR), delivered updates to Maintenance of Certification (MOC) Part 3: Assessment of Knowledge, Judgement, and Skills and Part 4: Improvement in Medical Practice. The ABR’s goal, he said, is to make MOC a more coherent, continuous, and convenient process.

To that end, the ABR Board of Governors has adopted a new MOC Part 3 online assessment model to replace the existing MOC exam. Guiberteau said the Online Longitudinal/Continuous Assessment, as the model is known, will do the following:

  1. Minimize travel, expense, and time away from work and families by bringing the process to the participants online
  2. Result in a more continuous assessment
  3. Promote professional development through assessments with learning opportunities
  4. Incorporate modern learning models

The new model transforms the current traditional examination from an assessment of learning into an assessment for learning, Guiberteau said.

“Although we will never have perfect physician assessment tools, ABR is committed to offering one that is consistent with our goals of demonstrating competence while promoting professional development,” he said. The ABR will announce additional details about the changes in the near future.

With regard to Part 4, Practice Quality Improvement (PQI), Guiberteau said the ABR has added a second category that radiologists can use to satisfy the improvement requirements. Now the requirements can be met through either Practice Quality Improvement Projects or Participatory Quality Improvement Activities — with an emphasis on active participation.

Participatory Quality Improvement Activities include serving in a local or national leadership role in a national quality improvement program, participating in a clinical quality or safety review committee, working on a peer review project, engaging in a root cause analysis team, or reporting to a national registry.

Guiberteau noted that these activities encourage radiologists to leave their reading rooms and engage in meaningful ways with fellow radiologists, referring clinicians, and other partners throughout the health care system. Radiologists are more isolated than ever before, but these activities can help change that while improving quality in imaging practices, he said.

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