Policy for Participation in MOC
Approved 6/2007  MOC-CC

1. Continuous Progress is expected. Each time-limited certified diplomate must participate annually in the components and competencies of MOC at a pace that accomplishes steady progress toward the fulfillment of the ten-year requirements by the cycle end.
   Component 1. Continuous current and unrestricted state licensure or (for radiologic physicists not required to be licensed) attestations twice during cycle.  
   Component 2. Annual participation in lifelong learning activities and periodic self-evaluation (CME and SAMs)
   Component 3. Successful examination within the last three years of ten-year (governing) cycle, unless an earlier examination is required for state licensure purposes.
   Component 4. Participation in evaluation of performance in practice continuously as outlined for Practice Quality Improvement (PQI), with reporting according to published schedule.
   The Competencies will all be addressed by each diplomate during the 10-year cycle.
2. Enforcement of Continuous Progress.
   1. To ensure continuous progress, the maximum credit toward fulfillment of MOC requirements that the ABR will recognize for a diplomate in a single year is double the usual annual progress rate published in the “requirements schedule”. The intent is to avoid clustering of large numbers of credits in one portion of the cycle, with other portions showing little or no activity.
   2. Progress ratings (see charts below):
      1. Fully Compliant – making continuous progress toward meeting all cycle requirements at an approximate rate of 10% of the requirement each year.
      2. Noncompliant – too far behind to catch up within current cycle (based on continuous progress operational definition)
      3. Partially Compliant – progress between “fully compliant” and “noncompliant”
   3. When individuals who were making continuous progress encounter problems with CME (or some other requirement) due to unforeseen circumstances, such as a prolonged illness or military duty, exceptions may be considered on a case-by-case basis. Thus, for example, in appropriate cases, an individual  might be allowed to earn more than 2x credits in a given year. (see legal advice below)
   4. Progress ratings (see charts below):
      1. Fully Compliant – making continuous progress toward meeting all cycle requirements at an approximate rate of 10% of the requirement each year.
      2. Noncompliant – too far behind to catch up within current cycle (based on continuous progress operational definition)
      3. Partially Compliant – progress between “fully compliant” and “noncompliant”
3. Record of Progress. The diplomate is expected to record his/her activities in his/her personal data base (PDB) on the ABR web site. Based on the data recorded, the ABR will generate an annual “participation summary” that informs the diplomate of where he/she stands with respect to cycle requirements, and lays out a “roadmap” of annual MOC activities designed to fulfill all requirements by cycle end.
4. Relationship of Progress to Certification.
   1. All Component 1, 2, 3, and 4 published requirements must be 100% fulfilled by cycle end in order to qualify for maintained certification, i.e., a new 10-year certificate.
   2. There is a point of noncompliance before the end of the ten years which, for diplomates with time-limited certificates, will result in a certain non-certified period at the end of the current cycle (see Grace Period Policy) 
   3. A currently valid certificate is not withdrawn during the cycle for lack of progress during the cycle – only for loss of medical license (Component 1 requirement)

Level-of-Progress Charts

Part II. Lifelong Learning and Periodic Self-assessment
Diagnostic Radiology:

Radiation Oncology:

Radiologic Physics:

Part IV: Practice Quality Improvement
Attestation/Reporting Points required for Fully Compliant Progress

Part IV: Practice Quality Improvement
Points of Noncompliant Progress

Return to top of page