Association Between Imposition of a Maintenance of Certification Requirement and Ambulatory Care-Sensitive Hospitalizations and Health Care Costs

Publisher: The Journal of the American Medical Association, vol. 312, no. 22
Dec 10, 2014
Bradley M. Gray, Jonathan L. Vandergrift, Mary M. Johnston, James D. Reschovsky, Lorna A. Lynn, Eric S. Holmboe, Jeffrey S. McCullough, and Rebecca S. Lipner


In 1990, the American Board of Internal Medicine (ABIM) ended lifelong certification by initiating a 10-year Maintenance of Certification (MOC) program that first took effect in 2000. Despite the importance of this change, there has been limited research examining associations between the MOC requirement and patient outcomes.