You are “Participating in MOC” if you:

Maintain an active, unrestricted license to practice medicine in at least one jurisdiction of the United States or Canada every year.

Medical License

Earn 125 Continuing Medical Education (CME) credits by Year 5 and another 125 by Year 10 for a total of 250 CME credits.


MOCA Minute: Answer 120 MOCA Minute® questions every year by 11:59 p.m. ET on Dec. 31 and meet the performance standard.

MOCA Minute®

Earn 25 Quality Improvement (QI) points by Year 5 and another 25 by Year 10 for a total of 50 QI points at the end of your 10-year MOCA cycle

Quality Improvement

        Get the "Participating in MOC" Checklist

MOCA 2.0® Components

MOCA 2.0® provides diplomates opportunities to continuously learn and demonstrate proficiencies to provide better patient care. It offers a relevant and personalized approach to helping diplomates assess their knowledge and address knowledge gaps via a web-based learning platform.

Medical License

You need to have an active, unrestricted license to practice medicine in at least one jurisdiction of the United States (U.S.) or Canada. Furthermore, all U.S. and Canadian medical licenses that you hold must be unrestricted. Please advise us of any restrictions placed on any of your medical licenses within 60 days of their imposition.

If you are maintaining multiple certifications, you may be considered “Participating in MOC” for one certificate, but not for another based on your certification dates. The “Not Participating in MOC” designation does not impact your certification status unless your certificate expires and you have not completed the MOCA 2.0® program. In that case, we cannot grant you a new certificate until you complete your outstanding activities.


We ask that you complete 250 CME credits that meet the following criteria:
  • All credits should be Category 1 CME activities:

       ● ACCME/AMA PRA-approved

       ● American Osteopathic Association Category 1-A

       ● Accredited CPD credits issued by the Royal College of Physicians                  of Canada and the Association of Faculties of Medicine of Canada

  • 20 of your credits must be Category 1 Patient Safety CME

More about your cme activities


Half of your CME requirement (125 credits) must be completed by the end of Year 5 of your 10-year MOCA cycle. You can earn up to 70 credits per year for activities completed between 2006 and 2012, and up to 60 per year for those completed in or after 2013.

You should submit CME activities to us via your portal account. Self-reported CME activities, including Patient Safety CME, are subject to audit and verification within three years of submission. CME activities reported to us by registered CME providers, such as the ASA, are not subject to audit and are now automatically credited to diplomates’ accounts.


Use our CME Explorer to find relevant learning activities. Completed activities found in the
CME Explorer are submitted directly to us for you and are not subject to audit.



MOCA Minute®

MOCA Minute® helps you assess your medical knowledge and gauge retention throughout your 10-year MOCA cycle. We recommend answering your MOCA Minute® questions over time, rather than all at once, to promote continuous learning and knowledge retention.


MOCA Minute® questions are multiple-choice questions with a single-best answer and are personalized based on the certificates you’re currently maintaining. Once you access a MOCA Minute® question, you’ll have one-minute to answer it and will learn immediately if your response was correct. You can also see the question’s rationale, a critique and associated references.

To fulfill this requirement, answer 120 MOCA Minute® questions per year by 11:59 p.m. EST on Dec. 31 and maintain a p-value of ≥ 0.10.

       ● You’re limited to 30 questions per calendar quarter

       ● You cannot answer more than 30 questions per day

       ● Any unanswered questions at the end of the year will be considered incorrect and will negatively impact your performance (MDT p-value)

To bring your learning full circle, visit the Knowledge Assessment Report to view details on the MOCA Minute® questions you answered incorrectly, peer performance and links to related CME.

Stay on track to complete your MOCA 2.0® components

Download Checklist

Quality Improvement

Diplomates are required to participate in quality improvement (QI) activities to encourage continuous practice evaluation and improvement. You are only required to attest every five years that you have participated in QI activities to enhance your practice, earning 25 points during years 1-5, and 25 points during years 6-10. You will not be required to report individual activities. Here’s how to fulfill this requirement:

Attest to completing 25 QI points during Years 1-5 in your portal account.

Attest to completing 25 QI points during Years 6-10 in your portal account.

Attest to your clinical activity and ongoing program of practice assessment and performance improvement in Year 9.

Please note: Your attestation is subject to audit.

Recently certified? Congratulations!

Visit the New Diplomate Welcome Kit for a primer on MOCA

Go to Welcome Kit