Maintenance of Certification Update

• CAN ANYONE EXTEND THEIR CERTIFICATE BY 3 YEARS?

Any Diplomate who has started Maintenance of Certification for Family Physicians (MC-FP)—that is, any Diplomate who has certified or recertified since 2003—may opt to extend their certification. Those Diplomates who have not yet entered MC-FP will do so after they next recertify. At that time, they may also choose the option to extend the certificate that they receive at that time. Anyone choosing to extend their certificate will have to successfully complete a combination of modules and meet the required deadlines for this process. The process has been sectioned into 3-year stages with specific requirements that must be successfully completed by the end of each 3-year stage. The requirements for each stage are the completion of 2 Part II modules (currently the only available Part II modules are the self-assessment modules) and 1 Part IV module (currently the only available Part IV modules are the Performance in Practice Modules and the METRIC modules produced by the AAFP).

• WHAT COMPRISES A SELF-ASSESSMENT MODULE (SAM)?

A self-assessment module (SAM) is comprised of the 60-question knowledge assessment followed by a clinical simulation. The SAMs are the modules which are required to successfully complete Part II of Maintenance of Certification for Family Physicians (MC-FP). There will be 6 different health topics to choose from in 2006, with more added every year.

• WHAT COMPRISES A PERFORMANCE IN PRACTICE MODULE (PPM)?

A performance in practice module (PPM) is comprised of a quality improvement activity which takes course over a 3- to 6-month period. The PPMs are the modules which are required to successfully complete Part IV of Maintenance of Certification for Family Physicians (MC-FP). There will be 4 different health topics to choose from in 2006, with more added every year.

• ARE THERE ANY OTHER MODULE OPTIONS?

We have established a process by which outside providers can submit Part II or Part IV modules to us for approval. Currently, only 1 such Part IV module has been approved and that is the METRIC module as provided by the American Academy of Family Physicians (AAFP).

• HOW DO I KNOW WHICH MODULES I NEED TO TAKE?

If you are currently in MC-FP and have chosen the option which will extend your current certificate by 3 years (essentially creating a 10-year certificate period from when you last recertified), the requirements are 2 Part II modules and 1 Part IV module for a total of 3 modules for each 3-year stage. You may complete these modules at your own pace, doing all in 1 year or 1 every year, but they all must be completed by the end of each 3-year stage. A total of 3 stages, or 9 modules, must be completed during the 10-year MC-FP cycle.

If you do not wish to choose the 3-year extension option, you will stay in the current 7-year MC-FP cycle and will need to complete 6 Part II modules and 1 Part IV module. If you do choose the 3-year extension option and fail to complete the requirements noted above for any stage, you will fall back into the original 7-year MC-FP cycle.

If you are currently participating in the MC-FP program, you may login to your Physician Portfolio and check the Track Your Progress page. This area keeps you informed as to what modules you have successfully completed and what you still need to complete to fulfill the requirements for each stage of MC-FP. For example, you may have completed 2 SAMs and now need to complete 1 PPM which will be indicated in the Track Your Progress panels. Remember that until the new MC-FP options are fully implemented in January 2007, your progress in your Physician Portfolio will be based upon the current 7-year MC-FP cycle.

• I AM NOT A PRACTICING PHYSICIAN. DO I STILL NEED TO PARTICIPATE?

Yes, physicians who are administrators or who practice in settings which do not allow them to complete a PPM or METRIC module (eg, urgent care or locum tenens) will still be required to participate in MC-FP. These Diplomates will elect to complete a different type of part IV activity. These options include a methods in medicine module (MIMM) or the patient safety module (PSM). The first MIMM will be on information management and will be available in 2007. The PSM will come on line in 2008. ABFM will be adding more MIMM options in the future which will accommodate these Diplomates.

• ARE THE REQUIREMENTS THE SAME FOR EVERYONE?

In sum, the requirements are the same, however your pathway to obtaining a 3-year extension will vary somewhat, in terms of the combination of different types of modules, depending on whether or not you see patients in a clinical setting that will allow you to complete a PPM.

• I OBTAINED MY 7-YEAR CERTIFICATE IN 2003. HOW DO I EXTEND MY CERTIFICATE TO 2013 INSTEAD OF 2010?

You must hurry and complete all the requirements of the first 3-year stage by the end of 2006 to remain eligible for the 3-year certificate extension. As an inaugural MC-FP participant, you may choose to complete either 3 SAMs or 2 SAMs and 1 PPM for your first 3-year stage to attain initial eligibility for certificate extension. This would be followed by 2 Part II modules and a Part IV module by 2009, and 2 more Part II modules and a Part IV module by 2013. You would then sit for your next examination in 2013.

• I OBTAINED MY 7-YEAR CERTIFICATE IN 2004. HOW DO I EXTEND MY CERTIFICATE TO 2014 INSTEAD OF 2011?

You must complete all the requirements of the first 3-year stage by the end of 2007 to remain eligible for the 3-year certificate extension. You may choose to complete either 3 SAMs or 2 SAMs and 1 PPM for your first 3-year stage to attain initial eligibility for certificate extension. This would be followed by 2 Part II modules and a Part IV module by 2010, and 2 more Part II modules and a Part IV module by 2014. You would then sit for your next examination in 2014.

• I WILL BE RECERTIFYING IN 2007, 2008, OR 2009. CAN I EXTEND MY CURRENT CERTIFICATION PERIOD FOR 3 MORE YEARS?

Not until you take your next recertification exam. Only Diplomates who have started MC-FP, that is, any Diplomate who has certified or recertified since 2003, may opt to extend their certification. Those Diplomates who have not yet entered MC-FP will do so after they next recertify. To clarify who is currently participating in MC-FP, approximately one half of all Diplomates have started MC-FP at this point (those Diplomates who certified or recertified in 2003, 2004, and 2005). The other half will start participating in MC-FP soon (those Diplomates who will certify or recertify in 2006, 2007, 2008 and 2009), and may choose to extend their next certification period.

• IF I JUST WANT TO RETAIN OR QUALIFY FOR A 7-YEAR CERTIFICATE, DOES THAT MEAN I CAN DISPENSE WITH TAKING ANY MODULES?

No. Participation in MC-FP is still a requirement for eligibility to sit for the recertification examination. That is not an element of the program that has changed. You will still need to complete 6 Part II modules (currently the SAMs) and 1 Part IV module (currently the PPMs or METRIC) prior to your next exam.

More detailed information on the improvements to the MC-FP and FAQ’s are available on our Web site http://www.theabfm.org by clicking on MC-FP Program Enhancements.