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HomeCirculation: Cardiovascular Quality and OutcomesVol. 14, No. 6Letter by Akinboboye and McDonald Regarding Article, "A Blueprint for Productive Maintenance of Certification, but Is the American Board of Internal Medicine up to the Challenge?" Free AccessLetterPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyRedditDiggEmail Jump toFree AccessLetterPDF/EPUBLetter by Akinboboye and McDonald Regarding Article, "A Blueprint for Productive Maintenance of Certification, but Is the American Board of Internal Medicine up to the Challenge?" Olakunle Akinboboye, MD, MPH, MBA Furman S. McDonaldMD, MPH Olakunle AkinboboyeOlakunle Akinboboye Donald and Barbara Zucker School of Medicine at Hofstra-Northwell, Hempstead, NY (O.A.). Laurelton Heart Specialist PC, Rosedale, New York (O.A.). American Board of Internal Medicine, Philadelphia, PA (O.A., F.S.M.). , Furman S. McDonaldFurman S. McDonald American Board of Internal Medicine, Philadelphia, PA (O.A., F.S.M.). Originally published3 Jun 2021https://doi.org/10.1161/CIRCOUTCOMES.121.007881Circulation: Cardiovascular Quality and Outcomes. 2021;14:e007881To the Editor:In "A Blueprint for Productive Maintenance of Certification, but Is the American Board of Internal Medicine Up to the Challenge?"1 the authors call for the American Board of Internal Medicine (ABIM) to make changes posited to enhance the value of board certification; however, they—and some of their sources—fail to recognize many have already been made.2First, they present inaccuracies with the costs associated with maintenance of certification (MOC). The authors relied on an article that calculated its figures by estimating how much time physicians spend studying to stay current in their field,3 multiplying it by their hourly rate and extrapolating it to the entire population of physicians stating "counting educational activities toward both Continuing Medical Education and MOC would substantially decrease time costs." This is precisely what ABIM did with its Continuing Medical Education for MOC collaboration with the Accreditation Council for Continuing Medical Education launched in 2013 through which >183 000 diplomates have earned >22 million MOC points. Actual fees charged by ABIM average about $250 per physician annually.Second, questions were raised about associations of MOC with disciplinary actions, all of which are answered in an article assessing ABIM diplomates which the authors failed to cite.4Despite these misunderstandings, there are many areas on which we agree:The authors propose several guiding principles, among them calls to redefine ABIM's mission to include education with its role in certification, better understand the needs of adult learners, and co-create with transparency.While we agree with complementary roles for education and evaluation, ABIM was originally created by medical societies as an assessment organization, which remains its primary mission today. However, ABIM has taken steps to integrate concepts of adult learning theory into its assessments for better alignment with education and has done so by co-creating with the community.One example is the Collaborative Maintenance Pathway, an alternative assessment developed with the American College of Cardiology. Participating cardiologists use Self-Assessment Programs created by their medical specialty society as part of their ongoing learning and test their knowledge along the way to demonstrate understanding.Another example is the longitudinal assessment ABIM will launch in 2022.5 Physicians will have the flexibility to answer questions at any time and place and receive immediate feedback about whether their answer is correct or not—along with rationales for why the correct answer is correct and the incorrect answers are not. This immediate feedback represents both in-the-moment education, as well as information identifying areas for future study. ABIM is working with specialty societies on how to potentially align their educational activities with the longitudinal assessment.Since ABIM established its community engagement initiative in 2015, thousands of physicians have shared their feedback with us. We are keenly aware that some hold on to misperceptions of ABIM and that our work is not done, but readers should be aware of the many changes ABIM has made. We appreciate the authors' suggestions and invite all board-certified physicians to continue to share their insights so that we can best meet the needs of today's practicing physician.Disclosures Dr Akinboboye reports receiving a stipend from the American Board of Internal Medicine. Dr McDonald is an employee of the American Board of Internal Medicine.