3. Through its Purposeful Education efforts, the is…

4. Providing a Personalized, Competency-Based Educational Experience The new ACC.org Live courses and conferences Pathway specific online self-assessments Webinars

6. Using New Delivery Technology and Evolving Learning Methods Innovation at ACC.15 – interactive, TED- talk style education sessions; intensives and more! Increasing use of mobile (apps for patient and provider education) Journal Club

8. Improving Clinical, Administrative and Leadership Competencies Leadership Forum and the Leadership Academy International ACC Leadership Training Program Cardiovascular Summit Expert Faculty Opportunities

9. Current Education Highlights Maintenance of Certification Continuing Medical Education/Continuing Nursing Education Self Assessment and Board Preparation (including launch of Journal Club) 1 2 3

10. Current Education Highlights Continued Advocacy for GME Funding ACC.15 Specialized International Education with Partner Societies and International Chapters 4 5 6

12. nine ten Nearly nine out of every ten members (87%) oppose the new ABIM MOC requirements

13. Two-thirds Two-thirds (68%) want ACCABIM the ACC to work with ABIM to revise the MOC requirements, (as opposed to creating a new Board.)

14. …and yet, for now, CV diplomates have not abandoned the ABIM.

15. Addressing Member Concerns about MOC with the ABIM In person meeting with ABIM May 2014 Shared survey data and list serve correspondence from BOG July 2014 Internal Medicine Summit ACC data and perspective shared with ABIM Board ACC’s MOC Hub online Follow-up in person meeting Jan 29, 2015

16. ACC’s 2014 Recommendations to ABIM Creation of dual pathways for recertification Harmonization of CME with MOC credits Recognition of ongoing, hospital-based quality improvement and patient surveys as qualifying for MOC accreditation Elimination of the “double jeopardy” faced by those who have to pass both the general cardiology and sub- specialty boards Reduction of fees Improvement in ABIM web site Research into the value of MOC

17. ABIM’s Letter in Response

18. Letter to Members August 2014

19. MOC meets ACC Action MOC General: ACC’s Online MOC Information http://www.acc.org/education-and-meetings/maintenance-of- certification-information-hub/faculty-tools-and-resources/training- slide-set-for-presenters-and-faculty http://www.acc.org/education-and-meetings/maintenance-of- certification-information-hub/faculty-tools-and-resources/training- slide-set-for-presenters-and-faculty Part II MOC: Free modules from ACC on the web including ACC’s first ever Patient Safety Module; Journal Club Part IV MOC and PIMs: NCDR Patient Safety: ACC Module http://education.acc.org/Lifelong- Learning-and-MOC/Certified-Learning/SAPs/2014/MOC-Module-Pt- Safety.aspx?w_nav=S&_ga=1.212429264.538533482.1421673580http://education.acc.org/Lifelong- Learning-and-MOC/Certified-Learning/SAPs/2014/MOC-Module-Pt- Safety.aspx?w_nav=S&_ga=1.212429264.538533482.1421673580

20. ABIM Announces New Members of Cardiology Board in January 2015 These appointments were made following a broad canvas of stakeholder recommendations, including those of the ACC. Academics, private practice, nurse practitioner, FAA Aviation Safety Inspector

21. New Members of Cardiology Board Mariell L. Jessup, MD, FACC, Chair Olakunle O. Akinboboye, MD, MPH, MBA Theodore A. Bass, MD, FACC Matthew S. Bosner, MD, FACC John E. Brush, Jr. MD, FACC Vincent J. Bufalino, MD, FACC Javed Butler, MD, MPH, FACC Hugh G. Calkins, MD, FACC Frederick A. Masoudi, MD, MSPH, FACC Susan Ashley Moore-Gibbs, GNP Kristen K. Patton, MD, FACC Phillip E. Stauffer Karen K. Stout, MD, FACC James E. Tcheng, MD, FACC

22. NEJM January 10, 2015

23. JACC January 20, 2015

24. Trends in CV Medicine

26. What are the Solutions Going Forward? Several options on the table, each with their own challenges Continue to work with ABIM Creation of a new CV Board –Under aegis of ABMS –Separate…

27. Credentialing From American Hospital Association “… hospital credentialing bodies look for membership in the American Board of Medical Specialties to establish trustworthiness and credibility for a given certification”

28. February 2015

29. ABIM Current Status Practice Assessment, Patient Voice and Patient Safety requirements suspended for at least two years “meeting MOC requirements” changed to “participating in MOC.” updating the Internal Medicine MOC exam…making the exam more reflective of what physicians in practice are doing…with more subspecialties to follow. MOC enrollment fees will remain at or below the 2014 levels through at least 2017. By the end of 2015, ABIM will assure new and more flexible ways for internists to demonstrate self-assessment of medical knowledge by recognizing most forms of ACCME-approved Continuing Medical Education.

30. “ABIM will work with medical societies and directly with diplomates to seek input regarding the MOC program through meetings, webinars, forums, online communications channels, surveys and more. The goal is to co- create an MOC program that reflects the medical community's shared values about the practice of medicine today and provides a professionally created and publicly recognizable framework for keeping up in our discipline.” Rich Baron

31. Already certified by an ABIM member board. Valid, unrestricted license to practice medicine in at least one US state. Must have completed a minimum of 50 hours of CME within the past 24 months. For interventional cardiology, electrophysiology, candidates must have active privileges to practice that specialty in at least one US hospital. $169/2 years

32. Options Available to ACC (Issues) Work with ABIM to modify “MOC” (emotion, delay, cost) Work with new board (ABMS rules, acceptance, relation to mission) Form a new board (ABMS rules, cost, relation to mission, change in relationship to members) New member survey by BOG

33. Options Available to Members Ignore Certification Go with new board “Wait and see”

34. March 27 Email from ABIM: Themes A shared commitment of the internal medicine and specialty communities to lifelong learning and “keeping up.” A shared belief that “keeping up” means different things in different disciplines. A shared sense that defining “keeping up” is the work of the whole community, including physicians, specialty societies, patient groups and health care institutions. That ABIM needs to do a much better job integrating with and recognizing the many high-value activities already happening at the grassroots level and within health care institutions.

35. March 27 Email from ABIM: Themes That the quality of the exam and exam experience must be improved, with some suggestions for eliminating the MOC exam altogether. Differences of opinion about the role of ABIM vs. state licensing boards, hospitals, health care delivery systems, payers and government in holding physicians accountable for “keeping up.” Some have expressed that ABIM should not engage in any work beyond initial certification, saying that state licensure and/or continuing medical education (CME) should be enough.