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August 17, 2018 - Research

Published: ABPMR Research on Predictors of Successful MOC Examination Performance

Summary by Sherilyn W Driscoll

Maintenance of certification (MOC) in Physical Medicine and Rehabilitation is a process of lifelong learning which begins after successfully completing an ACGME-accredited residency and passing the American Board of Physical Medicine and Rehabilitation (ABPMR) Part I and Part II Examinations. Because the MOC Examination causes some diplomates anxiety, we sought to identify factors predictive of successful MOC Examination performance in order to assist with exam preparation.

We used a retrospective review of the de-identified examination data from 4,545 diplomates who completed the MOC Examination between 2006 and 2017. We found that: 1) Increasing age and time since residency predicts lower MOC Examination scores; 2) Passing the Part I Examination on first attempt predicted a 98% MOC Examination pass rate, compared to 90% for those who initially failed. MOC Examination performance was highly correlated with Part I performance and, to a lesser degree, Part II performance; 3) While MOC Examination performance was similar for those taking the exam in years 7 – 10 of their cycle, those taking the exam after more than 10 years of the cycle had a significantly lower performance; and 4) ABPMR subspecialty certification holders score higher on the MOC Examination than non-subspecialty holders.

In summary, the likelihood of passing the ABPMR MOC Examination on first attempt is high for diplomates passing the Part I and Part II initial certification examinations on first attempt. Risk factors for failing the MOC Examination include: scores on Part I or Part II in quartile 4, greater number of years from residency training completion, and older age. This information will help candidates identify the individual attributes that factor into the likelihood of passing MOC and may direct them to prepare appropriately.

Click on the link below to read the abstract or download the full article.

Predictors of Performance on the American Board of Physical Medicine and Rehabilitation Maintenance of Certification Examination

Driscoll, S. W., Geis, C. C., Raddatz, M. M., Kinney, C. L. and Robinson, L. R. (2018), Predictors of Performance on the American Board of Physical Medicine and Rehabilitation Maintenance of Certification Examination. PM&R, 10: 1361-1365. doi:10.1016/j.pmrj.2018.06.009