ABS MOC PROGRAM
Board of Surgery
by Mark A. Malangoni, MD, FACS,
and Christine D. Shiffer, MBA
The American Board of Surgery (ABS) Mainte- nance of Certification (MOC) Program has now been in place for 10 years. This article looks back
at the basis and rationale for establishing the MOC
program, explains the current requirements, and dis-cusses possible future directions for the program.
Following the release of the Flexner Report on medical education in 1910, medical leaders in the U.S.
realized that more needed to be done to ensure qualified physicians were providing care to patients. Board
certification officially began in 1916 with the incorporation of the American Board of Ophthalmology,
initiating a movement to establish a defined standard
for the knowledge and skills of physicians in a discrete
area of medicine.
In 1937, the ABS was founded by the leading surgical organizations of the time, including the American
Surgical Association and the American College of
The first 10 years