Maintenance of Certification

Maintenance of Certification News

The Boards are changing, and MOCA Pediatric GI is coming in 2019!

For those of you who are due for an upcoming board exam – your schedule is likely being shifted to start MOCA Pediatric GI starting next year. Check your own ABP portfolio to figure out your specific situation.

What is MOCA Pediatric GI?

It is the continuous assessment version of the boards. If you have been keeping up your general pediatric certification, there has been an ongoing pilot that has been successful for general pediatrics after which MOCA Pedatric GI will be modeled (pass rate for the MOCA general pediatrics is 95%). Essentially, beginning at the start of your cycle, you will receive up to 20 timed questions every quarter. You will have 3 months (the quarter) to answer them, in one batch or one-by-one. You can answer the questions on your computer, tablet or smartphone. You will receive immediate feedback on your selected answers (right v. wrong and references) and you will have access to previously answered questions. To pass the boards in MOCA, you have to pass 12 quarters every 5 years. You also get to throw out your 4 worst quarters (they are thrown out for you). This means that basically you can skip a quarter every year and still pass in 4 years (In the 5th year, if you have passed by then, you won’t have to get additional questions in your 5th year).

What does this cost?

There is no additional fee. The cost is covered in your 5-year MOC cycle fees.

What happens if I don’t pass?

If you don’t pass by your 4th year of your 5-year cycle, you can take the 5th year in pursuit of 12 quarters of passing or opt for the in-person exam (safest option to ensure continuous certification). HOWEVER, you must pay an additional fee ($265) for the in-person exam.

What if I want to take the in-person exam instead?

That is your choice, but there is an additional fee ($265).

Where can I find additional information?


Jeannie Huang, MD, MPH
MOC Task Force

To find out what and when you need to accomplish your MOC tasks, log onto your ABP Profile via (, click on “Maintenance of Certification” and then “My MOC Requirements,” which indicates when the various activities are due to be completed. “Parts 2 and 4 Activity Search” will allow you to search for specific activities in categories such as “Pediatric Gastroenterology”.


The NASPGHAN MOC Task Force is pleased to announce that we now can provide members with resources that will meet the requisite 40 MOC Part IV credits for each 5-year cycle. For your own specific requirements, please refer to your individual American Board of Pediatrics MOC portfolio.

Resources to be provided include quality improvement and practice performance projects that will qualify for MOC Part IV credits and be relevant to the practicing pediatric gastroenterologist.

The charge for participation in these modules is $250 for participation in TWO of the available modules per 5-year accreditation cycle. Each module will be worth 25 MOC Part IV credits and 20 CME credits; thus, taking 2 modules will fulfill all ABP part 4 MOC requirements for a five-year cycle.

A number of modules are now available to participants with new ones added regularly. Two of these modules (Enteral nutrition and Constipation) also offer MOC Part II credits.

What is involved in a NASPGHAN MOC Part IV Module?

Each module takes 4 months to complete so please plan accordingly. The steps to receive credit are as follows:
Step 1: Complete online pretest
Step 2: Collect and submit data from 10 patients (retrospective) in order to complete Case Report Form #1
Step 3: View module video and take associated post-test
Step 4: Submit Quality Improvement Plan
Step 5: Two months later complete and submit Case Report Form #2 with data from 10 different patients (prospective)
Step 6: Submit second Quality Improvement Plan
Step 7: One month later, complete and submit Case Report Form #3 with data from another 10 patients (prospective)
Step 8: Receive 25 MOC Part IV credits and 20 CME credits.

You will need to sign onto your NASPGHAN account to continue with the checkout process. After your payment has been received, you will receive an email from with instructions on accessing the MOC Module within one business day. If you have any questions you can email us or call Kathleen Regan in the NASPGHAN National Office at (215) 641-9800. 

We look forward to providing this much needed service to members and look forward to your feedback as we continue to refine and improve this process.

NASPGHAN Part II MOC Activities

You can also receive MOC Part II credits with select NASPGHAN activities.

• Successful completion of the NASPGHAN board review course-CME activity enables the participant to earn 24 MOC Part II points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. Register for the review course.
• Successful completion of the 2018 NASPGHAN Single Topic Symposium and Postgraduate Course CME activity, which includes participation in the activity and individual assessments of the participant and feedback to the participant. Completion enables the participant to earn 8 MOC Part II points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. NOTE: MOC Part II points offered with the Postgraduate Course is now based on hours of participation. The course is generally 8 hours in length and thus worth 8 MOC Part II credits. Registration will occur at the time of Annual Meeting registration. For the 2018 Single Topic Symposium and Postgraduate course, claim credit now
• NASPGHAN also provides the ABP with FREE pediatric gastroenterology self-assessment activities that provide 10 MOC Part II points each (generally, 3 are available each year). These activities involve reading articles and answering multiple-choice questions and, thus, can be done in one sitting. These can be found under Part II activities (put in search term PEDIATRIC GASTROENTEROLOGY) in your ABP MOC portfolio.
• For select NASPGHAN Part IV activities, e.g. constipation and enteral nutrition, MOC Part II points are also provided.These are article based (reading) and involve answering multiple-choice questions.To participate in this activity, you must register for the NASPGHAN Part IV activities.

NASPGHAN Part III MOC Activity (Boards) Advice and Preparation Activities

In its current format (an exam once every 10 years), pediatric subspecialty recertification tests are offered by the ABP ONLY TWICE per year.

Registrants should log into their own ABP portfolio to register for the test by the year of their due date at the BEGINNING of the year. We advise that you do this in January so that you know when the tests are offered. The ABP offers NO EXCEPTIONS if you do not complete this activity on time (i.e. miss the dates for examination) - which means that you will have to restart your MOC program again with additional activities AND fees.

As mentioned above, NASPGHAN offers a review course to help you prepare for this activity and also provides associated MOC Part II points.


The American Academy of Pediatrics (AAP) and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) have partnered to bring you an exclusive offer: 

NASPGHAN members receive 22% off* the standard annual subscription rate ($269) for PREP® GI!

Take advantage of this special offer at:

PREP GI is an online self-assessment perfect for pediatric review and lifelong learning.  Delivers clinically relevant, peer reviewed questions; in-depth discussions; and references for further study- all mapped to the ABP subspecialty content specifications.  Several editions are currently available and accessible for 3 years from initial release date.  For a free trial visit 

*The 22% discount for NASPGHAN members is calculated off non-member rates. Pricing and specifications are subject to change without notice. 


CDHNF, NASPGHAN and AAP launch a new quality improvement course for Pediatric practice:

NASPGHAN members can participate at a discounted rate.