A Member Board of the American Board of Medical Specialties

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  • ABMS Core Competencies:  Patient Care, Medical Knowledge, Practice-Based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, and Systems-Based Practice
  • Part IV requirements must be reported to the ABP every two years via PATHway, except for peer attestations which are only required in the 4th and 8th years of the MOC cycle.

Laboratory Accreditation

  • ABP encourages voluntary accreditation of all laboratories and regards such accreditation as a very important part of systems-based practice.
  • Accreditation status of the laboratory with which a diplomate is primarily associated must be reported to the ABP every two years.
  • The accrediting agency must be appropriate for the diplomate’s scope of practice, such as Centers for Medicare and Medicaid Services, The Joint Commission, College of American Pathologists, American Association of Blood Banks, the National Association of Medical Examiners.

Laboratory Performance Improvement and Quality Assurance (PI/QA)

  • Each laboratory with which a pathologist is associated must participate in inter-laboratory performance improvement and quality assurance programs appropriate for the spectrum of anatomic and clinical laboratory procedures performed in that laboratory.
  • Inter-laboratory performance improvement and quality assurance programs are often a requirement of accreditation.  In such cases, the proficiency testing program that is part of the accreditation process will meet the laboratory PI/QA.
  • Programs recognized and approved to meet this requirement include those sponsored by a Cooperating Society of the ABP.

Individual Pathologist Performance Improvement and Quality Assurance (PI/QA)

  • Each individual pathologist must participate in at least one PI/QA activity or program per year appropriate for his/her principal professional activities.
  • Examples of activities that meet this requirement include:
    • participation in annual cytology proficiency examination that meets the CLIA requirement
    • participation as an inspector for a laboratory accreditation agency
    • participation in a departmental or institutional quality assurance committee (e.g., transfusion, infection control, patient safety, etc.)
    • participation in an ABP-approved society’s slide review program (e.g., CAP’s PIP quarterly slide review programs, etc.)

    • participation in an ABP-approved sponsor’s SAM activity designed to assess/improve quality of practice (e.g., Component I patient safety course)
    • participation in an ABP-approved PI/QA activity sponsored by a local institution or department (e.g., test utilization projects, case consensus conferences, etc.). (Application link below.)
    • participation in an ABP-approved society-sponsored PI/QA improvement activity (Approved societies link below.) 
    • participation in the ABMS Multi-Specialty MOC Portfolio Approval Program (Portfolio Program)
    • participation in the ABIM Foundation Choosing Wisely initiative
    • incorporation of Joint Commission Ongoing Professional Practice Evaluation (OPPE) in your practice (Application link below.)
    • having a peer reviewed publication (first, second, or senior author)
    • participation as a Program Director or Associate Program Director for an ACGME-accredited residency or fellowship program
  • The ABP reserves the right to audit a pathologist’s participation in PI/QA activities and may require documentation to be submitted by the diplomate.
  • Application forms are available below for approval of laboratory, individual, or departmental PI/QA activities or OPPE that are not part of a previously-approved program.  These forms and supporting documentation should be submitted to the ABP office for approval determination before being reported by the diplomate to meet MOC Part IV requirements.


Peer Attestations/Evaluations

  • All diplomates are required to provide peer attestations as to their interpersonal and communication skills, professionalism, ethics, and effectiveness in systems-based practice.
  • At the end of the 4th and 8th years of the MOC cycle, each diplomate will be asked to provide the ABP with the names and e-mail addresses of four references who can attest to his/her ability and effectiveness in practice.
  • These references must include:
    • an ABP-certified pathologist,
    • the Chair of the Credentials Committee (or designate), Chief Medical Officer, or Chief of Staff of the primary health care facility where the diplomate practices,
    • a board-certified physician in another specialty, and
    • a technologist/CLS or pathologists assistant.
  • If any of these reference requirements are not applicable to the diplomate’s practice or position, other references (usually another board-certified pathologist) may be substituted with prior ABP approval on a case-by-case basis.
  • The ABP will provide a secure link to the evaluation forms via e-mail to the diplomate’s references.  These secure evaluation forms must be completed and submitted by each reference.  It is the responsibility of the diplomate to be sure that this Part IV requirement is completed.  4th and 8th year MOC reporting forms will not be reviewed for approval until all four required evaluations have been submitted to ABP.
    • In order to check the status of your evaluations, log into your PATHway account and select the ‘Board Correspondence’ tab at the top of the screen.  Your references will be listed under the appropriate reporting form.  If there is a link available to resend the evaluation form next to a reference’s name, then the ABP has not received the evaluation from that reference.
    • If there is a link available, it may be selected to have a new evaluation form link e-mail sent to the reference.  It must be at least 10 business days from the date that the last evaluation form was sent for the resend link to be activated.
    • To view the e-mail address provided to the ABP, the corresponding reporting form must be opened in a diplomate’s MOC tab in PATHway.
    • To update, correct, or replace  a reference name or e-mail address, you must e-mail a request to  Please include the last 4 digits of your SSN or your ABP ID# for positive identification purposes.

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