MOC DR Part 2 Lifelong Learning

Maintenance of Certification

MOC > Diagnostic Radiology > Lifelong Learning


Diagnostic Radiology and Its Subspecialties

Part 2: Lifelong Learning and Self-Assessment

To satisfy MOC Part 2, the ABR requires 75 CME credits every three years, at least 25 of which must be credits from Self-Assessment CME (SA-CME) activities.

The ABR defines Self-Assessment CME activities as interactive learning opportunities that use self-assessment tools to help learners reflect on their practices and identify their individual needs. There are three types of SA-CME activities:

  • AMA Category 1 CME offerings, especially materials online and in written form with embedded questions.
  • Podium presentations with a post-session assessment instrument. Some organizations call these "SA-CME,” and others call them “SAMs.” Both terms are equivalent, with the number of credits determined by the ACCME or an ACCME-accredited category 1 CME provider.

Products without self-assessment instruments are eligible only for CME credit. Organizations offering credit for CME or SA-CME activities must be accredited by the ACCME to do so.

According to AMA policy for CME, Self-Assessment CME activities include the following features:

  • They provide an assessment of the learner that measures achievement of the educational purpose and/or objective(s) of the activity with an established minimum performance level; examples include, but are not limited to, patient-management case studies, a post-test, and/or the application of new concepts in response to simulated problems.
  • They communicate to the participants the minimum performance level that must be demonstrated in the assessment in order to successfully complete the activity for AMA PRA Category 1 Credit™.
  • They provide a reference to appropriate bibliographic sources to allow for further study.

As in teleconferences, webinars, or other “live” activities, AMA Category 1 CME activities performed in person or remotely do NOT automatically count as Self-Assessment CME because they may not be required to incorporate all the above features.

Organizations without SAM deemed status that would like to have their CME activities approved as SAMs must submit them for review through the longstanding ABR qualification process. All previously approved SAMs, as well as those approved in the future, will continue to count as Self-Assessment CME.

See the list of available SAMs.

For more CME and SA-CME resources, see the ABMS MOC Directory.

CME Credits for Certification Available Through AMA

In March 2012, the AMA Council on Medical Education approved the issuance of certificates of participation to doctorate-level professionals completing either the ABR initial board certification or Maintenance of Certification (MOC) process. The certificate is available for board certification awarded on or after April 1, 2012. For MOC, the certificate is available for every 10 years of participation.

The AMA assigns 60 AMA PRA Category 1 CreditsTM for each certificate of participation. Those who wish to receive an AMA certificate of participation should complete the application form, attach proof of board completion, and submit both electronically with a $75 payment. Please allow three weeks for processing; certificates are sent via email as a printable PDF document.

Further information, including the application form, may be found on the AMA’s website at

SAM Deemed Status Program

Under this program, societies and organizations with a favorable history of ABR-approved SAM offerings may apply for SAM deemed status by the ABR. This status allows them to develop and implement, without prior ABR review, enduring SAMs and in-person (“live”) SAMs that satisfy certain ABR requirements. Those meeting the criteria may qualify their own SAMs.

Once an organization is granted SAM deemed status, it is subject to regular audits to ensure SAM materials are meeting ABR standards.

See the list of ABR deemed status organizations. If you need information about applying for SAM deemed status, please email


Any questions regarding MOC Part 2 requirements may be directed to ABR Connections at or (520) 519-2152.