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Regular Maintenance Is Strongly Recommended: The Road to Board Certification and Beyond

Nathan, Naveen MD

doi: 10.1213/ANE.0000000000004459
Infographics: Infographic

Northwestern University Feinberg School of Medicine (

Published ahead of print 23 August 2019.

The Infographic is composed by Naveen Nathan, MD, Northwestern University Feinberg School of Medicine ( Illustration by Naveen Nathan, MD.

The authors declare no conflicts of interest.

The above infographic summarizes the educational pathway that leads to board certification in anesthesiology. Articles in this issue describe the process in detail, through which elements such as the applied examination are curated. In addition, once board certified, anesthesiologists are required to participate in a lifelong learning process that upholds high standards of knowledge and clinical practice. This maintenance of certification ensures a level of quality control and persists throughout the career of the practicing physician. Interestingly, Zhao et al describe how physicians who elect not to participate in Maintenance of Certification in Anesthesiology (MOCA), delay their registration for MOCA, or do not meet its standards are more likely to incur disciplinary actions against their licenses. This suggests that inherent personality traits that speak to dedication to lifelong improvement in patient care are indirectly addressed by MOCA. The reader is strongly encouraged to review the cited articles and the editorial.

MOCA indicates Maintenance of Certification in Anesthesiology; OSCE, Objective Clinical Structured Examination

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1. Sun H, Warner DO, Patterson AJ, et al. The American Board of Anesthesiology’s standardized oral examination for initial board certification. Anesth Analg. 2019;129:1394–1400.
2. Zhou Y, Sun H, Macario A, et al. Association between participation and performance in MOCA Minute and actions against the medical licenses of anesthesiologists. Anesth Analg. 2019;129:1401–1407.
3. Zhou Y, Sun H, Macario A, Martin DE, Rathmell JP, Warner DO. The American Board of Anesthesiology’s staged examination system and performance on the written certification examination after residency. Anesth Analg. 2019;129:e159–e162.
4. Cloyd BH, Nemergut EC. Toward transparency in board certification. Anesth Analg. 2019;129:1197–1198.
Copyright © 2019 International Anesthesia Research Society