All right, well thank you very much to the organizers and the AASLE for this opportunity. So today I'm going to take you to, instead of looking forward like we just heard a little bit about more, what you can do right now. What are the current requirements and what can we do even in the context of the liver meeting that you're attending right now to capture some MOC points. I have no disclosures. So here's my objectives. Again I'll tell you what the current requirements are to offer some different resources and opportunities that are sponsored by the AASLE to include different live meetings and online learning opportunities, demonstrate to you a little bit about the website and what that might look like. I'll show you a lot of screenshots about how you might be able to capture some MOC even here at the meeting. And then give a few offerings on just some other areas that, as was just alluded to, if you are certified in other areas, how you can capture MOC points in those domains. So just as a quick reminder, this is what you are currently, or we are currently required to do according to the MOC to remain certified. So on the left there you'll see that you need to be reported as participating in MOC. Every year, I'm sorry, every two years you have to earn some points. And then every five years you have to earn 100 points. And I'll show you different ways and kind of different valuations according to that. And then as was just suggested, there is an assessment that needs to be passed every two years, the so-called knowledge check-in, or what we've all come to know as the every 10 year more traditional exam. So if you're anything like me, before I started to prepare this talk, you may not know what your MOC status is. And so let me just take you through that. And so when I went on to the AABIM website, as you may know on that right orange box, you can put in anybody's name. So here I just put in my own, and what you see on the left there is where I'm certified, and then the field right below that is the participating in MOC, yes. And that's kind of the focus of our conversation here today. To drill down into that a little bit more, you'll have to log in to your particular physician portal, and it'll bring you to this screen. And so in the upper right-hand corner, I'll point your attention to that little yellow box. It says there's something that needs attention. And as you can see across the three things that I'm currently certified in, I'm gonna need to pass an MOC assessment here in the next year if I wanna maintain certification and MOC status for internal medicine. Just below that, I'll point your attention to the two-year, 10-year. You can toggle between those things, and then to the right there, it says what happens if I switch. And this is actually really helpful, something that the AABIM has done. If you click on that hyperlink, it's got a whole wealth of information of different things that you can do. So say, for example, you wanted to try the knowledge check-in, and then you decided you didn't like it, so you wanted to go on to the 10-year, or vice versa. And a lot of just different good ways that they illustrate kind of the different opportunities to maintain MOC. So just a few notes on MOC requirements. Keep in mind that you do not need to earn MOC points for one specialty alone. So I think most of us here are transplant hepatologists, but you can earn points in internal medicine, in gastroenterology, and that will continue to keep you maintained in MOC or MOC certified. Keep in mind also that while all CME, I'm sorry, all MOC will earn you CME, not all CME will earn you MOC. And that's confusing. I'll show you an example that will hopefully offer some clarity. Remember that here at AASLD, we will communicate to AABIM and to the American Board of Pediatrics, AABP, on your behalf to communicate the credits that you've accrued so that you can maintain your MOC certification. And that this December 31st date, you'll see this again, but this is really important, that if you are coming up on something, that is your deadline to have those things in so you don't switch into the not compliant with MOC status. One just kind of personal anecdote. My wife is a hemonch, and she actually sought to do the two-year knowledge check-in to recertify on her internal medicine boards and actually missed the window because she missed the registration dates. So when you go on the AABIM website, be very careful that you're looking on the registration dates as to when they're open and closed because you need to do that fairly far out, and especially for internal medicine, it's fairly tight, particularly if you wanted to do the two-year knowledge check-in. So she was left doing the 10-year, which was not a fun weekend in my house. So just moving on to, this is a monograph that was published by the AABIM and the Accreditation Council for Continuing Medical Education, the ACCME. And I just showed this because I think it's actually pretty telling. On the upper right-hand corner on the curve there, you see, and it's hard to see perhaps from where you're sitting, but there's over 5,400 activities that will get you both CME and MOC. Ah-ha. And so right up here is where you see that. And so the point here is that there's a lot of offerings. While we may not all be versed in that, there's a ton out there. The other thing that I would point your attention to is just this middle bar here. Keep in mind that there's a lot of different ways to get MOC credit, so specifically things that you're doing every single day. Maybe you're attending Grand Rounds. If your hospital's coordinating for that, you can get credit there. Many internet courses and liver learning has a lot of offerings there, which I'll show you. Journal articles, more and more of the journals are recognizing that MOC needs to be tied with some of the CME activities. And then perhaps most importantly, the point of care internet searching, so specifically up-to-date. Keep in mind, if you have a subscription to up-to-date, either through your institution or personally, you can claim MOC credit through that. So that's a really important thing, and I think many of us use up-to-date regularly, and that's a really good way to keep yourself at very least getting that every two years, those points, so that you can maintain your certification. So where do you go to look for this? This cmefinder.org is actually the place that I would recommend, because it's gonna launch you into this page. And so what you'll see is, depending on your board of certification, so here for many of us here, internal medicine or pediatrics, you'll click on your respective board. And then it's important that you fill out this field, the provider, joint provider. I went ahead and filled out for me, for example, for ABIM, and I selected the AASLD. But again, just remember, again, other societies have offerings, and so this pull-down right here will give you all the different societies and colleges. So here ACG and AGA also have MOC offerings, and there are a lot on both of those sites. So now you've entered into ABIM and AASLD, and I pulled this slide up just last night, and you'll see that already we have the offerings for this year's meeting, this year's post-grad course, and then even the hepatology self-assessment program, which Dr. Patton's gonna talk to us about here in just a few minutes. And so for the purposes of this, I gave you some screenshots for the post-grad course. So you can then click on this hyperlink, and this is the page that it'll take you to. So within the cmefinder.org, you'll see it'll give you the title of the activity that you're looking for, who is the provider, and then this is a hyperlink, so if you just click on that, it'll bring you to the liver meeting website. And so keep in mind, when you do this, you do not have to go through the cmefinder.org. You can go straight to the liver meeting website, and this will, I'll show you how to get to how you can then claim your MOC. So that was just a conduit that you can sort of see your menu of options. If you wanted to just claim MOC for this year's meeting, just go straight to the website for this. It'll save you those steps, but if you're looking for offerings from another college or perhaps some other enduring material, the cmefinder.org is a good place to start. So on this website, if you scroll down, it'll take you to this page, and go to the claiming continuing education credits hyperlink. If you click on that, it'll take you then to this screen, and it'll reflect there. You scroll down on this, and this is a screen, again, these orange wording reflects hyperlinks. So if you click on the CME evaluation, this is where you're gonna be able to get your MOC activity for this year's liver meeting. Pay attention here. If you're gonna go back home and try and claim your MOC, that these are your deadlines for doing that. So just be attuned to that, because after, specifically here, March 15th, you will no longer be able to claim your MOC. So do that in the next few months here before they expire. So now I've clicked that CME link, and this is what it looks like. This will take you to the login page. Here you'll need to enter the email address that you used to register for the meeting, as well as enter your badge number. And so this is a great tip that Katie actually put in here. Go ahead and take a picture of your badge, so you remember your badge number, because I know I'm gonna forget. And so this is just an enduring way to have it in your phone, because again, you will need this information to log onto the website to get to your MOC points. This is the first thing that you're gonna see once you click into it. And so this is a meeting evaluation. You'll see this every single time until you complete it, but keep in mind that on the lower left-hand corner, you can bypass this by just clicking the Save and Complete Later. And this would probably be applicable if you, say, for example, went to a session here to follow during the meeting, you're trying to just get to the activity itself so you can answer the question associated with the talk that you just heard, and you don't feel like spending the time. It will continue to remind you to do that, so eventually you're gonna have to do this complete survey. But if you just wanted to bypass it and get onto the activity, you can do that. So once you've completed the survey, what you'll see is these are your available certificates. So for this particular person that was logged in, these are the offerings where they can capture MOC. And so I'll point your attention to the bottom two here, the Annual Meeting and the Postgraduate Course. Keep in mind that it will give you opportunities to capture MOC points in things that you have either registered for, be it the meeting, or purchased. So this person was registered for the Postgrad course. I did the Endoscopy, I'm sorry, other courses, and so those will show up and give me offerings to claim MOC points related to that, okay? So in this particular case, we clicked on the Annual Meeting, and this is the screen that you'll see. And so once you're in the Annual Meeting page here, what I'll show you here is you can add various different courses. So say, for example, you went to the cholestasis SIG because there are some offerings for MOC points there. You'll have to click this green button to show you all the different offerings. So once you click that, it's gonna take you to this page. And so the way the website is laid out now is that inside every day is a listing of the sessions. So here's that distinction between there's many CME offerings, but not all of them have MOC. However, all MOC will give you CME as well. And so by that, you'll see that on the left side, anything that has a green button, which is essentially everything here, will give you CME. However, only the things in the orange boxes will give you MOC points, okay? So if you're specifically looking for MOC, select the ones with the orange boxes. So now we've done that, and we've selected here. This is the cholestasis and autoimmune liver disease SIG, because we saw that that has MOC points, and we attended that SIG, and so we want to capture those points for having done that. And once we've done that, the orange box has now turned green, and this means that you're ready to go ahead and take your quiz so that you can get the points, okay? So then you click on this green button. Another auto pop-up is this is going to force you to, excuse me, insert either your ABIM or your ABP number, as well as some demographic information. And this is used really so at AASLD, we can submit on your behalf to ABIM or ABP. So this is a mandatory screen for you. This is a little bit of a weird screen that I didn't figure out until later. It makes it look like you have to fill out both ABIM and ABP, but it doesn't. Typically when we see the red asterisk, it means all the things need to be filled out. But just keep in mind that it's either ABIM or ABP, because very few, if any of us, are in both societies. So just one or the other. Again, if you're like me, perhaps you forgot. So here is how you would go find your ABIM ID number. So go to your respective society's website, and then you can search for your name and it'll pop up here. So this is ABIM and ABP on the right. So once you've finally gotten into that green box, the evaluation or certification is kind of interchangeably used here. I'd recommend that you verify, hey, yeah, this is the right, in fact, the right activity that I'm trying to pursue. So yes, it's the cholestasis and autoimmune liver disease SIG. And then just make sure you got the right session, person, speaker, title of the talk. Keep in mind that if you're at a talk or at a session that has multiple speakers, you're going to be asked multiple questions. And so that gives you the question number, so you're going to go ahead and answer it. And this is really kind of what we're all looking for, right? The board style question. Once you answer it, you confirm your response, you make your way all through, in this case, all five questions. And then when you're done with that, you'll click submit for it all. This won't happen to anybody in this room, I'm certain, but if for whatever reason you got less than 70%, you're going to fail. And you'll see that there's a red button here that's going to tell you you have to retake this exam. You can retake it as many times as you want, but you have to retake it until you achieve that 70%. It will tell you actually where you might've gone astray, so it's not hard. However, everyone in this room is going to score greater than 70%, meaning you're going to pass. And then you'll see these green and white buttons here, and what those show is say, which says that you have now claimed these points according to that activity. Here again, you can click the rationale, and that's going to explain, much like a board style question, why certain questions are right and wrong. So then you've finally gotten to the end, and this is just tabular form of the last screen here, right there, which basically shows these are all the CMEs that you've earned and across which days. These are all the MOCs that you've earned. You can then go down and customize your certificate, put in your name, and then you print, and it'll print to a PDF or whatever form you need to submit it into, and it'll tell you how many CME credits. And then this information will be sent on to AASLD, and we'll be filing those on your behalf to ABIM or ABP. So just in closing, I'd just like to remind you that you should be checking your MOC status regularly. I think that this may be where people get into pitfalls. I think we're all entrained to look at the 10-year thing. Now that we've got knowledge check-in, there are other options, and there are other requirements, as we just said, those being we still need to do our assessment every 10 years or every two years for this knowledge check-in. Keep in mind that you have to do something every year, and you need to accrue 100 points for over a course of five years. This December 31st, again, that's a big deal, so don't miss that deadline. CMDAfinder.org is a good place to start, and it does even have the most current offerings. And we are here to help. And so if you guys have any questions, we'll have a period, and we can try and walk you through the website. Furthermore, there's stations around the meeting here, so you can see folks at the tech bar, the certificate stations as well here to follow. You can always log on to the website. Katie, who was instrumental in developing this slide deck, is phenomenal help, and she really is the subject matter expert here. So thank you very much.

certification requirements

MOC points

liver medicine

AASLD resources

MOC activities