{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T11:29:05Z","timestamp":1747222145725,"version":"3.40.5"},"reference-count":0,"publisher":"The Association of Faculties of Medicine of Canada","license":[{"start":{"date-parts":[[2019,12,5]],"date-time":"2019-12-05T00:00:00Z","timestamp":1575504000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can. Med. Ed. J"],"abstract":"<jats:p>Maintenance of certification (MOC) has become increasingly important in medicine to ensure maintenance of competence throughout a physician\u2019s career. This paper reviews current issues and challenges associated with MOC in medicine, including how to define medical competencies for practicing physicians,\u00a0 assessment, and how to best support physicians\u2019s lifelong learning in a continuous and self-motivated way. We explore how the combination of self-monitoring, regular feedback, and peer support could improve self assessment.\u00a0 Effective MOC programs\u00a0 are \u00a0learner-driven, focused on every day practice, and incorporate educational principles. We discuss the importance of MOC to the physicians\u2019 actual practice to improve acceptability. We review the benefits of \u00a0tailored programs as well as decentralization of MOC programs to better characterize the physician\u2019s practice. Lastly, we discuss the value of simulation-based medical education in MOC programs. Simulation-based education could be used to practice uncommon complications, life-threatening scenarios, non-technical skills improvement, and become proficient with new technology. As learners find simulation experiences educationally valuable, clinically relevant, and positive, simulation could be a way \u00a0of increasing physicians\u2019 participation in MOC programs.<\/jats:p>","DOI":"10.36834\/cmej.53065","type":"journal-article","created":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T11:07:14Z","timestamp":1576840034000},"source":"Crossref","is-referenced-by-count":0,"title":["Maintenance of certification: how do we teach practicing physicians?"],"prefix":"10.36834","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3436-5449","authenticated-orcid":false,"given":"Ligia","family":"Cordovani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Wong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Monteiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22580","published-online":{"date-parts":[[2019,12,5]]},"container-title":["Canadian Medical Education Journal"],"original-title":[],"link":[{"URL":"https:\/\/journalhosting.ucalgary.ca\/index.php\/cmej\/article\/download\/53065\/53656","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journalhosting.ucalgary.ca\/index.php\/cmej\/article\/download\/53065\/53656","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,20]],"date-time":"2019-12-20T11:07:14Z","timestamp":1576840034000},"score":1,"resource":{"primary":{"URL":"https:\/\/journalhosting.ucalgary.ca\/index.php\/cmej\/article\/view\/53065"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,5]]},"references-count":0,"URL":"https:\/\/doi.org\/10.36834\/cmej.53065","relation":{},"ISSN":["1923-1202"],"issn-type":[{"type":"electronic","value":"1923-1202"}],"subject":[],"published":{"date-parts":[[2019,12,5]]}}}