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ABAM Transitional Maintenance of Certification

The purpose of the ABAM Tmoc program is to assure that, by engaging ABAM Diplomates in a process of continuous professional development, the Diplomates will have the practice-related knowledge to provide quality care in Addiction Medicine. Tmoc additionally gives the public assurance that ABAM certified physicians are maintaining high standards of clinical care throughout their career.

All Diplomates will be required to participate in the ABAM Tmoc program in order to maintain their Certification with ABAM. Diplomates with time-limited certification must renew their certificates through ABAM’s Transitional Maintenance of Certification program and must complete all Four Components of Transitional Maintenance of Certification. ABAM Diplomates with certification that is not time-limited are only required to participate in Component I of Transitional Maintenance of Certification on an Annual basis, Licensure and Professionalism. All Diplomates, time-limited, and not time-limited,  are strongly urged to participate since the program helps improve the quality of care delivered to patients. Transitional Maintenance of Certification for Addiction Medicine Physicians (MC-ADM) is the process that provides the American Board of Addiction Medicine (ABAM) with the means to continually assess Diplomates. The American Board of Addiction Medicine, sensing growing and repeated threats from outside the medical field, determined that Diplomates should be required to meet the highest standards of accountability.

In response, the ABAM designed a process called Transitional Maintenance of Certification (Tmoc). This structure consists of four components, each designed to assess important physician characteristics: professionalism (Component I), self-assessment and lifelong learning (Component II), cognitive expertise (Component III), and performance in practice (Component IV). Although these elements are consistent with ABAM’s long-standing recertification program, ABAM Tmoc program stresses the importance of ongoing participation in activities that evaluate each of these components between examinations. ABAM Tmoc is a requirement that the ABAM believes encourages clinical excellence and benefits both physicians and their patients.

Diplomates may apply for the Transitional Maintenance of Certification examination in either the 9th or 10th year of their certification cycle.  All requirements must be complete to be eligible for the examination.

Each certified Diplomate must successfully complete a series of requirements. Completing these requirements in a timely manner will allow Diplomates to begin participatation in the cognitive examination. If a Diplomate is unable or chooses NOT to meet the requirements of each component in the Transitional Maintenance of Certification Program, the certificate remains valid until the expiration date, but the candidate will be listed in the Transitional Maintenance of Certification Program as Inactive and not-Participating in Tmoc.  To be considered currently active in ABAM Tmoc on the 10 year cycle, a Diplomate must complete each part by the given deadline.


ABAM offers a Transitional Maintenance of Certification program for its current diplomates and a public listing of physicians who hold active ABAM certification status. In March, 2016 the American Board of Medical Specialties formally recognized addiction medicine as a multi-specialty subspecialty. Future certification examinations in addiction medicine will be administered by the American Board of Preventive Medicine.