The American Board of Radiology (ABR) Maintenance of Certification (MOC) program, which was fully implemented in 2005, created the need for self-assessment activities paired with continuing medical education and spawned the self-assessment module (SAM) [1], Although practicing radiologists may have been distracted by the initial implementation and subsequent modifications of MOC by the ABR and its growing role in the credentialing, consumer rating, marketing, and payment of radiologists, the regulation of radiology resident training has also been changing. MOC and residency training are being drawn together.
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