OSTEOPATHIC BOARD CERTIFICATION

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View Your OCC Requirements

The following list outlines OCC requirements for AOA Board Certification issued by the American Osteopathic Board of Family Physicians (AOBFP). NOTE: An OCC annual fee of $225 will be issued starting in 2022 for diplomates with certification or recertification dates of 2019, 2020 and 2021. This fee will cover all costs associated with OCC, except the OMT Performance exam registration fee and fees associated with CME courses/activities. View FAQs about the Longitudinal Assessment.

Select the issue or expiration date for your initial certification or recertification:

Expires in 2020

Due to the interruption of live events resulting from COVID-19 safety measures and restrictions, the AOA has granted you a one-year extension. All your OCC requirements must be completed by December 31, 2021.

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

Diplomates must earn 120 hours of CME credit every three years. See the AOA CME Guide for details.

Component 3 (Cognitive Assessment):

You must pass the 200-question cognitive exam in 2021. If you passed this exam in 2018, 2019, or 2020, you have fulfilled this requirement.

You will be required to begin participation in Longitudinal Assessment in 2022.

Component 4 (Practice Performance Assessment):

You are required to complete four of the following activities:

  • ACOFP modules
    $525 each
  • NBOME module/s
    $525 each
  • Attestation (No Fee)
    Note: Only one attestation is allowed

If you have not registered for your required module/modules, please visit the Component 4 OCC page.

Requirements to Maintain Certification in OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate this option will be available in 2021. The cost will be determined by the course sponsor.
  2. Take the Performance Exam once every nine years
    Registration fee: $400
    Note: The Performance Exam must be taken in the last 3 years of certification.
Expires in 2021

All your OCC requirements must be completed by Dec. 31, 2021.

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

You are required to earn 120 hours of CME every three years. See the AOA CME Guide for details.

Component 3 (Cognitive Assessment):

Diplomates must pass the 200-question cognitive exam in 2021. If you passed this exam in 2019 or 2020, you have fulfilled this requirement.

You will be required to begin participation in Longitudinal Assessment in 2022.

Component 4 (Practice Performance Assessment):

You are required to complete four of the following activities:

  • ACOFP modules
    $525 each
  • NBOME module/s
    $525 each
  • Attestation (No Fee)
    Note: Only one attestation is allowed

If you have not registered for your required module/modules, please visit the Component 4 OCC page.

Requirements to Maintain Certification in OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate this option will be available in 2021. The cost will be determined by the course sponsor.
  2. Take the Performance Exam once every nine years
    Registration fee: $400
    Note: The Performance Exam must be taken in the last 3 years of certification.
Expires in 2022

All your OCC requirements must be completed by Dec. 31, 2022.

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

You are required to earn 120 hours of CME every three years. See the AOA CME Guide for details.

Component 3 (Cognitive Assessment):

You will need to begin participation in Longitudinal Assessment in beginning in July 2021.

  • You must complete three quarters by Dec. 31, 2022.
  • No high-stakes cognitive exam is required.

Component 4 (Practice Performance Assessment):

You are required to complete four of the following activities:

  • ACOFP modules
    $525 each
  • NBOME module/s
    $525 each
  • Attestation (no fee)
    Note: Only one attestation is allowed

If you have not registered for your required module/modules, please visit the Component 4 OCC page.

Requirements to Maintain Certification in OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate this option will be available in 2021. The cost will be determined by the course sponsor.
  2. Take the Performance Exam once every nine years
    Registration fee: $400
    Note: The Performance Exam must be taken in the last 3 years of certification.
Expires in 2023

All your OCC requirements must be completed by Dec. 31, 2023.

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

You are required to earn 120 hours of CME every three years. See the AOA CME Guide for details.

Component 3 (Cognitive Assessment):

You will need to begin participation in Longitudinal Assessment in 2023.

  • You must complete three quarters by Dec. 31, 2023.
  • No high-stakes cognitive exam is required.

Component 4 (Practice Performance Assessment):

You are required to complete four of the following activities:

  • ACOFP modules
    $525 each
  • NBOME module/s
    $525 each
  • Attestation (no fee)
    Note: Only one attestation is allowed

If you have not registered for your required module/modules, please visit the Component 4 OCC page.

Requirements to Maintain Family Medicine Certification and OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Take the Performance Exam once every nine years
    Registration fee:  $400
    Note: The next anticipated date for availability of the Performance Exam is fall 2021. In the event live testing is not possible in 2021 due to COVID-19 restrictions, an extension may be granted by the AOA.
  2. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate availability in 2021. Cost will be determined by fees from course sponsor.
Expires in 2024

All your OCC requirements must be completed by Dec. 31, 2024.

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

You are required to earn 120 hours of CME every three years. See the AOA CME Guide for details.

Component 3 (Cognitive Assessment):

You will need to begin participation in Longitudinal Assessment in 2024.

  • You must complete three quarters by Dec. 31, 2024.
  • No high-stakes cognitive exam is required.

Component 4 (Practice Performance Assessment):

You are required to complete four of the following activities:

  • ACOFP modules
    $525 each
  • NBOME module/s
    $525 each
  • Attestation (no fee)
    Note: Only one attestation is allowed

If you have not registered for your required module/modules, please visit the Component 4 OCC page.

Requirements to Maintain Certification in OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate this option will be available in 2021. The cost will be determined by the course sponsor.
  2. Take the Performance Exam once every nine years
    Registration fee: $400
    Note: The Performance Exam must be taken in the last 3 years of certification.
Expires in 2025

All your OCC requirements must be completed by Dec. 31, 2025.

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

You are required to earn 120 hours of CME every three years. See the AOA CME Guide for details.

Component 3 (Cognitive Assessment):

You will need to begin participation in Longitudinal Assessment in 2025.

  • You must complete three quarters by Dec. 31, 2025.
  • No high-stakes cognitive exam is required.

Component 4 (Practice Performance Assessment):

You are required to complete four of the following activities:

  • ACOFP modules
    $525 each
  • NBOME module/s
    $525 each
  • Attestation (no fee)
    Note: Only one attestation is allowed

If you have not registered for your required module/modules, please visit the Component 4 OCC page.

Requirements to Maintain Certification in OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate this option will be available in 2021. The cost will be determined by the course sponsor.
  2. Take the Performance Exam once every nine years
    Registration fee: $400
    Note: The Performance Exam must be taken in the last 3 years of certification.
Expires in 2026

All your OCC requirements must be completed by Dec. 31, 2026.

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

You are required to earn 120 hours of CME every three years. See the AOA CME Guide for details.

Component 3 (Cognitive Assessment):

You will need to begin participation in Longitudinal Assessment in 2026.

  • You must complete three quarters by Dec. 31, 2026.
  • No high-stakes cognitive exam is required.

Component 4 (Practice Performance Assessment):

You are required to complete four of the following activities:

  • ACOFP modules
    $525 each
  • NBOME module/s
    $525 each
  • Attestation (no fee)
    Note: Only one attestation is allowed

If you have not registered for your required module/modules, please visit the Component 4 OCC page.

Requirements to Maintain Certification in OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate this option will be available in 2021. The cost will be determined by the course sponsor.
  2. Take the Performance Exam once every nine years
    Registration fee: $400
    Note: The Performance Exam must be taken in the last 3 years of certification.
Issued in 2019 or later

If your initial certification or recertification was issued during or after 2019, you are required to meet the following criteria for Osteopathic Continuous Certification.

*Physicians obtaining initial certification in 2021 will begin the longitudinal assessment in January 2022. Applications will open in early fall.

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

You are required to earn 120 hours of CME every three years. See the AOA CME Guide for details.

Component 3 (Cognitive Assessment):

You will need to participate in Longitudinal Assessment beginning in July 2021.

  • Must complete three quarters by Dec. 31, 2022
  • No high-stakes cognitive exam available or required

Component 4 (Practice Performance Assessment):

Complete one activity every three years. There is no additional fee.

Requirements to Maintain Certification in OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate this option will be available in 2021. The cost will be determined by the course sponsor.
  2. Take the Performance Exam once every nine years
    Registration fee: $400
    Note: The Performance Exam must be taken in the last 3 years of certification.
ABMS reciprocity granted before Dec. 31, 2021

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

You are required to earn 120 hours of CME every three years. Requirements will be prorated as defined in the AOA CME Guide.

Component 3 (Cognitive Assessment):

You will need to begin participation in Longitudinal Assessment in 2022.

  • You must complete three quarters by Dec. 31, 2022.

Component 4 (Practice Performance Assessment):

Waived until the following 3-year cycle.

Complete one activity every three years:

  • Attestation
    No additional fee

Requirements to Maintain Certification in OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate this option will be available in 2021. The cost will be determined by the course sponsor.
  2. Take the Performance Exam once every nine years
    Registration fee: $400
    Note: The Performance Exam must be taken in the last 3 years of certification.
ABMS reciprocity granted between Jan. 1-Nov. 21, 2022

Component 1 (Active Licensure):

A candidate/diplomate must hold a valid, active license to practice medicine in a U.S. state, commonwealth, District of Columbia or U.S. territory, or Canada. Those physicians holding only an active license (or registration) to practice medicine outside the U.S. may be considered for OCC on a case-by-case basis.

Component 2 (Lifelong Learning):

You are required to earn 120 hours of CME every three years. Requirements will be prorated as defined in the AOA CME Guide.

Component 3 (Cognitive Assessment):

You will need to begin participation in Longitudinal Assessment in 2023.

  • You must complete three quarters by Dec. 31, 2023.

Component 4 (Practice Performance Assessment):

Waived until the following 3-year cycle.

Complete one activity every three years:

  • Attestation
    No additional fee

Requirements to Maintain Certification in OMT:

If you wish to maintain certification in OMT, there are currently two options:

  1. Complete 12 hours of OMT hands-on training approved by AOBFP every nine years
    Note: We anticipate this option will be available in 2021. The cost will be determined by the course sponsor.
  2. Take the Performance Exam once every nine years
    Registration fee: $400
    Note: The Performance Exam must be taken in the last 3 years of certification.