Continue Certification

NEW! 5-Year Cycle

To meet the American Board of Medical Specialties (ABMS) Assessment Standards for Continuing Certification effective January 1, 2024, ABFM will begin the transition to Certification 2025, the new Continuous Certification 5-Year Cycle (5-Year Cycle) on January 1, 2025.

At-A-Glance

Beginning in 2025, all ABFM Diplomates will transition to the 5-Year Cycle in the year their next exam requirement is due. The 5-Year Cycle is built on the same four foundational components that make up the current certification process, and includes continuous compliance with ABFM Guidelines for Professionalism, Licensure, and Personal Conduct, completion of certification activities, Continuing Medical Education, and ongoing participation in cognitive assessment.

You never have to take the one-day exam to maintain your certification unless you want to. Instead of applying for the one-day exam, you will start answering 25 quarterly exam questions through the longitudinal assessment. However, if you prefer the one-day exam, you can opt to take it in year four of your 5-Year Cycle.

Similar to the current certification process, you can choose from a variety of Self-Assessment and Performance Improvement activities to earn certification points, and submit CME credits you’ve recently completed.

5-Year Cycle Requirements

The new 5-Year Cycle includes continuous compliance with ABFM Guidelines for Professionalism, Licensure, and Personal Conduct, completion of certification activities, Continuing Medical Education, and ongoing participation in cognitive assessment.

  1. Certification Exam: Answer 25 quarterly exam questions (longitudinal assessment) or opt to take the one-day exam.
  2. Certification Activities: Earn 60 certification points through Self-Assessment and Performance Improvement activities.
  3. Continuing Medical Education: Earn 200 CME credits.
  4. Professionalism and Licensure: Continuously comply with ABFM’s Guidelines for Professionalism, Licensure, and Personal Conduct, which includes maintaining active, valid, and full license(s) to practice medicine in the United States or Canada.
  5. Annual Fee: Submit annual certification fee.

Want to learn more? Log in to your MyABFM Portfolio today!

Transitioning to the 5-Year Cycle

You will not be required to transition to the new 5-Year Cycle any earlier than 10 years from when you last met your exam requirement. For example, if you met your last exam requirement in 2022, you will not be required to transition to the new 5-Year Cycle until 2032.

To determine when you will transition to the 5-Year Cycle, please visit your MyABFM Portfolio.

MyABFM Portfolio

Longitudinal Assessment Exam Overview

The longitudinal assessment consists of answering 25 online exam questions every quarter over three to four years. You can choose whatever day, time, and location to answer the timed questions, and can answer all 25 in one session or spaced throughout the quarter. You can use references (except another person) just as you would in your own practice and will receive immediate feedback on what you got right or wrong.

Learn More About Longitudinal Assessment

Certification Activities

The 5-Year Cycle includes earning 60 certification points through Self-Assessment and Performance Improvement activities. After completing at least one Self-Assessment and one Performance Improvement activity, you can choose any combination of approved activities to meet the 60 point requirement.  Additionally, successfully completing the longitudinal assessment (exam) awards 10 certification points.

Learn More About Certification Activities

Continuing Medical Education

The 5-Year Cycle includes earning 200 Continuing Medical Education (CME) credits, with at least 50% from Division I. You can earn CME by completing ABFM certification activities, or other programs awarding AAFP, AMA, or AOA-approved CME.

Learn More About CME Requirements

Professionalism

All ABFM Diplomates are required to comply with ABFM Guidelines for Professionalism, Licensure, and Personal Conduct to maintain board certification.

Learn More About Professionalism Requirements

5-Year Cycle Registration

Registration for the 5-Year Cycle will be available in the summer for Diplomates whose next exam requirement is due in the following year. (For example, if your next exam requirement is due in 2027, registration for the 5-Year Cycle will be available to you in summer 2026.) We recommend completing registration as soon as possible to ensure you have the maximum time to complete longitudinal assessment exam questions and avoid late fees.

Please note, you cannot access registration and begin the longitudinal assessment until all 3-year stage requirements are complete.

For more information about registration for the 5-Year Cycle, visit your MyABFM Portfolio.

Registration Information Booklet

To assist you with the 5-Year Cycle registration process, ABFM provides you with a Registration Information Booklet that includes a comprehensive description of our requirements and policies. We recommend you read this thoroughly before beginning the registration process.

2025 Registration Information Booklet

2025 Important Dates

October 4, 2024 Registration Opens
January 1, 2025 2025 Quarter 1 longitudinal assessment exam questions available
February 28, 2025 Last day to submit registration without incurring a late fee ($100)
March 10, 2024 Last day to complete registration process (with $100 non-refundable late fee) for Q1 longitudinal assessment participation
March 24, 2025 Last day to clear pending registration requirements
Match 31, 2025 Deadline to complete Q1 longitudinal assessment exam questions

Benefits

The new 5-Year Cycle provides the choice to customize how you meet your certification requirements! Benefits of the new certification process include:

  • Never have to take the one-day exam again to maintain your certification unless you want to.
  • Continuous learning by answering 25 quarterly exam questions and receiving immediate feedback.
  • More time and flexibility to complete your certification activities.
  • A fifth year off if you complete all requirements in four years.

Learn More!

Want to learn more about the new 5-Year Cycle and find out when you’ll make the transition? Visit your MyABFM Portfolio now!

MyABFM Portfolio

5-Year Cycle FAQs