MOC FAQ

Knowledge Confirmation will begin the full year following the award of your certification/specialty. For example, if you earned the RDMS (AB) in 2025 and you earn the OB specialty in February 2026, your first set of AB quizzes will be due on December 31, 2026 and your OB quizzes will begin on January 1, 2027 with a first due date of December 31, 2027.

Quizzes cannot be printed. You receive instant results after completion, and you can review previously answered questions for the current calendar year in both the app and desktop SKILLS platforms.

If your internet connection or device fails during a quiz, the questions you have already submitted will be saved. When you sign back in to SKILLS, you can resume your quiz and continue answering remaining questions from where you left off.

You can complete Knowledge Confirmation quizzes in either the Inteleos SKILLS mobile app or the SKILLS website. Use whichever option is more convenient; your quiz progress and scores stay synced between the app and web platforms.

You can change specialties with the selection drop down menu at the top of the page. The quiz questions that you can answer will pertain to the specialty that you have selected.

Your SKILLS quiz activity and progress are available in the SKILLS platform. Use the SKILLS dashboard to view your real-time quiz status and confirm you are on track for your annual Knowledge Confirmation requirement.

Select each specialty from the drop-down at the top left of your SKILLS dashboard to see your quiz completion and score for that specialty.

The dashboard shows your quarterly and year-to-date progress, including how many questions you have answered and your current cumulative score toward 80%, based on questions released so far this year.

Review every specialty individually; there is currently no combined “all specialties” view in SKILLS.

No, there are no additional fees to download or use the platform, including completing your quizzes.

New quizzes are released on the first day of each quarter and together make up your annual Knowledge Confirmation cycle. You receive 40 Knowledge Confirmation questions for each specialty you hold (four quizzes of 10 questions). If you hold multiple specialties, you receive a separate set of 40 questions for each specialty and must complete the questions for each specialty you wish to keep active.

If you choose an incorrect response, the SKILLS platform provides an explanation and additional learning resources to help you understand the topic before you move on. Once you submit or skip a question, that response cannot be changed, and skipped questions are counted as incorrect. SKILLS does not use a pass/fail score on individual quizzes; instead, your goal is to reach at least 80% correct, calculated cumulatively across the 40 Knowledge Confirmation questions released during the year in each specialty.

Knowledge Confirmation requires you to answer all 40 questions released during the year for each specialty you hold and to reach at least 80% correct cumulatively by December 31. If you do not complete the questions and meet the 80% requirement in a specialty, you will not meet the MOC requirement for that specialty and, as with other MOC requirements, that specialty or certification will be revoked and a reinstatement process will apply.

Yes. You can report technical issues using the Support menu submission form within the SKILLS platform. In many cases, errors can be resolved by fully closing your browser or the app, then logging back in and restarting the quiz. You should also check your internet connection and bandwidth, and, if you are using a browser, keep only one SKILLS window or tab open while taking a quiz.

For RDMS, RDCS, RVT, and RMSKS:

If your CME period ends on or before December 31, 2025, you must complete 30 CME credits for that period. If your CME period ends on or after December 31, 2026, you are required to complete 25 CME credits, and they do not need to be specialty specific.

For ABVM Vascular and Endovascular Medicine:

You must complete 25 CME credits within your three-year CME period. Your three-year period has already been added to your portal account and begins after the end of your current expiration year as you transition into the annual MOC program. For example, if your ABVM certification expires in 2028, your three-year CME period is 1/1/2029-12/31/2031.

For RPVI and RMSKS:

If your CME period ends on or before December 31, 2026, you must complete 30 CME credits in vascular ultrasound for RPVI and/or 30 CME credits in musculoskeletal ultrasound for RMSK for that period. If your CME period ends on or after December 31, 2027, you are required to complete 25 CME credits, and they do not need to be specialty specific.

The reduction from 30 to 25 CMEs helps balance the additional time needed for the annual Knowledge Confirmation requirement.

No. All active Registrants are expected to meet the same Maintenance of Certification requirements. Registrants who no longer wish to complete all MOC requirements may choose to move to Retired status, which allows them to remain in Good Standing with ARDMS/APCA without ongoing MOC responsibilities, but does not allow use of credential designations or active certification status.

The Neurosonology (NE) specialty is not included in the Knowledge Confirmation requirements. If you remain active through December 31, 2025 and meet any CME audit requirements if selected in 2026, you will continue to hold NE through 2026; the specialty will be sunset in January 2027 and will no longer appear as an active specialty in the Registrant Directory or on your ID card.

For ARDMS, the SKILLS platform and Knowledge Confirmation components have been developed and piloted over several years, with input from ARDMS volunteers, Registrants, and professional societies before becoming part of Maintenance of Certification. For APCA, early discussions often used the term “recertification,” but the program evolved into an ongoing Knowledge Confirmation component within MOC—short, low‑stakes knowledge check‑ins rather than a single high‑stakes exam—guided by a volunteer MOC task force of APCA Certificants, including physicians such as vascular surgeons.

There are two ways to share feedback. First, you can complete our survey, which goes directly to the SKILLS team. A link to the survey appears at the top of the SKILLS platform page when you log in. Second, if you have specific feedback about a quiz question, you can use the feedback option available on each quiz question page.

If you are interested in volunteering, please complete our volunteer interest form. You will find a link to the form at the top of the page when you log into the SKILLS platform. In the form, indicate your areas of expertise and your certifications. We will keep your information on file and may contact you when opportunities that match your background become available.

Knowledge Confirmation requires you to answer all 40 questions released during the year for each specialty you hold and to reach at least 80% correct cumulatively by December 31. If you choose not to complete the questions and meet the 80% requirement in a specialty you no longer practice in, you may allow that specialty to lapse while maintaining other specialties for which you continue to meet all MOC requirements. When a specialty lapses, that specialty or certification is revoked.

In the future, additional options will be available to retire individual specialties or certifications you no longer practice.

Beginning January 1, 2026, RDMS, RDCS, RVT, RMSKS, and ABVM Vascular and Endovascular Medicine certificants are required to complete 4 quizzes per year for each specialty or certification they hold, for a total of 40 questions annually per specialty, due by December 31 each year. For ABVM certificants, the quizzes are required beginning in the year that your ABVM certification expires. For example, if your ABVM certification expires in 2028, you will begin completing the quizzes on January 1, 2028.

Beginning January 1, 2027, RPVI and RMSK certificants are required to complete 4 quizzes per year for each specialty or certification they hold, for a total of 40 questions annually per specialty, due by December 31 each year.

Beginning January 1, 2027, CBCCT, CBCMR, and CBNC certificants will transition to the annual Knowledge Confirmation requirement through quarterly, specialty-specific, case-based quizzes in the SKILLS platform, with quizzes due by December 31 each year. You will begin completing these quarterly case-based quizzes in the last full year of your current 10-year certification cycle. For example, if your current 10-year certification cycle ends in 2029, you will begin completing the quarterly case-based quizzes on January 1, 2029. Because this program is currently in a pilot phase, the exact number of cases and quiz questions per quarter will be announced once finalized.