Continuous Certification (CC) Requirements

*The change in 2018 from three-year mini-cycles to annual mini-cycles was intended to make the process timelier and more relevant without increasing the burden on diplomates.

Part I – Professionalism and Professional Standing 

Chief of staff questionnaire

If the chief of staff is not available for attestation, a department chair or other suitable administrator or colleague may serve this role.

  • Hospital privileges– diplomates must demonstrate that they have maintained unrestricted privileges at their primary hospital.  The chief of staff will attest to this fact.
  • Participation in M&M at primary hospital (Part IV)– Attend a regular morbidity and mortality conference to analyze how you can improve patient safety with your department or service.
  • Participation in patient safety exercise (Part II)– The American Board of Neurological Surgeons CC process requires participation in a patient safety module. The chief of staff or their designee will certify that the diplomate is meaningfully involved in these exercises at the diplomate’s primary institution.

Click here to access MyMOC

All diplomates must complete a CC application each year.

Completion of the online CC application initiates participation in CC. New diplomates must complete an online application beginning their participation in CC, in January of the year following their certification. Diplomates certified prior to 1999 but interested in participating in CC should email the ABNS board for voluntary CC participation information to get started.

Click MyMOC login. Enter your username and password. Click the apply now link under the current year.

The following information is required to complete the CC application:

  • Review your business address and phone number. This information also displays on the ABNS website diplomates’ directory.
  • Answer the eight yes or no questions regarding your standing with licensing and professional organizations.
  • Complete current hospital staff appointment information including a consent and release form. Provide the name of your primary CC hospital or institution and your start date. Provide the name and email address of your chief of staff or your facilities medical staff office.
  • The summary page will allow you to review and submit your application. If you experience any difficulties, you may contact ABNS at

Part II – Lifelong Learning and Self-Assessment

CME (continuing medical education) – diplomates must earn at least 20 AMA PRA Category 1 Credits™ in neurosurgery each year.

Part III – Assessment Of Knowledge, Judgment, and Skills

The ABNS Part III learning tool teaches new evidence-based information pertinent to the practice of neurological surgery and provides diplomates with the scientific articles they are based on, in a user-friendly format.  The new online tool can be utilized 24/7 via the Internet and consists of multiple-choice questions. It will be evident to diplomates that:

  • The exercise is tailored to update “core neurological surgery” knowledge by focusing on new evidence-based concepts most critical to providing emergency, urgent or critical care for the those in the diplomate’s communities, ultimately enhancing public safety.
  • If the diplomate does not get the correct answer, they will immediately learn why and be able to read the associated, peer-reviewed articles (primarily, Level I and II evidence). The question can then be retried ensuring real-time education and mastery.
  • The diplomate will proceed to the next question when they master the new neurological surgery concept and achieve the correct answer.

Part IV – Improvement In Medical Practice

Significant changes have been made to this requirement. It is now being subserved by the annual chief of staff questionnaire verification of meaningful participation in M&M.

Click here for the ABNS M & M conference format template

Please note that most State laws provide a “peer review privilege” that prohibits malpractice plaintiffs and others from gaining access to materials and discussions undertaken in connection with certain legitimate peer review activities, particularly those conducted at hospitals.  The scope of this privilege varies from State to State, so Diplomates are encouraged to consult with the own (or their institution’s) legal counsel for guidance as to whether a Diplomate’s contemplated M&M activity, especially any such contemplated activity in a non-hospital setting, will be covered by the privilege.

All ABPNS diplomates, in order to maintain their certificate of focus practice, are required to participate in MOC/CC annually as all ABPNS certificates are time-limited.

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