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If the candidate does not successfully complete the MOC process prior to expiration of his/her time-limited certificate, he/she will remain eligible to participate in the process but will cease to be Board-certified until the process is successfully completed and a new time-limited certificate is issued. If the candidate successfully completes the MOC process before expiration of his/her certificate, e.g., in year 8, 9 or 10 of the 10-year cycle, the new certificate will be issued for 10 years commencing January 1 of the year immediately following the expiration date of the prior certificate.

Should a diplomate with a time-limited certificate not complete the requirements for MOC by the end of the tenth year, the certificate will expire and the physician will lose diplomate status. Once the certificate has expired, the physician may not represent himself/herself to the profession or the public as being certified until successfully recertified by the American Board of Dermatology. The physician may reapply for a future MOC examination, but must meet all the criteria in effect at that time.

Diplomates with lifetime certification who choose to take the MOC/Recertification examination will receive a 10-year certificate. Expiration dates on subsequent 10-year certificates will be based on the initial MOC/Recertification certificate expiration date. For example, a diplomate who initially certified in 1980 (lifetime, no expiration date), and elected to take the MOC/Recertification examination in 2002, received a certificate with an expiration date of December 31, 2012. If the diplomate lets that certificate lapse and then takes the MOC/Recertification examination in 2014, the certificate will show an expiration date of December 31, 2022, based on the initial recertification.