We all agree: Nobody likes Maintenance of Certification.

Rheumatologists love a debate. A "Great Debate" has become one of the highlights of our annual meeting. Our consultations often include lengthy differential diagnoses so that even the rarest of rheumatological conditions is not missed. Our treatment guidelines discuss the pros and cons of multiple therapies so that we can chose the best option for the individual patient. However, there seems to be one issue upon which rheumatologists are certain - their unhappiness with the current process of Maintenance of Certification (MOC) required by the American Board of Internal Medicine (ABIM). In this issue, Sawalha and Coit present the data from their survey of US rheumatologists on the topic of MOC(1). Not surprisingly, the overwhelming opinion is negative. This article is protected by copyright. All rights reserved.