PT - JOURNAL ARTICLE AU - Ann E. Harman AU - David O. Warner AU - Daniel J. Cole TI - Connecting Purpose and Performance: Rethinking the Purpose of Maintenance of Certification AID - 10.3122/jabfm.2020.S1.190400 DP - 2020 Sep 01 TA - The Journal of the American Board of Family Medicine PG - S15--S20 VI - 33 IP - Supplement 4099 - http://www.jabfm.org/content/33/Supplement/S15.short 4100 - http://www.jabfm.org/content/33/Supplement/S15.full SO - J Am Board Fam Med2020 Sep 01; 33 AB - American Boards of Medical Specialties have emphasized single point in time testing for summative assessment of cognitive expertise necessary for board certification. In 2016, the American Board of Anesthesiology introduced Maintenance of Certification in Anesthesiology (MOCA), a longitudinal assessment platform that provides diplomates formative feedback with continuous questions over time and adapts questions to areas of knowledge weaknesses over time. This paper describes the rationale, history, and early results of the American Board of Anesthesiology MOCA platform.