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 To maintain the viability of your American Board of Internal Medicine (ABIM) certificate, you must adhere to the ABIM's Maintenance of Certification (MOC) program requirements. Here are the steps to maintain your ABIM certificate:

1. Enrollment: Enroll in the ABIM MOC program, which includes four elements - knowledge check-in, assessment of performance in practice, improving patient care, and evaluation of patient safety.

2. Knowledge Check-In: Participate in the Knowledge Check-In every two years for your specialty. This involves answering questions related to your specialty to demonstrate your knowledge.

3. Assessment of Performance in Practice: Complete self-assessment activities such as practicing self-reflection, quality improvement activities, and feedback from peers.

4. Improving Patient Care: Engage in activities that enhance your clinical knowledge and skills. This may include attending conferences, seminars, and participating in continuing medical education (CME).

5. Evaluation of Patient Safety: Participate in activities that focus on patient safety and quality improvement in your practice.

6. Meet ABIM's points and requirements: Ensure that you earn the required number of points for each MOC element and meet the other program requirements set by the ABIM.

7. Submit documentation: Keep track of your activities and submit documentation to the ABIM to show that you have met the MOC requirements.

By following these steps and actively participating in the ABIM MOC program, you can maintain the viability of your ABIM certificate. It is essential to stay up-to-date with any changes in the MOC program and fulfill all requirements to continue holding your ABIM certificate.