Certification

MOCE Enrollment Instructions

Enrollment in MOCE is a two-step process that must be completed each year before questions can be accessed: enrollment and activation.

1. Enrollment – Create and complete a new application via your NBE profile by logging in at www.echoboards.org. This step ensures your annual participation is recorded and your NBE status is updated. You will need the following information to complete your enrollment:

   • Up-to-date contact information in your NBE profile

   • Documentation is not required to be uploaded for enrollment, but NBE reserves the right to request proof of eligibility.

2. Activation – After enrolling, you must activate your aimeQED account, which is the platform where MOCE questions are completed.

   • First-time participants: You will receive a welcome email with a link to activate your aimeQED account.

   • Returning participants: If you have participated in a previous year, you will not receive a welcome email. Your aimeQED account will automatically reactivate by 10 AM Eastern Time the next day.

3. Once enrollment and activation are complete, your MOCE status can be viewed on your NBE profile and on NBE’s Physician Database.

MOCE Question Portal

AimeQED is the platform where MOCE questions are completed. Access requires completing the two-step process first: enrollment through your NBE profile and activation of your aimeQED account.

If you have already completed both steps:

• Visit www.aimelearning.com using a Chrome browser, or

• Download the mobile app

  

  

Annual Enrollment Is Required
You must enroll in MOCE every year through your NBE profile before you can access any questions – even if you participated in previous years.

First-Time Participants:

• After enrolling via your NBE profile, you will receive a welcome email from donotreply@aimelearning.com by 8 AM ET the next day.

• This email contains instructions to activate your aimeQED account. You must complete activation before you can begin answering MOCE questions.

Returning Participants:

• You must still enroll each year by creating a new MOCE application through your NBE profile.

• You do not need to reactivate your aimeQED account. Access will automatically reactivate by 8 AM ET the day after enrollment.

Error Notes:

If you see one of the following errors when trying to log in to your aimeQED account, please review the information below:

“No questions available”
“You are not maintaining your MDT value”

These errors may appear if you participated in a previous year and logged into your aimeQED account before re-enrolling for the current year. Annual enrollment is required before you can access your MOCE/MOTE questions. Once you have re-enrolled, these errors will clear.

OR

Access to MOCE/MOTE in aimeQED will be unavailable from 12:00 AM on January 1 until enrollment reopens later in January. This downtime allows us to add new materials and improve the question-answering experience. During this period, you may see the same error messages noted above. Please be assured that your progress is safe and that you will be able to resume answering questions once you have re-enrolled.

Eligibility for MOCE Enrollment

Eligible physicians will have passed an initial NBE examination and been approved for Diplomate status (NBE certification). Through December 31, 2027, NBE will allow physicians with expired Diplomate statuses to enroll in MOCE without penalty. After this deadline, expired Diplomates must pass the initial examination again and then apply for initial certification.

Please see the additional MOCE enrollment requirement below:

• Diplomates must possess an active, unrestricted license to practice medicine or be enrolled and in good standing in a United States ACGME-accredited program or equivalent
• Diplomates must interpret echocardiograms in their medical practice. During the annual enrollment process, diplomates must report the approximate number interpreted annually.
• Diplomates must have earned fifteen (15) AMA PRA Category 1 Credits™. credits devoted to echo­cardiography in the preceding three (3) years OR attest that this require­ment will be completed within the next calendar year.
• Diplomates must participate in an Echo Quality Improvement program.

or equivalent.

Those who have passed an NBE exam but have NOT achieved board certification status (i.e. Testamur) should instead enroll in Maintenance of Testamur in Echocardiography (MOTE) until Diplomate (NBE certified) status has been achieved.

MOCE Question Format

MOCE was designed so that questions may be answered over time rather than all at once to promote continuous learning and knowledge retention. This enables personalized knowledge acquisition, assessment, and demonstration of proficiencies with minimal time commitment.

Content:

• 48 questions available per year
  • 12 questions will be released per quarter
  • Any question left unanswered by December 31st will be marked incorrect
• A maximum of 12 questions may be answered per day

Content for MOCE is similar to the content outline generated for initial examinations. The questions have been developed to test only clinically relevant material in each category, prioritizing concepts that are commonly encountered in current state-of-the-art practice.

Requirements:

• You must complete enrollment by the enrollment deadline
• You must maintain an MDT value of 0.20 or higher

MDT Value Explained:

Measurement Decision Theory (MDT) estimates the probability that candidates are keeping their knowledge up-to-date based on their pattern of responses to questions. MOCE is not designed to be a pass-fail system, but rather to maintain in-depth knowledge and proficiency.

NBE requires an MDT value of 0.20 or higher to maintain an active Diplomate status. When you first start MOCE, your MDT value will be set at 0.97. Whether using the web browser or mobile app to answer questions, you will be able to see your MDT value change in real-time as you answer questions.

Status Changes – What Happens if Requirements Are Not Met?

Diplomates who are required to participate in MOCE and do not meet the annual requirements by December 31 will move from “Active” to “Conditional” the following year.

If a Diplomate fulfills the requirements while in Conditional status, their status will return to “Active” the next January.

If a Diplomate fails to complete the requirements for a second consecutive year, their status will change to “Inactive.” Once Inactive, the only way to regain Diplomate status is by taking and passing the initial examination and applying for initial certification.