1Certificates maintained per quarter — LKA vs 10-year MOC exam
16 quarters, Q1 2022 – Q4 2025 · a certificate is counted in the quarter its maintenance assessment was completed
2What this board answers
Three questions the Assessment & Research team asks every cycle
3The certification journey — candidate flow from residency to maintained certificate
Band width is proportional to physicians in the selection · residency completion → initial certification exam → diplomate → maintenance pathway
4Infographic export — one-glance tile
Recalculated from the current filter; ready for the annual report, a press release or a journal figure
5First-taker pass rate by certificate
Initial certification exams · sorted by pass rate · amber = below the 88% board-level watch line
6Question performance — item difficulty × discrimination
Each dot is one scored item · x = proportion answering correctly (p-value) · y = point-biserial discrimination · items below 0.15 are flagged for committee review
7Candidate cohorts — first-takers by training pathway
Share of first-time takers and their pass rate · US MD graduates · DO graduates · international medical graduates (IMG)
8Ask the data
Natural-language layer over the same semantic model · the answer cites the panel it was computed from













