If you choose to participate in the ABOS WLA, you can begin in 2022. You must achieve five Quality Years by 2029. A year is considered participating once your first question is administered. A Quality Year is achieved by correctly answering 24 out of 30 questions. You must submit your Recertification Application, Application Fee, Case List, and CME/SAE requirements by December 1, 2030 (can also apply as early as 2025).