If you choose to participate in the ABOS WLA, you must have already earned a Quality Year. If you did not, you must wait until your next 10-year MOC cycle starts. You must achieve five consecutive Quality Years. A Quality Year is achieved by correctly answering 24 out of 30 questions. If you do not earn a Quality Year each year for the next five years, you must then take an ABOS Computer-Based or Oral Recertification Examination. You must submit your Recertification Application, Application Fee, Case List, and CME/SAE requirements by December 1, 2023 (can also apply as early as 2022).