Cardiovascular disease diplomate simplified decision flow sheet for 2019. Decision flows are expected to be identical in 2020 for diplomates in intervention, electrophysiology, and heart failure when CathSAP-CMP, EPSAP-CMP, and HFSAP-CMP are expected to be fully available. For diplomates in adult congenital heart disease, these options are expected to be available in 2023. This chart presents only 1 series of options available to diplomates. Full information is available at https://www.abim.org/maintenance-of-certification/assessment-information/assessment-options.aspx, and readers are referred to this resource. ABIM = American Board of Internal Medicine; ACC = American College of Cardiology; Cath = catheterization; CME = continuing medical education; CMP = collaborative maintenance pathway; EP = electrophysiology; HF = heart failure; MoC = maintenance of certification; SAP = self-assessment program.