The feedback modules must be based on feedback from at least five patients and five peers over the previous three years. Diplomates will select their own peers and patients, and all data are, again, kept by the diplomates and not sent to the ABPN. Diplomates must attest to the ABPN that peer and patient feedback modules have been completed. The ABPN will randomly audit a sample of diplomates who will be required to explain further and document what they have done for MOC. However, even in these cases, no specific patient data will be sent to the ABPN.