LEAD Program Participation Requirement

ABFAS defines full participation in a LEAD assessment quarter as completing all 30 questions within the quarter’s timeframe. Then, ABFAS will count that quarter towards the required twelve quarters within each five-year period.

Learn more about your specific requirements using the LEAD Program Requirements interactive tool.


Time-limited Certificates
(Certified after 1990)

Diplomates holding time-limited certifications must complete two five-year periods within a ten-year certification cycle. Diplomates holding RRA Surgery certifications are not required to complete separate participation requirements.  

Each Diplomate’s LEAD cycle start and end dates will coincide with their Foot Surgery certification ten-year cycle dates. The Diplomate must participate in required quarters by June 30 of their Foot Surgery certification expiration year. 


Lifetime Certificates
(Certified before 1991)

A Diplomate who holds a lifetime certificate will begin their first five-year LEAD cycle in January 2022 and must begin fulfilling their participation requirements at that time. A diplomate must participate in 12 quarters of the LEAD assessment by June 30 at the conclusion of every five-year period.