Recertification will be mandatory every 5 years for doctors and specialists to remain active. Annual advanced appraisal and keeping records of continuing professional development will be part of the process. An e-portfolio will be developed to minimize the burden on surgeons of collecting and recording this information for relicensing, recertification, and supporting professional development. It will contain items like operative logs, CPD, outcomes, and appraisal results. Beta testing received positive feedback, though refinements were suggested regarding specialty standards and integration with other data sources.