A participation threshold, or passing standard, clearly communicates to the learner exactly what needs to be done in order to earn MOC credit. This can be set according to the intent of the evaluation and is determined by the provider. Examples: A provider evaluates learners by using case discussions as part of their hospital’s grand rounds. In order to earn MOC credit for the activity, the learners must actively engage in the conversation, and participation is verified by a group leader or observer. The person facilitating this can then attest that the learners have met the participation requirements needed to earn MOC credit. If a provider uses a post-test as part of evaluation, the activity planners and/or faculty can determine the minimum number of items that the learners would need to answer correctly to demonstrate that they have adequately absorbed the content of the activity.