The Bureau of Osteopathic Specialists continually assesses the skills of osteopathic physician specialists in response to the growth of specialization in the osteopathic medical profession. Most recently, the Bureau has mandated that all osteopathic specialty certifying boards fully implement Osteopathic Continuous Certification no later than January 1, 2013. The authors discuss communication efforts related to this change, including a survey to assess physician needs in light of the new requirement. Also reported are rates of osteopathic specialty board certification and recertification for 2010.