The consequences for individuals with pre-existing certification are outlined in Table 3.
If no changes are made to course materials, recertification is not required until the periodic recertification requirement at 5 years is reached (as defined in Table 2).
Minor course changes will require individuals to either read an overview of changes or review revised sections of material (no testing required), depending on the nature of the minor change as outlined in Table 3.
Major course changes will require individuals to complete bridging material (testing required) or complete the entire course and quizzes/exam, again, depending on the nature of the major changes (Table 3).
The consequences of minor or major course changes to individuals with pre-existing certification apply to each level for which they are certified. For example, an individual certified as a Level 3: Master Guideline Developer would be subject to the consequences of course changes for their highest level of certification (i.e., level 3) as well as all previous levels of certification (i.e., levels 1 and 2).