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To maintain the GBO Diplomate status in accordance with the Statutes, continuous participation in GBO-mandated courses (e.g. the GBO Annual meeting) is required. Within five years of obtaining Diplomate status, the GBO Diplomate is required to make another active contribution (case presentation, posters, lecture, conference report) at a GBO-mandated event or at an event recognized for the purpose by the GBO Board or Advisory Council. The decision of the Advisory Board cannot be appealed.