American Osteopathic Board of Family Physicians: Call for Item Writers! Get details

Component 4: Practice Performance Assessment & Improvement


The purpose of Component 4 is to assist the physician in continuous quality improvement in the field of Family Medicine.

Physicians can visit the AOA Physician Portal (login required) to view their OCC progress. Please note you will be required to sign into the site using your Osteopathic.org login information.

OCCAP Modules

Once you have submitted an OCCAP module application and received an authorization letter confirming approval from AOBFP, you may begin completion of a module below.

Each OCCAP module is a Performance Improvement exercise in a critical area of care. Based upon your learning in your chosen module, you will be asked to summarize changes you would implement into your practice. When you have successfully completed the module—including a required quiz—you will be awarded 21 Category 1-B credits.

Diabetes Module*

Lower Back Pain Module

Coronary Artery Disease Module

Hypertension Module

If you previously received an enrollment key for an OCCAP Module and it is no longer working, please email aobfp@osteopathic.org.

*Note: In order to view the Diabetes Mellitus Learning Activity please view the module in the following web browsers: Internet Explorer, Microsoft Edge or Mozilla Firefox.

Professionalism Modules

Once you have submitted a module application and received an authorization letter confirming approval from AOBFP, you may begin completion of a module below.


This project relates specifically to the development of a solution for the AOA certifying boards to be in compliance with the fourth osteopathic core competency requirement, Interpersonal and Communication Skills. The training will adhere to all AOA Continuing Medical Education (CME) requirements and conform to best practices and standards for high stakes assessment. The program will be delivered online and will have strong assessment components. This module involves the completion of patient surveys, peer surveys, and/or staff surveys. Completion of this module will be recorded to your AOA “OCC Tracker” online information and you will be credited with 10 Category 1-B credits.

NOTE: You will be required to select “Physicians register by clicking HERE” from the FPOCAT home page, followed by entering the voucher code which has been provided in your confirmation letter from the AOBFP. You are required to return to the home page and log in to be further directed to profile information to be completed prior to patient or staff surveys, which are part of the Communication module. You may then begin the module.

Begin the module

Note: It is strongly suggested that you use Google Chrome as your internet browser for completion of this module.

Cultural Competency

Culture influences patient care from seeking treatment to understanding health care decisions and complying (or not) with treatment. Unrecognized cultural and language differences between the patient/family and any member of the health care team can lead to adverse events. The ability of the health care team members to work effectively offers a variety of benefits to the health care organizations and to patients, families and communities.

Learning Objectives:

  1. 1. Describe cultural competence for the health care professional.
  2. 2. Understand the cultural competence continuum.
  3. 3. Identify the benefits of culturally competent care.
  4. 4. Identify skills to build cultural competence.

If you currently are not registered user on fpocat.com use the Register Here button on the FPOCAT home page.

Registration requires a voucher code, which has been provided in your confirmation letter from the AOBFP. If you do not have a code please contact the AOBFP. After registration you will fill out a profile and then have access to the modules available.

Begin the module

Medication Safety Communication Professionalism

This module has been developed by the National Board of Osteopathic Medical Examiners (NBOME) for the American Osteopathic Board of Family Physicians (AOBFP) to satisfy a portion of the OCC Component 4 requirements to be completed by our diplomates. Upon completion of this activity, participants will be able to identify methods/techniques for more effective communication to improve medication adherence and to reduce adverse drug reactions, as well as effectively communicate at the patient’s level of understanding.

Steps to be completed within this module include a pretest knowledge assessment, feedback comparing your performance with national benchmarks, completion of educational activities within the module based on pretest feedback, a post-test knowledge assessment, and an evaluation of the module.

Participants are required to complete the program in its entirety with a passing score on the post-test to earn 3 Category 1-B credits, which would be posted to your CME activity report. NBOME will report completion directly to the AOA and the AOBFP. It is NOT necessary that a completion certificate be submitted by the candidate to the AOA CME Division or the AOBFP.

Begin the module​​

Apply for a Module

Quality Improvement (QI) Attestation

Some quality improvement (QI) activities can earn Component 4 credit in place of one OCCAP module. Diplomates who wish to submit attestation of completing QI activities as part of their practice may do so via the AOA Physician Portal. FAQs about attestation criteria are also located in the AOA Physician Portal.

Note: When submitting an attestation, include the name of a supervisor who can confirm that the QI project is in process.