Component 4: Practice Performance Assessment & Improvement
Component 4 requires physicians to engage in continuous quality improvement through comparison of personal practice performance measured against national standards for their medical specialty. You can view your status for all components of Osteopathic Continuous Certification by visiting the AOA Physician Portal.
AOBOG requires a physician to complete two Practice Performance Assessment (PPA) modules and/or Quality Improvement (QI) activity attestations in a six year OCC cycle. The deadline to complete Component 4 is Sept. 15 of the year of certification expiration.
PPA modules are available in a variety of ways:
- Osteopathic Continuous Assessment & Training (O-CAT) website. Each module requires physicians to log five to 10 consecutive cases from their personal practice. The individual physician’s module results will be measured against national standards. If the results fall below acceptable thresholds, there will be a required educational activity followed by a reassessment in the same module with new consecutive cases. All physician logged cases are subject to audit.
- Erikson’s “Early Childhood Development: Enhancing Communication Using the FAN” Module (login required). Physicians must complete “Module 1 – Enhancing Communication Using the FAN” and the AOBOG Assessment for OCC Component 4 “Erikson Early Childhood Development” Module to receive credit for 1 PPA Module. The AOBOG receives monthly reports listing the physicians who have completed this activity for PPA credit, or you may email or fax us ( (312-202-8482) to report your completion of this activity.
- The Office of Minority Health’s “A Physician’s Practical Guide to Culturally Competent Care.” Physicians must complete all three themes (Fundamentals of Culturally Competent Care; Provide Language Access Services; and Structuring Culturally Competent Care) for credit for 1 PPA module. You must email or fax (312-202-8482) a copy of the CME certificate to the AOBOG office for credit. AOBOG will report CME credits on your behalf.
Quality Improvement (QI) activity attestations can be submitted for Component 4 credit using the online submission form in the AOA Physician Portal.
For diplomates who are also in fellowship, one PPA module will be waived for each year both certified and in fellowship.