AOBOG announces postponement of the Sept. 25-26 Primary and Subspecialty Oral Exams VIEW MORE

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:

  • Quality Improvement Activity Attestations. Physicians participating in Quality Improvement (QI) activities outside of the options listed above may attest to their participation through the QI activity attestation. QI activity attestations can be submitted for Component 4 credit using the online submission form in the AOA Physician Portal. The Physician Portal also contains more information on what kinds of activities may qualify for the QI activity attestation.
  • 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.

For diplomates who are also in fellowship, one PPA module will be waived for each year both certified and in fellowship.