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 logging in to the AOA Physician Portal.

The AOBPa requires completion of two PPA modules every 10-year certification cycle. A variety of activities may count as PPA modules, including:

  • Performance Improvement Programs (PIP) in Surgical Pathology through the College of American Pathologists.
  • NonGynecologic Cytology Programs (NGC) through the College of American Pathologists.
  • NonGynecologic Assessments through the American Society of Clinical Pathology.
  • Fundamentals of Effective Communication through O-CAT.
  • Quality Improvement (QI) activity attestations submitted via the AOA Physician Portal (log in and select  OCC > Component 4 Attestation). The QI activity attestation is for physicians to attest to QI activities other than those listed above.

For information on other methods of obtaining PPA credit, contact the AOBPa.