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.

AOBPMR requires physicians to complete one Practice Performance Assessment (PPA) module and/or Quality Improvement (QI) activity attestation in each three year OCC/CME cycle. The module(s) or attestation must be completed prior to the expiration of a physician’s certification.

Component 4 can be satisfied by completing either of the following:

Quality Improvement (QI) Activity Attestation

The Quality Improvement (QI) activity attestation can be submitted for Component 4 credit using the online submission form in the Physician Portal. You’ll need your AOA website login to access the online form. If you’re attesting to multiple QI activities, you must submit one form per QI activity.

Osteopathic Continuous Assessment and Training (O-CAT) Each module requires physicians to log 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.

O-CAT’s three-year subscription fee is $295.00. (Fees are subject to change.)

  • Complete any topic to satisfy the PPA requirement.