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. The AOBPM requires candidates to complete one PPA module in each 10-year OCC cycle.

Since many physicians participate in quality improvement programs through their employer, AOBPM diplomates may attest to participating in a quality improvement program.

Component 4 requirements must be submitted and satisfactorily met 6 months prior to the certificate’s expiration date. To learn more about accepted quality improvement activities and to submit a quality improvement attestation, please visit the AOA Physician Portal or view frequently asked questions.