Maintenance of Certification Part IV: Improvement in Medical Practice

The Office for Continuous Professional Development is approved as a Portfolio Program Sponsor through the American Board of Medical Specialties (ABMS). Physicians and Physician Assistants are eligible for receiving Part IV Improvement in Medical Practice credit through the appropriate ABMS board through internal quality improvement (QI) projects and initiatives.

The ABMS Portfolio Program supports health care organizations’ quality and safety goals, encourages Physician and Physician Assistants involvement in QI activities and offers continuing certification credit for the improvement work being done in practice. 

MOC Part IV credit is available for the following participating ABMS member boards:

  • American Board of Anesthesiology
  • American Board of Dermatology
  • American Board of Emergency Medicine
  • American Board of Family Medicine
  • American Board of Internal Medicine
  • American Board of Medical Genetics and Genomics
  • American Board of Obstetrics and Gynecology
  • American Board of Ophthalmology
  • American Board of Otolaryngology – Head and Neck Surgery
  • American Board of Pathology
  • American Board of Pediatrics
  • American Board of Physical Medicine and Rehabilitation
  • American Board of Preventive Medicine
  • American Board of Psychiatry and Neurology
  • American Board of Radiology
  • American Board of Surgery
  • American Board of Thoracic Surgery
  • American Board of Urology
  • National Commission on Certification of Physician Assistants

Qualifying activities must: 

  • Include an oversight process that ensures adherence to meaningful participation criteria. 
  • Have measurable, relevant, and time-appropriate aims for improvement. 
  • Incorporate appropriate, relevant and (when available) evidence-based measures and interventions.
  • Document data collection pre- and post-intervention.


To be eligible for continuing certification credit through the ABMS Portfolio Program, a physician or physician assistant should meet at least one of the following criteria: 

  • Provides direct or consultative care to patients. 
  • Oversees clinical care delivery. 
  • Has an organizational leadership role in quality improvement or patient safety. 
  • Serves as a quality improvement coach, trainer, or student/resident QI advisor. 

Meaningful Participation Requirements 

A physician or physician assistant can receive continuing certification credit by fulfilling these requirements for meaningful participation: 

  • Identify and/or acknowledge a gap(s) in outcomes or in care delivery. 
  • Identify and/or review data related to the gap(s). 
  • Identify or acknowledge appropriate intervention(s) designed to improve the gap(s), OR participate in the planning and selection of intervention(s) designed to improve the gap(s). 
  • Implement intervention(s) for a timeframe appropriate to addressing the gap(s), OR monitor and manage implementation of intervention(s) for a timeframe appropriate to addressing the gap(s). 
  • Review post-intervention data related to the gap(s). 
  • Reflect on outcomes to determine whether the intervention(s) resulted in improvement. If no improvement occurs after an intervention, participants must reflect on why no improvement occurred. 

If you are a faculty member setting up a new QI project and would like to discuss receiving MOC IV credit, please email OCPD for assistance.

Please visit the ABMS for additional information on the MOC Part IV Portfolio Program:
ABMS Portfolio Program: Making Connections for Quality Improvement
ABMS Portfolio Program: Requirements and Credit Translation for Continuing Certification

Allen Lewis Cantrell
MOC Program Manager