Practice Performance Requirement
How Many Projects Should I Complete?
Eventually, all diplomates will complete a practice improvement project every five years, but we are still in the phase-in process.
If your current certificate issue date is prior to 2012, complete one practice improvement project during your 10-year cycle. If your certificate date is 2012 or later, complete one practice improvement project every five years, for a total of two projects over the course of the 10-year MOC cycle.

Practice Performance Options
Options to Complete a Practice Improvement Project
You have several options for completing the MOC Part IV requirement, Practice Performance. These options fall into three categories:
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1.
Self-directed practice improvement project (PIP) from the ABPMR
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2.
Pre-formatted PIPs from PM&R-related specialty societies (AAPM&R and AANEM)
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3.
Multi-Specialty Portfolio Program, sponsored by 45 healthcare institutions and collaboratives nationwide
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4.
Spine patient registry through the AAPM&R
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5.
Patient-Centered Specialty Practice recognition through the National Committee on Quality Assurance (NCQA)
Name | Cost | Available CME | Estimated Completion Time | More Information |
---|---|---|---|---|
ABPMR Self-Directed PIPTopic chosen by diplomate relevant to his/her practice |
Free | N/A |
|
|
Pre-Formatted PIP: AAPM&R Options
|
Member: Free Non-Member: $275 |
20 |
|
|
Pre-Formatted PIP: AANEM Options
|
Member: $125 Non-Member: $250 |
20 |
|
|
Portfolio Program |
Per institution | Per institution | Per institution | |
Spine Patient Registryvia AAPM&R |
Free during pilot period | N/A | Ongoing, longitudinal | |
Patient-Centered Specialty Practice Recognitionvia National Committee on Quality Assurance (NCQA) |
Per NCQA | N/A | Per NCQA and institution | |
Practice Accreditation in MSK Ultrasound Guided Interventional Proceduresvia the American Institute of Ultrasound in Medicine |
Varies | N/A |
|