The MOC process for the ABMS consists of four parts.

Part 1: Professional Standing

You must hold a valid, unrestricted medical license in at least one state or jurisdiction in the United States, its territories or Canada.

Part 2: Lifelong Learning and Self-Assessment

Educational and self-assessment programs are determined by your member board. For pediatricians, these activities are developed by the American Board of Pediatrics (ABP) and other organizations such as the American Academy of Pediatrics (AAP).

Part 3: Cognitive Expertise

You must demonstrate your speciality-specific skills and knowledge by passing your member board-approved examination. Pediatricians must pass a secure examination administered at testing centers worldwide.

Part 4: Practice Performance Assessment

You must participate in a QI effort that meets the following criteria:

  • The QI effort intends to improve care to patients in the physician's clinical practice.  
  • The physician is actively involved in the QI effort. At a minimum, this includes:
    • Working with care team members to plan and implement interventions
    • Interpreting performance data to assess the impact of the interventions
    • Making appropriate course corrections in the improvement effort
  • The physician is able to personally reflect on the activity, describing the change that was performed in their practice and how it affected the way care is delivered.

Please note that the above criteria are those established by the Multi-Specialty MOC Portfolio Approval Program. These may differ for projects done through other organizations and boards. For example, there are three QI project options for pediatricians through the ABP:

Three ways to get Part 4 MOC credit through the American Board of Pediatrics

  • Established quality-improvement projects
    • These are structured QI projects that involve physician teams collaborating across practice sites or institutions to implement strategies carefully designed to improve care. Experienced coaches guide these multi-practice improvement projects in clinical improvement. Seattle Children's MOC portfolio is designed to offer a range of approved Part 4 MOC projects for Children's-affiliated physicians. However, there exist many opportunities through the ABP and other ABMS member boards.
  • Web-based improvement activities
    • These are self-paced, expert-developed quality improvement activities that physicians complete within their own practice setting. ABP-approved web-based QI activities (also called performance improvement modules or ABP Performance Improvement Modules (PIMs) are ideal for pediatricians who do not have access to multi-practice improvement initiatives.
  • Credit for published QI articles