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How to Earn Credit

Popular Ways to Earn Credit

The ABP has developed new pathways to Maintenance of Certification (MOC) Part 4 credit. These were designed in part using feedback from pediatricians who are maintaining ABP certification. Here are three popular pathways to Part 4 credit.

NCQA Patient-Centered Medical Home or Specialty Practice

We offer ABP MOC 4 credit to pediatricians involved in quality improvement (QI) projects as part of obtaining National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home or Specialty Practice (PCMH/PCSP) recognition. This is an individual attestation, even if you participated as part of a group. Part 4 points: 40. Fee: $0.

Visit your ABP Portfolio to apply for credit. Login required.

Note: If you participated in QI projects as part of a different PCMH/PCSP certification process, you may apply for credit through "Small Group QI Project (1-10 physicians)."

Small Group QI Project (1-10 physicians)

If you (or you plus up to 9 colleagues) are engaged in or planning a QI project in your practice or setting, your project may be eligible for MOC credit approval. We award credit to structured, well-designed QI projects that are based on accepted improvement science and methodology.

Helpful hints: Reviewing this checklist (PDF) and looking at the application questions (PDF) will help you gather all the necessary information needed to easily and quickly complete your application! A processing fee of $75 will be required by credit card payment upon initial project application submission.

For approval, the project application will need to show the following elements:

  • What aim(s) were you and your team trying to accomplish?
  • What did you measure so that you could tell that a change was an improvement? You will need at least baseline and two follow-up measurements.
  • What changes did you make to try to accomplish your improvement aim?

To assist you, here are PDF examples of approved Small Group QI Projects: advocacy project, clinical project, and educational project.

Log in to your ABP Portfolio to apply.

Institutional Quality Improvement Leadership

This pathway is only intended for physicians in positions of responsibility who contribute to improved healthcare quality through program development and support in quality and safety, such as department chairs, chief medical officers, and directors of public health departments. If the QI leader is personally involved in specific improvement projects, it is expected that the projects themselves will be submitted so that those involved can get credit. The criteria for evaluation are as follows:

  • The individual is in a leadership position to develop quality and safety improvement initiatives for a healthcare organization for greater than one year.
  • The individual must provide evidence that they have supported quality and safety initiatives within their organization.
  • Demonstration of expertise in quality and safety science.
  • Two initiatives demonstrating quality improvement science as well as documented evidence of interventions, improvements, and plans for sustaining these initiatives.

Visit your ABP Portfolio to apply. Login required. Also, check out the examples of approved Institutional QI Leadership applications.


Additional Ways to Earn Credit

In addition to the pathways above, there are several other opportunities to earn Part 4 MOC credit.  

Improving Professional Practice (Part 4) Activities

​There are several other online Performance Improvement activities from other organizations, available through your ABP Portfolio. 


*Physicians must attest to Meaningful Participation as part of a QI Project. Meaningful Participation is defined by the ABP as involving both an active role in the project, and participation over an appropriate period of time. The ABP approves QI projects in which pediatricians are active participants in implementing change.

The pediatrician must:

  • Be intellectually engaged in planning and executing the project.
  • Implement the project’s interventions (the changes designed to improve care).
  • Review data in keeping with the project’s measurement plan.
  • Collaborate actively by attending team meetings.