• Start a conversation with leadership about clinician burnout/well-being

  • Articulate the reasons to address clinician burnout/well-being

  • Facilitate a constructive meeting with leadership on the topic

  • Explain the rationale for improving care delivery for patients with diabetes

  • Identify key practice level interventions to optimize the delivery of care to patients with diabetes

  • Motivate patients with diabetes to improve their self-management skills

  • Recognize essential hypertension in patients not yet formally diagnosed with the condition.

  • Engage patients as partners to reduce risk and improve hypertension control (e.g., shared decision making on approach and setting goals based on patient values, preferences, outcomes).

  • Understand the options for initiating pharmacologic therapy, if necessary, the goals of therapy and how to counsel patients on the importance of medication adherence.

  • Treatment options for hypertension uncontrolled after initial therapy

  • Timing and evaluation for secondary hypertension

  • Recognition and treatment of resistant hypertension

  • Assess your practice’s ability to successfully develop and track a treatment plan for chronic pain

  • Implement or augment as system that supports team-based support and monitoring of the care plan through PDSA cycle(s).

  • Learn to foster and optimize collegial, interactive teamwork with all practice employees, patients and interested parties in order to improve outcomes for patients with chronic pain.

  • Demonstrate knowledge of key components of advance care planning conversations

  • Identify team-based strategies for integrating advance care planning into clinical settings

  • Explore how to engage patients and families in your advance care planning efforts

  • Recognize atrial fibrillation in patients not yet diagnosed with the disorder, including those with comorbidities such as sleep apnea and thyroid disorders

  • Effectively communicate with patients regarding the pros and cons of different anticoagulation strategies; the risk of stroke and bleeding; and the importance of lifelong adherence to the prescribed therapy

  • Refer appropriate patients to a cardiologist or electrophysiologist

  • Work with clinicians, staff, and patients/families to develop a process to identify barriers to appropriate medication use.

  • Analyze the strengths and weaknesses of various approaches to support appropriate use of medications. 

  • Collaborate with patient and family advisors to review and co-design patient education materials that meet health literacy standards and include patient and family-centered language.

  • Effectively implement depression screening techniques in your office

  • Introduce an algorithm for managing patients with suicidal ideation

  • Provide your patients with support tools and websites

  • Learn how to improve immunization rates among adults in your practice

  • Ensure your practice is compliant with all federal regulations

  • Earn 20 ABIM Maintenance of Certification self-evaluation of practice performance points through the use of this module (more information here)

  • Determine if your practice is fully prepared to manage patients experiencing chronic pain.

  • Learn appropriate components of a chronic pain care plan, and utilize provided tools and forms to ensure proper documentation.

  • Earn 20 ABIM Maintenance of Certification self-evaluation of practice performance points through the use of this module (more information here)

  • Implement standardized clinical and operational processes for diagnosing OA

  • Ensure that clinicians and clinical staff in your practice have current information about the treatment and management of OA

  • Earn 20 ABIM Maintenance of Certification self-evaluation of practice performance points through the use of this module (more information here)

  • Identify the pivotal role a PCP plays in the early identification and early referral of patients with potential inflammatory or rheumatoid arthritis.

  • Understand and aggressively treat the important co-morbid conditions in RA

  • Earn 20 ABIM Maintenance of Certification self-evaluation of practice performance points through the use of this module (more information here)

  • Implement a standardized clinical process for diagnosing gout.

  • Implement a standardized office process for managing patients diagnosed with gout, including episodes of acute pain.

  • Ensure that clinicians and clinical staff in your practice have current information about the treatment and management of gout.

  • Create a Policy & Procedure so all staff know their respective roles.

  • Use validated tools to screen patients for substance use.

  • Use "brief interventions" effectively.

  • Learn the basic principle of Motivational Interviewing (MI) to support patient behavioral change.

  • Integrate “Motivational Interviewing” (MI) into clinical practice.

  • Use “Motivational Interviewing” (MI) effectively.

  • Learn the basic principles of the 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk.

  • Integrate “Assessing for Cardiovascular Risk” into clinical practice.

  • Implement strategies for patients based upon their identified risk level.