How do I earn MOC?

To complete this module and earn 20 points towards Self-Evaluation of Practice Performance for ABIM’s MOC Program, you will:

1.  Begin by selecting 25 of your patients with rheumatoid arthritis for entry into your baseline chart review survey. You will assess your performance on screening for pain, use of a disease-modifying anti-rheumatic drug, and management of hypertension. 

2.  Once you complete that chart review, you will be able to review your performance and target an area for improvement. Then, using the practice biopsy tool and resource library in this module, you will create a plan of action for improvement.

3.  After you have implemented your plan for improvement, you will come back and reassess your performance with a follow-up set of 25 patient with rheumatoid arthritis three months after initiating the improvement activity. You will then be able to compare your baseline performance with your follow-up performance and reflect on your experience.

4. After completion of the second assessment, you can attest to your participation and receive 20 Self-Evaluation of Practice Assessment points by submitting a report to ABIM through your Physician Homepage on www.abim.org.  Simply login using your ABIM ID and password and click "Submit AQI Project Report."  ABIM will grant MOC points after the sponsor, ACP, verifies your participation in the activity.

For any questions about this process, please email practiceadvisor@acponline.org. ACP also provides extensive information on the American Board of Internal Medicine recertification requirements.

Why is this Topic Important?

Rheumatoid arthritis (RA) is the most common chronic inflammatory arthritis, affecting approximately 1% of adults. RA patients because of their immunosuppressive medications and their substantial propensity for cardiovascular morbidity, infections and osteoporosis can provide unique challenges to primary care physicians (PCP). This module will address the important aspects of providing optimal primary care for this important patient population. This focus should be on tailoring management of co-morbid conditions (cardiovascular and bone), unique immunization considerations for this group of immune-suppressed patients and timely recognition of potentially life-threatening complications of therapy. Additionally, this module will briefly cover the identification of early inflammatory arthritis and appropriate timely referral to rheumatologists. Finally, RA is three times more common in woman and often has onset in the childbearing years, so it is important to address unique issues of pregnancy in RA and with the medications used.

How will these tools help?

The resources referenced in this module will assist with your efforts to improve care for patients with rheumatoid arthritis.  Your entire practice should review the ACP Practice Advisor module in the Improving Clinical Care section on Rheumatoid Arthritis.