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 patient with chronic pain visits for entry into your baseline chart review survey. You will assess your performance on screening for depression, pain assessment, and use of an Opioid Agreement Form/urine toxicology when appropriate.

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 of your patients with chronic pain 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?

Chronic pain is both a common and challenging problem in primary care settings. Approximately 116 million Americans have chronic pain. Pain accounts for up to 20% of all outpatient visits costing over $600 billion dollars per year in direct medical treatment and lost productivity costs. Adequate treatment of pain is recognized as an essential dimension of quality medical care. The Institute of Medicine’s 2011 blueprint for “Relieving Pain in America,” includes the following principles: effective pain management is a moral imperative; and that there is value in comprehensive pain treatment that includes interdisciplinary approaches with treatment effectiveness depending greatly on the strength of the clinician-patient relationship.

How will these tools help?

The resources referenced in this module will assist with your efforts to improve care for patients with chronic pain.  Your entire practice should review the ACP Practice Advisor module in the Improving Clinical Care section on Chronic Pain Management.