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 osteoarthritis for entry into your baseline chart review survey. You will assess your performance on screening for pain, risk assessment for use of non-steroidal anti-inflammatory drugs, and use of analgesic medications

2.  Once you complete that chart review, you will be able to review your performance and target an area for improvement. Then, using the ACP 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 patients with osteoarthritis 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?

Osteoarthritis (OA) is the most common form of arthritis. Three-quarters of all Americans with arthritis have OA and most Americans are expected to have OA in at least one joint by age 65. Progressive joint pain from OA leads to functional limitations, fatigue, depressed mood and loss of independence. OA is a chronic condition that requires long term management. It has been estimated that up to one in five visits to primary care physicians are for OA. Despite the high frequency of OA among primary care patients, under-diagnosis and under-treatment have been found related to perceptions of OA as a normal part of aging, the high co-occurrence of other health problems, like diabetes and heart disease, that may complicate use of analgesic and anti-inflammatory therapies, fear of use of pain killers by patients, and lack of confidence among primary care physicians in conducting a musculoskeletal exam. Recognition of OA as a chronic condition with a substantial population impact is an important first step towards reducing the burden of this common condition.

How will these tools help?

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