The Performance in Practice (PIP) component of MOC is a quality improvement program designed to improve practice during the MOC cycle. Each PIP unit consists of one Clinical Module and one Feedback Module.

  1. Evidence of performance in practice - PIP
    1. Designed to evaluate whether or not physicians have shown improvement in the last ten years (this is done by a chart review and a second party external review) Participants will be required to complete three units consisting of both modules.

    2. Number of units required:
      1. 10-year Maintenance of Certification (diplomates who initially certified or last recertified before 2012)
        1. One unit per 10-year cycle
      2. Continuous Maintenance of Certification (diplomates who initially certified or last recertified in 2012 or later)
        1. One PIP unit per three-year stage

    3. Clinical Module (Chart Review)
      1. PIP clinical modules must use data obtained from or pertinent to a participant's personal clinical practice over the previous 3 year period and must evaluate at least five patient cases in a specific category (i.e. diagnoses, type of treatment, treatment setting)

      2. PIP modules must compare data from the clinical cases to best practices or practicing guidelines

      3. PIP modules must contain a minimum of 4 quality measures per activity

      4. PIP modules must require the development of a plan by the member to improve his/her performance

      5. PIP modules must reassess data from at least another five cases in the same specific category within 24 months similar to the original assessment

    4. Feedback Module (Patient/Peer Second Party External Review)
      1. PIP assessment modules must be based on feedback from at least one of the following:
        1. Five patient surveys
        2. Five peer evaluations of general competencies
        3. Five resident evaluations of general competencies
        4. 360 Degree evaluation of general competencies with five respondents
        5. Institutional peer review of general competencies with five respondents
        6. One supervisor evaluation of general competencies

      2. PIP modules must provide performance feedback to the participant concerning improvement in the effectiveness and/or efficiency of their practice as it relates to the core competencies

      3. PIP modules must present feedback from another one of the following within 24 months similar to that provided in the original assessment
        1. Five patient surveys
        2. Five peer evaluations of general competencies
        3. Five resident evaluations of general competencies
        4. 360 Degree evaluation of general competencies with five respondents
        5. Institutional peer review of general competencies with five respondents
        6. One supervisor evaluation of general competencies

Please Note: Diplomates no longer must complete patient surveys AND peer surveys to meet the feedback module for Part IV of MOC. Diplomates must now complete only ONE of the above options to satisfy the feedback module requirement.

Performance in Practice (PIP) Tools (Available to Members Only)
AACAP's Lifelong Learning Committee has developed a series of checklists and surveys to help fulfill the PIP component of your maintenance of certification requirements.