Self-Directed Improvement in Medical Practice Activities

Create Your Own Improvement Project

Develop your own clinical or non-clinical activity to make a change in your practice. An increasing number of diplomates are taking advantage of the opportunity to satisfy this requirement while addressing issues important to them in their own practice. Designing a custom improvement activity will require you to:

  • Identify a problem
  • Examine relevant data
  • Set improvement goals
  • Identify plan and steps for improvement
  • Conduct improvement (minimum of 90 days)
  • Reflect on the outcomes and submit activity summary for MOC credit
Not sure where to start? View examples of past clinical and non-clinical improvement projects where diplomates identified gaps in care, set improvement goals, and made changes that resulted in meaningful improvement in their practice.

The ABO uses a shared platform called the MOC Activity Manager linked from your Status Page to accept and review applications for improvement projects that you create. The application lifecycle takes about 4-6 weeks from submission through approval. Click here to view a sample application.

  • Applications are accepted at any time by clicking the link on your Status Page and are processed and reviewed on a monthly basis.
  • Proposal reviewed within four weeks and either approved, not approved, or additional information is requested.
  • Once a project is reviewed, you will be notified to conduct your project and report on the outcome by the date designated in the project approval.

Other Resources

You can get ideas for improvement projects by browsing previously approved projects, reviewing the templates for existing Improvement in Medical Practice Activities, and consulting the following resources:

  • The Institute for Healthcare Improvement has a robust website with resources to guide you through improvement processes based on the Model for Improvement methodology. You will find valuable information on topics from setting improvement goals to identifying measures, and from developing quality improvement plans and testing changes to implementing and spreading changes.
  • The American Board of Family Medicine's winter 2013 issue of The Phoenix contains an article about how to develop and implement a self-directed project, which may be helpful for understanding how to create relevant, meaningful projects.
  • The American Board of Pediatrics has developed a quality improvement guide containing helpful information about common improvement principles.