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Diplomates board-certified through the ABPM must complete an Improvement in Medical Practice (IMP) activity through AMIA during each 10-year reaccreditation cycle.

Currently, the IMP, or MOC-IV, must be a quality improvement/performance improvement activity, or it may be a 360-degree evaluation by colleagues. AMIA is looking into additional formats that may satisfy this requirement. When additional formats are approved by the ABPM, AMIA will inform diplomates of any new formats deemed acceptable.

Target Audience

Board-certified clinical informaticians seeking to satisfy their “continuing certification” requirements.


The objectives of this activity are for the clinical informatics diplomate to:

  • identify a problem in one’s practice that may be solved through the implementation of a clinical informatics approach;
  • capture “before” data of the problem;
  • implement the clinical informatics approach;
  • capture “after” data of the problem once the approach has been in place at least 3 months;
  • compare the two data captures to determine improvement; and
  • reflect on and evaluate the project.  

Engaging in the IMP Project

  1. Register the AMIA MOC-IV project
  2. Download the template
  3. Review the template and reflect on a project that would demonstrate performance or quality improvement using clinical informatics
  4. Engage in the PI/QI project, completing all of the required (asterisked) fields; the actual project should take at least three months to complete. (Please do not use the online submission tool as it does not allow for inclusion of images.)
  5. Email to submit your project. AMIA then puts it into review by the MOC Committee, informs you if it has been approved, and communicates with the ABPM that you have satisfied this requirement

CME Information

The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American Medical Informatics Association designates this ”Other” (MOC-IV/Improvement in Medical Practice) activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


You may contact AMIA’s Director of Continuing and Professional Education at with any questions on completing the template for a performance/quality improvement or 360-degree evaluation type of MOC-IV/IMP project.